End of Life Issues

Helping Texans prepare for end-of-life decisions is an important community service of Texas hospitals. Lack of objective public education about the laws and processes governing end-of-life choices and the importance of individuals making clear their own health care decisions result in public and legislative misperceptions. The Texas Hospital Association has produced a suite of products to help member hospitals understand and communicate on end-of-life issues. In addition, THA tracks related legislation and regulatory activity to keep members informed.

See THA's  SB-11 - Inpatient DNAR Orders Web page for additional information on a 2018 state law governing in-hospital do-not-attempt-resuscitation orders.

2021 Legislative Session
SB 1944/HB 3099 by Sen. Eddie Lucio, Jr. (D-Brownsville)/Rep. Garnet Coleman (D-Houston) - Relating to end-of-life issues and hospice care.

HB 2943 by Rep. James Frank (R-Wichita Falls) - Relating to revocation of do-not-resuscitate orders for patients admitted to a health care facility or hospital.

SB 917/HB 2609 by Sen. Bryan Hughes (R-Mineloa)/Rep. Tan Parker (R-Flower Mound) - Relating to advance directives or health care or treatment decisions made by or on behalf of patients.

2019 Legislative Session
SB 916 by Sen. Nathan Johnson (D-Dallas) - Relating to supportive palliative care.

SB 2089 by Sen. Bryan Hughes (R-Mineloa) – Relating to advance directives or health care or treatment decisions made by or on behalf of patients.
SB 2129 by Sen. Brandon Creighton (R-Conroe) – Relating to advance directives and health care and treatment decisions.

2017 Special Session
SB 11 by Sen. Charles Perry (R-Lubbock) - Relating to general procedures and requirements for certain do-not-resuscitate orders; creating a criminal offense.

None at this time.



Carrie Kroll, vice president, advocacy, public policy and political strategy, 512/465-1043

Cesar Lopez, J.D., associate general counsel, 512/465-1027


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Key Findings From THA’s Advance Directives Survey (July 2020)

Overview of advance directives
Advance Directives Overview (July 2017)

Overview of do-not-resuscitate orders
DNR Overview (June 2017)


According to Texas Government Code 305.027, portions of this material may be considered “legislative advertising.” Authorization for its publication is made by Jennifer Banda, J.D., Texas Hospital Association, 1108 Lavaca, Suite 700, Austin, TX 78701-2180.