Texas 2023 - 88th Regular

Texas House Bill HB3162

Filed
3/1/23  
Out of House Committee
5/4/23  
Voted on by House
5/8/23  
Out of Senate Committee
5/17/23  
Voted on by Senate
5/18/23  
Governor Action
6/17/23  

Caption

Relating to advance directives, do-not-resuscitate orders, and health care treatment decisions made by or on behalf of certain patients, including a review of directives and decisions.

Impact

The impact of HB 3162 on state laws is significant as it aims to enhance the rights of patients and their families when it comes to medical treatment decisions, particularly those related to life-sustaining orders. By reinforcing the need for advance directives to be respected, as well as the obligation for ethics or medical committees to consider these wishes carefully, the bill aims to safeguard against potential abuse in medical decision-making processes. The amendments made by this bill will also likely result in more transparent communication between healthcare providers and patients' families, fostering a more inclusive environment during critical care discussions.

Summary

House Bill 3162 focuses on the regulations surrounding advance directives, do-not-resuscitate (DNR) orders, and healthcare treatment decisions made on behalf of patients. The bill seeks to modify the existing framework established by the Advanced Directives Act, accommodating patient and family concerns regarding sufficient protections during end-of-life care. It emphasizes the importance of ensuring that patients' advance directives and health care decisions are honored and clarifies the protocol for handling situations where an attending physician may refuse to comply with such directives. One notable change is the extension of the notice period for family members from 48 hours to seven calendar days before any committee review decision concerning the patient's treatment is made.

Sentiment

The sentiment surrounding HB 3162 appears to be largely supportive among advocacy groups focused on patients' rights, such as the Texas Alliance for Life, which acknowledges the bill as a significant improvement to the current legal structure governing advance directives. Testimonies from various stakeholders during committee discussions reflect a collective recognition of the necessity of enhancing patient protections. However, the bill's potential implications for healthcare practices may also give rise to concerns from some medical professionals about the added complexities in handling advance directives and the ethical dilemmas that may arise within the context of patient care.

Contention

A point of contention relates to the committee modifications regarding how disabilities should factor into the decision-making process surrounding treatment decisions. The bill stipulates that disabilities should not be considered relevant to the committee's decisions unless they bear directly upon the appropriateness of medical interventions. This aspect of the bill aims to prevent discrimination against patients with disabilities but also raises concerns about potential challenges in ensuring equitable healthcare treatment across diverse patient populations. Balancing ethical considerations with legal requirements will be essential as the implementation of this bill proceeds.

Companion Bills

TX SB1724

Identical Relating to advance directives and health care treatment decisions made by or on behalf of patients, including a review of those directives and decisions.

TX SB1952

Similar To Relating to advance directives and health care treatment decisions made by or on behalf of patients, including a review of those directives and decisions.

Previously Filed As

TX HB2072

Relating to advance directives and health care and treatment decisions to withhold or withdraw life-sustaining treatment; creating a criminal offense.

TX HB1687

Advance health care directives; creating the Uniform Health Care Decisions Act of 2026; establishing requirements for certain health care directives; effective date.

TX SB0482

Health: patient directives; Michigan medical treatment decisions act; enact. Creates new act.

TX HB1161

Relating to an advance directive and do-not-resuscitate order of a pregnant woman and information provided for an advance directive.

TX SB360

Relating to an advance directive and do-not-resuscitate order of a pregnant woman and information provided for an advance directive.

TX HB1687

Advance health care directives; Uniform Health Care Decisions Act of 2025; definitions; capacity; presumption of capacity; overcoming presumption; notice; judicial review; power of attorney; advance mental health care directive; conflicting health care directives; default surrogate; disqualification; revocation; validity; conflict of law; duties; powers; coagents; responsibilities; immunity; conduct; damages; judicial relief; effective date.

TX S0714

Nonopioid Advance Directives

TX S08395

Relates to orders not to resuscitate and the applicability of the family health care decisions act to residents of mental hygiene hospitals patients who lack decision-making capacity.

TX HB737

Public Health - Nonopioid Advance Directives

TX HB0006

Advance health care directives-dementia.

Similar Bills

IL SB1411

HEALTH CARE SURROGATE-POLST

VA SB71

Health Care Decisions Act; patients incapable of making informed decisions, absence of next of kin.

MI SB0482

Health: patient directives; Michigan medical treatment decisions act; enact. Creates new act.

TX SB115

Relating to civil liability for, governmental health plan coverage of, and public funding for gender modification procedures and treatments.

IL SB1579

PATIENT RIGHTS

TX SB124

Relating to hospital patients' rights and hospital policies and procedures; providing an administrative penalty.

AZ SB1242

mental health; hearings; audiovisual technology

MI SB0031

Health facilities: hospitals; certain policies on patients who are giving birth; require a hospital to adopt. Amends secs. 20201 & 21513 of 1978 PA 368 (MCL 333.20201 & 333.21513) & adds sec. 21537.