OK
Oklahoma House Bill HB1687

Oklahoma 2025 Regular Session

Oklahoma House Bill HB1687 Compare Versions

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28-ENGROSSED HOUSE
29-BILL NO. 1687 By: Roe of the House
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29+HOUSE OF REPRESENTATIVES - FLOOR VERSION
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31+STATE OF OKLAHOMA
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33+1st Session of the 60th Legislature (2025)
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35+HOUSE BILL 1687 By: Roe of the House
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3137 and
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3339 Rosino of the Senate
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45+AS INTRODUCED
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4047 An Act relating to advance health care directives;
4148 creating the Uniform Health Care Decisions Act of
4249 2025; providing definitions; specifying capacity;
4350 providing for presumption of capacity; providing for
4451 overcoming presumption; providing notice; authorizing
4552 the right to object; providing for judicial review ;
4653 providing for health care instruction; establishing
4754 power of attorney for health care; establishing
4855 advance mental health care directive; providing for
4956 certain conflicting h ealth care directives; providing
5057 an optional form; providing for a default surrog ate;
5158 providing for disagreement; providing for
5259 disqualification; providing for revocation; providing
5360 for validity; providing for conflict of law;
5461 providing for duties; providing for powers; limiting
5562 powers; providing for co agents and alternate agents;
5663 providing for duties of health care professionals;
5764 providing for responsibilities of health care
5865 professionals and health care institutions; providing
5966 for decisions by guardians; providing for immunity;
6067 prohibiting conduct; providing for damages; providing
6168 for judicial relief; providing for construction;
6269 providing for application; providing for
6370 codification; and providing an effective date .
6471
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6774
6875 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
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69103 SECTION 1. NEW LAW A new section of law to be codified
70104 in the Oklahoma Statutes as Section 3100 of Title 63, unless there
71105 is created a duplication in numbering, reads as follows:
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98106 This act shall be known and m ay be cited as the "Uniform Health
99107 Care Decisions Act of 2025 ".
100108 SECTION 2. NEW LAW A new section of law to be codified
101109 in the Oklahoma Statutes as Section 3100.1 of Title 63, unless there
102110 is created a duplication in numbering, reads as follows:
103111 As used in this act:
104112 1. "Advance health care directive " means a power of attorney
105113 for health care, health care instruction, or both. The term
106114 includes an advance mental health care directive;
107115 2. "Advance mental health care directive " means a power of
108116 attorney for health care, health care instruction, or both, created
109117 under Section 9 of this act;
110118 3. "Agent" means an individual appointed under a power of
111119 attorney for health care to make a health care decision for the
112120 individual who made the appointment. The term includes a co agent or
113121 alternate agent appointed under Secti on 20 of this act;
114122 4. "Capacity" means having capacity under Section 3 of this
115123 act;
116124 5. "Cohabitant" means each of two individuals who have been
117125 living together as a couple f or at least one (1) year after each
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118153 became an adult or was emancipated and who ar e not married to one
119154 another;
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146155 6. "Default surrogate" means an individual authorized under
147156 Section 12 of this act to make a health care decision for another
148157 individual;
149158 7. "Electronic" means relating to technology having electrical,
150159 digital, magnetic, wir eless, optical, electromagnetic, or similar
151160 capabilities;
152161 8. "Family member" means a spouse, domestic partner, adult
153162 child, parent, or grandparent, or an adult descendant of a spouse,
154163 child, parent, or grandparent;
155164 9. "Guardian" means a person appointed under other law by a
156165 court to make decisions regarding the personal affairs of an
157166 individual, which may include health care decisions. The term does
158167 not include a guardian ad litem;
159168 10. "Health care" means care or treatment or a service or
160169 procedure to maintain, monitor, diagnose, or otherwise affect an
161170 individual's physical or mental illness, injury, or condition. The
162171 term includes mental health care;
163172 11. "Health care decision" means a decision made by an
164173 individual or the individual 's surrogate regarding the individual's
165174 health care, including:
166175 a. selection or discharge of a health care professional
167176 or health care institution,
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194204 b. approval or disapproval of a diagnostic test, surgical
195205 procedure, medication, therapeutic intervention, or
196206 other health care, and
197207 c. direction to provide, withhold, or withdraw artificial
198208 nutrition or hydration, mechanical ventilation, or
199209 other health care;
200210 12. "Health care institution " means a facility or agency
201211 licensed, certified, or otherwise authorized or permitted by oth er
202212 law to provide health care in this state in the ordinary course of
203213 business;
204214 13. "Health care instruction " means a direction, whether or not
205215 in a record, made by an individual that indicates the individual 's
206216 goals, preferences, or wishes concerning the provision, withholding,
207217 or withdrawal of health care. The term includes a direction
208218 intended to be effective if a specified condition arises;
209219 14. "Health care professional " means a physician or other
210220 individual licensed, certified, or otherwise authoriz ed or permitted
211221 by other law of this state to provide health care in this state in
212222 the ordinary course of business or the practice of the physician 's
213223 or individual's profession;
214224 15. "Individual" means an adult or emancipated minor;
215225 16. "Mental health care" means care or treatment or a service
216226 or procedure to maintain, monitor, diagnose, or otherwise affect an
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243254 individual's mental illness or other psychiatric, psychological, or
244255 psychosocial condition;
245256 17. "Nursing home" means a nursing facility as defined in
246257 Section 1919(a)(1) of the Social Security Act, 42 U.S.C. , Section
247258 1396r(a)(1), as amended, or skilled nursing facility as defined in
248259 Section 1819(a)(1) of the Social Security Act, 42 U.S.C. , Section
249260 1395i–3(a)(1), as amended;
250261 18. "Person" means an individual, estate, business or nonprofit
251262 entity, government or governmental subdivision, agency, or
252263 instrumentality, or other legal entity;
253264 19. "Person interested in the welfare of the individual" means:
254265 a. the individual's surrogate,
255266 b. a family member of t he individual,
256267 c. the cohabitant of the individual,
257268 d. a public entity providing health care case management
258269 or protective services to the individual,
259270 e. a person appointed under other law to make decisions
260271 for the individual under a power of attorney for
261272 finances, or
262273 f. a person that has an ongoing personal or professional
263274 relationship with the individual, including a person
264275 that has provided educational or health care services
265276 or supported decision making to the individual;
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292304 20. "Physician" means an individual authorized to practice
293305 medicine from the State Board of Medical Licensure and Supervision
294306 or the State Board of Osteopathic Examiners;
295307 21. "Power of attorney for health care " means a record in which
296308 an individual appoints an agent to make health care decisions for
297309 the individual;
298310 22. "Reasonably available " means being able to be contacted
299311 without undue effort and being willing and able to act in a timely
300312 manner considering the urgency of an individual 's health care
301313 situation. When used to refer to an agent or default surrogate, the
302314 term includes being willing and able to comply with the duties under
303315 Section 17 of this act in a timely manner considering the urgency of
304316 an individual's health care situation;
305317 23. "Record" means information:
306318 a. inscribed on a tangible medium, or
307319 b. stored in an electronic or other medium and
308320 retrievable in perceivable form;
309321 24. "Responsible health care professional " means:
310322 a. a health care professional designated by an individual
311323 or the individual's surrogate to have pr imary
312324 responsibility for the individual 's health care or for
313325 overseeing a course of treatment, or
314326 b. in the absence of a designation under subparagraph a
315327 of this paragraph, or if the professional designated
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342355 under subparagraph a of this paragraph is not
343356 reasonably available, a health care professional who
344357 has primary responsibility for overseeing the
345358 individual's health care or for overseeing a course of
346359 treatment;
347360 25. "Sign" means with present intent to authenticate or adopt a
348361 record:
349362 a. execute or adopt a tangible symbol, or
350363 b. attach to or logically associate with the record an
351364 electronic symbol, sound, or process;
352365 26. "State" means a state of the United States, the District of
353366 Columbia, Puerto Rico, the United States Virgin Islands, or any
354367 other territory, or possession subject to the jurisdiction of the
355368 United States. The term includes a federally recognized Indian
356369 tribe;
357370 27. "Supported decision making " means assistance, from one or
358371 more persons of an individual 's choosing, that helps the individual
359372 make or communicate a decision, including by helping the individual
360373 understand the nature and consequences of the decision; and
361374 28. "Surrogate" means:
362375 a. an agent,
363376 b. a default surrogate, or
364377 c. a guardian authorized to make health care decisions.
