Texas 2019 - 86th Regular

Texas House Bill HB3301 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	H.B. No. 3301
	1	+	By: Darby, Lambert, Clardy H.B. No. 3301
	2	+	(Senate Sponsor - Perry, Nichols)
	3	+	(In the Senate - Received from the House May 9, 2019;
	4	+	May 10, 2019, read first time and referred to Committee on Business &
	5	+	Commerce; May 17, 2019, reported adversely, with favorable
	6	+	Committee Substitute by the following vote: Yeas 7, Nays 0;
	7	+	May 17, 2019, sent to printer.)
	8	+	Click here to see the committee vote
	9	+	COMMITTEE SUBSTITUTE FOR H.B. No. 3301 By: Nichols
2	10
3	11
	12	+	A BILL TO BE ENTITLED
4	13		AN ACT
5	14		relating to merger agreements among certain hospitals; authorizing
6	15		fees.
7	16		BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
8	17		SECTION 1. Subtitle F, Title 4, Health and Safety Code, is
9	18		amended by adding Chapter 314A to read as follows:
10	19		CHAPTER 314A. MERGER AGREEMENTS AMONG CERTAIN HOSPITALS
11	20		SUBCHAPTER A. GENERAL PROVISIONS
12	21		Sec. 314A.001. DEFINITIONS. In this chapter:
13	22		(1) "Attorney general" means the attorney general of
14	23		Texas or any assistant attorney general acting under the direction
15	24		of the attorney general of Texas.
16	25		(2) "Designated agency" means the state agency
17	26		designated by the governor under Section 314A.004.
18	27		(3) "Hospital" means a nonpublic general hospital that
19	28		is licensed under Chapter 241 and is not maintained or operated by a
20	29		political subdivision of this state.
21	30		(4) "Merger agreement" or "merger" means an agreement
22	31		among two or more hospitals for the consolidation by merger or other
23	32		acquisition or transfer of assets by which ownership or control
24	33		over substantially all of the stock, assets, or activities of one or
25	34		more previously licensed and operating hospitals is placed under
26	35		the control of another licensed hospital or hospitals or another
27	36		entity that controls the hospitals.
28	37		(5) "State agency" means a department, commission,
29	38		board, office, or other agency in the executive branch of state
30	39		government that is created by the constitution or a statute of this
31	40		state.
32	41		Sec. 314A.002. APPLICABILITY. This chapter applies only to
33	42		a merger agreement among hospitals each of which is located within a
34	43		county that:
35	44		(1) contains two or more hospitals; and
36	45		(2) has a population of:
37	46		(A) less than 100,000 and is not adjacent to a
38	47		county with a population of 250,000 or more; or
39	48		(B) more than 100,000 and less than 150,000 and
40	49		is not adjacent to a county with a population of 100,000 or more.
41	50		Sec. 314A.003. LEGISLATIVE FINDINGS AND PURPOSES; GRANT OF
42	51		ANTITRUST IMMUNITY. (a) The legislature finds that:
43	52		(1) a merger among hospitals may benefit the public by
44	53		maintaining or improving the quality, efficiency, and
45	54		accessibility of health care services offered to the public; and
46	55		(2) the benefits described by Subdivision (1)
47	56		resulting from the merger may outweigh any anticompetitive effects
48	57		of joining together competitors to address unique challenges in
49	58		providing health care services in rural areas.
50	59		(b) The legislature believes it is in the state's best
51	60		interest to supplant state and federal antitrust laws with a
52	61		process for regulatory approval and active supervision by the
53	62		designated agency as provided by this chapter. It is the intent of
54	63		the legislature that this chapter immunize from all federal and
55	64		state antitrust laws the execution of merger agreements approved
56	65		under this chapter and post-merger activities supervised under this
57	66		chapter.
58	67		(c) Nothing in this chapter affects antitrust immunity that
59	68		may be provided through another provision of state law.
60	69		Sec. 314A.004. DESIGNATION OF SUPERVISING STATE AGENCY.
61	70		(a) The governor shall designate an appropriate state agency,
62	71		other than the office of the attorney general, to:
63	72		(1) review and approve or deny applications submitted
64	73		under this chapter for certificates of public advantage; and
65	74		(2) supervise as provided by Subchapter C the
66	75		activities for which a certificate of public advantage is issued.
