Bill Text: NY S05814 | 2015-2016 | General Assembly | Introduced

NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Relates to patient self-determination at end of life; authorizes a physician with a bona fide physician-patient relationship with a patient with a terminal illness or condition to prescribe a lethal dose of the medication to be self-administered; defines terminal illness or condition to be an illness or condition which can reasonably be expected to cause death within six months, whether or not treatment is provided; provides immunity to health care providers.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced - Dead) 2016-01-25 - PRINT NUMBER 5814A [S05814 Detail]

Download: New_York-2015-S05814-Introduced.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         5814
                              2015-2016 Regular Sessions
                                   I N  S E N A T E
                                     June 4, 2015
                                      ___________
       Introduced  by  Sen. BONACIC -- read twice and ordered printed, and when
         printed to be committed to the Committee on Health
       AN ACT to amend the public health law, in relation to patient  self-det-
         ermination at end of life
         THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. The public health law is amended by adding  a  new  article
    2  28-F to read as follows:
    3                                ARTICLE 28-F
    4                       PATIENT SELF-DETERMINATION ACT
    5  SECTION 2899-D. DEFINITIONS.
    6          2899-E. WRITTEN REQUEST FOR MEDICATION.
    7          2899-F. WRITTEN REQUEST SIGNED AND WITNESSED.
    8          2899-G. ATTENDING PHYSICIAN RESPONSIBILITIES.
    9          2899-H. COUNSELING REFERRAL.
   10          2899-I. MEDICAL RECORD DOCUMENTATION REQUIREMENTS.
   11          2899-J. RESIDENCY REQUIREMENT.
   12          2899-K. RIGHT TO INFORMATION.
   13          2899-L. IMMUNITY.
   14          2899-M. NOT SUICIDE; NO DUTY TO AID.
   15          2899-N. LIMITATIONS ON ACTIONS.
   16          2899-O. HEALTH CARE FACILITY EXCEPTIONS.
   17          2899-P. EFFECT ON CONSTRUCTION OF WILLS, CONTRACTS AND STATUTES.
   18          2899-Q. INSURANCE POLICIES; PROHIBITIONS.
   19          2899-R. PROTECTION OF PATIENT CHOICE AT END OF LIFE.
   20          2899-S. SAFE DISPOSAL OF UNUSED MEDICATIONS.
   21          2899-T. DEATH CERTIFICATE.
   22          2899-U. STATUTORY CONSTRUCTION.
   23          2899-V. SEVERABILITY.
