Amend CSSB 1148 as follows:

(1) In SECTION 3, delete Sec. 151.057 and replace it with the following new SECTION 4 and SECTION 5 as follows, and renumber the following sections as appropriate:

SECTION 4. CREATION OF JOINT INTERIM COMMITTEE. (a) A joint interim committee is created to study and assess maintenance of certification of physicians in this state.

(b) The joint interim committee shall be composed of five senators appointed by the lieutenant governor and five members of the house of representatives appointed by the speaker of the house of representatives.

(c) The lieutenant governor and speaker of the house of representatives shall each designate a co-chair from among the joint interim committee members.

(d) The joint interim committee shall convene at the joint call of the co-chairs.

(e) The joint interim committee shall include input from representatives from hospitals, the insurance industry, the physician community, the American Board of Medical Specialties, and the AOA Bureau of Osteopathic Specialties.

(f) The joint interim committee has all other powers and duties provided to a special or select committee by the rules of the senate and house of representatives, by Subchapter B, Chapter 301, Government Code, and by policies of the senate and house committees on administration.

SECTION 5. INTERIM STUDY REGARDING MAINTENANCE OF CERTIFICATION. The joint interim committee created by Section 4 of the Act shall:

(1) review, analyze, and assess:

(A) the entities who provide maintenance of certification for physicians in this state;

(B) the amount of time and expense required for a physician to complete the various maintenance of certification requirements;

(C) studies, reports, and scholarly materials demonstrating the impact of maintenance of certification programs on patient care;

(D) the adequacy of the maintenance of certification activities required of a physician in the area of practice improvement; and

(E) the degree to which maintenance of certification requirements are relevant to the practice of the particular medical speciality for which the maintenance of certification is provided.

(2) Not later than January 15, 2019, the joint interim committee shall report the committee's findings and recommendations to the lieutenant governor, the speaker of the house of representatives, and the governor. The joint interim committee shall include in its recommendations specific statutory and regulatory changes that are necessary from the results of the committee's study under Section 5 of this Act.

(3) Not later than the 60th day after the effective date of this Act, the lieutenant governor and the speaker of the house of representatives shall appoint the members of the joint interim committee created under this Act in accordance with that section.

(4) The joint interim committee created by this Act is abolished and the directives to this committee expire January 20, 2019.

(2) Delete existing SECTION 6.