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Amend CSSB 985 by inserting the following language as Section 
2 and appropriately renumbering the existing language as follows:
	(1)  SECTION 2.  Sections 157.0541(a), (c), and (e), 
Occupations Code, are amended to read as follows:
	(a)  In this section, "alternate site" means a practice site:                  
		(1) where services similar to the services provided at 
the delegating physician's primary practice site are provided; and
		(2)  located within 75 [60] miles of the delegating 
physician's primary practice site.
	(c)  Physician supervision is adequate for the purposes of 
this section if the delegating physician:
		(1)  [is on site with the advanced practice nurse or 
physician assistant at least 20 percent of the time;
		[(2)]  reviews at least 10 percent of the medical 
charts from [at] the site; and
		(2)  [(3)] is available through direct 
telecommunication for consultation, patient referral, or 
assistance with a medical emergency.
	(e)  The combined number of advanced practice nurses and 
physician assistants to whom a physician may delegate under this 
section and at a primary practice site under Section 157.053 may not 
exceed six [three] physician assistants or advanced practice nurses 
or the full-time equivalent of six [three] physician assistants or 
advanced practice nurses.