Amend Amendment No. 104 on page 182 by Elkins by inserting the following language after "health and human services system":

Electronic Visit Verification Administrative Simplification. The Health and Human Services Commission (HHSC) shall, not later than December 31, 2017, identify specific strategies to streamline the administrative requirements imposed on health care providers that are required to use Electronic Visit Verification (EVV). As part of their review, the Commission is required to review minimum state and federal statutory requirements relating to EVV, state program and policy requirements that require health care providers to make unnecessary visits or incur unnecessary costs, and differences in compliance requirements between fee for service and managed care.

HHSC shall submit a report on strategies identified and an implementation plan and schedule to eliminate or simplify EVV administrative requirements to the Legislative Budget Board and the Office of the Governor by March 31, 2018.