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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.