Amend HB 3507 (Senate committee printing) as follows: (1) In Section 1.01 of the bill, in added Section 32.053(a), Human Resources Code (page 1, lines 19 and 20), strike "parameters of care of the American Dental Association" and substitute "American Dental Association's Parameters of Care for Dentistry". (2) In Section 1.01 of the bill, strike Sections 32.053(c)(5) and 32.053(d), Human Resources Code (page 1, line 45, through page 2, line 8), and substitute: (5) take all necessary action to eliminate unlawful acts described by Section 36.002 in the provision of dental services under the medical assistance program, including: (A) aggressively investigating and prosecuting any dentist who abuses the system for reimbursement under the medical assistance program; and (B) conducting targeted audits of dentists whose billing activities under the medical assistance program are excessive or otherwise inconsistent with the billing activities of other similarly situated dentists. (d) In setting reimbursement rates for dental services under the medical assistance program, the department shall: (1) reduce the amount of the hospitalization fee in effect on December 1, 2000, and redistribute amounts made available through reduction of that fee to other commonly billed dental services for which adequate accountability measures exist; (2) eliminate the nutritional consultation fee and redistribute amounts made available through elimination of that fee to other commonly billed dental services for which adequate accountability measures exist; (3) provide for reimbursement of a behavior management fee only if: (A) the patient receiving dental treatment has been previously diagnosed with mental retardation or a mental disability or disorder, and extraordinary behavior management techniques are necessary for therapeutic dental treatment because of the patient's uncooperative behavior; and (B) the dentist includes in the patient's records and on the claim form for reimbursement a narrative description of: (i) the specific behavior problem demonstrated by the patient that required the use of behavior management techniques; (ii) the dentist's initial efforts to manage the patient's behavior through routine behavior management techniques; and (iii) the dentist's extraordinary behavior management techniques subsequently required to manage the patient's behavior; and (4) redistribute amounts made available through limitation of the behavior management fee under Subdivision (3) to other commonly billed dental services for which adequate accountability measures exist. (3) In Section 2.02(b) of the bill (page 2, line 61), between "of" and "human", insert "health and". (4) In Section 2.03(a) of the bill (page 4, line 24), between "of" and "human", insert "health and". (5) In Section 3.02 of the bill, in added Section 256.0531(d)(2), Occupations Code (page 5, line 19), strike "and". (6) In Section 3.02 of the bill, in added Section 256.0531(d)(3), Occupations Code (page 5, line 21), after "years" and before the period, insert: ; and (4) have posted a notice visible to patients stating: "This practice has been approved as an alternative dental hygiene training program. Students in the program may be performing services." (7) In Section 3.02 of the bill, in added Section 256.0531(h), Occupations Code (page 5, line 41), strike "implement" and substitute "approve". (8) In Section 3.02 of the bill, in added Section 256.0531(j), Occupations Code (page 5, line 55), strike "board". (9) In Section 3.02 of the bill, after added Section 256.0531, Occupations Code (page 5, between lines 57 and 58), insert: (k) A student in an alternative dental hygiene training program is not considered to be practicing dentistry as described by Section 251.003. (l) The board may adopt rules necessary to implement this section. The board shall adopt a rule requiring notification to dental hygiene students that accreditation of the alternative dental hygiene training program is a requirement for obtaining a license under this chapter. (10) In Section 4.03 of the bill, in added Section 265.003(b), Occupations Code (page 6, lines 52 and 53), strike "if the assistant is certified to apply a pit and fissure sealant under Section 265.004" and substitute: if: (1) the assistant is certified to apply a pit and fissure sealant under Section 265.004; and (2) the dentist described by Subsection (a) is a Medicaid provider (11) In Article 5 of the bill, in the heading to the article (page 7, line 20), strike "RECIPROCAL". (12) In Section 5.01 of the bill, in the introductory language for that section (page 7, line 21), strike "Chapter 262" and substitute "Chapter 256". (13) In Section 5.01 of the bill, in the introductory language for that section (page 7, line 22), strike "Section 262.1015" and substitute "Section 256.1015". (14) In Section 5.01 of the bill, in added Section 262.1015, Occupations Code (page 7, line 23), strike "262.1015. TEMPORARY RECIPROCAL LICENSE" and substitute "256.1015. TEMPORARY LICENSE".