Amend CSSB 989 (senate committee report) as follows:

(1)  In SECTION 1 of the bill, in added Section 1372.003(a), Insurance Code (page 2, line 45), strike "by medical and scientific evidence, including", and substitute "by the following kinds of medical and scientific evidence".

(2)  In SECTION 1 of the bill, in added Section 1372.003(b)(2), Insurance Code (page 2, line 60), between "valid" and the semicolon, insert "based on the medical and scientific evidence described by Subsection (a)".

(3)  In SECTION 1 of the bill, in added Section 1372.003(b)(3), Insurance Code (page 2, line 61), strike "is outcome focused" and substitute "informs a patient's outcome and a provider's clinical decision".

(4)  In SECTION 1 of the bill, in added Section 1372.003(b)(4), Insurance Code (page 2, line 62), between "the acute" and "issue", insert "or chronic".