AMEND CSSB 1188 AS FOLLOWS:                                                  
	Page 12, strike lines 1 and 2 and substitute the following:                    
	(b)  Subchapter A, Chapter 533, Government Code, is amended 
by adding Sections 533.0071, 533.0072 and 533.0073 to read as 
follows:
	Page 14, following line 18, add a new Section 533.0073 to read 
as follows:   
	Sec. 533.0073. PRESERVATION OF UPPER LIMIT PROVISIONS OF THE 
MEDICAID PROGRAM.  The Health and Human Services Commission shall 
not implement a form of Medicaid Managed Care in a service area 
which results in the reduction or elimination of allowable federal 
Medicaid payments under the upper payment limit provisions of the 
Medicaid program to public hospitals or other safety net hospitals 
which serve the Medicaid population.