Texas Senate Bill SB1546

Texas 2015 - 84th Regular

Caption

Relating to advance directives, including do-not-resuscitate orders; creating a criminal offense.

Impact

The bill introduces several amendments to the Health and Safety Code relating to how DNR orders are to be handled by healthcare professionals. For instance, emergency medical services personnel are required to comply with any valid DNR order or DNR identification device found on a patient. Additionally, it establishes that a person may wear a DNR identification device, which acts as clear evidence of their directive regarding resuscitation efforts. These measures are expected to enhance the consistency and clarity of applying patients' wishes concerning resuscitation efforts, promoting patient autonomy in healthcare decisions.

Summary

SB1546 is an act that addresses the provisions surrounding advance directives, specifically focusing on do-not-resuscitate (DNR) orders. The bill clarifies the procedure and legal parameters for executing these directives in out-of-hospital settings. It emphasizes the right of a competent individual to dictate their medical treatment preferences and underscores that their wishes take precedence over previously issued DNR orders in cases where the declarant's desires are communicated clearly. The legislation aims to simplify the execution and recognition of DNR orders to ensure that they are honored by medical personnel.

Contention

Despite its intentions, the bill may face contention regarding its potential implications for patient rights and the responsibilities of medical professionals. Critics may argue that while the bill aims to respect patient autonomy, there are concerns about the complexity of the DNR authorization process, particularly for individuals who are incompetent or in need of advocates to make healthcare decisions on their behalf. There are also concerns regarding the adequacy of the protections in place for individuals who may be coerced or influenced in their decision-making regarding life-sustaining treatment.