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391405 SECTION 3. NEW LAW A new section of law to be codified
392406 in the Oklahoma Statutes as Section 3100.2 of Title 63, unless there
393407 is created a duplication in numberin g, reads as follows:
394408 A. An individual has capacity for the purpose of this act if
395409 the individual:
396410 1. Is willing and able to communicate a decision independently
397411 or with appropriate services, technological assistance, supported
398412 decision making, or other reasonable accommodation; and
399413 2. In making or revoking:
400414 a. a health care decision , understands the nature and
401415 consequences of the decision, including the primary
402416 risks and benefits of the decision,
403417 b. a health care instruction, understands the nature and
404418 consequences of the instruction, including the primary
405419 risks and benefits of the c hoices expressed in the
406420 instruction, and
407421 c. an appointment of an agent under a health care power
408422 of attorney or identification of a default surrogate
409423 under paragraph 1 of subsection B of Section 12 of
410424 this act, recognizes the identity of the individual
411425 being appointed or identified and understands the
412426 general nature of the relationship of the individual
413427 making the appointment or identification with the
414428 individual being appointe d or identified.
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441456 B. The right of an individual who has capacity to make a
442457 decision about the individual 's health care is not affected by
443458 whether the individual creates or revokes an advance health care
444459 directive.
445460 SECTION 4. NEW LAW A new section of law to be codified
446461 in the Oklahoma Statutes as Section 3100.3 of Title 63, unless there
447462 is created a duplication in numbering, reads as follows:
448463 A. An individual is presumed to have capacity to make or revoke
449464 a health care decision, heal th care instruction, and power of
450465 attorney for health care unless:
451466 1. A court has found the individual lacks capacity to do so; or
452467 2. The presumption is rebutted under subsection B of this
453468 section.
454469 B. Subject to Sections 5 and 6 of this act, a presumption under
455470 subsection A of this section may be rebutted by a finding that the
456471 individual lacks capacity:
457472 1. Subject to subsection C of this section, made on the basis
458473 of a contemporaneous examination by any of the following:
459474 a. a physician,
460475 b. a psychologist licensed or otherwise authorized to
461476 practice in this state, or
462477 c. an individual with training and expertise in the
463478 finding of lack of capacity who is licensed or
464479 otherwise authorized to practice in this state as:
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491507 (1) a physician assistant,
492508 (2) an advanced practice registered nurse, or
493509 (3) a social worker, or
494510 d. a responsible health c are professional not described
495511 in subparagraph a, b, or c of this paragraph if:
496512 (1) the individual about whom the finding is to be
497513 made is experiencing a health condition requ iring
498514 a decision regarding health care treatment to be
499515 made promptly to avoid los s of life or serious
500516 harm to the health of the individual, and
501517 (2) an individual listed in subparagraph a, b, or c
502518 of this paragraph is not reasonably available;
503519 2. Made in accordance with accepted standards of the profession
504520 and the scope of practice of the individual making the finding and
505521 to a reasonable degree of certainty; and
506522 3. Documented in a record signed by the individual making the
507523 finding that includes an opinion of the cause, nature, extent, and
508524 probable duration of the lack of capacity.
509525 C. The finding under subsection B of this section may not be
510526 made by:
511527 1. A family member of the individual presumed to have capacity;
512528 2. The cohabitant of the individual or a descendant of the
513529 cohabitant; or
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540557 3. The individual's surrogate, a family member o f the
541558 surrogate, or a descendant of the surrogate.
542559 D. If the finding under subsection B of this section was based
543560 on a condition the individual no longer has or a responsible health
544561 care professional subsequently has good cause to believe the
545562 individual has capacity, the individual is presumed to have capacity
546563 unless a court finds the individual lacks capacity or the
547564 presumption is rebutted under subsection B of this section.
548565 SECTION 5. NEW LAW A new section of law to be codified
549566 in the Oklahoma Statutes as Section 3100.4 of Title 63, unless there
550567 is created a duplication in numbering, reads as follows:
551568 A. As soon as reasonably feasible, an individual w ho makes a
552569 finding under subsection B of Section 4 of this act shall inform the
553570 individual about whom the finding was made or the individual 's
554571 responsible health care professional of the finding.
555572 B. As soon as reasonably feasible, a responsible health care
556573 professional who is informed of a finding under subsection B of
557574 Section 4 of this act shall inform the individual about whom the
558575 finding was made and the individual 's surrogate.
559576 C. An individual found under subsection B of Section 4 of this
560577 act to lack capacity may object to the finding:
561578 1. By orally informing a responsible health care professional;
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588606 2. In a record provided to a responsible health care
589607 professional or the health care institution in which the individual
590608 resides or is receiving care; or
591609 3. By another act that clearly indicates the individual 's
592610 objection.
593611 D. If the individual objects under subsection C of this
594612 section, the finding under subsection B of Section 4 of this act is
595613 not sufficient to rebut a presumption of capacity under subsection A
596614 of Section 4 of this act and the individual must be treated as
597615 having capacity unless:
598616 1. The individual withdraws the objection;
599617 2. A court finds the individual lacks the presumed capacity;
600618 3. The individual is experiencing a health condition requiring
601619 a decision regarding health care treatment to be made promptly to
602620 avoid imminent loss of life or serious harm to the health of the
603621 individual; or
604622 4. Subject to subsection B of this section, the finding is
605623 confirmed by a second finding made by an i ndividual authorized under
606624 paragraph 1 of subsection B of Section 4 of this act who:
607625 a. did not make the first finding,
608626 b. is not a family member of the individual who made the
609627 first finding, and
610628 c. is not the cohabitant of the individual who made the
611629 first finding or a descendant of the cohabitant.
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638657 E. A second finding that the indivi dual lacks capacity under
639658 paragraph 4 of subsection D of this section is not sufficient to
640659 rebut the presumption of capacity if the individual is requesting
641660 the provision or continuation of life-sustaining treatment and the
642661 finding is being used to make a decision to withhold or withdraw the
643662 treatment.
644663 F. As soon as reasonably feasible, a health care professional
645664 who is informed of an objection under subsection C of this section
646665 shall:
647666 1. Communicate the objection to a responsible health care
648667 professional; and
649668 2. Document the objection and the date of the objection in the
650669 individual's medical record or communicate the objection and the
651670 date of the objection to an administrato r with responsibility for
652671 medical records of the health care institution providin g health care
653672 to the individual, who shall document the objection and the date of
654673 the objection in the individual 's medical record.
655674 SECTION 6. NEW LAW A new section of law to be codified
656675 in the Oklahoma Statutes as Section 3100.5 of Title 63, unless there
657676 is created a duplication in numbering, reads as follows:
658677 A. An individual found under subsection B of Section 4 of this
659678 act to lack capacity, a respon sible health care professional, the
660679 health care institution providing health care to the individual, or
661680 a person interested in the welfare of the individual may petition
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688708 the court in the respective county in which the individual resides
689709 or is located to determine whether the individual lacks capacity.
690710 B. The court in which a petition under subsection A of this
691711 section is filed shall appoint legal counsel to represent the
692712 individual if the individual does not have legal counsel and a
693713 guardian ad litem. The court shall hear the petition as soon as
694714 possible, but not later than seven (7) days after the petition is
695715 filed. As soon as possible, but not later than seven (7) days after
696716 the hearing, the court shall determine whether the individual lacks
697717 capacity. The court may determine the individual lacks capacity
698718 only if the court finds by clear and convincing evidence that the
699719 individual lacks capacity.
700720 SECTION 7. NEW LAW A new section of law to be codified
701721 in the Oklahoma Statutes as Se ction 3100.6 of Title 63, unless there
702722 is created a duplication in numbering, rea ds as follows:
703723 A. An individual may create a health care instruction that
704724 expresses the individual 's preferences for future health care,
705725 including preferences regarding:
706726 1. Health care professionals or health care institutions;
707727 2. How a health care decision will be made and communicated;
708728 3. Persons that should or should not be consulted regarding a
709729 health care decision;
710730 4. A person to serve as guardian for the individual i f one is
711731 appointed; and
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738759 5. An individual to serve as a default surrogate.
739760 B. A health care professional to whom an individual
740761 communicates or provides an instruction under subsection A of this
741762 section shall document the instruction and the date of the
742763 instruction in the individual 's medical record or communicate the
743764 instruction and date of the instruction to an administrator with
744765 responsibility for medical records of the health care institution
745766 providing health care to the individual, who shall document t he
746767 instruction and the date of the instruction in the individual 's
747768 medical record.
