Source: https://www.nysenate.gov/legislation/bills/2017/a2383/amendment/original
Timestamp: 2019-02-23 12:35:57
Document Index: 243497833

Matched Legal Cases: ['Art 28', '§2899', '§ 2', '§ 2899', '§ 2899', '§ 2899', '§ 2899', '§ 2899', '§ 2899', '§ 2899', '§ 2899', '§ 2899', '§ 2899', '§ 2899', '§ 2899', '§ 2899', '§ 2899', '§ 2899', '§ 2899', '§  2', '§ 2899', '§ 2899', '§ 2899', '§ 2899', '§ 2899']

NY State Assembly Bill A2383
assembly Bill A2383
Relates to the medical aid in dying act
Get Status Alerts for A2383
Feb 20, 2018 print number 2383a
Jan 19, 2017 referred to health
A2383 (ACTIVE) - Details
Add Art 28-F §§2899-d - 2899-s, Pub Health L
2015-2016: A10059, S7579
2019-2020: A2694, S3947
A2383 (ACTIVE) - Summary
Relates to the medical aid in dying act; relates to a terminally ill patient's request for and use of medication for medical aid in dying.
A2383 (ACTIVE) - Bill Text download pdf
Introduced  by  M.  of A. PAULIN, ROSENTHAL, GOTTFRIED, DINOWITZ, GALEF,
HEVESI, STECK, BLAKE, LAVINE, LUPARDO, SEPULVEDA -- Multi-Sponsored by
-- M. of A.  BRAUNSTEIN, CROUCH, MAGEE, SKARTADOS  --  read  once  and
AN  ACT  to amend the public health law, in relation to a terminally ill
patient's request for and use of medication for medical aid in dying
Section  1.  This  act shall be known and may be cited as the "medical
aid in dying act".
§ 2. The public health law is amended by adding a new article 28-F  to
ARTICLE 28-F
SECTION 2899-D. DEFINITIONS.
2899-E. REQUEST PROCESS.
2899-F. ATTENDING PHYSICIAN RESPONSIBILITIES.
2899-G. RIGHT  TO RESCIND REQUEST; REQUIREMENT TO OFFER OPPORTU-
NITY TO RESCIND.
2899-H. CONSULTING PHYSICIAN RESPONSIBILITIES.
2899-I. REFERRAL TO MENTAL HEALTH PROFESSIONAL.
2899-J. MEDICAL RECORD DOCUMENTATION REQUIREMENTS.
2899-K. FORM OF WRITTEN REQUEST AND WITNESS ATTESTATION.
2899-L. PROTECTION AND IMMUNITIES.
2899-M. PERMISSIBLE REFUSALS AND PROHIBITIONS.
2899-N. RELATION TO OTHER LAWS AND CONTRACTS.
2899-O. SAFE DISPOSAL OF UNUSED MEDICATIONS.
2899-P. DEATH CERTIFICATE.
2899-Q. REPORTING.
2899-R. PENALTIES.
2899-S. SEVERABILITY.
LBD01103-05-7
A. 2383                             2
§ 2899-D. DEFINITIONS. AS USED IN THIS ARTICLE:
1. "ADULT" MEANS AN INDIVIDUAL WHO IS EIGHTEEN YEARS OF AGE OR OLDER.
2. "ATTENDING PHYSICIAN" MEANS THE PHYSICIAN WHO HAS PRIMARY RESPONSI-
BILITY FOR THE CARE OF THE PATIENT AND TREATMENT OF THE PATIENT'S TERMI-
NAL DISEASE.
3.  "CAPACITY"  OR  "CAPACITY  TO MAKE AN INFORMED DECISION" MEANS THE
ABILITY TO UNDERSTAND AND APPRECIATE  THE  NATURE  AND  CONSEQUENCES  OF
HEALTH  CARE DECISIONS, INCLUDING THE BENEFITS AND RISKS OF AND ALTERNA-
TIVES TO ANY PROPOSED HEALTH CARE, AND TO REACH AN INFORMED DECISION.
4.   "CONSULTING PHYSICIAN" MEANS A  PHYSICIAN  WHO  IS  QUALIFIED  BY
SPECIALTY  OR  EXPERIENCE TO MAKE A PROFESSIONAL DIAGNOSIS AND PROGNOSIS
REGARDING A PERSON'S TERMINAL ILLNESS.
5. "HEALTH CARE FACILITY" MEANS A GENERAL HOSPITAL, NURSING  HOME,  OR
RESIDENTIAL  HEALTH  CARE  FACILITY  AS  DEFINED IN SECTION TWENTY-EIGHT
HUNDRED ONE OF THIS CHAPTER.
6. "HEALTH CARE PROVIDER"  MEANS  A  PERSON  LICENSED,  CERTIFIED,  OR
AUTHORIZED  BY  LAW  TO ADMINISTER HEALTH CARE OR DISPENSE MEDICATION IN
THE ORDINARY COURSE OF BUSINESS OR PRACTICE OF A PROFESSION.
7.  "INFORMED DECISION" MEANS A DECISION BY A PATIENT WHO IS SUFFERING
FROM A TERMINAL ILLNESS TO REQUEST AND OBTAIN A PRESCRIPTION FOR MEDICA-
TION THAT THE PATIENT MAY SELF-ADMINISTER TO END THE PATIENT'S LIFE THAT
IS BASED ON AN UNDERSTANDING AND ACKNOWLEDGMENT OF  THE  RELEVANT  FACTS
AND THAT IS MADE AFTER BEING FULLY INFORMED OF:
(A) THE PATIENT'S MEDICAL DIAGNOSIS AND PROGNOSIS;
(B)  THE  POTENTIAL  RISKS ASSOCIATED WITH TAKING THE MEDICATION TO BE
(C) THE PROBABLE RESULT OF TAKING THE MEDICATION TO BE PRESCRIBED;
(D) THE POSSIBILITY THAT THE PATIENT MAY  CHOOSE  NOT  TO  OBTAIN  THE
MEDICATION,  OR MAY OBTAIN THE MEDICATION BUT MAY DECIDE NOT TO SELF-AD-
MINISTER IT; AND
(E) THE FEASIBLE ALTERNATIVES OR ADDITIONAL  TREATMENT  OPPORTUNITIES,
INCLUDING PALLIATIVE CARE AND HOSPICE CARE.
8.  "MEDICAL  AID  IN DYING" MEANS THE MEDICAL PRACTICE OF A PHYSICIAN
PRESCRIBING MEDICATION TO A QUALIFIED INDIVIDUAL THAT THE INDIVIDUAL MAY
CHOOSE TO SELF-ADMINISTER TO BRING ABOUT DEATH.
9. "MEDICALLY CONFIRMED" MEANS THE MEDICAL OPINION  OF  THE  ATTENDING
PHYSICIAN  THAT A PATIENT HAS A TERMINAL ILLNESS HAS BEEN CONFIRMED BY A
CONSULTING PHYSICIAN WHO HAS EXAMINED  THE  PATIENT  AND  THE  PATIENT'S
RELEVANT MEDICAL RECORDS.
10. "MEDICATION" MEANS MEDICATION PRESCRIBED BY A PHYSICIAN UNDER THIS
11.  "MENTAL HEALTH PROFESSIONAL" MEANS A PHYSICIAN, NURSE PRACTITION-
ER, PHYSICIAN ASSISTANT OR PSYCHOLOGIST, LICENSED OR CERTIFIED UNDER THE
EDUCATION LAW ACTING WITHIN HIS OR HER SCOPE  OF  PRACTICE  AND  WHO  IS
QUALIFIED,  BY  TRAINING AND EXPERIENCE, CERTIFICATION, OR BOARD CERTIF-
ICATION OR ELIGIBILITY, TO MAKE A DETERMINATION  UNDER  SECTION  TWENTY-
EIGHT  HUNDRED  NINETY-NINE-I OF THIS ARTICLE; PROVIDED THAT IN THE CASE
OF A NURSE PRACTITIONER OR PHYSICIAN ASSISTANT, THE  PROFESSIONAL  SHALL
NOT HAVE A COLLABORATIVE AGREEMENT OR COLLABORATIVE RELATIONSHIP WITH OR
BE SUPERVISED BY THE ATTENDING PHYSICIAN OR CONSULTING PHYSICIAN.
12. "PALLIATIVE CARE" MEANS HEALTH CARE TREATMENT, INCLUDING INTERDIS-
CIPLINARY  END-OF-LIFE  CARE,  AND CONSULTATION WITH PATIENTS AND FAMILY
MEMBERS, TO PREVENT OR RELIEVE PAIN AND SUFFERING  AND  TO  ENHANCE  THE
PATIENT'S QUALITY OF LIFE, INCLUDING HOSPICE CARE UNDER ARTICLE FORTY OF
A. 2383                             3
13.  "PATIENT"  MEANS  A  PERSON WHO IS EIGHTEEN YEARS OF AGE OR OLDER
UNDER THE CARE OF A PHYSICIAN.
14.  "PHYSICIAN"  MEANS AN INDIVIDUAL LICENSED TO PRACTICE MEDICINE IN
15. "QUALIFIED INDIVIDUAL" MEANS A PATIENT WITH  A  TERMINAL  ILLNESS,
WHO  HAS  CAPACITY, HAS MADE AN INFORMED DECISION, AND HAS SATISFIED THE
REQUIREMENTS OF THIS ARTICLE IN ORDER TO OBTAIN A PRESCRIPTION FOR MEDI-
16. "SELF-ADMINISTER"  MEANS  A  QUALIFIED  INDIVIDUAL'S  AFFIRMATIVE,
CONSCIOUS, AND VOLUNTARY ACT OF USING MEDICATION UNDER THIS ARTICLE.