   24    S 2899-D. DEFINITIONS. AS USED IN THIS ARTICLE:
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD07446-08-5
       S. 5814                             2
    1    1.  "ADULT"  MEANS  AN  INDIVIDUAL  WHO  IS TWENTY-ONE YEARS OF AGE OR
    2  OLDER.
    3    2. "ATTENDING PHYSICIAN" MEANS THE PHYSICIAN WHO HAS PRIMARY RESPONSI-
    4  BILITY FOR THE CARE OF THE PATIENT AND TREATMENT OF THE PATIENT'S TERMI-
    5  NAL DISEASE.
    6    3.  "BONA  FIDE  PHYSICIAN-PATIENT  RELATIONSHIP"  MEANS A TREATING OR
    7  CONSULTING RELATIONSHIP IN THE COURSE OF WHICH A PHYSICIAN HAS COMPLETED
    8  A FULL ASSESSMENT OF THE PATIENT'S MEDICAL HISTORY AND  CURRENT  MEDICAL
    9  CONDITION, INCLUDING A PERSONAL PHYSICAL EXAMINATION.
   10    4.  "CAPABLE" MEANS THAT A PATIENT HAS THE ABILITY TO UNDERSTAND, MAKE
   11  AND COMMUNICATE HEALTH CARE DECISIONS TO A PHYSICIAN, INCLUDING COMMUNI-
   12  CATION THROUGH PERSONS FAMILIAR WITH THE PATIENT'S MANNER OF COMMUNICAT-
   13  ING IF THOSE PERSONS ARE AVAILABLE.
   14    5. "COUNSELING" MEANS ONE OR MORE CONSULTATIONS AS NECESSARY BETWEEN A
   15  STATE LICENSED PSYCHIATRIST  OR  PSYCHOLOGIST  AND  A  PATIENT  FOR  THE
   16  PURPOSE  OF  DETERMINING  THAT  THE PATIENT IS CAPABLE AND NOT SUFFERING
   17  FROM A PSYCHIATRIC  OR  PSYCHOLOGICAL  DISORDER  OR  DEPRESSION  CAUSING
   18  IMPAIRED JUDGMENT.
   19    6.  "HEALTH  CARE FACILITY" SHALL INCLUDE HOSPITALS, NURSING HOMES AND
   20  RESIDENTIAL HEALTH CARE FACILITIES AS DEFINED  IN  SECTION  TWENTY-EIGHT
   21  HUNDRED ONE OF THIS CHAPTER.
   22    7.  "HEALTH  CARE  PROVIDER" MEANS A PERSON, PARTNERSHIP, CORPORATION,
   23  FACILITY, OR INSTITUTION, LICENSED OR CERTIFIED OR AUTHORIZED BY LAW  TO
   24  ADMINISTER  HEALTH CARE OR DISPENSE MEDICATION IN THE ORDINARY COURSE OF
   25  BUSINESS OR PRACTICE OF A PROFESSION.
   26    8. "IMPAIRED JUDGMENT" MEANS  THAT  A  PERSON  DOES  NOT  SUFFICIENTLY
   27  UNDERSTAND  OR  APPRECIATE  THE  RELEVANT  FACTS  NECESSARY  TO  MAKE AN
   28  INFORMED DECISION.
   29    9. "PALLIATIVE CARE" MEANS HEALTH CARE TREATMENT, INCLUDING  INTERDIS-
   30  CIPLINARY  END-OF-LIFE  CARE,  AND CONSULTATION WITH PATIENTS AND FAMILY
   31  MEMBERS, TO PREVENT OR RELIEVE PAIN AND SUFFERING  AND  TO  ENHANCE  THE
   32  PATIENT'S QUALITY OF LIFE, INCLUDING HOSPICE CARE UNDER ARTICLE FORTY OF
   33  THIS CHAPTER.
   34    10.  "PATIENT" MEANS A PERSON WHO IS TWENTY-ONE YEARS OF AGE OR OLDER,
   35  A RESIDENT OF NEW YORK STATE, AND UNDER THE CARE OF A PHYSICIAN.
   36    11. "PHYSICIAN" MEANS AN INDIVIDUAL LICENSED TO PRACTICE  MEDICINE  IN
   37  NEW YORK STATE.
   38    12.  "TERMINAL  ILLNESS  OR  CONDITION"  MEANS AN ILLNESS OR CONDITION
   39  WHICH CAN REASONABLY BE EXPECTED  TO  CAUSE  DEATH  WITHIN  SIX  MONTHS,
   40  WHETHER OR NOT TREATMENT IS PROVIDED.
   41    S  2899-E. WRITTEN REQUEST FOR MEDICATION. 1. AN ADULT WHO IS CAPABLE,
   42  IS A RESIDENT OF THIS STATE AND HAS BEEN  DETERMINED  BY  THE  ATTENDING
