Amend CSSB 385 as follows: (1) In the recital to SECTION 12 of the bill (page 38, line 7, House Committee Printing), strike "is amended by adding Subsections (i)-(m)" and substitute "is amended by adding Subsections (i)-(n)". (2) In Section 14, Texas Health Maintenance Organization Act (Article 20A.14, Vernon's Texas Insurance Code), as amended by SECTION 12 of the bill (page 40, between lines 6 and 7, House Committee Printing), insert Subsection (n) to read as follows: (n) A health maintenance organization may not limit the ability of an enrollee whose primary care physician has recommended care that includes a surgical procedure to seek a second opinion from a participating physician or a participating chiropractor before the performance of the recommended surgical procedure.