Amend HB 2463 (House engrossed version) as follows:                          
	(1)  In Section 1 of the bill, strike Subsection (f) of added 
Section 288.201, Health and Safety Code (page 8, lines 22 through 
24).
	(2)  In Section 1 of the bill, in Subdivision (2) of added 
Section 288.203, Health and Safety Code (page 9, line 20), strike 
"health care services" and substitute "programs".
	(3)  In Section 1 of the bill, after added Section 288.204, 
Health and Safety Code, (between page 9, line 25, and page 10, line 
1), add Sections 288.205 and 288.206, Health and Safety Code, to 
read as follows:
	Sec. 288.205.  PURPOSE; CORRECTION OF INVALID PROVISION OR 
PROCEDURE.  (a)  The purpose of this chapter is to generate revenue 
from a tax imposed by the district to provide the nonfederal share 
of a Medicaid supplemental payment program.
	(b)  To the extent any provision or procedure under this 
chapter causes a tax under this chapter to be ineligible for federal 
matching funds, the district may provide by rule for an alternative 
provision or procedure that conforms to the requirements of the 
federal Centers for Medicare and Medicaid Services.
	Sec. 288.206.  ELECTION REQUIRED FOR CERTAIN PROVISIONS OR 
PROCEDURES.  (a)  In order to amend any provision or procedure set 
out in this chapter, the district must obtain the approval of at 
least 95 percent of the institutional health care providers 
potentially subject to the tax.
	(b)  This section does not apply to rules or procedures 
related to the daily administrative matters of the district.
	(4)  In Section 1 of the bill, in Subsection (b) of added 
Section 289.051, Health and Safety Code (page 11, lines 10 and 11), 
strike "any remaining members who meet" and substitute "one member 
who meets".
	(5)  In Section 1 of the bill, in Subsection (b) of added 
Section 289.051, Health and Safety Code (page 11, line 13), strike 
"one member who meets" and substitute "any remaining members who 
meet".
	(6)  In Section 1 of the bill, strike Subsection (f) of added 
Section 289.201, Health and Safety Code, (page 17, lines 11-13).
	(7)  In Section 1 of the bill, after added Section 289.204, 
Health and Safety Code (page 18, between lines 14 and 15), add 
Sections 289.205 and 289.206, Health and Safety Code, to read as 
follows:
	Sec. 289.205.  PURPOSE; CORRECTION OF INVALID PROVISION OR 
PROCEDURE.  (a)  The purpose of this chapter is to generate revenue 
from a tax imposed by the district to provide the nonfederal share 
of a Medicaid supplemental payment program.
	(b)  To the extent any provision or procedure under this 
chapter causes a tax under this chapter to be ineligible for federal 
matching funds, the district may provide by rule for an alternative 
provision or procedure that conforms to the requirements of the 
federal Centers for Medicare and Medicaid Services.
	Sec. 289.206.  ELECTION REQUIRED FOR CERTAIN PROVISIONS OR 
PROCEDURES.  (a)  In order to amend any provision or procedure set 
out in this chapter, the district must obtain the approval of at 
least 95 percent of the institutional health care providers 
potentially subject to the tax.
	(b)  This section does not apply to rules or procedures 
related to the daily administrative matters of the district.
	(8)  In Section 1 of the bill, strike Subsection (f) of added 
Section 290.201, Health and Safety Code (page 25, lines 24-26).
	(9)  In Section 1 of the bill, after added Section 290.204, 
Health and Safety Code (between page 26, line 27, and page 27, line 
1), add Sections 290.205 and 290.206, Health and  Safety Code, to 
read as follows:
	Sec. 290.205.  PURPOSE; CORRECTION OF INVALID PROVISION OR 
PROCEDURE.  (a)  The purpose of this chapter is to generate revenue 
from a tax imposed by the district to provide the nonfederal share 
of a Medicaid supplemental payment program.
	(b)  To the extent any provision or procedure under this 
chapter causes a tax under this chapter to be ineligible for federal 
matching funds, the district may provide by rule for an alternative 
provision or procedure that conforms to the requirements of the 
federal Centers for Medicare and Medicaid Services.
	Sec. 290.206.  ELECTION REQUIRED FOR CERTAIN PROVISIONS OR 
PROCEDURES.  (a)  In order to amend any provision or procedure set 
out in this chapter, the district must obtain the approval of at 
least 95 percent of the institutional health care providers 
potentially subject to the tax.
	(b)  This section does not apply to rules or procedures 
related to the daily administrative matters of the district.