Amend CSHB 7 as follows:                                                     
	(1)  Amend CSHB 7 by striking SECTION 1.204 of the bill, 
(Committee Substitute page 188, lines 4 through 13.
	(2)  Amend Sec. 408C.002, Labor Code (Committee Substitute 
page 182, line 2), by striking "An", and substituting the 
following: "Except as provided in subsection (f), an".
	(3)  Amend Sec. 408C.002, Labor Code (Committee Substitute 
page 183), between lines 22 and 23, insert a new subsection (f) to 
read as follows:
	"(f)  Notwithstanding the repeal by this Act of Sections 
408.023 and 408.0231, Labor Code, there may be no direct or indirect 
provision of health care under the workers' compensation Act and 
rules, and no direct or indirect receipt of remuneration under the 
Act and rules by a doctor who:
		(1)  before the effective date of this Act:                            
			(A)  was removed or deleted from the list of 
approved doctors either by action of the Texas Workers' 
Compensation Commission or by agreement with the doctor; or
			(B)  was not admitted to the list of approved 
doctors either by action of the Texas Workers' Compensation 
Commission or by agreement with the doctor;
			(C)  was suspended from list of approved doctors 
either by action of the Texas Workers' Compensation Commission or 
by agreement with the doctor; or
			(D)  had the license to practice suspended by the 
appropriate licensing board including those whose suspension was 
stayed, deferred, or probated, or voluntarily relinquished the 
license to practice; and
		(2)  was not reinstated or restored by the Texas 
Workers' Compensation Commission to the list of approved doctors 
prior to the effective date of this Act.".
	(4)  Amend SECTION 1.034 of the bill, Sec. 402.168, Labor 
Code (Committee Substitute page 31, line 13), between "SANCTIONS." 
and "Only", by inserting: "(b)" .
	(5)  Amend SECTION 1.034 of the bill, Sec. 402.168, Labor 
Code (Committee Substitute page 31, line 13), between "SANCTIONS." 
and "Only", by inserting a new subsection (a) to read as follows:
	"(a)  The department shall act on a recommendation by the 
medical advisor selected under Section 413.0511 and, after notice  
and the opportunity for a hearing, may impose sanctions under this 
section on a doctor or other health care provider or an insurance 
carrier or may recommend action regarding a utilization review 
agent or independent review organization.  The department may 
impose sanctions as appropriate, including removal of the privilege 
of practice in the workers' compensation system.  Only the 
commissioner may impose:
		(1)  a sanction that deprives a person of the right to 
practice before the department under this subtitle or of the right 
to receive remuneration under this subtitle for a period exceeding 
30 days; or
		(2)  another sanction suspending for more than 30 days 
or revoking a certificate of authority, license, certification, or 
permit required for practice in the field of workers' compensation.
	(h)  A sanction imposed by the department is binding pending 
appeal.".