Amend CSSB 749 (house committee report) on page 5, by striking lines 10-12 and substituting the following:
(b)  The process developed and implemented under this section must:
(1)  subject to Subdivision (2), allow a hospital to submit a written request under Subsection (a) at any time;
(2)  require a hospital to:
(A)  before submitting the request, provide notice of the hospital's intention to seek a waiver under this section to the hospital's medical staff who practice in a specialty service area affected by the waiver;
(B)  provide the notice required by Paragraph (A) in accordance with the hospital's process for communicating information to medical staff; and
(C)  document the provision of the notice required by Paragraph (A); and
(3)  allow the department to make a determination on the request at any time.