Amend CSSB 1 (house committee printing) in Article II of the bill, following the appropriations to the Health and Human Services Commission, by adding the following appropriately numbered rider:

____.  Out of funds in Strategy B.1.1, the Health and Human Services Commission shall redesign the Texas Incentives for Physicians and Professional Services (TIPPS) Program with the goal of recruiting and retaining additional community-based primary care physicians. HHSC shall ensure such changes to TIPPS are adopted in time to incorporate changes into its request for federal approval beginning with state fiscal year 2027.