748769 C. A health care instruction made by an individual that
749770 conflicts with an earlier health care instruction made by the
750771 individual, including an instruction documented in a medical order,
751772 revokes the earlier instruction to the extent of the conflict.
752773 D. A health care instruction may be in the same record as a
753774 power of attorney for health care.
754775 SECTION 8. NEW LAW A new section of law to be codified
755776 in the Oklahoma Statutes as Section 3100.7 of Title 63, unless there
756777 is created a duplication in numbering, reads as follows:
757778 A. An individual may create a power of attorney for health care
758779 to appoint an agent to make health care decisions for the
759780 individual.
760781 B. An individual is disqualified from acting as agent for an
761782 individual who lacks capacity to make health care decisions if:
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788810 1. A court finds that the potential agent poses a danger to the
789811 individual's well-being, even if the court does not issue a
790812 restraining order against the potential agent; or
791813 2. The potential agent is an owner, operator, employee, or
792814 contractor of a nursing home, or other residential care facility, in
793815 which the individual resides or is receiving care, unless the owner,
794816 operator, employee, or contractor is a family member of the
795817 individual, the cohabitant of the individual, or a descendant of the
796818 cohabitant.
797819 C. A health care decision made by an agent is effective without
798820 judicial approval.
799821 D. A power of attorney for health care mus t be in a record,
800822 signed by the individual creating the power, and signed by an a dult
801823 witness who:
802824 1. Reasonably believes the act of the individual to create the
803825 power of attorney is voluntary and knowing; and
804826 2. Is not:
805827 a. the agent appointed by the individual,
806828 b. the agent's spouse, or cohabitant, or
807829 c. if the individual resides or is receiving care in a
808830 nursing home, or other residential care facility, the
809831 owner, operator, employee, or contractor of the
810832 nursing home, or other residential care facility; and
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837860 3. Is present when the individual signs the power of attorney
838861 or when the individual represents that the power of attorney
839862 reflects the individual 's wishes.
840863 E. A witness under subsection D of this section is considered
841864 present if the witness and the individual are:
842865 1. Physically present in the same location;
843866 2. Using electronic means that allow for real time audio and
844867 visual transmission and communication in real time to the same
845868 extent as if the witness and the individual were physically present
846869 in the same location; or
847870 3. Able to speak to and hear each other in real time thr ough
848871 audio connection if:
849872 a. the identity of the individual is personally known to
850873 the witness, or
851874 b. the witness is able to authenticate the identity of
852875 the individual by receiving accurate answers from the
853876 individual that enable s the authentication.
854877 F. A power of attorney for health care may include a health
855878 care instruction.
856879 SECTION 9. NEW LAW A new section of law to be codified
857880 in the Oklahoma Statu tes as Section 3100.8 of Title 63, unless there
858881 is created a duplication in numbe ring, reads as follows:
859882 A. An individual may create an advance health care directive
860883 that addresses only mental health care for the individual. The
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887911 directive may include a health care instruction, a power of attorney
888912 for health care, or both.
889913 B. A health care instruction under this section may include the
890914 individual's:
891915 1. General philosophy and objectives regarding mental health
892916 care; and
893917 2. Specific goals, preferences, an d wishes regarding the
894918 provision, withholding, or withdrawal of a form of mental health
895919 care, including:
896920 a. preferences regarding professionals, programs, and
897921 facilities,
898922 b. admission to a mental health facility, including
899923 duration of admission ,
900924 c. preferences regarding medications ,
901925 d. refusal to accept a specific type of mental health
902926 care, including a medication , and
903927 e. preferences regarding crisis intervention.
904928 C. A power of attorney for health care under this section may
905929 appoint an agent to make decisions only for mental health care.
906930 D. An individual may direct in an advance menta l health care
907931 directive that, if the individual is experiencing a psychiatric or
908932 psychological event specified in the directive, the individual may
909933 not revoke the directive or a part of the directive.
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936961 E. If an advance mental health care directive includes a
937962 direction under subsection D of this section, the advance mental
938963 health care directive must be in a record that is separate from any
939964 other advance health care directive cre ated by the individual and
940965 signed by the individual creating the advance mental h ealth care
941966 directive and at least two adult witnesses who:
942967 1. Attest that to the best of their knowledge the individual:
943968 a. understood the nature and consequences of the
944969 direction, including its risks and benefits , and
945970 b. made the direction voluntarily an d without coercion or
946971 undue influence;
947972 2. Are not:
948973 a. the agent appointed by the individual,
949974 b. the agent's spouse, or cohabitant, and
950975 c. if the individual resides in a nursi ng home, or other
951976 residential care facility, the owner, operator,
952977 employee, or contractor of the nursing home, or other
953978 residential care facility; and
954979 3. Are physically present in the same location as the
955980 individual.
956981 SECTION 10. NEW LAW A new section of law to be codified
957982 in the Oklahoma Statutes as Section 3100.9 of Title 63, unless there
958983 is created a duplication in numbering, reads as follows:
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9851011 A. If a direction in an advance mental health care directive of
9861012 an individual conflicts with a direction in another advance health
9871013 care directive of the individual, the later direction revokes the
9881014 earlier direction to the extent of the conflict.
9891015 B. An appointment of an agent to make decisions only for mental
9901016 health care for an individual does not revoke an earlier appointment
9911017 of an agent to make other health care decisions for the individual.
9921018 A later appointment revokes the authority of an agent under the
9931019 earlier appointment to make decisions about mental health care
9941020 unless otherwise specifi ed in the power of attorney making the later
9951021 appointment.
9961022 C. An appointment of an agent to make health care decisions for
9971023 an individual other than decisions about mental health care made
9981024 after appointment of an agent authorized to make only mental health
9991025 care decisions does not revoke the appointment of the agent
10001026 authorized to make on ly mental health care decisions.
10011027 SECTION 11. NEW LAW A new section of law to be codified
10021028 in the Oklahoma Statutes as Section 3100.10 of Title 63, unless
10031029 there is created a duplication in numbering, reads as follows:
10041030 The following form may be used to create an advance health care
10051031 directive:
10061032 ADVANCE HEALTH CARE DIRECTIVE
10071033 HOW YOU CAN USE THIS FORM
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10341061 You can use this form if you wish to name someone to make health
10351062 care decisions for you in case you cannot make decisions for
10361063 yourself. This is called giving the person a power of attorney for
10371064 health care. This person is called your agent.
10381065 You can also use this form to state your wishes, preferences,
10391066 and goals for health care, and to say if you want to be an organ
10401067 donor after you die.
10411068 YOUR NAME AND DATE OF BIRTH
10421069 Name:
10431070 Date of birth:
10441071 PART A: NAMING AN AGENT
10451072 This part lets you name someone else to make health care
10461073 decisions for you. You may leave any item blank.
10471074 1. NAMING AN AGENT
10481075 I want the following person to make health care decisions for me
10491076 if I cannot make decisions for myself:
10501077 Name:
10511078 Optional contact information (it is helpful to include
10521079 information such as address, phone, and email):
10531080 2. NAMING AN ALTERNATE AGENT
10541081 I want the following person to make health care decisions for me
10551082 if I cannot and my agent is not able or available to make them for
10561083 me:
10571084 Name:
10581085
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10841112 Optional contact information (it is helpful to include
10851113 information such as address, phone, and email):
10861114 3. LIMITING YOUR AGENT'S AUTHORITY
10871115 I give my agent the power to make all health care decisions for
10881116 me if I cannot make those decisions for myself, except the
10891117 following:
1090-(If you do not add a limitation here, your agent will be able to
1118+(If you do not add a limitation here, your agent will be able
10911119 make all health care decisions that an agent is permitted to make
10921120 under state law.)
10931121 PART B: HEALTH CARE INSTRUCTIONS
10941122 This part lets you state your priorities for health care and to
10951123 state types of health care you do and do not want.
10961124 1. INSTRUCTIONS ABOUT LIFE -SUSTAINING TREATMENT
10971125 This section gives you the opportunity to say how you want your
10981126 agent to act while making decisions for you. You may mark or
10991127 initial each choice. You also may leave any choice blank.
11001128 Treatment. Medical treatment needed to keep me alive but not
11011129 needed for comfort or any other purpose should (mark or initial all
11021130 that apply):
11031131 (____) Always be given to me. (If you mark or initial this
11041132 choice, you should not mark or initial other choices in this
11051133 "treatment" section.)
11061134 (____) Not be given to me if I have a condition that is not
11071135 curable and is expected to cause my death soon, even if treated.
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11341163 (____) Not be given to me if I am unconscious and I am not
11351164 expected to be conscious again.
