Connecticut 2018 Regular Session

Connecticut House Bill HB05417 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	General Assembly Raised Bill No. 5417
2	2	February Session, 2018 LCO No. 1283
3	3	01283_______PH_
4	4	Referred to Committee on PUBLIC HEALTH
5	5	Introduced by:
6	6	(PH)
7	7
8	8	General Assembly
9	9
10	10	Raised Bill No. 5417
11	11
12	12	February Session, 2018
13	13
14	14	LCO No. 1283
15	15
16	16	01283_______PH_
17	17
18	18	Referred to Committee on PUBLIC HEALTH
19	19
20	20	Introduced by:
21	21
22	22	(PH)
23	23
24	24	AN ACT CONCERNING END-OF-LIFE CARE.
25	25
26	26	Be it enacted by the Senate and House of Representatives in General Assembly convened:
27	27
28	28	Section 1. (NEW) (Effective October 1, 2018) As used in this section and sections 2 to 19, inclusive, of this act:
29	29
30	30	(1) "Adult" means a person who is eighteen years of age or older;
31	31
32	32	(2) "Aid in dying" means the medical practice of a physician prescribing medication to a qualified patient who is terminally ill, which medication a qualified patient may self-administer to bring about his or her death;
33	33
34	34	(3) "Attending physician" means the physician who has primary responsibility for the medical care of a patient and treatment of a patient's terminal illness;
35	35
36	36	(4) "Competent" means, in the opinion of a patient's attending physician, consulting physician, psychiatrist, psychologist or a court, that a patient has the capacity to understand and acknowledge the nature and consequences of health care decisions, including the benefits and disadvantages of treatment, to make an informed decision and to communicate such decision to a health care provider, including communicating through a person familiar with a patient's manner of communicating;
37	37
38	38	(5) "Consulting physician" means a physician other than a patient's attending physician who (A) is qualified by specialty or experience to make a professional diagnosis and prognosis regarding a patient's terminal illness, and (B) does not routinely share office space with a patient's attending physician;
39	39
40	40	(6) "Counseling" means one or more consultations as necessary between a psychiatrist or a psychologist and a patient for the purpose of determining that a patient is competent and not suffering from depression or any other psychiatric or psychological disorder that causes impaired judgment;
41	41
42	42	(7) "Health care provider" means a person licensed, certified or otherwise authorized or permitted by the laws of this state to administer health care or dispense medication in the ordinary course of business or practice of a profession, including, but not limited to, a physician, psychiatrist, psychologist or pharmacist;
43	43
44	44	(8) "Health care facility" means a hospital, residential care home, nursing home or rest home, as such terms are defined in section 19a-490 of the general statutes;
45	45
46	46	(9) "Informed decision" means a decision by a qualified patient to request and obtain a prescription for medication that the qualified patient may self-administer for aid in dying, that is based on an understanding and acknowledgment of the relevant facts and after being fully informed by the attending physician of: (A) The qualified patient's medical diagnosis and prognosis; (B) the potential risks associated with self-administering the medication to be dispensed or prescribed; (C) the probable result of taking the medication to be dispensed or prescribed; and (D) the feasible alternatives to aid in dying and health care treatment options, including, but not limited to, palliative care;
47	47
48	48	(10) "Medically confirmed" means the medical opinion of the attending physician has been confirmed by a consulting physician who has examined the patient and the patient's relevant medical records;
49	49
50	50	(11) "Palliative care" means health care centered on a seriously ill patient and such patient's family that (A) optimizes a patient's quality of life by anticipating, preventing and treating a patient's suffering throughout the continuum of a patient's terminal illness, (B) addresses the physical, emotional, social and spiritual needs of a patient, (C) facilitates patient autonomy, a patient's access to information and patient choice, and (D) includes, but is not limited to, discussions between a patient and a health care provider concerning a patient's goals for treatment and appropriate treatment options available to a patient, including hospice care and comprehensive pain and symptom management;
51	51
52	52	(12) "Patient" means a person who is under the care of a physician;
53	53
54	54	(13) "Pharmacist" means a person licensed to practice pharmacy pursuant to chapter 400j of the general statutes;
55	55
56	56	(14) "Physician" means a person licensed to practice medicine and surgery pursuant to chapter 370 of the general statutes;
57	57
58	58	(15) "Psychiatrist" means a physician specializing in psychiatry and licensed pursuant to chapter 370 of the general statutes;
59	59
60	60	(16) "Psychologist" means a person licensed to practice psychology pursuant to chapter 383 of the general statutes;
61	61
62	62	(17) "Qualified patient" means a competent adult who is a resident of this state, has a terminal illness and has satisfied the requirements of this section and sections 2 to 9, inclusive, of this act, in order to obtain aid in dying;
63	63
64	64	(18) "Self-administer" means a qualified patient's act of ingesting medication; and
65	65
66	66	(19) "Terminal illness" means the final stage of an incurable and irreversible medical condition that an attending physician anticipates, within reasonable medical judgment, will produce a patient's death within six months.
