Amend CSSB 1 (house committee report) in Article II of the bill, following the appropriations to the Health and Human Services Commission (page II-33), by adding the following appropriately numbered provision:

____.  Evaluation of Federal Medicaid Funding or Policy Changes. Out of funds above, the Health and Human Services Commission is directed to evaluate the impact of any federal changes to Medicaid funding or policy within 30 days of announcement, to determine the extent of any increase or decrease to programs, eligibility, federal matching assistance percentage (FMAP), provider payments, and any other changes which may impact the operation of programs supporting Medicaid and uninsured patient care in Texas. The evaluation should quantify funding reductions that result from federal changes to the Medicaid program and recommend alternative funding considerations as may be needed through carryover, balance transfer, or budget execution authority. Results of this evaluation should be provided to the governor, lieutenant governor, speaker of the house, Legislative Budget Board, Senate Committee on Finance, and House Committee on Appropriations.