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	Amend SB 23, on third reading, as follows:                                   
	(1)  In added Subdivision (1), Section 1302.001, Insurance 
Code, as added by Floor Amendment No. 6, by Eiland, after 
"provider.", insert "The term does not include a discount health 
care program operator."
	(2)  In added Section 1302.001, Insurance Code, as added  by 
Floor Amendment No. 6, by Eiland, following Subdivision (1) of that 
section, insert the following new subdivision:
	(1-a) "Discount health care program operator" means a person 
who, in exchange for fees, dues, charges, or other consideration 
operates a discount health care program and contracts with 
providers, provider networks, or other discount health care program 
operators to offer access to health care services at a discount and 
determines the charges to members.
	(3)  In added Subdivision (2), Section 1302.001, Insurance 
Code, as added by Floor Amendment No. 6, by Eiland, between "means" 
and "a hospital"  insert "an individual licensed in this state to 
engage in a health profession, other than a physician, and a health 
care facility, including".
	(4)  In Paragraph (A), Subdivision (2), of added Section 
1302.002, Insurance Code, as added by Floor Amendment No. 6, by 
Eiland, at the end of the paragraph, strike "or".
	(5)  In Paragraph (B), Subdivision (2), of added Section 
1302.002, Insurance Code, as added by Floor Amendment No. 6, by 
Eiland, at the end of the paragraph, strike the underlined period 
and substitute the following:
	"; or                                                                   
			(C)  a discount health care program."                                 
	(6)  In added Section 1302.151, Insurance Code, as added  by 
Floor Amendment No. 6, by Eiland, following Subsection (c) of that 
section, insert the following new Subsections (d) and (e):
	(d)  Notwithstanding Subsection (b)(1), a discount broker  
may offer, but may not require, a contract containing more than one 
line of business if each line of business is presented in a separate 
exhibit of the contract that includes:
		(1)  material contract provisions uniquely applicable 
to the line of business;
		(2)  full and complete disclosure of how the contracted 
fee schedule for the line of business will be computed, including 
the  percent of billed charges and percent of Medicare;
		(3)  a toll-free number or electronic address through 
which the physician may request the fee schedule applicable to any 
covered services that the physician intends to provide; and
		(4)  a contract cover page that includes a separate 
signature line for each line of business for the physician to 
indicate assent to provide services for that line of business and 
permit disclosure or transfer of the physician's contracted 
discounted fee.
	(e)  For purposes of this section, "transfer" does not 
include a transfer to a discount health care program.
	(7)  Strike added Subsection (c), Section 1301.056, 
Insurance Code, as added by Floor Amendment No. 6, by Eiland, and 
substitute the following:
	"(c)  An insurer, third-party administrator, or other entity 
may not access a discounted fee, as described by Subsection (a), 
unless notice has been provided to the contracted physicians, 
practitioners, institutional providers, and organizations of 
physicians and health care providers.  For the purposes of the 
notice requirements of this subsection, the term "other entity" 
does not include an employer that contracts with an insurer or 
third-party administrator.  For the purposes of this section, the 
term "other entity" does not include a discount health care program 
operator as that term is defined by Section 1302.001.".