House Bill 2429
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Florida House of Representatives - 2000 HB 2429
By the Committee on Elder Affairs & Long-Term Care and
Representative Argenziano
1 A bill to be entitled
2 An act relating to end-of-life care; amending
3 s. 395.1041, F.S.; specifying conditions under
4 which hospital personnel may withhold
5 resuscitation; clarifying intent regarding
6 orders not to resuscitate; amending ss.
7 400.142, 400.4255, and 400.6095, F.S.;
8 clarifying intent regarding orders not to
9 resuscitate issued and acted upon by a
10 physician and staff in a nursing home, assisted
11 living facility, or hospice; amending s.
12 401.45, F.S., relating to emergency treatment;
13 requiring use of official form for a valid
14 do-not-resuscitate order; specifying required
15 signatures; specifying authorized substitute
16 signatures; amending s. 455.597, F.S., relating
17 to licensure renewal requirements for certain
18 health care professionals; providing for
19 substitution of continuing education programs
20 or courses on end-of-life care and palliative
21 health care for any authorized domestic
22 violence continuing education program or course
23 taken within a specified period; amending s.
24 765.102, F.S., relating to legislative findings
25 and intent; adding legislative intent to allow
26 a person to plan for future incapacity orally
27 or by executing a document; encouraging health
28 care professionals to rapidly increase their
29 understanding of end-of-life and palliative
30 health care; requiring a statewide, culturally
31 sensitive public education campaign on
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1 end-of-life care; creating s. 765.1103, F.S.;
2 requiring certain health care facilities,
3 providers, and practitioners to provide
4 patients with certain information and comply
5 with patient requests for pain management and
6 palliative care; amending s. 765.203, F.S.;
7 revising the suggested form for designating a
8 health care surrogate to include reference to
9 anatomical gift declarations; amending s.
10 765.204, F.S.; revising the procedure for
11 determining a principal's capacity; providing
12 cross references; amending s. 765.205, F.S.;
13 providing responsibilities of a health care
14 surrogate with respect to medical records of
15 the principal; amending s. 765.303, F.S.;
16 revising the suggested form for a living will;
17 amending s. 765.305, F.S.; revising the
18 prerequisite circumstances on which a health
19 care surrogate must rely before authorizing
20 withholding or withdrawing of medical treatment
21 in the absence of a living will; amending s.
22 765.306, F.S., relating to determination of
23 patient condition; revising the factors that
24 must be evaluated for determining whether a
25 living will may take effect; amending s.
26 765.401, F.S.; revising conditions for a proxy
27 to make health care decisions on behalf of a
28 patient; deleting requirements that the proxy
29 act in accordance with a written declaration or
30 that the patient have certain specified medical
31 conditions before a proxy may consent to
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1 withholding or withdrawing life-prolonging
2 procedures; providing cross references;
3 creating the End-of-Life Care Workgroup;
4 providing membership and duties of the
5 workgroup; requiring a report; providing an
6 effective date.
7
8 Be It Enacted by the Legislature of the State of Florida:
9
10 Section 1. Paragraph (l) of subsection (3) of section
11 395.1041, Florida Statutes, is amended to read:
12 395.1041 Access to emergency services and care.--
13 (3) EMERGENCY SERVICES; DISCRIMINATION; LIABILITY OF
14 FACILITY OR HEALTH CARE PERSONNEL.--
15 (l) Hospital emergency services personnel may withhold
16 or withdraw cardiopulmonary resuscitation if presented with an
17 order not to resuscitate executed pursuant to s. 401.45.
18 Facility staff and facilities shall not be subject to criminal
19 prosecution or civil liability, nor be considered to have
20 engaged in negligent or unprofessional conduct, for
21 withholding or withdrawing cardiopulmonary resuscitation
22 pursuant to such an order. The absence of an order not to
23 resuscitate executed pursuant to s. 401.45 does not preclude a
24 physician from withholding or withdrawing cardiopulmonary
25 resuscitation as otherwise permitted by law.
26 Section 2. Subsection (3) of section 400.142, Florida
27 Statutes, is amended to read:
28 400.142 Emergency medication kits; orders not to
29 resuscitate.--
30 (3) Facility staff may withhold or withdraw
31 cardiopulmonary resuscitation if presented with an order not
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1 to resuscitate executed pursuant to s. 401.45. The agency
2 shall adopt rules providing for the implementation of such
3 orders. Facility staff and facilities shall not be subject to
4 criminal prosecution or civil liability, nor be considered to
5 have engaged in negligent or unprofessional conduct, for
6 withholding or withdrawing cardiopulmonary resuscitation
7 pursuant to such an order and rules adopted by the agency. The
8 absence of an order not to resuscitate executed pursuant to s.
