March 10, 2001

SENATE FLOOR AMENDMENT number ___1___ to HOUSE BUSINESS AND INDUSTRY SUBSTITUTE FOR HOUSE BILL 671

Amendment sponsored by Senator Dede Feldman

1. On page 2, line 1, strike "or health care provider authorized" and insert in lieu thereof "by an authorized health care provider".

2. On page 2, line 2, strike "or" and insert in lieu thereof "and".

3. On page 2, line 3, strike "by" and insert in lieu thereof "through".

4. On page 5, line 6, after "services" insert "and alternative courses of treatment".

5. On page 5, line 7, strike "unique circumstances, including".

6. On page 5, line 8, strike the comma and on line 9 after "service" insert "or alternative course of treatment".

7. On page 7, line 19, after the period insert "Nothing in this section shall be construed to prohibit a risk-bearing entity from making medical or utilization review determinations.".

8. On page 7, line 22, after ".--" insert the subsection designation "A.".

9. On page 7, line 25, strike the comma and insert in lieu thereof a period.

10. On page 8, lines 1 and 2, strike "except to health care providers making decisions while directly providing services to a person.".

11. On page 8, lines 4 through 11, remove the subsection designations A through E and insert paragraph designations (1) through (5).

12. On page 8, line 12, strike the closing quotation mark.

13. On page 8, after line 12, insert a new subsection as follows:

"B. Nothing in the Medical Necessity Act shall be construed to apply to a health care provider making decisions while directly providing services to a person."".

_______________________________

Dede Feldman

Adopted ___________________ Not Adopted ________________________

 (Chief Clerk) (Chief Clerk)

Date _________________