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Amend CSSB 10 (Senate committee printing) by adding the 
following appropriately numbered SECTION to the bill and 
renumbering subsequent SECTIONS of the bill accordingly:
	SECTION ____.  Subchapter B, Chapter 32, Human Resources 
Code, is amended by adding Section 32.0214 to read as follows:
	Sec. 32.0214.  DESIGNATIONS OF PRIMARY CARE PHYSICIAN BY 
CERTAIN RECIPIENTS.  (a)  If the department determines that it is 
cost-effective and feasible and subject to Subsection (b), the 
department shall require each recipient of medical assistance to 
designate a primary care physician with whom the recipient will 
have a continuous, ongoing professional relationship and who will 
manage and coordinate all aspects of the recipient's health care.
	(b)  A recipient who receives medical assistance through a 
Medicaid managed care model or arrangement under Chapter 533, 
Government Code, that requires the designation of a primary care 
physician shall designate the recipient's primary care physician as 
required by that model or arrangement.