Resolve, Concerning the Authority of Do Not Resuscitate Directives Further amend the bill by striking out everything after the title and before the summary and inserting in its place the following: Emergency preamble. Whereas, acts Legislature do not become effective adjournment unless enacted as emergencies; and until and resolves of the days after Whereas, current protocols applicable to emergency medical responders regarding the treatment of "do not resuscitate" orders require physicians' orders; and Whereas, it is necessary that the protocols be revised as quickly as possible to ensure that the informed wishes of a person, as stated in that person's directive, be complied with; and Whereas, in the judgment of the Legislature, these facts create an emergency wi thin the meaning of the Constitution of Maine and require the following legislation as immediately necessary for the preservation of the public peace, health and safety; now, therefore, be it Page l-LR2464(2) COMMITTEE AMENDMENT
Maine Legislature, Session 122, LD 1763
Committee Amendment CA_A_S522 (Senate)

COMMITTEE AMENDMENT "A" to S.P. 680, L.D. 1763, Bill, "An 
Act To Ensure the Authority of "Do Not Resuscitate" Orders in 
Advance Health-care Directives" 
Amend the bill by striking out the title and substituting 
the following: 
'Resolve, 
Concerning 
the 
Authority 
of 
"Do 
Not 
Resuscitate" 
Directives' 
Further amend the bill by striking out everything after the 
title and before the summary and inserting in its place the 
following: 
'Emergency preamble. 
Whereas, acts 
Legislature 
do 
not 
become 
effective 
adjournment unless enacted as emergencies; 
and 
until 
and 
resolves 
of 
the 
days 
after 
Whereas, current protocols applicable to emergency medical 
responders regarding the treatment of "do not resuscitate" orders 
require physicians' orders; and 
Whereas, it is necessary that the protocols be revised as 
quickly as possible to ensure that the informed wishes of 
a 
person, as stated in that person's directive, be complied with; 
and 
Whereas, in the judgment of the Legislature, these facts 
create an emergency wi thin the meaning of the Constitution of 
Maine 
and 
require 
the 
following 
legislation 
as 
immediately 
necessary for the preservation of the public peace, health and 
safety; now, therefore, be it 
Page l-LR2464(2) 
COMMITTEE AMENDMENT 
~. 
~ 
COMMITTEE AMENDMENT "A" to S.P. 680, L.D'. 1763 
Sec. 1. Maine Emergency Medical Services protocols. Resolved: 
That the Medical Direction and Practices Board, as defined in the 
Maine Revised Statutes, Title 32, section 83, subsection l6-B, 
shall adopt 
changes 
in the Maine 
Emergency Medical 
Services 
protocols 
to 
affirmatively 
recognize 
the 
authority 
of 
an 
individual 
to 
execute 
an 
individual 
instruction 
refusing 
resuscitation that will be honored by emergency medical services 
providers, 
as 
long 
as 
the 
individual 
instruction 
provides 
satisfactory evidence 
of 
informed 
consent. 
In 
adopting 
the 
proposed changes, the board shall ensure that the new protocols 
will result in forms for refusing resuscitation that are clear 
and 
can be 
made 
immediately 
available 
to 
emergency medical 
services providers; and be it further 
Sec. 2. 
Report. 
Resolved: 
That 
the 
Director 
of 
Maine 
Emergency 
Medical 
Services 
within 
the 
Department 
of 
Public 
Safety, in consultation with interested parties, shall report by 
January 
15, 
2007 
to 
the 
joint 
standing 
committee 
of 
the 
Legislature having jurisdiction over judiciary matters on the 
following: 
1. 
Changes 
in 
the 
Maine 
Emergency 
Medical 
protocols 
pursuant to section 1; 
2. 
Instructions 
and 
forms 
developed 
to 
implement 
and 
complement the protocols; 
3. 
Existing and planned educational initiatives; and 
4. 
Any recommended legislation; and be it further 
Sec. 3. 
committee of 
matters 
may 
concerning 
Legislation. 
Resolved: 
That 
the 
joint 
standing 
the Legislature having jurisdiction over judiciary 
report out legislation to the 
l23rd Legislature 
advance 
health-care 
directives 
and 
"do 
not 
resuscitate" decisions. 
Emergency clause. 
In view of the emergency cited in the 
preamble, this resolve takes effect when approved.' 
SUMMARY 
This amendment replaces the bill. 
This amendment creates a resolve to address an individual's 
informed decision to refuse resuscitation. 
First, it directs the Department of Public Safety, Medical 
Direction and Practices 
Board to revise the Maine 
Emergency 
COMMITTEE AMENDMENT 
~~. 2 
COMMITTEE AMENDMENT "~,, to S.P. 680, L.D. 1763 
Medical Services protocols to allow emergency medical services 
providers 
to 
honor 
an 
individual's 
decision 
to 
refuse 
resuscitation if that decision is made available in an individual 
instruction that shows informed consent to the decision. 
The 
protocols must result in forms that are clear and can be made 
immediately available to emergency medical services providers. 
Second, 
this 
amendment 
directs 
the 
Director 
of 
Maine 
Emergency Medical Services within the Department of Public Safety 
to report by January 15, 2007 to the joint standing committee of 
the Legislature having jurisdiction over judiciary matters in 4 
areas. 
The 
report 
must 
be 
developed 
in 
consultation 
with 
interested 
parties. 
The 
report 
must 
cover 
the 
change 
in 
protocols, the forms and the instructions developed to implement 
and complement the protocols, educational initiatives undertaken 
and planned and any recommended legislation. 
Third, 
this 
amendment 
authorizes 
the 
joint 
standing 
committee of the Legislature having jurisdiction over judiciary 
matters to submit legislation to the 123rd Legislature concerning 
advance health-care directives and "do not resuscitate" decisions. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 03/20106 ;t;?ae 
LD 1763 
2464(02) 
An Act To Ensure the Authority of "Do Not Resuscitate" Orders in Advance Health-care Directives 
Fiscal Note for Bill as Amended by Committee Amendment ,14" 
Committee: Judiciary 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - General Fund 
LR2464(2) - Fiscal Note - Page 1 of 1