17.  "TERMINAL  ILLNESS" MEANS AN ILLNESS THAT WILL, WITHIN REASONABLE
MEDICAL JUDGMENT, RESULT IN DEATH WITHIN  SIX  MONTHS,  WHETHER  OR  NOT
§ 2899-E. REQUEST  PROCESS.    1.  ORAL AND WRITTEN REQUEST. A PATIENT
WISHING TO REQUEST MEDICATION UNDER THIS  ARTICLE  SHALL  MAKE  AN  ORAL
REQUEST  AND  SUBMIT A WRITTEN REQUEST TO THE PATIENT'S ATTENDING PHYSI-
2. MAKING A WRITTEN REQUEST. A PATIENT MAY MAKE A WRITTEN REQUEST  FOR
AND  CONSENT TO SELF-ADMINISTER MEDICATION FOR THE PURPOSE OF ENDING HIS
OR HER LIFE IN ACCORDANCE WITH THIS ARTICLE IF THE PATIENT:
(A) HAS BEEN DETERMINED BY THE ATTENDING PHYSICIAN TO HAVE A  TERMINAL
ILLNESS  AND  WHICH  HAS BEEN MEDICALLY CONFIRMED BY A CONSULTING PHYSI-
CIAN; AND
(B) VOLUNTARILY EXPRESSES THE REQUEST FOR MEDICATION.
3. WRITTEN REQUEST SIGNED AND WITNESSED. (A)  A  WRITTEN  REQUEST  FOR
MEDICATION  UNDER  THIS ARTICLE SHALL BE SIGNED AND DATED BY THE PATIENT
AND WITNESSED BY AT LEAST  TWO  ADULTS  WHO,  IN  THE  PRESENCE  OF  THE
PATIENT,  ATTEST THAT TO THE BEST OF HIS OR HER KNOWLEDGE AND BELIEF THE
PATIENT HAS CAPACITY, IS ACTING VOLUNTARILY, AND IS NOT BEING COERCED TO
SIGN THE REQUEST. THE WRITTEN REQUEST SHALL BE IN SUBSTANTIALLY THE FORM
DESCRIBED IN SECTION TWENTY-EIGHT HUNDRED NINETY-NINE-K OF THIS ARTICLE.
(B) ONE OF THE WITNESSES SHALL BE AN ADULT WHO IS NOT:
(I) A RELATIVE OF THE PATIENT BY BLOOD, MARRIAGE OR ADOPTION;
(II) A PERSON WHO AT THE TIME THE REQUEST IS SIGNED WOULD BE  ENTITLED
TO ANY PORTION OF THE ESTATE OF THE PATIENT UPON DEATH UNDER ANY WILL OR
(III)  AN  OWNER, OPERATOR OR EMPLOYEE OF A HEALTH CARE FACILITY WHERE
THE PATIENT IS RECEIVING TREATMENT OR IS A RESIDENT.
(C) THE ATTENDING PHYSICIAN, CONSULTING PHYSICIAN AND, IF  APPLICABLE,
THE  MENTAL HEALTH PROFESSIONAL WHO PROVIDES A CAPACITY DETERMINATION OF
THE PATIENT UNDER THIS ARTICLE SHALL NOT BE A WITNESS.
4. NO PERSON SHALL QUALIFY FOR MEDICAL AID IN DYING UNDER THIS ARTICLE
SOLELY BECAUSE OF AGE OR DISABILITY.
§ 2899-F. ATTENDING  PHYSICIAN  RESPONSIBILITIES.  1.  THE   ATTENDING
PHYSICIAN SHALL:
(A)  MAKE  THE  DETERMINATION  OF  WHETHER  A  PATIENT  HAS A TERMINAL
ILLNESS, HAS CAPACITY, HAS MADE AN INFORMED DECISION AND  HAS  MADE  THE
REQUEST VOLUNTARILY AND WITHOUT COERCION;
(B)  INFORM  THE  PATIENT  OF  THE  REQUIREMENT UNDER THIS ARTICLE FOR
CONFIRMATION BY A CONSULTING PHYSICIAN,  AND  REFER  THE  PATIENT  TO  A
CONSULTING PHYSICIAN UPON THE PATIENT'S REQUEST;
(C)  REFER  THE  PATIENT  TO  A MENTAL HEALTH PROFESSIONAL PURSUANT TO
SECTION TWENTY-EIGHT  HUNDRED  NINETY-NINE-I  OF  THIS  ARTICLE  IF  THE
ATTENDING  PHYSICIAN BELIEVES THAT THE PATIENT LACKS CAPACITY TO MAKE AN
INFORMED DECISION;
A. 2383                             4
(D) PROVIDE  INFORMATION  AND  COUNSELING  UNDER  SECTION  TWENTY-NINE
HUNDRED NINETY-SEVEN-C OF THIS CHAPTER;
(E) ENSURE THAT THE PATIENT IS MAKING AN INFORMED DECISION BY DISCUSS-
ING WITH THE PATIENT: (I) THE PATIENT'S MEDICAL DIAGNOSIS AND PROGNOSIS;
(II)  THE  POTENTIAL  RISKS  ASSOCIATED WITH TAKING THE MEDICATION TO BE
PRESCRIBED; (III) THE PROBABLE RESULT OF TAKING  THE  MEDICATION  TO  BE
PRESCRIBED;  (IV)  THE POSSIBILITY THAT THE PATIENT MAY CHOOSE TO OBTAIN
THE MEDICATION BUT NOT TAKE IT; AND (V)  THE  FEASIBLE  ALTERNATIVES  OR
ADDITIONAL TREATMENT OPPORTUNITIES, INCLUDING BUT NOT LIMITED TO PALLIA-
TIVE CARE AND HOSPICE CARE;
(F) DISCUSS WITH THE PATIENT THE IMPORTANCE OF:
(I)  HAVING  ANOTHER PERSON PRESENT WHEN THE PATIENT TAKES THE MEDICA-
(II) NOT TAKING THE MEDICATION IN A PUBLIC PLACE;
(G) INFORM THE PATIENT THAT HE OR SHE  MAY  RESCIND  THE  REQUEST  FOR
MEDICATION AT ANY TIME AND IN ANY MANNER;
(H)  FULFILL  THE MEDICAL RECORD DOCUMENTATION REQUIREMENTS OF SECTION
TWENTY-EIGHT HUNDRED NINETY-NINE-J OF THIS ARTICLE; AND
(I) ENSURE THAT ALL APPROPRIATE STEPS ARE CARRIED  OUT  IN  ACCORDANCE
WITH THIS ARTICLE BEFORE WRITING A PRESCRIPTION FOR MEDICATION.
2.  UPON  RECEIVING  CONFIRMATION  FROM  A  CONSULTING PHYSICIAN UNDER
SECTION TWENTY-EIGHT HUNDRED NINETY-NINE-H OF THIS ARTICLE  AND  SUBJECT
TO  SECTION  TWENTY-EIGHT  HUNDRED  NINETY-NINE-I  OF  THIS ARTICLE, THE
ATTENDING PHYSICIAN WHO MAKES THE DETERMINATION THAT THE PATIENT  HAS  A
TERMINAL  ILLNESS, HAS CAPACITY AND HAS MADE A REQUEST FOR MEDICATION AS
PROVIDED IN THIS ARTICLE, MAY PERSONALLY,  OR  BY  REFERRAL  TO  ANOTHER
PHYSICIAN,  PRESCRIBE OR ORDER APPROPRIATE MEDICATION IN ACCORDANCE WITH
THE PATIENT'S REQUEST UNDER THIS ARTICLE, AND AT THE PATIENT'S  REQUEST,
FACILITATE  THE  FILLING OF THE PRESCRIPTION AND DELIVERY OF THE MEDICA-
TION TO THE PATIENT.
3. IN ACCORDANCE WITH THE DIRECTION OF  THE  PRESCRIBING  OR  ORDERING
PHYSICIAN  AND THE CONSENT OF THE PATIENT, THE PATIENT MAY SELF-ADMINIS-
TER THE MEDICATION TO HIMSELF OR HERSELF. A HEALTH CARE PROFESSIONAL  OR
OTHER PERSON SHALL NOT ADMINISTER THE MEDICATION TO THE PATIENT.
§ 2899-G. RIGHT  TO  RESCIND REQUEST; REQUIREMENT TO OFFER OPPORTUNITY
TO RESCIND.  1. A PATIENT MAY AT ANY TIME RESCIND HIS OR HER REQUEST FOR
MEDICATION UNDER THIS ARTICLE WITHOUT REGARD TO THE PATIENT'S CAPACITY.
2. A PRESCRIPTION FOR  MEDICATION  MAY  NOT  BE  WRITTEN  WITHOUT  THE
ATTENDING  PHYSICIAN OFFERING THE QUALIFIED INDIVIDUAL AN OPPORTUNITY TO
RESCIND THE REQUEST.
§ 2899-H. CONSULTING PHYSICIAN RESPONSIBILITIES. BEFORE A PATIENT  WHO
IS REQUESTING MEDICATION MAY RECEIVE A PRESCRIPTION FOR MEDICATION UNDER
THIS ARTICLE, A CONSULTING PHYSICIAN MUST:
1. EXAMINE THE PATIENT AND HIS OR HER RELEVANT MEDICAL RECORDS;
2.  CONFIRM,  IN  WRITING,  TO  THE  ATTENDING PHYSICIAN: (A) THAT THE
PATIENT HAS A TERMINAL ILLNESS;  (B)  THAT  THE  PATIENT  IS  MAKING  AN
INFORMED  DECISION;  (C)  THAT  THE  PATIENT  HAS  CAPACITY,  OR PROVIDE
DOCUMENTATION THAT THE CONSULTING PHYSICIAN HAS REFERRED THE PATIENT FOR
A DETERMINATION UNDER SECTION TWENTY-EIGHT HUNDRED NINETY-NINE-I OF THIS
ARTICLE; AND (D) THAT THE PATIENT  IS  ACTING  VOLUNTARILY  AND  WITHOUT
§ 2899-I. REFERRAL  TO MENTAL HEALTH PROFESSIONAL. 1. IF THE ATTENDING
PHYSICIAN OR THE CONSULTING PHYSICIAN BELIEVES THAT THE PATIENT MAY LACK
CAPACITY, THE ATTENDING PHYSICIAN OR CONSULTING  PHYSICIAN  SHALL  REFER
THE  PATIENT  TO  A  MENTAL  HEALTH  PROFESSIONAL FOR A DETERMINATION OF
WHETHER THE PATIENT HAS CAPACITY. THE REFERRING PHYSICIAN  SHALL  ADVISE
A. 2383                             5
THE  PATIENT  THAT  THE REPORT OF THE MENTAL HEALTH PROFESSIONAL WILL BE
PROVIDED TO THE ATTENDING PHYSICIAN AND THE CONSULTING PHYSICIAN.
