Amend CSSB 1 (committee report version) on page II-57 of the Health and Human Services Commission bill pattern by adding the following appropriately numbered rider:

____. Managed Care Organization Services for Individuals with Serious Mental Illness. Out of funds appropriated above in Goal A, Medicaid Client Services, the Health and Human Services Commission shall improve efforts to better serve individuals with serious mental illness, as defined by Section 1355.001, Texas Insurance Code. Per the express authority granted in Government Code, Chapter 533.0025(b), the Commission shall develop performance metrics to better hold manage care companies accountable for care of enrollees with serious mental illness and, if cost effective, may develop and procure a separate managed care program for an alternative model of managed care in at least one service area of the state to serve individuals with serious mental illness in the STAR and STAR + PLUS Medicaid managed care programs. Performance metrics shall include those pursuant to Government Code, Chapter 536.003, as well as industry standard performance measures for integrated care, jail and emergency department diversion, post-release linkage to care, homelessness reduction, supportive housing, and medication adherence. The Commission's efforts should demonstrate improved outcomes, integration of care and enhanced cost control against an established baseline measurement for the target population of individuals with serious mental illness. The Commission shall submit a report to the Legislative Budget Board and governor no later than November 1, 2018, detailing the Commission's performance metrics relating to providing services to individuals with serious mental illness as described above.