Amend SB 385 on 3rd reading in SECTION ____, on page ____,
following line ____, by adding Subsections (m) and (n) to read as
follows:
      "(m)  A health maintenance organization shall not prohibit a
beneficiary who is a resident of a continuing care retirement
facility holding a certificate of authority under Chapter 246,
Health and Safety Code, or a housing facility which provides
residential living and also provides licensed nursing facility care
of licensed personal care facility services on the same campus from
choosing to receive covered services in that facility's licensed
nursing facility or licensed personal care facility and shall not
refuse to pay for covered services at the agreed upon or negotiated
rate.
      (n)  A health maintenance organization shall not prohibit a
beneficiary who is a resident of a nursing facility licensed under
Chapter 242, Health and Safety Code, prior to a hospital stay from
choosing to return to the nursing facility after a hospital stay
and to receive covered services in that facility's licensed nursing
facility and shall not refuse to pay for covered services at the
agreed upon or negotiated rate."