Amend CSSB 1, as follows:                                                    
	(1)  In Article XI of the bill, insert a new section, 
appropriately numbered to read as follows:
	Sec. ____.  Article XI Rider.  Rider ____ Department of State 
Health Services.  In addition to funds appropriated above, the 
Department of State Health Services is hereby appropriated the 
amount of $100,000 in FY 2010 and $150,000 in FY 2011 out of funds 
from the American Recovery and Reinvestment Act for the purpose of 
conducting, in conjunction with a general academic teaching 
institution, a comprehensive study of the provision of ground 
pre-hospital health care across Texas to include availability and 
appropriate levels of resources in urban, rural and frontier 
environments, reimbursement methods, staffing availability and 
longevity, funding methods including uncompensated care issues, 
and the appropriateness and level of EMS regulation across the 
state.  The department will ensure that there is wide stakeholder 
input.  The department shall submit a report to the Governor and the 
Legislative Budget Board no later than November 30, 2011.
	(2)  Renumber subsequent sections of Article XI of the bill 
appropriately.