Amend CSSB 1 (house committee printing) in Article II by adding the following appropriately numbered rider.

a. Expansion of PACE Sites. The Health and Human Services Commission (HHSC) may use funds appropriated in Strategy A.3.5, Program of All-inclusive Care for the Elderly (PACE) to add up to three additional PACE sites, each serving up to 150 participants beginning in fiscal year 2018.

b. Funding for Additional Sites and Participants. Notwithstanding HHSC, Rider 134, Transfers: Authority and Limitations and Special Provisions Relating to All Health and Human Services Agencies, Section 6, Limitations on Transfer Authority, if funds appropriated in Strategy A.3.5, Program of All-inclusive Care for the Elderly (PACE) are not sufficient to pay for services described in Subsection (a), the Health and Human Services Commission (HHSC) shall transfer funds from Goal A, Medicaid, Strategy A.1.1, Aged and Medicare-related, or Strategy A.1.2, Disability-Related, in an amount not to exceed $1,784,785 in general revenue funds in fiscal year 2018 and $4,980,432 in general revenue funds in fiscal year 2019. The executive commissioner of HHSC must certify that funds appropriated in Strategy A.3.5, Program of All-inclusive Care for the Elderly (PACE) were insufficient due to an increase in the number of participants served, not due to an increase in the average cost or rate. The executive commissioner of HHSC shall provide written notification to the Legislative Budget Board and the governor of the certification and the transfer amounts within 30 business days of the date on which any transfer occurs.

c. Additional Funding for PACE Program. Should transfer authority provided in Subsection (b) be insufficient to serve the increase in participants described by Subsection (a), the executive commissioner of HHSC shall submit a written request to the Legislative Budget Board and the governor for approval to transfer additional funds from Strategy A.1.1, Aged and Medicare-related, or Strategy A.1.2, Disability-Related to Strategy A.3.5, Program of All-inclusive Care for the Elderly (PACE). The request shall be considered to be approved unless the Legislative Budget Board or the governor issues a written disapproval within 30 business days of the date on which the staff of the Legislative Budget Board concludes its review of the request and forwards its review to the chair of the House Appropriations Committee, chair of the Senate Finance Committee, speaker of the house, and lieutenant governor. Any requests for additional information made by the Legislative Budget Board shall interrupt the counting of the 30 business days.