Amend CSSB 809 as follows:                                                   
	(1) on page 3, line 27, strike "or"                                            
	(2)  between page 3, line 27 and page 4, line 28 insert the 
following:       
			(E)  evidence that the individual is covered by 
substantially similar individual coverage that excludes one or more 
conditions by rider; or
	(3)  Insert the following appropriately numbered section and 
renumber the remaining sections accordingly:
	SECTION      .  Section 1506.153, Insurance Code, is amended to 
read as follows:
	Sec. 1506.153.  INELIGIBILITY FOR COVERAGE.  Notwithstanding 
Sections 1506.152(a)-(d), an individual is not eligible for 
coverage from the pool if:
		(1)  on the date pool coverage is to take effect, the 
individual has health benefit plan coverage from a health benefit 
plan issuer or health benefit arrangement in effect, except as 
provided by Section 1506.152(a)(3)(E);
		(2)  at the time the individual applies to the pool, the 
individual is eligible for other health care benefits, including 
benefits from the continuation of coverage under Title X, 
Consolidated Omnibus Budget Reconciliation Act of 1985 (29 U.S.C. 
Section 1161 et seq.), as amended (COBRA), other than:
			(A)  coverage, including COBRA or other 
continuation coverage or conversion coverage, maintained for any 
preexisting condition waiting period under a pool policy;
			(B)  employer group coverage conditioned by a 
limitation of the kind described by Section 1506.152(a)(3)(A) or 
(C); or
			(C)  individual coverage conditioned by a 
limitation described by Section 1506.152(a)(3)(C), [or] (D), or 
(E);
		(3)  within 12 months before the date the individual 
applies to the pool, the individual terminated coverage in the 
pool, unless the individual demonstrates a good faith reason for 
the termination;
		(4)  the individual is confined in a county jail or 
imprisoned in a state or federal prison;
		(5)  any of the individual's premiums are paid for or 
reimbursed under a government-sponsored program or by a government 
agency or health care provider, other than as an otherwise 
qualifying full-time employee of a government agency or health care 
provider or as a dependent of such an employee;
		(6)  the individual's prior coverage with the pool was 
terminated:          
			(A)  during the 12-month period preceding the date 
of application for nonpayment of premiums; or
			(B)  for fraud; or                                                           
		(7)  the individual is eligible for health benefit plan 
coverage provided in connection with a policy, plan, or program 
paid for or sponsored by an employer, even though the employer 
coverage is declined.
	SECTION     .  Section 1506.156, Insurance Code, is amended to 
read as follows:
	Sec. 1506.156.  BENEFIT REDUCTION;  CERTAIN COVERAGES 
SECONDARY.  (a) The pool shall reduce benefits otherwise payable 
under pool coverage by:
		(1)  the total amount paid or payable through any other 
health benefit plan or health benefit arrangement; and
		(2)  the total amount of hospital or medical expense 
benefits paid or payable under:
			(A)  workers' compensation coverage;                                         
			(B)  automobile insurance, regardless of whether 
provided on the basis of fault or no fault; or
			(C)  a state or federal law or program.                                      
	(b)  Pool coverage provided under Section 1506.152(a)(3)(E) 
is secondary to the individual coverage described by that paragraph 
for any period during which that individual coverage is in effect.