Texas 2023 - 88th Regular

Texas House Bill HB647

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

Caption

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

Impact

The proposed changes in HB647 are likely to enhance patient autonomy for pregnant women, giving them the ability to outline their preferences regarding life-sustaining treatment in conjunction with their pregnancy status. By establishing clearer guidelines for physicians and healthcare providers, the bill intends to ensure that the specific wishes of pregnant patients are respected and upheld. This can help in facilitating informed discussions between patients and physicians regarding medical interventions during pregnancy, especially in critical health situations.

Summary

House Bill 647 (HB647) addresses the complexities surrounding advance directives and do-not-resuscitate (DNR) orders for pregnant women. The bill seeks to amend the Health and Safety Code to allow a pregnant person of child-bearing age to specify how their pregnancy interacts with any advance directive they may wish to execute. This modification aims to clarify legal ambiguities that may arise when making medical decisions, particularly in life-threatening situations where both the mother's and unborn child's health are at stake.

Sentiment

Overall, the sentiment surrounding HB647 appears to be supportive among healthcare advocates who prioritize patient autonomy and informed consent. However, there are concerns among some legislators and advocacy groups regarding the implications this could have on the decision-making process during emergencies. The sentiment is mixed, with supporters appreciating the focus on patient-centered care and critics worrying about potential conflicts in medical decision-making when the life of both a mother and her fetus could be at risk.

Contention

The primary contention lies in the delicate balance between respecting patient wishes as expressed in advance directives and the obligations of healthcare providers to ensure the safety and health of both the patient and the unborn child. Critics worry that this bill might complicate situations where immediate life-saving decisions are required, potentially leading to hesitation among healthcare providers in executing directives that may conflict with medical advice.

Texas Constitutional Statutes Affected

Health And Safety Code

  • Chapter 166. Advance Directives
    • Section: 033
    • Section: 049
    • Section: 083
    • Section: 084
    • Section: 098

Companion Bills

TX SB2465

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

Similar Bills

TX HB102

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

TX SB2465

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

TX HB4223

Relating to an advance directive and do-not-resuscitate order of a pregnant patient.

TX HB1071

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 HB1161

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

CA SB924

Workers’ compensation: utilization review.

CA AB2848

Workers’ compensation: medical treatment.