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Amend CSHB 2292 by adding the following new SECTION, 
appropriately numbered, and renumbering subsequent SECTIONS of the 
bill appropriately:
	SECTION _____. Section 531.021, Government Code, is amended 
by adding Subsection (c) to read as follows:
	(c) The commission in its adoption of reasonable rules and 
standards under Subsection (b)(2) shall include financial 
performance standards that, in the event of a proposed rate 
reduction, provide private ICF-MR facilities and home and 
community-based services providers with flexibility in determining 
how to use medical assistance payments to provide services in the 
most cost-effective manner.