Amend CSHB 2292 (Senate committee printing) as follows:                      
	(1)  In SECTION 1.03 of the bill, strike amended Section 
531.0055(e), Government Code (page 3, lines 26-45), and substitute 
the following:
	(e)  Notwithstanding any other law, the executive
commissioner, as necessary to perform the functions described by 
Subsections (b), (c), and (d) in implementation of the policies 
established for a health and human services agency by the agency 
director [each agency's policymaking body], shall:
		(1)  manage and direct the operations of each health 
and human services agency; [and]
		(2)  supervise and direct the activities of each agency 
director; and
		(3)  be responsible for the administrative supervision 
of the internal audit program for all health and human services 
agencies, including:
			(A)  selecting the director of internal audit;                        
			(B)  ensuring that the director of internal audit 
reports directly to the executive commissioner; and
			(C)  ensuring the independence of the internal 
audit function.      
	(2)  In SECTION 1.03 of the bill, strike amended Section 
531.0055(l), Government Code (page 4, lines 33-43), and substitute 
the following:
	(l)  Notwithstanding any other provision of this section, an 
agency director [a policymaking body] has the authority provided by 
law to adopt policies and rules governing the delivery of services 
to persons who are served by the agency and the rights and duties of 
persons who are served or regulated by the agency.  The executive
commissioner and each agency director [policymaking body] shall 
enter into a memorandum of understanding that clearly defines:
		(1)  the policymaking authority of the agency director
[policymaking body];  and
		(2)  the operational authority of the executive
commissioner.         
	(3)  Immediately following SECTION 1.04 of the bill (page 5, 
between lines 13 and 14), insert the following:
	SECTION 1.04A.  Section 531.0057(a), Government Code, is 
amended to read as follows:
	(a)  Notwithstanding any other law, a health and human 
services agency must notify the executive commissioner before 
implementing [proposing] a rule adopted by the commissioner of that 
agency.  A rule a health and human services agency attempts to 
implement [adopted] in violation of this section is void.
	(4)  In SECTION 1.06 of the bill, in proposed Section 
531.0161(a)(1), Government Code (page 5, line 61), strike 
"commission rules" and substitute "rules for the commission and 
each agency".
	(5)  In SECTION 1.07 of the bill, in proposed Section 
531.0224(2), Government Code (page 6, lines 46-48), strike "in 
consultation with the policy councils of the agencies that operate 
the program,".
	(6)  Immediately following SECTION 1.07 of the bill (page 6, 
between lines 52 and 53), insert the following:
	SECTION 1.07A.  Section 531.034, Government Code, is amended 
by amending Subsection (a) and adding Subsection (e) to read as 
follows:
	(a)  The executive commissioner [commission] shall review 
all [proposed] rules adopted by a [of] health and human services 
agency [agencies] and shall notify the [an] agency before a rule 
takes effect [within the designated review period for a proposed 
rule] if the executive commissioner [commission] requires repeal
[withdrawal] or amendment of the [proposed] rule.  On notification 
by the executive commissioner [commission], the agency shall repeal 
the rule and, if applicable, [either withdraw or] amend the rule and 
adopt [resubmit] the amended [proposed] rule.  A health and human 
services agency may not implement a rule adopted by the agency until 
the executive commissioner reviews and approves the rule.
	(e)  The executive commissioner shall report to the governor 
and the legislature each rule adopted by a health and human services 
agency that is reviewed and approved by the executive commissioner.
	(7)  In SECTION 1.09 of the bill, in proposed Section 
1001.021(a), Health and Safety Code (page 8, line 46), strike 
"executive".
	(8)  In SECTION 1.09 of the bill, in proposed Section 
1001.021(c), Health and Safety Code (page 8, line 55), between 
"executive commissioner" and "regarding", insert "and the 
commissioner".
	(9)  In SECTION 1.09 of the bill, in proposed Section 
1001.023(b)(4), Health and Safety Code (page 9, line 22), between  
"department" and the underlined comma, insert "and the rules of the 
commissioner".
	(10)  In SECTION 1.09 of the bill, in proposed Section 
1001.028(a), Health and Safety Code (page 9, line 60), strike 
"executive".
	(11)  In SECTION 1.09 of the bill, in proposed Section 
1001.028(b), Health and Safety Code (page 9, line 66), strike 
"executive".
	(12)  In SECTION 1.09 of the bill, in proposed Section 
1001.029(a), Health and Safety Code (page 10, line 2), strike 
"executive".
	(13)  In SECTION 1.09 of the bill, in proposed Section 
1001.029(a), Health and Safety Code (page 10, line 4), strike 
"commission or the executive".
	(14)  In SECTION 1.09 of the bill, in proposed Section 
1001.029(b), Health and Safety Code (page 10, line 6), strike 
"executive".
	(15)  In SECTION 1.09 of the bill, in proposed Section 
1001.029(b), Health and Safety Code (page 10, line 8), strike 
"executive".
