Amend CSSB 455 as follows:                                                   
	(1)  In SECTION 2 of the bill, in proposed Section 
265.0001(2)(C), Occupations Code (page 1, line 42), strike "and".
	(2)  In SECTION 2 of the bill, in proposed Section 
265.0001(2)(D), Occupations Code, between "tissue" and the period 
(page 1, line 43), insert the following:

"; and                                                                 
			(E)  in the opinion of the treating dentist, may 
be performed by a properly trained dental assistant".
	(3)  In SECTION 4 of the bill, in amended Section 265.003, 
Occupations Code (page 2, line 4), strike "[(a)]" and substitute 
"(a)".
	(4)  In SECTION 4 of the bill, in amended Section 
265.003(1)(C), Occupations Code (page 2, line 14), after fluoride 
add "varnish".
	(5)  In SECTION 4 of the bill, in amended Section 
265.003(2)(B), Occupations Code (page 2, lines 21 and 22), strike 
"if the treating dentist delegates the procedure orally or in 
writing before the dental assistant performs the procedure".
	(6)  In SECTION 4 of the bill, strike deleted Section 
265.003(b), Occupations Code (page 2, lines 23 through 30), and 
substitute the following:
	(a-1)  A treating dentist who delegates the provision of 
interim treatment of a minor emergency dental condition to a dental 
assistant under Subsection (a)(2)(B) shall:

		(1)  delegate the procedure orally or in writing before 
the dental assistant performs the procedure;
		(2)  retain responsibility for the procedure; and                      
		(3)  schedule a follow-up appointment with the patient 
within a reasonable time.
	(b)  A dental assistant who applies [may apply] a pit and 
fissure sealant under Subsection (a) may cleanse the occlusal and 
smooth surfaces of the teeth immediately before and for the sole 
purpose of preparing the tooth area for the placement of the pit and 
fissure sealant or orthodontic bonding resin.  A procedure 
performed by a dental assistant under this subsection may not be 
billed as a prophylaxis [only if:
		[(1)  the assistant is certified to apply a pit and 
fissure sealant under Section 265.004; and
		[(2)  the dentist described by Subsection (a):               
			[(A)  is a Medicaid provider; or                            
			[(B)  practices in an area determined to be 
underserved by the Texas Department of Health].