2.  A  MENTAL  HEALTH  PROFESSIONAL WHO EVALUATES A PATIENT UNDER THIS
SECTION SHALL REPORT, IN WRITING, TO THE  ATTENDING  PHYSICIAN  AND  THE
CONSULTING  PHYSICIAN,  HIS OR HER CONCLUSIONS ABOUT WHETHER THE PATIENT
HAS CAPACITY TO MAKE AN INFORMED DECISION.  IF THE MENTAL HEALTH PROFES-
SIONAL DETERMINES THAT THE PATIENT LACKS CAPACITY TO  MAKE  AN  INFORMED
DECISION,  THE  PATIENT  SHALL NOT BE DEEMED A QUALIFIED INDIVIDUAL, AND
THE ATTENDING PHYSICIAN SHALL NOT PRESCRIBE MEDICATION TO THE PATIENT.
§ 2899-J. MEDICAL  RECORD  DOCUMENTATION  REQUIREMENTS.  AN  ATTENDING
PHYSICIAN  SHALL DOCUMENT OR FILE THE FOLLOWING IN THE PATIENT'S MEDICAL
1. THE DATES OF ALL ORAL REQUESTS BY THE PATIENT FOR MEDICATION  UNDER
2.  THE WRITTEN REQUEST BY THE PATIENT FOR MEDICATION UNDER THIS ARTI-
3. THE ATTENDING PHYSICIAN'S DIAGNOSIS AND PROGNOSIS, DETERMINATION OF
CAPACITY, AND DETERMINATION THAT THE PATIENT IS ACTING  VOLUNTARILY  AND
WITHOUT COERCION, AND HAS MADE AN INFORMED DECISION;
4. IF APPLICABLE, WRITTEN CONFIRMATION OF CAPACITY UNDER SECTION TWEN-
TY-EIGHT HUNDRED NINETY-NINE-I OF THIS ARTICLE; AND
5.  A NOTE BY THE ATTENDING PHYSICIAN INDICATING THAT ALL REQUIREMENTS
UNDER THIS ARTICLE HAVE BEEN MET AND INDICATING THE STEPS TAKEN TO CARRY
OUT THE REQUEST, INCLUDING A NOTATION OF THE  MEDICATION  PRESCRIBED  OR
§ 2899-K. FORM  OF  WRITTEN  REQUEST  AND  WITNESS  ATTESTATION.  1. A
REQUEST FOR MEDICATION UNDER THIS ARTICLE SHALL BE IN SUBSTANTIALLY  THE
REQUEST FOR MEDICATION TO END MY LIFE
I,  _________________________________,  AM  AN ADULT WHO HAS CAPACITY,
WHICH MEANS I UNDERSTAND AND APPRECIATE THE NATURE AND  CONSEQUENCES  OF
TIVES TO ANY PROPOSED HEALTH CARE, AND TO REACH AN INFORMED DECISION AND
TO COMMUNICATE HEALTH CARE DECISIONS TO A PHYSICIAN.
I AM  SUFFERING  FROM  ______________________________________________,
WHICH MY ATTENDING PHYSICIAN HAS DETERMINED IS A TERMINAL ILLNESS, WHICH
HAS BEEN MEDICALLY CONFIRMED BY A CONSULTING PHYSICIAN.
I  HAVE  BEEN FULLY INFORMED OF MY DIAGNOSIS AND PROGNOSIS, THE NATURE
OF THE MEDICATION TO BE PRESCRIBED AND POTENTIAL ASSOCIATED  RISKS,  THE
EXPECTED  RESULT,  AND  THE  FEASIBLE ALTERNATIVES OR TREATMENT OPPORTU-
NITIES INCLUDING PALLIATIVE CARE AND HOSPICE CARE.
I REQUEST THAT MY ATTENDING PHYSICIAN PRESCRIBE MEDICATION  THAT  WILL
END  MY LIFE IF I CHOOSE TO TAKE IT, AND I AUTHORIZE MY ATTENDING PHYSI-
CIAN TO CONTACT ANOTHER PHYSICIAN OR ANY PHARMACIST ABOUT MY REQUEST.
(  ) I HAVE INFORMED OR INTEND TO INFORM MY FAMILY OF MY DECISION.
(  ) I HAVE DECIDED NOT TO INFORM MY FAMILY OF MY DECISION.
(  ) I HAVE NO FAMILY TO INFORM OF MY DECISION.
I UNDERSTAND THAT I HAVE THE RIGHT TO RESCIND THIS REQUEST OR  DECLINE
TO USE THE MEDICATION AT ANY TIME.
I  UNDERSTAND THE IMPORTANCE OF THIS REQUEST, AND I EXPECT TO DIE IF I
TAKE THE MEDICATION TO BE PRESCRIBED. I FURTHER UNDERSTAND THAT ALTHOUGH
MOST DEATHS OCCUR WITHIN THREE HOURS, MY DEATH MAY TAKE LONGER,  AND  MY
ATTENDING PHYSICIAN HAS COUNSELED ME ABOUT THIS POSSIBILITY.
A. 2383                             6
I  MAKE  THIS  REQUEST  VOLUNTARILY,  AND WITHOUT BEING COERCED, AND I
ACCEPT FULL RESPONSIBILITY FOR MY ACTIONS.
I  DECLARE THAT THE PERSON SIGNING THIS "REQUEST FOR MEDICATION TO END
MY LIFE":
(A) IS PERSONALLY KNOWN TO ME OR HAS PROVIDED PROOF OF IDENTITY;
(B) VOLUNTARILY SIGNED THE "REQUEST FOR MEDICATION TO END MY LIFE"  IN
MY PRESENCE OR ACKNOWLEDGED TO ME THAT HE OR SHE SIGNED IT; AND
(C)  TO  THE  BEST OF MY KNOWLEDGE AND BELIEF, HAS CAPACITY AND IS NOT
BEING COERCED TO SIGN THE "REQUEST FOR MEDICATION TO END MY LIFE".
I AM NOT THE ATTENDING PHYSICIAN OR CONSULTING PHYSICIAN OF THE PERSON
SIGNING THE "REQUEST FOR MEDICATION TO END MY LIFE" OR,  IF  APPLICABLE,
THE PERSON SIGNING THE "REQUEST FOR MEDICATION TO END MY  LIFE"  AT  THE
TIME THE "REQUEST FOR MEDICATION TO END MY LIFE" WAS SIGNED.
________________________ WITNESS 1, DATE: ________________
________________________ WITNESS 2, DATE: _________________
NOTE:  ONLY  ONE OF THE TWO WITNESSES MAY (I) BE A RELATIVE (BY BLOOD,
MARRIAGE OR ADOPTION) OF THE PERSON SIGNING THE "REQUEST FOR  MEDICATION
TO  END MY LIFE", (II) BE ENTITLED TO ANY PORTION OF THE PERSON'S ESTATE
UPON DEATH UNDER ANY WILL OR BY OPERATION OF LAW, OR (III) OWN, OPERATE,
OR BE EMPLOYED AT A HEALTH CARE FACILITY WHERE THE PERSON  IS  RECEIVING
TREATMENT OR IS A RESIDENT.
2. (A) THE "REQUEST FOR MEDICATION TO END MY LIFE" SHALL BE WRITTEN IN
THE  SAME  LANGUAGE  AS ANY CONVERSATIONS, CONSULTATIONS, OR INTERPRETED
CONVERSATIONS OR CONSULTATIONS BETWEEN A PATIENT AND AT LEAST ONE OF HIS
OR HER ATTENDING OR CONSULTING PHYSICIANS.
(B) NOTWITHSTANDING PARAGRAPH (A) OF  THIS  SUBDIVISION,  THE  WRITTEN
"REQUEST  FOR MEDICATION TO END MY LIFE" MAY BE PREPARED IN ENGLISH EVEN
WHEN THE CONVERSATIONS OR CONSULTATIONS OR INTERPRETED CONVERSATIONS  OR
CONSULTATIONS  WERE  CONDUCTED  IN  A LANGUAGE OTHER THAN ENGLISH IF THE
ENGLISH LANGUAGE FORM INCLUDES AN ATTACHED DECLARATION BY THE INTERPRET-
ER OF THE CONVERSATION OR CONSULTATION, WHICH SHALL BE IN  SUBSTANTIALLY
INTERPRETER'S DECLARATION
I, _______[INSERT NAME OF INTERPRETER]______, AM FLUENT IN ENGLISH AND
[INSERT TARGET LANGUAGE].
ON  [INSERT DATE], AT APPROXIMATELY [INSERT TIME], I READ THE "REQUEST
FOR MEDICATION TO END MY LIFE" TO [NAME OF PATIENT]  IN  [INSERT  TARGET
[NAME OF PATIENT] AFFIRMED TO ME THAT HE/SHE UNDERSTOOD THE CONTENT OF
THE  "REQUEST FOR MEDICATION TO END MY LIFE" AND AFFIRMED HIS/HER DESIRE
TO SIGN THE "REQUEST FOR MEDICATION TO  END  MY  LIFE"  VOLUNTARILY  AND
WITHOUT  COERCION  AND THAT THE REQUEST TO SIGN THE "REQUEST FOR MEDICA-
A. 2383                             7
TION TO END MY LIFE" FOLLOWED DISCUSSIONS  WITH  HIS/HER  ATTENDING  AND
CONSULTING PHYSICIANS.
I DECLARE THAT I AM FLUENT IN ENGLISH AND [INSERT TARGET LANGUAGE] AND
FURTHER  DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND
CORRECT AND THAT FALSE STATEMENTS MADE HEREIN ARE PUNISHABLE.