9 401.45 does not preclude a physician from issuing an order not
10 to resuscitate as otherwise permitted by law.
11 Section 3. Subsection (3) of section 400.4255, Florida
12 Statutes, is amended to read:
13 400.4255 Use of personnel; emergency care.--
14 (3) Facility staff may withhold or withdraw
15 cardiopulmonary resuscitation if presented with an order not
16 to resuscitate executed pursuant to s. 401.45. The department
17 shall adopt rules providing for the implementation of such
18 orders. Facility staff and facilities shall not be subject to
19 criminal prosecution or civil liability, nor be considered to
20 have engaged in negligent or unprofessional conduct, for
21 withholding or withdrawing cardiopulmonary resuscitation
22 pursuant to such an order and rules adopted by the department.
23 The absence of an order not to resuscitate executed pursuant
24 to s. 401.45 does not preclude a physician from issuing an
25 order not to resuscitate as otherwise permitted by law.
26 Section 4. Subsection (8) of section 400.6095, Florida
27 Statutes, is amended to read:
28 400.6095 Patient admission; assessment; plan of care;
29 discharge; death.--
30 (8) The hospice care team may withhold or withdraw
31 cardiopulmonary resuscitation if presented with an order not
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1 to resuscitate executed pursuant to s. 401.45. The department
2 shall adopt rules providing for the implementation of such
3 orders. Hospice staff shall not be subject to criminal
4 prosecution or civil liability, nor be considered to have
5 engaged in negligent or unprofessional conduct, for
6 withholding or withdrawing cardiopulmonary resuscitation
7 pursuant to such an order and rules adopted by the department.
8 The absence of an order not to resuscitate executed pursuant
9 to s. 401.45 does not preclude a physician from issuing an
10 order not to resuscitate as otherwise permitted by law.
11 Section 5. Paragraph (a) of subsection (3) of section
12 401.45, Florida Statutes, is amended to read:
13 401.45 Denial of emergency treatment; civil
14 liability.--
15 (3)(a) Resuscitation may be withheld or withdrawn from
16 a patient by an emergency medical technician or paramedic if
17 evidence of an order not to resuscitate by the patient's
18 physician is presented to the emergency medical technician or
19 paramedic. An order not to resuscitate, to be valid, must be
20 on the form adopted by rule of the department. The form must
21 be signed by the patient's physician and by the patient or, if
22 the patient is incapacitated, the patient's health care
23 surrogate or proxy as provided in chapter 765, court-appointed
24 guardian as provided in chapter 744, or attorney in fact under
25 a durable power of attorney as provided in chapter 709. The
26 court-appointed guardian or attorney in fact must have been
27 delegated authority to make health care decisions on behalf of
28 the patient.
29 Section 6. Section 455.597, Florida Statutes, is
30 amended to read:
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1 455.597 Requirement for instruction on domestic
2 violence.--
3 (1)(a) The appropriate board shall require each person
4 licensed or certified under chapter 458, chapter 459, chapter
5 464, chapter 466, chapter 467, chapter 490, or chapter 491 to
6 complete a 1-hour continuing education course, approved by the
7 board, on domestic violence, as defined in s. 741.28, as part
8 of biennial relicensure or recertification. The course shall
9 consist of information on the number of patients in that
10 professional's practice who are likely to be victims of
11 domestic violence and the number who are likely to be
12 perpetrators of domestic violence, screening procedures for
13 determining whether a patient has any history of being either
14 a victim or a perpetrator of domestic violence, and
15 instruction on how to provide such patients with information
16 on, or how to refer such patients to, resources in the local
17 community, such as domestic violence centers and other
18 advocacy groups, that provide legal aid, shelter, victim
19 counseling, batterer counseling, or child protection services.
20 (b) Each such licensee or certificateholder shall
21 submit confirmation of having completed such course, on a form
22 provided by the board, when submitting fees for each biennial
23 renewal.
