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Amend CSHB 2292 in Section 2.28 of the bill, in added Section 
533.0025, Government Code, by inserting new Subsection (e) and (f) 
to read as follows:
	(e)  Notwithstanding Subsection (b)(1), the commission may 
not provide medical assistance using a health maintenance 
organization in Cameron County, Hidalgo County, or Maverick County.
	(f)  The Health and Human Services Commission shall conduct a 
study to determine the best model for any form of managed care in 
the counties described under subsection (e).
(1)  The commission shall report its findings to the 
Governor, Lieutenant Governor, and Speaker of the House of 
Representatives no later than December 1, 2004.