Source: http://www.compassionandsupport.org/index.php/legislation
Timestamp: 2013-05-19 13:15:55
Document Index: 519232720

Matched Legal Cases: ['§ 2977', '§2977', '§ 2977', '§ 2977', '§ 1750', '§ 1750', '§ 1750', '§ 1750', '§ 1750']

Legislation - Compassion and Support - End-of-Life and Palliative Care Planning, MOLST for New York State HOME | EN ESPANOL | CONTACT | FONT A | A | A SEARCH
Current New York State laws and regulations pertinent to Advance Care Planning, Medical Orders for Life-Sustaining Treatment (MOLST), Pain and Palliative Care are included. Family Health Care Decisions Act (FHCDA)
Family Health Care Decisions Act effective June 1, 2010! Applies in hospitals and nursing homes Allows surrogates to make medical decisions Specific surrogate standards, clinical standards and special requirements apply NEW! FHCDA 2994-a Subdivision 5-a and 17-a. Decisions regarding hospice care, including the withdrawal or withholding of life-sustaining treatment, effective September 19, 2011!
Medical Orders for Life-Sustaining Treatment (MOLST) Family Health Care Decisions Act MOLST is integrated into FHCDA Surrogates can make decisions to withhold and/or withdraw life-sustaining treatment using surrogate standards, clinical standards and special requirements set by FHCDA. NEW! FHCDA 2994-a Subdivision 5-a and 17-a. Decisions regarding hospice care, including the withdrawal or withholding of life-sustaining treatment, effective September 19, 2011! Nonhospital DNR Law (Public Health Law § 2977)
MOLST is consistent with PHL§2977(13) MOLST became Statewide and permanent July 8, 2008 MOLST Pilot Project Legislation added Public Health Law § 2977(13) (L. 2005, Ch.734; L. 2006, Ch. 325) Permits NYS Department of Health to authorize MOLST form in lieu of Nonhospital DNR in Monroe and Onondaga Counties “Standard form” does NOT need to be used in pilot counties Carve-out: OMH and OMRDD MOLST Pilot Project Chapter Amendment (Amended PHL § 2977(13) (L. 2005, Ch.734; L. 2006, Ch. 325) Authorization for EMS to honor Do Not Intubate (DNI) instructions prior to full cardiopulmonary arrest in Monroe and Onondaga Counties during MOLST pilot Carve-out: OMH and OMRDD Health Care Decisions Act for Persons with Mental Retardation (Surrogate’s Court Procedure Act § 1750-b) Patient with MR with capacity can complete MOLST form Allows a guardian (Surrogate’s Court Procedure Act § 1750-b) of a mentally retarded person to make end-of-life health care decisions Physician should consult legal counsel for MR patients without capacity. See Surrogate’s Court Procedure Act § 1750-b. 2005 Legislation Added Persons with Developmental Disabilities to the Health Care Decisions Act (Surrogate’s Court Procedure Act § 1750-a) Patient with DD with capacity can complete MOLST form Physician should consult legal counsel for DD patients without capacity. See Surrogate’s Court Procedure Act §§ 1750-a, 1750-b. In the Matter of Westchester County Medical Center, on Behalf of Mary O'Connor. (72 N.Y.2d 517) clarifies “clear and convincing evidence” Palliative Care
Palliative Care Access Act, 2011, NYSPHL2997-d (Effective September 27, 2011) Hospital, nursing home, home care agencies and two types of assisted living residences (enhanced and special needs) shall
estabilsh policies and procedures regarding palliative care, including access to information and counseling facilitate access to appropriate palliative care consultations and services Palliative Care Information Act, 2010 (Effective February 9, 2011) When a patient is diagnosed with a terminal illness, an attending health care practitioner shall offer to provide the patient with information and counseling on palliative care and end-of-life options appropriate to patient. It shall include but not limited to: the patient with information and counseling on the prognosis, risks and benefits of the various options; and the patient's legal rights to comprehensive pain and symptom management at the end of life. Information and counseling can be provided to a person with authority to make health care decisions for the patient if the patient lacks decision making capacity. Palliative Care Education and Training Act Article VII bill, A.4308-C/S.2108-C, 2007-08 Establish a statewide advisory council on palliative care and pain management; Create undergraduate and graduate palliative care training programs; Establish state Department of Health-designated Centers for Palliative Care Excellence; and authorize the Department of Health to certify one or more palliative care resource centers to assist physicians in the treatment of patients in pain $4.6 million is authorized annually, primarily for the training programs. Dear Administrator Letters and Legal Opinions
NYSDOH Dear Chief Executive Officer (CEO) letter re: FHCDA and revised DOH-5003 MOLST form, June 1, 2010 NYSDOH Dear Administrator letter (DAL) letter re: FHCDA and revised DOH-5003 MOLST form, May 28, 2010 Resident Advance Directives and Basic Life Support – January 4, 2007 MOLST DOH Approval Letter – January 17, 2006 DNR Attorney General Opinion 2003 Key Resources
Your Rights as a Hospital Patient in NYS, NYSDOH, June 2010 The Health Care Proxy Law: A Guidebook for Health Care Professionals Task Force on Life and the Law Ethical Issues Related to CPR and DNAR, American Heart Association Cardiopulmonary Resuscitation (CPR) Equipment Required in Restaurants, Bars, Theaters and Health Clubs Forms
Health Care Proxy Form Living Will Form Actionable Medical Orders
DOH Form 3474 Nonhospital DNR Order Medical Orders for Life-Sustaining Treatment (MOLST)