S.B. No. 360 amends the Health and Safety Code to address advance directives and do-not-resuscitate (DNR) orders specifically for pregnant individuals. The bill introduces a new section allowing a person of child-bearing age to specify how their pregnancy affects their advance directive and DNR orders. It replaces the previous language that prohibited withholding life-sustaining treatment from pregnant patients. Additionally, the bill expands the types of directives available under Texas law from two to three, including the Medical Power of Attorney, Out-of-Hospital Do-Not-Resuscitate Order, and Health Care Facility Do-Not-Resuscitate Order.

The bill also includes a new optional section in the advance directive for pregnant individuals to outline their preferences regarding life-sustaining treatment during pregnancy. This section is designed to ensure that the wishes of pregnant individuals are respected in medical situations where they may be unable to communicate their preferences. The changes aim to enhance the clarity and effectiveness of advance directives and DNR orders for pregnant persons, ensuring that their specific needs and circumstances are adequately addressed. The act is set to take effect on September 1, 2025.

Statutes affected:
Introduced: Health and Safety Code 166.033, Health and Safety Code 166.049, Health and Safety Code 166.083, Health and Safety Code 166.084, Health and Safety Code 166.098 (Health and Safety Code 166)