11361165 (____) Not be given to me if I have a medical condition from
11371166 which I am not expec ted to recover that prevents me from
11381167 communicating with people I care about, cari ng for myself, and
11391168 recognizing family and friends.
11401169 (____) Other (write what you want or do not want):
11411170 Food and liquids. If I can't swallow and staying alive requires
11421171 me to get food or liquids through a tube or other means for the rest
11431172 of my life, then food or liquids should (mark or initial all that
11441173 apply):
11451174 (____) Always be given to me. (If you mark or initial this
11461175 choice, you should not mark or initial other choices in thi s "food
11471176 and liquids" section.)
11481177 (____) Not be given to me if I have a condition t hat is not
11491178 curable and is expected to cause me to die soon, even if treated.
11501179 (____) Not be given to me if I am unconscious and am not
11511180 expected to be conscious again.
11521181 (____) Not be given to me if I have a medical condition from
11531182 which I am not expected to recover that prevents me from
11541183 communicating with people I care about, caring for myself, and
11551184 recognizing family and friends.
11561185 (____) Other (write what you want or do not want) :
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11831213 Pain relief. If I am in significant pain, care that will keep
11841214 me comfortable but is likely to shorten my life should (mark or
11851215 initial all that apply):
11861216 (____) Always be given to me. (If you mark or initial this
11871217 choice, you should not mark or initial other choices in this "pain
11881218 relief" section.)
11891219 (____) Never be given to me. (If you mark or initial this
11901220 choice, you should not mark or initial other choices in this "pain
11911221 relief" section.)
11921222 (____) Be given to me if I have a condition that is not curable
11931223 and is expected to cause me to die soon, even if treated.
11941224 (____) Be given to me if I am unconscious and am not expected
11951225 to be conscious again.
11961226 (____) Be given to me if I have a medical condition from which
11971227 I am not expected to recover that prevents me from communicating
11981228 with people I care about, caring for myself, and recognizing famil y
11991229 and friends.
12001230 (____) Other (write what you want or do not want):
12011231 2. MY PRIORITIES
12021232 You can use this section to indicate what is important to you,
12031233 and what is not important t o you. This information can help your
12041234 agent make decisions for you if you cannot . It also helps others
12051235 understand your preferences.
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12321263 You may mark or initial each choice. You also may leave any
12331264 choice blank.
12341265 Staying alive as long as possible even if I have substantial
12351266 physical limitations is:
12361267 (____) Very important
12371268 (____) Somewhat important
12381269 (____) Not important
12391270 Staying alive as long as possible even if I have substantial
12401271 mental limitations is:
12411272 (____) Very important
12421273 (____) Somewhat important
12431274 (____) Not important
12441275 Being free from significant pain is:
12451276 (____) Very important
12461277 (____) Somewhat important
12471278 (____) Not important
12481279 Being independent is:
12491280 (____) Very important
12501281 (____) Somewhat important
12511282 (____) Not important
12521283 Having my agent talk with my family before making decisions
12531284 about my care is:
12541285 (____) Very important
12551286 (____) Somewhat important
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12821314 (____) Not important
12831315 Having my agent talk with my friends before making decisions
12841316 about my care is:
12851317 (____) Very important
12861318 (____) Somewhat important
12871319 (____) Not important
12881320 3. OTHER INSTRUCTIONS
12891321 You can write in this section more information about yo ur goals,
12901322 values, and preferences for treatment, including care you want or do
12911323 not want. You can also use this section to name anyone who you do
12921324 not want to make decisions for you under any conditions.
12931325 PART C: OPTIONAL SPECIAL POWERS AND GUIDANCE
12941326 This part lets you give your agent additional powers, and to
12951327 provide more guidance about your wishes. You may mark or initial
12961328 each choice. You also may leave any choice blank.
12971329 1. OPTIONAL SPECIAL POWERS
12981330 My agent can do the following things ONLY if I have marke d or
12991331 initialed them below:
13001332 (____) Admit me as a voluntary patient to a facility for mental
13011333 health treatment for up to _____ days (write in the number of days
13021334 you want like 7, 14, 30 or another number). (If I do not mark or
13031335 initial this choice, my agent MAY NOT admit me as a voluntary
13041336 patient to this type of facility.)
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13311364 (____) Place me in a nursing home for more than 100 days even
13321365 if my needs can be met somewhere else, I am no t terminally ill, and
13331366 I object. (If I do not mark or initial this choice, my agent MAY
13341367 NOT do this.)
13351368 2. ACCESS TO MY HEALTH INFORMATION
13361369 My agent may obtain, examine, and share information about my
13371370 health needs and health care if I am not able to make decisions for
13381371 myself. If I mark or initial below, my agent may also do that at
13391372 any time my agent thinks it will help me.
13401373 (____) I give my agent permission to obtain, examine, and share
13411374 information about my health needs and health care whenever my agent
13421375 thinks it will help me.
13431376 3. FLEXIBILITY FOR MY AGENT
13441377 Mark or initial below if you wan t to give your agent flexibility
13451378 in following instructions you provide in this form. If you do not,
13461379 your agent must follow the instructions even if your agent thinks
13471380 something else would be better for you.
13481381 (____) I give my agent permission to be flexible in applying
13491382 these instructions if my agent thinks it would be in my best
13501383 interest based on what my agent knows about me.
13511384 4. NOMINATION OF GUARDIAN
13521385 You can say who you would want as your guardian if you needed
13531386 one. A guardian is a person appointed by a court to make decisions
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13801414 for someone who cannot make decisions. Filling this out does NOT
13811415 mean you want or need a guardian.
13821416 If a court appoints a guardian to make personal decisions for
13831417 me, I want the court to choose:
13841418 (____) My agent named in this form. If my agent cannot be a
13851419 guardian, I want the alternate agent named in this form.
13861420 (____) Other (write who you would want and their contact
13871421 information):
13881422 PART D: ORGAN DONATION
13891423 This part lets you donate your organs after you die. You may
13901424 leave any item blank.
13911425 1. DONATION
13921426 You may mark or initial only one choice.
13931427 (____) I donate my organs, tissues, and other body parts after
13941428 I die, even if it requires maintaining treatments that conflict with
13951429 other instructions I have put in this form, EXCEPT for those I lis t
13961430 below (list any body parts you do NOT want to donate):
13971431 (____) I do not want my organs, tissues, or body parts donated
13981432 to anybody for any reason. (If you mark or initial th is choice, you
13991433 should skip the "PURPOSE OF DONATION" section.)
14001434 2. PURPOSE OF DONATION
14011435 You may mark or initial all that apply. (If you do not mark or
14021436 initial any of the purposes below, your donation can be used for all
14031437 of them.)
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14301465 Organs, tissues, or body parts that I donate may be used for:
14311466 (____) Transplant
14321467 (____) Therapy
14331468 (____) Research
14341469 (____) Education
14351470 (____) All of the above
14361471 PART E: SIGNATURES
14371472 YOUR SIGNATURE
14381473 Sign your name:
14391474 Today's date:
14401475 City/Town/Village and State (optional):
14411476 SIGNATURE OF A WITNE SS
14421477 You need a witness if you are using this form to name an agent.
14431478 The witness must be an adult and cannot be the person you are naming
14441479 as agent or the agent's spouse, or someone the agent lives with as a
14451480 couple. If you live or are receiving care in a nursing home, the
14461481 witness cannot be an employee or contractor of the home or someon e
14471482 who owns or runs the home.
14481483 Name of Witness:
14491484 Signature of Witness:
14501485 (Only sign as a witness if you think the person signing above is
14511486 doing it voluntarily.)
14521487 Date witness signed:
14531488 PART F: INFORMATION FOR AGENTS
14541489
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14801516 1. If this form names you as an agent, you can make decisions
14811517 about health care for the person who named you when the person
14821518 cannot make their own.
14831519 2. If you make a decision for the person, follow any
14841520 instructions the person gave, including any in this form.
14851521 3. If you do not know what the person wou ld want, make the
14861522 decision that you think is in the person 's best interest. To figure
14871523 out what is in the person 's best interest, consider the person 's
14881524 values, preferences, an d goals if you know them or can learn them.
14891525 Some of these preferences may be in t his form. You should also
14901526 consider any behavior or communication from the person that
14911527 indicates what the person currently wants.
14921528 4. If this form names you as an agent, you can also get and
14931529 share the person's health information. Unless the person has sai d
14941530 so in this form, you can get or share this information only when the
14951531 person cannot make decisions about the person 's health care.
