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.