Amend SB 414 as follows:
      (1)  In Section 166.002(1), Health and Safety Code, as added
by SECTION 1.02 of the bill, strike "or" (page 1, line 17,
Engrossed version).
      (2)  In Section 166.002(1), Health and Safety Code, as added
by SECTION 1.02 of the bill, strike the period (page 1, line 19,
Engrossed version), and insert "; or".
      (3)  In Section 166.002(1), Health and Safety Code, as added
by SECTION 1.02 of the bill, after Paragraph (B) (page 1, between
lines 19 and 20, Engrossed version), insert the following:
                  (C)  a durable power of attorney for health care.
      (4)  In Section 166.002(5), Health and Safety Code, as added
by SECTION 1.02 of the bill, strike "a durable power of attorney
for health care" (page 2, line 8, Engrossed version), and
substitute "a document delegating to an agent authority to make
health care decisions".
      (5)  In Section 166.003, Health and Safety Code, as added by
SECTION 1.02 of the bill, strike Subdivision (5) (page 4, lines
1-2, Engrossed version), and substitute the following:
            (5)  a person or agent designated by the declarant to
make a treatment decision;
      (6)  In Section 166.004(b), Health and Safety Code, as added
by SECTION 1.02 of the bill, strike "The health" (page 4, line 21,
Engrossed version), and substitute "Except as provided by
Subsection (g), the health".
      (7)  In Section 166.004(c), Health and Safety Code, as added
by SECTION 1.02 of the bill, after Subdivision (1) (page 5, between
lines 8 and 9, Engrossed version), insert the following:
            (2)  the individual's spouse;
      (8)  In Section 166.004(c), Health and Safety Code, as added
by SECTION 1.02 of the bill, strike "(2)" (page 5, line 9,
Engrossed version), and substitute "(3)".
      (9)  In Section 166.004(c), Health and Safety Code, as added
by SECTION 1.02 of the bill, strike "(3)" (page 5, line 10,
Engrossed version), and substitute "(4)".
      (10)  In Section 166.004(c), Health and Safety Code, as added
by SECTION 1.02 of the bill, strike "(4)" (page 5, line 11,
Engrossed version), and substitute "(5)".
      (11)  In Section 166.004(c), Health and Safety Code, as added
by SECTION 1.02 of the bill, strike "(5)" (page 5, line 12,
Engrossed version), and substitute "(6)".
      (12)  In Section 166.004, Health and Safety Code, as added by
SECTION 1.02 of the bill, after Subsection (f) (page 6, between
lines 7 and 8, Engrossed version), insert the following:
      (g)  This section does not apply to outpatient hospital
services, including emergency services.
      (13)  In Section 166.033, Health and Safety Code, as
redesignated and amended by SECTION 1.03 of the bill, strike "I am
not a patient in the health care facility in which the declarant is
a patient." (page 11, lines 6-8, Engrossed version), and substitute
"<I am not a patient in the health care facility in which the
declarant is a patient.>"
      (14)  In Section 166.039, Health and Safety Code, as
redesignated and amended by SECTION 1.03 of the bill, strike
Subsections (d) and (e) (page 14, lines 11-18, Engrossed version),
and substitute the following:
      (d)  A treatment decision made under Subsection (b) must be
documented in the patient's medical record and signed by the
attending physician <made in the presence of at least two witnesses
who possess the same qualifications as are required by Section
672.003(c)>.
      (e)  If the patient does not have a legal guardian and a
person listed in Subsection (b) is not available, a treatment
decision made under Subsection (b) must be witnessed by another
physician who is not involved in the treatment of the patient.
      (f) <(e)>  The fact that an adult qualified patient has not
executed or issued a directive does not create a presumption that
the patient does not want a treatment decision to be made to
withhold or withdraw life-sustaining procedures.
      (15)  In Section 166.154(c), Health and Safety Code, as
redesignated and amended by SECTION 1.05 of the bill, strike
"appeared to be competent <of sound mind to make a health care
decision>;" (page 49, lines 1-2, Engrossed version), and substitute
"<appeared to be of sound mind to make a health care decision;>".
      (16)  In Section 166.154(c), Health and Safety Code, as
redesignated and amended by SECTION 1.05 of the bill, strike "(2)"
(page 49, line 3, Engrossed version), and substitute "<(2)>".
      (17)  In Section 166.154(c), Health and Safety Code, as
redesignated and amended by SECTION 1.05 of the bill, strike "(3)"
(page 49, line 7, Engrossed version), and substitute "(2) <(3)>".
      (18)  In Section 166.165, Health and Safety Code, as
redesignated and amended by SECTION 1.05 of the bill, after the
semicolon following Subdivision (6) (page 59, line 1, Engrossed
version), insert "or".
      (19)  In Section 166.165, Health and Safety Code, as
redesignated and amended by SECTION 1.05 of the bill, strike
Subdivision (7) (page 59, lines 2-3, Engrossed version).
      (20)  In Section 166.165, Health and Safety Code, as
redesignated and amended by SECTION 1.05 of the bill, renumber
Subdivision (8) as Subdivision (7) (page 59, line 4, Engrossed
version).
      (21)  In Section 166.166, Health and Safety Code, as
redesignated and amended by SECTION 1.05 of the bill, strike "that
I believe the principal to be of sound mind," (page 62, lines
17-18, Engrossed version), and substitute "<that I believe the
principal to be of sound mind,>".
      (22)  In Section 166.166, Health and Safety Code, as
redesignated and amended by SECTION 1.05 of the bill, strike "I am
not a patient in the health care facility in which the principal is
a patient," (page 63, lines 4-5, Engrossed version).