Amend CSSB 7 (house committee printing) in SECTION 1.01(a) of the bill as follows:

(1)  In added Section 531.02417(b), Government Code (page 1, line 16), between "cost-effective" and the underlined comma, insert "and in the best interests of Medicaid recipients".

(2)  In added Section 531.02417(b)(1)(A), Government Code (page 1, line 22), strike "a state employee or contractor" and substitute "or under the direction of the recipient's personal physician who is licensed to practice in this state, or by a physician, physician assistant, registered nurse, or nurse practitioner who is licensed to practice in this state, and".