Amend CSSB 190
      1.)  On page 59, between lines 19 and 20, insert, "SECTION
1.31.  Section 242.____, Texas Health and Safety Code, is added to
read as follows:
      Pursuant to Section 32.043, Texas Human Resources, the
department shall, no later than three months after receipt of
waivers and approvals by the Health Care Financing Administration
to do so, contract all or part of the survey process under this
chapter with an independent entity or entities to conduct licensing
and Medicaid certification surveys. Any entity with which the
department contracts to carry out all or part of the survey process
shall use computer assisted efforts that measure nursing facility
resident outcomes and consumer satisfaction"
      2.)  Renumber the remaining sections of ARTICLE 1.
      3.)  On page 63, between lines 6 and 7, insert "SECTION 2.02.
Section 32.043, Texas Human Resource Code, is added to read as
follows:
            (a)  No later than November 1, 1997, the department
shall request necessary waivers and approvals from the federal
Health Care Financing Administration and other appropriate entities
to enable the state to contract with an independent entity or
entities to conduct nursing facility survey and certification.
            (b)  No later than three months after receipt of the
waivers and approvals referenced in subsection (a) of this section
and pursuant to Section 242.____, Health and Safety Code, the
department may contract with an independent entity or entities to
conduct all or part of the nursing facility survey and
certification process. Any entity with which the department
contracts to carry out all or part of the survey process shall use
computer assisted efforts that measure nursing facility resident
outcomes and consumer satisfaction"