CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 2338Introduced by Assembly Member GipsonFebruary 16, 2022 An act to amend Section 4711 of the Probate Code, relating to health care decisions. LEGISLATIVE COUNSEL'S DIGESTAB 2338, as introduced, Gipson. Health care decisions: surrogates.Existing law authorizes an adult having capacity to give an individual health care instruction. Existing law authorizes a patient to designate an adult as a surrogate to make health care decisions on the patients behalf for a specified period of time, and to disqualify a person, including a family member, from acting as the patients surrogate. If a patient is incapacitated, existing law specifies individuals, in an order of priority, who may provide surrogate informed consent for medical experiments in a nonemergency room environment.This bill would specify individuals, in an order of priority, who may be chosen as a surrogate if a patient lacks the capacity to make a health care decision or to designate a surrogate.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NO Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 4711 of the Probate Code is amended to read:4711. (a) A patient may designate an adult as a surrogate to make health care decisions by personally informing the supervising health care provider. The designation of a surrogate shall be promptly recorded in the patients health care record.(b) Unless the patient specifies a shorter period, a surrogate designation under subdivision (a) is effective only during the course of treatment or illness or during the stay in the health care institution when the surrogate designation is made, or for 60 days, whichever period is shorter.(c) The expiration of a surrogate designation under subdivision (b) does not affect any role the person designated under subdivision (a) may have in making health care decisions for the patient under any other law or standards of practice.(d) If the patient has designated an agent under a power of attorney for health care, the surrogate designated under subdivision (a) has priority over the agent for the period provided in subdivision (b), but the designation of a surrogate does not revoke the designation of an agent unless the patient communicates the intention to revoke in compliance with subdivision (a) of Section 4695.(e) If a patient lacks the capacity to make a health care decision or to designate a surrogate, a surrogate may be chosen from any of the following persons, in the following descending order of priority:(1) The persons agent pursuant to an advance health care directive.(2) The conservator or guardian of the person having the authority to make health care decisions for the person.(3) The spouse of the person.(4) The domestic partner, as defined in Section 297 of the Family Code, of the person.(5) An adult child of the person.(6) A custodial parent of the person.(7) An adult sibling of the person.(8) An adult grandchild of the person.(9) An available adult relative with the closest degree of kinship to the person. CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 2338Introduced by Assembly Member GipsonFebruary 16, 2022 An act to amend Section 4711 of the Probate Code, relating to health care decisions. LEGISLATIVE COUNSEL'S DIGESTAB 2338, as introduced, Gipson. Health care decisions: surrogates.Existing law authorizes an adult having capacity to give an individual health care instruction. Existing law authorizes a patient to designate an adult as a surrogate to make health care decisions on the patients behalf for a specified period of time, and to disqualify a person, including a family member, from acting as the patients surrogate. If a patient is incapacitated, existing law specifies individuals, in an order of priority, who may provide surrogate informed consent for medical experiments in a nonemergency room environment.This bill would specify individuals, in an order of priority, who may be chosen as a surrogate if a patient lacks the capacity to make a health care decision or to designate a surrogate.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NO Local Program: NO CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 2338 Introduced by Assembly Member GipsonFebruary 16, 2022 Introduced by Assembly Member Gipson February 16, 2022 An act to amend Section 4711 of the Probate Code, relating to health care decisions. LEGISLATIVE COUNSEL'S DIGEST ## LEGISLATIVE COUNSEL'S DIGEST AB 2338, as introduced, Gipson. Health care decisions: surrogates. Existing law authorizes an adult having capacity to give an individual health care instruction. Existing law authorizes a patient to designate an adult as a surrogate to make health care decisions on the patients behalf for a specified period of time, and to disqualify a person, including a family member, from acting as the patients surrogate. If a patient is incapacitated, existing law specifies individuals, in an order of priority, who may provide surrogate informed consent for medical experiments in a nonemergency room environment.This bill would specify individuals, in an order of priority, who may be chosen as a surrogate if a patient lacks the capacity to make a health care decision or to designate a surrogate. Existing law authorizes an adult having capacity to give an individual health care instruction. Existing law authorizes a patient to designate an adult as a surrogate to make health care decisions on the patients behalf for a specified period of time, and to disqualify a person, including a family member, from acting as the patients surrogate. If a patient is incapacitated, existing law specifies individuals, in an order of priority, who may provide surrogate informed consent for medical experiments in a nonemergency room environment. This bill would specify individuals, in an order of priority, who may be chosen as a surrogate if a patient lacks the capacity to make a health care decision or to designate a surrogate. ## Digest Key ## Bill Text The people of the State of California do enact as follows:SECTION 1. Section 4711 of the Probate Code is amended to read:4711. (a) A patient may designate an adult as a surrogate to make health care decisions by personally informing the supervising health care provider. The designation of a surrogate shall be promptly recorded in the patients health care record.