Amend CSHB 2658 (house committee report) as follows:

Insert after SECTION 5, page 17, line 13:

SECTION 6.  Using existing resources, the Commission shall conduct a study to assess the impact of revising Star+Plus capitation for managed long term care from payment based on site of care to a blended rate. The study will assess how revising the method of calculating the capitation impacts consumers' choice of setting as well as conduct an actuarial analysis of the impact on program spending. The study shall take into consideration the experience of other states utilizing a blended rate for Medicaid managed long term care. The Commission shall provide a report with their findings to the Speaker, Lieutenant Governor, House Human Services Committee and Senate Health and Human Services Committee.

SECTION 7.  If before implementing any provision of this Act a state agency determines that a waiver or authorization from a federal agency is necessary for implementation of that provision, the agency affected by the provision shall request the waiver or authorization and may delay implementing that provision until the waiver or authorization is granted.

SECTION 8.  This Act takes effect September 1, 2021.