Representative Sanchez of Boston Smizik of Brookline, and Clark of Melrose moved that the bill be amended by inserting after section 51 the following section: - “Section 52. Notwithstanding any General or Special Law to the contrary, the Office of Medicaid is hereby directed to develop and fund a global payment for high-risk pediatric asthma patients enrolled in the MassHealth Program designed to prevent unnecessary hospital admissions and emergency room utilization.  Consistent with the National Asthma Education and Prevention Program guidelines developed by the National Institutes of Health, the global payment shall be designed to reimburse non-billable expenses necessary to manage pediatric asthma including patient education, environmental assessments, mitigation of asthma triggers, and purchase of necessary durable medical equipment.  The global payment shall be designed to offer a financial return on investment in terms of reduced hospital and emergency room costs in no longer than two years.  The global payment approach shall be piloted in communities with high rates of uncontrolled childhood asthma.   The Executive Office shall consult with the Community Asthma Initiative at Children’s Hospital Boston and with other relevant providers in developing the payment, and will collaborate with participating entities in evaluating the program.  The Executive Office will report its findings on the cost effectiveness of this program no later than December 31, 2012.”