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S. B. No. 267As IntroducedAs Introduced
| 124th General Assembly | | Regular Session | | 2001-2002 |
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SENATOR Oelslager
A BILL
To amend sections 1337.11 and 1337.17 and to enact
sections 2135.01 to 2135.14 of the Revised
Code to
permit the execution of a Declaration for
Mental
Health Treatment.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:
Section 1. That sections 1337.11 and 1337.17 be amended and
sections 2135.01, 2135.02, 2135.03, 2135.04,
2135.05, 2135.06,
2135.07, 2135.08, 2135.09, 2135.10, 2135.11, 2135.12, 2135.13,
and 2135.14
of the Revised Code be enacted to read as follows:
Sec. 1337.11. As used in sections 1337.11 to 1337.17 of
the
Revised Code: (A) "Adult" means a person who is eighteen years of age or
older. (B) "Attending physician" means the physician to whom a
principal or the family of a principal has assigned primary
responsibility for
the treatment or care of the principal or, if
the responsibility has not been
assigned, the physician
who has
accepted that responsibility. (C) "Comfort care" means any of the following: (1) Nutrition when administered to diminish the pain or
discomfort of a principal, but not to postpone death; (2) Hydration when administered to diminish the pain or
discomfort of a principal, but not to postpone death; (3) Any other medical or nursing procedure, treatment,
intervention, or other measure that is taken to diminish the pain
or discomfort of a principal, but not to postpone death. (D) "Consulting physician" means a physician who, in
conjunction with the attending physician of a principal, makes
one
or more determinations that are required to be made by the
attending physician, or to be made by the attending physician and
one other physician, by an applicable provision of sections
1337.11 to 1337.17 of the Revised Code, to a reasonable degree of
medical certainty and in accordance with reasonable medical
standards. (E) "Guardian" means a person appointed by a probate court
pursuant to Chapter 2111. of the Revised Code to have the care
and
management of the person of an incompetent. (F) "Health care" means any care, treatment, service, or
procedure to maintain, diagnose, or treat an individual's
physical
or mental condition. (G) "Health care decision" means informed consent, refusal
to give informed consent, or withdrawal of informed consent to
health care. (H) "Health care facility" means any of the following: (2) A hospice care program or other institution that
specializes in comfort care of patients in a terminal condition
or
in a permanently unconscious state; (4) A home health agency; (5) An intermediate care facility for the mentally
retarded. (I) "Health care personnel" means physicians, nurses,
physician assistants, emergency medical
technicians-basic,
emergency medical
technicians-intermediate, emergency
medical
technicians-paramedic, medical technicians, dietitians,
other
authorized persons acting under the direction of an
attending
physician, and administrators of health care
facilities. (J) "Home health agency" has the same meaning as in
section
3701.88
5101.61 of the Revised Code. (K) "Hospice care program" has the same meaning as in
section 3712.01 of the Revised Code. (L) "Hospital" has the same meanings as in sections
2108.01,
3701.01, and 5122.01 of the Revised Code. (M) "Hydration" means fluids that are artificially or
technologically administered. (N) "Incompetent" has the same meaning as in section
2111.01
of the Revised Code. (O) "Intermediate care facility for the mentally retarded"
has the same meaning as in section 5111.20 of the Revised Code. (P) "Life-sustaining treatment" means any medical
procedure,
treatment, intervention, or other measure that, when
administered
to a principal, will serve principally to prolong
the process of
dying. (Q) "Medical claim" has the same meaning as in section
2305.11 of the Revised Code. (R) "Nursing home" has the same meaning as in section
3721.01 of the Revised Code. (S) "Nutrition" means sustenance that is artificially or
technologically administered. (T) "Permanently unconscious state" means a state of
permanent unconsciousness in a principal that, to a reasonable
degree of medical certainty as determined in accordance with
reasonable medical standards by the principal's attending
physician and one other physician who has examined the principal,
is characterized by both of the following: (1) Irreversible unawareness of
one's being and
environment. (2) Total loss of cerebral cortical
functioning, resulting
in the principal having no capacity to
experience pain or
suffering. (U) "Person" has the same meaning as in section 1.59 of
the
Revised Code and additionally includes political subdivisions
and
governmental agencies, boards, commissions, departments,
institutions, offices, and other instrumentalities. (V) "Physician" means a person who is authorized under
Chapter 4731. of the Revised Code to practice medicine and surgery
