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.