14961532 SECTION 12. NEW LAW A new section of law to be codified
14971533 in the Oklahoma Statutes as Section 3100.11 of Title 63, unless
14981534 there is created a duplication in numbering, reads as follows:
14991535 A. A default surrogate may make a health care decision for an
15001536 individual who lacks capacity to make health care decisions and for
15011537 whom an agent, or guardian authorized to ma ke health care decisions,
15021538 has not been appointed or is not reasonably available.
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15291566 B. Unless the individual has an advance health care directive
15301567 that indicates otherwise, a mem ber of the following classes, in
15311568 descending order of priority, who is reasonably available and not
15321569 disqualified under Section 14 of this act, may act as a default
15331570 surrogate for the individual:
15341571 1. An adult the individual has identified, other than in a
15351572 power of attorney for health care, to make a health care decision
15361573 for the individual if the individual cannot make the decision;
15371574 2. The individual's spouse, unless:
15381575 a. a petition for annulment, divorce, dissolution of
15391576 marriage, legal separation, or terminati on has been
15401577 filed and not dismissed or withdrawn ,
15411578 b. a decree of annulment, divor ce, dissolution of
15421579 marriage, legal separation, or termination has been
15431580 issued,
15441581 c. the individual and the spouse have agreed in a record
15451582 to a legal separation , or
15461583 d. the spouse has abandoned the individual for more than
15471584 one (1) year;
15481585 3. The individual's adult child or parent;
15491586 4. The individual's cohabitant;
15501587 5. The individual's adult sibling;
15511588 6. The individual's adult grandchild or grandparent;
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15781616 7. An adult not listed in para graphs 1 through 6 of this
15791617 subsection who has assisted the individual with suppor ted decision
15801618 making routinely during the preceding six (6) months;
15811619 8. The individual's adult stepchild not listed in paragraphs 1
15821620 through 7 of this subsection whom the individual actively parented
15831621 during the stepchild 's minor years and with whom the indiv idual has
15841622 an ongoing relationship; or
15851623 9. An adult not listed in paragraphs 1 through 8 of this
15861624 subsection who has exhibited special care and concern for the
15871625 individual and is familiar with the individual 's personal values.
15881626 C. A responsible health care professional may require an
15891627 individual who assumes authority to act as a default surrogate to
15901628 provide a declaration in a record under penalty of perjury stating
15911629 facts and circumstances reasonably sufficient to establish the
15921630 authority.
15931631 D. If a responsible health care professional reasonably
15941632 determines that an individual who assumed authority to act as a
15951633 default surrogate is not willing or able to comply with a duty under
15961634 Section 17 of this act or fails to comply with the duty in a timely
15971635 manner, the professio nal may recognize the individual next in
15981636 priority under subsection B of this section as the default
15991637 surrogate.
16001638 E. A health care decision made by a default surrogate is
16011639 effective without judicial approval.
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16281667 SECTION 13. NEW LAW A new s ection of law to be codified
16291668 in the Oklahoma Statutes as Section 3100.12 of Title 63, unless
16301669 there is created a duplication in numbering, reads as follows:
16311670 A. A default surrogate who assumes authority under Section 12
16321671 of this act shall inform a responsibl e health care professional if
16331672 two or more members of a class under subsection B of Section 12 of
16341673 this act have assumed authority to act as default surrogates and the
16351674 members do not agree on a health care decision.
16361675 B. A responsible health care professional shall comply with the
16371676 decision of a majority of the members of the class with highest
16381677 priority under subsection B of Section 12 of this act who have
16391678 communicated their views to the professional and the professional
16401679 reasonably believes are acting consisten t with their duties under
16411680 Section 17 of this act.
16421681 C. If a responsible health care professional is informed that
16431682 the members of the class who have communicated their views to the
16441683 professional are evenly divided concerning the health care decision,
16451684 the professional shall make a reasonable effort to solicit the views
16461685 of members of the class who are reasonably available but have not
16471686 yet communicated their views to the professional . The professional,
16481687 after the solicitation, shall comply with the decision of a majority
16491688 of the members who have communicated their views to the professional
16501689 and the professional reasonably believes are acting consistent with
16511690 their duties under Section 17 of this act.
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16781718 D. If the class remains evenly divided after the effort is made
16791719 under subsection C of this section, the health care decision must be
16801720 made as provided by other law of this state regarding the treatment
16811721 of an individual who is found to lack ca pacity.
16821722 SECTION 14. NEW LAW A new section of law to be cod ified
16831723 in the Oklahoma Statutes as Section 3100.13 of Title 63, unless
16841724 there is created a duplication in numbering, reads as follows:
16851725 A. An individual for whom a health care decision would be made
16861726 may disqualify another individual from acting as default su rrogate
16871727 for the first individual. The disqualification must be in a record
16881728 signed by the first individual or communicated verbally or
16891729 nonverbally to the individual being disq ualified, another
16901730 individual, or a responsible health care professional.
16911731 Disqualification under this subsection is effective even if made by
16921732 an individual who lacks capacity to make an advance directive if the
16931733 individual clearly communicates a desire that the individual being
16941734 disqualified cannot make health care decisions for the indi vidual.
16951735 B. An individual is disqualified from acting as a default
16961736 surrogate for an individual who lacks capacity to make health care
16971737 decisions if:
16981738 1. A court finds that the potential default surrogate poses a
16991739 danger to the individual 's well-being, even if the court does not
17001740 issue a restraining order against the potential surrogate;
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17271768 2. The potential default surrogate is an owner, operator,
17281769 employee, or contractor of a nursing home , or other residential care
17291770 facility, in which the individual is residing or receiving care
17301771 unless the owner, operator, employee, or contractor is a family
17311772 member of the individual, the cohabitant of the individual, or a
17321773 descendant of the cohabitant; or
17331774 3. The potential default surrogate refuses to provide a timely
17341775 declaration under subsection C of Section 12 of this act.
17351776 SECTION 15. NEW LAW A new section of law to be codified
17361777 in the Oklahoma Statutes as Section 3100.14 of Title 63, unless
17371778 there is created a duplication in numbering, reads as follows:
17381779 A. An individual may revoke the appointment of an agent, the
17391780 designation of a default surrogate, or a health care instruction in
17401781 whole or in part, unless:
17411782 1. A court finds the individual lacks capacity to do so;
17421783 2. The individual is found under subsection B of Section 4 of
17431784 this act to lack capacity to do so , and if the individual objects to
17441785 the finding, the finding is confirmed under paragraph 4 of
17451786 subsection D of Section 5 of this act; or
17461787 3. The individual created an advance mental health care
17471788 directive that includes the provision under subsection D of Section
17481789 9 of this act and the individual is experiencing the psychiatric or
17491790 psychological event specified in the directive.
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17761818 B. Revocation under subsection A of this section may be by any
17771819 act of the individual that clearly indicates that the individual
17781820 intends to revoke the appointment, designation, or instruction,
17791821 including an oral statement to a health care professional.
17801822 C. Except as provided in Section 10 of this act, an advance
17811823 health care directive of an i ndividual that conflicts with another
17821824 advance health care directive of the individual revokes the earlier
17831825 directive to the extent of the conflict.
17841826 D. Unless otherwise provide d in an individual's advance health
17851827 care directive appointing an agent, the appointment of a spouse of
17861828 an individual as agent for the individual is revoked if:
17871829 1. A petition for annulment, divorce, dissolution of marriage,
17881830 legal separation, or termination has been filed and not dismissed or
17891831 withdrawn;
17901832 2. A decree of annulment, divorc e, dissolution of marriage,
17911833 legal separation, or termination has been issued;
17921834 3. The individual and the spouse have agreed in a record to a
17931835 legal separation; or
17941836 4. The spouse has abandoned the individual for more than one
17951837 (1) year.
17961838 SECTION 16. NEW LAW A new section of law to be codified
17971839 in the Oklahoma Statutes as Section 3100.15 of Title 63, unless
17981840 there is created a duplication in numbering, reads as follows:
17991841
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18251868 A. An advance health care directive created outside this state
18261869 is valid if it complies with:
18271870 1. The law of the state specified in the directive or, if a
18281871 state is not specified, the state in which the individual created
18291872 the directive; or
18301873 2. This act.
18311874 B. A person may assume without inquiry that an advance health
18321875 care directive is genuine, valid, and still in effect, and may
18331876 implement and rely on it, unless the person has good cause to
18341877 believe the directive is invalid or has been revoked.
18351878 C. An advance health care directive, revocation of a directive,
18361879 or a signature on a dire ctive or revocation may not be denied legal
18371880 effect or enforceability solely because it is in electronic form.
