Amend CSSB 1 (house committee printing) by adding the following appropriately numbered ARTICLE to the bill and renumbering subsequent ARTICLES and SECTIONS of the bill accordingly:
ARTICLE ____. REIMBURSEMENT FOR CERTAIN SERVICES UNDER THE MEDICAID MANAGED CARE PROGRAM
SECTION ____.01.  Section 533.01315, Government Code, is amended by amending Subsection (b) and adding Subsection (b-1) to read as follows:
(b)  Subject to Subsection (b-1), the [The] commission shall ensure that a federally qualified health center, physician office, urgent care facility, rural health clinic, or municipal health department's public clinic is reimbursed for health care services provided to a recipient outside of regular business hours, including on a weekend or holiday, at a rate that is equal to the allowable rate for those services as determined under Section 32.028, Human Resources Code, regardless of whether the recipient has a referral from the recipient's primary care provider.
(b-1)  A physician who is a specialist may not be reimbursed under this section for the provision of specialty services.
SECTION ____.02.  If before implementing any provision of this article a state agency determines that a waiver or authorization from a federal agency is necessary for implementation of that provision, the agency affected by the provision shall request the waiver or authorization and may delay implementing that provision until the waiver or authorization is granted.