or osteopathic medicine and surgery. (W) "Political subdivision" and "state" have the same
meanings as in section 2744.01 of the Revised Code. (X) "Professional disciplinary action" means action taken
by
the board or other entity that regulates the professional
conduct
of health care personnel, including the state medical
board and
the board of nursing. (Y) "Terminal condition" means an irreversible, incurable,
and untreatable condition caused by disease, illness, or injury
from which, to a reasonable degree of medical certainty as
determined in accordance with reasonable medical standards by a
principal's attending physician and one other physician who has
examined the principal, both of the following apply: (1) There can be no recovery. (2) Death is likely to occur within a relatively short
time
if life-sustaining treatment is not administered. (Z) "Tort action" means a civil action for damages for
injury, death, or loss to person or property, other than a civil
action for damages for a breach of contract or another agreement
between persons.
Sec. 1337.17. A printed form of durable power of attorney
for health care may be sold or otherwise distributed in this
state
for use by adults who are not advised by an attorney. By
use of
such a printed form, a principal may authorize an attorney
in fact
to make health care decisions on the principal's
behalf, but the
printed form shall not be used as an instrument for granting
authority for any other decisions. Any printed form that is sold
or otherwise distributed in this state for the purpose described
in this section shall include the following notice: "Notice to Adult Executing This Document
This is an important legal document. Before executing this
document, you should know these facts: This document gives the person you designate (the attorney
in
fact) the power to make most* health care decisions for you if
you
lose the capacity to make informed health care decisions for
yourself. This power is effective only when your attending
physician determines that you have lost the capacity to make
informed health care decisions for yourself and, notwithstanding
this document, as long as you have the capacity to make informed
health care decisions for yourself, you retain the right to make
all medical and other health care decisions for yourself. You may include specific limitations in this document on
the
authority of the attorney in fact to make health care
decisions
for you. Subject to any specific limitations you include in this
document, if your attending physician determines that you have
lost the capacity to make an informed decision on a health care
matter, the attorney in fact generally* will be authorized by
this
document to make health care decisions for you to the same
extent
as you could make those decisions yourself, if you had the
capacity to do so. The authority of the attorney in fact to make
health care decisions for you generally* will include the
authority to give informed consent, to refuse to give informed
consent, or to withdraw informed consent to any care, treatment,
service, or procedure to maintain, diagnose, or treat a physical
or mental condition. However*, even if the attorney in fact has general
authority
to make health care decisions for you under this
document, the
attorney in fact never* will be authorized to do
any of the
following: (1) Refuse or withdraw informed consent to life-sustaining
treatment (unless your attending physician and one other
physician
who examines you determine, to a reasonable degree of
medical
certainty and in accordance with reasonable medical
standards,
that either of the following applies: (a) You are suffering from an irreversible, incurable, and
untreatable condition caused by disease, illness, or injury from
which (i) there can be no recovery and (ii) your death is likely
to occur within a relatively short time if life-sustaining
treatment is not administered, and your attending physician
additionally determines, to a reasonable degree of medical
certainty and in accordance with reasonable medical standards,
that there is no reasonable possibility that you will regain the
capacity to make informed health care decisions for yourself. (b) You are in a state of permanent unconsciousness that
is
characterized by you being irreversibly unaware of yourself
and
your environment and by a total loss of cerebral cortical
functioning, resulting in you having no capacity to experience
pain or suffering, and your attending physician additionally
determines, to a reasonable degree of medical certainty and in
accordance with reasonable medical standards, that there is no
reasonable possibility that you will regain the capacity to make
informed health care decisions for yourself); (2) Refuse or withdraw informed consent to health care
necessary to provide you with comfort care (except that, if the
attorney in fact is
not prohibited from doing so under (4) below,
the attorney in
fact could refuse or withdraw informed consent to
the provision
of nutrition or hydration to you as described under
(4) below).