18381881 D. Evidence relating to an advance health care directive,
18391882 revocation of a directive, or a signature on a directive or
18401883 revocation may not be exclu ded in a proceeding solely because the
18411884 evidence is in electronic form.
18421885 E. This act does not affect the validity of an electronic
18431886 record or signature that is valid under Section 15-101 et seq. of
18441887 Title 12A of the Oklahoma Statutes .
18451888 F. If this act conflict s with other law of this state relating
18461889 to the creation, execution, implementation, or revocation of an
18471890 advance health care directive, this act prevails.
18481891
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18741918 SECTION 17. NEW LAW A new section of law to be codified
18751919 in the Oklahoma Statute s as Section 3100.16 of Title 63, unless
18761920 there is created a duplication in numbering, reads as follows:
18771921 A. An agent or default surrogate has a fiduciary duty to the
18781922 individual for whom the agent or default surrogate is acting when
18791923 exercising or purporting to exercise a power under Section 18 of
18801924 this act.
18811925 B. An agent or default surrogate shall make a health care
18821926 decision in accordance with the direction of the individual in an
18831927 advance health care directive and other goals, preferences, and
18841928 wishes of the individual to the extent known or reasonably
18851929 ascertainable by the agent or default surrogate.
18861930 C. If there is not a direction in an advance health care
18871931 directive and the goals, preferences, and wishes of the individual
18881932 regarding a health care decision are no t known or reasonably
18891933 ascertainable by the agent or default surrogate, the agent or
18901934 default surrogate shall make the decision in accordance with the
18911935 agent's or default surroga te's determination of the individual 's
18921936 best interest.
18931937 D. In determining the indi vidual's best interest under
18941938 subsection C of this section, the agent or default surrogate shall:
18951939 1. Give primary consideration to the individual 's
18961940 contemporaneous communications, including verbal and nonverbal
18971941 expressions;
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19241969 2. Consider the individual 's values to the extent known or
19251970 reasonably ascertainable by the agent or default surrogate; and
19261971 3. Consider the risks and benefits of the potential health care
19271972 decision.
19281973 E. As soon as reasonably feasible, an agent or default
19291974 surrogate who is informed of a re vocation of an advance health care
19301975 directive or disqualification of the agent or default surrogate
19311976 shall communicate the revocation or disqualification to a
19321977 responsible health care professional.
19331978 SECTION 18. NEW LAW A new section of l aw to be codified
19341979 in the Oklahoma Statutes as Section 3100.17 of Title 63, unless
19351980 there is created a duplication in numbering, reads as follows:
19361981 A. Except as provided in subs ection C of this section, the
19371982 power of an agent or default surrogate commences wh en the individual
19381983 is found under subsection B of Section 4 of this act or by a court
19391984 to lack capacity to make a health care decision. The power ceases
19401985 if the individual later is found to have capacity to make a health
19411986 care decision, or the individual obje cts under subsection C of
19421987 Section 5 of this act to the finding of lack of capacity under
19431988 subsection B of Section 4 of this act. The power resumes if:
19441989 1. The power ceased because the individual objected under
19451990 subsection C of Section 5 of this act; and
19461991
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19722018 2. The finding of lack of capacity is confirmed under paragraph
19732019 4 of subsection D of Section 5 of this act or a court finds that the
19742020 individual lacks capacity to make a health care decision.
19752021 B. An agent or default surrogate may request, receive, examine,
19762022 copy, and consent to the disclosure of medical and other health care
19772023 information about the individual if the individual would have the
19782024 right to request, receive, examine, copy, or consent to the
19792025 disclosure of the information.
19802026 C. A power of attorney for heal th care may provide that the
19812027 power of an agent under subsection B of this section commences on
19822028 appointment.
19832029 D. If no other person is authorized to do so, an agent or
19842030 default surrogate may apply for public or private health insurance
19852031 and benefits on behalf of the individual. An agent or default
19862032 surrogate who may apply for insurance and benefits does not, solely
19872033 by reason of the power , have a duty to apply for the insurance or
19882034 benefits.
19892035 E. An agent or default surrogate may not consent to voluntary
19902036 admission of the individual to a facility for mental health
19912037 treatment unless:
19922038 1. Voluntary admission is specifically authorized by the
19932039 individual in an advance health care directive in a record; and
19942040 2. The admission is for no more than the maximum of the number
19952041 of days specified in the directive.
19962042
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20222069 F. Except as provided in subsection G of this section, an agent
20232070 or default surrogate may not consent to placement of the individual
20242071 in a nursing home if the placement is intended to be for more than
20252072 one hundred (100) days if:
20262073 1. An alternative living arrangement is reasonably feasible;
20272074 2. The individual objects to the placement; or
20282075 3. The individual is not terminally ill .
20292076 G. If specifically authorized by the individual in an advance
20302077 health care directive in a record, an agent or default surrogate may
20312078 consent to placement of the individual in a nursing home for more
20322079 than one hundred (100) days even if:
20332080 1. An alternative living arrangement is reasonably feasible;
20342081 2. The individual objects to the placement; and
20352082 3. The individual is not terminally ill.
20362083 SECTION 19. NEW LAW A new section of law to be codified
20372084 in the Oklahoma Statutes as Section 3100.18 of Title 63, unless
20382085 there is created a duplication in numbering, reads as follows:
20392086 A. If an individual has a long-term disability requiring
20402087 routine treatment by artificial nutrition, hydration, or mechanical
20412088 ventilation and a history of using the treatment without objecti on,
20422089 an agent or default surrogate may not consent to withhold or
20432090 withdraw the treatment unless:
20442091 1. The treatment is not necessary to sustain the individual 's
20452092 life or maintain the individual 's well-being;
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20722120 2. The individual has expressly authorized the withholding or
20732121 withdrawal in a health care instruction that has not been revoked;
20742122 or
20752123 3. The individual has experienced a major reduction in health
20762124 or functional ability from which the individual is not expected to
20772125 recover, even with other appropriate treatme nt, and the individual
20782126 has not:
20792127 a. given a direction inconsistent with withholdin g or
20802128 withdrawal, or
20812129 b. communicated by verbal or nonverbal expression a
20822130 desire for artificial nutrition, hydration, or
20832131 mechanical ventilation.
20842132 B. A default surrogate may not make a health care decision if,
20852133 under other law of this state, the decision:
20862134 1. May not be made by a guardian; or
20872135 2. May be made by a guardian only if the court appointing the
20882136 guardian specifically authorizes the guardian to make the decision.
20892137 SECTION 20. NEW LAW A new section of law to be codified
20902138 in the Oklahoma Statutes as Section 3100.19 of Title 63, unless
20912139 there is created a duplication in numbering, reads as follows:
20922140 A. An individual in a power of attorney for health care may
20932141 appoint multiple individuals as co agents. Unless the power of
20942142 attorney provides otherwise, each coagent may exercise independent
20952143 authority.
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21222171 B. An individual in a power of attorney for health care may
21232172 appoint one or more individuals to act as alternate agents if a
21242173 predecessor agent resigns, dies, becomes disqualified, is not
21252174 reasonably available, or otherwise is unwilling or unable to act as
21262175 agent.
21272176 C. Unless the power of attorney provides otherwise, an
21282177 alternate agent has the same authority as the original agent:
21292178 1. At any time the original agent is not reasonably available
21302179 or is otherwise unwilling or unable to act, for the duration of the
21312180 unavailability, unwillingness, or inability to act; or
21322181 2. If the original agent and all other predecessor agents have
21332182 resigned or died or are disqualified from acting as agent.
21342183 SECTION 21. NEW LAW A new section of law to be codified
21352184 in the Oklahoma Statutes as Section 3100.20 of Title 63, unless
21362185 there is created a duplication in numbering, reads as follows:
2137-No person shall be authorized under Section 3102.4 of this title
2138-to make health care decisions for a patient if that person:
2139-1. Has been convicted of, pled guilty to, or pled no contes t to
2140-any violation of Section 843.1, 843.2, 843.4 or 843.5 of Title 21 of
2141-the Oklahoma Statutes;
2142-2. Has been found to have committed abuse, verbal abuse or
2143-exploitation, as these terms are defined in Section 10 -103 of Title
2144-43A of the Oklahoma Statutes, b y a final State Department of Health
2145-or Department of Human Services investigative finding or by an
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2172-administrative law judge finding, unless that finding has been
2173-overturned through judicial review; or
2174-3. Has been criminally charged as described in subsec tion B of
2175-Section 10-110.1 of Title 43A of the Oklahoma Statutes, unless the
2176-person has been acquitted or those charges have been finally
2177-dismissed.
