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Amend CSHB 1357 by adding the following appropriately
numbered SECTIONS to the bill and renumbering subsequent SECTIONS
of the bill accordingly:
SECTION ____. Section 243.002, Health and Safety Code, is
amended by amending Subdivision (3) and adding Subdivisions (3-a),
(3-b), and (5) to read as follows:
(3) "Department" means the [Texas] Department of State
Health Services.
(3-a) "Designated physician group" means any business
entity formed exclusively by one or more physicians licensed to
practice medicine in this state, including a professional
association, a professional corporation, a professional limited
liability company, or a professional limited liability
partnership, that has entered into a use agreement.
(3-b) "Facility" means the physical premises that the
department determines constitutes an ambulatory surgical center.
(5) "Use agreement" means a written executed agreement
between a licensed ambulatory surgical center and a designated
physician group under which the ambulatory surgical center allows
the designated physician group to use its facility to provide
ambulatory surgical center services on a part-time basis to the
designated physician group's patients.
SECTION ____. The heading to Section 243.003, Health and
Safety Code, is amended to read as follows:
Sec. 243.003. LICENSE REQUIRED; USE AGREEMENTS.
SECTION ____. Section 243.003, Health and Safety Code, is
amended by amending Subsection (c) and adding Subsections (d), (e),
(f), and (g) to read as follows:
(c) Except as provided by Subsection (d), a [A] license is
not transferable or assignable.
(d) Except as provided by Subsection (e), an ambulatory
surgical center may share its license under a sublicense agreement
with one or more designated physician groups that is entered into
under the terms of a use agreement, if the ambulatory surgical
center:
(1) remains responsible for ensuring that the facility
and all surgical and other ambulatory surgical center services
provided in the facility by any designated physician group comply
with this chapter and applicable department rules; and
(2) at least annually, provides the department with:
(A) a list of the designated physician groups
with which the ambulatory surgical center has entered into use
agreements; and
(B) any other information that the department
requires by rule about the designated physician groups or use
agreements.
(e) A use agreement under Subsection (d) may not cover a
transaction paid for under the Medicare or Medicaid health program.
(f) A use agreement entered into under this section must
comply with all applicable federal laws and regulations.
(g) The department by rule shall prescribe minimum
requirements for a use agreement entered into under this chapter.
SECTION ____. Section 843.002, Insurance Code, is amended
by adding Subdivision (1-a) and amending Subdivision (24) to read
as follows:
(1-a) "Ambulatory surgical center" means a facility
licensed under Chapter 243, Health and Safety Code, and includes a
designated physician group operating under a use agreement entered
into under that chapter.
(24) "Provider" means:
(A) a person, other than a physician, who is
licensed or otherwise authorized to provide a health care service
in this state, including:
(i) a chiropractor, registered nurse,
pharmacist, optometrist, registered optician, or acupuncturist;
or
(ii) a pharmacy, hospital, ambulatory
surgical center, or other institution or organization;
(B) a person who is wholly owned or controlled by
a provider or by a group of providers who are licensed or otherwise
authorized to provide the same health care service; or
(C) a person who is wholly owned or controlled by
one or more hospitals and physicians, including a
physician-hospital organization.
SECTION ____. Section 1301.001, Insurance Code, is amended
by amending Subdivisions (1) and (4) and adding Subdivision (1-a)
to read as follows:
(1) "Ambulatory surgical center" means a facility
licensed under Chapter 243, Health and Safety Code, and includes a
designated physician group operating under a use agreement entered
into under that chapter.
(1-a) "Health care provider" means a practitioner,
institutional provider, or other person or organization that
furnishes health care services and that is licensed or otherwise
authorized to practice in this state. The term does not include a
physician.
(4) "Institutional provider" means an ambulatory
surgical center, a hospital, a nursing home, or another [other]
medical or health-related service facility that provides care for
the sick or injured or other care that may be covered in a health
insurance policy.
SECTION ____. Section 401.011, Labor Code, is amended by
adding Subdivision (4-a) and amending Subdivision (20) to read as
follows:
(4-a) "Ambulatory surgical center" means a facility
licensed under Chapter 243, Health and Safety Code, and includes a
designated physician group operating under a use agreement entered
into under that chapter.
(20) "Health care facility" means a hospital,
ambulatory surgical center, emergency clinic, outpatient clinic,
or other facility providing health care.
SECTION ____. The change in law made by this Act applies
only to a use agreement under Section 243.003, Health and Safety
Code, as amended by this Act, that is entered into on or after the
effective date of this Act. A use agreement entered into before the
effective date of this Act is governed by the law in effect
immediately before that date, and that law is continued in effect
for that purpose.