Amend HB 1218 by inserting the following language on page 1, line 50, between the period and "The": If the commissioner determines that there will be no significant cost to the state, the commission shall apply for and actively pursue any waiver from the federal Centers for Medicare and Medicaid Services as may be necessary for the pilot project and shall actively pursue a waiver to use an electronic alternative to the requirement for handwritten certification under 42 C.F.R. Section 447.152.