Amend CSSB 23 (senate committee printing) on page 5 in SECTION 2 of the bill and beginning at line 21, strike through the wording indicated on line 21 and insert the following additional wording in subparagraph (b)(1)(A) of the amendment in the bill regarding new Sec. 531.02417 proposed to be added to Subchapter B, Chapter 531, Government Code:

(A)  if cost-effective and in the best interests of the recipient, by a state employee or contractor physician licensed to practice in Texas or by a physician's assistant, registered nurse or nurse practitioner who is licensed to practice in Texas who is not the person who will deliver any necessary services to the recipient and is not affiliated with the person who will deliver those services, or by an assessment conducted by or under the direction of the patient's personal physician; and