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Amend CSSB 200 (Senate committee printing) as follows:
(1)  In SECTION 2.21(a) of the bill, strike proposed Sections 533.082 and 533.083, Government Code (page 29, lines 23 through 61), and substitute the following:
Sec. 533.082.  PILOT PROGRAM TO INCREASE INCENTIVE-BASED PROVIDER PAYMENTS. The commission shall develop a pilot program to increase the use and effectiveness of incentive-based provider payments by managed care organizations providing services under the Medicaid managed care program. The commission and the managed care organizations providing those services in at least one managed care service delivery area shall work with health care providers and professional associations composed of health care providers to develop common payment incentive methodologies for the pilot program that:
(1)  are structured to reward appropriate, quality care;
(2)  align outcomes of the pilot program with the commission's Medicaid managed care quality-based payment programs;
(3)  are not intended to supplant existing incentive-based contracts between the managed care organizations and providers;
(4)  are structured to encourage formal arrangements among providers to work together to provide better patient care;
(5)  are adopted by all managed care organizations providing services under the Medicaid managed care program through the same managed care service delivery model so that similar incentive methodologies apply to all participating providers under the same model; and
(6)  are voluntarily agreed to by the participating providers.
(2)  In SECTION 2.21(a) of the bill, in proposed Section 533.084, Government Code (page 29, line 62), strike "533.084" and substitute "533.083".
(3)  In SECTION 2.21(a) of the bill, in proposed Section 533.084(1), Government Code (page 29, line 67), strike "structures" and substitute "goals and outcome measures".
(4)  In SECTION 2.21(a) of the bill, in proposed Section 533.084(1), Government Code (page 29, line 68), strike "under those structures" and substitute "using those goals and outcome measures".
(5)  In SECTION 2.21(a) of the bill, in proposed Section 533.084(2), Government Code (page 30, line 2), strike "structures" and substitute "goals and outcome measures".
(6)  In SECTION 2.21(a) of the bill, strike proposed Section 533.085, Government Code (page 30, lines 4 and 5), and substitute the following:
Sec. 533.084.  EXPIRATION. Sections 533.081 and 533.082 and this section expire September 1, 2018.
(7)  In SECTION 2.21(b) of the bill (page 30, lines 7 through 9), strike "the executive commissioner of the Health and Human Services Commission shall establish the work group and the commission" and substitute "the Health and Human Services Commission".
(8)  In SECTION 2.21(c) of the bill (page 30, line 17), strike "structures identified by the commission under Section 533.084," and substitute "goals and outcome measures identified by the commission under Section 533.083,".
(9)  In SECTION 2.21(d) of the bill (page 30, lines 23 and 24), strike "structures identified by the commission under Section 533.084," and substitute "goals and outcome measures identified by the commission under Section 533.083,".