67	67
68	68	Sec. 2. (NEW) (Effective October 1, 2018) (a) A patient who (1) is an adult, (2) is competent, (3) is a resident of this state, (4) has been determined by such patient's attending physician to have a terminal illness, and (5) has voluntarily expressed his or her wish to receive aid in dying, may request aid in dying by making two written requests to such patient's attending physician pursuant to sections 3 and 4 of this act.
69	69
70	70	(b) No person, including, but not limited to, an agent under a living will, an attorney-in-fact under a durable power of attorney, a guardian, or a conservator, may act on behalf of a patient for purposes of this section, section 1 or sections 3 to 19, inclusive, of this act.
71	71
72	72	Sec. 3. (NEW) (Effective October 1, 2018) (a) A patient wishing to receive aid in dying shall submit two written requests to such patient's attending physician in substantially the form set forth in section 4 of this act. A patient's second written request for aid in dying shall be submitted not earlier than fifteen days after the date on which a patient submits the first request. A valid written request for aid in dying under sections 1 and 2 of this act and sections 4 to 19, inclusive, of this act shall be signed and dated by the patient. Each request shall be witnessed by at least two persons in the presence of the patient. Each person serving as a witness shall attest, in writing, that to the best of his or her knowledge and belief (1) the patient appears to be of sound mind, (2) the patient is acting voluntarily and not being coerced to sign the request, and (3) the witness is not: (A) A relative of the patient by blood, marriage or adoption, (B) entitled to any portion of the estate of the patient upon the patient's death, under any will or by operation of law, and (C) an owner, operator or employee of a health care facility where the patient is a resident or receiving medical treatment.
73	73
74	74	(b) No person serving as a witness to a patient's request to receive aid in dying shall be: (1) A relative of such patient by blood, marriage or adoption; (2) at the time the request is signed, entitled to any portion of the estate of the patient upon the patient's death, under any will or by operation of law; (3) an owner, operator or employee of a health care facility where the patient is a resident or receiving medical treatment; or (4) such patient's attending physician at the time the request is signed.
75	75
76	76	(c) Any patient's act of requesting aid in dying or a qualified patient's self-administration of medication prescribed for aid in dying shall not provide the sole basis for appointment of a conservator or guardian for such patient or qualified patient.
77	77
78	78	Sec. 4. (NEW) (Effective October 1, 2018) A request for aid in dying as authorized by this section, sections 1 to 3, inclusive, of this act and sections 5 to 19, inclusive, of this act shall be in substantially the following form:
79	79
80	80	REQUEST FOR MEDICATION TO AID IN DYING
81	81
82	82	I, .…, am an adult of sound mind.
83	83
84	84	I am a resident of the State of Connecticut.
85	85
86	86	I am suffering from …., which my attending physician has determined is an incurable and irreversible medical condition that will, within reasonable medical judgment, result in death within six months from the date on which this document is executed. This diagnosis of a terminal illness has been confirmed by another physician.
