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3 | 28 | ||
4 | - | An Act | |
5 | - | ENROLLED SENATE | |
29 | + | HOUSE OF REPRESENTATIVES - FLOOR VERSION | |
30 | + | ||
31 | + | STATE OF OKLAHOMA | |
32 | + | ||
33 | + | 1st Session of the 59th Legislature (2023) | |
34 | + | ||
35 | + | ENGROSSED SENATE | |
6 | 36 | BILL NO. 1094 By: Howard of the Senate | |
7 | 37 | ||
8 | 38 | and | |
9 | 39 | ||
10 | 40 | Stinson of the House | |
11 | 41 | ||
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15 | 45 | An Act relating to the Oklahoma Health Care A gent | |
16 | 46 | Act; amending Sections 3 and 5, Chapter 136, O.S.L. | |
17 | 47 | 2022 (63 O.S. Supp. 2022, Sections 3111.3 and | |
18 | 48 | 3111.5), which relate to execution for power of | |
19 | 49 | attorney for health care and form; modifying | |
20 | 50 | signature requirement for power of attorney for | |
21 | 51 | health care; updating statutory reference; modifying | |
22 | 52 | certain form; and declaring an emergency. | |
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26 | 56 | ||
27 | - | SUBJECT: Oklahoma Health Care Ag ent Act | |
28 | - | ||
29 | 57 | BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: | |
30 | - | ||
31 | 58 | SECTION 1. AMENDATORY Section 3, Chapter 136, O.S.L. | |
32 | 59 | 2022 (63 O.S. Supp. 2022, Section 3111.3), is amended to read as | |
33 | 60 | follows: | |
34 | - | ||
35 | 61 | Section 3111.3. A. A person with capacity may give an oral or | |
36 | 62 | written individual instruction. The instruction may be li mited to | |
37 | 63 | take effect only if a specified condition arises. | |
38 | - | ||
39 | 64 | B. A person with capacity may execute a power of attorney for | |
40 | 65 | health care, which may authorize the agent to make a ny health care | |
41 | 66 | decision the principal could have made while having capacity other | |
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42 | 94 | than the withholding or withdrawal of life-sustaining treatment, | |
43 | 95 | nutrition, or hydration, which may only b e authorized in compliance | |
44 | 96 | with the Oklahoma Advance Directive Act; provided, however, the | |
45 | 97 | power of attorney for health care may authorize the agent to sign a | |
46 | 98 | do-not-resuscitate consent in accordance with the provisio ns of the | |
47 | - | ||
48 | - | ENR. S. B. NO. 1094 Page 2 | |
49 | 99 | Oklahoma Do-Not-Resuscitate Act, Section 3131.1 et seq. of Title 63 | |
50 | 100 | of the Oklahoma Statutes . The power shall be in writing and signed | |
51 | 101 | by the principal. The power remains in effect notwithstanding the | |
52 | 102 | principal’s later incapacity and may includ e individual | |
53 | 103 | instructions. Unless rela ted to the principal by blood, marriage, | |
54 | 104 | or adoption, an agent may n ot be an owner, operator, or employee of | |
55 | 105 | a residential long-term health care institution at which the | |
56 | 106 | principal is receiving care. | |
57 | - | ||
58 | 107 | C. Unless otherwise specified in a power of attorney for health | |
59 | 108 | care, the authority of an agent becomes effective only upon a | |
60 | 109 | determination that the principal lacks capacity and ceases to be | |
61 | 110 | effective upon a determination that the principal ha s recovered | |
62 | 111 | capacity. | |
63 | - | ||
64 | 112 | D. Unless otherwise specified in a power of attorney for health | |
65 | 113 | care, a determination that an individual lacks or has recovered | |
66 | 114 | capacity, or that another condition exists that affects an | |
67 | 115 | individual instruction or the authority of an agent, shall be made | |
68 | 116 | by the attending physician. | |
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118 | + | SB1094 HFLR Page 3 | |
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69 | 143 | ||
70 | 144 | E. An agent shall make health care decisions in accordance with | |
71 | 145 | the principal’s individual instructions, if any, and other wishes to | |
72 | 146 | the extent known to the agent. Otherwise, the agent shall make the | |
73 | 147 | decision in accordance with the age nt’s determination of the | |
74 | 148 | principal’s best interest. In determining the principal’s best | |
75 | 149 | interest, the agent shall consider the principal’s personal values | |
76 | 150 | to the extent known to the agent. | |
77 | - | ||
78 | 151 | F. A health care decision made by an agent for a principal is | |
79 | 152 | effective without judicial approval. | |
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81 | 153 | G. A power of attorney for health care shall be signed by the | |
82 | 154 | principal and in the presence of a notary public or witnessed by two | |
