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."