Texas Senate Bill 360, introduced on November 13, 2024, aims to clarify and enhance the advance directive and do-not-resuscitate (DNR) order processes specifically for pregnant women. This legislation seeks to address the complexities surrounding medical decisions for expectant mothers who may face critical health situations where they are unable to communicate their wishes.

The bill proposes amendments to Section 166.033 of the Texas Health and Safety Code, which outlines the form and content of written advance directives. Notably, it emphasizes the importance of discussing medical treatment preferences with healthcare providers and family members, ensuring that a pregnant woman's values and wishes are respected even in dire circumstances. The bill also includes provisions for the inclusion of DNR orders, which are crucial in situations where resuscitation may pose risks to both the mother and the fetus.

Debate surrounding Senate Bill 360 has highlighted concerns from various stakeholders. Supporters argue that the bill empowers women by giving them a clearer voice in their medical care, particularly during pregnancy, a time often fraught with emotional and ethical complexities. However, some opponents express worries about the potential implications for maternal and fetal health, fearing that DNR orders could lead to premature decisions about life-sustaining treatment.

The economic implications of this bill could be significant, as it may influence healthcare costs associated with prolonged treatments in critical situations. Socially, it underscores a growing recognition of women's autonomy in healthcare decisions, particularly in the context of pregnancy. Politically, the bill reflects ongoing discussions in Texas about reproductive rights and healthcare access, positioning it as a potentially contentious issue in future legislative sessions.

As the bill moves through the legislative process, its outcomes could reshape how advance directives are approached in Texas, particularly for pregnant women, setting a precedent for similar legislation in other states. The implications of Senate Bill 360 extend beyond legal frameworks, touching on ethical considerations and the evolving landscape of women's health rights.