(You should understand that comfort care is defined in
Ohio law
to mean artificially or technologically administered
sustenance
(nutrition) or fluids (hydration) when administered to
diminish
your pain or discomfort, not to postpone your death, and
any
other medical or nursing procedure, treatment, intervention,
or
other measure that would be taken to diminish your pain or
discomfort, not to postpone your death. Consequently, if your
attending physician were to determine that a previously described
medical or nursing procedure, treatment, intervention, or other
measure will not or no longer will serve to provide comfort to
you
or alleviate your pain, then, subject to (4) below, your
attorney
in fact would be authorized to refuse or withdraw
informed consent
to the procedure, treatment, intervention, or
other measure.*); (3) Refuse or withdraw informed consent to health care for
you if you are pregnant and if the refusal or withdrawal would
terminate the pregnancy (unless the pregnancy or health care
would
pose a substantial risk to your life, or unless your
attending
physician and at least one other physician who examines
you
determine, to a reasonable degree of medical certainty and in
accordance with reasonable medical standards, that the fetus
would
not be born alive); (4) Refuse or withdraw informed consent to the provision
of
artificially or technologically administered sustenance
(nutrition) or fluids (hydration) to you, unless: (a) You are in a terminal condition or in a permanently
unconscious state. (b) Your attending physician and at least one other
physician who has examined you determine, to a reasonable degree
of medical certainty and in accordance with reasonable medical
standards, that nutrition or hydration will not or no longer will
serve to provide comfort to you or alleviate your pain. (c) If, but only if, you are in a permanently unconscious
state, you authorize the attorney in fact to refuse or withdraw
informed consent to the provision of nutrition or hydration to
you
by doing both of the following in this document: (i) Including a statement in capital letters or other
conspicuous type,
including, but not limited to, a different font,
bigger type, or boldface
type,
that the
attorney in fact may
refuse or withdraw informed consent to the
provision of nutrition
or hydration to you if you are in a
permanently unconscious state
and if the determination that
nutrition or hydration will not or
no longer will serve to
provide comfort to you or alleviate your
pain is made, or
checking or otherwise marking a box or line (if
any) that is
adjacent to a similar statement on this document; (ii) Placing your initials or signature underneath or
adjacent to the statement, check, or other mark previously
described. (d) Your attending physician determines, in good faith,
that
you authorized the attorney in fact to refuse or withdraw
informed
consent to the provision of nutrition or hydration to
you if you
are in a permanently unconscious state by complying
with the
requirements of (4)(c)(i) and (ii) above. (5) Withdraw informed consent to any health care to which
you previously consented, unless a change in your physical
condition has significantly decreased the benefit of that health
care to you, or unless the health care is not, or is no longer,
significantly effective in achieving the purposes for which you
consented to its use. Additionally, when exercising authority to make health
care
decisions for you, the attorney in fact will have to act
consistently with your desires or, if your desires are unknown,
to
act in your best interest. You may express your desires to
the
attorney in fact by including them in this document or by
making
them known to the attorney in fact in another manner. When acting pursuant to this document, the attorney in fact
generally* will have the same rights that you have to receive
information about proposed health care, to review health care
records, and to consent to the disclosure of health care records.
You can limit that right in this document if you so choose. Generally, you may designate any competent adult as the
attorney in fact under this document. However, you cannot*
designate your attending physician or the administrator of any
nursing home in which you are receiving care as the attorney in
fact under this document. Additionally, you cannot* designate an
employee or agent of your attending physician, or an employee or
agent of a health care facility at which you are being treated,
as
the attorney in fact under this document, unless either type
of
employee or agent is a competent adult and related to you by
blood, marriage, or adoption, or unless either type of employee
or
agent is a competent adult and you and the employee or agent
are
members of the same religious order. This document has no expiration date under Ohio law, but
you
may choose to specify a date upon which your durable power of
attorney for health care generally will expire. However, if you
specify an expiration date and then lack the capacity to make
informed health care decisions for yourself on that date, the
document and the power it grants to your attorney in fact will
continue in effect until you regain the capacity to make informed
health care decisions for yourself. You have the right to revoke the designation of the
attorney
in fact and the right to revoke this entire document at
any time
and in any manner. Any such revocation generally will
be
effective when you express your intention to make the
revocation.
