Iowa House Bill HSB161

Iowa 2025-2026 Regular Session

• Introduced: 2/11/25
• Refer: 2/11/25

Caption

A bill for an act relating to the authority of an attorney in fact under a durable power of attorney for health care.

Impact

The bill modifies existing statutes by emphasizing the importance of the principal's documented wishes in circumstances involving life-sustaining procedures. For instance, if a principal has made a declaration concerning such procedures, the attorney's power will include the ability to withdraw hydration or nutrition under specific conditions. This change has significant implications for how medical decisions are made when individuals are incapacitated and unable to voice their preferences.

Summary

HSB161 is a legislative proposal aimed at redefining the authority granted to an attorney in fact under a durable power of attorney for health care. The bill ensures that the attorney must act in alignment with the wishes expressed by the principal, either through the durable power of attorney documentation or verbally communicated, but it specifically limits the recognition of verbal expressions made to parties other than the attorney. The fundamental principle behind this legislation is to prioritize the will of the principal, ensuring that the attorney's actions reflect the principal's desires regarding health care decisions.

Contention

Debates surrounding HSB161 may arise from concerns about the potential abuse or misunderstanding of the principal's intentions. Critics argue that provisions allowing for the withdrawal of hydration and nutrition could lead to ethical dilemmas, particularly in situations involving vulnerable populations. Supporters, however, advocate that the bill is crucial for maintaining a clear framework that respects individual autonomy in health care decision-making. The balance between respecting a principal's wishes and ensuring that decisions are made in a compassionate and ethical manner remains a polarizing topic among stakeholders.