Amend CSHB 1 (house committee printing) as follows:

(1)  In Article II of the bill, following the appropriations to the Health and Human Services Commission (page II-46), add the following appropriately numbered rider:

_____.  Establishment of Additional Program of All-Inclusive Care for the Elderly(PACE) Sites.

(a)  The Health and Human Services Commission (HHSC) is authorized to procure and implement contracts to establish three additional PACE sites in geographical areas not currently served by the program. Prior to finalizing a contractual agreement, HHSC shall determine that any entity to be contracted with satisfies procurement and contracting requirements established by HHSC and is approved by the Centers for Medicare and Medicaid Services (as described in 42 CFR, Part 460, Subpart B of the Code of Federal Regulations) to be a provider agency.

(b)  HHSC is authorized and directed to transfer general revenue funds appropriated to Strategy A.1.1, Aged and Medicare-related, or Strategy A.1.2, Disability-related, such amounts as may be necessary, along with qualifying federal matching funds, to support up to 300 slots in each of the three additional PACE sites during the 2024-25 fiscal biennium. The total general revenue funds amount transferred for this purpose may be used to fund startup and operational costs and may not exceed $16,250,000 in any fiscal year. The capitation rate to be paid for each site shall be determined pursuant to agency rate methodology for the PACE program without application of the budget reduction factor.

(c)  This transfer shall be executed notwithstanding HHSC, Rider 98, Limitations on Transfer Authority. Further, this authorization fulfills the requirements of Special Provisions Relating to All Health and Human Services Agencies, Section 12, Rate Limitations and ReportingRequirements.

(d)  The Executive Commissioner of HHSC shall provide written notification to the Legislative Budget Board (LBB) and the governor's office of the certification and the transfer of amounts within 30 business days of the date on which any transfer occurs.

(e)  On the request of HHSC, LBB, or the governor's office, PACE providers shall provide any requested information on actual cost, caseload, and services.

(2)  In Article XI of the bill, under the Article II items for the Department of State Health Services (page XI-5), strike "Program of All-inclusive Care for the Elderly (PACE)".