However, if you made your attending physician aware
of this
document, any such revocation will be effective only when
you
communicate it to your attending physician, or when a witness
to
the revocation or other health care personnel to whom the
revocation is communicated by such a witness communicate it to
your attending physician. If you execute this document and create a valid durable
power
of attorney for health care with it, it will revoke any
prior,
valid durable power of attorney for health care that you
created,
unless you indicate otherwise in this document. This document is not valid as a durable power of attorney
for
health care unless it is acknowledged before a notary public
or is
signed by at least two adult witnesses who are present when
you
sign or acknowledge your signature. No person who is related
to
you by blood, marriage, or adoption may be a witness. The
attorney in fact, your attending physician, and the administrator
of any nursing home in which you are receiving care also are
ineligible to be witnesses. If there is anything in this document that you do not
understand, you should ask your lawyer to explain it to you." In the preceding notice, the single words, and the two
sentences in the second set of parentheses in paragraph (2),
followed by an asterisk and all of paragraph (4) shall
appear in
the printed form in capital letters or other conspicuous type,
including,
but not limited to, a different font, bigger type, or
boldface type.
Sec. 2135.01. As used in sections 2135.01 to 2135.14 of the
Revised Code: (A) "Adult" means either a person who is eighteen years of
age or older or an emancipated minor. (B) "Attending physician" means the physician to whom a
declarant or the family of a declarant has assigned primary
responsibility for the treatment or care of the declarant or, if
the responsibility has not been assigned, the physician who has
accepted that responsibility.
(C) "Capacity to consent to mental health treatment
decisions" means the ability to understand the material risks and
benefits of the proposed mental health care or treatment, the
ability to reach a decision regarding the mental health care or
treatment, the ability to communicate that decision, and the
absence of any patently false beliefs concerning the nature and
consequences of a decision, including the benefits and risks of
and alternatives to any proposed mental health care. (D)
"Declarant" means an adult who has executed a
declaration
for mental health treatment in accordance with Chapter
2135. of
the Revised Code. (E) "Declaration for mental health treatment" or
"declaration" means a written document declaring preferences or
instructions regarding mental health treatment executed in
accordance with Chapter 2135. of the Revised Code. (F) "Guardian" means a person appointed by a probate court
pursuant to Chapter 2111. of the Revised Code to have the care and
management of the person of an incompetent.
(G) "Health care" means any care, treatment, service, or
procedure to maintain, diagnose, or treat an individual’s physical
condition. (H) "Health care facility" has the same meaning as in
section 1337.11 of the Revised Code.
(I) "Incompetent" has the same meaning as in section
2111.01 of the Revised Code.
(J) "Informed consent" means consent voluntarily given by a
person after a sufficient explanation and disclosure of the
subject matter involved to enable that person to have a general
understanding of the nature, purpose, and goal of the treatment or
procedures, including the substantial risks and hazards inherent
in the proposed treatment or procedures and any alternative
treatment or procedures, and to make a knowing health care
decision without coercion or undue influence.
(K) "Mental health treatment" means any care, treatment,
service, or procedure to maintain, diagnose, or treat an
individual’s mental condition, including, but not limited to,
electroconvulsive or other convulsive treatment, treatment of
mental illness with medication, and admission to and retention in
a health care facility. (L) "Mental health treatment decision" means informed
consent, refusal to give informed consent, or withdrawal of
informed consent to mental health treatment.
