System updates will be applied on February 19, 2026 at 6:00 PM. These updates will include changes to the user interface. Work is expected to take approximately 30 minutes to complete, during which the site will be unavailable.

	
Amend SB 541 by striking "and" on page 4, line 1, and adding 
on page 4, line 8, new subsections (7), (8), and (9) as follows:
		"(7) coverage for referral to a non-network physician 
or provider when medically necessary covered services are not 
available through network physicians or providers, as required by 
Article 20A.09(a)(3)(C) of this code (Acts 1997, 75th Leg., ch. 
163, §5, Acts 1997, 75th Leg., ch. 837, §4.01, Acts 1997, 75th Leg., 
ch.1023, Acts 1997, 75th Leg., ch.1026, §7);
		(8) coverage for use of a nonprimary care physician 
specialist as the primary care physician for an enrollee with a 
chronic, disabling, or life threatening illness, as required by 
Article 20A.09(a)(3)(D) and Article 20A.09(a)(3)(F) of this code 
(Acts 1997, 75th Leg., ch. 163, §5, Acts 1997, 75th Leg., ch. 837, §
4.01, Acts 1997, 75th Leg., ch.1023, Acts 1997, 75th Leg., 
ch.1026, §7); and
		(9) coverage for rehabilitation services and therapies 
as required by Article 20A.09(a)(4) of this code (Acts 1997, 75th 
Leg., ch. 163, §5, Acts 1997, 75th Leg., ch. 837, §4.01, Acts 1997, 
75th Leg., ch.1023, Acts 1997, 75th Leg., ch.1026, §7).