Source: http://www.bclaws.ca/Recon/document/ID/freeside/00_96181_01
Timestamp: 2016-10-24 20:13:43
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Matched Legal Cases: ['art 1', 'art 2', 'art 2', 'art 3', 'art 4', 'art 5', 'art 1', 'art 2', 'art 2', 'art 2', 'art 2', 'art 3', 'art 4', 'art 5', 'art 2']

Health Care (Consent) and Care Facility (Admission) ActSearch Results | Clear Search | Previous (in doc) | Next (in doc) | Prev Doc | Next DocCopyright (c) Queen's Printer,	Victoria, British Columbia, CanadaLicenseDisclaimerThis Act has "Not in Force" sections. See the	Table of	Legislative Changes.Health Care (Consent) and Care Facility (Admission) Act[RSBC 1996] CHAPTER
181Contents
Part 1 — Introductory Provisions 1Definitions 2Application of this Act 3Presumption of capability Part 2 — Consent to Health Care 4Consent rights 5General rule — consent needed 6Elements of consent 7How incapability is determined 8Duty to communicate in appropriate manner 9How consent is given and scope of consent 10Same rules apply to substitute consent 11Exception — if a substitute decision maker, guardian or representative consents 12Exception — urgent or emergency health care 12.1No emergency health care contrary to wishes 12.2Emergency health care despite refusal 13Exception — informed consent not required for preliminary examination 14Exception — major health care 15Exception — minor health care 16Temporary substitute decision makers 17Authority of a temporary substitute decision maker 18Restrictions on authority of a temporary substitute decision maker 19Duties of a temporary substitute decision maker Part 2.1 — Advance Directives 19.1Adult may make advance directive unless incapable 19.2Scope of advance directive 19.3If both advance directive and representation agreement 19.4Form of advance directive 19.5Execution of advance directive 19.6Changing or revoking an advance directive 19.7Providing health care if adult has advance directive 19.8When advance directive does not apply 19.9Withdrawal of health care 19.91Advance directive must not be mandatory Part 3 20–26Not in force Part 4 27–32Repealed Part 5 — General Provisions 33Protection from liability 33.1Collection of personal information 33.2–33.3Repealed 33.4Court directions and orders 34Power to make regulations 35Offence 35.1Transitional — advance directives 36Commencement Part 1 — Introductory ProvisionsDefinitions1 In this Act:
"adult" means anyone who has reached 19 years of
"advance directive" means a written instruction made by a
capable adult that
gives or refuses consent to health care for the adult in the event that the
adult is not capable of giving the instruction at the time the health care is
complies with the requirements of Part 2.1;
a facility licensed under the Community Care and Assisted Living Act and regulated under the Residential Care
Regulations, B.C. Reg. 96/2009,
a private hospital licensed under Part 2 of the Hospital Act, (c)
an institution designated as a hospital under the Hospital Act for the treatment of persons referred to in paragraph (b)
of the definition of "hospital" in that Act, or
any other facility, or class of facility, designated by regulation as a care
"close friend", in respect of an adult who needs health care,
means another adult who has a long-term, close personal relationship involving frequent
personal contact with the adult, but does not include a person who receives compensation
for providing personal care or health care to that adult;
"court" means the Supreme Court of British
"facility care proposal" means a proposal described in
preventive, palliative, diagnostic, cosmetic or other purpose related to health, and
a series or sequence of similar treatments or care administered to an adult
over a period of time for a particular health problem,
a plan for minor health care that(i) is developed by one or more health care providers,(ii) deals with one or more of the health problems that an adult has and may, in
addition, deal with one or more of the health problems that an adult is likely to
have in the future given the adult's current health condition, and(iii) expires no later than 12 months from the date consent for the plan was
given, and
participation in a medical research program approved by an ethics committee
"health care provider" means a person, or a person in a
prescribed class of persons, who, under a prescribed Act, is licensed, certified or
registered to provide health care;
any treatment involving a general anesthetic,
major diagnostic or investigative procedures, or
any health care designated by regulation as major health care;
"minor health care" means any health care that is not major
routine tests to determine if health care is necessary, and
routine dental treatment that prevents or treats a condition or injury caused
by disease or trauma, for example,(i) cavity fillings and extractions done with or without a local anesthetic,
and(ii) oral hygiene inspections;
"near relative", in respect of an adult who needs health
care, means an adult child, a parent, a grandparent, an adult brother or sister, any
