Bioethics Blogs

Texas Advance Directives Act – 2015 Amendments

House and Senate bills both to improve and to eliminate the dispute resolution provisions in the Texas Advance Directives Act have been introduced in every Texas legislative session since 2003.  The first such bill in the 2015 session was introduced this week.  


Senator Kelly Hancock has introduced S.B. 1163.  Senator Hancock is described as pro-life and defending core conservative values.  Consequently, it is no surprise that his bill aims not to improve the fairness of TADA (like Senator Deuell’s bills over the past sessions) but instead to wholly eliminate its dispute resolution provisions.

S.B. 1163 adds a new section (Tex. H&S Code 166.0455) that specifies two reasons on which a review committee may not base a determination of medical inappropriateness.

“A physician or other health care professional, a health care facility, or an ethics or medical committee shall not override or refuse to honor and comply with a patient ’s advance directive or a health care or treatment decision made by or on behalf of a patient that directs the provision of life-sustaining treatment and shall not consider life-sustaining treatment to be inappropriate treatment under Section 166.046 based on:
(1) the lesser value the physician or professional, facility, or committee places on sustaining the life of an elderly, disabled, or terminally ill patient compared to the value of sustaining the life of a patient who is younger, not disabled, or not terminally ill; or
(2) a disagreement between the physician or professional, facility, or committee and the patient, or the person authorized to make a treatment decision for the patient under Section 166.039, over the greater weight the patient or person places on sustaining the patient ’s life than the risk of disability.”

S.B.

The views, opinions and positions expressed by these authors and blogs are theirs and do not necessarily represent that of the Bioethics Research Library and Kennedy Institute of Ethics or Georgetown University.