06 LC 29 2286S
(SCS)
Senate
Bill 542
By:
Senators Hill of the 32nd, Harp of the 29th and Smith of the 52nd
AS
PASSED SENATE
A
BILL TO BE ENTITLED
AN ACT
AN ACT
To
amend Chapter 36 of Title 31 of the Official Code of Georgia Annotated, relating
to durable power of attorney for health care, so as to amend the signature
requirement; to provide for related matters; to provide for applicability; to
repeal conflicting laws; and for other purposes.
BE
IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:
SECTION
1.
Chapter
36 of Title 31 of the Official Code of Georgia Annotated, relating to durable
power of attorney for health care, is amended by striking subsection (a) of Code
Section 31-36-5, relating to execution of agency and limitation on agents, and
inserting in lieu thereof the following:
"(a)
A health care agency shall be in writing and signed by the principal or by some
other person in the
principaĺs
presence and by the
principaĺs
express direction. A health care agency shall be attested and subscribed in the
presence of the principal by two or more competent witnesses who are at least 18
years of age.
In
addition, if at the time a health care agency is executed the principal is a
patient in a hospital or skilled nursing facility, the health care agency shall
also be attested and subscribed in the presence of the principal by the
principaĺs
attending physician.
A durable
power of attorney for health care shall have no force or effect if the declarant
is a patient in a hospital or skilled nursing facility at the time the durable
power of attorney for health care is executed unless the durable power of
attorney for health care is signed in the presence of two witnesses as provided
in this Code section at least one of whom is a member of the professional
clinical staff or a social services worker designated by the chief of staff and
the hospital administrator, if witnessed in a hospital, or the medical director,
any physician on the medical staff who is not participating in the care of the
patient, or a social services worker, if witnessed in a skilled nursing
facility."
SECTION
2.
Said
chapter is further amended by striking subsection (a) of Code Section 31-36-10,
relating to the form for the power of attorney for health care and authorized
powers, and inserting in lieu thereof the following:
"(a)
The statutory health care power of attorney form contained in this subsection
may be used to grant an agent powers with respect to the
principaĺs
own health care; but the statutory health care power is not intended to be
exclusive or to cover delegation of a
parent́s
power to control the health care of a minor child, and no provision of this
chapter shall be construed to bar use by the principal of any other or different
form of power of attorney for health care that complies with Code Section
31-36-5. If a different form of power of attorney for health care is used, it
may contain any or all of the provisions set forth or referred to in the
following form. When a power of attorney in substantially the following form is
used, and notice substantially similar to that contained in the form below has
been provided to the patient, it shall have the same meaning and effect as
prescribed in this chapter. Substantially similar forms may include forms from
other states. The statutory health care power may be included in or combined
with any other form of power of attorney governing property or other matters:
'GEORGIA
STATUTORY SHORT FORM
DURABLE POWER OF ATTORNEY FOR HEALTH CARE
DURABLE POWER OF ATTORNEY FOR HEALTH CARE
NOTICE:
THE PURPOSE OF THIS POWER OF ATTORNEY IS TO GIVE THE PERSON YOU DESIGNATE (YOUR
AGENT) BROAD POWERS TO MAKE HEALTH CARE DECISIONS FOR YOU, INCLUDING POWER TO
REQUIRE, CONSENT TO, OR WITHDRAW ANY TYPE OF PERSONAL CARE OR MEDICAL TREATMENT
FOR ANY PHYSICAL OR MENTAL CONDITION AND TO ADMIT YOU TO OR DISCHARGE YOU FROM
ANY HOSPITAL, HOME, OR OTHER INSTITUTION; BUT NOT INCLUDING PSYCHOSURGERY,
STERILIZATION, OR INVOLUNTARY HOSPITALIZATION OR TREATMENT COVERED BY TITLE 37
OF THE OFFICIAL CODE OF GEORGIA ANNOTATED. THIS FORM DOES NOT IMPOSE A DUTY ON
YOUR AGENT TO EXERCISE GRANTED POWERS; BUT, WHEN A POWER IS EXERCISED, YOUR
AGENT WILL HAVE TO USE DUE CARE TO ACT FOR YOUR BENEFIT AND IN ACCORDANCE WITH
THIS FORM. A COURT CAN TAKE AWAY THE POWERS OF YOUR AGENT IF IT FINDS THE AGENT
IS NOT ACTING PROPERLY. YOU MAY NAME COAGENTS AND SUCCESSOR AGENTS UNDER THIS
FORM, BUT YOU MAY NOT NAME A HEALTH CARE PROVIDER WHO MAY BE DIRECTLY OR
INDIRECTLY INVOLVED IN RENDERING HEALTH CARE TO YOU UNDER THIS POWER. UNLESS YOU
EXPRESSLY LIMIT THE DURATION OF THIS POWER IN THE MANNER PROVIDED BELOW OR UNTIL
YOU REVOKE THIS POWER OR A COURT ACTING ON YOUR BEHALF TERMINATES IT, YOUR AGENT
MAY EXERCISE THE POWERS GIVEN IN THIS POWER THROUGHOUT YOUR LIFETIME, EVEN AFTER
YOU BECOME DISABLED, INCAPACITATED, OR INCOMPETENT. THE POWERS YOU GIVE YOUR
AGENT, YOUR RIGHT TO REVOKE THOSE POWERS, AND THE PENALTIES FOR VIOLATING THE
LAW ARE EXPLAINED MORE FULLY IN CODE SECTIONS 31-36-6, 31-36-9, AND 31-36-10 OF
THE GEORGIA "DURABLE POWER OF ATTORNEY FOR HEALTH CARE ACT" OF WHICH THIS FORM
IS A PART (SEE THE BACK OF THIS FORM). THAT ACT EXPRESSLY PERMITS THE USE OF
ANY DIFFERENT FORM OF POWER OF ATTORNEY YOU MAY DESIRE. IF THERE IS ANYTHING
ABOUT THIS FORM THAT YOU DO NOT UNDERSTAND, YOU SHOULD ASK A LAWYER TO EXPLAIN
IT TO YOU.
