Amend CSHB 2463 as follows:                                                  
	(1)  On page __, after line __, insert the following 
appropriately labeled sections:
	SECTION 1.  Subchapter B, Chapter 531, Government Code, is 
amended by adding the following appropriately numbered section to 
read as follows:
	Sec.   .  MEDICAID HEALTH LITERACY PILOT PROGRAM.  (a)  In 
order to prevent unnecessary emergency room visits and health costs 
for Medicaid recipients, the commission shall develop and implement 
a Medicaid health literacy pilot program in Bexar County under 
which Medicaid recipients with young children receive health 
information materials and training designed to improve their health 
care decision-making.
	(b)  The pilot program must:                                            
		(1)  establish a statistically significant test group 
and control group of Medicaid recipients with young children; and
		(2)  provide the test group with health information 
materials in English and Spanish that:
			(A)  are developed with consideration of the 
literacy level of the test group; and
			(B)  provide the test group with information to 
guide their health care decisions, including information about 
common health problems, prevention, home treatment, and 
circumstances in which it is appropriate to contact a health care 
professional.
	(c)  The commission shall establish the pilot program through 
a local governmental entity in Bexar County that chooses to 
participate.  The commission shall request participation by the 
Bexar County Hospital District with the hospital district's 
subsidiary, Community First Health Plans.
	(d)  The commission shall ensure that the pilot program is 
financed using:
		(1)  money provided to the commission for purposes of 
the program by the participating local governmental entity to 
maximize federal matching money under the medical assistance 
program; and
		(2)  any corresponding federal matching money.                         
	(e)  The participating local governmental entity may provide 
money to the commission by certification or intergovernmental 
transfer to finance the pilot program as described by Subsection 
(d)(1).
	(f)  Not later than January 1, 2007, the commission shall 
evaluate the pilot program and report to the 80th Legislature on the 
effectiveness of the program and the feasibility of expanding the 
program statewide.
	(g)  This section expires September 1, 2009.                            
	SECTION 2.  If before implementing any provision of this 
Amendment a state agency determines that a waiver or authorization 
from a federal agency is necessary for implementation of that 
provision, the agency affected by the provision shall request the 
waiver or authorization and may delay implementing that provision 
until the waiver or authorization is granted.