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.

Current Bill Version Posted: 10/31/2025 09:00 AM

• Senate Committee References (3)

  1. Health Policy (HP)
  2. Appropriations Committee on Health and Human Services (AHS)
  3. Fiscal Policy (FP)

• Related Bills (1)

  Bill Number Subject Filed By Last Action and Location	Relationship Learn more about bill relationships
  H 369 by Plasencia, Abbott Patient-directed Medical Orders Last Action: 3/13/2026 H Died in Health Professions & Programs Subcommittee	Identical

• Analyses (2)

  Links in this section are PDF documents.

  • Health Policy (Pre-Meeting)  12/8/2025
  • Health Policy (Post-Meeting)  12/9/2025

• Committee Votes (1)

  Links in this section are PDF documents.

  Date	Version	Committee	Result
  12/9/2025 10:00 AM	S 312	Health Policy	7 Yeas - 0 Nays

• Citations - Statute (19)

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  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)

• Bill History

  S = Senate, H = House

  10/31/2025	S	• Filed
  11/17/2025	S	• Referred to Health Policy; Appropriations Committee on Health and Human Services; Fiscal Policy
  12/1/2025	S	• On Committee agenda-- Health Policy, 12/09/25, 10:00 am, 412 Knott Building
  12/9/2025	S	• Favorable by Health Policy; YEAS 7 NAYS 0
  12/10/2025	S	• Now in Appropriations Committee on Health and Human Services
  1/13/2026	S	• Introduced
  3/13/2026	S	• Died in Appropriations Committee on Health and Human Services