24 (c) The board may approve additional equivalent
25 courses that may be used to satisfy the requirements of
26 paragraph (a). Each licensing board that requires a licensee
27 to complete an educational course pursuant to this subsection
28 may include the hour required for completion of the course in
29 the total hours of continuing education required by law for
30 such profession unless the continuing education requirements
31 for such profession consist of fewer than 30 hours biennially.
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1 (d) Any person holding two or more licenses subject to
2 the provisions of this subsection shall be permitted to show
3 proof of having taken one board-approved course on domestic
4 violence, for purposes of relicensure or recertification for
5 additional licenses.
6 (e) Failure to comply with the requirements of this
7 subsection shall constitute grounds for disciplinary action
8 under each respective practice act and under s. 455.624(1)(k).
9 In addition to discipline by the board, the licensee shall be
10 required to complete such course.
11 (2) The board shall also require, as a condition of
12 granting a license under any chapter specified in paragraph
13 (1)(a), that each applicant for initial licensure under the
14 appropriate chapter complete an educational course acceptable
15 to the board on domestic violence which is substantially
16 equivalent to the course required in subsection (1). An
17 applicant who has not taken such course at the time of
18 licensure shall, upon submission of an affidavit showing good
19 cause, be allowed 6 months to complete such requirement.
20 (3) In lieu of completing a course as required in
21 subsection (1), a licensee or certificateholder may complete a
22 course in end-of-life care and palliative health care, if the
23 licensee or certificateholder has completed an approved
24 domestic violence course in the immediately preceding
25 biennium.
26 (4)(3) Each board may adopt rules to carry out the
27 provisions of this section.
28 (5)(4) Each board shall report to the President of the
29 Senate, the Speaker of the House of Representatives, and the
30 chairs of the appropriate substantive committees of the
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1 Legislature by March 1 of each year as to the implementation
2 of and compliance with the requirements of this section.
3 Section 7. Section 765.102, Florida Statutes, is
4 amended to read:
5 765.102 Legislative findings and intent.--
6 (1) The Legislature finds that every competent adult
7 has the fundamental right of self-determination regarding
8 decisions pertaining to his or her own health, including the
9 right to choose or refuse medical treatment. This right is
10 subject to certain interests of society, such as the
11 protection of human life and the preservation of ethical
12 standards in the medical profession.
13 (2) To ensure that such right is not lost or
14 diminished by virtue of later physical or mental incapacity,
15 the Legislature intends that a procedure be established to
16 allow a person to plan for incapacity by executing a document
17 or orally designating another person to direct the course of
18 his or her medical treatment upon his or her incapacity. Such
19 procedure should be less expensive and less restrictive than
20 guardianship and permit a previously incapacitated person to
21 exercise his or her full right to make health care decisions
22 as soon as the capacity to make such decisions has been
23 regained.
24 (3) The Legislature recognizes that for some the
25 administration of life-prolonging medical procedures may
26 result in only a precarious and burdensome existence. In order
27 to ensure that the rights and intentions of a person may be
28 respected even after he or she is no longer able to
29 participate actively in decisions concerning himself or
30 herself, and to encourage communication among such patient,
31 his or her family, and his or her physician, the Legislature
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1 declares that the laws of this state recognize the right of a
2 competent adult to make an advance directive instructing his
3 or her physician to provide, withhold, or withdraw
4 life-prolonging procedures, or to designate another to make
5 the treatment decision for him or her in the event that such
6 person should become incapacitated and unable to personally
7 direct his or her medical care.
8 (4) The Legislature recognizes the need for all health
9 care professionals to rapidly increase their understanding of
10 end-of-life and palliative health care. Therefore, the
11 Legislature encourages the professional regulatory boards to
12 adopt appropriate standards and guidelines regarding
13 end-of-life care and pain management and encourages
14 educational institutions established to train health care
15 professionals and allied health professionals to implement
16 curricula to train such professionals to provide end-of-life
17 care, including pain management and palliative care.
18 (5) The Department of Elderly Affairs, the Agency for
19 Health Care Administration, and the Department of Health shall
20 jointly create a campaign on end-of-life care for purposes of
21 educating the public. This campaign shall include culturally
22 sensitive programs to improve understanding of end-of-life
23 care issues in minority communities.
