Amend SB 1839 (senate engrossed version) in Section 242.857, Health and Safety Code, as added by SECTION 9.01 of the bill, following Subsection (c) (page 40, between lines 21 and 22), by inserting new Subsection (d) to read as follows: (d) The increased Medicaid reimbursement paid to an institution under this section may not be based solely on the amount of the quality assurance fee paid by that institution unless authorized by 42 C.F.R. Section 433.68 or other federal law.