,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #fah  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #bh1 #bjai,mr4
 ,coons 7= himself1 ,mr4 ,cassidy1 ,mr4 
,b>rasso1 & ,mr4 ,b5net7 introduc$ !    
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,f9ance  ,a ,,bill   
,to am5d title ,,xviii ( ! ,social      
,security ,act to enc\rage ,m$ic>e      
b5efici>ies to volunt>ily adopt advance 
directives guid+ ! m$ical c>e !y        
receive4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,m$ic>e ,*oices ,emp[]m5t & 
,protection ,act4  #b4 ,m$ic>e advance  
directive c]tification program ,"p ,b ( 
title ,,xviii ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie et seq47 is am5d$ 
by add+ at ! end ! foll[+ new section3  
#ahdi4 ,m$ic>e advance directive        
c]tification program  7a7 ,9 g5]al  7#a7
 ,e/abli%m5t ( ,program ,! ,secret>y    
%all e/abli% & implem5t an ,advance     
,directive ,c]tification ,program 79 ?is
 section ref]r$ to z ! ,program7 "u :i* 
! ,secret>y %all enc\rage eligible      

b5efici>ies to adopt & ma9ta9 c]tifi$   
advance directives to guide ! deliv]y ( 
heal? c>e to su* b5efici>ies4 ,!        
,secret>y %all implem5t ! ,program n    
lat] ?an #c ye>s aft] ! date ( enactm5t 
( ?is section4  7#b7 ,def9itions ,9 ?is 
section3 7,a7 ,c]tifi$ advance directive
 ,! t]m c]tifi$ advance directive means 
any electronically /or$ /atem5t by an   
eligible b5efici>y :i*--  7i7 provides  
in/ructions t outl9e ! k9d ( m$ical     
treatm5ts & c>e t su* b5efici>y w\ld    
want or n want "u p>ticul> conditions1 &
 may also include ! id5tification ( a   
heal? c>e proxy or legal repres5tative  
to make m$ical treatm5t decisions = !   
b5efici>y if ! b5efici>y becomes unable 
to make or communicate ^? decisions2    
7ii7 is execut$ 9 accordance ) ! law    
gov]n+ advance directives ( ! ,/ate     
involv$2 &  7iii7 is (f]$ by an entity t
 has receiv$ accr$itation f ! ,secret>y 
"u ?is section4  7,b7 ,eligible         
,b5efici>y ,! t]m eligible b5efici>y    
means an individual enroll$ "u ?is "p4  

7#c7 ,volunt>y ,p>ticipation 9 !        
,program %all be volunt>y ) respect to !
 eligible b5efici>y & an eligible       
b5efici>y :o has regi/]$ a c]tifi$      
advance directive "u ! ,program may     
t]m9ate su* directive at any "t4 ,no?+ 9
 ?is section %all require an eligible   
b5efici>y to adopt or ma9ta9 a c]tifi$  
advance directive4  7#d7 ,be/ practices 
,9 e/abli%+ & implem5t+ ! ,program1 !   
,secret>y %all consid]-- 7,a7 be/       
practices )9 exi/+ advance directive    
regi/ry te*nologies1 programs1 & sy/ems1
 includ+ web-bas$ or cl\d-bas$ advance  
directive te*nologies--  7i7 :i* may    
utilize "t & date /amps1 video1 or o!r  
innovative measures to protect !        
au!nticity1 improve ! quality1 & enhance
 ! security ( su* directives2 &  7ii7   
:i* may utilize secure email & messag+  
te*nologies & nationally recogniz$ heal?
 c>e in=mation te*nology /&>ds to       
improve ! accessibility & int]op]ability
 ( su* directives2 &  7,b7 be/ practices
 = educat+ b5efici>ies on means =       