(M) "Mental health treatment provider" means physicians,
physician assistants, psychologists, nurses, licensed independent
social workers, licensed professional clinical counselors, other
authorized persons acting under the direction of an attending
physician, and administrators of health care facilities.
(N) "Patently false belief" is a belief for which no
evidence exists and that no rational person would believe.
(O) "Physician" means a person who is authorized under
Chapter 4731. of the Revised Code to practice medicine and surgery
or osteopathic medicine and surgery.
(P) "Professional disciplinary action" means action taken
by the board or other entity that regulates the professional
conduct of health care personnel, including, but not limited to,
the state medical board, board of psychology, and the board of
nursing. (Q) "Proxy" means an adult designated to make mental health
treatment decisions for a declarant under a valid declaration for
mental health treatment.
(R) "Psychiatrist" has the same meaning as in section
5122.01 of the Revised Code.
(S) "Psychologist" has the same meaning as in section
4732.01 of the Revised Code.
(T) "Tort action" means a civil action for damages for
injury, death, or loss to person or property, other than a civil
action for damages for a breach of contract or another agreement
between persons.
Sec. 2135.02. (A) An adult who has the capacity to consent
to mental health treatment decisions voluntarily
may execute at
any time a declaration governing the use or
continuation, or the
withholding or withdrawal, of mental health
treatment. The
declaration shall be signed at the end by the
declarant and each
proxy, state the date of its execution, and either be
witnessed or
be acknowledged in accordance with
section 2135.06 of the Revised
Code. The declaration shall include
a designation by the
declarant of a person to act as a
proxy to make decisions
regarding mental health treatment pursuant
to the declaration. The
declarant may also specifically designate in the declaration an
alternate proxy to act in that role if the original proxy is
unable or unwilling to act at any time. The declaration may
include a specific
authorization for the use or continuation, or
the withholding or
withdrawal, of mental health treatment. (B) A mental health treatment provider shall
continue to
obtain a declarant's informed consent to all mental
health
treatment decisions if the declarant is capable of
providing
informed consent.
Sec. 2135.03. (A) A declaration for mental health treatment
remains valid and may become operative for three years after its
execution unless it is properly revoked. If the declaration
becomes operative, the authority of a proxy named in the
declaration continues in effect as long as the declaration
designating the proxy is in effect or until the proxy has
withdrawn. If a declaration for mental health treatment has
become operative and is in effect at the expiration of three years
after its execution, the declaration remains effective until the
declarant has the capacity to consent to mental health treatment
decisions. If a declaration
for mental health treatment has not
become operative at the
expiration of three years after its
execution, the declaration
expires. (B) A valid declaration may be revoked in accordance with
section 2135.09 of the Revised Code or renewed in accordance with
division (C) of this section, but it may not otherwise be altered
or amended after it has been executed. A properly executed
declaration is not revoked or invalidated by an alteration of or
amendment to the declaration. Any alteration of or amendment to
the declaration is not a part of the declaration.
(C) A declarant may renew a declaration once and extend the
validity of the document for an additional three-year period from
the date of the renewed execution by repeating the procedures set
forth in section 2135.06 of the Revised Code. A declarant shall
not make any changes to either the designation by the declarant of
a proxy or to any authorization for the use or continuation, or
the withholding or withdrawal, of mental health treatment.
Sec. 2135.04. (A) A declaration becomes operative when both
of the following apply: (1) The declaration is communicated to a mental health
treatment provider of the declarant. (2) The attending physician or a psychiatrist and one other
mental health treatment
provider who examine the declarant
determine that
the declarant does not have the capacity to consent
to mental health treatment decisions. (B) A mental health treatment
provider for a declarant shall
make a declaration part of the declarant's medical record and
shall note in that record when the declaration is operative. (C) A mental health treatment provider for a
declarant shall
act in accordance with an operative declaration of
the declarant
consistent with
reasonable medical practice, the availability of
treatments
requested, and applicable law. The mental health
treatment provider shall continue to act in accordance with an
operative declaration until the declarant has the capacity to
consent to mental health treatment decisions. (D) An operative declaration of a declarant
supersedes any
general consent to treatment form signed by the
declarant prior
to, upon, or after the declarant's
admission to a
health care
facility to the extent there is a
conflict between the
declaration
and the form, even if the declarant signs the form after the
execution of the declaration. To the extent that
the provisions
of a declarant's declaration and a general consent to treatment
form signed by the declarant do not conflict, both
documents shall
govern the use or continuation, or the withholding
or withdrawal,
of mental health treatment for the declarant. This
division does
not apply if a declarant revokes a declaration after
the declarant
signs a general consent to treatment form.
