LCO No. 1118 1 of 17 General Assembly Raised Bill No. 88 February Session, 2022 LCO No. 1118 Referred to Committee on PUBLIC HEALTH Introduced by: (PH) AN ACT CONCERNING AID IN DYING FOR TERMINALLY ILL PATIENTS. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. (NEW) (Effective October 1, 2022) As used in this section and 1 sections 2 to 19, inclusive, of this act: 2 (1) "Adult" means a person who is eighteen years of age or older; 3 (2) "Aid in dying" means the medical practice of a physician 4 prescribing medication to a qualified patient who is terminally ill, which 5 medication a qualified patient may self-administer to bring about such 6 patient's death; 7 (3) "Attending physician" means the physician who has primary 8 responsibility for the medical care of a patient and treatment of a 9 patient's terminal illness and whose practice is not primarily comprised 10 of evaluating, qualifying and prescribing or dispensing medication 11 pursuant to the provisions this section and sections 2 to 19, inclusive, of 12 this act; 13 Raised Bill No. 88 LCO No. 1118 2 of 17 (4) "Competent" means, in the opinion of a patient's attending 14 physician, consulting physician, psychiatrist, psychologist or licensed 15 clinical social worker, that a patient has the capacity to understand and 16 acknowledge the nature and consequences of health care decisions, 17 including the benefits and disadvantages of treatment, to make an 18 informed decision and to communicate such decision to a health care 19 provider, including communicating through a person familiar with a 20 patient's manner of communicating; 21 (5) "Consulting physician" means a physician other than a patient's 22 attending physician who is qualified by specialty or experience to make 23 a professional diagnosis and prognosis regarding a patient's terminal 24 illness; 25 (6) "Counseling" means one or more consultations as necessary 26 between a psychiatrist, psychologist or licensed clinical social worker 27 and a patient for the purpose of determining that a patient is competent 28 and not suffering from depression or any other psychiatric or 29 psychological disorder that causes impaired judgment; 30 (7) "Health care provider" means a person licensed, certified or 31 otherwise authorized or permitted by the laws of this state to administer 32 health care or dispense medication in the ordinary course of business or 33 practice of a profession, including, but not limited to, a physician, 34 psychiatrist, psychologist or pharmacist; 35 (8) "Health care facility" means a hospital, residential care home, 36 nursing home or rest home, as such terms are defined in section 19a-490 37 of the general statutes; 38 (9) "Hospice care" means health care centered on a terminally ill 39 patient and such patient's family that provides for the physical, 40 psychosocial, spiritual and emotional needs of such patient; 41 (10) "Informed decision" means a decision by a qualified patient to 42 request and obtain a prescription for medication that the qualified 43 patient may self-administer for aid in dying, that is based on an 44 Raised Bill No. 88 LCO No. 1118 3 of 17 understanding and acknowledgment of the relevant facts and after 45 being fully informed by the attending physician of: (A) The qualified 46 patient's medical diagnosis and prognosis; (B) the potential risks 47 associated with self-administering the medication to be prescribed; (C) 48 the probable result of taking the medication to be dispensed or 49 prescribed; and (D) the feasible alternatives to aid in dying and health 50 care treatment options, including, but not limited to, hospice care and 51 palliative care; 52 (11) "Licensed clinical social worker" means a person who has been 53 licensed as a clinical social worker pursuant to chapter 383b of the 54 general statutes; 55 (12) "Medically confirmed" means the medical opinion of the 56 attending physician has been confirmed by a consulting physician who 57 has examined the patient and the patient's relevant medical records; 58 (13) "Palliative care" means health care centered on a seriously ill 59 patient and such patient's family that (A) optimizes a patient's quality 60 of life by anticipating, preventing and treating a patient's suffering 61 throughout the continuum of a patient's serious illness, (B) addresses 62 the physical, emotional, social and spiritual needs of a patient, (C) 63 facilitates patient autonomy, patient access to information and patient 64 choice, and (D) includes, but is not limited to, discussions between a 65 patient and a health care provider concerning a patient's goals for 66 treatment and appropriate treatment options available to a patient, 67 including hospice care and comprehensive pain and symptom 68 management; 69 (14) "Patient" means a person who is under the care of a physician; 