Amend CSHB 1 (house committee printing) in Article XI of the bill, following the Article II items for the Health and Human Services Commission (page XI-5), by adding the following appropriately designated rider:

____.  Delivery System Reform Incentive Payment (DSRIP) Program: Transition Plan to Sustain Services for Adults with Serious Mental Illness; Report Required. (a) It is the intent of the legislature that the Health and Human Services Commission, in negotiations with the Centers for Medicare and Medicaid Services under the Texas Health Care Transformation and Quality Improvement Program Waiver under Section 1115 of the federal Social Security Act (42 U.S.C. Section 1315) to establish a transition plan for the delivery system that will succeed the Delivery System Reform Incentive Payment (DSRIP) program, consider implementing approaches in the state fiscal biennium beginning September 1, 2022, that:

(1)  maximize the use of money from the General Revenue Fund to leverage federal matching money in a manner that at least sustains services provided to the target population of adults with serious mental illness, as defined by Section 1355.001, Insurance Code, who meet appropriate diagnostic and functional eligibility criteria and have incomes at or below the federal poverty level; and

(2)  use alternate payment strategies and initiatives for providers who meet certain quality metrics that support positive treatment outcomes for the target population described by Subdivision (1) of this subsection, including the provision of integrated care, use of appropriate data systems, the provision of criminal justice interface, and assistance in securing stable housing.

(b)  Not later than December 1 of each state fiscal year of the state fiscal biennium beginning September 1, 2019, the Health and Human Services Commission shall submit a report to the Legislative Budget Board and the governor on the status of negotiations with the Centers for Medicare and Medicaid Services described by Subsection (a) of this section.