87	87
88	88	I have been fully informed of my diagnosis, prognosis, the nature of medication to be dispensed or prescribed to aid me in dying, the potential associated risks, the expected result, feasible alternatives to aid in dying and additional health care treatment options, including palliative care and the availability of counseling with a psychologist, psychiatrist or licensed clinical social worker.
89	89
90	90	I request that my attending physician dispense or prescribe medication that I may self-administer for aid in dying. I authorize my attending physician to contact a pharmacist to fill the prescription for such medication, upon my request.
91	91
92	92	INITIAL ONE:
93	93
94	94	…. I have informed my family of my decision and taken family opinions into consideration.
95	95
96	96	…. I have decided not to inform my family of my decision.
97	97
98	98	…. I have no family to inform of my decision.
99	99
100	100	I understand that I have the right to rescind this request at any time.
101	101
102	102	I understand the full import of this request and I expect to die if and when I take the medication to be dispensed or prescribed. I further understand that although most deaths occur within three hours, my death may take longer and my attending physician has counseled me about this possibility.
103	103
104	104	I make this request voluntarily and without reservation, and I accept full responsibility for my decision to request aid in dying.
105	105
106	106	Signed: ….
107	107
108	108	Dated: ….
109	109
110	110	DECLARATION OF WITNESSES
111	111
112	112	By initialing and signing below on the date the person named above signs, I declare that:
113	113
114	114	Witness 1 …. Witness 2 ….
115	115
116	116	Initials …. Initials ….
117	117
118	118	…. 1. The person making and signing the request is personally known to me or has provided proof of identity;
119	119
120	120	…. 2. The person making and signing the request signed this request in my presence on the date of the person's signature;
121	121
122	122	…. 3. The person making the request appears to be of sound mind and not under duress, fraud or undue influence;
123	123
124	124	…. 4. I am not the attending physician for the person making the request;
125	125
126	126	…. 5. The person making the request is not my relative by blood, marriage or adoption;
127	127
128	128	…. 6. I am not entitled to any portion of the estate of the person making the request upon such person's death under any will or by operation of law; and
129	129
130	130	…. 7. I am not an owner, operator or employee of a health care facility where the person making the request is a resident or receiving medical treatment.
131	131
132	132	Printed Name of Witness 1 ….
133	133
134	134	Signature of Witness 1 …. Date ….
135	135
136	136	Printed Name of Witness 2 ….
137	137
138	138	Signature of Witness 2 …. Date ….
139	139
140	140	Sec. 5. (NEW) (Effective October 1, 2018) (a) A qualified patient may rescind his or her request for aid in dying at any time and in any manner without regard to his or her mental state.
141	141
142	142	(b) An attending physician shall offer a qualified patient an opportunity to rescind his or her request for aid in dying at the time such patient submits a second written request for aid in dying to the attending physician.
143	143
144	144	(c) No attending physician shall dispense or prescribe medication for aid in dying without the attending physician first offering the qualified patient a second opportunity to rescind his or her request for aid in dying.
145	145
146	146	Sec. 6. (NEW) (Effective October 1, 2018) When an attending physician is presented with a patient's first written request for aid in dying made pursuant to sections 2 to 4, inclusive, of this act, the attending physician shall:
147	147
148	148	(1) Make a determination that the patient (A) is an adult, (B) has a terminal illness, (C) is competent, and (D) has voluntarily requested aid in dying. Such determination shall not be made solely on the basis of age, disability or any specific illness;
149	149
150	150	(2) Require the patient to demonstrate residency in this state by presenting: (A) A Connecticut driver's license; (B) a valid voter registration record authorizing the patient to vote in this state; or (C) any other government-issued document that the attending physician reasonably believes demonstrates that the patient is a current resident of this state;
151	151
152	152	(3) Ensure that the patient is making an informed decision by informing the patient of: (A) The patient's medical diagnosis; (B) the patient's prognosis; (C) the potential risks associated with self-administering the medication to be dispensed or prescribed for aid in dying; (D) the probable result of self-administering the medication to be dispensed or prescribed for aid in dying; (E) the feasible alternatives to aid in dying and health care treatment options including, but not limited to, palliative care; and (F) the availability of counseling with a psychologist, psychiatrist or licensed clinical social worker; and
153	153
154	154	(4) Refer the patient to a consulting physician for medical confirmation of the attending physician's diagnosis of the patient's terminal illness, the patient's prognosis and for a determination that the patient is competent and acting voluntarily in requesting aid in dying.
