Amend CSSB 1 as follows:

In Article II of the bill, following the appropriations to the Health and Human Services Commission (page II-91), by adding the following appropriately numbered rider:

Medicaid Provider Rate Increases.  It is the intent of the legislature that when Medicaid provider rates are increased as a result of a legislative appropriation, change in the Federal Medical Assistance Percentage, or other action, the Health and Human Services Commission shall ensure managed care organizations (MCO) reimburse the full amount of funds that equate to the difference between the state Medicaid fee-for-service rate and the percentage increase associated with the causal event, regardless of the pre-existing rate in place between the provider and the MCO.