67	76		(b) After the governor designates a state agency under
68	77		Subsection (a), the governor may designate another appropriate
69	78		state agency under that subsection at any time.
70	79		(c) A change in the designation of a state agency made under
71	80		this section does not affect the validity of any action taken under
72	81		this chapter by a predecessor designated agency.
73	82		Sec. 314A.005. RULEMAKING. The designated agency shall
74	83		adopt rules for the administration and implementation of this
75	84		chapter.
76	85		SUBCHAPTER B. CERTIFICATE OF PUBLIC ADVANTAGE
77	86		Sec. 314A.051. REVIEW AND CERTIFICATION OF MERGER
78	87		AGREEMENTS REQUIRED. (a) Two or more hospitals may negotiate and
79	88		enter into a merger agreement, subject to approval by the
80	89		designated agency as provided by this subchapter.
81	90		(b) No merger agreement shall receive immunity under this
82	91		chapter unless the designated agency issues a certificate of public
83	92		advantage governing the merger agreement.
84	93		Sec. 314A.052. APPLICATION. (a) One or more parties to a
85	94		merger agreement may submit an application to the designated agency
86	95		for a certificate of public advantage governing the merger
87	96		agreement. The application must include a written copy of the
88	97		merger agreement and describe the nature and scope of the merger.
89	98		(b) If an applicant believes the documents or other
90	99		information required to be submitted with an application under
91	100		Subsection (a) contains proprietary information that is required to
92	101		remain confidential, the applicant shall:
93	102		(1) clearly identify the information; and
94	103		(2) submit duplicate applications, one application
95	104		that has complete information for the designated agency's use and
96	105		one redacted application that will be made available for public
97	106		release.
98	107		(c) A copy of the application and copies of all additional
99	108		related materials must be submitted to the attorney general and to
100	109		the designated agency at the same time.
101	110		Sec. 314A.053. APPLICATION FEE. (a) The designated agency
102	111		may assess a fee for filing an application under Section 314A.052 in
103	112		an amount not to exceed $75,000. The amount of the fee must be
104	113		sufficient to cover the reasonable costs of the designated agency
105	114		and attorney general in reviewing and approving or denying
106	115		applications under this subchapter.
107	116		(b) Fees collected under this section may be appropriated to
108	117		the designated agency for purposes of covering costs relating to
109	118		the implementation and administration of this chapter, including
110	119		the supervision of hospitals under this chapter.
111	120		Sec. 314A.054. REVIEW OF APPLICATION BY DESIGNATED AGENCY;
112	121		GRANT OR DENIAL OF APPLICATION. (a) The designated agency shall
113	122		review an application for a certificate of public advantage in
114	123		accordance with the standard prescribed by Section 314A.056(a)(1).
115	124		(b) The designated agency shall grant or deny the
116	125		application not later than the 120th day after the date of the
117	126		filing of the application. The designated agency's decision must:
118	127		(1) be in writing;
119	128		(2) specify the basis for the decision; and
120	129		(3) provide a copy of the decision to the applicants on
121	130		the date of the decision.
122	131		Sec. 314A.055. REVIEW OF APPLICATION BY ATTORNEY GENERAL.
123	132		(a) The attorney general shall review an application for a
124	133		certificate of public advantage and all supporting documents and
125	134		information provided by the applicants. On completion of the
126	135		review and subject to Subsection (b), the attorney general shall
127	136		advise the designated agency whether:
128	137		(1) the proposed merger agreement would likely benefit
129	138		the public by maintaining or improving the quality, efficiency, and
130	139		accessibility of health care services offered to the public; and
131	140		(2) the likely benefits resulting from the proposed
132	141		merger agreement outweigh any disadvantages attributable to a
133	142		reduction in competition that may result from the proposed merger.
134	143		(b) The attorney general shall review an application for a
135	144		certificate of public advantage as soon as practicable, taking into
136	145		consideration the deadline prescribed by Section 314A.054.
137	146		(c) If the attorney general advises the designated agency to
138	147		deny an application, the attorney general shall state the basis and
139	148		reasons for the recommended denial.
140	149		Sec. 314A.056. ISSUANCE OF CERTIFICATE OF PUBLIC ADVANTAGE.
