1-1  By:  Madla                                             S.B. No. 497
    1-2        (In the Senate - Filed February 7, 1995; February 8, 1995,
    1-3  read first time and referred to Committee on Health and Human
    1-4  Services; February 22, 1995, reported favorably, as amended, by the
    1-5  following vote:  Yeas 8, Nays 0; February 22, 1995, sent to
    1-6  printer.)
    1-7  COMMITTEE AMENDMENT NO. 1                                By:  Madla
    1-8  Amend S. B. No. 497 by adding new Section 2 to read as follows and
    1-9  renumber subsequent sections accordingly:
   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 irreversible
   1-21  condition caused by injury, disease, or illness certified to be a
   1-22  terminal condition by ___________(number) physician(s) <two
   1-23  physicians>, and if the application of life-sustaining procedures
   1-24  would serve only to artificially postpone the moment of my death,
   1-25  and if my attending physician determines that my death is imminent
   1-26  or will result within a relatively short time without the
   1-27  application of life-sustaining procedures, I direct that those
   1-28  procedures be withheld or withdrawn, and that I be permitted to die
   1-29  naturally.
   1-30        "2. In the absence of my ability to give directions regarding
   1-31  the use of those life-sustaining procedures, it is my intention
   1-32  that this directive be honored by my family and physicians as the
   1-33  final expression of my legal right to refuse medical or surgical
   1-34  treatment and accept the consequences from that refusal.
   1-35        "3. If I have been diagnosed as pregnant and that diagnosis
   1-36  is known to my physician, this directive has no effect during my
   1-37  pregnancy.
   1-38        "4. This directive is in effect until it is revoked.
   1-39        "5. I understand the full import of this directive and I am
   1-40  emotionally and mentally competent to make this directive.
   1-41        "6. I understand that I may revoke this directive at any
   1-42  time.
   1-43                              "Signed ______________________________
   1-44                               (City, County, and State of Residence)
   1-45        I am not related to the declarant by blood or marriage.  I
   1-46  would not be entitled to any portion of the declarant's estate on
   1-47  the declarant's death.  I am not the attending physician of the
   1-48  declarant or an employee of the attending physician. I am not a
   1-49  patient in the health care facility in which the declarant is a
   1-50  patient.  I have no claim against any portion of the declarant's
   1-51  estate on the declarant's death. Furthermore, if I am an employee
   1-52  of a health facility in which the declarant is a patient, I am not
   1-53  involved in providing direct patient care to the declarant and am
   1-54  not directly involved in the financial affairs of the health
   1-55  facility.
   1-56                              "Witness _____________________________
   1-57                              "Witness _____________________________"
   1-58                         A BILL TO BE ENTITLED
   1-59                                AN ACT
   1-60  relating to qualified patients under the Natural Death Act.
   1-61        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
   1-62        SECTION 1.  Subdivision (8), Section 672.002, Health and
   1-63  Safety Code, is amended to read as follows:
   1-64              (8)  "Qualified patient" means a patient with a
   1-65  terminal condition that has been diagnosed and certified in writing
   1-66  by the attending physician <and one other physician> who has <have>
   1-67  personally examined the patient.
   1-68        SECTION 2.  The importance of this legislation and the
    2-1  crowded condition of the calendars in both houses create an
    2-2  emergency and an imperative public necessity that the
    2-3  constitutional rule requiring bills to be read on three several
    2-4  days in each house be suspended, and this rule is hereby suspended.
    2-5                               * * * * *