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Amend CSHB 1 as follows:
(1) On page II-xx of the Health and Human Services Commission bill pattern, add the following rider:
____. Reimbursement for Out of County Unfunded Healthcare Costs. It is the intent of the legislature that the Health and Human Services Commission (HHSC) shall develop and implement by September 1, 2020, a supplemental payment program or directed payment program to reimburse hospital districts formed under general or special law for out of county unfunded healthcare costs using intergovernmental transfers as the non-federal share of program costs. It is the intent of the legislature that HHSC publish rules and seek approval as necessary from the federal Centers for Medicare and Medicaid Services.