Massachusetts 2023-2024 Regular Session

Massachusetts House Bill H4597

Introduced
5/6/24  
Refer
5/6/24  

Caption

Improving medical decision making

Impact

The introduction of H4597 would amend existing laws by inserting a new chapter that clarifies the criteria for appointing surrogate decision makers, detailing the responsibilities of attending physicians, and explicating the rights granted to surrogates. This change is intended to enhance clarity in medical decision-making protocols, thereby potentially reducing disputes and litigation regarding healthcare decisions made for incapacitated persons. By formalizing surrogate decision-making processes, the bill aims to ensure that patients receive care aligned with their preferences and best interests while also protecting healthcare providers from unnecessary legal repercussions.

Summary

House Bill H4597 seeks to establish a framework for surrogate decision making in healthcare contexts, particularly for individuals deemed incapacitated to make their own healthcare choices. The proposed law stipulates that a designated surrogate decision maker can make informed healthcare decisions after consultations with healthcare providers, taking into account the incapacitated person’s known wishes or, in the absence of such knowledge, the surrogate’s assessment of what would be in the person's best interest. The bill aims to streamline the decision-making process in critical medical scenarios while respecting patient autonomy.

Contention

While the bill generally enjoys support for addressing an important aspect of patient care, it may also generate debate regarding the selection process of surrogate decision makers and the safeguards needed to prevent abuse. Critics might argue that the criteria and processes for designating surrogates could lead to conflicts, particularly when family members or close friends disagree on what constitutes an incapacitated person's best interests. Additionally, the provision that allows surrogates to access all medical information necessary for their decision-making raises concerns over privacy and the potential for misinterpretation of a person's wishes in complex healthcare scenarios.

Companion Bills

MA H1489

Similar To Improving medical decision making

MA H1664

Similar To Improving medical decision making

MA S928

Replaces Improving medical decision making

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