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.