(b) Unless the patient specifies a shorter period, a surrogate designation under subdivision (a) is effective only during the course of treatment or illness or during the stay in the health care institution when the surrogate designation is made, or for 60 days, whichever period is shorter.(c) The expiration of a surrogate designation under subdivision (b) does not affect any role the person designated under subdivision (a) may have in making health care decisions for the patient under any other law or standards of practice.(d) If the patient has designated an agent under a power of attorney for health care, the surrogate designated under subdivision (a) has priority over the agent for the period provided in subdivision (b), but the designation of a surrogate does not revoke the designation of an agent unless the patient communicates the intention to revoke in compliance with subdivision (a) of Section 4695.(e) If a patient lacks the capacity to make a health care decision or to designate a surrogate, a surrogate may be chosen from any of the following persons, in the following descending order of priority:(1) The persons agent pursuant to an advance health care directive.(2) The conservator or guardian of the person having the authority to make health care decisions for the person.(3) The spouse of the person.(4) The domestic partner, as defined in Section 297 of the Family Code, of the person.(5) An adult child of the person.(6) A custodial parent of the person.(7) An adult sibling of the person.(8) An adult grandchild of the person.(9) An available adult relative with the closest degree of kinship to the person. The people of the State of California do enact as follows: ## The people of the State of California do enact as follows: SECTION 1. Section 4711 of the Probate Code is amended to read:4711. (a) A patient may designate an adult as a surrogate to make health care decisions by personally informing the supervising health care provider. The designation of a surrogate shall be promptly recorded in the patients health care record.(b) Unless the patient specifies a shorter period, a surrogate designation under subdivision (a) is effective only during the course of treatment or illness or during the stay in the health care institution when the surrogate designation is made, or for 60 days, whichever period is shorter.(c) The expiration of a surrogate designation under subdivision (b) does not affect any role the person designated under subdivision (a) may have in making health care decisions for the patient under any other law or standards of practice.(d) If the patient has designated an agent under a power of attorney for health care, the surrogate designated under subdivision (a) has priority over the agent for the period provided in subdivision (b), but the designation of a surrogate does not revoke the designation of an agent unless the patient communicates the intention to revoke in compliance with subdivision (a) of Section 4695.(e) If a patient lacks the capacity to make a health care decision or to designate a surrogate, a surrogate may be chosen from any of the following persons, in the following descending order of priority:(1) The persons agent pursuant to an advance health care directive.(2) The conservator or guardian of the person having the authority to make health care decisions for the person.(3) The spouse of the person.(4) The domestic partner, as defined in Section 297 of the Family Code, of the person.(5) An adult child of the person.(6) A custodial parent of the person.(7) An adult sibling of the person.(8) An adult grandchild of the person.(9) An available adult relative with the closest degree of kinship to the person. SECTION 1. Section 4711 of the Probate Code is amended to read: ### SECTION 1. 4711. (a) A patient may designate an adult as a surrogate to make health care decisions by personally informing the supervising health care provider. The designation of a surrogate shall be promptly recorded in the patients health care record.(b) Unless the patient specifies a shorter period, a surrogate designation under subdivision (a) is effective only during the course of treatment or illness or during the stay in the health care institution when the surrogate designation is made, or for 60 days, whichever period is shorter.(c) The expiration of a surrogate designation under subdivision (b) does not affect any role the person designated under subdivision (a) may have in making health care decisions for the patient under any other law or standards of practice.(d) If the patient has designated an agent under a power of attorney for health care, the surrogate designated under subdivision (a) has priority over the agent for the period provided in subdivision (b), but the designation of a surrogate does not revoke the designation of an agent unless the patient communicates the intention to revoke in compliance with subdivision (a) of Section 4695.(e) If a patient lacks the capacity to make a health care decision or to designate a surrogate, a surrogate may be chosen from any of the following persons, in the following descending order of priority:(1) The persons agent pursuant to an advance health care directive.(2) The conservator or guardian of the person having the authority to make health care decisions for the person.(3) The spouse of the person.(4) The domestic partner, as defined in Section 297 of the Family Code, of the person.