155	155
156	156	Sec. 7. (NEW) (Effective October 1, 2018) In order for a patient to be found to be a qualified patient for the purposes of this section, sections 1 to 6, inclusive, of this act and sections 8 to 19, inclusive, of this act, a consulting physician shall: (1) Examine the patient and the patient's relevant medical records; (2) confirm, in writing, the attending physician's diagnosis that the patient has a terminal illness; (3) verify that the patient is competent, is acting voluntarily and has made an informed decision to request aid in dying; and (4) refer the patient for counseling, if required in accordance with section 8 of this act.
157	157
158	158	Sec. 8. (NEW) (Effective October 1, 2018) (a) If, in the medical opinion of the attending physician or the consulting physician, a patient may be suffering from a psychiatric or psychological condition including, but not limited to, depression, that is causing impaired judgment, either the attending or consulting physician shall refer the patient for counseling to determine whether the patient is competent to request aid in dying.
159	159
160	160	(b) An attending physician shall not provide the patient aid in dying until the person providing such counseling determines that the patient is not suffering a psychiatric or psychological condition including, but not limited to, depression, that is causing impaired judgment.
161	161
162	162	Sec. 9. (NEW) (Effective October 1, 2018) (a) After an attending physician and a consulting physician determine that a patient is a qualified patient, in accordance with sections 6 to 8, inclusive, of this act and after such qualified patient submits a second request for aid in dying in accordance with sections 3 and 4 of this act, the attending physician shall:
163	163
164	164	(1) Recommend to the qualified patient that he or she notify his or her next of kin of the qualified patient's request for aid in dying and inform the qualified patient that a failure to do so shall not be a basis for the denial of such request;
165	165
166	166	(2) Counsel the qualified patient concerning the importance of: (A) Having another person present when the qualified patient self-administers the medication dispensed or prescribed for aid in dying; and (B) not taking the medication in a public place;
167	167
168	168	(3) Inform the qualified patient that he or she may rescind his or her request for aid in dying at any time and in any manner;
169	169
170	170	(4) Verify, immediately before dispensing or prescribing medication for aid in dying, that the qualified patient is making an informed decision;
171	171
172	172	(5) Fulfill the medical record documentation requirements set forth in section 10 of this act; and
173	173
174	174	(6) (A) Dispense such medication, including ancillary medication intended to facilitate the desired effect to minimize the qualified patient's discomfort, if the attending physician is authorized to dispense such medication, to the qualified patient; or (B) upon the qualified patient's request and with the qualified patient's written consent (i) contact a pharmacist and inform the pharmacist of the prescription, and (ii) personally deliver the written prescription, by mail, facsimile or electronic transmission to the pharmacist, who shall dispense such medications directly to the qualified patient, the attending physician or an expressly identified agent of the qualified patient.
175	175
176	176	(b) The person signing the qualified patient's death certificate shall list the underlying terminal illness as the cause of death.