70 (15) "Pharmacist" means a person licensed to practice pharmacy 71 pursuant to chapter 400j of the general statutes; 72 (16) "Physician" means a person licensed to practice medicine and 73 surgery pursuant to chapter 370 of the general statutes; 74 Raised Bill No. 88 LCO No. 1118 4 of 17 (17) "Psychiatrist" means a physician specializing in psychiatry and 75 licensed pursuant to chapter 370 of the general statutes; 76 (18) "Psychologist" means a person licensed to practice psychology 77 pursuant to chapter 383 of the general statutes; 78 (19) "Qualified patient" means a competent adult who is a resident of 79 this state, has a terminal illness and has satisfied the requirements of this 80 section and sections 2 to 9, inclusive, of this act, in order to obtain aid in 81 dying; 82 (20) "Self-administer" means a qualified patient's voluntary, 83 conscious and affirmative act of ingesting medication; and 84 (21) "Terminal illness" means the final stage of an incurable and 85 irreversible medical condition that an attending physician anticipates, 86 within reasonable medical judgment, will produce a patient's death 87 within six months if the progression of such condition follows its typical 88 course. 89 Sec. 2. (NEW) (Effective October 1, 2022) (a) A patient who (1) is an 90 adult, (2) is competent, (3) is a resident of this state, (4) has been 91 determined by such patient's attending physician to have a terminal 92 illness, and (5) has voluntarily expressed such patient's wish to receive 93 aid in dying, may request aid in dying by submitting two written 94 requests to such patient's attending physician pursuant to sections 3 and 95 4 of this act. 96 (b) No person, including, but not limited to, an agent under a living 97 will, an attorney-in-fact under a durable power of attorney, a guardian, 98 or a conservator, may act on behalf of a patient for purposes of this 99 section, section 1 of this act and sections 3 to 20, inclusive, of this act. 100 Sec. 3. (NEW) (Effective October 1, 2022) (a) A patient wishing to 101 receive aid in dying shall submit two written requests to such patient's 102 attending physician pursuant to section 4 of this act. A patient's second 103 written request for aid in dying shall be submitted not earlier than 104 Raised Bill No. 88 LCO No. 1118 5 of 17 fifteen days after the date on which such patient submits the first written 105 request. A valid written request for aid in dying under sections 1 and 2 106 of this act and sections 4 to 19, inclusive, of this act shall be signed and 107 dated by the patient. Each written request shall be witnessed by at least 108 two persons in the presence of the patient. Each person serving as a 109 witness shall attest, in writing, that to the best of such person's 110 knowledge and belief (1) the patient appears to be of sound mind, (2) 111 the patient is acting voluntarily and not being coerced to sign the 112 request, and (3) the witness is not: (A) A relative of the patient by blood, 113 marriage or adoption, (B) entitled to any portion of the estate of the 114 patient upon the patient's death, under any will or by operation of law, 115 (C) an owner, operator or employee of a health care facility where the 116 patient is a resident or receiving medical treatment, or (D) such patient's 117 attending physician at the time the request is signed. 118 (b) Any patient's act of requesting aid in dying or a qualified patient's 119 self-administration of medication prescribed for aid in dying shall not 120 provide the sole basis for appointment of a conservator or guardian for 121 such patient or qualified patient. 122 Sec. 4. (NEW) (Effective October 1, 2022) A written request for aid in 123 dying as authorized by this section, sections 1 to 3, inclusive, of this act 124 and sections 5 to 20, inclusive, of this act shall be in substantially the 125 following form: 126 REQUEST FOR MEDICATION TO AID IN DYING 127 I, .…, am an adult of sound mind. 128 I am a resident of the State of Connecticut. 129 I am suffering from …., which my attending physician has 130 determined is an incurable and irreversible medical condition that will, 131 within reasonable medical judgment, result in death within six months 132 from the date on which this document is executed if the progression of 133 such condition follows its typical course. This diagnosis of a terminal 134 illness has been medically confirmed by another physician. 135 Raised Bill No. 88 LCO No. 1118 6 of 17 I have been fully informed of my diagnosis, prognosis, the nature of 136 medication to be dispensed or prescribed to aid me in dying, the 137 potential associated risks, the expected result, feasible alternatives to aid 138 in dying and additional health care treatment options, including hospice 139 care and palliative care and the availability of counseling with a 140 psychologist, psychiatrist or licensed clinical social worker. 