Amend CSSB 1 (house committee printing) as follows:

(1) In Article II of the bill, after the items of appropriation for the Health and Human Services Commission, insert the following appropriately numbered rider:

____. Medicaid Eligibility Limits: Permissible Reductions. (a) The Health and Human Services Commission shall restrict new enrollment in Medicaid programs if funding appropriated by the legislature is not projected to adequately maintain existing services at existing rates for the 2018/19 biennium. Upon a determination by the Commission that such action is necessary, the Commission shall revise the qualifying income or asset eligibility limits downward for certain populations covered under the medical assistance program. An action under this provision shall not affect the eligibility, enrollment, or coverage of persons already enrolled at the time the action is taken; but the action shall prospectively restrict new enrollment under the revised thresholds.

(b) The terms of this provision are limited to those populations and services over which the state has discretion, and which are not subject to federal limitation on downward eligibility revisions.