   43  PHYSICIAN  AND  CONSULTING  PHYSICIAN  TO  BE  SUFFERING FROM A TERMINAL
   44  ILLNESS OR CONDITION, AND WHO HAS VOLUNTARILY EXPRESSED HIS OR HER  WISH
   45  TO  DIE,  MAY  MAKE  A WRITTEN REQUEST FOR MEDICATION FOR THE PURPOSE OF
   46  ENDING HIS OR HER LIFE IN A HUMANE AND DIGNIFIED  MANNER  IN  ACCORDANCE
   47  WITH THE PROVISIONS OF THIS ARTICLE.
   48    2. NO PERSON SHALL QUALIFY UNDER THE PROVISIONS OF THIS ARTICLE SOLELY
   49  BECAUSE OF AGE OR DISABILITY.
   50    S 2899-F. WRITTEN REQUEST SIGNED AND WITNESSED. 1. A VALID REQUEST FOR
   51  MEDICATION UNDER THE PROVISIONS OF THIS ARTICLE SHALL BE IN SUCH FORM AS
   52  PRESCRIBED  BY  THE  DEPARTMENT,  SIGNED  AND  DATED  BY THE PATIENT AND
   53  WITNESSED BY AT LEAST TWO  INDIVIDUALS  WHO,  IN  THE  PRESENCE  OF  THE
   54  PATIENT,  ATTEST  THAT  TO  THE  BEST  OF THEIR KNOWLEDGE AND BELIEF THE
   55  PATIENT IS CAPABLE, ACTING VOLUNTARILY, AND IS NOT BEING COERCED TO SIGN
   56  THE REQUEST.
       S. 5814                             3
    1    2. ONE OF THE WITNESSES SHALL BE A PERSON WHO IS NOT:
    2    (A) A RELATIVE OF THE PATIENT BY BLOOD, MARRIAGE OR ADOPTION;
    3    (B)  A  PERSON WHO AT THE TIME THE REQUEST IS SIGNED WOULD BE ENTITLED
    4  TO ANY PORTION OF THE ESTATE OF THE PATIENT UPON DEATH UNDER ANY WILL OR
    5  BY OPERATION OF LAW; OR
    6    (C) AN OWNER, OPERATOR OR EMPLOYEE OF A HEALTH CARE FACILITY WHERE THE
    7  PATIENT IS RECEIVING MEDICAL TREATMENT OR IS A RESIDENT.
    8    3. THE PATIENT'S ATTENDING PHYSICIAN AT THE TIME THE REQUEST IS SIGNED
    9  SHALL NOT BE A WITNESS.
   10    S 2899-G.  ATTENDING  PHYSICIAN  RESPONSIBILITIES.  1.  THE  ATTENDING
   11  PHYSICIAN SHALL:
   12    (A) MAKE THE DETERMINATION OF WHETHER A PATIENT HAS A TERMINAL ILLNESS
   13  OR CONDITION, IS CAPABLE, AND HAS MADE THE REQUEST VOLUNTARILY;
   14    (B) REQUEST THAT THE PATIENT DEMONSTRATE NEW YORK STATE RESIDENCY;
   15    (C)  REFER  THE  PATIENT  FOR  COUNSELING, IF APPROPRIATE, PURSUANT TO
   16  SECTION TWENTY-EIGHT HUNDRED NINETY-NINE-H OF THIS ARTICLE; AND
   17    (D) FULFILL THE MEDICAL RECORD DOCUMENTATION REQUIREMENTS  OF  SECTION
   18  TWENTY-EIGHT HUNDRED NINETY-NINE-I OF THIS ARTICLE;
   19    2. SUBJECT TO SECTION TWENTY-EIGHT HUNDRED NINETY-NINE-H OF THIS ARTI-
   20  CLE, AN ATTENDING PHYSICIAN WHO MAKES THE DETERMINATION THAT THE PATIENT
   21  HAS  A  TERMINAL ILLNESS OR CONDITION, IS CAPABLE AND HAS MADE A REQUEST
   22  FOR MEDICATION AS PROVIDED IN SECTION TWENTY-EIGHT HUNDRED NINETY-NINE-E
   23  OF THIS ARTICLE, THE ATTENDING PHYSICIAN SHALL EITHER:
   24    (A) DISPENSE THE MEDICATION DIRECTLY, INCLUDING  ANCILLARY  MEDICATION
   25  INTENDED  TO  FACILITATE  THE  DESIRED  EFFECT TO MINIMIZE THE PATIENT'S
   26  DISCOMFORT, PROVIDED THE ATTENDING PHYSICIAN HAS A CURRENT DRUG ENFORCE-
   27  MENT ADMINISTRATION CERTIFICATE AND COMPLIES WITH ANY APPLICABLE RULE OR
   28  REGULATION; OR
   29    (B) WITH THE PATIENT'S WRITTEN CONSENT:
   30    (I)  CONTACT  A  PHARMACIST  AND  INFORM   THE   PHARMACIST   OF   THE
   31  PRESCRIPTION; AND
   32    (II)  DELIVER  THE  WRITTEN  PRESCRIPTION PERSONALLY OR BY MAIL TO THE
   33  PHARMACIST, WHO WILL DISPENSE THE MEDICATIONS TO EITHER THE PATIENT, THE
   34  ATTENDING PHYSICIAN OR AN EXPRESSLY IDENTIFIED AGENT OF THE PATIENT.
   35    S 2899-H. COUNSELING REFERRAL. IF IN  THE  OPINION  OF  THE  ATTENDING
   36  PHYSICIAN A PATIENT MAY BE SUFFERING FROM A PSYCHIATRIC OR PSYCHOLOGICAL
   37  DISORDER  OR  DEPRESSION CAUSING IMPAIRED JUDGMENT, SUCH PHYSICIAN SHALL
   38  REFER THE PATIENT FOR COUNSELING. NO MEDICATION TO END A PATIENT'S  LIFE
   39  IN  A  HUMANE  AND DIGNIFIED MANNER SHALL BE PRESCRIBED UNTIL THE PERSON
   40  PERFORMING THE COUNSELING DETERMINES THAT THE PATIENT IS  NOT  SUFFERING
   41  FROM  A  PSYCHIATRIC  OR  PSYCHOLOGICAL  DISORDER  OR DEPRESSION CAUSING
   42  IMPAIRED JUDGMENT AND IS CAPABLE.
   43    S 2899-I. MEDICAL RECORD  DOCUMENTATION  REQUIREMENTS.  THE  FOLLOWING
   44  SHALL BE DOCUMENTED OR FILED IN THE PATIENT'S MEDICAL RECORD:
   45    1.  ALL  ORAL  REQUESTS  BY A PATIENT FOR MEDICATION TO END HIS OR HER
   46  LIFE IN A HUMANE AND DIGNIFIED MANNER;
   47    2. ALL WRITTEN REQUESTS BY A PATIENT FOR MEDICATION TO END HIS OR  HER
   48  LIFE IN A HUMANE AND DIGNIFIED MANNER;
   49    3.  THE  ATTENDING  PHYSICIAN'S DIAGNOSIS AND PROGNOSIS, DETERMINATION
   50  THAT THE PATIENT IS CAPABLE AND ACTING VOLUNTARILY;
   51    4. A REPORT OF THE OUTCOME AND DETERMINATIONS MADE DURING  COUNSELING,
   52  IF PERFORMED; AND
   53    5.  A NOTE BY THE ATTENDING PHYSICIAN INDICATING THAT ALL REQUIREMENTS
   54  UNDER THE PROVISIONS OF THIS ARTICLE HAVE BEEN MET  AND  INDICATING  THE
   55  STEPS  TAKEN TO CARRY OUT THE REQUEST, INCLUDING A NOTATION OF THE MEDI-
   56  CATION PRESCRIBED.
       S. 5814                             4
    1    S 2899-J. RESIDENCY REQUIREMENT. ONLY REQUESTS MADE BY NEW YORK  STATE
    2  RESIDENTS UNDER THE PROVISIONS OF THIS ARTICLE SHALL BE GRANTED. FACTORS
    3  DEMONSTRATING  NEW  YORK  STATE RESIDENCY SHALL INCLUDE BUT SHALL NOT BE
    4  LIMITED TO:
    5    1. POSSESSION OF A NEW YORK STATE DRIVER'S LICENSE;
    6    2. REGISTRATION TO VOTE IN NEW YORK STATE;
    7    3. EVIDENCE THAT THE PERSON OWNS OR LEASES PROPERTY IN NEW YORK STATE;
    8  OR
    9    4. FILING OF A NEW YORK STATE TAX RETURN FOR THE MOST RECENT TAX YEAR.
