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	Amend CSSB 10 (house committee printing) as follows:                         
	(1)  In SECTION 15 of the bill, strike Subsection (b) of that 
SECTION (page 52, lines 2 through 7), and substitute:
	(b)  The committee on health and long-term care insurance 
incentives is established to study and develop recommendations 
regarding methods by which this state may reduce:
		(1)  the need for residents of this state to rely on the 
Medicaid program by providing incentives for employers to provide 
health insurance, long-term care insurance, or both, to their 
employees; and
		(2)  the number of individuals in the state who are not 
covered by health insurance or long-term care insurance.
	(2)  In SECTION 15 of the bill, following Subsection (e) of 
that SECTION (page 54, between lines 3 and 4), insert:
	(e-1) The committee shall study and develop recommendations 
regarding:       
		(1)  the cost of health care coverage under health 
benefit plans and how to reduce the cost of coverage through the 
following or other methods:
			(A)  changes in health benefit plan design or 
scope of services covered;   
			(B)  improvements in disease management and  other 
utilization review practices by health care providers and health 
benefit plans;
			(C)  reductions in administrative costs incurred 
by health care providers and health benefit plans;
			(D)  improvements in the use of health care 
information technology by health care providers and health benefit 
plans; and
			(E)  development of a reinsurance system for 
health care claims in excess of $50,000; and
		(2)  the availability of health care coverage under 
health benefit plans and how to expand health care coverage through 
the following or other methods:
			(A)  the providing of premium subsidies for health 
benefit plan coverage by the state or local political subdivisions, 
including three-share or multiple-share programs;
			(B)  the inclusion of individuals or employees of 
private employers under state or local political subdivision health 
benefit plans, including the Texas Health Insurance Risk Pool;
			(C)  inclusion of family members and dependents 
under a group health benefit plan regardless of age; and
			(D)  requiring vendors of state and local 
political subdivisions to provide health benefit plan coverage for 
their employees and the employee's family and dependents.