141	150		(a) The designated agency, after reviewing the application and
142	151		consulting with the attorney general in accordance with Section
143	152		314A.055, shall issue a certificate of public advantage for a
144	153		merger agreement if:
145	154		(1) the designated agency determines under the
146	155		totality of the circumstances that:
147	156		(A) the proposed merger would likely benefit the
148	157		public by maintaining or improving the quality, efficiency, and
149	158		accessibility of health care services offered to the public; and
150	159		(B) the likely benefits resulting from the
151	160		proposed merger agreement described by Paragraph (A) outweigh any
152	161		disadvantages attributable to a reduction in competition that may
153	162		result from the proposed merger; and
154	163		(2) the application:
155	164		(A) provides specific evidence showing that the
156	165		proposed merger would likely benefit the public as described by
157	166		Subdivision (1)(A);
158	167		(B) explains in detail how the likely benefits
159	168		resulting from the proposed merger agreement outweigh any
160	169		disadvantages attributable to a reduction in competition as
161	170		described by Subdivision (1)(B); and
162	171		(C) sufficiently addresses the factors listed in
163	172		Subsection (b) and any other factor the designated agency may
164	173		require based on the circumstances specific to the application.
165	174		(b) In making the determination under Subsection (a)(1),
166	175		the designated agency shall consider the effect of the merger
167	176		agreement on the following nonexclusive list of factors:
168	177		(1) the quality and price of hospital and health care
169	178		services provided to citizens of this state;
170	179		(2) the preservation of sufficient hospitals within a
171	180		geographic area to ensure public access to acute care;
172	181		(3) the cost efficiency of services, resources, and
173	182		equipment provided or used by the hospitals that are a party to the
174	183		merger agreement;
175	184		(4) the ability of health care payors to negotiate
176	185		payment and service arrangements with hospitals proposed to be
177	186		merged under the agreement; and
178	187		(5) the extent of any reduction in competition among
179	188		physicians, allied health professionals, other health care
180	189		providers, or other persons providing goods or services to, or in
181	190		competition with, hospitals.
182	191		(c) The designated agency may include terms or conditions of
183	192		compliance in connection with a certificate of public advantage
184	193		issued under this subchapter if necessary to ensure that the
185	194		proposed merger likely benefits the public as specified in
186	195		Subsection (a)(1).
187	196		Sec. 314A.057. RECORDS. The designated agency shall
188	197		maintain records of all merger agreements the designated agency has
189	198		approved under this chapter, including any terms or conditions of
190	199		issuing a certificate of public advantage that are imposed by the
191	200		designated agency.
192	201		Sec. 314A.058. TERMINATION OF CERTIFICATE OF PUBLIC
193	202		ADVANTAGE BY HOSPITAL. A hospital resulting from a merger
194	203		agreement approved under this chapter may voluntarily terminate its
195	204		certificate of public advantage by giving the designated agency
196	205		notice at least 30 days before the date of the termination.
197	206		Sec. 314A.059. ANNUAL REVIEW OF CERTIFICATE. (a) The
198	207		designated agency shall annually review an approved certificate of
199	208		public advantage.
200	209		(b) The attorney general may annually review an approved
201	210		certificate of public advantage.
202	211		(c) The designated agency may not complete its annual review
203	212		of an approved certificate of public advantage under this section
204	213		until:
205	214		(1) the attorney general informs the designated agency
206	215		whether the attorney general intends to conduct any review of the
207	216		certificate of public advantage as authorized under this section;
208	217		and
209	218		(2) if the attorney general informs the designated
210	219		agency of the attorney general's intent to conduct a review of an
211	220		entity's approved certificate of public advantage, the attorney
212	221		general has had the opportunity to conduct the review.
213	222		SUBCHAPTER C. SUPERVISION OF MERGED HOSPITALS UNDER APPROVED
214	223		MERGER AGREEMENT
215	224		Sec. 314A.101. SUPERVISION OF MERGED HOSPITALS. The
216	225		designated agency shall supervise in the manner provided by this
217	226		subchapter each hospital operating under a certificate of public
218	227		advantage issued under this chapter to ensure that the immunized
219	228		conduct of a merged entity furthers the purposes of this chapter.
220	229		Sec. 314A.102. RATE REVIEW. (a) A change in rates for
221	230		hospital services by a hospital operating under a certificate of
222	231		public advantage issued under this chapter may not take effect
223	232		without prior approval of the designated agency as provided by this
224	233		section.