24 Section 8. Section 765.1103, Florida Statutes, is
25 created to read:
26 765.1103 Pain management and palliative care.--
27 (1) A patient shall be given information concerning
28 pain management and palliative care when he or she discusses
29 with the attending or treating physician, or such physician's
30 designee, the diagnosis, planned course of treatment,
31 alternatives, risks, or prognosis for his or her illness. If
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1 the patient is incapacitated, the information shall be given
2 to the patient's health care surrogate or proxy as provided in
3 chapter 765, court-appointed guardian as provided in chapter
4 744, or attorney in fact under a durable power of attorney as
5 provided in chapter 709. The court-appointed guardian or
6 attorney in fact must have been delegated authority to make
7 health care decisions on behalf of the patient.
8 (2) Health care providers and practitioners regulated
9 under chapter 458, chapter 459, or chapter 464 must, as
10 appropriate, comply with a request for pain management or
11 palliative care from a patient under their care or, for an
12 incapacitated patient under their care, from a surrogate,
13 proxy, guardian, or other representative permitted to make
14 health care decisions for the incapacitated patient.
15 Facilities regulated under chapter 400 or chapter 395 must
16 comply with the pain management or palliative care measures
17 ordered by the patient's physician.
18 Section 9. Section 765.203, Florida Statutes, is
19 amended to read:
20 765.203 Suggested form of designation.--A written
21 designation of a health care surrogate executed pursuant to
22 this chapter may, but need not be, in the following form:
23
24 DESIGNATION OF HEALTH CARE SURROGATE
25
26 Name:....(Last)....(First)....(Middle Initial)....
27 In the event that I have been determined to be
28 incapacitated to provide informed consent for medical
29 treatment and surgical and diagnostic procedures, I wish to
30 designate as my surrogate for health care decisions:
31
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1 Name:.........................................................
2 Address:......................................................
3 .................................................. Zip Code:....
4 Phone:................
5 If my surrogate is unwilling or unable to perform his
6 or her duties, I wish to designate as my alternate surrogate:
7 Name:.........................................................
8 Address:......................................................
9 .................................................. Zip Code:....
10 Phone:................
11 I fully understand that this designation will permit my
12 designee to make health care decisions, except for anatomical
13 gifts, unless I have executed an anatomical gift declaration
14 pursuant to law, and to provide, withhold, or withdraw consent
15 on my behalf; to apply for public benefits to defray the cost
16 of health care; and to authorize my admission to or transfer
17 from a health care facility.
18 Additional instructions (optional):...........................
19 ..............................................................
20 ..............................................................
21 ..............................................................
22 I further affirm that this designation is not being
23 made as a condition of treatment or admission to a health care
24 facility. I will notify and send a copy of this document to
25 the following persons other than my surrogate, so they may
26 know who my surrogate is.
27 Name:.........................................................
28 Name:.........................................................
29 ..............................................................
30 ..............................................................
31 Signed:.......................................................
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1 Date:.........................................................
2 Witnesses: 1.................................................
3 2.................................................
4 Section 10. Subsection (2) of section 765.204, Florida
5 Statutes, is amended to read:
6 765.204 Capacity of principal; procedure.--
7 (2) If a principal's capacity to make health care
8 decisions for herself or himself or provide informed consent
9 is in question, the attending physician shall evaluate the
10 principal's capacity and, if the physician concludes that the
11 principal lacks capacity, enter that evaluation in the
12 principal's medical record. If the attending physician has a
13 question as to whether the principal lacks capacity, another
14 physician shall also evaluate the principal's capacity, and.
15 if the second physician agrees that the principal lacks the
16 capacity to make health care decisions or provide informed
17 consent, the health care facility shall enter both physicians'
18 physician's evaluations in the principal's medical clinical
19 record. and, If the principal has designated a health care
20 surrogate or has delegated authority to make health care
21 decisions to an attorney in fact under a durable power of
22 attorney, the facility, shall notify such surrogate or
23 attorney in fact in writing that her or his authority under
24 the instrument has commenced, as provided in s. 765.203 or
25 chapter 709, respectively.
26 Section 11. Section 765.205, Florida Statutes, is
27 amended to read:
28 765.205 Responsibility of the surrogate.--
29 (1) The surrogate, in accordance with the principal's
30 instructions, unless such authority has been expressly limited
31 by the principal, shall:
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1 (a) Have authority to act for the principal and to
2 make all health care decisions for the principal during the
3 principal's incapacity, in accordance with the principal's
4 instructions, unless such authority has been expressly limited
5 by the principal.
