HB 399 - Establishes End of Life Option Act - Maryland Key Vote

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Title: Establishes End of Life Option Act

Vote Smart's Synopsis:

Vote to pass a bill that authorizes the use of lethal drugs for terminally ill patients.

Highlights:

  • Authorizes an individual to request aid in dying by (Sec. 5-6A-02):

    • Making an initial oral request to the individual’s attending physician;

    • After making an initial oral request, making a written request to the individual’s attending physician;

    • Making a second oral request to the individual’s attending physician at least;

      • 15 days after making the initial oral request; or

      • 48 hours after making the written request.

  • Prohibits any other individual, including an agent under an advance directive, an attorney-in-fact under a durable power of attorney, a guardian, or a conservator, to request aid in dying on behalf of an individual (Sec. 5-6A-02).

  • Requires at least one of the oral requests to be made while the individual is alone with the attending physician (Sec. 5-6A-02).

  • Requires that a written request for aid in dying be (Sec. 5-6A-03):

    • The same form that is in this bill;

    • Signed and Dated by the individual; and

    • Witnessed by at least two other individuals who, in the presence of the individual, attest that to their knowledge the individual is of sound mind and acting voluntarily.

  • Requires the attending physician, when presented with an individual’s written request, to determine whether the individual (Sec. 5-6A-04):

    • Is a qualified individual;

    • Has made an informed decision; and

    • Has voluntarily requested aid in dying.

  • Requires, for the purposes of determining that an individual is a qualified individual, an attending physician is to accept as proof of the individual’s residency in the State (S-6A-04):

    • Possession of a valid Maryland driver’s license or identification card issued by the motor vehicle administration;

    • Registration to vote in the State;

    • Evidence of owning or leasing property in the State;

    • A copy of a maryland resident tax return for the most recent tax year; or

    • Based on the individual’s treatment history and medical records, the attending physician’s personal knowledge of the individual’s residency in the State.

  • Requires the attending physician or the consulting physician to refer to the individual to a licensed mental health professional for a mental health professional assessment, if it is in the medial opinion of the attending physician or the consulting physician that an individual may be suffering from a condition that is causing impaired judgement (Sec. 5-6A-06).

  • Defines “aid in dying” as the medical practice of a physician prescribing medication to a qualified individual that the qualified individual may self-administer to bring about the qualified individual’s death (Sec. 5-6A-01).

  • Defines “capacity to make medical decisions” as the ability of an individual to (Sec. 5-6A-01):

    • Understand the nature and consequences of a healthcare decision;

    • Understand the significant benefits, risks, and alternatives of a healthcare decision; and

    • Make and communicate an informed decision to healthcare providers, including communication through another individual familiar with the individual’s manner of communicating, if the other individual is available.

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