Amend Floor Amendment No. 47 on page 57 of the amendment 
packet by striking everything after "Medicaid Eligibility 
Determinations for Children." and substituting the following:
	"Out of funds appropriated above in Goal B, Medicaid:                          
	(a) The executive commissioner of the Health and Human 
Services Commission ("the commissioner") shall, to the greatest 
extent possible, diminish errors which create barriers that wrongly 
deny or delay coverage for which a child is eligible.
		(1)  In accordance with federal regulations, the 
commissioner shall work to provide that children are screened 
simultaneously for eligibility for the Medicaid program and the 
state child health plan using a consolidated application; and
		(2)  once the eligibility procedures are complete, all 
children identified as eligible for the Medicaid program should be 
automatically enrolled without further application or 
qualification.
	(b)  The commissioner shall ensure that the processing time 
for applications and eligibility redeterminations for the Medicaid 
program meet or exceed the performance levels realized in state 
fiscal year 2004 by ensuring that the private and public 
components, including call centers, of the eligibility and 
enrollment system for the Medicaid program are adequately staffed 
and trained.  In addition, the commissioner shall ensure that all 
computer systems that support the eligibility and enrollment 
systems are performing properly.
	(c) If for any reason a child becomes ineligible for the state 
child health plan program, the Health and Human Services Commission 
shall, before terminating the child's benefits under the program, 
determine whether the child is eligible for the Medicaid program, 
based on the information currently available to the commission. If 
the commission determines that the child is eligible, the 
commission shall enroll the child in the Medicaid program without 
further application or qualification, unless the child's parent 
objects to enrollment. The commission shall notify a parent of the 
child's eligibility for the Medicaid program and automatic 
enrollment in that program as soon as practicable after eligibility 
has been determined.
	The intent of this amendment is that it be revenue neutral, 
and that these provisions be completed within funds appropriated 
above in Goal B.