Proyectos de ley › 90.ª Asamblea General
Relating to end-of-life care under guardianships of adults
Presentado por el comité Judiciary de la Cámara
Temas:Courts & civil lawHealth careFamilies & human services
La misma legislación: HSB 660
Dónde está ahora
- Hecho: Presentado6 de febrero de 2024
- Hecho: Subcomité6 de febrero de 2024
- Hecho: Comité de la Cámara14 de febrero de 2024
- Se detuvo: Lo aprueba la CámaraMurió al terminar la Asamblea General
- Sigue: Comité del Senado
- Sigue: Lo aprueba el Senado
- Sigue: A gobernador(a)
- Sigue: Firmado como ley
Murió al terminar la sesión La sesión de 2024 terminó el 19 de abril de 2024, la última sesión ordinaria de la Asamblea General. Los proyectos que no pasaron por ambas cámaras murieron. ¿Qué es el embudo (funnel)?
Qué contiene
Resumen con IA Guardians who look after adults would gain the power to make end-of-life medical decisions, such as choosing hospice care or deciding on life-sustaining treatments. Before making these choices, a guardian must talk to the person they are helping or, if that is not possible, to the person's family and close friends. Unless the person is terminally ill, a guardian must also get permission from a judge before they can stop life-sustaining medical procedures or allow anything that ends a person's life. (Todavía no está traducido al español.)1
Lea la explicación oficial (en inglés)
This bill relates to end-of-life care decisions under guardianships of adults. Under current law, a court may grant a guardian the ability to make decisions regarding the care, maintenance, health, education, welfare, and safety of the protected person except as otherwise limited by the court, which the guardian may exercise thereafter without prior court approval. The bill provides that this includes end-of-life care decisions (hospice, palliative care, and life-sustaining interventions, and the power to execute, reaffirm, or revoke a do-not-resuscitate or do-not-intubate order). A guardian is only able to make an end-of-life care decision if the guardian has consulted with the protected person not more than days before executing the end-of-life care decision and consulted with the protected person’s attending physician. However, if the protected person is not able to have a meaningful conversation about end-of-life care decisions, a guardian may instead consult with family members and other significant others of the protected person not more than days before executing the end-of-life decision. The bill provides that except for cases in which the protected person’s diagnosis is a terminal illness with life expectancy of six months or less, a guardian may not authorize the withdrawal of life-sustaining procedures or authorize any medicine or procedure that terminates the protected person’s life without first obtaining a court order authorizing such action.
Por qué importa. Guardians of adults would gain the authority to make end-of-life care decisions, such as choosing hospice or palliative care, after consulting with the protected person or their family and attending physician. Unless the person has a terminal illness with a life expectancy of six months or less, guardians must obtain a court order before withdrawing life-sustaining procedures or authorizing actions that terminate a person's life. The Department of Health and Human Services would see an estimated cost increase of approximately $129,000 per year. (Todavía no está traducido al español.)2
House subcommittee
Named February 6, 2024 (as HSB 660). On February 7, 2024 it recommended passage. Vote Total: 2-1.
Three legislators hear a bill first and recommend what the committee should do; it’s the best time to weigh in. How to take part
1 comentario público por escrito a su subcomité: 7 de febrero de 2024 (1) · en el sitio de la Legislatura
Nota fiscal
Cost: up to $129,000 Compare con otros proyectos
Resumen con IA This bill specifies that court-ordered guardians have the authority to make end-of-life care decisions for the adults they protect. It is estimated to increase costs to the Department of Health and Human Services by approximately $129,000 per year. (en inglés)4
Lea la nota fiscal (en inglés)
Description
House File 2577 relates to end-of-life care under guardianships of adults by specifying what is included as a decision regarding a protected person’s health, including end-of-life decisions, for court-ordered guardians.
Background
Established in Iowa Code chapter 231E, the Office of Public Guardian (OPG) may act as an individual’s guardian, conservator, or representative payee. Under current law, a court may grant a guardian the ability to make decisions regarding the care, maintenance, health, education, welfare, and safety of the protected person except as otherwise limited by the court, which the guardian may exercise thereafter without prior court approval.
Assumptions
- The OPG anticipates increased costs of approximately $25 per client, per month, for between 110 and 220 existing clients resulting in an annual cost increase between $33,000 and $66,000. These fees are paid to the OPG by the Department of Health and Human Services (HHS).
- The OPG anticipates an additional one to two applications for public guardianship services per month with an average case opening fee of $2,500 and continuing costs of $350 per month for an estimated annual cost increase between $53,000 and $106,000.
- The OPG anticipates increased call volumes to Adult Protective Services, the expense of which is expected to be absorbed within current operating expenses.
Fiscal Impact
The total fiscal impact of HF 2577 would be approximately $129,000 per year in increased case costs to the HHS.
Sources
- Department of Health and Human Services
- Legislative Services Agency
- Guardianships, Hospice and End-of-Life Care and Decisions · 6 de marzo de 2024 · $129,000
Lo que cambia del Código de Iowa (Iowa Code)
Modifica§633.635
Cabildeo
3 a favor · 1 en contra · 8 indecisos · Quiénes →
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Study bill
90th General Assembly