Amend the Otto amendment to CSHB 4586 (page 7 of the prefiled amendment packet) by adding the following at the end of the amendment: (c) Out of the amounts appropriated by this section to UT Medical Branch at Galveston, $150,000,000 of that amount may be spent only to provide matching funds for FEMA qualifying projects, except that if that amount cannot be prudently and effectively spent in that manner, the remainder of that $150,000,000 may be spent only with the prior written approval of the Legislative Budget Board.