141 I request that my attending physician dispense or prescribe 142 medication that I may self-administer for aid in dying. I authorize my 143 attending physician to contact a pharmacist to fill the prescription for 144 such medication, upon my request. 145 INITIAL ONE: 146 …. I have informed my family of my decision and taken family 147 opinions into consideration. 148 …. I have decided not to inform my family of my decision. 149 …. I have no family to inform of my decision. 150 I understand that I have the right to rescind this request at any time. 151 I understand the full import of this request and I expect to die if and 152 when I take the medication to be dispensed or prescribed. I further 153 understand that although most deaths occur within one hour, my death 154 may take longer and my attending physician has counseled me about 155 this possibility. 156 I make this request voluntarily and without reservation, and I accept 157 full responsibility for my decision to request aid in dying. 158 Signed: …. 159 Dated: …. 160 DECLARATION OF WITNESSES 161 By initialing and signing below on the date the person named above 162 Raised Bill No. 88 LCO No. 1118 7 of 17 signs, I declare that: 163 Witness 1 …. Witness 2 …. 164 Initials …. Initials …. 165 …. 1. The person making and signing the request is personally known 166 to me or has provided proof of identity; 167 …. 2. The person making and signing the request signed this request 168 in my presence on the date of the person's signature; 169 …. 3. The person making the request appears to be of sound mind 170 and not under duress, fraud or undue influence; 171 …. 4. I am not the attending physician for the person making the 172 request; 173 …. 5. The person making the request is not my relative by blood, 174 marriage or adoption; 175 …. 6. I am not entitled to any portion of the estate of the person 176 making the request upon such person's death under any will or by 177 operation of law; and 178 …. 7. I am not an owner, operator or employee of a health care facility 179 where the person making the request is a resident or receiving medical 180 treatment. 181 Printed Name of Witness 1 …. 182 Signature of Witness 1 …. Date …. 183 Printed Name of Witness 2 …. 184 Signature of Witness 2 …. Date …. 185 Sec. 5. (NEW) (Effective October 1, 2022) (a) A qualified patient may 186 rescind such patient's request for aid in dying at any time and in any 187 manner without regard to such patient's mental state. 188 Raised Bill No. 88 LCO No. 1118 8 of 17 (b) An attending physician shall offer a qualified patient an 189 opportunity to rescind such patient's request for aid in dying at the time 190 such patient makes a second written request for aid in dying to the 191 attending physician. 192 (c) No attending physician shall dispense or prescribe medication for 193 aid in dying without the attending physician first offering the qualified 194 patient a second opportunity to rescind such patient's request for aid in 195 dying. 196 Sec. 6. (NEW) (Effective October 1, 2022) When an attending physician 197 is presented with a patient's first written request for aid in dying made 198 pursuant to sections 2 to 4, inclusive, of this act, the attending physician 199 shall: 200 (1) Make a determination that the patient (A) is an adult, (B) has a 201 terminal illness, (C) is competent, and (D) has voluntarily requested aid 202 in dying. Such determination shall not be made solely on the basis of 203 age, disability or any specific illness; 204 (2) Require the patient to demonstrate residency in this state by 205 presenting: (A) A valid Connecticut driver's license; (B) a valid voter 206 registration record authorizing the patient to vote in this state; or (C) 207 any other valid government-issued document that the attending 208 physician reasonably believes demonstrates that the patient is a resident 209 of this state on the date the request is presented; 210 (3) Ensure that the patient is making an informed decision by 211 informing the patient of: (A) The patient's medical diagnosis; (B) the 212 patient's prognosis; (C) the potential risks associated with self-213 administering the medication to be dispensed or prescribed for aid in 214 dying; (D) the probable result of self-administering the medication to be 215 dispensed or prescribed for aid in dying; (E) the feasible alternatives to 216 aid in dying and health care treatment options including, but not limited 217 to, hospice or palliative care; and (F) the availability of counseling with 218 a psychologist, psychiatrist or licensed clinical social worker; and 219 Raised Bill No. 88 LCO No. 1118 9 of 17 (4) Refer the patient to a consulting physician for medical 220 confirmation of the attending physician's diagnosis of the patient's 221 terminal illness, the patient's prognosis and for a determination that the 222 patient is competent and acting voluntarily in requesting aid in dying. 