Amend CSHB 2292 on page 88, between lines 12 and 13, by 
inserting the following:
	(e) Notwithstanding Subsection (b)(1), the commission may 
not provide medical assistance using a health maintenance 
organization model, including Medicaid Star + Plus pilot programs, 
in Cameron County, Hidalgo County, Webb County, or Maverick County.