EXECUTED AT [INSERT CITY, COUNTY AND  STATE]  ON  THIS  [INSERT  DAY  OF
MONTH] OF [INSERT MONTH], [INSERT YEAR].
__________________________ [SIGNATURE OF INTERPRETER]
__________________________ [PRINTED NAME OF INTERPRETER]
__________________________ [ADDRESS OF INTERPRETER]
(C)  AN INTERPRETER WHOSE SERVICES ARE PROVIDED UNDER PARAGRAPH (B) OF
THIS SUBDIVISION SHALL NOT (I) BE RELATED TO THE PATIENT WHO  SIGNS  THE
"REQUEST  FOR MEDICATION TO END MY LIFE" BY BLOOD, MARRIAGE OR ADOPTION,
(II) BE ENTITLED AT THE TIME THE "REQUEST FOR MEDICATION TO END MY LIFE"
IS SIGNED BY THE PATIENT TO ANY PORTION OF THE  ESTATE  OF  THE  PATIENT
UPON  DEATH UNDER ANY WILL OR BY OPERATION OF LAW, OR (III) BE AN OWNER,
OPERATOR OR EMPLOYEE OF A HEALTH CARE  FACILITY  WHERE  THE  PATIENT  IS
RECEIVING TREATMENT OR IS A RESIDENT.
§ 2899-L. PROTECTION AND IMMUNITIES. 1. A PHYSICIAN, PHARMACIST, OTHER
HEALTH  CARE  PROFESSIONAL OR OTHER PERSON SHALL NOT BE SUBJECT TO CIVIL
OR CRIMINAL LIABILITY OR PROFESSIONAL DISCIPLINARY ACTION BY ANY GOVERN-
MENT ENTITY FOR TAKING ANY REASONABLE GOOD-FAITH ACTION OR  REFUSING  TO
ACT  UNDER THIS ARTICLE, INCLUDING, BUT NOT LIMITED TO:  (A) ENGAGING IN
DISCUSSIONS WITH A PATIENT RELATING TO THE RISKS AND BENEFITS OF END-OF-
LIFE OPTIONS IN THE CIRCUMSTANCES DESCRIBED IN THIS ARTICLE, (B) PROVID-
ING A PATIENT, UPON REQUEST, WITH A  REFERRAL  TO  ANOTHER  HEALTH  CARE
PROVIDER, (C) BEING PRESENT WHEN A QUALIFIED INDIVIDUAL SELF-ADMINISTERS
MEDICATION, (D) REFRAINING FROM ACTING TO PREVENT THE QUALIFIED INDIVID-
UAL  FROM  SELF-ADMINISTERING  SUCH  MEDICATION,  OR (E) REFRAINING FROM
ACTING TO RESUSCITATE THE QUALIFIED INDIVIDUAL AFTER HE OR SHE  SELF-AD-
MINISTERS SUCH MEDICATION.
2. NOTHING IN THIS SECTION SHALL LIMIT CIVIL OR CRIMINAL LIABILITY FOR
NEGLIGENCE, RECKLESSNESS OR INTENTIONAL MISCONDUCT.
§ 2899-M. PERMISSIBLE  REFUSALS  AND PROHIBITIONS. 1. (A) A PHYSICIAN,
NURSE, PHARMACIST, OTHER HEALTH CARE PROVIDER OR OTHER PERSON SHALL  NOT
BE  UNDER  ANY DUTY, BY LAW OR CONTRACT, TO PARTICIPATE IN THE PROVISION
OF MEDICATION TO A PATIENT UNDER THIS ARTICLE.
(B) IF A HEALTH CARE PROVIDER IS UNABLE OR UNWILLING TO PARTICIPATE IN
THE PROVISION OF MEDICATION TO A PATIENT  UNDER  THIS  ARTICLE  AND  THE
PATIENT  TRANSFERS  CARE TO A NEW HEALTH CARE PROVIDER, THE PRIOR HEALTH
CARE PROVIDER SHALL TRANSFER OR ARRANGE FOR THE TRANSFER, UPON  REQUEST,
OF  A  COPY  OF THE PATIENT'S RELEVANT MEDICAL RECORDS TO THE NEW HEALTH
2.(A) A PRIVATE HEALTH CARE FACILITY  MAY  PROHIBIT  THE  PRESCRIBING,
DISPENSING,  ORDERING  OR  SELF-ADMINISTERING  OF  MEDICATION UNDER THIS
ARTICLE WHILE THE PATIENT IS BEING TREATED IN OR WHILE  THE  PATIENT  IS
RESIDING IN THE HEALTH CARE FACILITY IF:
(I)  THE  PRESCRIBING,  DISPENSING,  ORDERING OR SELF-ADMINISTERING IS
CONTRARY TO A FORMALLY ADOPTED POLICY OF THE FACILITY THAT IS  EXPRESSLY
A. 2383                             8
BASED  ON  SINCERELY HELD RELIGIOUS BELIEFS OR MORAL CONVICTIONS CENTRAL
TO THE FACILITY'S OPERATING PRINCIPLES; AND
(II)  THE  FACILITY  HAS  INFORMED THE PATIENT OF SUCH POLICY PRIOR TO
ADMISSION OR AS SOON AS REASONABLY POSSIBLE.
(B) WHERE A FACILITY HAS ADOPTED A PROHIBITION UNDER THIS SUBDIVISION,
IF A PATIENT WHO WISHES TO USE MEDICATION UNDER THIS  ARTICLE  REQUESTS,
THE PATIENT SHALL BE TRANSFERRED PROMPTLY TO ANOTHER HEALTH CARE FACILI-
TY  THAT IS REASONABLY ACCESSIBLE UNDER THE CIRCUMSTANCES AND WILLING TO
PERMIT THE PRESCRIBING, DISPENSING, ORDERING AND  SELF-ADMINISTERING  OF
MEDICATION UNDER THIS ARTICLE WITH RESPECT TO THE PATIENT.
3.  WHERE  A HEALTH CARE FACILITY HAS ADOPTED A PROHIBITION UNDER THIS
SUBDIVISION, ANY HEALTH CARE PROVIDER OR EMPLOYEE OF  THE  FACILITY  WHO
VIOLATES THE PROHIBITION MAY BE SUBJECT TO SANCTIONS OTHERWISE AVAILABLE
TO  THE  FACILITY,  PROVIDED  THE  FACILITY  HAS PREVIOUSLY NOTIFIED THE
HEALTH CARE PROVIDER OR EMPLOYEE OF THE PROHIBITION IN WRITING.
§ 2899-N. RELATION TO OTHER LAWS AND CONTRACTS.  1. (A) A PATIENT  WHO
REQUESTS  MEDICATION  UNDER  THIS  ARTICLE  SHALL  NOT,  BECAUSE OF THAT
REQUEST, BE CONSIDERED TO BE A PERSON WHO IS SUICIDAL, AND SELF-ADMINIS-
TERING MEDICATION UNDER THIS ARTICLE SHALL NOT BE DEEMED TO BE  SUICIDE,
(B)  ACTION  TAKEN  IN  ACCORDANCE  WITH  THIS  ARTICLE  SHALL  NOT BE
CONSTRUED FOR ANY  PURPOSE  TO  CONSTITUTE  SUICIDE,  ASSISTED  SUICIDE,
ATTEMPTED  SUICIDE, PROMOTING A SUICIDE ATTEMPT, MERCY KILLING, OR HOMI-
CIDE UNDER THE LAW, INCLUDING AS AN ACCOMPLICE OR  ACCESSORY  OR  OTHER-
2.  (A)  NO  PROVISION IN A CONTRACT, WILL OR OTHER AGREEMENT, WHETHER
WRITTEN OR ORAL, TO THE EXTENT THE  PROVISION  WOULD  AFFECT  WHETHER  A
PERSON  MAY  MAKE  OR RESCIND A REQUEST FOR MEDICATION OR TAKE ANY OTHER
ACTION UNDER THIS ARTICLE, SHALL BE VALID.
(B) NO OBLIGATION OWING UNDER ANY CONTRACT  SHALL  BE  CONDITIONED  OR
AFFECTED  BY THE MAKING OR RESCINDING OF A REQUEST BY A PERSON FOR MEDI-
CATION OR TAKING ANY OTHER ACTION UNDER THIS ARTICLE.
3. (A) A PERSON AND HIS OR HER BENEFICIARIES SHALL NOT BE DENIED BENE-
FITS UNDER A LIFE INSURANCE POLICY FOR ACTIONS TAKEN IN ACCORDANCE  WITH
(B) THE SALE, PROCUREMENT OR ISSUANCE OF A LIFE OR HEALTH INSURANCE OR
ANNUITY  POLICY, OR THE RATE CHARGED FOR A POLICY MAY NOT BE CONDITIONED
UPON OR AFFECTED BY A PATIENT MAKING OR RESCINDING A REQUEST FOR MEDICA-
TION UNDER THIS ARTICLE.
4. AN INSURER SHALL NOT PROVIDE ANY INFORMATION IN COMMUNICATIONS MADE
TO A PATIENT ABOUT THE AVAILABILITY OF  MEDICATION  UNDER  THIS  ARTICLE
ABSENT  A  REQUEST  BY  THE PATIENT OR BY HIS OR HER ATTENDING PHYSICIAN
UPON THE REQUEST OF SUCH PATIENT. ANY COMMUNICATION  SHALL  NOT  INCLUDE
BOTH  THE  DENIAL  OF  COVERAGE  FOR TREATMENT AND INFORMATION AS TO THE
AVAILABILITY OF MEDICATION UNDER THIS ARTICLE.
5. THE SALE, PROCUREMENT, OR ISSUE  OF  ANY  PROFESSIONAL  MALPRACTICE
INSURANCE  POLICY OR THE RATE CHARGED FOR THE POLICY SHALL NOT BE CONDI-
TIONED UPON OR AFFECTED BY WHETHER THE INSURED DOES OR DOES NOT TAKE  OR
PARTICIPATE IN ANY ACTION UNDER THIS ARTICLE.