other adult relation by birth or adoption, or a spouse of any of these;
"personal guardian" means a committee of a person who is
declared under the Patients Property Act to be
incapable of managing himself or herself and his or her affairs;
"representation agreement" means an agreement made under the
Representation Agreement Act; "representative" means a person authorized by a
representation agreement to make or help in making decisions on behalf of another and
includes an alternate representative;
is married to another person, and is not living separate and apart, within the
meaning of the Divorce Act (Canada), from the other person, or
Application of this Act2 This Act does not apply to(a)
the admission of a person to a designated facility under section 22,
42 of the
Mental Health Act,(b)	the provision of psychiatric care or treatment to a person detained in or
through a designated facility under section 22, 28, 29, 30 or 42 of the Mental Health Act,(c)
the provision of psychiatric care or treatment under the Mental Health Act to a person released on leave or transferred to an
approved home under section 37 or 38 of the Mental Health Act, or(d)
the provision of professional services, care or treatment to a person for the
purposes of sterilization for non-therapeutic reasons.Presumption of capability3 (1) Until the contrary is demonstrated, every adult is presumed to be capable
giving, refusing or revoking consent to health care, and(b)
deciding to apply for admission to a care facility, to accept a facility care
proposal, or to move out of a care facility.(2) An adult's way of communicating with others is not, by itself, grounds for
deciding that he or she is incapable of understanding anything referred to in subsection
Part 2 — Consent to Health CareConsent rights4 Every adult who is capable of giving or refusing consent to health care
has(a)
the right to give consent or to refuse consent on any grounds, including moral
or religious grounds, even if the refusal will result in death,(b)
the right to select a particular form of available health care on any grounds,
including moral or religious grounds,(c)
the right to revoke consent,(d)
the right to expect that a decision to give, refuse or revoke consent will be
respected, and(e)
the right to be involved to the greatest degree possible in all case planning
and decision making.General rule — consent needed5 (1) A health care provider must not provide any health care to an adult without the
adult's consent except under sections 11 to 15.(2) A health care provider must not seek a decision about whether to give or refuse
substitute consent to health care under section 11, 14 or 15 unless he or she has made
every reasonable effort to obtain a decision from the adult.Elements of consent6 An adult consents to health care if(a)
the consent relates to the proposed health care,(b)
the consent is given voluntarily,(c)
the consent is not obtained by fraud or misrepresentation,(d)
the adult is capable of making a decision about whether to give or refuse
consent to the proposed health care,(e)
the health care provider gives the adult the information a reasonable person
would require to understand the proposed health care and to make a decision, including
information about(i) the condition for which the health care is proposed,(ii) the nature of the proposed health care,(iii) the risks and benefits of the proposed health care that a reasonable person
would expect to be told about, and(iv) alternative courses of health care, and(f)
the adult has an opportunity to ask questions and receive answers about the
proposed health care.How incapability is determined7 When deciding whether an adult is incapable of giving, refusing or revoking
consent to health care, a health care provider must base the decision on whether or not
the adult demonstrates that he or she understands(a)
the information given by the health care provider under section 6
(e), and(b)
that the information applies to the situation of the adult for whom the health
care is proposed.Duty to communicate in appropriate manner8 When seeking an adult's consent to health care or deciding whether an adult is
incapable of giving, refusing or revoking consent, a health care provider(a)
must communicate with the adult in a manner appropriate to the adult's skills
and abilities, and(b)
may allow the adult's spouse, or any near relatives or close friends, who
accompany the adult and offer their assistance, to help the adult to understand or to
demonstrate an understanding of the matters mentioned in section 7.How consent is given and scope of consent9 (1) Consent to health care may be expressed orally or in writing or may be inferred
from conduct.(1.1) For the purposes of sections 5 and 6, and despite section 6 (e) and (f), an
adult may give or refuse consent to health care in an advance directive, except that an
adult may not give consent in an advance directive to any health care for which a person
chosen under section 16 could not give substitute consent under section 18
