Amend SB 718 (Senate engrossment printing) as follows:                       

(1)  In SECTION 1 of the bill, strike added Section 	301.1605(c), Occupations Code (page 1, line 16, through page 2, 
line  3), and substitute the following:
	(c)  In approving a pilot program, the board may grant the 
program an exception to the mandatory reporting requirements of 
Sections 301.401-301.409 or to a rule adopted under this chapter or 
Chapter 303 that relates to the practice of professional nursing, 
including education and reporting requirements for registered 
nurses.  The board may not grant an exception to:
		(1)  the continuing education requirements of this 
chapter unless the program includes alternate but substantially 
equivalent requirements; or
		(2)  the mandatory reporting requirements unless the 
program:        
			(A)  is designed to evaluate the efficiency of 
alternative reporting methods; and
			(B)  provides consumers adequate protection from 
registered nurses whose continued practice is a threat to public 
safety.
	(2)  In SECTION 5 of the bill, in amended Section 301.351(b), 
Occupations Code (page 5, line 7), strike "and".
	(3)  In SECTION 5 of the bill, in amended Section 301.351(b), 
Occupations Code (page 5, line 9), strike the period and substitute 
";".
	(4)  In SECTION 5 of the bill, in amended Section 301.351(b), 
Occupations Code (page 5, between lines 9 and 10), insert:
		(4)  a picture of the nurse; or                                        
		(5)  any other information authorized by the board.                    
	(5)  Strike the recital to SECTION 10 of the bill (page 7, 
lines 6-7), and substitute the following:
	SECTION 10.  Section 303.005, Occupations Code, is amended 
by amending Subsections (a), (b), (c), (d), and (f) and adding 
Subsection (h) to read as follows:
	(6)  After SECTION 10 of the bill, immediately following 
amended Section 303.005, Occupations Code (page 8, between lines 12 
and 13), 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.