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