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This is a Bill, not an Act. For current law, see the Acts databases.


HUMAN TISSUE AMENDMENT (ANTE-MORTEM INTERVENTIONS) BILL 2023





                              New South Wales




Human Tissue Amendment (Ante-mortem
Interventions) Bill 2024
Contents
                                                                              Page

             1   Name of Act                                                    2
             2   Commencement                                                   2
Schedule 1       Amendment of Human Tissue Act 1983 No 164                      3
I certify that this public bill, which originated in the Legislative Assembly, has finally passed
the Legislative Council and the Legislative Assembly of New South Wales.

                                                Clerk of the Legislative Assembly.
                                                Legislative Assembly,
                                                Sydney,                                   , 2024




                                    New South Wales




Human Tissue Amendment (Ante-mortem
Interventions) Bill 2024

Act No        , 2024



An Act to amend the Human Tissue Act 1983 to allow ante-mortem procedures to be carried out
to facilitate post-mortem tissue donation; and for related purposes.




I have examined this bill and find it to correspond in all respects with the bill as finally
passed by both Houses.

                                                Assistant Speaker of the Legislative Assembly.
Human Tissue Amendment (Ante-mortem Interventions) Bill 2024 [NSW]




The Legislature of New South Wales enacts--
 1    Name of Act
            This Act is the Human Tissue Amendment (Ante-mortem Interventions) Act 2024.
 2    Commencement
            This Act commences on the day that is 4 months after the date of assent to this Act.




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Human Tissue Amendment (Ante-mortem Interventions) Bill 2024 [NSW]
Schedule 1 Amendment of Human Tissue Act 1983 No 164



Schedule 1            Amendment of Human Tissue Act 1983 No 164
[1]   Section 4 Definitions
      Omit "senior available next of kin means--" from section 4(1), definition of senior
      available next of kin.
      Insert instead "senior available next of kin, other than in Part 4A, means--".
[2]   Part 4A
      Insert after Part 4--

      Part 4A Ante-mortem procedures for donation of tissue
              after death
      27B   Definitions
                   In this part--
                   ante-mortem procedure means the following medical procedures, other than
                   normothermic regional perfusion, carried out to determine, maintain or
                   improve the viability of tissue for a relevant purpose--
                    (a) the administration of medication,
                   (b) the removal of blood and tissue for testing,
                    (c) medical imaging and other diagnostic procedures,
                   (d) blood transfusions for the purpose of improving organ viability.
                   potential tissue donor means the person on whom an ante-mortem procedure
                   is to be carried out.
                   relevant purpose means the expected transplantation of tissue, excluding
                   gametes, from a potential tissue donor's body, after the potential tissue donor's
                   death, to the body of another living person.
                   senior available next of kin, of a potential tissue donor, means--
                    (a) in relation to a child who is a potential tissue donor--
                            (i) a parent of the child, or
                           (ii) if a parent of the child is not available--a brother or sister of the
                                 child who is at least 18 years of age, or
                          (iii) if no person referred to in subparagraph (i) or (ii) is available--a
                                 guardian of the child, and
                   (b) otherwise--
                            (i) the potential tissue donor's spouse, or
                           (ii) if the potential tissue donor does not have a spouse or the
                                 potential tissue donor's spouse is not available--a child of the
                                 potential tissue donor who is at least 18 years of age, or
                          (iii) if no person referred to in subparagraph (i) or (ii) is available--a
                                 parent of the potential tissue donor, or
                          (iv) if no person referred to in subparagraph (i), (ii) or (iii) is
                                 available--a brother or sister of the potential tissue donor who is
                                 at least 18 years of age.
      27C   Authority to carry out ante-mortem procedures
             (1)   A designated officer in relation to a hospital may authorise the carrying out of
                   an ante-mortem procedure if the potential tissue donor provides consent.


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Human Tissue Amendment (Ante-mortem Interventions) Bill 2024 [NSW]
Schedule 1 Amendment of Human Tissue Act 1983 No 164



             (2)   If the potential tissue donor lacks the capacity to provide consent under
                   subsection (1), the designated officer may authorise the carrying out of an
                   ante-mortem procedure if--
                    (a) there are one or more senior available next of kin of the potential tissue
                          donor and a senior available next of kin provides consent under section
                          27D, or
                   (b) there are no known senior available next of kin of the potential tissue
                          donor and the designated officer is satisfied that--
                           (i) the potential tissue donor has, during the potential tissue donor's
                                lifetime, provided consent in writing to the removal of tissue for
                                a relevant purpose, and
                          (ii) the consent has not been revoked, and
                         (iii) the potential tissue donor has not expressed an objection to the
                                carrying out of an ante-mortem procedure on the potential tissue
                                donor.
             (3)   Despite subsections (1) and (2), a designated officer must not give an
                   authorisation unless--
                   (a) the designated officer is reasonably satisfied an authorisation to remove
                         tissue after the death of the potential tissue donor under the Act, Part 4
                         will be given, and
                   (b) a prescribed practitioner has certified in writing that the prescribed
                         practitioner is reasonably satisfied--
                          (i) the death of the potential tissue donor is imminently expected,
                                and
                         (ii) the carrying out of an ante-mortem procedure on the potential
                                tissue donor will not--
                                (A) hasten the death of the potential tissue donor, or
                                (B) cause more than minimal harm to the potential tissue
                                       donor, or
                                (C) cause undue risk to the potential tissue donor.
             (4)   In this section--
                   experienced medical practitioner means a medical practitioner who has been
                   a registered medical practitioner for at least 5 years.
                   prescribed practitioner means a designated specialist or, if a designated
                   specialist is not available, an experienced medical practitioner, who is not
                   involved in--
                    (a) transplantation procedures, or
                   (b) the care of the potential tissue donor, or
                    (c) the care of a potential recipient of tissue.
     27D     Senior available next of kin may consent to ante-mortem procedures
             (1)   A senior available next of kin may consent to the carrying out of an
                   ante-mortem procedure on a potential tissue donor.
             (2)   The senior available next of kin must not provide consent under subsection (1)
                   unless the senior available next of kin is satisfied that there is no reason to
                   believe the potential tissue donor has expressed an objection to the carrying
                   out of an ante-mortem procedure on the potential tissue donor.




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Human Tissue Amendment (Ante-mortem Interventions) Bill 2024 [NSW]
Schedule 1 Amendment of Human Tissue Act 1983 No 164



     27E    Effect of an authority
                   An authority under section 27C is sufficient authority for the carrying out of
                   an ante-mortem procedure on a potential tissue donor.
     27F    Relationship with Guardianship Act 1987
             (1)   An authority under section 27C has effect despite the Guardianship Act 1987.
             (2)   Despite subsection (1), an authority under section 27C does not have effect
                   if--
                    (a) a person responsible has given consent to treatment on the potential
                         tissue donor under the Guardianship Act 1987, Part 5, and
                   (b) the treatment is incompatible with the ante-mortem procedure.
             (3)   In this section--
                   person responsible has the same meaning as in the Guardianship Act 1987,
                   Part 5.
                   treatment has the same meaning as in the Guardianship Act 1987, Part 5.
     27G    Ante-mortem procedure not to interfere with coroner's functions
                   Despite the other provisions of this part, an ante-mortem procedure must not
                   be carried out if the procedure is reasonably likely to interfere with the
                   functions of the coroner under the Coroners Act 2009 in respect of the death
                   of the potential tissue donor.




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