Sec. 2135.05. (A) A declaration shall designate an adult to
act as a proxy to make decisions about the mental health treatment
of the declarant. A proxy designated to make decisions about
mental health treatment may make decisions about mental health
treatment on behalf of the declarant only when the declaration has
become operative. The decisions of the proxy regarding the mental
health treatment of the declarant must be consistent with desires
the declarant has expressed in the declaration. (B) The following persons may not serve as a proxy for a
declarant: (1) The declarant's mental health treatment
provider, or an
employee
of the declarant's mental
health treatment
provider; (2) The owner, operator, or employee of a health care
facility in which the declarant is a patient or resident. (C) Divisions (B)(1) and (2) of this section do not apply if
the declarant and proxy are related by blood, marriage, or adoption
or are members of the same religious order.
(D)
A proxy may withdraw from a declaration prior to the
declaration becoming operative by giving notice to the declarant.
If the declaration is operative, the proxy may withdraw by giving
written notice to the declarant's mental health
treatment
provider. The mental health
treatment provider shall note the
withdrawal of the proxy as part
of the declarant's medical record.
Sec. 2135.06. (A) A declaration for mental health treatment
is valid only if it is signed by the declarant and each proxy,
states the date
of
its execution, and is either witnessed by two
adults or
acknowledged before a notary public. (B) If witnessed for purposes of this section, a declaration
shall be witnessed by two individuals as described in this
division in whose presence the declarant and each proxy signs the
declaration. Each witness shall
subscribe the witness' signature
after the signature of the
declarant
and, by doing so, attest to
the witness' belief that the declarant
appears to have the
capacity to consent to mental health treatment decisions and is
not under duress or undue
influence or subject to fraud. The
signatures of the declarant and each proxy under this
section and
of the witnesses under this division are not required
to appear on
the same page of the declaration. (C) If acknowledged for purposes of this section, a
declaration shall be acknowledged before a notary public, who
shall make the certification described in section 147.53 of the
Revised Code and also shall attest that the declarant appears to
have the capacity to consent to mental health treatment decisions
and is not under duress or undue influence or
subject to fraud. (D) The following may not serve as a witness to the signing
of a declarant's declaration: (1) The declarant's mental health
treatment provider or a
relative or employee of the declarant's
mental health treatment
provider; (2) The owner, the operator, or a relative or employee of an
owner or operator
of a health care facility in which the declarant
is a patient or
resident; (3) A person related to the declarant by blood, marriage, or
adoption; (4) A person named as a proxy in the declarant's declaration.
Sec. 2135.07. (A) If a mental health treatment
provider or
health care facility of a declarant is unwilling at any time to
comply with
the declarant’s declaration, the mental health
treatment provider or health care facility shall promptly notify
the declarant and the
proxy and document the notification in the
declarant's medical
record. The mental health treatment provider
or health care facility that is unwilling to comply with the
declarant’s declaration shall not prevent or attempt to prevent,
or unreasonably delay or attempt to unreasonably delay, the
transfer of the declarant to the care of a mental health treatment
provider or a health care facility that is willing and able to
comply or allow compliance with the declarant's declaration. (B) The mental health treatment provider of a
declarant may
subject the declarant to treatment in a manner
contrary to the
declarant's expressed wishes only if either of the
following
apply: (1) The declarant has been committed as a patient under
Chapter 2945. or 5122. of the Revised Code, and, if the court
knows of the declaration, the committing court acknowledges the
existence of the declaration and specifically orders
treatment in
a manner contrary to the declaration. (2) An emergency situation endangers the life or health of
the declarant or others.
