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Old 07-21-2009, 08:13 AM   #10 (permalink)
Hektore
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Location: Greater Harrisburg Area
Quote:
Originally Posted by Cynthetiq View Post
I'm trying to find a copy of the actual bill and cannot locate it since this radio addresses page 425. I'd like to read it myself.
http://frwebgate.access.gpo.gov/cgi-...111_cong_bills

Beware: This is the full text of the bill weighing in at a whopping one thousand seventeen pages in pdf form

Quote:
Originally Posted by Bill pages 424-426
424
1 ‘‘form and manner’’; and
2 (3) in subsection (h)(4)(E), by striking ‘‘lesser’’
3 and inserting ‘‘greater’’.
4 SEC. 1233. ADVANCE CARE PLANNING CONSULTATION.
5 (a) MEDICARE.—
6 (1) IN GENERAL.—Section 1861 of the Social
7 Security Act (42 U.S.C. 1395x) is amended—
8 (A) in subsection (s)(2)—
9 (i) by striking ‘‘and’’ at the end of
10 subparagraph (DD);
11 (ii) by adding ‘‘and’’ at the end of
12 subparagraph (EE); and
13 (iii) by adding at the end the fol-
14 lowing new subparagraph:
15 ‘‘(FF) advance care planning consultation (as
16 defined in subsection (hhh)(1));’’; and
17 (B) by adding at the end the following new
18 subsection:
19 ‘‘Advance Care Planning Consultation
20 ‘‘(hhh)(1) Subject to paragraphs (3) and (4), the
21 term ‘advance care planning consultation’ means a con-
22 sultation between the individual and a practitioner de-
23 scribed in paragraph (2) regarding advance care planning,
24 if, subject to paragraph (3), the individual involved has

425
not had such a consultation within the last 5 years. Such
1 consultation shall include the following:
2 ‘‘(A) An explanation by the practitioner of ad-
3 vance care planning, including key questions and
4 considerations, important steps, and suggested peo-
5 ple to talk to.
6 ‘‘(B) An explanation by the practitioner of ad-
7 vance directives, including living wills and durable
8 powers of attorney, and their uses.
9 ‘‘(C) An explanation by the practitioner of the
10 role and responsibilities of a health care proxy.
11 ‘‘(D) The provision by the practitioner of a list
12 of national and State-specific resources to assist con-
13 sumers and their families with advance care plan-
14 ning, including the national toll-free hotline, the ad-
15 vance care planning clearinghouses, and State legal
16 service organizations (including those funded
17 through the Older Americans Act of 1965).
18 ‘‘(E) An explanation by the practitioner of the
19 continuum of end-of-life services and supports avail-
20 able, including palliative care and hospice, and bene-
21 fits for such services and supports that are available
22 under this title.

426
‘‘(F)(i) Subject to clause (ii), an explanation of
1 orders regarding life sustaining treatment or similar
2 orders, which shall include—
3 ‘‘(I) the reasons why the development of
4 such an order is beneficial to the individual and
5 the individual’s family and the reasons why
6 such an order should be updated periodically as
7 the health of the individual changes;
8 ‘‘(II) the information needed for an indi-
9 vidual or legal surrogate to make informed deci-
10 sions regarding the completion of such an
11 order; and
12 ‘‘(III) the identification of resources that
13 an individual may use to determine the require-
14 ments of the State in which such individual re-
15 sides so that the treatment wishes of that indi-
16 vidual will be carried out if the individual is un-
17 able to communicate those wishes, including re-
18 quirements regarding the designation of a sur-
19 rogate decisionmaker (also known as a health
20 care proxy).
21 ‘‘(ii) The Secretary shall limit the requirement
22 for explanations under clause (i) to consultations
23 furnished in a State—
/beaten to it
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