	(16)  In SECTION 1.09 of the bill, in proposed Section 
1001.029(c), Health and Safety Code (page 10, line 13), strike 
"executive".
	(17)  In SECTION 1.09 of the bill, strike proposed Section 
1001.030, Health and Safety Code (page 10, lines 15-21), and 
substitute the following:
	Sec. 1001.030.  POLICYMAKING AND MANAGEMENT 
RESPONSIBILITIES.  The commissioner, with the advice of the 
council, shall develop and the department shall implement policies 
that clearly delineate the policymaking responsibilities of the 
commissioner from the management responsibilities of the 
department and the staff of the department.
	(18)  In SECTION 1.09 of the bill, in proposed Section 
1001.052(d), Health and Safety Code (page 10, line 56), strike 
"executive".
	(19)  In SECTION 1.09 of the bill, in proposed Section 
1001.075, Health and Safety Code (page 12, line 61), strike 
"executive".
	(20)  In SECTION 1.11 of the bill, in amended Section 
40.002(e), Human Resources Code (page 13, line 47), strike 
"executive".
	(21)  In SECTION 1.12 of the bill, in amended Section 
40.004(a), Human Resources Code (page 13, line 56), strike 
"executive".
	(22)  In SECTION 1.12 of the bill, in amended Section 
40.004(a), Human Resources Code (page 13, line 58), strike 
"commission or executive".
	(23)  In SECTION 1.12 of the bill, in amended Section 
40.004(b), Human Resources Code (page 13, line 60), strike 
"executive".
	(24)  In SECTION 1.12 of the bill, in proposed Section 
40.004(c), Human Resources Code (page 13, line 65), strike 
"executive".
	(25)  In SECTION 1.12 of the bill, in proposed Section 
40.004(c), Human Resources Code (page 13, line 67), strike 
"executive".
	(26)  In SECTION 1.12 of the bill, in proposed Section 
40.004(d), Human Resources Code (page 14, line 3), strike 
"executive".
	(27)  In SECTION 1.12 of the bill, in amended Section 
40.021(a), Human Resources Code (page 14, line 7), strike 
"executive".
	(28)  In SECTION 1.12 of the bill, in amended Section 
40.021(c), Human Resources Code (page 14, line 22), between 
"executive commissioner" and "regarding", insert "and the 
commissioner".
	(29)  In SECTION 1.12 of the bill, in amended Section 
40.0226(b)(4), Human Resources Code (page 15, line 15), between  
"department" and the comma, insert "and the rules of the 
commissioner".
	(30)  In SECTION 1.13 of the bill, in proposed Section 
117.021(a), Human Resources Code (page 16, line 31), strike 
"executive".
	(31)  In SECTION 1.13 of the bill, in proposed Section 
117.021(c), Human Resources Code (page 16, line 41), between 
"executive commissioner" and "regarding", insert "and the 
commissioner".
	(32)  In SECTION 1.13 of the bill, in proposed Section 
117.023(b)(4), Human Resources Code (page 17, line 8), between  
"department" and the underlined comma, insert "and the rules of the 
commissioner".
	(33)  In SECTION 1.13 of the bill, in proposed Section 
117.028(a), Human Resources Code (page 17, line 46), strike 
"executive".
	(34)  In SECTION 1.13 of the bill, in proposed Section 
117.028(b), Human Resources Code (page 17, line 52), strike 
"executive".
	(35)  In SECTION 1.13 of the bill, in proposed Section 
117.029(a), Human Resources Code (page 17, line 57), strike 
"executive".
	(36)  In SECTION 1.13 of the bill, in proposed Section 
117.029(a), Human Resources Code (page 17, line 59), strike 
"commission or the executive".
	(37)  In SECTION 1.13 of the bill, in proposed Section 
117.029(b), Human Resources Code (page 17, line 61), strike 
"executive".
	(38)  In SECTION 1.13 of the bill, in proposed Section 
117.029(b), Human Resources Code (page 17, line 63), strike 
"executive".
	(39)  In SECTION 1.13 of the bill, in proposed Section 
117.029(c), Human Resources Code (page 17, line 68), strike 
"executive".
	(40)  In SECTION 1.13 of the bill, strike proposed Section 
117.030, Human Resources Code (page 18, lines 1-7), and substitute 
the following:
	Sec. 117.030.  POLICYMAKING AND MANAGEMENT 
RESPONSIBILITIES.  The commissioner, with the advice of the 
council, shall develop and the department shall implement policies 
that clearly delineate the policymaking responsibilities of the 
commissioner from the management responsibilities of the 
department and the staff of the department.
	(41)  In SECTION 1.13 of the bill, in proposed Section 
117.052(d), Human Resources Code (page 18, line 42), strike 
"executive".
	(42)  In SECTION 1.13 of the bill, in proposed Section 
117.073, Human Resources Code (page 19, line 54), strike 
"executive".
