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 and renumbering subsequent riders accordingly:

____.  Community Health Worker Certification for Chronic Kidney Disease and End Stage Renal Disease. To the extent authorized by general law, the Department of State Health Services, using money appropriated above for Strategy A.3.1, Chronic Disease Prevention, shall establish a training program to educate community health workers on chronic kidney disease and end state renal disease, including components on:

(1)  all treatment modality options for end stage renal disease;

(2)  the social determinants of health for chronic kidney disease and end stage renal disease;

(3)  the clinical stages from chronic kidney disease to end stage renal disease;

(4)  strategies to eliminate emergency dialysis treatment; and

(5)  best practices in shared decision-making for end stage renal disease treatment.