Floor Packet Page No. 232 Amend CSHB 1 as follows: (1) Amend CSHB 1 in Article II by adding the following appropriately numbered rider (on page II-115): _____. Access to Health Care Services. Notwithstanding any other provision, an agency administering or responsible for any part of the medical assistance program under Chapter 32, Human Resources Code, may not adopt or implement any changes to eligibility rules or procedures that would decrease enrollment unless the Health and Human Services Commission receives prior written approval from the Legislative Budget Board and the Governor.