communicat+ b5efici>ies' au!nticat$     
wi%es to applicable family memb]s1 legal
 repres5tatives1 provid]s or heal? c>e  
proxies1 includ+ ! use ( email or o!r   
mail =mats z well z access ?r\gh mobile 
devices 7z def9$ by ! ,secret>y74  7#e7 
,enrollm5t & dis5rollm5t ,! ,secret>y   
%all e/abli% proc$ures = eligible       
b5efici>ies to enroll & dis5roll "u !   
,program4 ,su* proc$ures %all ensure t  
enrollm5t & dis5rollm5t is available    
?r\gh an onl9e process4 ,! ,secret>y    
%all also e/abli% proc$ures to ensure   
,program p>ticipants c update or am5d an
 advance directive 9 a timely & secure  
mann]4  7#f7 ,/ate ,law ,?is section    
%all 9 no way sup]c$e1 abrogate1 or     
o!rwise int]f]e ) ,/ate law gov]n+      
advance directives4 ,"u ! ,program1 !   
,secret>y %all e/abli% a process "u :i* 
! ,secret>y is requir$ to v]ify t       
digital advance directive v5dors or o!r 
entities provid+ a digital advance      
directive p>ticipat+ 9 ! program enable 
^? us+ _! s]vices to complete advance   

directives t fully comply ) ! law gov]n+
 advance directives ( ! ,/ate involv$4  
7#g7 ,display ( ,/atutory & ,alt]native 
,advance ,directive ,=ms ,"u ! ,program1
 ! ,c5t]s = ,m$ic>e  ,m$icaid ,s]vices  
%all provide1 ?r\gh a cle>+h\se website1
 l9ks to /atutory & alt]native advance  
directive =ms & a ,/ate-by-,/ate index  
to su* =ms to all[ a b5efici>y to       
create1 adopt1 modify1 & t]m9ate an     
advance directive ) any cont5t p]mitt$  
or requir$1 & 9 any =m au?oriz$ by a    
,/ate1 9 accordance ) ! requirem5ts (   
subp>agraphs 7,c7 ?r\gh 7,e7 (          
subsection 7e77#a7 & subsection 7e77#b74
  7#h7 ,access 9 ,cases ( ,dispute ov]  
,treatm5t ,"u ! ,program3 7,a7 ,special 
,access ,! ,secret>y %all e/abli% a     
process :]eby1 ) respect to a b5efici>y 
) a c]tifi$ advance directive1 a p]son  
describ$ 9 subp>agraph 7,b7 may obta9   
access to ! b5efici>y's advance         
directive = ! purposes ( view+ & %>+ su*
 advance directive :5--  7i7 !          
provisions ( ! advance directive h come 

into =ce "u ! applicable ,/ate's law    
because ! b5efici>y has become incapable
 ( mak+ heal? c>e decisions or "u o!r   
circum/ances provid$ "u ,/ate law2 &    
7ii7 at lea/ "o p]son describ$ 9        
subp>agraph 7,b7 is que/ion+ or disput+ 
! provision1 )hold+1 or )drawal ( m$ical
 treatm5t1 food1 or fluids ) respect to 
! b5efici>y4  7,b7 ,int]e/$ ,individuals
 ,a p]son describ$ 9 ?is subp>agraph1 ) 
respect to a b5efici>y1 is-- 7i7 any    
individual :o is a memb] ( any class (  
p]sons :o1 "u ! applicable ,/ate's law1 
w\ld pot5tially be eligible to s]ve z a 
heal? c>e decision mak] = ! b5efici>y if
 an advance directive _h n be5 execut$  
reg>dless ( :e!r high] priority = su*   
eligibility w\ld be accord$ to ano!r    
individual or individuals2 &  7ii7 if ! 
applicable ,/ate's law does n designate 
p]sons or classes ( p]sons describ$ 9   
clause 7i71 any p]son relat$ )9 ! ?ird  
degree ( consangu9ity or aff9ity to !   
b5efici>y4  7b7 ,regi/ration  7#a7 ,9   
g5]al ,! ,secret>y %all e/abli%         

