,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #cach  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #ai1 #bjai,mr4
 ,lee 7= himself1 ,mr4 ,hawley1 ,mr4    
,lank=d1 ,mr4 ,cram]1 & ,mr4 ,braun7    
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d titles     
,,xix & ,,xxi ( ! ,social ,security ,act
 to require hospitals & c]ta9 o!r       
p>ticipat+ provid]s "u ,m$icaid or !    
,*ildr5's ,heal? ,insurance ,program to 
disclose ! provid]'s policy on p>5tal   
cons5t = ! provision1 )drawal1 or d5ial 
( life-su/a9+ treatm5t = m9ors1 & = o!r 
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,p>5tal ,accessibility     
,rights = ,em]g5cy & ,neglig5t ,treatm5t
 ,act4  #b4 ,life-su/a9+ treatm5t p>5tal
 cons5t policy "u ,m$icaid & ,,*ip  7a7 
,m$icaid ,section #aijb7w7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#acif;a7w77 is am5d$-- 7#a7 by /rik+ !  
implem5tation ( su* rights2 & all t     
prec$es x ?r\gh 7w77#a7 & ins]t+ !      

foll[+3  7w7 7#a7 ,= purposes (         
subsection 7a77#eg7 & sections          
#aijc7m77#a77;,a7 & #aiai7;c77#b77;,e71 
! requirem5ts ( ?is subsection are t a  
provid] or organization 7z ! case may   
be7 ma9ta9 writt5 policies & proc$ures )
 respect to all individuals1 & 9 ! case 
( any m9or individuals 7z def9$ 9       
p>agraph 7#d77;,b77 ) respect to ! p>5ts
 & legal gu>dians ( su* individuals1    
receiv+ m$ical c>e by or ?r\gh ! provid]
 or organization--  7,a7 to provide1 on 
an ,int]net website ( ! provid] or      
organization1 & ^u reque/ ( an          
individual or1 9 ! case ( a m9or        
individual1 at lea/ #a p>5t or legal    
gu>dian ( ! m9or individual1 writt5     
in=mation to ea* su* individual1 p>5t1  
or legal gu>dian conc]n+--  7i7 an      
individual's rights "u ,/ate law 7:e!r  
/atutory or z recogniz$ by ! c\rts ( !  
,/ate7 to make decisions conc]n+ su*    
m$ical c>e1 includ+ ! "r to accept1     
)draw1 or refuse1 a m$ical or surgical  
treatm5t or life-su/a9+ proc$ures1      

includ+ hydration & su/5ance1 & ! "r to 
=mulate advance directives 7z def9$ 9   
p>agraph 7#d77;,a772  7ii7 ! provid]'s  
or organization's writt5 policies       
respect+ ! implem5tation ( su* rights2  
7iii7 9 ! case ( a m9or individual--    
7,i7 ! disclosure ( :e!r or n ! cons5t (
 at lea/ #a p>5t or legal gu>dian ( !   
m9or individual is requir$ = !          
provision1 )drawal1 or d5ial (          
life-su/a9+ proc$ures1 includ+ hydration
 & su/5ance1 or prior to a              
d-n-resuscitate ord] or simil>          
physician's ord] be+ in/itut$2  7,,ii7  
notice t ! requirem5t to provide su*    
disclosure mu/ be not$ 9 ! m9or         
individual's m$ical records2 &  7,,iii7 
if any su* cons5t is requir$1 !         
proc$ures = h[ ! cons5t is obta9$ &     
record$2  2  7#b7 9 p>agraph 7#b71 by   
/rik+ adult individual & ins]t+         
individual1 & 9 ! case ( a m9or         
individual1 to at lea/ #a p>5t or legal 
gu>dian ( ! m9or individual2  7#c7 9    
p>agraph 7#c71 by /rik+ section & ins]t+

 subsection2 &  7#d7 9 p>agraph 7#d7--  
7,a7 by /rik+ subsection1 ! t]m & ins]t+
 8subsection--  7,a7 ! t]m  2 &  7,b7 by
 add+ at ! end ! foll[+3  7,b7 ! t]m    
m9or individual means an individual :o  
is an unemancipat$ individual :o has n  
atta9$ #ah ye>s ( age4  4  7b7          
,application to ,,*ip ,section          
#bajg7;e77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acig;gg7e77#a77 is     
am5d$-- 7#a7 by r$esignat+ subp>agraphs 
7,d7 ?r\gh 7,s7 z subp>agraphs 7,e7     
?r\gh 7,t71 respectively2 &  7#b7 by    
ins]t+ aft] subp>agraph 7,c7 ! foll[+3  
7,d7 ,subsections 7a77#eg7 & 7w7 (      
section #aijb 7relat+ to ma9t5ance (    
writt5 policies & proc$ures respect+    
advance directives & p>5tal cons5t = !  
d5ial ( life-su/a9+ proc$ures = m9or    
individuals74  4  7c7 ,effective date   
7#a7 ,9 g5]al ,subject to p>agraph 7#b71
 ! am5dm5ts made by ?is section %all    
apply to provid] agreem5ts ent]$ into or
 r5ew$ on or aft] ,janu>y #a1 #bjbj4    
7#b7 ,exception = /ate legislation ,9 ! 

case ( a ,/ate plan "u title ,,xix or   
,,xxi ( ! ,social ,security ,act :i* !  
,secret>y ( ,heal? & ,human ,s]vices    
det]m9es requires ,/ate legislation 7o!r
 ?an legislation appropriat+ funds7 9   
ord] = ! plan to meet ! additional      
requirem5ts impos$ by ! am5dm5ts made by
 ?is section1 ! ,/ate plan %all n be    
reg>d$ z fail+ to comply ) ! requirem5ts
 ( su* title solely on ! basis ( its    
failure to meet ^! additional           
requirem5ts be=e ! fir/ day ( ! fir/    
cal5d> qu>t] beg9n+ aft] ! close ( !    
fir/ regul> session ( ! ,/ate           
legislature t beg9s aft] ! date ( !     
enactm5t ( ?is ,act4