(1).(1.2) If a capable adult gives or refuses consent to health care, the consent or
refusal is not affected by any subsequent incapability.(2) Consent to health care applies only to the specific health care that an adult
has consented to.(3) As an exception to subsection (2), a health care provider may provide
additional or alternative health care to an adult if(a)
the health care that was consented to is in progress,(b)
the adult is unconscious or semi-conscious, and(c)
it is medically necessary to provide the additional or alternative health care
to deal with conditions not foreseen when consent was given.(4) If an adult who consents to health care stipulates that the health care must be
provided by a named health care provider, no one else may provide the health care
without first obtaining the adult's consent unless(a)
the health care is in progress, or(b)
delay is likely to put the adult's life or health at risk.Same rules apply to substitute consent10 Sections 6, 7, 8 (a) and 9 apply when a decision about whether to give or refuse substitute
consent is sought or made under section 11, 14 or 15.Exception — if a substitute decision maker, guardian or representative
consents11 A health care provider may provide health care to an adult without the adult's
consent if(a)
the health care provider is of the opinion that the adult needs the health care
and is incapable of giving or refusing consent, and(b)
the adult's personal guardian or representative(i) has authority to consent to the health care,(ii) is capable of giving consent, and(iii) gives substitute consent.Exception — urgent or emergency health care12 (1) A health care provider may provide health care to an adult without the adult's
it is necessary to provide the health care without delay in order to preserve
the adult's life, to prevent serious physical or mental harm or to alleviate severe
pain,(b)
the adult is apparently impaired by drugs or alcohol or is unconscious or
semi-conscious for any reason or is, in the health care provider's opinion, otherwise
incapable of giving or refusing consent,(c)
the adult does not have a personal guardian or representative who is
authorized to consent to the health care, is capable of doing so and is available,
where practicable, a second health care provider confirms the first health
care provider's opinion about the need for the health care and the
incapability.(2) For the purpose of this section, a personal guardian or representative is
available if it is possible for the health care provider, within a time that is
reasonable in the circumstances,(a)
to determine whether the adult has a personal guardian or representative,
to communicate with the adult's personal guardian or
representative.(3) If a personal guardian or representative becomes available or a person is chosen
16 after a health care provider provides health care to an adult under this
section, the personal guardian, representative or person chosen under section 16
may refuse consent for continued health care, and, if consent is refused, the health
care must be withdrawn.No emergency health care contrary to wishes12.1 A health care provider must not provide health care under section 12 if
the health care provider has reasonable grounds to believe that the person, while capable
and after attaining 19 years of age, expressed an instruction or wish applicable to the
circumstances to refuse consent to the health care.Emergency health care despite refusal12.2 If substitute consent to health care is refused on an incapable person's behalf by
their personal guardian or representative, the health care may be provided despite the
refusal if, in the opinion of the health care provider proposing the health
care,(a)
12 (1) (a) applies, and(b)
the personal guardian or representative did not comply with their duties under
this or any other Act.Exception — informed consent not required for preliminary
examination13 A health care provider may undertake triage or another kind of preliminary
examination, treatment or diagnosis of an adult without complying with section 6
the adult indicates that he or she wants to be provided with health care,
in the absence of any indication by the adult, the adult's spouse, near relative
or close friend indicates that he or she wants the adult to be provided with health
care.Exception — major health care14 (1) A health care provider may provide major health care to an adult without the
adult's consent if(a)
after consulting, or making a reasonable effort to consult, with any spouse,
near relative or close friend of the adult who is reasonably available or with any
other person who has relevant information, the health care provider decides that the
adult(i) needs the major health care, and(ii) is incapable of giving or refusing consent to the major health
care,(b)
authorized to consent to the major health care, is capable of doing so and is
available,(c)
someone chosen under section 16 has authority to consent to the major
health care and gives substitute consent, and(d)
the health care provider complies with subsection (4).(2) and (3) [Not in force.](4) If a person chosen under section 16 gives or refuses substitute consent, the