177	177
178	178	Sec. 10. (NEW) (Effective October 1, 2018) The attending physician shall ensure that the following items are documented or filed in a qualified patient's medical record:
179	179
180	180	(1) The basis for determining that a qualified patient is an adult and a resident of the state;
181	181
182	182	(2) All oral requests by a qualified patient for medication for aid in dying;
183	183
184	184	(3) All written requests by a qualified patient for medication for aid in dying;
185	185
186	186	(4) The attending physician's diagnosis of a qualified patient's terminal illness and prognosis, and a determination that a qualified patient is competent, is acting voluntarily and has made an informed decision to request aid in dying;
187	187
188	188	(5) The consulting physician's confirmation of a qualified patient's diagnosis and prognosis, confirmation that a qualified patient is competent, is acting voluntarily and has made an informed decision to request aid in dying;
189	189
190	190	(6) A report of the outcome and determinations made during counseling, if counseling was recommended and provided in accordance with section 8 of this act;
191	191
192	192	(7) Documentation of the attending physician's offer to a qualified patient to rescind his or her request for aid in dying at the time the attending physician dispenses or prescribes medication for aid in dying; and
193	193
194	194	(8) A statement by the attending physician indicating that (A) all requirements under this section and sections 1 to 9, inclusive, of this act have been met, and (B) the steps taken to carry out a qualified patient's request for aid in dying, including the medication dispensed or prescribed.
195	195
196	196	Sec. 11. (NEW) (Effective October 1, 2018) Any person, other than a qualified patient, in possession of medication dispensed or prescribed for aid in dying that has not been self-administered shall return such medication to the attending physician or the Commissioner of Consumer Protection in accordance with section 21a-252 of the general statutes.
197	197
198	198	Sec. 12. (NEW) (Effective October 1, 2018) (a) Any provision of a contract, including, but not limited to, a contract related to an insurance policy or annuity, conditioned on or affected by the making or rescinding of a request for aid in dying shall not be valid.
199	199
200	200	(b) On and after October 1, 2018, the sale, procurement or issuance of any life, health or accident insurance or annuity policy or the rate charged for any such policy shall not be conditioned upon or affected by the making or rescinding of a request for aid in dying.
201	201
202	202	(c) A qualified patient's act of requesting aid in dying or self-administering medication dispensed or prescribed for aid in dying shall not constitute suicide for any purpose, including, but not limited to, a criminal prosecution under section 53a-56 of the general statutes.
203	203
204	204	Sec. 13. (NEW) (Effective October 1, 2018) (a) As used in this section, "participate in the provision of medication" means to perform the duties of an attending physician or consulting physician, a psychiatrist, psychologist or pharmacist in accordance with the provisions of sections 2 to 10, inclusive, of this act. "Participate in the provision of medication" does not include: (1) Making an initial diagnosis of a patient's terminal illness; (2) informing a patient of his or her medical diagnosis or prognosis; (3) informing a patient concerning the provisions of this section, sections 1 to 12, inclusive, of this act and sections 16 to 19, inclusive, of this act, upon the patient's request; or (4) referring a patient to another health care provider for aid in dying.
205	205
206	206	(b) Participation in any act described in sections 1 to 12, inclusive, of this act and sections 16 to 19, inclusive, of this act by a patient, health care provider or any other person shall be voluntary. Each health care provider shall individually and affirmatively determine whether to participate in the provision of medication to a qualified patient for aid in dying. A health care facility shall not require a health care provider to participate in the provision of medication to a qualified patient for aid in dying, but may prohibit such participation in accordance with subsection (d) of this section.
207	207
208	208	(c) If a health care provider or health care facility chooses not to participate in the provision of medication to a qualified patient for aid in dying, upon request of a qualified patient, such health care provider or health care facility shall transfer all relevant medical records to any health care provider or health care facility, as directed by a qualified patient.