225	234		(b) At least 90 days before the implementation of any
226	235		proposed change in rates for inpatient or outpatient hospital
227	236		services and, if applicable, at least 60 days before the execution
228	237		of a reimbursement agreement with a third party payor, a hospital
229	238		operating under a certificate of public advantage shall submit to
230	239		the designated agency:
231	240		(1) any proposed change in rates for inpatient and
232	241		outpatient hospital services;
233	242		(2) if applicable, any change in reimbursement rates
234	243		under a reimbursement agreement with a third party payor;
235	244		(3) for an agreement with a third party payor, other
236	245		than an agreement described by Subdivision (4) or in which rates are
237	246		set under the Medicare or Medicaid program, information showing:
238	247		(A) that the hospital and the third party payor
239	248		have agreed to the proposed rates;
240	249		(B) whether the proposed rates are less than the
241	250		corresponding amounts in the producer price index published by the
242	251		Bureau of Labor Statistics of the United States Department of Labor
243	252		relating to the hospital services for which the rates are proposed
244	253		or a comparable price index chosen by the designated agency if the
245	254		producer price index described by this paragraph is abolished; and
246	255		(C) if the proposed rates are above the
247	256		corresponding amounts in the producer price index as described by
248	257		Paragraph (B), a justification for proposing rates above the
249	258		corresponding amounts in the producer price index;
250	259		(4) to the extent allowed by federal law, for an
251	260		agreement with a managed care organization that provides or
252	261		arranges for the provision of health care services under the
253	262		Medicare or Medicaid program, information showing:
254	263		(A) whether the proposed rates are different from
255	264		rates under an agreement that was in effect before the date the
256	265		applicable merger agreement took effect;
257	266		(B) whether the proposed rates are different from
258	267		the rates most recently approved by the designated agency for the
259	268		applicable hospital, if the designated agency has previously
260	269		approved rates for the applicable hospital following the issuance
261	270		of the certificate of public advantage under this chapter that
262	271		governs the hospital; and
263	272		(C) if the proposed rates exceed rates described
264	273		by Paragraph (A) or (B), a justification for proposing rates in
265	274		excess of those rates; and
266	275		(5) any information concerning costs, patient volume,
267	276		acuity, payor mix, and other information requested by the
268	277		designated agency.
269	278		(c) After reviewing the proposed change in rates submitted
270	279		under Subsection (b), the designated agency shall approve or deny
271	280		the proposed rate change. The designated agency shall approve the
272	281		proposed rate change if the designated agency determines that:
273	282		(1) the proposed rate change likely benefits the
274	283		public by maintaining or improving the quality, efficiency, and
275	284		accessibility of health care services offered to the public; and
276	285		(2) the proposed rate does not inappropriately exceed
277	286		competitive rates for comparable services in the hospital's market
278	287		area.
279	288		(d) If the designated agency determines that the proposed
280	289		rate change does not satisfy Subsection (c)(1) or (2), the
281	290		designated agency shall deny or modify the proposed rate change.
282	291		(e) The designated agency shall notify the hospital in
283	292		writing of the agency's decision to approve, deny, or modify the
284	293		proposed rate change not later than the 30th day before the
285	294		implementation date of the proposed change.
286	295		Sec. 314A.103. ANNUAL REPORT. Each hospital operating
287	296		under a certificate of public advantage shall submit an annual
288	297		report to the designated agency. The report must include:
289	298		(1) information about the extent of the benefits
290	299		attributable to the issuance of the certificate of public
291	300		advantage;
292	301		(2) if applicable, information about the hospital's
293	302		actions taken:
294	303		(A) in furtherance of any commitments made by the
295	304		parties to the merger; or
296	305		(B) to comply with terms imposed by the
297	306		designated agency as a condition for approval of the merger
298	307		agreement;
299	308		(3) a description of the activities conducted by the
300	309		hospital under the merger agreement;
301	310		(4) information relating to the price, cost, and
302	311		quality of and access to health care for the population served by
303	312		the hospital; and
304	313		(5) any other information required by the designated
305	314		agency to ensure compliance with this chapter, including
306	315		information relating to compliance with any terms or conditions for
307	316		issuance of the certificate of public advantage.
308	317		Sec. 314A.104. CORRECTIVE ACTION PLAN. (a) The designated
309	318		agency shall require a hospital operating under a certificate of
310	319		public advantage to adopt a plan to correct a deficiency in the
311	320		hospital's activities if the designated agency determines that an
312	321		activity of the hospital:
313	322		(1) does not benefit the public as described by
314	323		Section 314A.056(a)(1)(A); or
315	324		(2) no longer meets the standard prescribed by Section
316	325		314A.056(a)(1).
