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Floor Packet Page No. 158                                                   

	
Amend CSHB 1 as follows:                                                     
	In Article II, add the following language to the 
appropriately numbered rider under the appropriations to the 
Department of Health (page II-36):
	44. Children with Special Health Care Needs.                                   
	a. Amounts appropriated above to the Department of Health in 
Strategy D.1.3, Special Needs Children may only be transferred to 
Strategy E.2.1, Support of Indigent Health Services, to the Health 
and Human Services Commission Strategy B.2.4, Premium: 
Children/Medically Needy. Transfers to the Health and Human 
Services Commission from Department of Health Strategy D.1.3. may 
only be made if General Revenue is made available by CSHCN-eligible 
children becoming eligible for Medicaid.  Any transfers pursuant to 
this provision are subject to prior notification to the Legislative 
Budget Board and the Governor that such a transfer is to take place.  
Funds may not be transferred from the D.1.3, Special Needs 
Children, if such a transfer would result in a loss of, or reduction 
in, services, or a loss of, or reduction in, persons otherwise 
eligible for CSHCN services.  Notwithstanding any other provisions 
contained in this Act, no transfers shall be made out of Strategy 
D.1.1, Women and Children's Health Services.  Further, the 
department shall make expenditures from Strategy D.1.3, Special 
Needs Children, from state funds in proportion to the source of 
funds budgeted for the strategy.  The department shall report 
quarterly on compliance with this provision to the Legislative 
Budget Board and the Governor.  The Comptroller of Public Accounts 
shall monitor compliance with these provisions and establish 
additional procedures, if necessary.
	b. The Department of Health shall evaluate actuarial 
projections and projected expenditures for the Children with 
Special Health Care Needs program on a quarterly basis.  If the 
department makes a finding of fact that projected expenditures are 
less than projected available appropriations for that fiscal year, 
the department shall first report this finding and related analysis 
to the Legislative Budget Board and Governor at least 30 days prior 
to adding clients from the waiting list to the program rolls.  The 
department should add clients from the waiting list in order that 
projected expenditures equal projected available appropriations 
for that fiscal year.