223 Sec. 7. (NEW) (Effective October 1, 2022) In order for a patient to be 224 found to be a qualified patient for the purposes of this section, sections 225 1 to 6, inclusive, of this act and sections 8 to 20, inclusive, of this act, a 226 consulting physician shall: (1) Examine the patient and the patient's 227 relevant medical records; (2) confirm, in writing, the attending 228 physician's diagnosis that the patient has a terminal illness; (3) verify 229 that the patient is competent, is acting voluntarily and has made an 230 informed decision to request aid in dying, as described in subdivision 231 (3) of section 6 of this act; and (4) refer the patient for counseling, if 232 required in accordance with section 8 of this act. 233 Sec. 8. (NEW) (Effective October 1, 2022) (a) If, in the medical opinion 234 of the attending physician or the consulting physician, a patient may be 235 suffering from a psychiatric or psychological condition including, but 236 not limited to, depression, that is causing impaired judgment, either the 237 attending or consulting physician shall refer the patient for counseling 238 to determine whether the patient is competent to request aid in dying. 239 (b) An attending physician shall not provide the patient aid in dying 240 until the person providing such counseling determines that the patient 241 is not suffering a psychiatric or psychological condition including, but 242 not limited to, depression, that is causing impaired judgment. 243 Sec. 9. (NEW) (Effective October 1, 2022) After an attending physician 244 and a consulting physician determine that a patient is a qualified 245 patient, in accordance with sections 6 to 8, inclusive, of this act and after 246 such qualified patient submits a second written request for aid in dying 247 in accordance with section 3 of this act, the attending physician shall: 248 (1) Recommend to the qualified patient that such patient notify such 249 patient's next of kin of the qualified patient's request for aid in dying 250 and inform the qualified patient that a failure to do so shall not be a basis 251 Raised Bill No. 88 LCO No. 1118 10 of 17 for the denial of such request; 252 (2) Counsel the qualified patient concerning the importance of: (A) 253 Having another person present when the qualified patient self-254 administers the medication dispensed or prescribed for aid in dying; 255 and (B) not taking the medication in a public place; 256 (3) Inform the qualified patient that such patient may rescind such 257 patient's request for aid in dying at any time and in any manner; 258 (4) Verify, immediately before dispensing or prescribing medication 259 for aid in dying, that the qualified patient is making an informed 260 decision; 261 (5) Fulfill the medical record documentation requirements set forth 262 in section 10 of this act; and 263 (6) (A) Dispense such medication, including ancillary medication 264 intended to facilitate the desired effect to minimize the qualified 265 patient's discomfort, if the attending physician is authorized to dispense 266 such medication, to the qualified patient; or (B) upon the qualified 267 patient's request and with the qualified patient's written consent (i) 268 contact a pharmacist who chooses to participate in the provision of 269 medication for aid in dying and inform the pharmacist of the 270 prescription, and (ii) personally deliver the written prescription, by 271 mail, facsimile or electronic transmission to the pharmacist, who may 272 dispense such medication directly to the qualified patient, the attending 273 physician or an expressly identified agent of the qualified patient. 274 Sec. 10. (NEW) (Effective October 1, 2022) The attending physician shall 275 ensure that the following items are documented or filed in a qualified 276 patient's medical record: 277 (1) The basis for determining that a qualified patient is an adult and 278 a resident of the state; 279 (2) All written requests by a qualified patient for medication for aid 280 in dying; 281 Raised Bill No. 88 LCO No. 1118 11 of 17 (3) The attending physician's diagnosis of a qualified patient's 282 terminal illness and prognosis, and a determination that a qualified 283 patient is competent, is acting voluntarily and has made an informed 284 decision to request aid in dying; 285 (4) The consulting physician's confirmation of a qualified patient's 286 diagnosis and prognosis, confirmation that a qualified patient is 287 competent, is acting voluntarily and has made an informed decision to 288 request aid in dying; 289 (5) A report of the outcome and determinations made during 290 counseling, if counseling was recommended and provided in 291 accordance with section 8 of this act; 292 (6) Documentation of the attending physician's offer to a qualified 293 patient to rescind such patient's request for aid in dying at the time the 294 attending physician dispenses or prescribes medication for aid in dying; 295 and 296 (7) A statement by the attending physician indicating that (A) all 297 requirements under this section and sections 1 to 9, inclusive, of this act 298 have been met, and (B) the steps taken to carry out a qualified patient's 299 request for aid in dying, including the medication dispensed or 300 prescribed. 