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	Amend CSHB 2572 (House Committee Printing) as follows:                       

(1)  On page 1, line 21, strike "Subsection (e-1)" and 	substitute "Subsections (b-1) and (e-1)".
	(2)  On page 2, between line 11 and line 12, insert the 
following:           
	(b-1)  This subsection expires September 1, 2007.  Before the 
department institutes a change in payment methodology, the 
department shall:
		(1)  evaluate various forms of payment for services 
including fee-for-service, case rate, capitation, and other 
appropriate payment methods to determine the most cost-effective 
and efficient form of payment for services;
		(2)  evaluate the effect of each proposed payment 
methodology on:    
			(A)  the availability of services in urban and 
rural service areas; 
			(B)  the availability of services for persons who 
are indigent; and 
			(C)  the cost certainty of the delivery of 
Medicaid rehabilitation services;
		(3)  develop an implementation plan for the new payment 
methodology that integrates the department's findings under 
Subdivisions (1) and (2); and
		(4)  report the department's findings and the 
implementation plan for a new payment methodology to the 
legislature not later than January 1, 2007.
	(3)  On page 3, line 1, after "provider" insert "only in 
accordance with Subsection (c)".
	(4)  On page 3, line 24, strike "WAIVER" and substitute 
"[WAIVER]".
	(5)  On page 6, line 19, strike "mental health and".                    
	(6)  On page 7, line 23, strike "[(g)" and insert the 
following:
	(g)  The Department of Aging and Disability Services shall 
ensure that local services delivered further the following goals:
		(1)  to provide individuals with the information, 
skills, opportunities, and support to make informed decisions 
regarding the services for which the individual is eligible;
		(2)  to respect the rights, needs, and preferences of 
an individual receiving services; and
		(3)  to integrate individuals with mental retardation 
and developmental disabilities into the community in accordance 
with relevant independence promotion plans and permanency planning 
laws.  [The