83 | 155 | (2) individuals who are at least eighteen (18) years of age and who | |
84 | 156 | are not legatees, devise es, or heirs at law of the principal. | |
85 | - | ||
86 | 157 | H. A power of attorney for health care is valid for purposes of | |
87 | 158 | this act if it is in substantial compliance with this act, | |
88 | 159 | regardless of when o r where executed or communicated. | |
89 | - | ||
90 | - | ||
91 | - | ENR. S. B. NO. 1094 Page 3 | |
92 | 160 | SECTION 2. AMENDATORY Section 5, Chapter 136, O.S.L. | |
93 | 161 | 2022 (63 O.S. Supp. 2022, Section 3111.5), is amended to read as | |
94 | 162 | follows: | |
95 | - | ||
96 | 163 | Section 3111.5. The following form may, but need not, be used | |
97 | 164 | to create a power of attorney for he alth care. The other sections | |
98 | 165 | of this act govern the effect of this form or any other writing used | |
99 | 166 | to create a power of attorney for health care. An individual may | |
100 | 167 | complete or modify all or any part of the following form to the | |
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101 | 195 | extent consistent with subsection B of Section 3 3111.3 of this act | |
102 | 196 | title: | |
103 | - | ||
104 | 197 | HEALTH CARE POWER OF ATTORNEY | |
105 | - | ||
106 | 198 | You have the right to give instructions about your own health | |
107 | 199 | care. You also have the right to name someone else to make health | |
108 | 200 | care decisions for you. Thi s form lets you do either or both of | |
109 | 201 | these things. If you use this form, you may complete or modify all | |
110 | 202 | or any part of it. You are free to use a different form. | |
111 | - | ||
112 | 203 | This form is a power of attorney for health care that lets you | |
113 | 204 | name another individual as agent to make health care decisions for | |
114 | 205 | you if you become incapable of making your own decisions or if y ou | |
115 | 206 | want someone else to make those decisions for you now even though | |
116 | 207 | you are still capable. You may also name an alternate agent to act | |
117 | 208 | for you if your first choice is not willing, able, or reasonably | |
118 | 209 | available to make dec isions for you. Unless related t o you, your | |
119 | 210 | agent may not be an owner, operator, or employee of a residential | |
120 | 211 | long-term health care institution at which you are receiving care. | |
121 | - | ||
122 | 212 | Unless the form you sign limits the authority of your agent, | |
123 | 213 | your agent may make all health care decisions for you. This form | |
124 | 214 | has a place for you to limit the authority of your agent. You need | |
125 | 215 | not limit the authority of your agent if you wish to rely on your | |
126 | 216 | agent for all health care decisions that may have to be made. If | |
127 | 217 | you choose not to limit the authority of your agent, your agent will | |
128 | 218 | have the right to: | |
129 | 219 | ||
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130 | 246 | 1. Consent or refuse consent to any care, treatment, service, | |
131 | 247 | or procedure to maintain, diagnose, or o therwise affect a physical | |
132 | 248 | or mental condition; | |
133 | - | ||
134 | - | ||
135 | - | ENR. S. B. NO. 1094 Page 4 | |
136 | 249 | 2. Select or discharge health care providers and facilities; | |
137 | 250 | and | |
138 | - | ||
139 | 251 | 3. Sign a do-not-resuscitate consent. | |
140 | - | ||
141 | 252 | This form does not authorize the agent to make any decisions | |
142 | 253 | directing the withholding or withdrawal of life-sustaining | |
143 | 254 | treatment, nutrition, or hydration, which may only be authorized in | |
144 | 255 | compliance with the Oklahoma Advance Directive Act, except that this | |
145 | 256 | form may authorize the agent to sign a do-not-resuscitate consent. | |
146 | - | ||
147 | 257 | After completing this form, sign and date the form at the end. | |
148 | 258 | It is required that two other individuals sign as witnesses. These | |
149 | 259 | witnesses must be at least 18 years old and not related to you or | |
150 | 260 | named to inherit from you. Give a copy of the signed and completed | |
151 | 261 | form to your physician, to any o ther health care providers you may | |
152 | 262 | have, to any health care facility at which you are rece iving care, | |
153 | 263 | and to any health care agents you have named. You should talk to | |
154 | 264 | the person you have named as agent to make sure that he or she | |
155 | 265 | understands your wishe s and is willing to take the responsibility. | |
156 | - | ||
157 | 266 | You have the right to r evoke this power of attorney for health | |
