By:  Barrientos                                       S.B. No. 1301
                                 A BILL TO BE ENTITLED
                                        AN ACT
    1-1  relating to a civil procedure to enable a competent person with a
    1-2  terminal condition to die voluntarily with medical assistance.
    1-3        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-4        SECTION 1.  In this Act
    1-5              (1)  "Physician" means a physician licensed by the
    1-6  Texas State Board of Medical Examiners or otherwise authorized to
    1-7  practice medicine in Texas.
    1-8              (2)  "Health care provider" means an individual or
    1-9  facility licensed, certified, or otherwise authorized to administer
   1-10  health care, for profit or otherwise, in the ordinary course of
   1-11  business or professional practice, and includes a physician.
   1-12              (3)  "Terminal condition" means an incurable or
   1-13  irreversible condition caused by injury, disease, or illness, which
   1-14  would, within reasonable medical judgment, produce death, and where
   1-15  the application of medical treatment or life-sustaining procedures
   1-16  serves only to postpone the moment of death of the patient.
   1-17              (4)  "Competent" means possessing the ability to
   1-18  understand and appreciate the nature and consequences of a decision
   1-19  to die voluntarily with medical assistance.
   1-20              (5)  "Petitioner" means a person who has petitioned a
   1-21  Probate Court for permission to obtain medical assistance under
   1-22  this Act or has obtained such permission by order of a Probate
   1-23  Court.
    2-1        SECTION 2.  A competent person who has a terminal condition
    2-2  may petition a Probate Court for permission to obtain medical
    2-3  assistance to enable the petitioner to die voluntarily.
    2-4        SECTION 3.  A petition under this Act shall be signed by the
    2-5  petitioner.  If a petitioner is unable to sign the petition, an
    2-6  attorney may sign the petition at the direction of the petitioner
    2-7  and in the presence of the petitioner and a Notary Public who shall
    2-8  certify that the petition was signed at the direction of the
    2-9  petitioner.
   2-10        SECTION 4.  A petition under this Act shall be filed in a
   2-11  Probate Court serving the county in which the petitioner is
   2-12  located.
   2-13        SECTION 5.  A petition filed under this Act shall be
   2-14  accompanied by signed and dated statements by two physicians
   2-15  expressing that, in the physician's medical judgment, the
   2-16  petitioner has a terminal condition.
   2-17        SECTION 6.  Within seven days immediately after the date on
   2-18  which a petition is filed, the petitioner, if reasonably able,
   2-19  shall appear before the Judge at a court hearing on the petition.
   2-20        SECTION 7.  If a petitioner is unable to attend a court
   2-21  hearing on a petition, the Judge shall appoint an attorney to make
   2-22  an investigation to determine whether:
   2-23              (1)  the petitioner voluntarily and without duress
   2-24  signed the petition or directed that the petition be signed and
   2-25              (2)  the petitioner appears to understand and
    3-1  appreciate the nature and consequences of the petitioner's decision
    3-2  to file a petition under this Act.
    3-3        The findings of the investigation shall be reported in
    3-4  writing to the Judge and at a court hearing on the petition.
    3-5        SECTION 8.  At a court hearing on a petition, if a Judge
    3-6  finds that:
    3-7              (1)  the petitioner voluntarily and without duress
    3-8  signed the petition or directed that the petition be signed on the
    3-9  petitioner's behalf; and
   3-10              (2)  the petitioner appears to understand and
   3-11  appreciate the nature and consequences of the petitioner's decision
   3-12  to file a petition under this Act; and
   3-13              (3)  the petitioner has a terminal condition, according
   3-14  to the medical judgment of two physicians, the Judge shall issue a
   3-15  court order authorizing any physician to administer lethal
   3-16  medication or treatment at such time as determined by the
   3-17  petitioner or at such time as determined by the petitioner's agent
   3-18  if a durable power of attorney for health care becomes effective
   3-19  after the date on which the court order is issued.  The authority
   3-20  granted by a court order shall have no expiration date.
   3-21        SECTION 9.  A petitioner, or a petitioner's agent with
   3-22  durable power of attorney for health care, shall present a
   3-23  court-certified copy of a court order authorizing medical
   3-24  assistance under this Act whenever making a request to a physician
   3-25  for such medical assistance.
    4-1        SECTION 10.  A physician receiving a request for medical
    4-2  assistance under this Act may accept or reject the request.  If a
    4-3  request is rejected by any physician, the request may be made to
    4-4  any other physician.
    4-5        SECTION 11.  A physician providing medical assistance to a
    4-6  petitioner as authorized by a court order under this Act shall do
    4-7  so in the presence of two witnesses who are at least 18 years of
    4-8  age.  A copy of the court order and the names of the two witnesses
    4-9  shall be entered in the petitioner's medical record, along with the
   4-10  name of the physician and the type of medical assistance
   4-11  administered to the petitioner.
   4-12        SECTION 12.  No health care facility may discharge or refuse
   4-13  to admit a petitioner under this Act for reason that a petition has
   4-14  been filed or a court has authorized medical assistance under this
   4-15  Act.
   4-16        SECTION 13.  A physician, health care facility, or other
   4-17  health care provider, or anyone else shall not be subject to
   4-18  criminal or civil liability and shall not be guilty of any
   4-19  unprofessional conduct for any act or omission done in good faith
   4-20  in accord with this Act or a court order issued under this Act.
   4-21        SECTION 14.  The importance of this legislation and the
   4-22  crowded condition of the calendars in both houses create an
   4-23  emergency and an imperative public necessity that the
   4-24  constitutional rule requiring bills to be read on three several
   4-25  days in each house be suspended, and this rule is hereby suspended.