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A03245 Summary:

BILL NOA03245A
 
SAME ASSAME AS S00350-A
 
SPONSORRosenthal
 
COSPNSRBronson, Davila
 
MLTSPNSR
 
Amd §§2980, 2981 & 2982, Pub Health L
 
Relates to life-sustaining treatment standards.
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A03245 Actions:

BILL NOA03245A
 
01/27/2025referred to health
02/18/2025amend and recommit to health
02/18/2025print number 3245a
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A03245 Memo:

NEW YORK STATE ASSEMBLY
MEMORANDUM IN SUPPORT OF LEGISLATION
submitted in accordance with Assembly Rule III, Sec 1(f)
 
BILL NUMBER: A3245A
 
SPONSOR: Rosenthal
  TITLE OF BILL: An act to amend the public health law, in relation to the artificial hydration and nutrition decision standard   PURPOSE:• This is one of a series of seven bills, informally referred to as the "Surrogate Decision-Making Improvement Acts." The bills make technical/minor, clarifying and coordinating amendments and other improvements to the Family Health Care Decisions Act (FHCDA) (Ch. 8, Laws of 2010) and other laws that govern health care decisions, includ- ing life-sustaining treatment decisions, for patients who lack deci- sion-making capacity. This bill makes the standards for a health care agent's decision regarding artificial nutrition and hydration consistent with the Family Health Care Decision Act (FHCDA).   SUMMARY OF SPECIFIC PROVISIONS: Section one amends subdivision 4 of section 2980 of the public health law. Section two amends the fourth undesignated paragraph of paragraph (d) of subdivision 5 of section 2981 of the public health law. Section three amends subdivision 2 of section 2982 of the public health law. Section four sets forth the effective date.   JUSTIFICATION: This bill makes the decision-making standard for an agent under the Health Care Proxy Law like the standard for a surrogate under the Family Health Care Decisions Act (FHCDA). Specifically, the FHCDA provides that a surrogate must make decisions about life-sustaining treatment, includ- ing artificial nutrition and hydration, based on the patient's wishes or, if the patient's wishes are not reasonably known, based on the patient's best interests. In contrast, the 1990 Health Care Proxy Law allows the patient's designated agent to make decisions about artificial nutrition and hydration only if the decision is based on the patient's reasonably known wishes, and not if the decision is based on the patient's best interests. There is little basis for this disparity in standards. Moreover, the special rule for decisions about artificial nutrition and hydration in the Health Care Proxy Law has been a source of enduring confusion and misinterpretation. This amendment would make the FHCDA standard, with its careful defi- nition of "best interests," and which no applies to decisions by surro- gates, applicable to decisions by health care agents.   LEGISLATIVE HISTORY:; 2023-24: A.1448 - Referred to Health; S.2777 - Referred to Health 2021-22: A.2634 - Referred to Codes; S.4967 - Referred to Health 2019-20: A.730-A - Referred to Health 2017-18: A.4055 - Referred to Health 2015-16: A.674 - Referred to Health 2013-14: A.9566-B - Reported to Rules; S.7154-A - Referred to Health   FISCAL IMPLICATIONS: None to the State.   EFFECTIVE DATE: 90 days.
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