209	209
210	210	(d) A health care facility may adopt written policies prohibiting a health care provider associated with such health care facility from participating in the provision of medication to a patient for aid in dying, provided such facility provides written notice of such policy and any sanctions for violation of such policy to such health care provider. Notwithstanding the provisions of this subsection or any policies adopted in accordance with this subsection, a health care provider may: (1) Diagnose a patient with a terminal illness; (2) inform a patient of his or her medical prognosis; (3) provide a patient with information concerning the provisions of this section, sections 1 to 12, inclusive, of this act and sections 16 to 19, inclusive, of this act, upon a patient's request; (4) refer a patient to another health care facility or health care provider; (5) transfer a patient's medical records to a health care provider or health care facility, as requested by a patient; or (6) participate in the provision of medication for aid in dying when such health care provider is acting outside the scope of his or her employment or contract with a health care facility that prohibits participation in the provision of such medication.
211	211
212	212	(e) Except as provided in a policy adopted in accordance with subsection (d) of this section, no health care facility may subject an employee or other person who provides services under contract with the health care facility to disciplinary action, loss of privileges, loss of membership or any other penalty for participating, or refusing to participate, in the provision of medication or related activities in good faith compliance with the provisions of this section, sections 1 to 12, inclusive, of this act and sections 16 to 19, inclusive, of this act.
213	213
214	214	Sec. 14. (NEW) (Effective October 1, 2018) (a) A person is guilty of murder when such person, without authorization of a patient, wilfully alters or forges a request for aid in dying, as described in sections 3 and 4 of this act, or conceals or destroys a rescission of such a request for aid in dying with the intent or effect of causing the patient's death.
215	215
216	216	(b) A person is guilty of murder when such person coerces or exerts undue influence on a patient to complete a request for aid in dying, as described in sections 3 and 4 of this act, or coerces or exerts undue influence on a patient to destroy a rescission of such request with the intent or effect of causing the patient's death.
217	217
218	218	Sec. 15. (NEW) (Effective October 1, 2018) (a) Nothing in sections 1 to 14, inclusive, of this act or sections 16 to 19, inclusive, of this act authorizes a physician or any other person to end another person's life by lethal injection, mercy killing, assisting a suicide or any other active euthanasia.
219	219
220	220	(b) No action taken in accordance with sections 1 to 14, inclusive, of this act or sections 16 to 19, inclusive, of this act shall constitute causing or assisting another person to commit suicide in violation of section 53a-54a or 53a-56 of the general statutes.
221	221
222	222	(c) No person shall be subject to civil or criminal liability or professional disciplinary action, including, but not limited to, revocation of such person's professional license, for (1) participating in the provision of medication or related activities in good faith compliance with the provisions of sections 1 to 14, inclusive, of this act and sections 16 to 19, inclusive, of this act, or (2) being present at the time a qualified patient self-administers medication dispensed or prescribed for aid in dying.
223	223
224	224	(d) An attending physician's dispensing of, or issuance of a prescription for medication for aid in dying or a patient's request for aid in dying, in good faith compliance with the provisions of sections 1 to 19, inclusive, of this act shall not constitute neglect for the purpose of any law or provide the sole basis for appointment of a guardian or conservator for such patient.
225	225
226	226	Sec. 16. (NEW) (Effective October 1, 2018) Sections 1 to 15, inclusive, of this act or sections 17 to 19, inclusive, of this act do not limit liability for civil damages resulting from negligent conduct or intentional misconduct by any person.
227	227
228	228	Sec. 17. (NEW) (Effective October 1, 2018) (a) Any person who knowingly possesses, sells or delivers medication dispensed or prescribed for aid in dying for any purpose other than delivering such medication to a qualified patient, or returning such medication in accordance with section 11 of this act, shall be guilty of a class D felony.
229	229
230	230	(b) Nothing in sections 1 to 16, inclusive, of this act or section 18 or 19 of this act shall preclude criminal prosecution under any provision of law for conduct that is inconsistent with said sections.
231	231
232	232	Sec. 18. (NEW) (Effective October 1, 2018) Nothing in sections 1 to 17, inclusive, of this act or section 19 of this act shall limit the jurisdiction or authority of the Office of Protection and Advocacy for Persons with Disabilities under chapter 813 of the general statutes.
