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".