Sec. 2135.08. (A) The proxy under a declaration is not, as a
result of acting in that capacity, personally liable for the cost
of treatment provided to the declarant. Except to the extent the
right is limited by the declaration or any federal law, a proxy
has the same right as the declarant to receive information
regarding the proposed mental health treatment of the declarant
and to receive, review, and consent to disclosure of the
declarant's medical records relating to that treatment. This
right of access does not waive any evidentiary privilege. (B) In exercising authority under a declaration, the proxy
has a duty to act consistently with the desires of the declarant
as expressed in the declaration. If the declarant's desires are
not expressed in the declaration, the proxy has a duty to act in
what the proxy in good faith believes to be the best interests of
the declarant. (C) A proxy is not subject to criminal prosecution, tort or
other civil liability for injury, death, or loss to person or
property, or professional disciplinary action for an action taken
in good faith under a declaration for mental health treatment.
Sec. 2135.09. (A) A declarant may revoke a declaration at any
time the declarant has the capacity to consent to mental health
treatment decisions. Any revocation of a declaration by a
declarant shall be in writing, signed by the declarant, and dated.
The revocation shall be effective upon its
communication to the
mental health
treatment provider of the declarant. If the
declaration is operative, then the declarant may revoke the
declaration after the attending physician or a psychiatrist and
one other mental health treatment provider who examine the
declarant determine that the declarant has the capacity to consent
to mental health treatment decisions. (B) Upon the declarant's revocation of a declaration, the
mental health treatment provider shall make the revocation a part
of the declarant's medical record. (C) A valid declaration for mental health treatment revokes a
prior, valid declaration for mental health treatment. (D) The probate judge of the county in which the declarant is
located may revoke a declaration if the judge appoints a guardian
for the declarant and specifically orders the revocation of the
declaration.
Sec. 2135.10. A mental health treatment provider
of a
declarant who administers or does not administer mental
health
treatment according to and in good faith reliance upon the
validity of the declarant's declaration is not subject to criminal
prosecution, is not liable in tort or other civil damages for
injury, death, or loss to person or property, and is not subject
to professional disciplinary action resulting from a subsequent
finding of a declaration's invalidity.
Sec. 2135.11. No person shall require an individual to
execute or to refrain from executing a declaration as a criterion
for insurance, as a condition for receiving mental health
treatment or health care, or as a condition of admission or
discharge from a health care facility.
Sec. 2135.12. (A) A declaration executed in accordance with
Chapter 2135. of the Revised Code shall not supercede a valid
declaration governing the use or continuation, or the withholding
or withdrawal, of life-sustaining treatment executed under Chapter
2133. of the Revised Code. (B) A declaration executed in accordance with this chapter
shall supercede the designation of an attorney in fact made in a
valid health care power of attorney under Chapter 1337. of the
Revised Code with respect to the mental health treatment of the
declarant. The designation of an attorney in fact in a valid
health care power of attorney under Chapter 1337. of the Revised
Code shall remain effective in all other respects.
Sec. 2135.13.
A person who opposes any decision rising
under this chapter may make an application opposing the decision
to the probate division of the court of common pleas of the county
in which the declarant is located or in which the declaration was
either witnessed or acknowledged as described in this chapter.
Sec. 2135.14. A printed form of a declaration may be sold or
otherwise distributed in this state for use by adults who are not
advised by an attorney. By use of a printed form of that nature, a
declarant may consent or refuse to consent to mental health
treatment and shall designate a proxy to make mental health
treatment decisions in accordance with this chapter. The printed
form shall not be used as an instrument for granting any other
type of authority or for making any other type of designation,
including those declarations that may be made under Chapter 2133.
of the Revised Code or designations made under Chapter 1337. of
the Revised Code.
Section 2. That existing section 1337.11 and 1337.17 of the
Revised Code are hereby repealed.
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