MO
Missouri Senate Bill SB228

Missouri 2023 Regular Session

Missouri Senate Bill SB228

Introduced
1/4/23  

Caption

Modifies provisions relating to do-not-resuscitate orders

Impact

If enacted, SB228 will have significant implications for state laws governing life-sustaining treatment decisions. It establishes a standardized identification for patients who have executed an outside the hospital DNR order. The new regulations aim to ensure that emergency medical services personnel understand and comply with DNR orders while protecting patients’ rights to make informed decisions about their healthcare. Furthermore, the bill adds clarity concerning who can declare a DNR order for minors and adults, reinforcing the importance of documented medical directives and patient autonomy in healthcare decisions.

Summary

Senate Bill 228 aims to modify the existing provisions relating to do-not-resuscitate (DNR) orders in the State of Missouri. It repeals specific sections pertaining to DNR orders and introduces new regulations that establish an 'Outside the Hospital Do-Not-Resuscitate Act'. This act is intended to define the processes through which patients or their representatives can execute a DNR order, particularly in non-hospital settings. The bill seeks to improve clarity and enforceability for first responders and medical personnel when confronted with DNR directives, ensuring that the patients' wishes regarding resuscitation are respected in emergency situations.

Sentiment

Overall, the sentiment surrounding SB228 appears to be supportive among healthcare advocates and professionals, as it aims to ensure that patient preferences are honored and that emergency responders have a clear framework to follow when executing resuscitation orders. Nevertheless, there may still be concerns regarding the execution of DNR orders, particularly relating to patients under eighteen and the potential implications for minors' rights to dictate their care. The emphasis on documentation and proper protocol is viewed positively as a step toward resolving ambiguities in emergency situations.

Contention

One notable point of contention includes how the bill manages DNR orders for minors. While it clarifies that parents or guardians can issue DNR orders on behalf of a minor, there are discussions about how to balance parental rights with the child's own autonomy in certain medical contexts. There may also be fears that without proper public education about the implications of DNR orders, families could inadvertently make decisions that conflict with their loved ones' wishes. Thus, the bill invites ongoing debate about the nuances of patient autonomy in life-and-death situations, especially concerning minors.

Latest SB228 Activity

Companion Bills

No companion bills found.

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