Amend CSSB 1188 (House Committee Printing) in SECTION 6 of the bill by adding the following appropriately lettered subsection to that SECTION and relettering subsequent subsections of that SECTION accordingly: ( ) Subchapter A, Chapter 533, Government Code, is amended by adding Section 533.00251 as follows: Sec. 533.00251. PRESERVATION OF UPPER PAYMENT LIMIT PROVISIONS OF MEDICAID PROGRAM. (a) The commission shall compute any potential reduction or elimination of federal Medicaid payments allowed under the upper payment limit provisions of the Medicaid program that are made to public hospitals or other safety net hospitals that serve recipients that might result from the implementation of a proposal to implement or expand any Medicaid managed care model or arrangement in a health care service region. The commission shall consider the results of the potential reduction or elimination in making decisions regarding the implementation of the proposal. (b) Before implementing a proposal described by Subsection (a) in a health care service region that might result in a reduction or elimination of federal Medicaid payments allowed under the upper payment limit provisions of the Medicaid program, the commission must submit a report regarding the proposal to the governor, lieutenant governor, speaker of the house of representatives, and presiding officers of each standing committee of the senate and house of representatives having jurisdiction over the Medicaid program. (c) A report required under Subsection (b) must include: (1) a description of the proposed implementation or expansion of the Medicaid managed care model or arrangement; and (2) the potential impact on the federal Medicaid payments allowed under the upper payment limit provisions of the Medicaid program.