233	233
234	234	Sec. 19. (NEW) (Effective October 1, 2018) No person who serves as an attending physician, consulting physician or a witness as described in section 3 of this act, or otherwise participates in the provision of medication for aid in dying to a qualified patient, shall inherit or receive any part of the estate of such qualified patient, whether under the provisions of law relating to intestate succession or as a devisee or legatee, or otherwise under the will of such qualified patient, or receive any property as beneficiary or survivor of such qualified patient after such qualified patient has self-administered medication dispensed or prescribed for aid in dying.
235	235
236	236
237	237
238	238
239	239	This act shall take effect as follows and shall amend the following sections:
240	240	Section 1 October 1, 2018 New section
241	241	Sec. 2 October 1, 2018 New section
242	242	Sec. 3 October 1, 2018 New section
243	243	Sec. 4 October 1, 2018 New section
244	244	Sec. 5 October 1, 2018 New section
245	245	Sec. 6 October 1, 2018 New section
246	246	Sec. 7 October 1, 2018 New section
247	247	Sec. 8 October 1, 2018 New section
248	248	Sec. 9 October 1, 2018 New section
249	249	Sec. 10 October 1, 2018 New section
250	250	Sec. 11 October 1, 2018 New section
251	251	Sec. 12 October 1, 2018 New section
252	252	Sec. 13 October 1, 2018 New section
253	253	Sec. 14 October 1, 2018 New section
254	254	Sec. 15 October 1, 2018 New section
255	255	Sec. 16 October 1, 2018 New section
256	256	Sec. 17 October 1, 2018 New section
257	257	Sec. 18 October 1, 2018 New section
258	258	Sec. 19 October 1, 2018 New section
259	259
260	260	This act shall take effect as follows and shall amend the following sections:
261	261
262	262	Section 1
263	263
264	264	October 1, 2018
265	265
266	266	New section
267	267
268	268	Sec. 2
269	269
270	270	October 1, 2018
271	271
272	272	New section
273	273
274	274	Sec. 3
275	275
276	276	October 1, 2018
277	277
278	278	New section
279	279
280	280	Sec. 4
281	281
282	282	October 1, 2018
283	283
284	284	New section
285	285
286	286	Sec. 5
287	287
288	288	October 1, 2018
289	289
290	290	New section
291	291
292	292	Sec. 6
293	293
294	294	October 1, 2018
295	295
296	296	New section
297	297
298	298	Sec. 7
299	299
300	300	October 1, 2018
301	301
302	302	New section
303	303
304	304	Sec. 8
305	305
306	306	October 1, 2018
307	307
308	308	New section
309	309
310	310	Sec. 9
311	311
312	312	October 1, 2018
313	313
314	314	New section
315	315
316	316	Sec. 10
317	317
318	318	October 1, 2018
319	319
320	320	New section
321	321
322	322	Sec. 11
323	323
324	324	October 1, 2018
325	325
326	326	New section
327	327
328	328	Sec. 12
329	329
330	330	October 1, 2018
331	331
332	332	New section
333	333
334	334	Sec. 13
335	335
336	336	October 1, 2018
337	337
338	338	New section
339	339
340	340	Sec. 14
341	341
342	342	October 1, 2018
343	343
344	344	New section
345	345
346	346	Sec. 15
347	347
348	348	October 1, 2018
349	349
350	350	New section
351	351
352	352	Sec. 16
353	353
354	354	October 1, 2018
355	355
356	356	New section
357	357
358	358	Sec. 17
359	359
360	360	October 1, 2018
361	361
362	362	New section
363	363
364	364	Sec. 18
365	365
366	366	October 1, 2018
367	367
368	368	New section
369	369
370	370	Sec. 19
371	371
372	372	October 1, 2018
373	373
374	374	New section
375	375
376	376	Statement of Purpose:
377	377
378	378	To allow a physician to dispense or prescribe medication at the request of a mentally competent patient that has a terminal illness that such patient may self-administer to bring about his or her death.
379	379
380	380	[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.]