(5) An adult child of the person.(6) A custodial parent of the person.(7) An adult sibling of the person.(8) An adult grandchild of the person.(9) An available adult relative with the closest degree of kinship to the person. 4711. (a) A patient may designate an adult as a surrogate to make health care decisions by personally informing the supervising health care provider. The designation of a surrogate shall be promptly recorded in the patients health care record.(b) Unless the patient specifies a shorter period, a surrogate designation under subdivision (a) is effective only during the course of treatment or illness or during the stay in the health care institution when the surrogate designation is made, or for 60 days, whichever period is shorter.(c) The expiration of a surrogate designation under subdivision (b) does not affect any role the person designated under subdivision (a) may have in making health care decisions for the patient under any other law or standards of practice.(d) If the patient has designated an agent under a power of attorney for health care, the surrogate designated under subdivision (a) has priority over the agent for the period provided in subdivision (b), but the designation of a surrogate does not revoke the designation of an agent unless the patient communicates the intention to revoke in compliance with subdivision (a) of Section 4695.(e) If a patient lacks the capacity to make a health care decision or to designate a surrogate, a surrogate may be chosen from any of the following persons, in the following descending order of priority:(1) The persons agent pursuant to an advance health care directive.(2) The conservator or guardian of the person having the authority to make health care decisions for the person.(3) The spouse of the person.(4) The domestic partner, as defined in Section 297 of the Family Code, of the person.(5) An adult child of the person.(6) A custodial parent of the person.(7) An adult sibling of the person.(8) An adult grandchild of the person.(9) An available adult relative with the closest degree of kinship to the person. 4711. (a) A patient may designate an adult as a surrogate to make health care decisions by personally informing the supervising health care provider. The designation of a surrogate shall be promptly recorded in the patients health care record.(b) Unless the patient specifies a shorter period, a surrogate designation under subdivision (a) is effective only during the course of treatment or illness or during the stay in the health care institution when the surrogate designation is made, or for 60 days, whichever period is shorter.(c) The expiration of a surrogate designation under subdivision (b) does not affect any role the person designated under subdivision (a) may have in making health care decisions for the patient under any other law or standards of practice.(d) If the patient has designated an agent under a power of attorney for health care, the surrogate designated under subdivision (a) has priority over the agent for the period provided in subdivision (b), but the designation of a surrogate does not revoke the designation of an agent unless the patient communicates the intention to revoke in compliance with subdivision (a) of Section 4695.(e) If a patient lacks the capacity to make a health care decision or to designate a surrogate, a surrogate may be chosen from any of the following persons, in the following descending order of priority:(1) The persons agent pursuant to an advance health care directive.(2) The conservator or guardian of the person having the authority to make health care decisions for the person.(3) The spouse of the person.(4) The domestic partner, as defined in Section 297 of the Family Code, of the person.(5) An adult child of the person.(6) A custodial parent of the person.(7) An adult sibling of the person.(8) An adult grandchild of the person.(9) An available adult relative with the closest degree of kinship to the person. 4711. (a) A patient may designate an adult as a surrogate to make health care decisions by personally informing the supervising health care provider. The designation of a surrogate shall be promptly recorded in the patients health care record. (b) Unless the patient specifies a shorter period, a surrogate designation under subdivision (a) is effective only during the course of treatment or illness or during the stay in the health care institution when the surrogate designation is made, or for 60 days, whichever period is shorter. (c) The expiration of a surrogate designation under subdivision (b) does not affect any role the person designated under subdivision (a) may have in making health care decisions for the patient under any other law or standards of practice. (d) If the patient has designated an agent under a power of attorney for health care, the surrogate designated under subdivision (a) has priority over the agent for the period provided in subdivision (b), but the designation of a surrogate does not revoke the designation of an agent unless the patient communicates the intention to revoke in compliance with subdivision (a) of Section 4695. (e) If a patient lacks the capacity to make a health care decision or to designate a surrogate, a surrogate may be chosen from any of the following persons, in the following descending order of priority: (1) The persons agent pursuant to an advance health care directive. (2) The conservator or guardian of the person having the authority to make health care decisions for the person. (3) The spouse of the person. (4) The domestic partner, as defined in Section 297 of the Family Code, of the person. (5) An adult child of the person. (6) A custodial parent of the person. (7) An adult sibling of the person. (8) An adult grandchild of the person. (9) An available adult relative with the closest degree of kinship to the person.