Amend CSSB 1643 (Senate Committee Printing) as follows:
(1)  In SECTION 1 of the bill, strike added Section 481.002(54), Health and Safety Code (page 1, lines 33 through 40), and substitute the following:
(54)  "Health information exchange" means an organization that:
(A)  assists in the transmission or receipt of health-related information among organizations transmitting or receiving the information according to nationally recognized standards and under an express written agreement;
(B)  as a primary business function, compiles or organizes health-related information that is designed to be securely transmitted by the organization among physicians, health care providers, or entities within a region, state, community, or hospital system; or
(C)  assists in the transmission or receipt of electronic health-related information among physicians, health care providers, or entities within:
(i)  a hospital system;
(ii)  a physician organization;
(iii)  a health care collaborative, as defined by Section 848.001, Insurance Code;
(iv)  an accountable care organization participating in the Pioneer Model under the initiative by the Innovation Center of the Centers for Medicare and Medicaid Services; or
(v)  an accountable care organization participating in the Medicare Shared Savings Program under 42 U.S.C. Section 1395jjj.
(2)  In the recital to SECTION 3 (page 2, line 39), between "Subsections (a)" and "and (e)", strike ", (d),".
(3)  In SECTION 3 of the bill, in added Section 481.076(a-1), Health and Safety Code (page 3, line 3), between "exchange" and the underlined period, insert ", subject to proper security measures to ensure against disclosure to unauthorized persons".
(4) In SECTION 3 of the bill, strike amended Section 481.076(d), Health and Safety Code (page 3, lines 4 through 18).
(5)  In SECTION 5 of the bill, in added Section 481.352(3), Health and Safety Code (page 3, line 48), after the underlined semicolon, strike "and".
(6)  In SECTION 5 of the bill, in added Section 481.352(4), Health and Safety Code (page 3, line 50), between "designee" and the underlined period, insert the following:
; and
(5)  the executive director of the Texas Board of Nursing or the executive director's designee