301 Sec. 11. (NEW) (Effective October 1, 2022) Any person, other than a 302 qualified patient, in possession of medication dispensed or prescribed 303 for aid in dying that has not been self-administered shall (1) destroy 304 such medication in a manner described on the Department of Consumer 305 Protection's Internet web site, or (2) dispose of such medication at a 306 pharmacy that accepts and disposes of unused prescription drugs 307 pursuant to section 20-576a of the general statutes or a municipal police 308 station that collects and disposes of unwanted pharmaceuticals 309 pursuant to section 21a-12f of the general statutes. 310 Sec. 12. (NEW) (Effective October 1, 2022) (a) Any provision of a 311 contract, including, but not limited to, a contract related to an insurance 312 Raised Bill No. 88 LCO No. 1118 12 of 17 policy or annuity, conditioned on or affected by the making or 313 rescinding of a request for aid in dying shall not be valid. 314 (b) Any provision of a will or codicil conditioned on or affected by 315 the making or rescinding of a request for aid in dying shall not be valid. 316 (c) On and after October 1, 2022, the sale, procurement or issuance of 317 any life, health or accident insurance or annuity policy or the rate 318 charged for any such policy shall not be conditioned upon or affected 319 by the making or rescinding of a request for aid in dying. 320 (d) A qualified patient's act of requesting aid in dying or self-321 administering medication dispensed or prescribed for aid in dying shall 322 not constitute suicide for any purpose, including, but not limited to, a 323 criminal prosecution under section 53a-56 of the general statutes. 324 Sec. 13. (NEW) (Effective October 1, 2022) (a) As used in this section, 325 "participate in the provision of medication" means to perform the duties 326 of an attending physician or consulting physician, a psychiatrist, 327 psychologist or pharmacist in accordance with the provisions of sections 328 2 to 10, inclusive, of this act. "Participate in the provision of medication" 329 does not include: (1) Making an initial diagnosis of a patient's terminal 330 illness; (2) informing a patient of such patient's medical diagnosis or 331 prognosis; (3) informing a patient concerning the provisions of this 332 section, sections 1 to 12, inclusive, of this act and sections 16 to 19, 333 inclusive, of this act, upon the patient's request; or (4) referring a patient 334 to another health care provider for aid in dying. 335 (b) Participation in any act described in sections 1 to 12, inclusive, of 336 this act and sections 16 to 19, inclusive, of this act by a patient, health 337 care provider or any other person shall be voluntary. Each health care 338 provider shall individually and affirmatively determine whether to 339 participate in the provision of medication to a qualified patient for aid 340 in dying. A health care facility shall not require a health care provider 341 to participate in the provision of medication to a qualified patient for aid 342 in dying, but may prohibit such participation in accordance with 343 subsection (d) of this section. 344 Raised Bill No. 88 LCO No. 1118 13 of 17 (c) If a health care provider or health care facility chooses not to 345 participate in the provision of medication to a qualified patient for aid 346 in dying, upon request of a qualified patient, such health care provider 347 or health care facility shall transfer all relevant medical records to any 348 health care provider or health care facility, as directed by a qualified 349 patient. 350 (d) A health care facility may adopt written policies prohibiting a 351 health care provider associated with such health care facility from 352 participating in the provision of medication to a patient for aid in dying, 353 provided such facility provides written notice of such policy and any 354 sanctions for violation of such policy to such health care provider. 