DURABLE
POWER OF ATTORNEY made this _____ day of ______________, ____.
1.
I,
_________________________________________________________________
(insert name and address of principal)
hereby
appoint
(insert name and address of agent)
as
my attorney in fact (my agent) to act for me and in my name in any way I could
act in person to make any and all decisions for me concerning my personal care,
medical treatment, hospitalization, and health care and to require, withhold, or
withdraw any type of medical treatment or procedure, even though my death may
ensue. My agent shall have the same access to my medical records that I have,
including the right to disclose the contents to others. My agent shall also
have full power to make a disposition of any part or all of my body for medical
purposes, authorize an autopsy of my body, and direct the disposition of my
remains.
THE
ABOVE GRANT OF POWER IS INTENDED TO BE AS BROAD AS POSSIBLE SO THAT YOUR AGENT
WILL HAVE AUTHORITY TO MAKE ANY DECISION YOU COULD MAKE TO OBTAIN OR TERMINATE
ANY TYPE OF HEALTH CARE, INCLUDING WITHDRAWAL OF NOURISHMENT AND FLUIDS AND
OTHER LIFE-SUSTAINING OR DEATH-DELAYING MEASURES, IF YOUR AGENT BELIEVES SUCH
ACTION WOULD BE CONSISTENT WITH YOUR INTENT AND DESIRES. IF YOU WISH TO LIMIT
THE SCOPE OF YOUR
AGENT́S
POWERS OR PRESCRIBE SPECIAL RULES TO LIMIT THE POWER TO MAKE AN ANATOMICAL GIFT,
AUTHORIZE AUTOPSY, OR DISPOSE OF REMAINS, YOU MAY DO SO IN THE FOLLOWING
PARAGRAPHS.
2.
The powers granted above shall not include the following powers or shall be
subject to the following rules or limitations (here you may include any specific
limitations you deem appropriate, such as your own definition of when
life-sustaining or death-delaying measures should be withheld; a direction to
continue nourishment and fluids or other life-sustaining or death-delaying
treatment in all events; or instructions to refuse any specific types of
treatment that are inconsistent with your religious beliefs or unacceptable to
you for any other reason, such as blood transfusion, electroconvulsive therapy,
or amputation):
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
THE
SUBJECT OF LIFE-SUSTAINING OR DEATH-DELAYING TREATMENT IS OF PARTICULAR
IMPORTANCE. FOR YOUR CONVENIENCE IN DEALING WITH THAT SUBJECT, SOME GENERAL
STATEMENTS CONCERNING THE WITHHOLDING OR REMOVAL OF LIFE-SUSTAINING OR
DEATH-DELAYING TREATMENT ARE SET FORTH BELOW. IF YOU AGREE WITH ONE OF THESE
STATEMENTS, YOU MAY INITIAL THAT STATEMENT, BUT DO NOT INITIAL MORE THAN
ONE:
I
do not want my life to be prolonged nor do I want life-sustaining or
death-delaying treatment to be provided or continued if my agent believes the
burdens of the treatment outweigh the expected benefits. I want my agent to
consider the relief of suffering, the expense involved, and the quality as well
as the possible extension of my life in making decisions concerning
life-sustaining or death-delaying treatment.
Initialed
______
I
want my life to be prolonged and I want life-sustaining or death-delaying
treatment to be provided or continued unless I am in a coma, including a
persistent vegetative state, which my attending physician believes to be
irreversible, in accordance with reasonable medical standards at the time of
reference. If and when I have suffered such an irreversible coma, I want
life-sustaining or death-delaying treatment to be withheld or
discontinued.
Initialed
______
I
want my life to be prolonged to the greatest extent possible without regard to
my condition, the chances I have for recovery, or the cost of the
procedures.
