81(R) SB 10 - 2nd reading F1 (S)



	
Amend SB 10 (Senate committee printing) as follows:                          
	(1)  In SECTION 1.01 of the bill, in added Subdivision 
(1)(C), Section 1551.501, Insurance Code (page 1, line 21), strike 
"and".
	(2)  In SECTION 1.01 of the bill, in added Subdivision 
(1)(D), Section 1551.501, Insurance Code (page 1, line 22), between 
"system" and the period, insert the following:

; and                                                                  
			(E)  another system other than fee-for-service                        
	(3)  In SECTION 1.01 of the bill, added Subdivision (7), 
Section 1551.501, Insurance Code (page 1, line 49), add the 
following after the period:

A pay-for-performance payment system may include the provision of 
bonuses to or the sharing of realized savings with physicians and 
other health care providers.
	(4)  In SECTION 1.01 of the bill, strike added Section 
1551.503, Insurance Code (page 2, lines 11-21), and substitute the 
following:
	Sec. 1551.503.  STANDARDS; CLINICAL INTEGRATION.  In 
connection with the program, the board of trustees shall support 
nationally recognized quality of care standards and evidence-based 
best practices to ensure high-quality and effective health care 
services.  The board of trustees shall support policies to promote 
clinical integration of health care providers.
	(5)  In SECTION 1.01 of the bill, in added Subdivision (1), 
Subsection (a), Section 1551.504, Insurance Code (page 2, lines 25 
and 26), strike "primary care" each place it appears.
	(6)  In SECTION 1.01 of the bill, in added Subdivision (2), 
Subsection (a), Section 1551.504, Insurance Code (page 2, lines 28 
and 30), strike "primary care physician" each place it appears and 
substitute "physician".
	(7)  In SECTION 1.01 of the bill, in added Subdivision (2), 
Subsection (a), Section 1551.504, Insurance Code (page 2, line 29), 
strike "primary care health" and substitute "health".
	(8)  In SECTION 1.01 of the bill, in added Subdivision (2), 
Subsection (a), Section 1551.504, Insurance Code (page 2, line 31), 
strike "primary care provider" and substitute "health care 
provider".
	(9)  In SECTION 1.03 of the bill (page 2, lines 47-48), 
strike ", beginning September 1, 2009".
	(10)  In SECTION 1.03 of the bill (page 2, line 49), strike 
"not later than March 1, 2010,".
	(11)  In SECTION 1.03 of the bill (page 2, lines 50-51), 
between "beginning" and "not", insert "as soon as practicable, 
but".
	(12)  Strike SECTION 1.06 of the bill (page 2, line 69, 
through page 3, line 15), and substitute the following:
	SECTION ____.  The board of trustees of the Employees 
Retirement System of Texas shall include as part of the annual 
report required by Section 1551.061, Insurance Code, results of the 
pilot program established under Subchapter K, Chapter 1551, 
Insurance Code, as added by this Act.
	(13)  Number and renumber SECTIONS of ARTICLE 1 of the bill 
appropriately.   
	(14)  In SECTION 2.01 of the bill, in added Subdivision 
(1)(C), Section 1575.551, Insurance Code (page 3, line 25), strike 
"and".
	(15)  In SECTION 2.01 of the bill, in added Subdivision 
(1)(D), Section 1575.551, Insurance Code (page 3, line 26), between 
"system" and the period, insert the following:

; and                                                                  
			(E)  another system other than fee-for-service                        
	(16)  In SECTION 2.01 of the bill, added Subdivision (7), 
Section 1575.551, Insurance Code (page 3, line 53), add the 
following after the period:

A pay-for-performance system may include the provision of bonuses 
to or the sharing of realized savings with physicians and other 
health care providers.
	(17)  In SECTION 2.01 of the bill, strike added Section 
1575.553, Insurance Code, (page 4, lines 10-19) and substitute the 
following:
	Sec. 1575.553.  STANDARDS; CLINICAL INTEGRATION.  In 
connection with the pilot program, the trustee shall support 
nationally recognized quality of care standards and evidence-based 
best practices to ensure high-quality and effective health care 
services.  The trustee shall support policies to promote clinical 
integration of health care providers.
	(18)  In SECTION 2.01 of the bill, in added Subdivision (1), 
Subsection (a), Section 1575.554, Insurance Code (page 4, lines 23 
and 24), strike "primary care" each place it appears.
	(19)  In SECTION 2.01 of the bill, in added Subdivision (2), 
Subsection (a), Section 1575.554, Insurance Code (page 4, lines 26 
and 28), strike "primary care physician" each place it appears and 
substitute "physician".
	(20)  In SECTION 2.01 of the bill, in added Subdivision (2), 
Subsection (a), Section 1575.554, Insurance Code (page 4, line 27), 
strike "primary care health" and substitute "health".
	(21)  In SECTION 2.01 of the bill, in added Subdivision (2), 
Subsection (a), Section 1575.554, Insurance Code (page 4, line 29), 
strike "primary care provider" and substitute "health care 
provider".
	(22)  In SECTION 2.03 of the bill (page 4, line 45), strike ", 
beginning September 1, 2009".
	(23)  In SECTION 2.03 of the bill (page 4, lines 46-47), 
strike "not later than March 1, 2010,".
	(24)  In SECTION 2.03 of the bill (page 4, line 48), between 
"beginning" and "not", insert "as soon as practicable, but".
	(25)  Renumber SECTIONS of ARTICLE 2 of the bill 
appropriately.              
	(26)  In SECTION 3.01 of the bill, in added Subdivision 
(1)(C), Section 1579.351, Insurance Code (page 5, line 21), strike 
"and".
	(27)  In SECTION 3.01 of the bill, in added Subdivision 
(1)(D), Section 1579.351, Insurance Code (page 5, line 22), between 
"system" and the period, insert the following:

; and                                                                  
			(E)  another system other than fee-for-service                        
	(28)  In SECTION 3.01 of the bill, in added Subdivision (7), 
Section 1579.351, Insurance Code (page 5, line 49), add the 
following after the period:

A pay-for-performance payment system may include the provision of 
bonuses to or the sharing of realized savings with physicians and 
other health care providers.
	(29)  In SECTION 3.01 of the bill, strike added Section 
1579.353, Insurance Code, (page 6, lines 6-15) and substitute the 
following:
	Sec. 1579.353.  STANDARDS; CLINICAL INTEGRATION. In 
connection with the pilot program, the trustee shall support 
nationally recognized quality of care standards and evidence-based 
best practices to ensure high-quality and effective health care 
services.  The trustee shall support policies to promote clinical 
integration of health care providers.
	(30)  In SECTION 3.01 of the bill, in added Subdivision (1), 
Subsection (a), Section 1579.354, Insurance Code (page 6, lines 19 
and 20), strike "primary care" each place it appears.
	(31)  In SECTION 3.01 of the bill, in added Subdivision (2), 
Subsection (a), Section 1579.354, Insurance Code (page 6, lines 22 
and 24), strike "primary care physician" each place it appears and 
substitute "physician".
	(32)  In SECTION 3.01 of the bill, in added Subdivision (2), 
Subsection (a), Section 1579.354, Insurance Code (page 6, line 23), 
strike "primary care health" and substitute "health".
	(33)  In SECTION 3.01 of the bill, in added Subdivision (2), 
Subsection (a), Section 1579.354, Insurance Code (page 6, line 25), 
strike "primary care provider" and substitute "health care 
provider".
	(34)  In SECTION 3.03 of the bill (page 6, line 44), strike ", 
beginning September 1, 2009".
	(35)  In SECTION 3.03 of the bill (page 6, lines 45-46), 
strike "not later than March 1, 2010,".
	(36)  In SECTION 3.03 of the bill (page 6, line 47), between 
"beginning" and "not", insert "as soon as practicable, but".
	(37)  Renumber SECTIONS of ARTICLE 3 of the bill 
appropriately.