Amend the amendment, S-3292, to Senate File 313, as passed by the Senate, as follows:
   1.  Page 1, after line 5 by inserting: 
   <___.  Page 3, after line 5 by inserting: 
   <Sec. ___.  Section 249J.6, subsection 2, paragraph b, Code 2011, is amended to read as follows:
   b.  Refusal of an expansion population member to participate in a comprehensive medical examination or any health risk assessment implemented by the department shall not be a basis for ineligibility for or disenrollment from the expansion population.  Refusal of an expansion population member to participate in a comprehensive medical examination or other preventative health service shall not negatively affect the calculation of performance payments for an expansion population network provider medical home.
   Sec. ___.  Section 249J.6, subsection 3, Code 2011, is amended to read as follows:
   3.   Expansion population members, including members assigned to an expansion population network provider medical home, shall be provided access to an IowaCare nurse helpline, accessible twenty-four hours per day, seven days per week, to assist expansion population members in making appropriate choices about the use of emergency room and other health care services.
   Sec. ___.  Section 249J.7, subsection 1, paragraph c, Code 2011, is amended to read as follows:
   c.
  (1)  Tertiary care shall only be provided to eligible expansion population members residing in any county in the state at the university of Iowa hospitals and clinics.
   (2)  Secondary care shall be provided by the publicly owned acute care teaching hospital located in a county with a population over three hundred fifty thousand and the university of Iowa hospitals and clinics, based on county of residence, only to the extent specified in the phase-in of the regional provider network designated by the department.>>
   2.  Page 2, after line 32 by inserting: 
   <Sec. ___.  REGIONAL PROVIDER NETWORK—— ALTERNATIVE PROVIDER—— PILOT.  The department of human services shall consult with providers of primary care services in regional provider network areas established pursuant to section 249J.7 to determine if the option of establishing an alternative provider location is feasible. The department may implement a pilot program establishing an alternative provider location in an established regional provider network area experiencing capacity issues during the fiscal year beginning July 1, 2011, if the department determines that this option would most appropriately address such capacity issues and provide better access to care for expansion population members in the area. Any such pilot program shall be implemented within funds available under the existing appropriation for the regional provider network and any alternative provider location shall be subject to the requirements applicable to an expansion population provider pursuant to chapter 249J.>>
   3.  By striking page 2, line 33, through page 3, line 41.