Amend CSSB 358 as follows:
      On page 6, between lines 17 and 18, insert the following new
subsection:
      Sec. 532.032 (f) The department shall, in coordination with
The Health and Human Services Commission, evaluate the current and
long-term costs associated with serving in-patient psychiatric
needs of persons living in counties now served by at least three
state hospitals within 120 miles of one another.  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.