355 Notwithstanding the provisions of this subsection or any policies 356 adopted in accordance with this subsection, a health care provider may: 357 (1) Diagnose a patient with a terminal illness; (2) inform a patient of such 358 patient's medical prognosis; (3) provide a patient with information 359 concerning the provisions of this section, sections 1 to 12, inclusive, of 360 this act and sections 16 to 19, inclusive, of this act, upon a patient's 361 request; (4) refer a patient to another health care facility or health care 362 provider; (5) transfer a patient's medical records to a health care 363 provider or health care facility, as requested by a patient; or (6) 364 participate in the provision of medication for aid in dying when such 365 health care provider is acting outside the scope of such provider's 366 employment or contract with a health care facility that prohibits 367 participation in the provision of such medication. 368 (e) Except as provided in a policy adopted in accordance with 369 subsection (d) of this section, no health care facility may subject an 370 employee or other person who provides services under contract with 371 the health care facility to disciplinary action, loss of privileges, loss of 372 membership or any other penalty for participating, or refusing to 373 participate, in the provision of medication or related activities in good 374 faith compliance with the provisions of this section, sections 1 to 12, 375 inclusive, of this act and sections 16 to 19, inclusive, of this act. 376 Sec. 14. (NEW) (Effective October 1, 2022) (a) Nothing in sections 1 to 377 Raised Bill No. 88 LCO No. 1118 14 of 17 13, inclusive, of this act or sections 15 to 19, inclusive, of this act 378 authorizes a physician or any other person to end another person's life 379 by lethal injection, mercy killing, assisting a suicide or any other active 380 euthanasia. 381 (b) Nothing in sections 1 to 13, inclusive, of this act or sections 15 to 382 19, inclusive, of this act authorizes a health care provider or any person, 383 including a qualified patient, to end the qualified patient's life by 384 intravenous or other parenteral injection or infusion, mercy killing, 385 homicide, murder, manslaughter, euthanasia, or any other criminal act. 386 (c) Any actions taken in accordance with sections 1 to 13, inclusive, of 387 this act or sections 15 to 19, inclusive, of this act, do not, for any 388 purposes, constitute suicide, assisted suicide, euthanasia, mercy killing, 389 homicide, murder, manslaughter, elder abuse or neglect or any other 390 civil or criminal violation under the general statutes. 391 (d) No action taken in accordance with sections 1 to 13, inclusive, of 392 this act or sections 15 to 19, inclusive, of this act shall constitute causing 393 or assisting another person to commit suicide in violation of section 53a-394 54a or 53a-56 of the general statutes. 395 (e) No person shall be subject to civil or criminal liability or 396 professional disciplinary action, including, but not limited to, 397 revocation of such person's professional license, for (1) participating in 398 the provision of medication or related activities in good faith 399 compliance with the provisions of sections 1 to 13, inclusive, of this act 400 and sections 15 to 19, inclusive, of this act, or (2) being present at the 401 time a qualified patient self-administers medication dispensed or 402 prescribed for aid in dying. 403 (f) An attending physician's dispensing of, or issuance of a 404 prescription for medication for aid in dying, a pharmacist's dispensing 405 of medication for aid in dying or a patient's request for aid in dying, in 406 good faith compliance with the provisions of this section, sections 1 to 407 13, inclusive, of this act and sections 15 to 20, inclusive, of this act shall 408 not constitute neglect for the purpose of any law or provide the sole 409 Raised Bill No. 88 LCO No. 1118 15 of 17 basis for appointment of a guardian or conservator for such patient. 410 Sec. 15. (NEW) (Effective October 1, 2022) Sections 1 to 14, inclusive, of 411 this act or sections 16 to 19, inclusive, of this act do not limit liability for 412 civil damages resulting from negligent conduct or intentional 413 misconduct by any person. 414 Sec. 16. (NEW) (Effective October 1, 2022) (a) Any person who 415 knowingly possesses, sells or delivers medication dispensed or 416 prescribed for aid in dying for any purpose other than delivering such 417 medication to a qualified patient, or returning such medication in 418 accordance with section 11 of this act, shall be guilty of a class D felony. 419 (b) Nothing in sections 1 to 15, inclusive, of this act or sections 17 to 420 19, inclusive, of this act shall preclude criminal prosecution under any 421 provision of law for conduct that is inconsistent with said sections. 422 Sec. 17. (NEW) (Effective October 1, 2022) Nothing in sections 1 to 16, 423 inclusive, of this act or section 18 or 19 of this act shall limit the 424 jurisdiction or authority of the nonprofit entity designated by the 425 Governor to serve as the Connecticut protection and advocacy system 426 under section 46a-10b of the general statutes. 