Amend CSHB 1 (house committee report) in Article II of the bill, following the appropriations to the Health and Human Services Commission (page II-38), by adding the following appropriately numbered rider:

____.  Cost Analysis Report for Medicaid Services Provided to Individuals with Intellectual or Developmental Disabilities. (a) In addition to other amounts appropriated by this Act, from the unexpended balance of an appropriation made by this Act from the General Revenue Fund to the Health and Human Services Commission for the state fiscal biennium ending August 31, 2025, an amount sufficient is appropriated from the General Revenue Fund to the commission for the commission to contract with an experienced third party to prepare a cost analysis report of the services provided under Medicaid to individuals with intellectual or developmental disabilities for the purpose of obtaining more accurate information on Medicaid funding levels. The report must evaluate:

(1)  intellectual and developmental disability services;

(2)  services provided under:

(A)  the Home and Community-based Services (HCS) waiver program; and

(B)  the Texas Home Living (TxHmL) waiver program; and

(3)  intermediate care facility services.

(b)  This rider does not apply to the unexpended balance of an appropriation made by this Act from the General Revenue Fund if:

(1)  that general revenue is encumbered or obligated; or

(2)  another provision of this Act provides for the use of that general revenue.