2178-SECTION 22. NEW LAW A new section of law to be codified
2179-in the Oklahoma Statutes as Section 3100.21 of Title 63, unless
2180-there is created a duplication in numbering, reads as follows:
21812186 A. A responsible health care professional who is aware that an
21822187 individual has been found to lack capacity to make a decision shall
21832188 make a reasonable effort to determine if the individual has a
21842189 surrogate.
21852190 B. If possible before implementing a health care decision made
21862191 by a surrogate, a responsible health care professional, as soon as
21872192 reasonably feasible, shall communicate to the individual the
21882193 decision made and the identity of the surrogate.
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21892221 C. A responsible health care professional who makes or is
21902222 informed of a finding that an individual lacks capacity to make a
21912223 health care decision or no longer lacks capacity, or that other
21922224 circumstances exist that affect a health care instruction or the
21932225 authority of a surrogate, as soon as reasonably feasibl e, shall:
21942226 1. Document the finding or circumstance in the individual 's
21952227 medical record; and
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22222228 2. If possible, communicate to the individual and the
22232229 individual's surrogate the finding or circumstance and that the
22242230 individual may object under subsection C of Section 5 of this act to
22252231 the finding under subsection B of Section 4 of this act.
22262232 D. A responsible health care professional who is informed that
22272233 an individual has created or revoked an advance health care
22282234 directive, or that a surrogate for an individual has been appointed,
22292235 designated, or disqualified, shall:
22302236 1. Document the information as soon as reasonably feasible in
22312237 the individual's medical record; and
22322238 2. If evidence of the directive, revocation, appointment,
22332239 designation, or disqualification is in a record, request a copy and,
22342240 on receipt, cause the copy to be included in the individ ual's
22352241 medical record.
22362242 E. Except as provided in subsections F and G of this section, a
22372243 health care professional or health care institution providing health
22382244 care to an individual shall comply with:
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22392272 1. A health care instruction given by the individual regar ding
22402273 the individual's health care;
22412274 2. A reasonable interpretation by the individual 's surrogate of
22422275 an instruction given by the individual; and
22432276 3. A health care decision for the individual made by the
22442277 individual's surrogate in accordance with Sections 17 and 18 of this
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22712278 act to the same extent as if the decision had been made by the
22722279 individual at a time when the individual had capacity.
22732280 F. A health care professional or a health care institution may
22742281 refuse to provide health care consistent with a health care
22752282 instruction or health care decision if:
22762283 1. The instruction or decision is contrary to a policy of the
22772284 health care institution providing care to the individual that is
22782285 based expressly on reasons of conscience and the policy was timely
22792286 communicated to the individual or to the individual 's surrogate;
22802287 2. The care would require health care that is not available to
22812288 the professional or institution; or
22822289 3. Compliance with the instru ction or decision would:
22832290 a. require the professional to provide care that is
22842291 contrary to the professional 's religious belief or
22852292 moral conviction if other law permits the professional
22862293 to refuse to provide care for that reason ,
22872294 b. require the professional or institution to provide
22882295 care that is contrary to generally accepted health
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22892323 care standards applicable to the professional or
22902324 institution, or
22912325 c. violate a court order or other law.
22922326 G. A health care professional or health care institution that
22932327 refuses to provide care under subsection F of this section shall:
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23202328 1. As soon as reasonably fea sible, inform the individual, if
23212329 possible, and the individual 's surrogate of the refusal;
23222330 2. Immediately make a reasonable effort to transfer the
23232331 individual to another health care professional or health care
23242332 institution that is willing to comply with the instruction or
23252333 decision; and
23262334 3. Either:
23272335 a. if care is refused under paragraph 1 or 2 of
23282336 subsection F of this section, provide life-sustaining
23292337 care and care needed to keep or make the individual
23302338 comfortable, consistent with accepted medical
23312339 standards to the extent feasible, until a transfer is
23322340 made, or
23332341 b. if care is refused under paragraph 3 of subsection F
23342342 of this section, provide life-sustaining care and care
23352343 needed to keep or make the individual comfortable,
23362344 consistent with accepted medical standards, un til a
23372345 transfer is made or, if the professional or
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23382373 institution reasonably believes that a transfer cannot
23392374 be made, for at least ten (10) days after the refusal.
2340-SECTION 23. NEW LAW A new section of law to be codified
2341-in the Oklahoma Statutes as Section 3100.2 2 of Title 63, unless
2375+SECTION 22. NEW LAW A new section of law to be codified
2376+in the Oklahoma Statutes as Section 3100.21 of Title 63, unless
23422377 there is created a duplication in numbering, reads as follows:
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23692378 A. A guardian may refuse to comply with or revoke the
23702379 individual's advance health care directive only if the court
23712380 appointing the guardian expres sly orders the noncompliance or
23722381 revocation.
23732382 B. Unless a court orders otherwise, a health care decision made
23742383 by an agent appointed by an individual subject to guardianship
23752384 prevails over a decision of the guardian appointed for the
23762385 individual.
2377-SECTION 24. NEW LAW A new section of law to be codified
2378-in the Oklahoma Statute s as Section 3100.23 of Title 63, unless
2386+SECTION 23. NEW LAW A new section of law to be codified
2387+in the Oklahoma Statutes as Section 3100.22 of Title 63, unless
23792388 there is created a duplication in numbering, reads as follows:
23802389 A. A health care professional or health care institution actin g
23812390 in good faith is not subject to civil or criminal liability or to
23822391 discipline for unprofessional conduct for:
23832392 1. Complying with a health care decision made for an individual
23842393 by another person if compliance is based on a reasonable belief that
23852394 the person has authority to make the decision, including a decision
23862395 to withhold or withdraw health care;
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23872423 2. Refusing to comply with a health care decision made for an
23882424 individual by another person if the refusal is based on a reasonable
23892425 belief that the person lacked authority or capacity to make the
23902426 decision;
23912427 3. Complying with an advance health care directive based on a
23922428 reasonable belief that the directive is valid;
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24192429 4. Refusing to comply with an advance health care directive
24202430 based on a reasonable belief that the dir ective is not valid,
24212431 including a reasonable belief that the directive was not made by the
24222432 individual or, after its creation, was substantively altered by a
24232433 person other than the individual who created it;
24242434 5. Determining that an individual who otherwise mi ght be
24252435 authorized to act as an agent or default surrogate is not reasonably
24262436 available; or
24272437 6. Complying with an individual 's direction under subsection D
24282438 of Section 9 of this act.
24292439 B. An agent, default surrogate, or individual with a reasonable
24302440 belief that the individual is an agent or a default surrogate is not
24312441 subject to civil or criminal liability or to discipline for
24322442 unprofessional conduct for a health care decision made in a good
24332443 faith effort to comply with Section 17 of this act.
2434-SECTION 25. NEW LAW A new section of law to be codified
2435-in the Oklahoma Statutes as Sec tion 3100.24 of Title 63, unless
2444+SECTION 24. NEW LAW A new section of law to be codified
2445+in the Oklahoma Statutes as Section 3100.23 of Title 63, unless
24362446 there is created a duplication in numbering, reads as follows:
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24372474 A. A person may not:
24382475 1. Intentionally falsify, in whole or in part, a n advance
24392476 health care directive;
24402477 2. For the purpose of frustrating the intent of the individual
24412478 who created an advance health care directive or with knowledge that
24422479 doing so is likely to frustrate the intent:
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24692480 a. intentionally conceal, deface, obliterate, o r delete
24702481 the directive or a revocation of the directive without
24712482 consent of the individual who created or revoked the
24722483 directive, or
24732484 b. intentionally withhold knowledge of the e xistence or
24742485 revocation of the directive from a responsible health
24752486 care professional or health care institution providing
24762487 health care to the individual who created or revoked
24772488 the directive;
24782489 3. Coerce or fraudulently induce an individual to create,
24792490 revoke, or refrain from creating or revoking an advance health care
24802491 directive or a part o f a directive; or
24812492 4. Require or prohibit the creation or revocation of an advance
24822493 health care directive as a condition for providing health care.
24832494 B. An individual who is the subject of conduct prohibited under
24842495 subsection A of this section, or the individual's estate, has a
24852496 cause of action against a person that violates subsection A of this
24862497 section for statutory damages of Twenty-five Thousand Dollars
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24872525 ($25,000.00) or actual damages resulting from the violation,
24882526 whichever is greater.