§ 2899-O. SAFE  DISPOSAL  OF  UNUSED MEDICATIONS. THE DEPARTMENT SHALL
MAKE REGULATIONS PROVIDING FOR THE SAFE DISPOSAL OF  UNUSED  MEDICATIONS
PRESCRIBED, DISPENSED OR ORDERED UNDER THIS ARTICLE.
§ 2899-P. DEATH  CERTIFICATE.   1. IF OTHERWISE AUTHORIZED BY LAW, THE
ATTENDING PHYSICIAN MAY SIGN THE QUALIFIED  INDIVIDUAL'S  DEATH  CERTIF-
A. 2383                             9
2. THE CAUSE OF DEATH LISTED ON A QUALIFIED INDIVIDUAL'S DEATH CERTIF-
ICATE  WHO  DIES  AFTER SELF-ADMINISTERING MEDICATION UNDER THIS ARTICLE
WILL BE THE UNDERLYING TERMINAL ILLNESS.
§ 2899-Q. REPORTING.  1.  THE  COMMISSIONER  SHALL  ANNUALLY  REVIEW A
SAMPLE OF THE RECORDS  MAINTAINED  UNDER  SECTION  TWENTY-EIGHT  HUNDRED
NINETY-NINE-J  OF THIS ARTICLE. THE COMMISSIONER SHALL ADOPT REGULATIONS
ESTABLISHING REPORTING REQUIREMENTS FOR PHYSICIANS TAKING  ACTION  UNDER
THIS  ARTICLE TO DETERMINE UTILIZATION AND COMPLIANCE WITH THIS ARTICLE.
THE INFORMATION COLLECTED UNDER THIS  SECTION  SHALL  NOT  CONSTITUTE  A
PUBLIC  RECORD AVAILABLE FOR PUBLIC INSPECTION AND SHALL BE CONFIDENTIAL
AND COLLECTED AND MAINTAINED IN A MANNER THAT PROTECTS  THE  PRIVACY  OF
THE  PATIENT,  HIS OR HER FAMILY, AND ANY HEALTH CARE PROVIDER ACTING IN
CONNECTION WITH SUCH PATIENT UNDER THIS ARTICLE, EXCEPT THAT SUCH INFOR-
MATION MAY BE DISCLOSED  TO  A  GOVERNMENTAL  AGENCY  AS  AUTHORIZED  OR
REQUIRED  BY  LAW  RELATING  TO  PROFESSIONAL  DISCIPLINE, PROTECTION OF
PUBLIC HEALTH OR LAW ENFORCEMENT.
2. THE COMMISSIONER SHALL PREPARE A REPORT ANNUALLY  CONTAINING  RELE-
VANT  DATA  REGARDING  UTILIZATION  AND COMPLIANCE WITH THIS ARTICLE AND
SHALL POST SUCH REPORT ON THE DEPARTMENT'S WEBSITE.
§ 2899-R. PENALTIES. 1. NOTHING IN THIS ARTICLE SHALL BE CONSTRUED  TO
LIMIT  PROFESSIONAL DISCIPLINE OR CIVIL LIABILITY RESULTING FROM CONDUCT
IN VIOLATION OF THIS ARTICLE, NEGLIGENT CONDUCT, OR INTENTIONAL  MISCON-
DUCT BY ANY PERSON.
2. CONDUCT IN VIOLATION OF THIS ARTICLE SHALL BE SUBJECT TO APPLICABLE
CRIMINAL  LIABILITY  UNDER  STATE  LAW, INCLUDING, WHERE APPROPRIATE AND
WITHOUT LIMITATION, OFFENSES CONSTITUTING HOMICIDE,  FORGERY,  COERCION,
AND RELATED OFFENSES, OR FEDERAL LAW.
§ 2899-S. SEVERABILITY. IF ANY PROVISION OF THIS ARTICLE OR ANY APPLI-
CATION  OF  ANY  PROVISION OF THIS ARTICLE, IS HELD TO BE INVALID, OR TO
VIOLATE OR BE INCONSISTENT WITH ANY  FEDERAL  LAW  OR  REGULATION,  THAT
SHALL NOT AFFECT THE VALIDITY OR EFFECTIVENESS OF ANY OTHER PROVISION OF
THIS ARTICLE, OR OF ANY OTHER APPLICATION OF ANY PROVISION OF THIS ARTI-
CLE,  WHICH  CAN  BE GIVEN EFFECT WITHOUT THAT PROVISION OR APPLICATION;
AND TO THAT END, THE PROVISIONS AND APPLICATIONS  OF  THIS  ARTICLE  ARE
View More (451 Lines)
A2383A (ACTIVE) - Details
A2383A (ACTIVE) - Summary
A2383A (ACTIVE) - Bill Text download pdf
2383--A
Introduced by M. of A. PAULIN, L. ROSENTHAL, GOTTFRIED, DINOWITZ, GALEF,
HEVESI,  STECK,  BLAKE,  LAVINE, LUPARDO, SEPULVEDA, HARRIS, ABINANTI,
RODRIGUEZ, JAFFEE, JONES, D'URSO, M. G. MILLER, ORTIZ,  ARROYO,  SIMO-
TAS,  ERRIGO,  VANEL,  QUART  -- Multi-Sponsored by -- M. of A. BRAUN-
STEIN, CROUCH, MAGEE, SKARTADOS --  read  once  and  referred  to  the
Committee  on  Health  --  recommitted  to  the Committee on Health in
AN ACT to amend the public health law, in relation to a  terminally  ill
Section 1. This act shall be known and may be cited  as  the  "medical
§  2. The public health law is amended by adding a new article 28-F to
2899-G. RIGHT TO RESCIND REQUEST; REQUIREMENT TO OFFER  OPPORTU-
LBD01103-12-8
A. 2383--A                          2
NAL ILLNESS OR CONDITION.
3.  "CAPACITY"  MEANS  THE  ABILITY  TO  UNDERSTAND AND APPRECIATE THE
NATURE AND CONSEQUENCES OF HEALTH CARE DECISIONS, INCLUDING THE BENEFITS
AND RISKS OF AND ALTERNATIVES TO ANY PROPOSED HEALTH CARE, AND TO  REACH
4.    "CONSULTING  PHYSICIAN"  MEANS  A  PHYSICIAN WHO IS QUALIFIED BY
SPECIALTY OR EXPERIENCE TO MAKE A PROFESSIONAL DIAGNOSIS  AND  PROGNOSIS
REGARDING A PERSON'S TERMINAL ILLNESS OR CONDITION.
5.  "HEALTH  CARE FACILITY" MEANS A GENERAL HOSPITAL, NURSING HOME, OR
RESIDENTIAL HEALTH CARE FACILITY  AS  DEFINED  IN  SECTION  TWENTY-EIGHT
6.  "HEALTH  CARE  PROVIDER"  MEANS  A  PERSON LICENSED, CERTIFIED, OR
AUTHORIZED BY LAW TO ADMINISTER HEALTH CARE OR  DISPENSE  MEDICATION  IN
FROM   A   TERMINAL  ILLNESS  OR  CONDITION  TO  REQUEST  AND  OBTAIN  A
PRESCRIPTION FOR MEDICATION THAT THE PATIENT MAY SELF-ADMINISTER TO  END
THE  PATIENT'S LIFE THAT IS BASED ON AN UNDERSTANDING AND ACKNOWLEDGMENT
OF THE RELEVANT FACTS AND THAT IS MADE VOLUNTARILY, OF THE PATIENT'S OWN
VOLITION AND WITHOUT COERCION, AFTER BEING FULLY INFORMED OF:
(B) THE POTENTIAL RISKS ASSOCIATED WITH TAKING THE  MEDICATION  TO  BE
(D)  THE  POSSIBILITY  THAT  THE  PATIENT MAY CHOOSE NOT TO OBTAIN THE
MEDICATION, OR MAY OBTAIN THE MEDICATION BUT MAY DECIDE NOT TO  SELF-AD-
(E)  THE  FEASIBLE  ALTERNATIVES  AND  APPROPRIATE  TREATMENT OPTIONS,
INCLUDING BUT NOT LIMITED TO PALLIATIVE CARE AND HOSPICE CARE.
8. "MEDICAL AID IN DYING" MEANS THE MEDICAL PRACTICE  OF  A  PHYSICIAN
9.  "MEDICALLY  CONFIRMED"  MEANS THE MEDICAL OPINION OF THE ATTENDING
PHYSICIAN THAT A PATIENT HAS A TERMINAL ILLNESS  OR  CONDITION  AND  HAS
MADE  AN  INFORMED  DECISION  WHICH  HAS  BEEN CONFIRMED BY A CONSULTING
PHYSICIAN WHO HAS  EXAMINED  THE  PATIENT  AND  THE  PATIENT'S  RELEVANT
A. 2383--A                          3
14. "PHYSICIAN" MEANS AN INDIVIDUAL LICENSED TO PRACTICE  MEDICINE  IN
15.  "QUALIFIED INDIVIDUAL" MEANS A PATIENT WITH A TERMINAL ILLNESS OR
CONDITION, WHO HAS CAPACITY, HAS MADE  AN  INFORMED  DECISION,  AND  HAS
SATISFIED  THE  REQUIREMENTS  OF  THIS  ARTICLE  IN  ORDER  TO  OBTAIN A
PRESCRIPTION FOR MEDICATION.
17.  "TERMINAL  ILLNESS OR CONDITION" MEANS AN INCURABLE AND IRREVERS-
IBLE ILLNESS OR CONDITION THAT HAS BEEN MEDICALLY  CONFIRMED  AND  WILL,
WITHIN REASONABLE MEDICAL JUDGMENT, PRODUCE DEATH WITHIN SIX MONTHS.
ILLNESS  OR  CONDITION  AND  WHICH  HAS  BEEN  MEDICALLY  CONFIRMED BY A
CONSULTING PHYSICIAN; AND
(B) BASED ON AN  INFORMED  DECISION,  EXPRESSES  VOLUNTARILY,  OF  THE
PATIENT'S  OWN  VOLITION AND WITHOUT COERCION THE REQUEST FOR MEDICATION
TO END HIS OR HER LIFE.
