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Amend CSHB 2292 by adding the following appropriately 
numbered SECTION to Article 2 of the bill and renumber subsequent 
SECTIONS of the bill accordingly:
	SECTION _____.  (a)  A change in law made by this article to 
Section 242.047, Health and Safety Code, that requires the Texas 
Department of Health to accept an annual accreditation review from 
the Joint Commission on Accreditation of Health Organizations for a 
nursing home in satisfaction of the requirements for certification:
		(1)  applies only to a nursing home that participates in 
the medical assistance program under Chapter 32, Human Resources 
Code, before September 1, 2003; and
		(2)  may be implemented only as a pilot program.                              
	(b)  A pilot program operated in accordance with this section 
expires September 1, 2007.