Initialed
______
THIS
POWER OF ATTORNEY MAY BE AMENDED OR REVOKED BY YOU AT ANY TIME AND IN ANY MANNER
WHILE YOU ARE ABLE TO DO SO. IN THE ABSENCE OF AN AMENDMENT OR REVOCATION, THE
AUTHORITY GRANTED IN THIS POWER OF ATTORNEY WILL BECOME EFFECTIVE AT THE TIME
THIS POWER IS SIGNED AND WILL CONTINUE UNTIL YOUR DEATH AND WILL CONTINUE BEYOND
YOUR DEATH IF ANATOMICAL GIFT, AUTOPSY, OR DISPOSITION OF REMAINS IS AUTHORIZED,
UNLESS A LIMITATION ON THE BEGINNING DATE OR DURATION IS MADE BY INITIALING AND
COMPLETING EITHER OR BOTH OF THE FOLLOWING:
3.
( ) This power of attorney shall become effective on ________________________
(insert a future date or event during your lifetime, such as court determination
of your disability, incapacity, or incompetency, when you want this power to
first take effect).
4.
( ) This power of attorney shall terminate on __________________________
(insert a future date or event, such as court determination of your disability,
incapacity, or incompetency, when you want this power to terminate prior to your
death).
IF
YOU WISH TO NAME SUCCESSOR AGENTS, INSERT THE NAMES AND ADDRESSES OF SUCH
SUCCESSORS IN THE FOLLOWING PARAGRAPH:
5.
If any agent named by me shall die, become legally disabled, incapacitated, or
incompetent, or resign, refuse to act, or be unavailable, I name the following
(each to act successively in the order named) as successors to such
agent:
___________________________________________________________________
___________________________________________________________________
IF
YOU WISH TO NAME A GUARDIAN OF YOUR PERSON IN THE EVENT A COURT DECIDES THAT ONE
SHOULD BE APPOINTED, YOU MAY, BUT ARE NOT REQUIRED TO, DO SO BY INSERTING THE
NAME OF SUCH GUARDIAN IN THE FOLLOWING PARAGRAPH. THE COURT WILL APPOINT THE
PERSON NOMINATED BY YOU IF THE COURT FINDS THAT SUCH APPOINTMENT WILL SERVE YOUR
BEST INTERESTS AND WELFARE. YOU MAY, BUT ARE NOT REQUIRED TO, NOMINATE AS YOUR
GUARDIAN THE SAME PERSON NAMED IN THIS FORM AS YOUR AGENT.
6.
If a guardian of my person is to be appointed, I nominate the following to serve
as such guardian:
(insert name and address of nominated guardian of the person)
7.
I am fully informed as to all the contents of this form and understand the full
import of this grant of powers to my agent.
Signed
_______________________
(Principal)
(Principal)
The
principal has had an opportunity to read the above form and has signed the above
form in our presence. We, the undersigned, each being over 18 years of age,
witness the
principaĺs
signature at the request and in the presence of the principal, and in the
presence of each other, on the day and year above set out.
Witnesses: Addresses:
______________________ _________________________
_________________________
______________________ _________________________
_________________________
______________________ _________________________
_________________________
______________________ _________________________
_________________________
Additional
witness required when health care agency is signed in a hospital or skilled
nursing facility.
I
hereby witness this health care agency and attest that I believe the principal
to be of sound mind and to have made this health care agency willingly and
voluntarily.
Witness:_______________________
Attending Physician
Attending Physician
|
|
Member
of the professional clinic staff or social services worker designated by the
chief of staff and the hospital administrator, if witnessed in a hospital, or
the medical director, any physician on
the
medical staff who is not participating in care of the patient, or social
services worker, if witnessed in a skilled nursing facility.
|
Address:_______________________
_______________________
_______________________
YOU
MAY, BUT ARE NOT REQUIRED TO, REQUEST YOUR AGENT AND SUCCESSOR AGENTS TO PROVIDE
SPECIMEN SIGNATURES BELOW. IF YOU INCLUDE SPECIMEN SIGNATURES IN THIS POWER OF
ATTORNEY, YOU MUST COMPLETE THE CERTIFICATION OPPOSITE THE SIGNATURES OF THE
AGENTS.
I
certify that the
signature of my agent
Specimen signatures of and successor(s) is
agent and successor(s) correct.
________________________ ________________________
(Agent) (Principal)
________________________ ________________________
(Successor agent) (Principal)
________________________ ________________________
(Successor agent) (Principal)'"
signature of my agent
Specimen signatures of and successor(s) is
agent and successor(s) correct.
________________________ ________________________
(Agent) (Principal)
________________________ ________________________
(Successor agent) (Principal)
________________________ ________________________
(Successor agent) (Principal)'"
SECTION
3.
This
Act does not in any way affect or invalidate any health care agency executed or
any act of any agent prior to July 1, 2006.
SECTION
4.
All
laws and parts of laws in conflict with this Act are repealed.