   10    S 2899-K. RIGHT TO INFORMATION. A PHYSICIAN WHO ENGAGES IN DISCUSSIONS
   11  WITH  A PATIENT UNDER SECTION TWENTY-NINE HUNDRED NINETY-SEVEN-C OF THIS
   12  CHAPTER RELATED TO  THE  RISKS  AND  BENEFITS  OF  PALLIATIVE  CARE  AND
   13  END-OF-LIFE OPTIONS IN THE CIRCUMSTANCES DESCRIBED IN THIS ARTICLE SHALL
   14  NOT BE CONSTRUED TO BE ASSISTING IN OR CONTRIBUTING TO A PATIENT'S INDE-
   15  PENDENT  DECISION  TO  SELF-ADMINISTER  A LETHAL DOSE OF MEDICATION, AND
   16  SUCH DISCUSSIONS SHALL NOT  BE  USED  TO  ESTABLISH  CIVIL  OR  CRIMINAL
   17  LIABILITY OR PROFESSIONAL DISCIPLINARY ACTION.
   18    S  2899-L. IMMUNITY. (A) A PHYSICIAN SHALL NOT BE SUBJECT TO ANY CIVIL
   19  OR CRIMINAL LIABILITY OR PROFESSIONAL DISCIPLINARY ACTION IF THE  PHYSI-
   20  CIAN  PRESCRIBES TO A PATIENT WITH A TERMINAL ILLNESS OR CONDITION MEDI-
   21  CATION  TO  BE  SELF-ADMINISTERED  FOR  THE  PURPOSE  OF  HASTENING  THE
   22  PATIENT'S DEATH OR FOR ANY OTHER ACTIONS PERFORMED IN GOOD FAITH COMPLI-
   23  ANCE WITH THE PROVISIONS OF THIS ARTICLE.
   24    (B) A PHARMACIST SHALL NOT BE SUBJECT TO ANY CIVIL OR CRIMINAL LIABIL-
   25  ITY OR PROFESSIONAL DISCIPLINARY ACTION IF THE PHARMACIST DISPENSES SUCH
   26  MEDICATION.
   27    S  2899-M.  NOT SUICIDE; NO DUTY TO AID. (A) A PATIENT WITH A TERMINAL
   28  ILLNESS OR CONDITION WHO SELF-ADMINISTERS A LETHAL  DOSE  OF  MEDICATION
   29  PURSUANT TO THE PROVISIONS OF THIS ARTICLE SHALL NOT BE CONSIDERED TO BE
   30  A PERSON WHO IS SUICIDAL.
   31    (B)  (1)  NO  PERSON  SHALL  BE SUBJECT TO CIVIL OR CRIMINAL LIABILITY
   32  SOLELY FOR BEING PRESENT WHEN SUCH PATIENT WITH A  TERMINAL  ILLNESS  OR
   33  CONDITION SELF-ADMINISTERS A LETHAL DOSE OF MEDICATION OR FOR NOT ACTING
   34  TO  PREVENT THE PATIENT FROM SELF-ADMINISTERING A LETHAL DOSE OF MEDICA-
   35  TION.
   36    (2) NO PERSON, WHETHER OR NOT OTHERWISE OBLIGATED BY  LAW  OR  PROFES-
   37  SIONAL  PRACTICE  TO DO SO, SHALL BE UNDER ANY DUTY TO RENDER ASSISTANCE
   38  TO SUCH PATIENT OR TO OTHERWISE ACT TO RESUSCITATE SUCH PATIENT AFTER HE
   39  OR SHE SELF-ADMINISTERS A LETHAL DOSE OF MEDICATION.
   40    S 2899-N. LIMITATIONS ON ACTIONS. 1. A PHYSICIAN,  NURSE,  PHARMACIST,
   41  OR  OTHER  PERSON  SHALL  NOT  BE UNDER ANY DUTY, BY LAW OR CONTRACT, TO
   42  PARTICIPATE IN THE PROVISION  OF  A  LETHAL  DOSE  OF  MEDICATION  TO  A
   43  PATIENT,  PROVIDED  THAT  REASONABLE  EFFORTS SHALL BE MADE TO REFER THE
   44  PATIENT TO A PHYSICIAN, NURSE OR PHARMACIST WHO MAY PARTICIPATE  IN  THE
   45  PROVISION OF A LETHAL DOSE OF MEDICATION TO A PATIENT.
