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 may, 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 may
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"