Amend CSHB 1 (house committee printing) in Article II of the bill, following the appropriations to the Health and Human Services Commission (page II-xx), by adding the following appropriately numbered rider:

____.  Medicaid Community Care Rate Increase. Included in amounts appropriated above to the Health and Human Services Commission (HHSC) in the strategies in Goal A, Medicaid Client Services, is $219,562,105 in general revenue funds and $345,854,173 in federal funds ($565,416,278 in All Funds) for the 2020-21 biennium to fully fund HHSC's rate reimbursement methodology or provide up to a 7 percent rate increase for Medicaid community care programs. It is the intent of the legislature that HHSC shall ensure that all funds appropriated are fully reflected in reimbursement rates paid to community care providers in both Medicaid fee-for-service and managed care models and that the increased funding is used for the operational cost portion of community care program rates.