Amend CSSB 10 (house committee printing) by adding the 
following appropriately numbered SECTION to the bill and 
renumbering subsequent SECTIONS accordingly:
	SECTION ____.  (a)  Section 531.02444, Government Code, is 
amended to read as follows:
CERTAIN PERSONS WITH DISABILITIES.  (a)  The executive commissioner 
shall develop and implement:
		(1)  a Medicaid buy-in program for persons with 
disabilities as authorized by the Ticket to Work and Work 
Incentives Improvement Act of 1999 (Pub. L. No. 106-170) or the 
Balanced Budget Act of 1997 (Pub. L. No. 105-33); and
		(2)  subject to availability of existing funds for this 
purpose, a Medicaid buy-in program for disabled children described 
by 42 U.S.C. Section 1396a(cc)(1) whose family incomes do not 
exceed 300 percent of the applicable federal poverty level, as 
authorized by the Deficit Reduction Act of 2005 (Pub. L. No. 
	(b)  The executive commissioner shall adopt rules in 
accordance with federal law that provide for:
		(1)  eligibility requirements for each [the] program 
developed under Subsection (a); and
		(2)  requirements for participants in the program to 
pay premiums or cost-sharing payments, subject to Subsection (c).
	(c)  Rules adopted by the executive commissioner under 
Subsection (b) with respect to the program for disabled children 
developed under Subsection (a)(2) must require a participant to pay 
monthly premiums according to a sliding scale that is based on 
family income, subject to the requirements of 42 U.S.C. Sections 
1396o(i)(2) and (3).
	(b)  Not later than December 1, 2007, the executive 
commissioner of the Health and Human Services Commission shall, 
subject to availability of funds, develop and implement the 
Medicaid buy-in program for disabled children under Section 
531.02444, Government Code, as amended by this section.