158 | 267 | care or replace this form at any time. | |
268 | + | POWER OF ATTORNEY FOR HEALTH CARE | |
159 | 269 | ||
160 | - | POWER OF ATTORNEY FOR HEALTH CARE | |
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161 | 295 | ||
162 | 296 | 1. DESIGNATION OF AGENT: I designate the following individual | |
163 | 297 | as my agent to make health care decisions for me: | |
164 | - | ||
165 | 298 | _____________________________________________________ ______________ | |
166 | - | ||
167 | 299 | (name of individual you choose as agent) | |
168 | - | ||
169 | 300 | ___________________________________________________________________ | |
170 | - | ||
171 | 301 | (address) (city) (state) (zip code) | |
172 | - | ||
173 | 302 | ______________________________________________________________ _____ | |
174 | - | ||
175 | 303 | (home phone) (work phone) | |
176 | - | ||
177 | - | ||
178 | - | ENR. S. B. NO. 1094 Page 5 | |
179 | 304 | OPTIONAL: If I revoke my agent’s authority or if my agent is | |
180 | 305 | not willing, able, or reasonably availa ble to make a health care | |
181 | 306 | decision for me, I designate as my first alternate agent: | |
182 | - | ||
183 | 307 | ___________________________________________________________________ | |
184 | - | ||
185 | 308 | (name of individual you choose as first alternate agent) | |
186 | - | ||
187 | 309 | _____________________________________________ ______________________ | |
188 | 310 | (address) (city) (state) (zip code ) | |
189 | - | ||
190 | 311 | ___________________________________________________________________ | |
191 | - | ||
192 | 312 | (home phone) (work phone) | |
193 | - | ||
194 | 313 | OPTIONAL: If I revoke the authority of my agent and first | |
195 | 314 | alternate agent or if neither is willing, able, or reasonably | |
196 | 315 | available to make a health care decision for me, I designate as my | |
197 | 316 | second alternate agent: | |
317 | + | ___________________________________________________________________ | |
318 | + | (name of individual you choose as second alternate agent) | |
198 | 319 | ||
199 | - | ___________________________________________________________________ | |
200 | - | ||
201 | - | (name of individual you choose as second alternate agent) | |
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202 | 345 | ||
203 | 346 | ___________________________________________________________________ | |
204 | 347 | (address) (city) (state) (zip code) | |
205 | - | ||
206 | 348 | ___________________________________________________________________ | |
207 | - | ||
208 | 349 | (home phone) (work phone) | |
209 | - | ||
210 | 350 | 2. AGENT’S AUTHORITY: My agent is authorized to make all | |
211 | 351 | health care decisions (not to include the withholding or withdrawal | |
212 | 352 | of life-sustaining treatment, nutrition, or hydration, other than | |
213 | 353 | signing a do-not-resuscitate consent) for me that I could make if I | |
214 | 354 | were able, except as I state here: | |
215 | - | ||
216 | 355 | ______________________________ _____________________________________ | |
217 | - | ||
218 | 356 | ___________________________________________________________________ | |
219 | - | ||
220 | 357 | ______________________________ _________________________ ____________ | |
221 | - | ||
222 | - | ENR. S. B. NO. 1094 Page 6 | |
223 | - | ||
224 | 358 | (Add additional sheets if needed.) | |
225 | - | ||
226 | 359 | 3. WHEN AGENT’S AUTHORITY BECOMES EFFECTIVE: My agent’s | |
227 | 360 | authority becomes effective when my attending physician determines | |
228 | 361 | that I am unable to make my own health care decisions unless I mark | |
229 | 362 | the following box. If I mark this box [ ] , my agent’s authority | |
230 | 363 | to make health care decisions for me takes effect immediately. | |
231 | - | ||
232 | 364 | _____________ | |
233 | - | ||
234 | 365 | (Initials) | |
235 | - | ||
236 | 366 | 4. AGENT’S OBLIGATION: My agent shall make health care | |
237 | 367 | decisions for me in accordance with this power of att orney for | |
238 | 368 | health care and my other wishes to the extent known to my a gent. To | |
239 | 369 | the extent my wishes a re unknown, my agent shall make health care | |
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240 | 397 | decisions for me in accordance with what my agent determines to be | |
241 | 398 | in my best interest. In determining my best inter est, my agent | |
242 | 399 | shall consider the decisions I would have made my self to the extent | |
243 | 400 | known to my agent. | |
244 | - | ||
245 | 401 | _____________ | |
246 | - | ||
247 | 402 | (Initials) | |
248 | - | ||