proc$ures = an eligible b5efici>y to    
regi/] su* b5efici>y's adoption ( a     
c]tifi$ advance directive "u ! ,program4
 ,su* proc$ures %all ensure t           
regi/ration is available ?r\gh an onl9e 
process4 ,! ,secret>y %all also e/abli% 
proc$ures to ensure ,program p>ticipants
 c update previ\sly regi/]$ in=mation t 
is no long] accurate & indicate t an    
advance directive has be5 t]m9at$4  7#b7
 ,requir$ in=mation ,9 addition to su*  
o!r in=mation z ! ,secret>y may deem    
appropriate1 an eligible b5efici>y seek+
 to regi/] a c]tifi$ advance directive  
"u ! ,program %all indicate :]e !       
advance directive is ma9ta9$ or h[ x may
 be access$4  7#c7 ,regi/ration p]iods  
,! proc$ures e/abli%$ "u p>agraph 7#a7  
%all provide t regi/ration "u ! ,program
 %all occur dur+--  7,a7 an eligible    
b5efici>y's initial enrollm5t "u an ,,ma
 plan "u "p ,c z describ$ 9 p>agraph    
7#a7 ( section #ahea7;e72 &  7,b7 !     
annual1 coord9at$ election p]iod "u     
p>agraph 7#c7 ( su* section4  7#d7      

,privacy & security  7,a7 ,9 g5]al ,!   
,secret>y %all ensure t all aspects ( ! 
regi/ration sy/em comply ) ! ,f$]al     
regulations 7conc]n+ ! privacy (        
individually id5tifiable heal?          
in=mation7 promulgat$ "u section        
#bfd7;c7 ( ! ,heal? ,insurance          
,portability & ,acc\ntability ,act (    
#aiif subject to ! access au?oriz$ "u   
subsection 7a77#h71 9 accordance )      
subsection 7c77#b77;,e74  7,b7 ,access  
,! ,secret>y %all utilize /&>diz$ data  
protections & privacy /&>ds1 includ+ !  
,f$]al regulations describ$ 9 p>agraph  
7#a71 to ensure t ! regi/ration record (
 an eligible b5efici>y c only be access$
 by--  7i7 ! b5efici>y1 ?r\gh ! process 
e/abli%$ "u p>agraph 7#a72  7ii7 ^?     
au?oriz$ to access ! advance directive  
"u subsection 7a77#h7 & subsection      
7c77#b77;,e72 &  7iii7 provid]s (       
s]vices & suppli]s p>ticipat+ "u ?is    
title1 ?r\gh a process e/abli%$ by !    
,secret>y4  7c7 ,accr$itation  7#a7 ,9  
g5]al ,"u ! ,program1 ! ,secret>y %all--

 7,a7 grant accr$itation to advance     
directive v5dors & o!r entities provid+ 
advance directives t meet ! accr$itation
 crit]ia e/abli%$ "u p>agraph 7#b72 &   
7,b7 e/abli% a process :]eby advance    
directive v5dors & o!r entities provid+ 
advance directives may obta9            
accr$itation "u ?is subsection4  7#b7   
,accr$itation crit]ia ,! ,secret>y1 9   
consultation ) ! ,g5]al ,acc\nt+ ,(fice1
 %all e/abli% accr$itation crit]ia =    
advance directive v5dors & o!r entities 
provid+ advance directives t seek to (f]
 advance directives to be c]tifi$ "u !  
,program4 ,su* crit]ia %all consi/ ( !  
foll[+3  7,a7 ,process = adopt+ advance 
directive ,! advance directive v5dor or 
o!r entity provid+ an advance directive 
%all all[ a b5efici>y to create1 adopt1 
modify1 & t]m9ate an advance directive  
?r\gh an onl9e process4  7,b7 ,v5dors ,!
 advance directive v5dor or o!r entity  
provid+ an advance directive %all comply
 ) an annual quality review to be       
conduct$ by ! ,secret>y4  7,c7 ,use (   

