Amend CSHB 1676 as follows: (1) On page 3, line 22, between "REQUIRED." and "The", insert the following: (a) In this section, "preauthorization" means the provision of a reliable representation to a physician or health care provider of whether the issuer of a health benefit plan will pay the physician or provider for proposed medical or health care services if the physician or provider renders those services to the patient for whom the services are proposed. The term includes precertification, certification, recertification, or any other activity that involves providing a reliable representation by the issuer of a health benefit plan to a physician or health care provider. (b) (2) On page 3, line 25, strike "precertification or". (2) On page 3, line 26, strike "management" and substitute "review".