Amend CSHB 275 (house committee printing) by striking lines 13 through 17 and substituting the following:

(b)  This Act:

(1)  takes effect only if it receives a vote of three-fifths of the members present in each house of the legislature, as provided by Section 49-g(k), Article III, Texas Constitution, and is subject to certification by the comptroller of public accounts as provided by that subsection; and

(2)  is contingent on the enactment by the legislature and the becoming law of a general appropriations bill for the 2012-2013 biennium that makes an appropriation to the state Medicaid program in an amount equal to or greater than the product of the appropriations to that program made by Chapter 1424 (SB 1), Acts of the 81st Legislature, Regular Session, 2009 (the General Appropriations Act) plus the amount necessary to meet the costs of the estimated growth in program enrollment for the 2012 and 2013 fiscal years. If a general appropriations bill described by this subdivision does not become law, this Act has no effect.