By:  Madla                                             S.B. No. 497
                                 A BILL TO BE ENTITLED
                                        AN ACT
    1-1  relating to the certification of patients as terminally ill under
    1-2  the Natural Death Act.
    1-3        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-4        SECTION 1.  Subdivision (8), Section 672.002, Health and
    1-5  Safety Code, is amended to read as follows:
    1-6              (8)  "Qualified patient" means a patient with a
    1-7  terminal condition that has been diagnosed and certified in writing
    1-8  by the attending physician <and one other physician> who has <have>
    1-9  personally examined the patient.
   1-10        SECTION 2.  Section 672.004, Health and Safety Code, is
   1-11  amended to read as follows:
   1-12        Sec. 672.004.  FORM OF WRITTEN DIRECTIVE.  A written
   1-13  directive may be in the following form:
   1-14                       "DIRECTIVE TO PHYSICIANS
   1-15        "Directive made this __________ day of __________ (month,
   1-16  year).
   1-17        "I __________, being of sound mind, wilfully and voluntarily
   1-18  make known my desire that my life shall not be artificially
   1-19  prolonged under the circumstances set forth in this directive.
   1-20        "1.  If at any time I should have an incurable or
   1-21  irreversible condition caused by injury, disease, or illness
   1-22  certified to be a terminal condition by ___________(number)
   1-23  physician(s) <two physicians>, and if the application of
    2-1  life-sustaining procedures would serve only to artificially
    2-2  postpone the moment of my death, and if my attending physician
    2-3  determines that my death is imminent or will result within a
    2-4  relatively short time without the application of life-sustaining
    2-5  procedures, I direct that those procedures be withheld or
    2-6  withdrawn, and that I be permitted to die naturally.
    2-7        "2.  In the absence of my ability to give directions
    2-8  regarding the use of those life-sustaining procedures, it is my
    2-9  intention that this directive be honored by my family and
   2-10  physicians as the final expression of my legal right to refuse
   2-11  medical or surgical treatment and accept the consequences from that
   2-12  refusal.
   2-13        "3.  If I have been diagnosed as pregnant and that diagnosis
   2-14  is known to my physician, this directive has no effect during my
   2-15  pregnancy.
   2-16        "4.  This directive is in effect until it is revoked.
   2-17        "5.  I understand the full import of this directive and I am
   2-18  emotionally and mentally competent to make this directive.
   2-19        "6.  I understand that I may revoke this directive at any
   2-20  time.
   2-21                          "Signed ___________________________________
   2-22                          (City, County, and State of Residence)
   2-23        I am not related to the declarant by blood or marriage.  I
   2-24  would not be entitled to any portion of the declarant's estate on
   2-25  the declarant's death.  I am not the attending physician of the
    3-1  declarant or an employee of the attending physician. I am not a
    3-2  patient in the health care facility in which the declarant is a
    3-3  patient.  I have no claim against any portion of the declarant's
    3-4  estate on the declarant's death. Furthermore, if I am an employee
    3-5  of a health facility in which the declarant is a patient, I am not
    3-6  involved in providing direct patient care to the declarant and am
    3-7  not directly involved in the financial affairs of the health
    3-8  facility.
    3-9                          "Witness _________________________________
   3-10                          "Witness _________________________________"
   3-11        SECTION 3.  The importance of this legislation and the
   3-12  crowded condition of the calendars in both houses create an
   3-13  emergency and an imperative public necessity that the
   3-14  constitutional rule requiring bills to be read on three several
   3-15  days in each house be suspended, and this rule is hereby suspended.