/atutory & alt]native advance directive 
=ms ,! advance directive v5dor or o!r   
entity provid+ an advance directive %all
 enable a b5efici>y to access1 complete1
 modify1 & adopt any advance directive  
applicable to ! ,/ate indicat$ by !     
b5efici>y :o is po/$ z provid$ "u       
subp>agraphs 7,c7 ?r\gh 7,e7 (          
subsection 7e77#a7 & ( subsection       
7e77#b74  7,d7 ,access ,! advance       
directive v5dor or o!r entity provid+ an
 advance directive %all ma9ta9 advance  
directives 9 su* a way t--  7i7 an      
eligible b5efici>y :o has adopt$ an     
advance directive ) su* v5dor or entity 
& any family memb]1 legal repres5tative1
 or heal? c>e proxy legally designat$ by
 su* b5efici>y has direct1 has ne>      
real-"t onl9e access to ! b5efici>y's   
advance directive = purposes ( view+ &  
%>+ su* advance directive1 includ+      
communication ( ! advance directive &   
correspond+ b5efici>y's wi%es us+       
nationally recogniz$ heal? c>e in=mation
 te*nology data cont5t & data transport 

/&>ds specifi$ by ! ,secret>y2  7ii7 9 !
 case ( an eligible b5efici>y :o has    
adopt$ an advance directive ) su* v5dor 
or entity or any family memb]1 legal    
repres5tative1 or heal? c>e proxy       
legally designat$ by su* b5efici>y :o is
 unable or unwill+ to use ! onl9e access
 "u subp>agraph 7,a71 su* individual is 
able to obta9 a h>d copy ( ! b5efici>y's
 advance directive = ! purposes ( view+ 
& %>+ su* advance directive2 &  7iii7   
provid]s ( s]vices & suppli]s p>ticipat+
 "u ?is title h ne> real-"t onl9e access
 to ! advance directive ( an eligible   
b5efici>y :o has adopt$ an advance      
directive ) su* v5dor or entity1 includ+
 communication ( ! advance directive &  
correspond+ b5efici>y's wi%es ?r\gh     
secure email & messag+ te*nologies &    
nationally recogniz$ heal? c>e in=mation
 te*nology /&>ds specifi$ by ! ,secret>y
 to improve ! accessibility &           
int]op]ability ( su* directives4  7,e7  
,privacy protections  7i7 ,9 g5]al ,!   
advance directive v5dor or o!r entity   

provid+ an advance directive %all comply
 ) ! ,f$]al regulations 7conc]n+ !      
privacy ( individually id5tifiable heal?
 in=mation7 promulgat$ "u section       
#bfd7;c7 ( ! ,heal? ,insurance          
,portability & ,acc\ntability ,act (    
#aiif 7#db ,u4,s4,c4 #acbj;d-#b note71  
subject to ! access au?oriz$ "u         
subp>agraph 7,d7 & subsection 7a77#h74  
7ii7 ,access ,su* v5dor or entity %all  
utilize /&>diz$ data protections &      
privacy /&>ds1 includ+ ! ,f$]al         
regulations describ$ 9 clause 7i71 to   
ensure t ! cont5t ( an eligible         
b5efici>y's advance directive is own$ & 
ma9ta9$ by ! b5efici>y & c only be      
access$ by ^? au?oriz$ to access !      
advance directive "u subp>agraph 7,d7 & 
subsection 7a77#h74  7,f7 ,security &   
te/+ ,! advance directive v5dor or o!r  
entity provid+ an advance directive %all
 c]tify t-- 7i7 all data managem5t &    
data transf] elem5ts involv$ 9 adopt+1  
ma9ta9+1 & access+ ! advance directive h
 successfully pass$ rigor\s indep5d5t   

te/+ reg>d+ /&>ds ( timel9ess1 accuracy1
 & effici5cy2  7ii7 ! data managem5t &  
data transf] elem5ts involv$ 9 adopt+1  
ma9ta9+1 & access+ ! advance directive  
meet widely accept$ indu/ry security    
/&>ds2 &  7iii7 ! sy/em t provides      
access to ! advance directive has pass$ 
real-"t te/s simulat+ a reali/ic volume 
( b5efici>ies & provid]s access+ advance
 directives simultane\sly4  7,g7        
,c]tifi$ advance directives ,! advance  
directive v5dor or o!r entity provid+ an
 advance directive %all agree to (f]    
c]tifi$ advance directives 7z def9$ 9   
subsection 7a77#b77;,a774  7,h7         
,b5efici>y ,surveys  7i7 ,9 g5]al ,!    
advance directive v5dor or o!r entity   
provid+ an advance directive %all agree 
to adm9i/] annual b5efici>y surveys on !
 in=mation describ$ 9 clause 7ii7 &     
submit ! results ( su* surveys to !     
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices4    
7ii7 ,in=mation ,! in=mation describ$ 9 
?is clause1 ) respect to an annual      
b5efici>y survey & c]tifi$ advance      

