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	Amend CSSB 419 (House Committee Printing) as follows:                        
	(1)  On page 26, line 6, after the period, add the following:                  
	"In the event that a decision of the board or the State Office 
of Administrative Hearings is appealed to district court or other 
court, the confidentiality protections relating to the medical peer 
review committee documents shall continue."
	(2)  On page 26, beginning at line 9, strike ", if the records 
are available to the board through a means other than a medical peer 
review committee's records." and insert "or records made or 
maintained in the regular course of business, if the records are not 
considered confidential under this chapter or any other law and are 
otherwise available to the board."
	(3)  On page 35, line 15, after the period, add the following:                 
	"When admitted into evidence, this information shall be 
admitted under seal to protect the confidentiality of the 
documents.  In the event that a decision of the board or the State 
Office of Administrative Hearings is appealed to a district court 
or other court, the confidentiality protections relating to the 
medical peer review committee documents shall continue."