Amend CSHB 1 (house committee report) in Article III of the bill, following the appropriations to the Teacher Retirement System (page III-39), by adding the following appropriately numbered rider:

____.  Analysis of High-Cost Hospital Claims. (a) It is the intent of the legislature that the Teacher Retirement System, using funds appropriated by this Act, engage a third party vendor to conduct a review of hospital claims of TRS-Care and TRS-ActiveCare enrollees that exceeded $100,000 during the 2022 fiscal year and analyze itemized charges and medical records to determine any potential cost savings that could be realized by the system.

(b)  Not later than September 1, 2024, the Teacher Retirement System shall provide to the Legislative Budget Board, the governor, and the members of the Senate Finance Committee, Senate Health and Human Services Committee, House of Representatives Appropriations Committee, and House of Representatives Insurance Committee a report on the findings of the review and analysis.