Amend CSHB 311 as follows:                                                   
	(1)  Strike the recital to SECTION 16 of the bill (page 11, 
lines 12-13), and substitute the following:
	SECTION 16.  Section 303.005, Occupations Code, is amended by 
amending Subsections (a), (b), (c), (d), and (f) and adding 
Subsection (h) to read as follows:
	(2)  After SECTION 16 of the bill, immediately following 
amended Section 303.005, Occupations Code (page 12, between lines 
14 and 15), insert the following:
	(h)  A person is not required to provide a peer review 
determination under this section for a request made by:
		(1)  a registered nurse, unless the person regularly 
employs, hires, or otherwise contracts for the services of at least 
five registered nurses; or
		(2)  a licensed vocational nurse, unless the person 
regularly employs, hires, or otherwise contracts for the services 
of at least five licensed vocational nurses.