Amend CSSB 1 (house committee report) as follows:

(1)  In Article II of the bill, in the appropriations to the Health and Human Services Commission, increase the appropriations from the general revenue fund for Strategy D.1.3, ECI Services (page II-34), by $1,192,920 for the state fiscal year ending August 31, 2026, and $1,234,850 in general revenue for the state fiscal year ending August 31, 2027.

(2)  In Article II of the bill, following the appropriations to the Health and Human Services Commission (page II-38), insert the following appropriately numbered rider:

____.  Improving Access to Early Childhood Intervention for Infants and Toddlers. (a) Out of amounts appropriated above to the Health and Human Services Commission for Strategy D.1.3, ECI Services, the commission shall allocate $313,119 in general revenue and, to the extent available, $458,491 in federal funds for the state fiscal year ending August 31, 2026, and $324,125 in general revenue and, to the extent available, $473,624 in federal funds for the state fiscal year ending August 31, 2027, for the purpose of increasing the Medicaid reimbursement rates for early childhood intervention targeted case management to improve access to vital early childhood interventions for children who are under three years of age and have a disability or developmental delay.

(b)  Out of amounts appropriated above to the Health and Human Services Commission for Strategy D.1.3, ECI Services, the commission shall allocate $879,801 in general revenue and, to the extent available, $1,288,264 in federal funds for the state fiscal year ending August 31, 2026, and $910,725 in general revenue and, to the extent available, $1,330,784 in federal funds for the state fiscal year ending August 31, 2027, for the purpose of increasing the Medicaid reimbursement rates for early childhood intervention specialized skills training to improve access to vital early childhood interventions for children who are under three years of age and have a disability or developmental delay.

(3)  In Article VII of the bill, in the appropriations to the Texas Lottery Commission, reduce the general revenue appropriation for Strategy B.1.3, Bingo Law Compliance Field Operations (page VII-9), by $1,192,920 for the state fiscal year ending August 31, 2026, and $1,234,850 for the state fiscal year ending August 31, 2027.

(4)  Adjust totals and methods of financing accordingly.