Anatomical Gifts - As introduced, creates a process by which an individual or terminal patient can refuse to make an anatomical gift that cannot be amended by another person; requires a procurement organization to follow certain procedures for contacting a decedent's family member or other authorized person. - Amends TCA Title 63 and Title 68.

HB 1046 clarifies an individual's right to refuse donating their body or body parts for medical use (anatomical gifts), directly affecting patients, terminal patients, and their families. It requires individuals to provide a written refusal (or terminal patients to state it orally) that legally blocks others from making or changing a donation decision. Procurement organizations must follow strict procedures: if a refusal exists, they cannot contact family and must immediately release remains to the funeral home authorized by the next of kin. The bill also adds penalties for repeated violations by organizations, including $500 fines after three violations.