Amend CSSB 1156 as follows:
      (1)  In SECTION 3 of the bill (Committee printing, page 2,
line 11), strike "531.02101 and 531.02102" and substitute
"531.02101-531.02103".
      (2)  In SECTION 3 of the bill (Committee printing, page 2,
between lines 58 and 59), insert the following:
      Sec. 531.02103.  MEDICAID PROGRAM: STRATEGIES FOR IMPROVING
BUDGET CERTAINTY AND COST SAVINGS. To achieve administrative
efficiency and cost savings in the Medicaid program, the commission
shall develop and implement strategies to improve management of the
cost, quality, and use of services provided under the program.  The
strategies developed and implemented under this section may
include:
            (1)  imposition of copayments for services provided
under the program; and
            (2)  use of procurement initiatives such as selective
contracting as a mechanism for obtaining provider services under
the program.
      ZAFFIRINI
      DUNCAN
      MONCRIEF
      OGDEN