trust, like a family member or friend, to give health care 
directions for you when you can’t do so yourself. 
‘‘You should consider carefully who to choose to 
speak for you and what directions you want to give to en-
sure your representative clearly reflects your own values 
and treatment preferences. You should not feel pressured 
to violate your own values and preferences, and you are 
entitled to implement them without discrimination based 
on age or degree of disability. 
‘‘There are many resources to help you. 
‘‘By choosing the name of a state at [INSERT name 
of webpage for the index provided in paragraph 4 of this 
subsection and its URL (and, on the clearinghouse 
website, include a hyperlink to it)], you can find sample 
advance directives for that state. You can see any sample 
or required forms given in state law, as well as others from 
individuals or groups with different viewpoints on advance 
health care decisions which you may wish to review before 
completing your own advance directive. 
‘‘Below is contact information for the accredited ven-
dor in your State who will arrange for your advance direc-
tive to be confidentially kept online, where it can be seen 
by doctors who are treating you so they are made aware 
of your wishes. You can also give permission to certain 
other people, like family members or friends, you want to 
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be able to get a copy of your advance directive. If a dis-
agreement about your treatment develops, depending on 
your state’s law certain other people may also be allowed 
to see it. 
‘‘This vendor can also help you create an advance di-
rective online or with paper documents, if you wish. Online 
directives allow you to change or cancel one that no longer 
fits with your wishes in a more timely manner. 
‘‘[INSERT, name and contact information for cur-
rently accredited advance directive vendor (and, on the 
clearinghouse website, hyperlinks to their website).] 
‘‘Although any adult who is capable of doing so can 
use these resources to complete an advance directive at 
any time, Medicare beneficiaries are particularly encour-
aged to do so when enrolling in Medicare or during the 
annual enrollment period when you can choose among dif-
ferent Medicare health insurance alternatives. 
‘‘In addition, some Medicare Advantage plans or sup-
plemental insurance plans may offer a financial incentive 
or other additional benefits for creating an advance direc-
tive online. 
‘‘By completing an advance directive you can not only 
make it more likely that your wishes about health care 
will be known if you are unable to tell them at the time, 
but also spare family, friends, and doctors the difficulty 
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of trying to figure out what you would have wanted. These 
are matters of the highest importance that can affect life- 
or-death decisions, as well as your future comfort and 
well-being. You are encouraged to think about them care-
fully, and give serious consideration to recording your 
wishes in an advance directive.’’. 
Æ 
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