Amend HB 1183 as follows:
      (1)  On page 2, line 6, between "APPLICABILITY." and "A",
insert "(a)".
      (2)  On page 2, between lines 20 and 21, insert the
following:
      (b)  This chapter does not affect the authority of a licensed
physician to delegate acts under Subtitle B.
      (3)  On page 6, line 26, strike "160.007(d)," and substitute
"160.007,".
      (4)  On page 10, line 13, strike "compliance file," and
substitute "or".
      (5)  On page 10, line 14, between "report," and "or", insert
"the identity of and reports made by a physician or surgical
assistant performing or supervising compliance monitoring for the
medical board,".
      (6)  On page 13, line 10, strike "psychometrically
validated".
      (7)  On page 13, line 11, after the period, add "Any written
portion of the examination must be validated by an independent
testing professional."
      (8)  On page 13, strike lines 22-27.
      (9)  On page 14, strike lines 1-9 and substitute the
following:
      (b)  A person who is otherwise eligible for a license under
Section 206.203 is not required to meet the educational
requirements under Section 206.203(b)(2) if the person applies for
a license under this section before September 1, 2002, and:
            (1)  will complete before the third anniversary of the
date the license is issued under this subsection the following
academic courses approved by the medical board:
                  (A)  anatomy;
                  (B)  physiology;
                  (C)  basic pharmacology;
                  (D)  aseptic techniques;
                  (E)  operative procedures;
                  (F)  chemistry; and
                  (G)  microbiology; or
            (2)  has been continuously certified after September
30, 1995, as a surgical assistant by a national certifying body
approved by the medical board and has practiced full-time as a
surgical assistant under the direct supervision of a physician
licensed in this country.
      (c)  A license issued under Subsection (b)(1) may not be
renewed after the third anniversary of the date of issuance unless
the license holder completes the academic courses described by
Subsection (b)(1).
      (10)  On page 18, strike lines 11-18 and substitute "or".
      (11)  On page 18, line 19, strike "(6)" and substitute "(4)".
      (12)  On page 18, line 21, between "PRACTICES." and "This",
insert "(a)".
      (13)  On page 19, between lines 2 and 3, insert the
following:
      (b)  A health maintenance organization, preferred provider
organization, or health benefit plan may not require a registered
nurse or physician assistant to be licensed as a surgical assistant
as a condition for reimbursement.
      (c)  A clinic, hospital, ambulatory surgical center, or other
facility may not require a registered nurse or physician assistant
to be licensed as a surgical assistant as a condition for assisting
at surgery at the facility.
      (14)  On page 27, strike line 16 and substitute the
following:
               SUBCHAPTER H.  ADMINISTRATIVE PENALTY
      (15)  On page 29, strike lines 1-11.