PATIENT HAS CAPACITY, IS ACTING VOLUNTARILY, IS MAKING THE  REQUEST  FOR
MEDICATION  OF  HIS OR HER OWN VOLITION AND IS NOT BEING COERCED TO SIGN
THE REQUEST. THE WRITTEN REQUEST SHALL  BE  IN  SUBSTANTIALLY  THE  FORM
(II)  A PERSON WHO AT THE TIME THE REQUEST IS SIGNED WOULD BE ENTITLED
(III) AN OWNER, OPERATOR, EMPLOYEE  OR  INDEPENDENT  CONTRACTOR  OF  A
HEALTH  CARE  FACILITY  WHERE THE PATIENT IS RECEIVING TREATMENT OR IS A
A. 2383--A                          4
PHYSICIAN  SHALL  EXAMINE  THE  PATIENT  AND HIS OR HER RELEVANT MEDICAL
RECORDS AND:
(A)  MAKE  A DETERMINATION OF WHETHER A PATIENT HAS A TERMINAL ILLNESS
OR CONDITION, HAS CAPACITY, HAS MADE AN INFORMED DECISION AND  HAS  MADE
THE  REQUEST VOLUNTARILY OF THE PATIENT'S OWN VOLITION AND WITHOUT COER-
CION;
(B) INFORM THE PATIENT OF  THE  REQUIREMENT  UNDER  THIS  ARTICLE  FOR
CONFIRMATION  BY  A  CONSULTING  PHYSICIAN,  AND  REFER THE PATIENT TO A
(C) REFER THE PATIENT TO A  MENTAL  HEALTH  PROFESSIONAL  PURSUANT  TO
SECTION  TWENTY-EIGHT  HUNDRED  NINETY-NINE-I  OF  THIS  ARTICLE  IF THE
ATTENDING PHYSICIAN BELIEVES THAT THE PATIENT MAY LACK CAPACITY TO  MAKE
AN INFORMED DECISION;
(D)  PROVIDE  INFORMATION  AND  COUNSELING  UNDER  SECTION TWENTY-NINE
(II) THE POTENTIAL RISKS ASSOCIATED WITH TAKING  THE  MEDICATION  TO  BE
PRESCRIBED;  (III)  THE  PROBABLE  RESULT OF TAKING THE MEDICATION TO BE
PRESCRIBED; (IV) THE POSSIBILITY THAT THE PATIENT MAY CHOOSE  TO  OBTAIN
THE  MEDICATION  BUT  NOT TAKE IT; AND (V) THE FEASIBLE ALTERNATIVES AND
APPROPRIATE TREATMENT OPTIONS, INCLUDING BUT NOT LIMITED TO (1) INFORMA-
TION AND COUNSELING REGARDING PALLIATIVE AND HOSPICE  CARE  AND  END-OF-
LIFE  OPTIONS  APPROPRIATE TO THE PATIENT, INCLUDING BUT NOT LIMITED TO:
THE RANGE OF OPTIONS APPROPRIATE TO THE PATIENT;  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;  AND  (2)
INFORMATION  REGARDING  TREATMENT  OPTIONS  APPROPRIATE  TO THE PATIENT,
INCLUDING THE PROGNOSIS, RISKS AND BENEFITS  OF  THE  VARIOUS  TREATMENT
TION AND THE RESTRICTION THAT NO  PERSON  OTHER  THAN  THE  PATIENT  MAY
ADMINISTER THE MEDICATION;
(II) NOT TAKING THE MEDICATION IN A PUBLIC PLACE; AND
(III)  INFORMING  THE  PATIENT'S  FAMILY  OF THE PATIENT'S DECISION TO
REQUEST AND TAKE MEDICATION THAT WILL END THE PATIENT'S LIFE; A  PATIENT
WHO  DECLINES  OR  IS  UNABLE TO NOTIFY FAMILY SHALL NOT HAVE HIS OR HER
REQUEST FOR MEDICATION DENIED FOR THAT REASON;
ATTENDING PHYSICIAN WHO DETERMINES  THAT  THE  PATIENT  HAS  A  TERMINAL
ILLNESS  OR CONDITION, HAS CAPACITY AND HAS MADE A VOLUNTARY REQUEST FOR
MEDICATION AS PROVIDED IN THIS ARTICLE, MAY PERSONALLY, OR  BY  REFERRAL
TO  ANOTHER  PHYSICIAN,  PRESCRIBE  OR  ORDER  APPROPRIATE MEDICATION IN
ACCORDANCE WITH THE PATIENT'S REQUEST UNDER THIS  ARTICLE,  AND  AT  THE
PATIENT'S REQUEST, FACILITATE THE FILLING OF THE PRESCRIPTION AND DELIV-
ERY OF THE MEDICATION TO THE PATIENT.
A. 2383--A                          5
3.  IN  ACCORDANCE  WITH  THE DIRECTION OF THE PRESCRIBING OR ORDERING
PHYSICIAN AND THE CONSENT OF THE PATIENT, THE PATIENT MAY  SELF-ADMINIS-
TER  THE MEDICATION TO HIMSELF OR HERSELF. A HEALTH CARE PROFESSIONAL OR
2.  CONFIRM,  IN  WRITING, TO THE ATTENDING PHYSICIAN AND THE PATIENT,
WHETHER: (A) THE PATIENT HAS A TERMINAL ILLNESS OR  CONDITION;  (B)  THE
PATIENT IS MAKING AN INFORMED DECISION; (C) THE PATIENT HAS CAPACITY, OR
PROVIDE  DOCUMENTATION  THAT  THE  CONSULTING PHYSICIAN HAS REFERRED THE
PATIENT FOR A DETERMINATION UNDER SECTION TWENTY-EIGHT  HUNDRED  NINETY-
NINE-I  OF  THIS  ARTICLE; AND (D) THE PATIENT IS ACTING VOLUNTARILY, OF
THE PATIENT'S OWN VOLITION AND WITHOUT COERCION.
§ 2899-I. REFERRAL TO MENTAL HEALTH PROFESSIONAL. 1. IF THE  ATTENDING
CAPACITY,  THE  ATTENDING  PHYSICIAN OR CONSULTING PHYSICIAN SHALL REFER
THE PATIENT TO A MENTAL  HEALTH  PROFESSIONAL  FOR  A  DETERMINATION  OF
WHETHER  THE  PATIENT  HAS  CAPACITY  TO  MAKE AN INFORMED DECISION. THE
REFERRING PHYSICIAN SHALL ADVISE THE PATIENT  THAT  THE  REPORT  OF  THE
MENTAL  HEALTH  PROFESSIONAL WILL BE PROVIDED TO THE ATTENDING PHYSICIAN
AND THE CONSULTING PHYSICIAN.
2. A MENTAL HEALTH PROFESSIONAL WHO EVALUATES  A  PATIENT  UNDER  THIS
SECTION  SHALL  REPORT,  IN  WRITING, TO THE ATTENDING PHYSICIAN AND THE
CONSULTING PHYSICIAN, HIS OR HER INDEPENDENT CONCLUSIONS  ABOUT  WHETHER
THE PATIENT HAS CAPACITY TO MAKE AN INFORMED DECISION, PROVIDED THAT IF,
AT  THE  TIME  OF THE REPORT, THE PATIENT HAS NOT YET BEEN REFERRED TO A
CONSULTING PHYSICIAN, THEN UPON REFERRAL THE ATTENDING  PHYSICIAN  SHALL
PROVIDE  THE  CONSULTING  PHYSICIAN  WITH  A  COPY  OF THE MENTAL HEALTH
PROFESSIONAL'S REPORT. IF THE MENTAL HEALTH PROFESSIONAL DETERMINES THAT
THE PATIENT LACKS CAPACITY TO MAKE AN  INFORMED  DECISION,  THE  PATIENT
SHALL  NOT BE DEEMED A QUALIFIED INDIVIDUAL, AND THE ATTENDING PHYSICIAN
SHALL NOT PRESCRIBE MEDICATION TO THE PATIENT.
CLE, INCLUDING THE DECLARATION OF WITNESSES AND  INTERPRETER'S  DECLARA-
TION, IF APPLICABLE;
CAPACITY,  AND  DETERMINATION THAT THE PATIENT IS ACTING VOLUNTARILY, OF
THE PATIENT'S OWN  VOLITION  AND  WITHOUT  COERCION,  AND  HAS  MADE  AN
A. 2383--A                          6
I HAVE BEEN DIAGNOSED WITH ______________(INSERT DIAGNOSIS), WHICH  MY
ATTENDING  PHYSICIAN  HAS DETERMINED IS A TERMINAL ILLNESS OR CONDITION,
WHICH HAS BEEN MEDICALLY CONFIRMED BY A CONSULTING PHYSICIAN.
I HAVE BEEN FULLY INFORMED OF MY DIAGNOSIS AND PROGNOSIS,  THE  NATURE
OF  THE  MEDICATION TO BE PRESCRIBED AND POTENTIAL ASSOCIATED RISKS, THE
EXPECTED RESULT, AND THE FEASIBLE  ALTERNATIVES  AND  TREATMENT  OPTIONS
I  REQUEST  THAT MY ATTENDING PHYSICIAN PRESCRIBE MEDICATION THAT WILL
END MY LIFE IF I CHOOSE TO TAKE IT, AND I AUTHORIZE MY ATTENDING  PHYSI-
(    )  I  HAVE INFORMED OR INTEND TO INFORM ONE OR MORE MEMBERS OF MY
FAMILY OF MY DECISION.
(  ) I HAVE DECIDED NOT TO INFORM ANY MEMBER OF MY FAMILY OF MY  DECI-
I  UNDERSTAND THAT I HAVE THE RIGHT TO RESCIND THIS REQUEST OR DECLINE
I UNDERSTAND THE IMPORTANCE OF THIS REQUEST, AND I EXPECT TO DIE IF  I
MOST  DEATHS  OCCUR WITHIN THREE HOURS, MY DEATH MAY TAKE LONGER, AND MY
I MAKE THIS REQUEST VOLUNTARILY, OF MY OWN VOLITION AND WITHOUT  BEING
COERCED, AND I ACCEPT FULL RESPONSIBILITY FOR MY ACTIONS.