directive ( a b5efici>y1 is ! foll[+3   
7,i7 ,:e!r ! b5efici>y _h to pay any    
?ird p>ty = ! creation1 /orage1 or      
retrieval ( ! c]tifi$ advance directive4
  7,,ii7 ,:e!r ! b5efici>y _h a heal?   
c>e enc\nt] or em]g5cy t requir$ !      
location1 access1 retrieval1 or         
consultation ( ! c]tifi$ advance        
directive & if s1 :e!r ! c]tifi$ advance
 directive 0 accessible 9 onl9e & 9 ne> 
real-"t1 z requir$ "u ?is section4      
7,,iii7 ,:e!r ! c]tifi$ advance         
directive 0 actionable4  7,,iv7 ,:e!r   
m$ical p]sonnel foll[$ ! c]tifi$ advance
 directive4  7d7 ,inc5tive  7#a7 ,9     
g5]al ,! ,secret>y %all make a "o-"t    
paym5t ( ! am\nt specifi$ 9 p>agraph    
7#b7 to ea* eligible b5efici>y :o adopts
 a c]tifi$ advance directive & regi/]s  
su* directive ) ! ,program4  7#b7 ,am\nt
  7,a7 ,9 g5]al ,= purposes ( p>agraph  
7#a71 ! am\nt specifi$ 9 ?is p>agraph   
is-- 7i7 = a b5efici>y :o regi/]s a     
c]tifi$ advance directive ) ! ,program 9
 #bjai1 #ge2 or  7ii7 = a b5efici>y :o  

regi/]s a c]tifi$ advance directive ) ! 
,program 9 a subsequ5t ye>1 ! am\nt     
specifi$ 9 ?is p>agraph = ! prec$+ ye>  
increas$ by ! p]c5tage increase 9 !     
,*a9$ ,consum] ,price ,index = ,all     
,urban ,consum]s 7z publi%$ by ! ,bureau
 ( ,labor ,/ati/ics ( ! ,dep>tm5t (     
,labor7 ov] ! prec$+ ye>4  7,b7 ,r\nd+  
,if any am\nt det]m9$ "u subp>agraph    
7,a7 is n a multiple ( #aj c5ts1 su*    
am\nt %all be r\nd$ to ! ne>e/ multiple 
( #aj c5ts4  7#c7 ,fund+ ,= purposes (  
c>ry+ out ?is subsection1 ! ,secret>y   
%all provide = ! transf]1 f ! ,f$]al    
,supplem5t>y ,m$ical ,insurance ,tru/   
,fund "u section #ahda1 ( su* sums z !  
,secret>y det]m9es necess>y4  7#d7      
,adm9i/ration ,! ,secret>y %all1 ?r\gh a
 full notice & comm5t rulemak+ process1 
e/abli% proc$ures =--  7,a7 mak+ !      
inc5tive paym5t directly to ! eligible  
b5efici>y or a p]sonal acc\nt ma9ta9$ by
 ! b5efici>y at a f9ancial in/itution t 
has be5 designat$ by ! b5efici>y1 &     
ensur+ t no o!r entity receives ! paym5t

