Amend CSSB 1156 as follows:
      (1)  In SECTION 9(a) of the bill, in proposed Section
531.02103(a)(11), Government Code (House committee printing, page
27,  line 20), strike "and".
      (2)  In SECTION 9(a) of the bill, in proposed Section
531.02103(a), Government Code (House committee printing, page 27,
line 23), between "reimbursement" and ".", insert the following:
      ; and
      (13)  any other strategy designed to improve the quality and
cost-effectiveness of the Medicaid program