249 | 403 | 5. RELIEF FROM PAIN: Except as I state in the following space, | |
250 | 404 | I direct that treatment for alleviation of pain or discomfort be | |
251 | 405 | provided at all times, even i f it hastens my death: | |
252 | - | ||
253 | 406 | ________________________________________________________________ | |
254 | - | ||
255 | 407 | ________________________________________________________________ | |
256 | - | ||
257 | 408 | 6. OTHER WISHES: (If you do not agree with any of the optional | |
258 | 409 | choices above and wish to write your o wn, or if you wish to add to | |
259 | 410 | the instructions you have given above, you may do so here.) I | |
260 | 411 | direct that: | |
261 | - | ||
262 | 412 | ___________________________________________________________________ | |
263 | - | ||
264 | 413 | ______________________________________________________ _____________ | |
265 | - | ||
266 | - | ENR. S. B. NO. 1094 Page 7 | |
267 | - | ||
268 | 414 | (Add additional sheets if needed.) | |
269 | - | ||
270 | 415 | 7. EFFECT OF COPY: A copy of this form has the same effect as | |
271 | 416 | the original. | |
272 | - | ||
273 | 417 | 8. SIGNATURES: Sign and date the form here: | |
274 | - | ||
418 | + | _______________________________ ______________________________ | |
419 | + | (date) (sign your name) | |
275 | 420 | _______________________________ ___________ ___________________ | |
276 | 421 | ||
277 | - | (date) (sign your name) | |
278 | - | ||
279 | - | _______________________________ ___________ ___________________ | |
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280 | 447 | ||
281 | 448 | (address) (print your name) | |
282 | - | ||
283 | 449 | _______________________________ | |
284 | - | ||
285 | 450 | (city) (state) | |
286 | - | ||
287 | 451 | State of Oklahoma | |
288 | - | ||
289 | 452 | County of ________ | |
290 | - | ||
291 | 453 | Subscribed and sworn to before me this ___ day of ______, 20__. | |
292 | - | ||
293 | 454 | __________________________________ | |
294 | - | ||
295 | 455 | Notary Public | |
296 | - | ||
297 | 456 | OR | |
298 | - | ||
299 | 457 | SIGNATURES OF WITNESSES: | |
300 | - | ||
301 | 458 | First witness Second witness | |
302 | - | ||
303 | 459 | ______________________________ _______________________________ | |
304 | - | ||
305 | 460 | (print name) (print name) | |
306 | - | ||
307 | 461 | ______________________________ _______________________________ | |
308 | - | ||
309 | - | ||
310 | - | ENR. S. B. NO. 1094 Page 8 | |
311 | 462 | (address) (address) | |
312 | - | ||
313 | 463 | ______________________________ ___ ___________________________ | |
314 | 464 | (city) (state) (city) (state) | |
315 | - | ||
316 | 465 | ______________________________ ______________________________ | |
317 | 466 | (signature of witness) (signature of witness) | |
318 | - | ||
319 | 467 | ______________________ ________ _______________________ _______ | |
320 | - | ||
321 | 468 | (date) (date) | |
322 | - | ||
323 | 469 | SECTION 3. It being immediately necessary for the preservation | |
324 | 470 | of the public peace, health or safety, an emergency is hereby | |
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325 | 498 | declared to exist, by reason whereof this act shall take effect an d | |
326 | 499 | be in full force from and after it s passage and approval. | |
327 | 500 | ||
328 | - | ||
329 | - | ENR. S. B. NO. 1094 Page 9 | |
330 | - | Passed the Senate the 28th day of February, 2023. | |
331 | - | ||
332 | - | ||
333 | - | ||
334 | - | Presiding Officer of the Senate | |
335 | - | ||
336 | - | ||
337 | - | Passed the House of Representatives the 24th day of April, 2023. | |
338 | - | ||
339 | - | ||
340 | - | ||
341 | - | Presiding Officer of the House | |
342 | - | of Representatives | |
343 | - | ||
344 | - | OFFICE OF THE GOVERNOR | |
345 | - | Received by the Office of the Governor this _______ _____________ | |
346 | - | day of _________________ __, 20_______, at _______ o'clock _______ M. | |
347 | - | By: _______________________________ __ | |
348 | - | Approved by the Governor of the State of Oklahoma this _____ ____ | |
349 | - | day of _________________ __, 20_______, at _______ o'clock _______ M. | |
350 | - | ||
351 | - | _________________________________ | |
352 | - | Governor of the State of Oklahoma | |
353 | - | ||
354 | - | ||
355 | - | OFFICE OF THE SECRETARY OF STATE | |
356 | - | Received by the Office of the Secretary of State this _______ ___ | |
357 | - | day of __________________, 20 _______, at _______ o'clock _______ M. | |
358 | - | By: _______________________________ __ | |
501 | + | COMMITTEE REPORT BY: COMMITTEE ON JUDICIARY - CIVIL, dated | |
502 | + | 04/10/2023 - DO PASS. |