health care provider must inform the adult and any spouse, near relative or close friend
of the adult who accompanies the adult of(a)
the decision or assessment that the adult is incapable,(b)
the name of the person chosen under section 16, and(c)
the decision to give or refuse substitute consent.(5) [Not in force.](6) [Not in force. Repealed 2003-96-33.](7) and (8) [Repealed 2003-96-29.](9) and (10) [Not in force.]Exception — minor health care15 A health care provider may provide minor health care to an adult without the
the health care provider is of the opinion that the adult is incapable of giving
or refusing consent to the minor health care,(b)
the adult does not have a personal guardian or representative or the personal
guardian or representative is incapable of giving or refusing consent, and(c)
someone chosen under section 16 gives substitute consent to the minor
health care.Temporary substitute decision makers16 (1) To obtain substitute consent to provide major or minor health care to an adult,
a health care provider must choose the first, in listed order, of the following who is
available and qualifies under subsection (2):(a)
the adult's spouse;(b)
the adult's child;(c)
the adult's parent;(d)
the adult's brother or sister;(d.1)
the adult's grandparent;(d.2)
the adult's grandchild;(e)
anyone else related by birth or adoption to the adult;(f)
a close friend of the adult;(g)
a person immediately related to the adult by marriage.(2) To qualify to give, refuse or revoke substitute consent to health care for an
adult, a person must(a)
have been in contact with the adult during the preceding 12 months,(c)
have no dispute with the adult,(d)
be capable of giving, refusing or revoking substitute consent, and(e)
be willing to comply with the duties in section 19.(3) If no one listed in subsection (1) is available or qualifies under
(2) or if there is a dispute about who is to be chosen, the health care
provider must choose a person, including a person employed in the office of the Public
Guardian and Trustee, authorized by the Public Guardian and Trustee.(4) A health care provider is not required to do more than make the effort that is
reasonable in the circumstances to comply with this section.Authority of a temporary substitute decision maker17 (1) Subject to section 9 (2), a person chosen under section 16 has
the authority to decide whether to give or refuse substitute consent.(2) The health care provider must, no more than 21 days before that health care
begins, confirm in writing that(a)
the adult is still incapable, and(b)
the person who earlier consented to the health care being provided confirms
that the health care should begin.(2.1) Despite subsection (2) and whether or not the health care that is the subject of
the decision made under subsection (1) has begun, if at any time a health care
provider has reasonable grounds to believe that the adult may be capable of giving or
refusing consent to health care, the health care provider must again determine whether
the adult remains incapable.(2.2) If, at any time after a decision is made under subsection (1), the adult is
capable of giving or refusing consent to health care,(a)
the authority to give or refuse substitute consent to health care for the
adult is terminated,(b)
the decision made under subsection (1) is rescinded, and(c)
before the health care that is the subject of the decision made under
(1) is begun or continued, the adult must give consent to that health
care.(2.3) Subsection (2.2) does not invalidate anything that is otherwise validly
done before the decision made under subsection (1) is rescinded.(3) While the authority to give or refuse substitute consent to health care for the
adult is valid, a person chosen under section 16 may apply to the
court under the Adult Guardianship Act for an order appointing a personal guardian for the adult.(4) If a person chosen under section 16 makes an application under the Adult Guardianship Act, the person's authority to give or refuse
substitute consent under this Act continues until a final order is made under that Act,
unless that authority is otherwise terminated under this Act.(5) On being told that a person chosen under section 16 wants to be relieved
of the authority to give or refuse substitute consent, the health care provider may
choose in accordance with that section another person to assume that
authority.(6) A person chosen under section 16 has the right to all information and
documents to which the adult is entitled and that are necessary for the person to make
an informed decision under subsection (1) of this section.(7) A person who has custody or control of any information or document referred to
in subsection (6) must, at the request of a person chosen under section 16,
disclose that information to the person chosen under section 16 or produce that
document for inspection and copying by that person.(8) Subsections (6) and (7) override(a)
any claim of confidentiality or privilege, other than a claim based on
