Texas Code § 166.209

ENFORCEMENT
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Sec. 166.209. ENFORCEMENT. (a) Subject to Sections 166.205 (d), 166.207 , and 166.208 and Subsection (c), a physician, physician assistant, nurse, or other person commits an offense if, with the specific intent to violate this subchapter, the person intentionally:
(1) conceals, cancels, effectuates, or falsifies another person's DNR order in violation of this subchapter; or
(2) conceals or withholds personal knowledge of another person's revocation of a DNR order in violation of this subchapter.
(a-1) An offense under Subsection (a) is a Class A misdemeanor. This section does not preclude prosecution for any other applicable offense.
(b) Subject to Sections 166.205 (d), 166.207 , and 166.208 , a physician, health care professional, health care facility, hospital, or entity is subject to review and disciplinary action by the appropriate licensing authority for intentionally:
(1) failing to effectuate a DNR order in violation of this subchapter; or
(2) issuing a DNR order in violation of this subchapter.
(c) Subsection (a) does not apply to a person whose act or omission was based on a reasonable belief that the act or omission was in compliance with the wishes of the patient or the person responsible for the patient's health care decisions.

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