24892527 C. Subject to subsection D of this section, an individual who
24902528 makes a health care instruction, or the individual 's estate, has a
24912529 cause of action against a health care professional or health care
2492-institution that intentionally violates Section 22 of this act for
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2530+institution that intentionally violates Section 21 of this act for
25192531 statutory damages of Fifty Thousand Dollars ( $50,000.00) or actual
25202532 damages resulting from the violation, whichever is greater.
25212533 D. A health care professional who is an emergency medical
25222534 responder is not liable under subsection C of this section for a
2523-violation of subsection E of Section 22 of this act if:
2535+violation of subsection E of Section 21 of this act if:
25242536 1. The violation occurs in the course of providing care to an
25252537 individual experiencing a health condition for which the
25262538 professional reasona bly believes the care was appropriate to avoid
25272539 imminent loss of life or serious h arm to the individual;
25282540 2. The failure to comply is consistent with accepted standards
25292541 of the profession of the professional; and
25302542 3. The provision of care does not begin in a health care
25312543 institution in which the individual resides or was receiving care.
25322544 E. In an action under this section, a prevailing plaintiff may
25332545 recover reasonable attorney fees, court costs, and other reasonable
25342546 litigation expenses.
25352547 F. A cause of action or remedy under this section is in
25362548 addition to any cause of action or remedy under other law.
2537-SECTION 26. NEW LAW A new section of law to be codifie d
2538-in the Oklahoma Statutes as Section 3100.2 5 of Title 63, unless
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2576+SECTION 25. NEW LAW A new section of law to be codified
2577+in the Oklahoma Statutes as Section 3100.24 of Title 63, unless
25392578 there is created a duplication in numbering, reads as follows:
25402579 A. A physical or electronic copy of a n advance health care
25412580 directive, revocation of an advance health care directive, or
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25682581 appointment, designation, or disqualification of a surrogate has the
25692582 same effect as the ori ginal.
25702583 B. An individual may create a certified physical copy of an
25712584 advance health care directive or revocation of an advance health
25722585 care directive that is in electronic form by affirming under penalty
25732586 of perjury that the physical copy is a complete and accurate copy of
25742587 the directive or revocation.
2575-SECTION 27. NEW LAW A new section of law to be codified
2576-in the Oklahoma Statutes as Section 3100.2 6 of Title 63, unless
2588+SECTION 26. NEW LAW A new section of law to be codified
2589+in the Oklahoma Statutes as Section 3100.25 of Title 63, unless
25772590 there is created a duplication in numbering, reads as follows:
25782591 A. On petition of an individual, the individual 's surrogate, a
25792592 health care professional or health care institution providing health
25802593 care to the individual, or a person interested in the welfare of the
25812594 individual, the court may:
25822595 1. Enjoin implementation of a health care decision made by an
25832596 agent or default surrogate on behalf of the individ ual, on a finding
25842597 that the decision is inconsistent with Section 17 or 18 of this act;
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25852625 2. Enjoin an agent from making a health care decision for the
25862626 individual, on a finding that the individual's appointment of the
25872627 agent has been revoked or the agent:
25882628 a. is disqualified under subsection B of Section 8 of
25892629 this act,
25902630 b. is unwilling or unable to comply with Section 17 of
25912631 this act, or
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26182632 c. poses a danger to the individual 's well-being;
26192633 3. Enjoin another individual from acting as a default
26202634 surrogate, on a findin g that the other individual acting as a
26212635 default surrogate did not comply with Section 12 of this act or the
26222636 other individual:
26232637 a. is disqualified under Section 14 of this act,
26242638 b. is unwilling or unable to comply with Section 17 of
26252639 this act, or
26262640 c. poses a danger to the first individual 's well-being; or
26272641 4. Order implementation of a health care decision made:
26282642 a. by and for the individual , or
26292643 b. by an agent or default surrogate who is acting i n
26302644 compliance with the powers and duties of the agent or
26312645 default surrogate.
26322646 B. In this act, advocacy for the withholding or withdrawal of
26332647 health care or mental health care from an individual is not itself
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26342675 evidence that an agent or default surrogate, or a potential agent or
26352676 default surrogate, poses a danger to the individua l's well-being.
26362677 C. A proceeding under this section is governed by Sections 2-
26372678 101 et seq. and 3-101 et seq. of Title 30 of the Oklahoma Statutes.
2638-SECTION 28. NEW LAW A new section of law to be codified
2639-in the Oklahoma Statutes as Section 3100.2 7 of Title 63, unless
2679+SECTION 27. NEW LAW A new section of law to be codified
2680+in the Oklahoma Statutes as Sec tion 3100.26 of Title 63, unless
26402681 there is created a duplication in numbering, reads as follows:
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26672682 A. This act does not authorize mercy killing, assisted suicide,
26682683 or euthanasia.
26692684 B. This act does not affect other law of this state governing
26702685 treatment for mental illness of an individual involuntarily
26712686 committed to a mental health care institution under Section 5-410 et
26722687 seq. of Title 43A of the Oklahoma Statutes .
26732688 C. Death of an individual caused by withholding or withdrawing
26742689 health care in accordance with this act does not constitute a
26752690 suicide or homicide or legally impair or invalidate a policy of
26762691 insurance or an annuity providing a death benefit, notwithstanding
26772692 any term of the policy or annuity.
26782693 D. This act does not create a presumption concerning the
26792694 intention of an individual who has not created an advance health
26802695 care directive.
26812696 E. An advance health care directive created before, on, or
26822697 after the effective date of this act must be interpreted in
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26832725 accordance with law of this state, excluding the state 's choice of
26842726 law rules, at the time the directive is implemented.
2685-SECTION 29. NEW LAW A new section of law to be codified
2686-in the Oklahoma Statutes as Section 3100.2 8 of Title 63, unless
2727+SECTION 28. NEW LAW A new section of law to be codified
2728+in the Oklahoma Statutes as Section 3100.27 of Title 63, unless
26872729 there is created a duplication in numbering, reads as follows:
26882730 In applying and construing this uniform act, a court shall
26892731 consider the promotion of uniformity of the law among jurisdictions
26902732 that enact it.
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2717-SECTION 30. NEW LAW A new section of law to be codified
2718-in the Oklahoma Statutes as Section 3100.2 9 of Title 63, unless
2733+SECTION 29. NEW LAW A new section of law to be codified
2734+in the Oklahoma Statutes a s Section 3100.28 of Title 63, unless
27192735 there is created a duplication in numbering, reads as follows:
27202736 A. An advance health care directive created before the
27212737 effective date of this act is valid if it complies with this act or
27222738 complied at the time of creatio n with the law of the state in which
27232739 it was created.
27242740 B. This act does not affect the validity or effect of an act
27252741 done before the effective date of this act.
27262742 C. An individual who assumed authority to act as default
27272743 surrogate before the effective date of this act may continue to act
27282744 as default surrogate until the individual for whom the default
27292745 surrogate is acting has capacity or the default surrogate is
27302746 disqualified, whicheve r occurs first.
2731-SECTION 31. NEW LAW A new section of law to be codified
2732-in the Oklahoma Statutes as Section 3100. 30 of Title 63, unless
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2774+SECTION 30. NEW LAW A new section of law t o be codified
2775+in the Oklahoma Statutes as Section 3100.29 of Title 63, unless
27332776 there is created a duplication in numbering, reads as follows:
27342777 This act applies to an advance health care directive created
27352778 before, on, or after the effective date of this act.
2736-SECTION 32. REPEALER 63 O.S. 2021, Sections 3101.1,
2779+SECTION 31. REPEALER 63 O.S. 2021, Sections 3101.1,
27372780 3101.2, 3101.3, 3101.4, 3101.5, 3101.6, 3101.7, 3101.8, 3101.9,
27382781 3101.10, 3101.11, 3101.12, 3101.13, 3 101.14, 3101.15, and 3101.16,
27392782 are hereby repealed.
2740-SECTION 33. This act shall become effective November 1, 2025.
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2767-Passed the House of Representatives the 26th day of March, 2025.
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2772- Presiding Officer of the House
2773- of Representatives
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2777-Passed the Senate the _____ day of __________, 2025.
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2781-
2782- Presiding Officer of the Senate
2783+SECTION 32. This act shall become effective November 1, 2025.
2784+
2785+COMMITTEE REPORT BY: COMMITTEE ON JUDICIARY AND PUBLIC SAFETY
2786+OVERSIGHT, dated 02/27/2025 – DO PASS, As Coauthored.