Amend CSHB 1398 as follows:
      (1)  On page 3, line 11, between "department" and the period,
insert "in accordance with the application, documentation, and
verification procedures established by the department under Section
61.006".
      (2)  On page 4, line 3, strike "21st" and substitute "45th
<21st>".
      (3)  On page 5, line 25, strike "22" and substitute "17".
      (4)  On page 5, following line 27, insert the following:
      (b-2)  Notwithstanding Subsection (b), effective January 1,
2001, the minimum eligibility standards must incorporate a net
income eligibility level equal to 21 percent of the federal poverty
level based on the federal Office of Management and Budget poverty
index.  This subsection expires December 31, 2001.
      (5)  On page 8, strike lines 18-27 and substitute the
following:
eligibility for residents than prescribed by Subsection (a).  A
county may credit toward eligibility for state assistance under
this subchapter the  services  provided to  each person who is an
eligible resident under a standard that incorporates a net income
eligibility level that is less  than  50  percent  of  the federal
poverty  level  based  on the federal Office of Management and
Budget poverty index.
      (6)  Strike page 9, lines 1-10, and renumber subsequent
SECTIONS of ARTICLE 1 of the bill appropriately.
      (7)  On page 10, strike lines 4-5 and substitute the
following:
            (3) <(2)>  rural health clinics;
      (8)  On page 15, line 24, between "demonstrates" and "that",
insert ", through an appropriate actuarial analysis,".
      (9)  On page 28, line 9, strike "and".
      (10)  On page 28, line 18, between "level" and the period,
insert the following:
"; and
            (3)  study the financing of basic health care services
by counties, hospital districts, and public hospitals under Chapter
61, Health and Safety Code, including the use of:
                  (A)  local, state, and federal funds; and
                  (B)  the funds distributed to political
subdivisions under the Agreement Regarding Disposition of
Settlement Proceeds filed on July 24, 1998, in the United States
District Court, Eastern District of Texas, in the case styled The
State of Texas vs. The American Tobacco Co., et al., No.
5-96CV-91."