 on ! b5efici>y's behalf2 &  7,b7 ensur+
 t a b5efici>y does n receive an        
inc5tive paym5t "u ?is section m ?an    
once4  7e7 ,education & outrea*  7#a7 ,9
 g5]al ,! ,secret>y %all provide =--    
7,a7 ! inclusion ( ! /atem5t set =? 9   
p>agraph 7#c7 9 ! ,m$ic>e & ,y h&book "u
 section #ahjd & on a cle>+h\se website 
l9k$ to ! ,int]net website ( ! ,c5t]s = 
,m$ic>e  ,m$icaid ,s]vices2  7,b7 !     
promotion ( ! b5efits ( electronic      
advance directives s]vices1 z !y become 
available1 ?r\gh ! use ( mass           
communications & o!r means2  7,c7 !     
inclusion1 "u ! head+ ,/atutory ,advance
 ,directive ,=ms1 ( any relevant =ms1   
:e!r m&atory or optional1 specifi$ 9 !  
/atues or regulations ( ! ,/ates to be  
display$ on a cle>+h\se website2  7,d7 !
 inclusion1 "u ! head+ ,alt]native      
,advance ,directive ,=ms1 on a sep>ate  
cle>+h\se website1 & 9 accordance )     
p>agraph 7#b7-- 7i7 ( o!r advance       
directive =ms submitt$ to ! ,secret>y by
 individuals & gr\ps 9 an electronic    

=mat specifi$ by ! ,secret>y = :i* !    
submitt+ entity includes1 = ea* =m      
submitt$1 an op9ion by an attorney      
lic5s$ to practice 9 ! relevant ,/ate   
demon/rat+ t ! submitt$ =m complies ) ! 
law ( t ,/ate2 &  7ii7 ( ! foll[+       
disclaim]1 :i* %all be prom95tly po/$ on
 ! website3 ,?is website includes = y\r 
consid]ation alt]native advance         
directive =ms submitt$ by individuals or
 gr\ps reflect+ diff]5t p]spectives on  
advance heal? c>e decisions :i* y may   
wi% to review be=e complet+ y\r own     
advance directive42 &  7,e7 ! inclusion 
( a us]-fri5dly index on ! cle>+h\se    
website by ,/ate &1 9 ! case ( !        
,alt]native ,advance ,directive ,=ms1 by
 ! "n ( ! provid]1 s t a us] may readily
 access ^? /atutory & alt]native =ms4   
7#b7 ,alt]native advance directive =ms  
7,a7 ,9 g5]al ,= purposes ( p>agraph    
7#a77;,d71 ! foll[+ %all apply3 7i7 ,n  
lat] ?an #fj days aft] receiv+ an       
advance directive =m submitt$ "u su*    
p>agraph1 ! ,secret>y %all ei!r po/ !   

submitt$ =m on a cle>+h\se website or   
provide to ! submitt+ entity a detail$  
explanation ( ! basis = ! ,secret>y's   
det]m9ation t ! submitt$ =m does n      
comply ) relevant ,/ate or ,f$]al law1  
:i* det]m9ation %all be subject to      
judicial review "u section #gjb ( title 
#e ( ! ,unit$ ,/ates ,code2 &  7ii7 !   
,secret>y %all ei!r remove or refuse to 
po/ any submitt$ =m if provid$ ) an     
(ficial det]m9ation by ! ,attorney      
,g5]al ( ! applicable ,/ate t ! =m is n 
9 compliance ) ,/ate law1 subject to    
applicable ,/ate law describ$ 9         
subp>agraph 7,b74  7,b7 ,/ate law       
describ$ ,= purposes ( subp>agraph 7,a71
 ,/ate law describ$ 9 ?is subp>agraph   
is-- 7i7 a rul+ by a c\rt ( ! applicable
 ,/ate1 or by a ,f$]al c\rt apply+ t    
,/ate's law1 subject to subsequ5t rul+s 
by a c\rt or c\rts ) au?ority to sup]c$e
 t rul+2 or  7ii7 a /atute or regulation
 ( ! applicable ,/ate t provides = a    
specific proc$ure = (ficially det]m9+   
:e!r p>ticul> advance directive =ms     