317	326		(b) The corrective action plan must include each provision
318	327		required by the designated agency and must be submitted at the
319	328		agency's direction.
320	329		Sec. 314A.105. SUPERVISION FEE. (a) The designated agency
321	330		may assess an annual supervision fee in an amount that is at least
322	331		$75,000 but not more than $200,000 against each hospital operating
323	332		under a certificate of public advantage under this chapter. The
324	333		amount of the fee imposed on hospitals under this subsection must be
325	334		based on the assessment by the designated agency of the amount
326	335		needed to cover the reasonable costs incurred by the designated
327	336		agency in supervising hospitals under this subchapter and in
328	337		implementing and administering this chapter.
329	338		(b) Fees collected under this section may be appropriated to
330	339		the designated agency for purposes of covering costs relating to
331	340		the implementation and administration of this chapter, including
332	341		the supervision of hospitals under this chapter.
333	342		SUBCHAPTER D. ENFORCEMENT AUTHORITY BY DESIGNATED AGENCY
334	343		Sec. 314A.151. INVESTIGATION; REVOCATION OF CERTIFICATE.
335	344		With respect to each hospital resulting from a merger agreement for
336	345		which the designated agency issued a certificate of public
337	346		advantage under this chapter, and to ensure that the hospital's
338	347		activities continue to benefit the public under the standard
339	348		prescribed by Section 314A.056(a)(1) and the purposes of this
340	349		chapter, the designated agency may:
341	350		(1) investigate the hospital's activities; and
342	351		(2) require the hospital to perform a certain action
343	352		or refrain from a certain action or revoke the hospital's
344	353		certificate of public advantage, if the designated agency
345	354		determines that:
346	355		(A) the hospital is not complying with this
347	356		chapter or a term or condition of compliance with the certificate of
348	357		public advantage governing the hospital's immunized activities;
349	358		(B) the designated agency's approval and
350	359		issuance of the certificate of public advantage was obtained as a
351	360		result of material misrepresentation;
352	361		(C) the hospital has failed to pay any fee
353	362		required under this chapter; or
354	363		(D) the benefits resulting from the approved
355	364		merger no longer outweigh the disadvantages attributable to the
356	365		reduction in competition resulting from the approved merger.
357	366		Sec. 314A.152. JUDICIAL REVIEW OF DESIGNATED AGENCY ACTION.
358	367		(a) A person aggrieved by a decision of the designated agency in
359	368		granting, denying, or refusing to act on an application for a
360	369		certificate of public advantage submitted under Subchapter B or
361	370		revoking a certificate of public advantage issued under this
362	371		chapter may appeal the final order by filing a petition for judicial
363	372		review in a district court of Travis County.
364	373		(b) The filing of a petition for judicial review of a
365	374		decision by the designated agency to revoke a certificate of public
366	375		advantage stays enforcement of the agency's decision.
367	376		(c) Not later than the 45th day after the date a person files
368	377		a petition for judicial review under this section, the designated
369	378		agency shall submit to the district court the original copy or a
370	379		certified copy of the entirety of the agency's record regarding the
371	380		decision under review. By stipulation of all parties, the record
372	381		may be shortened. The district court may require or permit later
373	382		corrections or additions to the record. The district court may
374	383		extend the period prescribed by this subsection for submitting the
375	384		agency's record to the court.
376	385		(d) The district court shall conduct the review sitting
377	386		without a jury.
378	387		(e) The district court may reverse a decision by the
379	388		designated agency regarding revocation of a certificate of public
380	389		advantage if the court finds that the decision is:
381	390		(1) in violation of a constitutional or statutory
382	391		provision;
383	392		(2) in excess of the agency's statutory authority;
384	393		(3) made through unlawful procedure;
385	394		(4) arbitrary or capricious or characterized by abuse
386	395		of discretion or clearly unwarranted exercise of discretion; or
387	396		(5) unsupported by substantial and material evidence
388	397		in light of the record as a whole.
389	398		(f) Under Subsection (e)(5), in determining the
390	399		substantiality of the evidence, the district court:
391	400		(1) shall consider other evidence that detracts from
392	401		the substantiality; and
393	402		(2) may not substitute its judgment for the judgment
394	403		of the designated agency on the weight of the evidence as to a
395	404		question of fact.