6 (b) Consult expeditiously with appropriate health care
7 providers to provide informed consent, and make only health
8 care decisions for the principal which he or she believes the
9 principal would have made under the circumstances if the
10 principal were capable of making such decisions.
11 (c) Provide written consent using an appropriate form
12 whenever consent is required, including a physician's order
13 not to resuscitate.
14 (d) Be provided access to the appropriate medical
15 clinical records of the principal.
16 (e) Apply for public benefits, such as Medicare and
17 Medicaid, for the principal and have access to information
18 regarding the principal's income and assets and banking and
19 financial records to the extent required to make application.
20 A health care provider or facility may not, however, make such
21 application a condition of continued care if the principal, if
22 capable, would have refused to apply.
23 (2) The surrogate may authorize the release of
24 information and medical clinical records to appropriate
25 persons to ensure the continuity of the principal's health
26 care and may authorize the admission, discharge, or transfer
27 of the principal to or from a health care facility or other
28 facility or program licensed under chapter 400.
29 (3) If, after the appointment of a surrogate, a court
30 appoints a guardian, the surrogate shall continue to make
31 health care decisions for the principal, unless the court has
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1 modified or revoked the authority of the surrogate pursuant to
2 s. 744.3115. The surrogate may be directed by the court to
3 report the principal's health care status to the guardian.
4 Section 12. Subsection (1) of section 765.303, Florida
5 Statutes, is amended to read:
6 765.303 Suggested form of a living will.--
7 (1) A living will may, BUT NEED NOT, be in the
8 following form:
9 Living Will
10 Declaration made this .... day of ...., ...(year)...,
11 I, ........, willfully and voluntarily make known my desire
12 that my dying not be artificially prolonged under the
13 circumstances set forth below, and I do hereby declare that,
14 if at any time I am both mentally and physically incapacitated
15 and
16 ...(initial)... and I have a terminal condition
17 or ...(initial)... and I have an end-stage end-state
18 condition
19 or ...(initial)... and I am in a persistent vegetative
20 state
21
22 and if my attending or treating physician and another
23 consulting physician have determined that there is no
24 reasonable medical probability of my recovery from such
25 condition, I direct that life-prolonging procedures be
26 withheld or withdrawn when the application of such procedures
27 would serve only to prolong artificially the process of dying,
28 and that I be permitted to die naturally with only the
29 administration of medication or the performance of any medical
30 procedure deemed necessary to provide me with comfort care or
31 to alleviate pain.
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1 It is my intention that this declaration be honored by
2 my family and physician as the final expression of my legal
3 right to refuse medical or surgical treatment and to accept
4 the consequences for such refusal.
5 In the event that I have been determined to be unable
6 to provide express and informed consent regarding the
7 withholding, withdrawal, or continuation of life-prolonging
8 procedures, I wish to designate, as my surrogate to carry out
9 the provisions of this declaration:
10
11 Name:.........................................................
12 Address:......................................................
13 .................................................. Zip Code:....
14 Phone:................
15 I understand the full import of this declaration, and I
16 am emotionally and mentally competent to make this
17 declaration.
18 Additional Instructions (optional):
19 ..............................................................
20 ..............................................................
21 ..............................................................
22 ....(Signed)....
23 ....Witness....
24 ....Address....
25 ....Phone....
26 ....Witness....
27 ....Address....
28 ....Phone....
29 Section 13. Subsection (2) of section 765.305, Florida
30 Statutes, is amended to read:
31 765.305 Procedure in absence of a living will.--
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1 (2) Before exercising the incompetent patient's right
2 to forego treatment, the surrogate must be satisfied that:
3 (a) The patient does not have a reasonable medical
4 probability of recovering capacity so that the right could be
5 exercised by the patient; and.
6 (b) The patient is both mentally and physically
7 incapacitated with no reasonable medical probability of
8 recovery, The patient has an end-stage condition, the patient
9 is in a persistent vegetative state, or the patient's physical
10 condition is terminal.
11 Section 14. Section 765.306, Florida Statutes, is
12 amended to read:
13 765.306 Determination of patient condition.--In
14 determining whether the patient has a terminal condition, has
15 an end-stage condition, or is in a persistent vegetative state
16 or may recover mental and physical capacity, or whether a
17 medical condition or limitation referred to in an advance
18 directive exists, the patient's attending or treating
19 physician and at least one other consulting physician must
20 separately examine the patient. The findings of each such
21 examination must be documented in the patient's medical record
22 and signed by each examining physician before life-prolonging
23 procedures may be withheld or withdrawn.