comply ) ,/ate law4  7#c7 ,/atem5t ,=   
purposes ( p>agraph 7#a77;,a71 ! /atem5t
 includ$ 9 ?is p>agraph is ! foll[+     
/atem5t1 ) appropriate ins]tions 9 !    
bracket$ segm5ts updat$ at lea/         
annually3 ,,:y ,,y ,,may ,,want ,,to    
,,consid] ,,an ,,advance ,,directive ,d 
y ev] worry :at w\ld happ5 if y became  
unable to make heal? c>e decisions =    
y\rself because ( an illness or injury8 
,d y hold c]ta9 values & beliefs )      
respect to y\r m$ical treatm5t t y w\ld 
want to be upheld if y 7 unable to      
convey !m y\rself8 ,t's :at an advance  
directive is =4 ,y c use x to give      
directions = y\r heal? c>e provid]s &   
family ab\t y\r heal? c>e wi%es t are to
 be foll[$ if y are no long] able to    
speak = y\rself4 ,y c also "n someone y 
tru/1 l a family memb] or fri5d1 to give
 heal? c>e directions = y :5 y c't d s  
y\rself4,y %\ld consid] c>efully :o to  
*oose to speak = y & :at directions y   
want to give to ensure y\r repres5tative
 cle>ly reflects y\r own values &       

treatm5t pref]5ces4 ,y %\ld n feel      
pressur$ to violate y\r own values &    
pref]5ces1 & y are entitl$ to implem5t  
!m )\t discrim9ation bas$ on age or     
degree ( disability4 ,!re are _m        
res\rces to help y4,by *oos+ ! "n ( a   
,/ate at ,,ins]t "n ( webpage = ! index 
provid$ 9 p>agraph 7#a77;,e7 ( ?is      
subsection & its ,,url 7&1 on !         
cle>+h\se website1 include a hyp]l9k to 
x71 y c f9d sample advance directives = 
t ,/ate4 ,y c see any sample or requir$ 
=ms giv5 9 ,/ate law1 z well z o!rs f   
individuals or gr\ps ) diff]5t viewpo9ts
 on advance heal? c>e decisions :i* y   
may wi% to review be=e complet+ y\r own 
advance directive4,bel[ is contact      
in=mation = ! accr$it$ v5dor 9 y\r ,/ate
 :o w arrange = y\r advance directive to
 be confid5tially kept onl9e1 :]e x c be
 se5 by doctors :o are treat+ y s !y are
 made aw>e ( y\r wi%es4 ,y c also give  
p]mission to c]ta9 o!r p1 l family      
memb]s or fri5ds1 y want to be able to  
get a copy ( y\r advance directive4 ,if 

a disagreem5t ab\t y\r treatm5t         
develops1 dep5d+ on y\r ,/ate's law     
c]ta9 o!r p may also be all[$ to see    
x4,?is v5dor c also help y create an    
advance directive onl9e or ) pap]       
docum5ts1 if y wi%4 ,onl9e directives   
all[ y to *ange or cancel "o t no long] 
fits ) y\r wi%es 9 a m timely           
mann]4,,ins]t1 "n & contact in=mation = 
curr5tly accr$it$ advance directive     
v5dor 7&1 on ! cle>+h\se website1       
hyp]l9ks to _! website74,al?\gh any     
adult :o is capable ( do+ s c use ^!    
res\rces to complete an advance         
directive at any "t1 ,m$ic>e b5efici>ies
 are p>ticul>ly enc\rag$ to d s :5      
enroll+ 9 ,m$ic>e or dur+ ! annual      
enrollm5t p]iod :5 y c *oose among      
diff]5t ,m$ic>e heal? insurance         
alt]natives4,9 addition1 "s ,m$ic>e     
,advantage plans or supplem5tal         
insurance plans may (f] a f9ancial      
inc5tive or o!r additional b5efits =    
creat+ an advance directive onl9e4,by   
complet+ an advance directive y c n only

 make x m likely t y\r wi%es ab\t heal? 
c>e w be kn[n if y are unable to tell !m
 at ! "t1 b also sp>e family1 fri5ds1 & 
doctors ! difficulty ( try+ to figure   
out :at y w\ld h want$4 ,^! are matt]s (
 ! highe/ importance t c affect         
life-or-dea? decisions1 z well z y\r    
future com=t & well-be+4 ,y are enc\rag$
 to ?9k ab\t !m c>efully1 & give s]i\s  
consid]ation to record+ y\r wi%es 9 an  
advance directive4  4