Amend CSHB 587 as follows:
      (1)  In SECTION 2 of the bill, in added Section 534.104,
Health and Safety Code, strike Subsection (a)  (page 2, lines
45-50, senate committee printing) and substitute:
      (a)  A nonprofit health maintenance organization created
under Section 534.101 is a health care provider that is a
nonprofit health maintenance organization created and operated by a
community center for purposes of Section 84.007(e), Civil Practice
and Remedies Code.  The  nonprofit health maintenance organization
is not a governmental unit or a unit of local government, for
purposes of Chapters 101 and 102, Civil Practice and Remedies Code,
respectively, or a local government for purposes of Chapter 791,
Government Code.
      (2)  In SECTION 2 of the bill (page 2, line 44, senate
committee printing), at the  end of added Section 534.103, Health
and Safety Code, insert the following:  The commissioner of
insurance may adopt rules as necessary to accept funding sources
other than the sources specified by Section 13, Texas Health
Maintenance Organization Act (Article 20A.13, Vernon's Texas
Insurance Code), from a nonprofit health maintenance organization
created and operating under this subchapter, to meet the minimum
surplus requirements of that section.
      (3)  Insert the following appropriately numbered section:
      SECTION ____. Section 84.007(e), Civil Practice and Remedies
Code, is amended to read as follows:
      (e)  Sections 84.005 and 84.006 of this chapter do not apply
to a health care provider as defined in the Medical Liability and
Insurance Improvement Act of Texas (Article 4590i, Vernon's Texas
Civil Statutes), unless the provider is a federally funded migrant
or community health center under the Public Health Service Act (42
U.S.C.A. Sections 254(b) and (c)) or is a nonprofit health
maintenance organization created and operated by a community center
under Section 534.101, Health and Safety Code, or unless the
provider usually provides discounted services at or below costs
based on the ability of the beneficiary to pay.   Acceptance of
Medicare or Medicaid payments will not disqualify a health care
provider under this section.  In no event shall Sections 84.005 and
84.006 of this chapter apply to a general hospital or special
hospital as defined in Chapter 241, Health and Safety Code, or a
facility or institution licensed under Subtitle C, Title 7, Health
and Safety Code, or Chapter 242, Health and Safety Code, or to any
health maintenance organization created and operating under the
Texas Health Maintenance Organization Act (Chapter 20A, Vernon's
Texas Insurance Code), except for a nonprofit health maintenance
organization created under Section 534.101, Health and Safety Code.
      (4)  Renumber subsequent sections of the bill
appropriately.