	(43)  In SECTION 1.13A of the bill, in proposed Section 
161.021(a), Human Resources Code (page 20, line 16), strike 
"executive".
	(44)  In SECTION 1.13A of the bill, in proposed Section 
161.021(c), Human Resources Code (page 20, line 25), between 
"executive commissioner" and "regarding", insert "and the 
commissioner".
	(45)  In SECTION 1.13A of the bill, in proposed Section 
161.023(b)(4), Human Resources Code (page 20, line 61), between  
"department" and the underlined comma, insert "and the rules of the 
commissioner".
	(46)  In SECTION 1.13A of the bill, in proposed Section 
161.028(a), Human Resources Code (page 21, line 30), strike 
"executive".
	(47)  In SECTION 1.13A of the bill, in proposed Section 
161.028(b), Human Resources Code (page 21, line 36), strike 
"executive".
	(48)  In SECTION 1.13A of the bill, in proposed Section 
161.029(a), Human Resources Code (page 21, line 41), strike 
"executive".
	(49)  In SECTION 1.13A of the bill, in proposed Section 
161.029(a), Human Resources Code (page 21, line 43), strike 
"commission or the executive".
	(50)  In SECTION 1.13A of the bill, in proposed Section 
161.029(b), Human Resources Code (page 21, line 45), strike 
"executive".
	(51)  In SECTION 1.13A of the bill, in proposed Section 
161.029(b), Human Resources Code (page 21, line 47), strike 
"executive".
	(52)  In SECTION 1.13A of the bill, in proposed Section 
161.029(c), Human Resources Code (page 21, line 52), strike 
"executive".
	(53)  In SECTION 1.13A of the bill, strike proposed Section 
161.030, Human Resources Code (page 21, lines 54-60), and 
substitute the following:
	Sec. 161.030.  POLICYMAKING AND MANAGEMENT RESPONSIBILITIES.  
The commissioner, with the advice of the council, shall develop and 
the department shall implement policies that clearly delineate the 
policymaking responsibilities of the commissioner from the 
management responsibilities of the department and the staff of the 
department.
	(54)  In SECTION 1.13A of the bill, in proposed Section 
161.052(d), Human Resources Code (page 22, line 26), strike 
"executive".
	(55)  In SECTION 1.13A of the bill, in proposed Section 
161.073, Human Resources Code (page 24, line 12), strike 
"executive".
	(56)  At the end of SECTION 1.18(a)(2)(E) of the bill (page 
25, line 42), insert "and".
	(57)  At the end of SECTION 1.18(a)(3) of the bill (page 25, 
line 49), strike "; and" and substitute ".".
	(58)  Strike SECTION 1.18(a)(4) of the bill (page 25, lines 
50-51).          
	(59)  In SECTION 1.19(a) of the bill (page 26, line 32), 
strike "rulemaking or policymaking or".
	(60)  In SECTION 1.19(c) of the bill (page 26, lines 68-69), 
strike "executive commissioner of the Health and Human Services 
Commission" and substitute "commissioner of state health 
services".
	(61)  In SECTION 1.19(d) of the bill (page 27, lines 5-7), 
strike "Health and Human Services Commission or the executive 
commissioner of the Health and Human Services Commission." and 
substitute "Department of State Health Services or the commissioner 
of state health services, as appropriate.".
	(62)  In SECTION 1.20(a) of the bill (page 27, line 18), 
strike "rulemaking or policymaking or".
	(63)  In SECTION 1.20(c) of the bill (page 27, lines 59-60), 
strike "executive commissioner of the Health and Human Services 
Commission." and substitute "commissioner of family and protective 
services.".
	(64)  In SECTION 1.20(d) of the bill (page 27, lines 66-67), 
strike "Health and Human Services Commission or the executive 
commissioner of the Health and Human Services Commission." and 
substitute "Department of Family and Protective Services or the 
commissioner of family and protective services, as appropriate.".
	(65)  In SECTION 1.21(a) of the bill (page 28, line 9), 
strike "rulemaking or policymaking or".
	(66)  In SECTION 1.21(c) of the bill (page 28, lines 47-48), 
strike "executive commissioner of the Health and Human Services 
Commission." and substitute "commissioner of assistive and 
rehabilitative services.".
	(67)  In SECTION 1.21(d) of the bill (page 28, lines 54-55), 
strike "Health and Human Services Commission or the executive 
commissioner of the Health and Human Services Commission." and 
substitute "Department of Assistive and Rehabilitative Services or 
the commissioner of assistive and rehabilitative services, as 
appropriate.".
	(68)  Strike SECTION 1.28(1) of the bill (page 31, lines 
16-17).             
	(69)  In SECTION 1.28 of the bill (page 31, line 18), strike 
"(2)" and substitute "(1)".
	(70)  In SECTION 1.28 of the bill (page 31, line 20), strike 
"(3)" and substitute "(2)".