427 Sec. 18. (NEW) (Effective October 1, 2022) No person who serves as an 428 attending physician or consulting physician shall inherit or receive any 429 part of the estate of such qualified patient, whether under the provisions 430 of law relating to intestate succession or as a devisee or legatee, or 431 otherwise under the will of such qualified patient, or receive any 432 property as beneficiary or survivor of such qualified patient after such 433 qualified patient has self-administered medication dispensed or 434 prescribed for aid in dying. 435 Sec. 19. (NEW) (Effective from passage) Not later than October 1, 2022, 436 the Department of Public Health shall create an attending physician 437 checklist form and an attending physician follow-up form to facilitate 438 the collection of information that attending physicians are required to 439 submit to the department pursuant to the provisions of subsections (a) 440 Raised Bill No. 88 LCO No. 1118 16 of 17 and (b) of section 20 of this act and post such forms on the department's 441 Internet web site. 442 Sec. 20. (NEW) (Effective October 1, 2022) (a) Not later than thirty days 443 after prescribing medication to a qualified patient pursuant to the 444 provisions of sections 1 to 18, inclusive, of this act, an attending 445 physician shall submit to the department an attending physician 446 checklist form, containing the following information: (1) The qualified 447 patient's name and date of birth; (2) the qualified patient's diagnosis and 448 prognosis; and (3) a statement by the attending physician indicating that 449 all requirements under this section and sections 1 to 10, inclusive, of this 450 act have been met and that such physician has prescribed medication 451 pursuant to the provisions of sections 1 to 18, inclusive, of this act. 452 (b) Not later than sixty days after an attending physician receives 453 notification of a qualified patient's death from self-administration of 454 medication prescribed pursuant to the provisions of sections 1 to 18, 455 inclusive, of this act, such attending physician shall submit to the 456 department an attending physician follow-up form, containing the 457 following information: (1) The qualified patients name and date of birth; 458 (2) the date of the qualified patient's death; and (3) whether the qualified 459 patient was provided hospice care at the time of such patient's death. 460 (c) On or before January 1, 2023, and annually thereafter, the 461 Department of Public Health shall review the forms submitted pursuant 462 to subsections (a) and (b) of this section to ensure compliance with the 463 provisions of said subsections. 464 (d) On or before January 1, 2023, and annually thereafter, the 465 Department of Public Health shall submit a report, in accordance with 466 the provisions of section 11-4a of the general statutes, to the joint 467 standing committee of the General Assembly having cognizance of 468 matters relating to public health containing the following data: (1) The 469 number of prescriptions for medication written for qualified patients 470 pursuant to the provisions of sections 1 to 18, inclusive, of this act; and 471 (2) the number of qualified patients who died following self-472 Raised Bill No. 88 LCO No. 1118 17 of 17 administration of medication prescribed pursuant to the provisions of 473 sections 1 to 18, inclusive, of this act. Such report shall not contain the 474 identifying information of any qualified patient or health care provider. 475 (e) Any data collected by the Department of Public Health pursuant 476 to the provisions of subsections (a) and (b) of this section shall not be 477 subject to disclosure under the Freedom of Information Act, as defined 478 in section 1-200 of the general statutes. 479 This act shall take effect as follows and shall amend the following sections: Section 1 October 1, 2022 New section Sec. 2 October 1, 2022 New section Sec. 3 October 1, 2022 New section Sec. 4 October 1, 2022 New section Sec. 5 October 1, 2022 New section Sec. 6 October 1, 2022 New section Sec. 7 October 1, 2022 New section Sec. 8 October 1, 2022 New section Sec. 9 October 1, 2022 New section Sec. 10 October 1, 2022 New section Sec. 11 October 1, 2022 New section Sec. 12 October 1, 2022 New section Sec. 13 October 1, 2022 New section Sec. 14 October 1, 2022 New section Sec. 15 October 1, 2022 New section Sec. 16 October 1, 2022 New section Sec. 17 October 1, 2022 New section Sec. 18 October 1, 2022 New section Sec. 19 from passage New section Sec. 20 October 1, 2022 New section Statement of Purpose: To provide aid in dying to terminally ill patients. [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.]