solicitor-client privilege, and(b)
any restriction in an enactment or the common law about the disclosure or
confidentiality of information, other than a restriction in section 51 of the
Evidence Act.Restrictions on authority of a temporary substitute decision maker18 (1) A person chosen under section 16 does not have authority to give or refuse
substitute consent to any type of health care prescribed in the regulations.(2) A person chosen under section 16 has authority to refuse substitute consent
to health care necessary to preserve life, but only if there is substantial agreement
among the health care providers caring for the adult that(a)
the decision to refuse substitute consent is medically appropriate,
the person has made the decision in accordance with section 19 (1) and
(2).(3) [Not in force.]Duties of a temporary substitute decision maker19 (1) A person chosen under section 16 to give or refuse substitute consent to
health care for an adult must(a)
before giving or refusing substitute consent, consult, to the greatest extent
possible,(i) with the adult, and(ii) if the person chosen under section 16 is a person
authorized by the Public Guardian and Trustee, with any near relative or close
friend of the adult who asks to assist, and(b)
comply with any instructions or wishes the adult expressed while he or she was
capable.(2) If the adult's instructions or wishes are not known, the person chosen under
16 must decide to give or refuse consent in the adult's best
interests.(3) When deciding whether it is in the adult's best interests to give, refuse or
revoke substitute consent, the person chosen under section 16 must consider(a)
the adult's current wishes, and known beliefs and values,(b)
whether the adult's condition or well-being is likely to be improved by the
proposed health care,(c)
whether the adult's condition or well-being is likely to improve without the
proposed health care,(d)
whether the benefit the adult is expected to obtain from the proposed health
care is greater than the risk of harm, and(e)
whether a less restrictive or less intrusive form of health care would be as
beneficial as the proposed health care.
Part 2.1 — Advance DirectivesAdult may make advance directive unless incapable19.1 (1) An adult may make an advance directive unless the adult is incapable of
understanding the nature and consequences of the proposed advance directive.(2) An adult is incapable of understanding the nature and consequences of the
proposed advance directive if the adult cannot understand(a)
the scope and effect of the health care instructions set out in the advance
directive, and(b)
that a person will not be chosen under section 16 to make decisions
on behalf of the adult about the health care described in the advance directive except
in the circumstances set out in section 19.8.Scope of advance directive19.2 (1) Subject to subsection (2), an adult may in an advance directive
give or refuse consent to any health care described in the advance directive.(2) An instruction in an advance directive to do either or both of the following is
not valid and must be severed from the advance directive:(a)
to do anything that is prohibited by law;(b)
to omit to do anything that is required by law.If both advance directive and representation agreement19.3 (1) Subject to subsection (2), if an adult makes both an advance
directive and a representation agreement, regardless of when, in relation to each other,
the advance directive and representation agreement are made,(a)
section 19.7 of this Act does not apply in respect of any instruction in
the advance directive that relates to a matter over which the adult's representative
has decision-making authority, and(b)
for the purposes of section 16 of the Representation Agreement Act, the instruction referred to in paragraph
(a) of this subsection is to be treated as the wishes of the adult,
expressed while capable.(2) An adult may, in the adult's representation agreement, state that a health care
provider may act in accordance with a health care instruction set out in the adult's
advance directive without consent of the adult's representative, in which case section 19.7
applies in respect of that instruction.Form of advance directive19.4 An adult who makes an advance directive must(a)
include or address in the advance directive any prescribed matter,
indicate in the advance directive that the adult knows that(i) a health care provider may not provide to the adult any health care for which
the adult refuses consent in the advance directive, and(ii) a person may not be chosen to make decisions on behalf of the adult in respect
of any health care for which the adult has given or refused consent in the advance
directive.Execution of advance directive19.5 (1) Subject to subsections (2) to (5), an advance directive must
be in writing and signed and dated by(a)
the adult in the presence of 2 witnesses, and(b)
both witnesses in the presence of the adult.(2) Subject to subsection (3), an advance directive may be signed on
behalf of an adult if(a)
the adult is physically incapable of signing the advance directive,(b)
