Amend Floor Amendment No. 65 on page 58 of the amendment 
packet by striking everything after "CHIP Eligibility 
Determinations for Children" and substituting the following:
	"Out of funds appropriated above in Goal C, CHIP Services:                     
	(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) The commissioner shall ensure 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 state child health plan 
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 state 
child health plan 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 state child health 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.
	(d) Further,                                                                   
		(1) To the extent allowed by federal law, the executive 
commissioner of the Health and Human Services Commission shall 
create a program under which a child who is ineligible for the 
health benefits coverage under the child health plan solely because 
the child's net family income exceeds the income eligibility 
requirements otherwise applicable for that coverage may be enrolled 
in the plan if:
				(i) the child's parents are self-employed; or                               
				(ii) the employer of neither of the child's 
parents offers coverage for health care for dependent children of 
employees.
		(2) The program established under Subsection (1) must 
require premium payments, subject to Subsection (3).
		(3) The full monthly premium cost for coverage provided 
under the program established under this section, including the 
amount of any federal or state share of that cost, must be paid by an 
enrollee whose net family income is above 200 percent of the federal 
poverty level."
	The intent of this amendment is that it be revenue neutral, 
and that these provisions be completed within funds appropriated 
above in Goal C.