24 Section 15. Subsection (3) of section 765.401, Florida
25 Statutes, is amended to read:
26 765.401 The proxy.--
27 (3) Before exercising the incapacitated patient's
28 rights to select or decline health care, the proxy must comply
29 with the pertinent provisions of ss. 765.205 and 765.305
30 applicable to surrogates under this chapter, except that a
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1 proxy's decision to withhold or withdraw life-prolonging
2 procedures must either:
3 (a) Be supported by a written declaration; or
4 (b) If there is no written declaration, the patient
5 must have a terminal condition, have an end-stage condition,
6 or be in a persistent vegetative state, and the proxy's
7 decision must be supported by clear and convincing evidence
8 that the decision would have been the one the patient would
9 have chosen had the patient been competent.
10 Section 16. End-of-Life Care Workgroup.--
11 (1) There is created within the Department of Elderly
12 Affairs the End-of-Life Care Workgroup. The workgroup shall:
13 (a) Examine reimbursement methodologies for
14 end-of-life care.
15 (b) Identify end-of-life care standards that will
16 enable all health care providers along the health-care
17 continuum to participate in an excellent system of delivering
18 end-of-life care.
19 (c) Develop recommendations for incentives for
20 appropriate end-of-life care.
21 (2) The workgroup is composed of the Secretary of
22 Elderly Affairs or his or her designee; the Secretary of
23 Health or his or her designee; the Director of Health Care
24 Administration or his or her designee; a member of the Senate,
25 appointed by the President of the Senate; a member of the
26 House of Representatives, appointed by the Speaker of the
27 House of Representatives; and one representative from each of
28 the following organizations: the Florida Hospital Association,
29 the Florida Medical Association, the Florida Osteopathic
30 Medical Association, the Florida Nurses Association, the
31 Florida Acupuncture Association, the Florida Pharmacy
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1 Association, Florida Hospices and Palliative Care, Inc., the
2 Florida Health Care Association, the Florida Assisted Living
3 Association, the Florida Association of Homes for the Aging,
4 the Florida Life Care Residents Association, the Florida
5 Association of Insurance and Financial Advisors, and the
6 Florida Association of Health Maintenance Organizations.
7 (3) The workgroup shall exist for 1 year and shall
8 meet as often as necessary to carry out its duties and
9 responsibilities. Within existing resources, the Department of
10 Elderly Affairs shall provide support services to the
11 workgroup. Workgroup members shall serve without compensation.
12 (4) The workgroup shall submit a report of its
13 findings and recommendations to the Governor, the President of
14 the Senate, and the Speaker of the House of Representatives by
15 December 31, 2000.
16 (5) This section expires May 1, 2001.
17 Section 17. This act shall take effect upon becoming a
18 law.
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2 HOUSE SUMMARY
3
Specifies conditions under which hospital personnel may
4 withhold resuscitation. Clarifies intent regarding
do-not-resuscitate orders in hospitals, nursing homes,
5 assisted living facilities, and hospices. Requires use of
an official form for a valid do-not-resuscitate order in
6 emergency treatment. Provides for substitution of
continuing education on end-of-life and palliative care
7 for domestic violence continuing education, for certain
health care professionals. Requires a statewide,
8 culturally sensitive public education campaign on
end-of-life care. Requires certain health care
9 facilities, providers, and practitioners to provide
patients with information about, and comply with patient
10 requests for, pain management and palliative care.
Revises the suggested form for designation of a health
11 care surrogate to include reference to anatomical gift
declarations. Revises procedure for determining a
12 principal's capacity. Provides responsibilities of a
health care surrogate regarding the principal's medical
13 records. Revises the suggested form for a living will.
Revises prerequisite circumstances for a health care
14 surrogate to authorize withholding or withdrawing medical
treatment in the absence of a living will. Revises
15 factors that must be evaluated for determining whether a
living will may take effect. Revises conditions for a
16 proxy to make health care decisions on behalf of a
patient. Removes requirements that a proxy act in
17 accordance with a written declaration or that the patient
have certain specified medical conditions before a proxy
18 may consent to withholding or withdrawing life-prolonging
procedures. Creates the End-of-Life Care Workgroup,
19 provides membership and duties, and requires a report to
the Governor and Legislature. See bill for details.
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27
28
29
30
31
19