Amend CSHB 1 as follows:

(1)  On page II-53 of the Health and Human Services Commission bill pattern, amend the following rider:

24.  Health and Human Services Cost Containment. The Health and Human Services Commission shall develop and implement cost containment initiatives to achieve savings throughout the health and human services system including by increasing fraud, waste, and abuse prevention and detection. HHSC shall provide a plan to the Legislative Budget Board to implement cost containment initiatives by December 1, 2019. It is the intent of the legislature that HHSC shall achieve savings without changing eligibility levels; reducing benefits; adjusting amount, scope, or duration of services; or otherwise negatively impacting access to care. It is the intent of the legislature that prior to making any changes, HHSC shall consider stakeholder input, including complying with any statutory requirements related to rulemaking and public hearings.