Amend CSHB 2641 as follows: On Page 15, between lines 14 and 15, add the following: "(4) The Health and Human Services Commission, in coordination with the Texas Department of Mental Health and Mental Retardation, shall evaluate the current and long-term costs associated with serving in-patient psychiatric needs of persons living in counties now served by the Austin State Hospital, the San Antonio State Hospital, and the Kerrville State Hospital. This evaluation shall take into consideration the condition of the physical plants and other long-term asset management issues associated with the operation of the hospitals, as well as other issues associated with quality psychiatric care. After such determination is made, the Health and Human Services Commission shall begin to take action to influence the utilization of these state hospitals in order to ensure efficient service delivery."