   46    2.  A HEALTH CARE FACILITY OR HEALTH CARE PROVIDER SHALL NOT SUBJECT A
   47  PHYSICIAN, NURSE, PHARMACIST, OR OTHER PERSON TO DISCIPLINE, SUSPENSION,
   48  LOSS OF LICENSE, LOSS OF PRIVILEGES, OR OTHER PENALTY FOR ACTIONS  TAKEN
   49  IN  GOOD FAITH RELIANCE ON THE PROVISIONS OF THIS ARTICLE OR REFUSALS TO
   50  ACT UNDER THIS ARTICLE.
   51    3. EXCEPT AS OTHERWISE PROVIDED HEREIN NOTHING IN THIS  ARTICLE  SHALL
   52  BE  CONSTRUED TO LIMIT LIABILITY FOR CIVIL DAMAGES RESULTING FROM NEGLI-
   53  GENT CONDUCT OR INTENTIONAL MISCONDUCT BY ANY PERSON.
   54    S 2899-O. HEALTH CARE FACILITY EXCEPTIONS. A HEALTH CARE FACILITY  MAY
   55  PROHIBIT  A  PHYSICIAN FROM WRITING A PRESCRIPTION FOR A DOSE OF MEDICA-
   56  TION INTENDED TO BE LETHAL FOR A PATIENT WHO IS A RESIDENT IN ITS FACIL-
       S. 5814                             5
    1  ITY AND INTENDS TO  USE  THE  MEDICATION  ON  THE  FACILITY'S  PREMISES,
    2  PROVIDED THE FACILITY HAS NOTIFIED THE PHYSICIAN IN WRITING OF ITS POLI-
    3  CY   WITH   REGARD   TO  THE  PRESCRIPTIONS.    NOTWITHSTANDING  SECTION
    4  TWENTY-EIGHT  HUNDRED  NINETY-NINE-L  OF THIS ARTICLE, ANY PHYSICIAN WHO
    5  VIOLATES A POLICY ESTABLISHED BY  A  HEALTH  CARE  FACILITY  UNDER  THIS
    6  SECTION  MAY  BE  SUBJECT  TO SANCTIONS OTHERWISE ALLOWABLE UNDER LAW OR
    7  CONTRACT.
    8    S 2899-P. EFFECT ON CONSTRUCTION OF WILLS, CONTRACTS AND STATUTES.  1.
    9  NO  PROVISION IN A CONTRACT, WILL OR OTHER AGREEMENT, WHETHER WRITTEN OR
   10  ORAL, TO THE EXTENT THE PROVISION WOULD AFFECT WHETHER A PERSON MAY MAKE
   11  OR RESCIND A REQUEST FOR MEDICATION TO END HIS OR HER LIFE IN  A  HUMANE
   12  AND DIGNIFIED MANNER, SHALL BE VALID.
   13    2.  NO OBLIGATION OWING UNDER ANY CURRENTLY EXISTING CONTRACT SHALL BE
   14  CONDITIONED OR AFFECTED BY THE MAKING OR RESCINDING OF A REQUEST,  BY  A
   15  PERSON,  FOR MEDICATION TO END HIS OR HER LIFE IN A HUMANE AND DIGNIFIED
   16  MANNER.
   17    S 2899-Q. INSURANCE POLICIES; PROHIBITIONS. 1. A PERSON AND HIS OR HER
   18  BENEFICIARIES SHALL NOT BE DENIED BENEFITS UNDER A LIFE INSURANCE POLICY
   19  FOR ACTIONS TAKEN IN ACCORDANCE WITH THIS ARTICLE.
   20    2. THE SALE, PROCUREMENT, OR ISSUE OF ANY MEDICAL  MALPRACTICE  INSUR-
   21  ANCE  POLICY OR THE RATE CHARGED FOR THE POLICY SHALL NOT BE CONDITIONED
   22  UPON OR AFFECTED BY WHETHER THE PHYSICIAN IS  WILLING  OR  UNWILLING  TO
   23  PARTICIPATE IN THE PROVISIONS OF THIS ARTICLE.
   24    S  2899-R.  PROTECTION  OF  PATIENT CHOICE AT END OF LIFE. A PHYSICIAN
   25  WITH A BONA FIDE PHYSICIAN-PATIENT RELATIONSHIP WITH A  PATIENT  WITH  A
