Amend CSHB 1 (house committee report) as follows:

(1)  In Article II of the bill, in the appropriations to the Health and Human Services Commission, in Goal A, Medicaid Client Services (page II-34), add Strategy A.3.6, STAR+PLUS Pilot Program, and appropriate from the General Revenue Fund $16,571,357 for each fiscal year of the state fiscal biennium ending August 31, 2025, and appropriate the increased associated federal funds by the appropriate amount for each of those state fiscal years.

(2)  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:

____.  STAR+PLUS Pilot Program Implementation. (a) It is the intent of the legislature that the Health and Human Services Commission use the amounts appropriated above in Strategy A.3.6, STAR+PLUS Pilot Program, to implement the initial phase of the STAR+PLUS pilot program authorized under Subchapter C, Chapter 534, Government Code.

(b)  In implementing the initial phase of the STAR+PLUS pilot program and to the extent permitted by state and federal law, the Health and Human Services Commission shall:

(1)  prioritize the provision of services under the pilot program to persons who have been diagnosed with an intellectual or developmental disability and are on an interest list for the following Medicaid waiver programs:

(A)  the home and community-based services (HCS) waiver program; or

(B)  the Texas home living (TxHmL) waiver program; and

(2)  ensure the number of persons to whom services are provided under the pilot program during the initial phase is a statistically valid number that does not exceed 4,000 persons.

(3)  In Article VII of the bill, in the appropriations to the Texas Lottery Commission (pages VII-8 and VII-9), proportionately reduce the amount of money appropriated to the commission from the General Revenue Fund for each strategy by a total amount of $16,571,357 for each fiscal year of the state fiscal biennium ending August 31, 2025.

(4)  In Article XI of the bill, in the item for consideration listed under Article II, Health and Human Services Commission, for the STAR+PLUS Pilot Program (page XI-4) reduce the amount listed by the total amount appropriated to Strategy A.3.6, STAR+PLUS Pilot Program, under Item (1) of this rider.

(5)  Adjust totals and methods of financing accordingly.