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Amend CSHB 2292 as follows:                                                  
	(1)  On page 156, by strike lines 4 and 5 and substitute the 
	SECTION 2.89.  (a)  Sections 2(a) and (c), Article 4.11, 
Insurance Code, are amended to read as follows:
		(a)  "Carrier" means any insurer, managed care 
organization, or group hospital service plan transacting any such 
insurance business in this state including companies operating 
under the provisions of Chapters 841, 842, 843, 861, 881, 882, 883, 
884, 941, 942, and 982, [3, 8, 11, 13, 15, 18, 19, 20, 20A, and 22 of 
the] Insurance Code, Chapter 533, Government Code, or Title XIX of 
the federal Social Security Act.  The term does not include [but 
excluding] local mutual aid associations, fraternal benefit 
societies or associations, and societies that limit their 
membership to one occupation.  For purposes of computing the 
premium tax under this article, a managed care organization shall 
be treated in the same manner as a health maintenance organization.
	(2)  In Article 2 of the bill, insert the following new 
SECTIONS, appropriately numbered, and renumber subsequent SECTIONS 
of the bill appropriately:
	SECTION 2._____.  Article 27.05, Insurance Code, is amended 
to read as follows:
	Art. 27.05.  EXEMPTION FROM PREMIUM TAX.  The issuer of a 
children's health benefit plan approved under Article 27.03 of this 
code is not subject to the premium tax imposed by Article 4.11 of 
this code or the tax on revenues imposed under Section 33, Texas 
Health Maintenance Organization Act (Article 20A.33, Vernon's 
Texas Insurance Code), with respect to money received for coverage 
provided under this plan.
	SECTION 2._____.  Chapter 27, Insurance Code, is amended by 
adding Article 27.07 to read as follows:
	Art. 27.07.  INAPPLICABILITY TO CERTAIN PLANS.  This chapter 
does not apply to a health benefit plan provided under the state 
Medicaid program or the state child health plan.