Amend CSHB 1 in Article XI of the bill by adding the following appropriately numbered rider and renumbering subsequent riders accordingly:

____. Payments to Federally Qualified Health Centers Under Medicaid Managed Care and the Child Health Plan Program. The Health and Human Services Commission shall make supplemental payments to Federally Qualified Health Centers (FQHCs) that subcontract directly or indirectly with managed care organizations under the Medicaid managed care program established under Chapter 533, Government Code, or under the child health plan program established under Chapter 62, Health and Safety Code. The supplemental payments must be in amounts equal to the difference between the payment the FQHC would have received for treating a managed care enrollee under one of those programs if the FQHC had been reimbursed using a prospective payment system under the Medicaid or child health plan program, as appropriate, minus the payment actually received by the FQHC for treating the managed care enrollee, provided that difference is greater than zero. It is the intent of the legislature that the commission seek to amend the Medicaid State Plan to include the supplemental payment methodology described by this rider.