the adult is present and directs that the advance directive be signed,
the signature of the person signing the advance directive on behalf of the
adult is witnessed in accordance with this section, as if that signature were the
adult's signature.(3) The following persons must not sign an advance directive on behalf of an
adult:(a)
a witness to the signing of the advance directive;(b)
a person prohibited from acting as a witness under subsection
(5).(4) Only one witness is required if the witness is a lawyer or a member in good
standing of the Society of Notaries Public of British Columbia.(5) The following persons must not act as a witness to the signing of an advance
directive:(a)
a person who provides personal care, health care or financial services to the
adult for compensation, other than a lawyer or a member in good standing of the
Society of Notaries Public of British Columbia;(b)
a spouse, child, parent, employee or agent of a person described in paragraph
a person who is not an adult;(d)
a person who does not understand the type of communication used by the adult,
unless the person receives interpretive assistance to understand that type of
communication.Changing or revoking an advance directive19.6 (1) An adult who has made an advance directive may change or revoke the advance
directive unless the adult is incapable of understanding the nature and consequences of
the change or revocation.(2) A change must be in writing and must be signed and witnessed in the same manner
as an advance directive under section 19.5.(3) An adult may revoke an advance directive by(a)
making another document, including a subsequent advance directive, and
expressing in it an intention to revoke the advance directive, or(b)
destroying the advance directive with the intention of revoking it.Providing health care if adult has advance directive19.7 (1) Subject to section 19.8, this section applies when(a)
in the opinion of a health care provider, an adult needs health
the adult is incapable of giving or refusing consent to the health care,
the health care provider(i) does not know of any personal guardian or representative who has authority
to make decisions for the adult in respect of the proposed health care,
and(ii) is aware that the adult has an advance directive that is relevant to the
proposed health care.(2) A health care provider(a)
may provide health care to an adult if the adult has given consent to that
health care in the adult's advance directive, and(b)
must not provide health care to an adult if the adult has refused consent to
that health care in the adult's advance directive.(3) A health care provider is not required to make more than a reasonable effort in
the circumstances to determine whether the adult has an advance directive or a personal
guardian or representative.When advance directive does not apply19.8 (1) This section applies if a health care provider reasonably believes
the instructions in an adult's advance directive do not address the health
care decision to be made,(b)
in relation to a health care decision, the instructions in an adult's advance
directive are so unclear that it cannot be determined whether the adult has given or
refused consent to the health care,(c)
since the advance directive was made and while the adult was capable, the
adult's wishes, values or beliefs in relation to a health care decision significantly
changed, and the change is not reflected in the advance directive, or(d)
since the advance directive was made, there have been significant changes in
medical knowledge, practice or technology that might substantially benefit the adult
in relation to health care for which the adult has given or refused consent in an
advance directive.(2) Subject to subsection (3), in a circumstance described in
section 19.7 does not apply,(b)
the health care provider must, despite any instruction or wish expressed in
the advance directive respecting who may give substitute consent if the circumstances
set out in subsection (1) apply, obtain substitute consent in accordance with
11 or 16, and(c)
the person giving substitute consent must act in accordance with section 19
(3).(3) Subsection (2) does not apply in the circumstance described in subsection (1)
(d) if the adult, in the adult's advance directive, expressly states that
the instructions given in the advance directive apply regardless of any change in
medical knowledge, practice or technology.(4) Nothing in this section affects the operation of sections 12 and
12.1.Withdrawal of health care19.9 If a health care provider(a)
is not aware that an adult has an advance directive that refuses consent to
specific health care,(b)
provides the health care to the adult, and(c)
subsequently is made aware of an advance directive in which that adult refuses
consent to that health care,the health care provider must withdraw the health care, unless section 19.8
applies.Advance directive must not be mandatory19.91 An adult must not be required to have an advance directive as a condition of
receiving any good or service.
