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Amend SB 421 (engrossed version) as follows:                                 
	(1) In SECTION 4 of the bill, in the recital (page 3, line 
17), strike "Chapter 1284" and substitute "Chapters 921 and 1284".
	(2) Immediately before SECTION 5 of the bill (page 4, between 
lines 13 and 14), insert the following:
	(d) [(c)] In consultation with the Texas Department of Human 
Services, the commissioner shall, by rule, adopt minimum rating 
standards for for-profit nursing homes and for-profit assisted 
living facilities that must be met before a for-profit nursing home 
or for-profit assisted living facility may obtain coverage through 
the association.  The standards must promote the highest practical 
level of care for residents of those nursing homes and assisted 
living facilities.
	(3) Strike SECTION 14 of the bill (page 14, lines 19-21) and 
renumber the subsequent SECTIONS of the bill appropriately.