(C) TO THE BEST OF MY KNOWLEDGE AND BELIEF, HAS CAPACITY AND IS MAKING
THE  "REQUEST  FOR MEDICATION TO END MY LIFE" VOLUNTARILY, OF HIS OR HER
OWN VOLITION AND IS NOT BEING COERCED TO SIGN THE "REQUEST  FOR  MEDICA-
TION TO END MY LIFE".
SIGNING  THE  "REQUEST FOR MEDICATION TO END MY LIFE" OR, IF APPLICABLE,
THE MENTAL HEALTH PROFESSIONAL WHO PROVIDES A CAPACITY DETERMINATION  OF
A. 2383--A                          7
THE  PERSON  SIGNING  THE "REQUEST FOR MEDICATION TO END MY LIFE" AT THE
I  FURTHER  DECLARE  UNDER PENALTY OF PERJURY THAT THE STATEMENTS MADE
HEREIN ARE TRUE AND CORRECT AND FALSE STATEMENTS MADE HEREIN ARE PUNISH-
__________________________ WITNESS 1, DATE: ________________
__________________________ (PRINTED NAME)
__________________________ (ADDRESS)
__________________________ (TELEPHONE NUMBER)
I FURTHER DECLARE THAT I AM NOT (I) RELATED TO THE ABOVE-NAMED PATIENT
BY BLOOD, MARRIAGE OR ADOPTION, (II) ENTITLED AT THE  TIME  THE  PATIENT
SIGNED THE "REQUEST FOR MEDICATION TO END MY LIFE" TO ANY PORTION OF THE
ESTATE  OF THE PATIENT UPON HIS/HER DEATH UNDER ANY WILL OR BY OPERATION
OF LAW, OR (III) AN OWNER, OPERATOR, EMPLOYEE OR INDEPENDENT  CONTRACTOR
OF A HEALTH CARE FACILITY WHERE THE PATIENT IS RECEIVING TREATMENT OR IS
__________________________ WITNESS 2, DATE: _________________
BE EMPLOYED OR BE AN INDEPENDENT CONTRACTOR AT A  HEALTH  CARE  FACILITY
WHERE THE PERSON IS RECEIVING TREATMENT OR IS A RESIDENT.
CONSULTATIONS  WERE  CONDUCTED  IN A LANGUAGE OTHER THAN ENGLISH OR WITH
AUXILIARY AIDS OR  HEARING,  SPEECH  OR  VISUAL  AIDS,  IF  THE  ENGLISH
LANGUAGE FORM INCLUDES AN ATTACHED DECLARATION BY THE INTERPRETER OF THE
CONVERSATION  OR  CONSULTATION,  WHICH  SHALL  BE  IN  SUBSTANTIALLY THE
I, ___________ (INSERT NAME OF INTERPRETER)_____  ,(MARK  AS  APPLICA-
BLE):
(  ) FOR A PATIENT WHOSE CONVERSATIONS OR CONSULTATIONS OR INTERPRETED
CONVERSATIONS  OR  CONSULTATIONS WERE CONDUCTED IN A LANGUAGE OTHER THAN
ENGLISH AND THE "REQUEST FOR MEDICATION TO END MY LIFE" IS IN ENGLISH: I
A. 2383--A                          8
DECLARE THAT I AM FLUENT IN ENGLISH AND (INSERT TARGET LANGUAGE). I HAVE
THE REQUISITE LANGUAGE AND INTERPRETER SKILLS TO BE  ABLE  TO  INTERPRET
EFFECTIVELY,  ACCURATELY AND IMPARTIALLY INFORMATION SHARED AND COMMUNI-
CATIONS  BETWEEN  THE  ATTENDING  OR  CONSULTING  PHYSICIAN AND (NAME OF
I CERTIFY THAT ON (INSERT DATE), AT  APPROXIMATELY  (INSERT  TIME),  I
INTERPRETED  THE  COMMUNICATIONS  AND  INFORMATION  CONVEYED BETWEEN THE
PHYSICIAN AND (NAME OF PATIENT) AS ACCURATELY AND COMPLETELY TO THE BEST
OF MY KNOWLEDGE AND ABILITY AND READ THE "REQUEST FOR MEDICATION TO  END
MY LIFE" TO (NAME OF PATIENT) IN (INSERT TARGET LANGUAGE).
(NAME  OF  PATIENT) AFFIRMED TO ME HIS/HER DESIRE TO SIGN THE "REQUEST
FOR MEDICATION TO END MY LIFE" VOLUNTARILY, OF (NAME OF  PATIENT)'S  OWN
VOLITION AND WITHOUT COERCION.
(  )  FOR  A  PATIENT  WITH  A SPEECH, HEARING OR VISION DISABILITY: I
DECLARE THAT I HAVE THE REQUISITE LANGUAGE, READING  AND/OR  INTERPRETER
SKILLS  TO  COMMUNICATE  WITH  THE PATIENT AND TO BE ABLE TO READ AND/OR
INTERPRET EFFECTIVELY, ACCURATELY AND IMPARTIALLY INFORMATION SHARED AND
COMMUNICATIONS THAT OCCURRED ON (INSERT DATE) BETWEEN THE  ATTENDING  OR
CONSULTING PHYSICIAN AND (NAME OF PATIENT).
I  CERTIFY  THAT  ON  (INSERT DATE), AT APPROXIMATELY (INSERT TIME), I
READ AND/OR INTERPRETED  THE  COMMUNICATIONS  AND  INFORMATION  CONVEYED
BETWEEN THE PHYSICIAN AND (NAME OF PATIENT) IMPARTIALLY AND AS ACCURATE-
LY  AND  COMPLETELY  TO  THE BEST OF MY KNOWLEDGE AND ABILITY AND, WHERE
NEEDED FOR EFFECTIVE COMMUNICATION, READ OR INTERPRETED THE "REQUEST FOR
MEDICATION TO END MY LIFE" TO (NAME OF PATIENT).
(NAME OF PATIENT) AFFIRMED TO ME HIS/HER DESIRE TO SIGN  THE  "REQUEST
FOR  MEDICATION  TO END MY LIFE" VOLUNTARILY, OF (NAME OF PATIENT)'S OWN
I FURTHER DECLARE UNDER PENALTY OF PERJURY THAT (I) THE  FOREGOING  IS
TRUE  AND  CORRECT;  (II)  I  AM NOT (A) RELATED TO (NAME OF PATIENT) BY
BLOOD, MARRIAGE OR ADOPTION, (B) ENTITLED AT THE TIME (NAME OF  PATIENT)
ESTATE  OF  (NAME  OF  PATIENT)  UPON HIS/HER DEATH UNDER ANY WILL OR BY
OPERATION OF LAW, OR (C) AN OWNER,  OPERATOR,  EMPLOYEE  OR  INDEPENDENT
CONTRACTOR  OF A HEALTH CARE FACILITY WHERE (NAME OF PATIENT) IS RECEIV-
ING TREATMENT OR IS A RESIDENT, EXCEPT THAT IF I AM AN EMPLOYEE OR INDE-
PENDENT CONTRACTOR AT SUCH HEALTH CARE FACILITY,  PROVIDING  INTERPRETER
SERVICES IS PART OF MY JOB DESCRIPTION AT SUCH HEALTH CARE FACILITY OR I
HAVE  BEEN TRAINED TO PROVIDE INTERPRETER SERVICES AND (NAME OF PATIENT)
REQUESTED THAT  I  PROVIDE  INTERPRETER  SERVICES  TO  HIM/HER  FOR  THE
PURPOSES  STATED  IN  THIS  DECLARATION; AND (III) FALSE STATEMENTS MADE
HEREIN ARE PUNISHABLE.
EXECUTED AT (INSERT CITY, COUNTY AND  STATE)  ON  THIS  (INSERT  DAY  OF
MONTH) OF (INSERT MONTH), (INSERT YEAR).
__________________________ (SIGNATURE OF INTERPRETER)
__________________________ (PRINTED NAME OF INTERPRETER)
__________________________ (ID # OR AGENCY NAME)
__________________________ (ADDRESS OF INTERPRETER)
__________________________ (LANGUAGE SPOKEN BY INTERPRETER)
A. 2383--A                          9
IS  SIGNED  BY  THE  PATIENT TO ANY PORTION OF THE ESTATE OF THE PATIENT
UPON DEATH UNDER ANY WILL OR BY OPERATION OF LAW, OR (III) BE AN  OWNER,
OPERATOR,  EMPLOYEE  OR INDEPENDENT CONTRACTOR OF A HEALTH CARE FACILITY
WHERE THE PATIENT IS RECEIVING TREATMENT OR IS A RESIDENT; PROVIDED THAT
AN EMPLOYEE OR INDEPENDENT  CONTRACTOR  WHOSE  JOB  DESCRIPTION  AT  THE
HEALTH  CARE FACILITY INCLUDES INTERPRETER SERVICES OR WHO IS TRAINED TO
PROVIDE INTERPRETER SERVICES AND WHO HAS BEEN REQUESTED BY  THE  PATIENT
TO  SERVE  AS  AN INTERPRETER UNDER THIS ARTICLE SHALL NOT BE PROHIBITED
FROM SERVING AS A WITNESS UNDER THIS ARTICLE.
