Texas 2023 - 88th Regular

Texas Senate Bill SB1724

Voted on by Senate
 
Out of House Committee
 
Voted on by House
 
Governor Action
 
Bill Becomes Law
 

Caption

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

Impact

The enactment of SB1724 would significantly impact state laws concerning advance directives and the obligations of health care providers during end-of-life decisions. It creates a structured approach for medical professionals to navigate cases involving DNR orders, detailing the process for ensuring that patients or their legal representatives are appropriately informed. Moreover, the bill provides a framework for ethics committees to review instances in which a physician's refusal to honor a patient's directive may arise, thereby ensuring that patient interests are prioritized in decision-making processes.

Summary

SB1724, relating to advance directives and health care treatment decisions made by or on behalf of patients, seeks to provide clearer guidelines and protections regarding do-not-resuscitate (DNR) orders and other advance directives. The bill amends sections of the Health and Safety Code to establish criteria under which health care professionals may be held liable or exempt from liability for proceeding with medical procedures related to DNR orders. It emphasizes the importance of informing patients or their representatives regarding the issuance and revocation of such orders, thereby enhancing patient autonomy and informed consent in medical settings.

Sentiment

The sentiment surrounding SB1724 appears largely supportive among health care professionals, as it clarifies the legal responsibilities and protections for those involved in administering end-of-life care. Advocates for patient autonomy have also expressed positive views, recognizing the bill as a crucial step towards reinforcing patients' rights to dictate their medical treatment preferences. However, some concerns were raised about potential loopholes that could still arise in the context of honoring patients’ wishes, making the discussions around the bill nuanced.

Contention

Notable points of contention stemmed from the balances between a physician's medical judgment and a patient's rights when it comes to advance directives. Some legislators and advocacy groups expressed that while the bill aims to protect patient autonomy, there could still be risks of misinterpretation or inadequate adherence to patient wishes, particularly in complex medical scenarios. Additionally, the role of ethics committees, while deemed necessary for oversight, raised questions regarding the potential for bureaucratic delays in urgent medical situations.

Companion Bills

TX HB3162

Identical 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.

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 SB0482

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

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 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 HB0006

Advance health care directives-dementia.

TX HB3211

Relating to health directives.

TX HB737

Public Health - Nonopioid Advance Directives

TX SB71

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

TX SB1088

An act to amend Sections 1799.103 and 1861 of the Health and Safety Code, to amend Sections 4780, 4781.2, 4781.4, 4781.5, 4782, and 4783 of the Probate Code, and to amend Section 9270 of the Welfare and Institutions Code, relating to health care.

Similar Bills

MI SB0482

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

MS HB1030

Nurse practitioners; authorize certain to sign physician orders for sustaining treatment (POST).

IL SB1411

HEALTH CARE SURROGATE-POLST

TN SB0282

AN ACT to amend Tennessee Code Annotated, Title 53 and Title 63, relative to medical treatment.

TN HB0192

AN ACT to amend Tennessee Code Annotated, Title 53 and Title 63, relative to medical treatment.

NJ A3705

Waives 15 day waiting period for medical aid in dying under certain circumstances.

TX SB984

Relating to access to individualized investigational treatments for patients with life-threatening or severely debilitating illnesses.

SD HB1139

Allow individualized investigative treatments for patients with life-threatening or debilitating diseases or conditions.