Amend CSSB 1663 (Senate committee report) on third reading as follows: (1) In the recital of SECTION 2 of the bill (page 1, line 21), strike "Subsection (d)" and substitute "Subsections (d) and (f)". (2) In SECTION 2 of the bill, strike proposed Section 242.0663(d), Health and Safety Code (page 1, lines 31-35) and substitute the following: (d) A person, including an owner or employee of an institution, who has cause to believe that a resident's advance directive has been or may be knowingly disregarded in violation of a written policy maintained under Section 166.004 shall report such violation consistent with the requirements of Section 242.123. (f) To the extent consistent with federal law, an institution may, on the basis of conscience, object to honoring an advanced directive if the institution includes in its policies and explains to each prospective resident before admission to the institution the circumstances under which the institution would not follow instructions of an advanced directive. The policies and explanation must include the following: (1) a clear and precise statement of limitations that result from the institution's objection to implement advanced directives based on conscience; (2) a description of the differences between an institution-wide policy of objection on the basis of conscience and an objection that may be raised by an individual healthcare provider; and (3) a description of the range of medical conditions or procedures affected by an objection based on conscience. (3) Strike Section 3 in its entirety.