Assembly Bill No. 73–Assemblywoman Segerblom

Prefiled January 28, 1999

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Referred to Committee on Health and Human Services

 

SUMMARY—Revises provisions governing withholding of life-resuscitating treatment pursuant to do-not-resuscitate order. (BDR 40-205)

FISCAL NOTE: Effect on Local Government: No.

Effect on the State or on Industrial Insurance: No.

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EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted. Green numbers along left margin indicate location on the printed bill (e.g., 5-15 indicates page 5, line 15).

 

AN ACT relating to emergency medical services; revising provisions governing the withholding of life-resuscitating treatment pursuant to a do-not-resuscitate order; and providing other matters properly relating thereto.

 

THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:

1-1 Section 1. NRS 450B.430 is hereby amended to read as follows:

1-2 450B.430 "Do-not-resuscitate protocol" means the standardized

1-3 procedure and guidelines established by the [health authority] board for the

1-4 withholding of emergency life-resuscitating treatment in compliance with a

1-5 do-not-resuscitate order or a do-not-resuscitate identification.

1-6 Sec. 2. NRS 450B.490 is hereby amended to read as follows:

1-7 450B.490 1. The [health authority] board shall adopt regulations to

1-8 carry out the provisions of NRS 450B.400 to 450B.590, inclusive. The

1-9 regulations must establish:

1-10 (a) A do-not-resuscitate protocol [.] ; and

1-11 (b) The procedure to apply for a do-not-resuscitate identification.

1-12 [(c) The price to obtain]

1-13 2. The board may establish a fee for a do-not-resuscitate identification

1-14 [. The price must] to be collected by the health authority. The fee may not

1-15 exceed the actual cost to the health authority [in manufacturing] of:

1-16 (a) Manufacturing or obtaining the identification from a manufacturer,

1-17 including the cost of shipping and handling [.

1-18 2.] ; and

1-19 (b) Engraving the identification.

2-1 3. In the case of a county or district board of health, such regulations

2-2 take effect immediately upon approval by the state board of health.

2-3 Sec. 3. NRS 450B.520 is hereby amended to read as follows:

2-4 450B.520 1. A qualified patient may apply to the health authority for

2-5 a do-not-resuscitate identification by submitting an application on a form

2-6 provided by the health authority. To obtain a do-not-resuscitate

2-7 identification, the patient must comply with the requirements prescribed by

2-8 the [health authority] board and sign a form which states that he has

2-9 informed each member of his family within the first degree of

2-10 consanguinity or affinity, whose whereabouts are known to him, or if no

2-11 such members are living, his legal guardian, if any, or if he has no such

2-12 members living and has no legal guardian, his caretaker, if any, of his

2-13 decision to apply for an identification.

2-14 2. An application must include, without limitation:

2-15 (a) Certification by the patient’s attending physician that the patient

2-16 suffers from a terminal condition;

2-17 (b) Certification by the patient’s attending physician that the patient:

2-18 (1) Is capable of making an informed decision; or

2-19 (2) When he was capable of making an informed decision, executed:

2-20 (I) A written directive that life-resuscitating treatment be withheld

2-21 under certain circumstances; or

2-22 (II) A durable power of attorney for health care pursuant to NRS

2-23 449.800 to 449.860, inclusive;

2-24 (c) A statement that the patient does not wish that life-resuscitating

2-25 treatment be undertaken in the event of a cardiac or respiratory arrest;

2-26 (d) The name, signature and telephone number of the patient’s attending

2-27 physician; and

2-28 (e) The name and signature of the patient or the attorney in fact who is

2-29 authorized to make health care decisions on the patient’s behalf pursuant to

2-30 a durable power of attorney for health care.

2-31 Sec. 4. This act becomes effective upon passage and approval.

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