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SB 312: Patient-directed Medical Orders

GENERAL BILL by Rodriguez

Patient-directed Medical Orders; Revising definitions and defining the term “patient-directed medical order”; authorizing the execution of a patient-directed medical order for a specified purpose; requiring that certain health care services be provided to the principal regardless of the decision to withhold or withdraw life-prolonging procedures; authorizing physicians, physician assistants, and advanced practice registered nurses to withhold or withdraw life-prolonging procedures under certain circumstances without penalty; requiring the Agency for Health Care Administration to create and update a database for the storage of patient-directed medical orders, etc.

Effective Date: 7/1/2026
Last Action: 12/10/2025 Senate - Now in Appropriations Committee on Health and Human Services
Bill Text: Web Page | PDF

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  • Bill History

    Date Chamber Action
    10/31/2025 Senate • Filed
    11/17/2025 Senate • Referred to Health Policy; Appropriations Committee on Health and Human Services; Fiscal Policy
    12/1/2025 Senate • On Committee agenda-- Health Policy, 12/09/25, 10:00 am, 412 Knott Building
    12/9/2025 Senate • Favorable by Health Policy; YEAS 7 NAYS 0
    12/10/2025 Senate • Now in Appropriations Committee on Health and Human Services

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  • SB 312, Original Filed Version (Current Bill Version) Posted 10/31/2025 at 9:00 AM

    Bill Text:   Web Page | PDF
    Analyses:   Health Policy (Pre-Meeting) 12/8/2025 (pdf)
    Health Policy (Post-Meeting) 12/9/2025 (pdf)

    Related Bills (1)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    H 369 Patient-directed Medical Orders Plasencia Identical Last Action: 11/18/2025 H Now in Health Professions & Programs Subcommittee

    Committee Votes (1)

    Date Committee Result
    12/9/2025 10:00 AM Health Policy 7 Yeas - 0 Nays

    Citations - Statutes (19)

    Citation Catchline Location in Bill Location In Bill Help
    395.1041 Access to and ensurance of emergency services; transfers; patient rights; diversion programs; reports of controlled substance overdoses. Page 6 (pdf)
    400.142 Emergency medication kits; orders not to resuscitate. Page 7 (pdf)
    400.487 Home health service agreements; physician’s, physician assistant’s, and advanced practice registered nurse’s treatment orders; patient assessment; establishment and review of plan of care; provision of services; orders not to resuscitate. Page 8 (pdf)
    400.605 Administration; forms; fees; rules; inspections; fines. Page 8 (pdf)
    400.6095 Patient admission; assessment; plan of care; discharge; death. Page 9 (pdf)
    400.611 Interdisciplinary records of care; confidentiality; release of records. Page 10 (pdf)
    401.35 Rules. Page 10 (pdf)
    401.45 Denial of emergency treatment; civil liability. Page 11 (pdf)
    429.255 Use of personnel; emergency care. Page 12 (pdf)
    429.73 Rules and standards relating to adult family-care homes. Page 13 (pdf)
    744.4431 Guardianship power regarding life-prolonging procedures. Page 13 (pdf)
    752.001 Definitions. Page 16 (pdf)
    765.101 Definitions. Page 2 (pdf)
    765.102 Legislative findings and intent. Page 2 (pdf)
    765.110 Health care facilities and providers; discipline. Page 16 (pdf)
    765.204 Capacity of principal; procedure. Page 17 (pdf)
    765.205 Responsibility of the surrogate. Page 18 (pdf)
    765.3041 Page 4 (pdf)
    765.305 Procedure in absence of a living will. Page 18 (pdf)

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