396	405		(g) The district court shall issue a written decision
397	406		setting forth the court's findings of fact and conclusions of law.
398	407		The designated agency shall add the court's decision to the agency's
399	408		record.
400	409		SUBCHAPTER E. ATTORNEY GENERAL INVESTIGATION AND ENFORCEMENT
401	410		AUTHORITY
402	411		Sec. 314A.201. CIVIL INVESTIGATIVE DEMAND. (a) The
403	412		attorney general, at any time after an application is filed under
404	413		Section 314A.052 and before the designated agency makes a
405	414		determination on the application, or in connection with the
406	415		agency's annual review of a certificate of public advantage under
407	416		Section 314A.059, may require by civil investigative demand the
408	417		attendance and testimony of witnesses and the production of
409	418		documents in Travis County or the county in which the applicants are
410	419		located for the purpose of investigating whether the merger
411	420		agreement satisfies or, after issuance of the certificate of public
412	421		advantage, continues to satisfy the standard prescribed by Section
413	422		314A.056(a)(1).
414	423		(b) All nonpublic documents produced for and testimony
415	424		given to the attorney general under Subsection (a) are subject to
416	425		the prohibitions on disclosure and use under Section 15.10(i),
417	426		Business & Commerce Code.
418	427		(c) The attorney general may seek an order from the district
419	428		court compelling compliance with a civil investigative demand
420	429		issued under this section.
421	430		Sec. 314A.202. ACTION TO REVOKE CERTIFICATE OF PUBLIC
422	431		ADVANTAGE FOLLOWING CHANGED CIRCUMSTANCES. (a) If, following an
423	432		annual review of a certificate of public advantage, the attorney
424	433		general determines that as a result of changed circumstances the
425	434		benefits resulting from a certified merger agreement as described
426	435		by Section 314A.056(a)(1)(A) no longer outweigh any disadvantages
427	436		attributable to a reduction in competition resulting from the
428	437		merger agreement, the attorney general may bring an action in a
429	438		district court in Travis County seeking to revoke the certificate
430	439		of public advantage in accordance with the procedures prescribed by
431	440		this section.
432	441		(b) Except as provided by Subsection (c), in an action
433	442		brought under this section, the attorney general has the burden of
434	443		establishing by clear and convincing evidence that as a result of
435	444		changed circumstances the benefits resulting from the certified
436	445		merger agreement and the unavoidable costs of revoking the
437	446		certificate of public advantage are outweighed by disadvantages
438	447		attributable to a reduction in competition resulting from the
439	448		merger agreement.
440	449		(c) In any action brought under this section, if the
441	450		attorney general first establishes by clear and convincing evidence
442	451		that the designated agency's certification was obtained as a result
443	452		of material misrepresentation to the designated agency or the
444	453		attorney general or as the result of coercion, threats, or
445	454		intimidation directed toward any party to the merger agreement,
446	455		then the parties to the merger agreement bear the burden of
447	456		establishing by clear and convincing evidence that despite changed
448	457		circumstances the benefits resulting from the certified merger
449	458		agreement and the unavoidable costs of revoking the certificate of
450	459		public advantage are not outweighed by disadvantages attributable
451	460		to a reduction in competition resulting from the merger agreement.
452	461		SECTION 2. As soon as practicable after the effective date
453	462		of this Act, the governor shall designate a state agency under
454	463		Section 314A.004, Health and Safety Code, as added by this Act.
455	464		SECTION 3. This Act takes effect September 1, 2019.
456		-	______________________________ ______________________________
457		-	President of the Senate Speaker of the House
458		-	I certify that H.B. No. 3301 was passed by the House on May 9,
459		-	2019, by the following vote: Yeas 133, Nays 4, 2 present, not
460		-	voting; and that the House concurred in Senate amendments to H.B.
461		-	No. 3301 on May 24, 2019, by the following vote: Yeas 134, Nays 6,
462		-	2 present, not voting.
463		-	______________________________
464		-	Chief Clerk of the House
465		-	I certify that H.B. No. 3301 was passed by the Senate, with
466		-	amendments, on May 21, 2019, by the following vote: Yeas 31, Nays
467		-	0.
468		-	______________________________
469		-	Secretary of the Senate
470		-	APPROVED: __________________
471		-	Date
472		-	__________________
473		-	Governor
	465	+	* * * * *