Amend CSSB 190 as follows:
      On page 42, line 8, strike subsection (b) and substitute the
following:
      (b)  The attending physician is responsible for a resident's
assessment and comprehensive plan of care and shall review, revise,
and sign orders relating to any medication or treatment in the plan
of care. The responsibilities imposed on the attending physician by
this subsection may be performed by an advanced practice nurse or a
physician assistant pursuant to protocols jointly developed with
the attending physician.