Amend CSHB 1 (house committee report) as follows:

(1)  In Article II of the bill, following the appropriations to the Health and Human Services Commission (page II-38), add the following appropriately numbered rider and renumber subsequent riders accordingly:

____.  Substance Abuse and Mental Health Service Administration Rules. (a) Out of the money appropriated above for Strategy D.2.7, Community Behavioral Health Administration, the Health and Human Services Commission shall adopt rules to align with the Substance Abuse and Mental Health Services Administration's update to federal rules, with respect to expanding access to opioid use disorder treatment as soon as practicable after those federal regulations are adopted.

(b)  To the extent authorized by general law, it is the intent of the legislature that the rules adopted by the Health and Human Services Commission under Subsection (a) of this rider:

(1)  expand the definition of a treatment practitioner in the opioid use disorder treatment setting;

(2)  identify evidence-based models for the delivery of treatment;

(3)  provide best practices for strengthening the patient-practitioner relationship; and

(4)  allow for patients to have early access to take-home doses of medication to assist in treating opioid use disorder.

(c)  Not later than January 1, 2024, the Health and Human Services Commission shall submit a report to the Legislative Budget Board, the governor's office, and the standing committees of each house of the legislature with primary jurisdiction over health and human services regarding any portion of the federal regulations that the commission needs legislative guidance on before adopting rules.

(2)  In Article XI of the bill, under the Article II items for the Health and Human Services Commission (page XI-5), strike "Substance Abuse and Mental Health Services Administration Rules" and the associated amount for the biennium.