Amend Amendment No. 92 by Moody to CSSB 1 (page 165, prefiled amendment packet) as follows:

(1)  In the rider added by the amendment, between "Managed Care Organization Services for Individuals with Serious Mental Illness." and "Out of funds", insert "(a)".

(2)  Immediately following the rider added by the amendment, insert the following:

(b)  Before the Health and Human Services Commission may spend any funds appropriated to the commission for Goal A, Medicaid Client Services, to develop performance metrics or develop and procure a separate managed care program as specified by Subsection (a) of this rider, the Legislative Budget Board must approve the expenditure. A request for approval made by the commission under this rider is considered approved unless the Legislative Budget Board issues written disapproval not later than the 30th business day after the date the Legislative Budget Board staff concludes its review of the request and forwards the request to the chair of the House Appropriations Committee, the chair of the Senate Committee on Finance, the speaker of the house of representatives, and the lieutenant governor. A request for additional information made by the Legislative Budget Board tolls the counting of the 30-day period specified by this subsection.