Part 3Not in force20–26 [Not in force.]
Part 4Repealed27–32 [Repealed 2003-96-30.]
Part 5 — General ProvisionsProtection from liability33 (1) No action may be brought or continued against a person for any act or omission
in the performance of a duty or the exercise of a power or function under this Act if
the person has acted in good faith and used reasonable care.(2) A person who is a health care provider or the operator of a care facility is
entitled to rely on the accuracy of the information given to that person to
establish(a)
someone's eligibility to be chosen under section 16 or 22,(b)
someone's authority to give, refuse or revoke consent to health care,
[Not in force.]unless it is not reasonable to rely on that information.Collection of personal information33.1 A health care provider is authorized to collect personal information about an
adult from any person if this is necessary for the purposes of exercising a power or
carrying out a duty or function under this Act.Repealed33.2–33.3 [Repealed 2003-96-31.]Court directions and orders33.4 (1) The following people may apply to the court for an order under subsection
(2):(a)
a health care provider responsible for the care of an adult who is incapable
of giving or refusing consent to health care;(b)
an adult's representative or personal guardian;(c)
a person chosen under this Act to give or refuse substitute consent to health
care or admission to a care facility on behalf of an adult who is
incapable;(d)
an adult who is assessed as incapable of giving or refusing consent to health
care or admission to a care facility.(2) On application by a person described in subsection (1), the court may do
order the adult to attend at the time and place the court directs and submit
to one or more assessments of incapability;(b)
give directions respecting(i) the interpretation of a provision of an advance directive, or any other
health care instruction or wish, made or expressed by an adult when capable,
or(ii) who should be chosen to provide substitute consent under this Act for an
incapable adult;(c)
confirm, reverse or vary a decision by(i) an adult's representative or personal guardian, or(ii) a person chosen to provide substitute consent under this Act,to give or refuse consent to health care or admission to a care
facility;(d)
make any decision that a person chosen to provide substitute consent under
this Act could make.(3) Any person may apply to the court for an order voiding an advance directive on
the basis that fraud, undue pressure or some other form of abuse or neglect was used to
induce an adult to make the advance directive, or to change or revoke a previous advance
directive.(4) Nothing in this Act(a)
limits the inherent jurisdiction of the Supreme Court to act in a parens
patriae capacity, or(b)
deprives a person of the right to ask the Supreme Court to exercise that
jurisdiction.Power to make regulations34 (1) The Lieutenant Governor in Council may make regulations referred to in
designating any facility or class of facility as a care facility for the
purpose of paragraph (d) of the definition of "care facility";(b)
designating ethics committees for the purpose of paragraph (c) of the
definition of "health care";(c)
prescribing Acts or classes of persons for the purpose of the definition of
"health care provider";(d)
designating any type of health care as major health care for the purpose of
(d) of the definition of "major health care";(e)
prescribing advocacy organizations for the purposes of sections 14
(5) and 23 (3);(f)
prescribing types of health care for which substitute consent may not be given
under section 18;(g)
governing assessments under sections 14 (2) and 21;(h)
prescribing information that must be included in a facility care proposal
under section 20;(i)
prescribing the duties of an operator of a care facility who restrains an
adult's freedom of movement in the facility;(j)
[Not in force. Repealed 1999-25-18.](k)
prescribing forms for the purposes of this Act;(k.1) and (l)
[Repealed 2003-96-32.](m)
respecting matters that must be included or addressed in an advance
directive.Offence35 Section
5 of the Offence Act does not apply to this Act or the regulations.Transitional — advance directives35.1 (1) The Lieutenant Governor in Council may make regulations setting out criteria by
which written instructions made by a capable adult that(a)
give or refuse consent to health care in the event that the adult is not
capable of giving the instruction at the time the health care is required,
were made before Part 2.1 comes into force, that date being September
1, 2011,may be deemed to be advance directives.(2) If regulations are made under subsection (1), written
instructions that meet the prescribed criteria are deemed to be advance
Commencement36 This Act comes into force by regulation of the Lieutenant Governor in