Amend Amendment No. 81 by Raymond to CSSB 1 (page 149, prefiled amendment packet) as follows:

Amend CSSB 1 (house committee printing) in Article II of the bill, following the appropriations to the Health and Human Services Commission (page II-35), by adding the following appropriately numbered rider:

____. Cost Savings in Prescription Drug Benefit Administration in Medicaid, CHIP and Other Health-Related Services. It is the intent of the legislature that, out of funds appropriated above in Strategy A.1.6, Medicaid Prescription Drugs, L.1.1, HHS System Supports, the Health and Human Services Commission study potential cost savings in the administration of prescription drug benefits and, as appropriate and to the extent permitted by law pursuant to Government Code Sec. 533.0025 (b) and (d), act to achieve those targeted cost savings of $150,000,000 per year. In studying potential cost savings, the Health and Human Services Commission may consider savings achieved from, but not limited to: a single statewide claims processor model to deliver prescription drug benefits in the Medicaid, CHIP, Women's Health, Children with Special Health Care Needs Services and Kidney Health Care programs; reduction of the Affordable Care Act Health Insurance Providers Fee, guaranteed risk margin, and administrative services fees from decreasing capitation related to pharmacy benefits; and transitioning to a prescription pricing methodology based on National Average Drug Acquisition Cost with a professional dispensing fee commensurate with the most recent study commissioned by the Health and Human Services Commission.