   26  TERMINAL ILLNESS OR CONDITION SHALL NOT BE CONSIDERED TO HAVE ENGAGED IN
   27  UNPROFESSIONAL CONDUCT AND SHALL NOT BE THE SUBJECT OF DISCIPLINE IF:
   28    1.  THE  PHYSICIAN DETERMINES THAT THE PATIENT IS CAPABLE AND DOES NOT
   29  HAVE IMPAIRED JUDGMENT;
   30    2.  THE  PHYSICIAN  INFORMS  THE  PATIENT  OF  PALLIATIVE   CARE   AND
   31  END-OF-LIFE  OPTIONS  PURSUANT TO SUBDIVISION TWO OF SECTION TWENTY-NINE
   32  HUNDRED NINETY-SEVEN-C OF THIS CHAPTER AND THE  PHYSICIAN  PRESCRIBES  A
   33  DOSE OF MEDICATION THAT MAY BE LETHAL TO THE PATIENT;
   34    3.  THE PHYSICIAN ADVISES THE PATIENT OF ALL FORESEEABLE RISKS RELATED
   35  TO THE PRESCRIPTION;
   36    4. THE PHYSICIAN ADVISES THE PATIENT OF ALL  ALTERNATIVES  TO  AID  IN
   37  DYING; AND
   38    5.  THE  PATIENT  MAKES  AN  INDEPENDENT DECISION TO SELF-ADMINISTER A
   39  LETHAL DOSE OF THE MEDICATION.
   40    S 2899-S. SAFE DISPOSAL OF UNUSED MEDICATIONS.  THE  DEPARTMENT  SHALL
   41  ADOPT  RULES  AND  REGULATIONS PROVIDING FOR THE SAFE DISPOSAL OF UNUSED
   42  MEDICATIONS PRESCRIBED UNDER THIS ARTICLE.
   43    S 2899-T. DEATH CERTIFICATE.  IN THE EVENT THAT A PATIENT  SELF-ADMIN-
   44  ISTERS  A LETHAL DOSE OF MEDICATION IN ACCORDANCE WITH THE PROVISIONS OF
   45  THIS ARTICLE, THE DEATH CERTIFICATE SHALL INDICATE  THAT  THE  CAUSE  OF
   46  DEATH WAS THE UNDERLYING TERMINAL ILLNESS OR CONDITION OF THE PATIENT.
   47    S  2899-U.  STATUTORY  CONSTRUCTION.  NOTHING IN THIS ARTICLE SHALL BE
   48  CONSTRUED TO AUTHORIZE  A  PHYSICIAN  OR  ANY  OTHER  PERSON  TO  END  A
   49  PATIENT'S LIFE BY LETHAL INJECTION, MERCY KILLING, OR ACTIVE EUTHANASIA.
   50  ACTION  TAKEN IN ACCORDANCE WITH THIS ARTICLE SHALL NOT BE CONSTRUED FOR
   51  ANY PURPOSE TO CONSTITUTE SUICIDE, ASSISTED SUICIDE, ATTEMPTED  SUICIDE,
   52  PROMOTING  A  SUICIDE ATTEMPT, MERCY KILLING, OR HOMICIDE UNDER THE LAW,
   53  INCLUDING AS AN ACCOMPLICE OR ACCESSORY OR OTHERWISE.
   54    S 2899-V. SEVERABILITY. IF ANY CLAUSE, SENTENCE, PARAGRAPH, SECTION OR
   55  PART OF THIS ARTICLE SHALL BE ADJUDGED BY ANY COURT OF COMPETENT  JURIS-
   56  DICTION TO BE INVALID, SUCH JUDGMENT SHALL NOT AFFECT, IMPAIR OR INVALI-
       S. 5814                             6
    1  DATE  THE  REMAINDER  THEREOF, BUT SHALL BE CONFINED IN ITS OPERATION TO
    2  THE CLAUSE, SENTENCE,  PARAGRAPH,  SECTION  OR  PART  THEREOF,  DIRECTLY
    3  INVOLVED  IN  THE  CONTROVERSY  IN  WHICH  SUCH JUDGMENT SHALL HAVE BEEN
    4  RENDERED.
    5    S 2. This act shall take effect immediately.
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