Amend CSHB 4 (Senate committee printing) as follows:                         
	(1)  In SECTION 22.02 of the bill, strike proposed Subsection 
(b), Section 311.0456, Health and Safety Code, (page 48, lines 
17-22) and substitute:
	(b)  This section applies only to a nonprofit hospital or 
hospital system that is certified by the department under 
Subsection (d).
	(2)  In SECTION 22.02 of the bill, strike proposed Subsection 
(c), Section 311.0456, Health and Safety Code, (page 48, lines 
23-30) and substitute:
	(c)  To be eligible for certification under Subsection (d), a 
nonprofit hospital or hospital system must provide:
(1)  charity care in an amount equal to at least eight 
percent of the net patient revenue of the hospital or hospital 
system during the preceding fiscal year of the hospital or system; 
and
(2)  at least 40 percent of the charity care provided 
in the county in which the hospital is located.
	(3)  In SECTION 22.02 of the bill, in proposed Subsection 
(e), Section 311.0456, Health and Safety Code (page 48, line 45), 
strike "Subsection (b)(1)" and substitute "Subsection (b)".
	(4)  In SECTION 22.02 of the bill, strike proposed 
Subsections (f), (g), and (h), Section 311.0456, Health and Safety 
Code, (page 48, line 50 through page 49, line 6), and substitute:
	(f)  Notwithstanding any other law, the liability of a 
nonprofit hospital or hospital system for noneconomic damages as 
defined by Section 41.001, Civil Practice and Remedies Code, for a 
cause of action that accrues during the period that the hospital or 
system is certified under this section is subject to the 
limitations specified by Section 101.023(b), Civil Practice and 
Remedies Code, and Subsection (c) of that section does not apply.  
This subsection establishes the total combined limit of liability 
of the nonprofit hospital or hospital system and any employee, 
officer, or director of the hospital or system for noneconomic 
damages for each person and each single occurrence, as described by 
Section 101.023(b), Civil Practice and Remedies Code.