Amend CSHB 1, under the Health and Human Services Commission bill pattern, beginning on page XX, with the following:

Texas Medicaid and Texas Diabetes Council. Out of funds appropriated above, and as the state Medicaid operating agency, the Health and Human Services Commission (HHSC) should identify efficiencies across agencies to integrate systems of care and work jointly with the Texas Diabetes Council (TDC) to: 1) improve screening rates for Medicaid patients at risk for diabetes; and 2) increase enrollment in diabetes self-management education (DSME) programs for those Medicaid patients diagnosed with diabetes. The results, including limitations, improvements made, and recommendations on these two issues, will be included in a report by HHSC in consultation with TDC. The report is due to the legislature and governor by August 31, 2016.