Amend CSHB 812 as follows: (1) In SECTION 2, Section 241.1015, Health and Safety Code, strike Subsection (a)(4) (page 1, lines 55-56, committee printing), and renumber the subsequent subdivisions accordingly. (2) In SECTION 2, Section 241.1015, Health and Safety Code (page 2, between lines 7 and 8, committee printing), add new Subsections (d) and (e) to read as follows, and renumber the subsequent subsections accordingly: "(d) This section does not prevent a hospital from entering into contracts with physicians to ensure physician availability and coverage at the hospital or to comply with regulatory requirements or quality of care standards established by the governing body of the hospital. (e) This section does not prevent the governing body of a hospital from: (1) limiting the number of physicians granted medical staff membership or privileges at the hospital based on a medical staff development plan that is unrelated to a physician's professional or business relationships or associations including those with another physician or group of physicians or to a physician or a partner, associate or employee of a physician having medical staff membership or privileges at another hospital or hospital system; or (2) limiting the ability of hospital medical directors to contract with or hold medical staff memberships or clinical privileges at different hospitals or hospital systems provided that such limitations do not extend to the medical directors' professional or business relationships or associations including those with another physician, group of physicians or other health care providers, other than hospitals or hospital systems." (3) In SECTION 2, Section 241.1015, Health and Safety Code strike Subsection (e) (page 2, line 9 - 11, committee printing), and substitute the following: "(e) In this section, "health care plan" has the meaning assigned by Section 2, Texas Health Maintenance Organization Act (Article 20A.02, Vernon's Texas Insurance Code), and "hospital medical directors" means physicians who have been employed by or are under contract with a hospital to manage a clinical department or departments of the hospital."