Amend CSHB 1 (house committee report) in Article II of the bill, following the appropriations to the Department of State Health Services (page II-22), by adding the following appropriately numbered rider:

____.  Limb Salvage Institute. (a)  Out of the money appropriated above to the Department of State Health Services for Strategy B.2.1, EMS and Trauma Care Systems, the department shall allocate the amount of $7,500,000 for the state fiscal year ending August 31, 2024, for a grant award to establish a limb salvage institute that includes a freestanding clinic and outpatient surgical facility with a multidisciplinary team of medical personnel who specialize in providing health care services for complex and noncomplex wound healing and in treatments and procedures that prevent amputation.

(b)  It is the intent of the legislature that in awarding a grant under this rider the Department of State Health Services give preference to an applicant that:

(1)  is a health care entity located in Hidalgo County; and

(2)  has been designated as a Level 1 trauma facility since at least January 1, 2022.

(c)  The Department of State Health Services may award a grant under this rider only in accordance with a contract between the department and the grant recipient. The contract must include provisions under which the department is granted sufficient control to ensure the public purpose of providing the health care services described by this rider is accomplished and this state receives the return benefit.

(d)  Any unobligated or unexpended balances out of the allocation made by this rider remaining as of August 31, 2024, are allocated for the same purposes for the state fiscal year ending August 31, 2025.