BILL ANALYSIS Senate Research Center C.S.S.B. 125 89R19318 SRA-F By: Hall; Paxton Health & Human Services 3/19/2025 Committee Report (Substituted) AUTHOR'S / SPONSOR'S STATEMENT OF INTENT While autologous and directed donor blood donations have been available and utilized for decades in the healthcare system, it has become increasingly difficult to ensure that a blood recipient's desire to receive "known donor" status blood is achieved. Autologous blood donations, where individuals provide their own blood, is a practice that equally deserves more protection. Frequently, hospitals and clinics refuse this basic patient right at point of service despite the fact that a patient's doctor writes the order for the autologous or directed donor donation; and the fact that blood donated in these circumstances is legal, and safe, with a long history of prior use. C.S.S.B. 125 is particularly important to people who are dependent upon blood transfusions to live. Although rare, there are certain blood disorders that lead to death unless the person gets regular blood transfusions. For these individuals, it is imperative that they receive blood that is the closest match and not at the end of its shelf life to have the best long-term results and highest quality of life possible. C.S.S.B. 125 seeks to safeguard this practice and ensure patients can access this life-saving treatment, in empowering them to participate in the decision of what blood is being used, if they so desire. C.S.S.B. 125 requires: blood centers that facilitate blood donations to comply with a physician-ordered autologous or direct blood donation; and hospitals that facilitate blood donations to allow a patient to provide a physician-ordered donation. C.S.S.B. 125 amends current law relating to autologous and direct blood donations. RULEMAKING AUTHORITY This bill does not expressly grant any additional rulemaking authority to a state officer, institution, or agency. SECTION BY SECTION ANALYSIS SECTION 1. Amends Chapter 162, Health and Safety Code, by adding Section 162.021, as follows: Sec. 162.021. AUTOLOGOUS OR DIRECT BLOOD DONATION. Requires a blood bank that facilitates autologous or direct blood donations to comply with a physician's order prescribing for an individual an autologous or direct blood donation. SECTION 2. Amends Subchapter A, Chapter 241, Health and Safety Code, by adding Section 241.013, as follows: Sec. 241.013. AUTOLOGOUS AND DIRECT BLOOD DONATIONS. Requires a hospital licensed under Chapter 241 (Hospitals) that facilitates blood donations to allow an individual on whom a medical procedure is to be performed to provide an autologous or direct blood donation a physician orders for the procedure. SECTION 3. Effective date: September 1, 2025.
BILL ANALYSIS
Senate Research Center C.S.S.B. 125
89R19318 SRA-F By: Hall; Paxton
Health & Human Services
3/19/2025
Committee Report (Substituted)
Senate Research Center
C.S.S.B. 125
89R19318 SRA-F
By: Hall; Paxton
Health & Human Services
3/19/2025
Committee Report (Substituted)
AUTHOR'S / SPONSOR'S STATEMENT OF INTENT
While autologous and directed donor blood donations have been available and utilized for decades in the healthcare system, it has become increasingly difficult to ensure that a blood recipient's desire to receive "known donor" status blood is achieved. Autologous blood donations, where individuals provide their own blood, is a practice that equally deserves more protection. Frequently, hospitals and clinics refuse this basic patient right at point of service despite the fact that a patient's doctor writes the order for the autologous or directed donor donation; and the fact that blood donated in these circumstances is legal, and safe, with a long history of prior use.
C.S.S.B. 125 is particularly important to people who are dependent upon blood transfusions to live. Although rare, there are certain blood disorders that lead to death unless the person gets regular blood transfusions. For these individuals, it is imperative that they receive blood that is the closest match and not at the end of its shelf life to have the best long-term results and highest quality of life possible.
C.S.S.B. 125 seeks to safeguard this practice and ensure patients can access this life-saving treatment, in empowering them to participate in the decision of what blood is being used, if they so desire. C.S.S.B. 125 requires:
blood centers that facilitate blood donations to comply with a physician-ordered autologous or direct blood donation; and
hospitals that facilitate blood donations to allow a patient to provide a physician-ordered donation.
C.S.S.B. 125 amends current law relating to autologous and direct blood donations.
RULEMAKING AUTHORITY
This bill does not expressly grant any additional rulemaking authority to a state officer, institution, or agency.
SECTION BY SECTION ANALYSIS
SECTION 1. Amends Chapter 162, Health and Safety Code, by adding Section 162.021, as follows:
Sec. 162.021. AUTOLOGOUS OR DIRECT BLOOD DONATION. Requires a blood bank that facilitates autologous or direct blood donations to comply with a physician's order prescribing for an individual an autologous or direct blood donation.
SECTION 2. Amends Subchapter A, Chapter 241, Health and Safety Code, by adding Section 241.013, as follows:
Sec. 241.013. AUTOLOGOUS AND DIRECT BLOOD DONATIONS. Requires a hospital licensed under Chapter 241 (Hospitals) that facilitates blood donations to allow an individual on whom a medical procedure is to be performed to provide an autologous or direct blood donation a physician orders for the procedure.
SECTION 3. Effective date: September 1, 2025.