WEST virginia
legislature
2017 regular session
By
[
to the Committee on the Judiciary.
A BILL to amend and
reenact §16-30-6 of the Code of West
Virginia, 1931, as amended, relating to authorizing a medical power of attorney
representative to sign a binding arbitration agreement with an extended care
facility operated in conjunction with a hospital, an assisted living facility,
a nursing home or their related entities and employees on behalf of an
incapacitated person unless the representative’s authority is clearly limited.
Be it enacted by the
Legislature of West Virginia:
That §16-30-6 of the Code of West Virginia, 1931, as amended,
be amended and reenacted to read as follows:
ARTICLE 30. WEST
VIRGINIA HEALTH CARE DECISIONS ACT.
§16-30-6. Private
decision-making process; authority of living will, medical power of attorney
representative and surrogate.
(a) Any capable adult may
make his or her own health care decisions without regard to guidelines
contained in this article.
(b) Health care providers
and health care facilities may rely upon health care decisions made on behalf
of an incapacitated person without resort to the courts or legal process, if
the decisions are made in accordance with the provisions of this article.
(c) The medical power of
attorney representative or surrogate shall have the authority to release or
authorize the release of an incapacitated person's medical records to third
parties and make any and all health care decisions on behalf of an
incapacitated person, except to the extent that a medical power of attorney
representative's authority is clearly limited in the medical power of attorney.
(d) For any medical
power of attorney executed after the date of the reenactment of this section
during the 2017 session of the Legislature, the medical power of attorney
representative has the authority to sign binding arbitration agreements with extended
care facilities operated in conjunction with hospitals, assisted living facilities,
and nursing homes and their related entities and employees, except to the
extent that a medical power of attorney representative’s authority to make such
agreement is specifically precluded by the medical power of attorney. If the
incapacitated person regains capacity, he or she may prospectively revoke the
arbitration agreement made by his or her medical power of attorney
representative by delivering a signed notice of revocation to the affected
nursing home, assisted living facility, or extended care facility operated in
conjunction with a hospital.
(d) (e) The medical power of attorney
representative or surrogate's authority shall commence upon a determination,
made pursuant to section seven of this article, of the incapacity of the adult.
In the event the person no longer is incapacitated or the medical power of
attorney representative or surrogate is unwilling or unable to serve, the medical
power of attorney representative or surrogate's authority shall cease. However,
the authority of the medical power of attorney representative or surrogate may
recommence if the person subsequently becomes incapacitated as determined
pursuant to section seven of this article unless during the intervening period
of capacity the person executes an advance directive which makes a surrogate
unnecessary or expressly rejects the previously appointed surrogate as his or
her surrogate. A medical power of attorney representative or surrogate's
authority terminates upon the death of the incapacitated person except with
respect to decisions regarding autopsy, funeral arrangements or cremation and
organ and tissue donation: Provided, That the medical power of attorney
representative or surrogate has no authority after the death of the
incapacitated person to invalidate or revoke a preneed funeral contract
executed by the incapacitated person in accordance with the provisions of
article fourteen, chapter forty-seven of this code prior to the onset of the
incapacity and either paid in full before the death of the incapacitated person
or collectible from the proceeds of a life insurance policy specifically
designated for that purpose.
(e) (f) The medical power of attorney representative
or surrogate shall seek medical information necessary to make health care
decisions for an incapacitated person. For the sole purpose of making health
care decisions for the incapacitated person, the medical power of attorney
representative or surrogate shall have the same right of access to the
incapacitated person's medical information and the same right to discuss that
information with the incapacitated person's health care providers that the
incapacitated person would have if he or she was not incapacitated.
(f) (g) If an incapacitated person previously
expressed his or her wishes regarding autopsy, funeral arrangements or
cremation, organ or tissue donation or the desire to make an anatomical gift by
a written directive such as a living will, medical power of attorney, donor
card, driver's
license or other means, the medical power of attorney representative or
surrogate shall follow the person's expressed wishes regarding autopsy, funeral
arrangements or cremation, organ and tissue donation or anatomical gift. In the
absence of any written directives, any decision regarding anatomical gifts
shall be made pursuant to the provisions of article nineteen of this chapter.
(g) (h) If a person is incapacitated at the time
of the decision to withhold or withdraw life-prolonging intervention, the
person's living will or medical power of attorney executed in accordance with
section four of this article is presumed to be valid. For the purposes of this
article, a physician or health facility may presume in the absence of actual
notice to the contrary that a person who executed a living will or medical
power of attorney was a competent adult when it was executed. The fact that a
person executed a living will or medical power of attorney is not an indication
of the person's mental incapacity.
NOTE: The purpose of this bill is
to authorize a medical power of attorney representative to sign a binding
arbitration agreement with an extended care facility operated in conjunction
with a hospital, an assisted living facility, or a nursing home and their
related entities and employees.
Strike-throughs indicate language
that would be stricken from a heading or the present law and underscoring indicates
new language that would be added.