HEALTH CARE PROFESSIONAL OR OTHER PERSON SHALL NOT BE SUBJECT  TO  CIVIL
MENT  ENTITY  FOR TAKING ANY REASONABLE GOOD-FAITH ACTION OR REFUSING TO
ACT UNDER THIS ARTICLE, INCLUDING, BUT NOT LIMITED TO:  (A) ENGAGING  IN
ING  A  PATIENT,  UPON  REQUEST,  WITH A REFERRAL TO ANOTHER HEALTH CARE
UAL FROM SELF-ADMINISTERING SUCH  MEDICATION,  OR  (E)  REFRAINING  FROM
ACTING  TO RESUSCITATE THE QUALIFIED INDIVIDUAL AFTER HE OR SHE SELF-AD-
§ 2899-M. PERMISSIBLE REFUSALS AND PROHIBITIONS. 1. (A)  A  PHYSICIAN,
NURSE,  PHARMACIST, OTHER HEALTH CARE PROVIDER OR OTHER PERSON SHALL NOT
BE UNDER ANY DUTY, BY LAW OR CONTRACT, TO PARTICIPATE IN  THE  PROVISION
THE  PROVISION  OF  MEDICATION  TO  A PATIENT UNDER THIS ARTICLE AND THE
PATIENT TRANSFERS CARE TO A NEW HEALTH CARE PROVIDER, THE  PRIOR  HEALTH
CARE  PROVIDER SHALL TRANSFER OR ARRANGE FOR THE TRANSFER, UPON REQUEST,
OF A COPY OF THE PATIENT'S RELEVANT MEDICAL RECORDS TO  THE  NEW  HEALTH
2.  (A)  A  PRIVATE HEALTH CARE FACILITY MAY PROHIBIT THE PRESCRIBING,
DISPENSING, ORDERING OR  SELF-ADMINISTERING  OF  MEDICATION  UNDER  THIS
ARTICLE  WHILE  THE  PATIENT IS BEING TREATED IN OR WHILE THE PATIENT IS
(I) THE PRESCRIBING, DISPENSING,  ORDERING  OR  SELF-ADMINISTERING  IS
CONTRARY  TO A FORMALLY ADOPTED POLICY OF THE FACILITY THAT IS EXPRESSLY
BASED ON SINCERELY HELD RELIGIOUS BELIEFS OR MORAL  CONVICTIONS  CENTRAL
SUBDIVISION,  ANY  HEALTH  CARE  PROVIDER  OR  EMPLOYEE  OR  INDEPENDENT
A. 2383--A                         10
CONTRACTOR  OF  THE FACILITY WHO VIOLATES THE PROHIBITION MAY BE SUBJECT
TO SANCTIONS OTHERWISE AVAILABLE TO THE FACILITY, PROVIDED THE  FACILITY
HAS  PREVIOUSLY NOTIFIED THE HEALTH CARE PROVIDER, EMPLOYEE OR INDEPEND-
ENT CONTRACTOR OF THE PROHIBITION IN WRITING.
§ 2899-N. RELATION  TO  OTHER LAWS AND CONTRACTS. 1. (A) A PATIENT WHO
REQUESTS MEDICATION UNDER  THIS  ARTICLE  SHALL  NOT,  BECAUSE  OF  THAT
TERING  MEDICATION UNDER THIS ARTICLE SHALL NOT BE DEEMED TO BE SUICIDE,
(B) ACTION  TAKEN  IN  ACCORDANCE  WITH  THIS  ARTICLE  SHALL  NOT  BE
CONSTRUED  FOR  ANY  PURPOSE  TO  CONSTITUTE  SUICIDE, ASSISTED SUICIDE,
ATTEMPTED SUICIDE, PROMOTING A SUICIDE ATTEMPT, EUTHANASIA, MERCY  KILL-
ING,  OR HOMICIDE UNDER THE LAW, INCLUDING AS AN ACCOMPLICE OR ACCESSORY
2. (A) NO PROVISION IN A CONTRACT, WILL OR  OTHER  AGREEMENT,  WHETHER
WRITTEN  OR  ORAL,  TO  THE  EXTENT THE PROVISION WOULD AFFECT WHETHER A
PERSON MAY MAKE OR RESCIND A REQUEST FOR MEDICATION OR  TAKE  ANY  OTHER
(B)  NO  OBLIGATION  OWING  UNDER ANY CONTRACT SHALL BE CONDITIONED OR
AFFECTED BY THE MAKING OR RESCINDING OF A REQUEST BY A PERSON FOR  MEDI-
FITS  UNDER A LIFE INSURANCE POLICY FOR ACTIONS TAKEN IN ACCORDANCE WITH
(B) NOTWITHSTANDING THE PROVISIONS OF ANY LAW OR CONTRACT,  THE  SALE,
PROCUREMENT OR ISSUANCE OF A LIFE OR HEALTH INSURANCE OR ANNUITY POLICY,
OR  THE  RATE  CHARGED  FOR  A  POLICY, SHALL NOT BE CONDITIONED UPON OR
AFFECTED BY A PATIENT MAKING OR  RESCINDING  A  REQUEST  FOR  MEDICATION
TO  A  PATIENT  ABOUT  THE AVAILABILITY OF MEDICATION UNDER THIS ARTICLE
ABSENT A REQUEST BY THE PATIENT OR BY HIS  OR  HER  ATTENDING  PHYSICIAN
UPON  THE  REQUEST  OF SUCH PATIENT. ANY COMMUNICATION SHALL NOT INCLUDE
BOTH THE DENIAL OF COVERAGE FOR TREATMENT  AND  INFORMATION  AS  TO  THE
5.  THE  SALE,  PROCUREMENT,  OR ISSUE OF ANY PROFESSIONAL MALPRACTICE
INSURANCE POLICY OR THE RATE CHARGED FOR THE POLICY SHALL NOT BE  CONDI-
TIONED  UPON OR AFFECTED BY WHETHER THE INSURED DOES OR DOES NOT TAKE OR
§ 2899-O. SAFE DISPOSAL OF UNUSED  MEDICATIONS.    A  PERSON  WHO  HAS
CUSTODY  OR CONTROL OF ANY UNUSED MEDICATION PRESCRIBED UNDER THIS ARTI-
CLE AFTER THE DEATH OF THE QUALIFIED INDIVIDUAL SHALL PERSONALLY DELIVER
THE UNUSED MEDICATION FOR DISPOSAL TO  THE  NEAREST  QUALIFIED  FACILITY
THAT  PROPERLY  DISPOSES OF CONTROLLED SUBSTANCES OR SHALL DISPOSE OF IT
BY LAWFUL MEANS IN ACCORDANCE WITH REGULATIONS MADE BY THE COMMISSIONER,
REGULATIONS MADE BY OR GUIDELINES OF THE COMMISSIONER OF  EDUCATION,  OR
GUIDELINES  OF  A FEDERAL DRUG ENFORCEMENT ADMINISTRATION APPROVED TAKE-
BACK PROGRAM. A QUALIFIED FACILITY THAT PROPERLY DISPOSES OF  CONTROLLED
SUBSTANCES SHALL ACCEPT AND DISPOSE OF ANY MEDICATION DELIVERED TO IT AS
PROVIDED HEREUNDER REGARDLESS OF WHETHER SUCH MEDICATION IS A CONTROLLED
SUBSTANCE.  THE  COMMISSIONER MAY MAKE REGULATIONS AS MAY BE APPROPRIATE
FOR THE SAFE DISPOSAL OF UNUSED  MEDICATIONS  PRESCRIBED,  DISPENSED  OR
ORDERED UNDER THIS ARTICLE AS PROVIDED IN THIS SECTION.
A. 2383--A                         11
WILL BE THE UNDERLYING TERMINAL ILLNESS OR CONDITION.
SAMPLE OF THE RECORDS MAINTAINED  UNDER  SECTIONS  TWENTY-EIGHT  HUNDRED
NINETY-NINE-J  AND  TWENTY-EIGHT  HUNDRED NINETY-NINE-P OF THIS ARTICLE.
THE COMMISSIONER SHALL ADOPT REGULATIONS ESTABLISHING REPORTING REQUIRE-
MENTS FOR PHYSICIANS TAKING  ACTION  UNDER  THIS  ARTICLE  TO  DETERMINE
UTILIZATION  AND COMPLIANCE WITH THIS ARTICLE. THE INFORMATION COLLECTED
UNDER THIS SUBDIVISION SHALL NOT CONSTITUTE A  PUBLIC  RECORD  AVAILABLE
FOR  PUBLIC INSPECTION AND SHALL BE CONFIDENTIAL AND COLLECTED AND MAIN-
TAINED IN A MANNER THAT PROTECTS THE PRIVACY OF THE PATIENT, HIS OR  HER
FAMILY,  AND  ANY  HEALTH  CARE  PROVIDER ACTING IN CONNECTION WITH SUCH
PATIENT  UNDER  THIS  ARTICLE,  EXCEPT  THAT  SUCH  INFORMATION  MAY  BE
DISCLOSED  TO  A  GOVERNMENTAL  AGENCY  AS AUTHORIZED OR REQUIRED BY LAW
RELATING TO PROFESSIONAL DISCIPLINE, PROTECTION OF PUBLIC HEALTH OR  LAW
2.  THE  COMMISSIONER SHALL PREPARE A REPORT ANNUALLY CONTAINING RELE-
VANT DATA REGARDING UTILIZATION AND COMPLIANCE  WITH  THIS  ARTICLE  AND
§ 2899-R. PENALTIES.  1. NOTHING IN THIS ARTICLE SHALL BE CONSTRUED TO
LIMIT PROFESSIONAL DISCIPLINE OR CIVIL LIABILITY RESULTING FROM  CONDUCT
IN  VIOLATION OF THIS ARTICLE, NEGLIGENT CONDUCT, OR INTENTIONAL MISCON-
CRIMINAL LIABILITY UNDER STATE LAW,  INCLUDING,  WHERE  APPROPRIATE  AND
WITHOUT  LIMITATION,  OFFENSES CONSTITUTING HOMICIDE, FORGERY, COERCION,
CATION OF ANY PROVISION OF THIS ARTICLE, IS HELD TO BE  INVALID,  OR  TO
VIOLATE  OR  BE  INCONSISTENT  WITH  ANY FEDERAL LAW OR REGULATION, THAT
CLE, WHICH CAN BE GIVEN EFFECT WITHOUT THAT  PROVISION  OR  APPLICATION;
AND  TO  THAT  END,  THE PROVISIONS AND APPLICATIONS OF THIS ARTICLE ARE