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:

____.  Services for Individuals with Disabilities Aging Out of Certain Medicaid Services. Out of funds appropriated above in Strategy B.1.1, Medicaid Contracts and Administration, the Health and Human Services Commission shall use existing resources to conduct an analysis to determine if it is cost effective to continue to provide private duty nursing services to disabled children in Medicaid past the age of 21 when this population ages out of these services as adults. As part of the cost benefit analysis, the commission shall consider a functional needs-based eligibility requirement placed on applicants in order for private duty nursing services to continue. The commission may recommend other utilization controls as appropriate.

HHSC shall issue a report with findings and recommendations to the governor, lieutenant governor, speaker of the house of representatives, and Legislative Budget Board no later than November 1, 2020.