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Amend CSSB 439 (Senate committee printing) as follows:                       
	(1)  In SECTION 5 of the bill, in amended Subsection (a), 
Section 166.046, Health and Safety Code (page 2, line 20), between 
"problems" and the underlined period, insert "and the risk of 
serious medical pain or discomfort that cannot be alleviated based 
on reasonable medical judgment outweighs the benefit of continued 
artificial nutrition and hydration".
	(2)  In SECTION 5 of the bill, in amended Subsection (e), 
Section 166.046, Health and Safety Code (page 3, line 56), between 
"conditions" and the underlined period, insert "and the risk of 
serious medical pain or discomfort that cannot be alleviated based 
on reasonable medical judgment outweighs the benefit of continued 
artificial nutrition and hydration".
	(3)  In SECTION 5 of the bill, in amended Subsection (e), 
Section 166.046, Health and Safety Code (page 3, line 64), between 
"conditions" and ", after the 21st calendar", insert "and the risk 
of serious medical pain or discomfort that cannot be alleviated 
based on reasonable medical judgment outweighs the benefit of 
continued artificial nutrition and hydration".
	(4)  In SECTION 7 of the bill, in amended Subsection (a), 
Section 166.052, Health and Safety Code (page 6, lines 30 and 31), 
between "conditions" and ", until the patient", insert "and the 
risk of serious medical pain or discomfort that cannot be 
alleviated based on reasonable medical judgment outweighs the 
benefit of continued artificial nutrition and hydration".