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.

Texas Constitutional Statutes Affected

Health And Safety Code

  • Chapter 166. Advance Directives
    • Section: 046
    • Section: 0465
    • Section: 205
    • Section: 209
    • Section: 0445
    • Section: New Section
    • Section: 046
    • Section: 205
    • Section: 209
    • Section: 0445
    • Section: 046
    • Section: 0465
    • Section: 052
    • Section: 209
    • Section: New Section
    • Section: 0445
    • Section: 046
    • Section: 0465
    • Section: 052
    • Section: 209
    • Section: 202
    • Section: 203
    • Section: 204
    • Section: 205
    • Section: 206
    • Section: 209
    • Section: 0465
    • Section: 0445
  • Chapter 313. Consent To Medical Treatment Act
    • Section: New Section
    • Section: New Section

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.

Similar Bills

TX SB1952

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 SB1724

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 HB3099

Relating to advance directives in Texas.

TX SB1944

Relating to end-of-life issues and hospice care.

TX SB303

Relating to advance directives and health care and treatment decisions.

TX HB4100

Relating to advance directives and health care and treatment decisions.

TX HB1444

Relating to advance directives and health care and treatment decisions.

TX HB3369

Relating to advance directives and health care and treatment decisions.