As Passed by the House                        1            

122nd General Assembly                                             4            

   Regular Session                        Am. Sub. H. B. No. 354   5            

      1997-1998                                                    6            


REPRESENTATIVES TERWILLEGER-CORBIN-GARCIA-PRINGLE-THOMAS-VESPER-   8            

   TAYLOR-BRADING-OLMAN-SCHURING-VAN VYVEN-LEWIS-REID-SAWYER-      9            

  BENDER-OPFER-PRENTISS-VERICH-COLONNA-MEAD-MILLER-O'BRIEN-OGG-    10           

    SCHULER-WILSON-DAMSCHRODER-LAWRENCE-TAVARES-GRENDELL-PERZ      11           


                                                                   13           

                           A   B I L L                                          

             To amend sections 1337.12, 2133.01, 2133.02,          15           

                2133.03, 2133.07, 2133.10, 2133.12, 2133.13,       16           

                2133.14, 2133.15, 4506.07, 4507.06, and 4507.51    17           

                and to enact sections 2133.21,  2133.211, and      18           

                2133.22 to 2133.26 of the Revised Code and to      19           

                amend Section 3 of Am. Sub. S.B. 1  of the 119th   20           

                General Assembly relative to "do not resuscitate"  21           

                identifications, orders, and protocols.            22           




BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:        24           

      Section 1.  That sections 1337.12, 2133.01, 2133.02,         26           

2133.03, 2133.07, 2133.10, 2133.12, 2133.13, 2133.14, 2133.15,     27           

4506.07, 4507.06, and 4507.51 be amended and sections 2133.21,     28           

2133.211, 2133.22, 2133.23, 2133.24, 2133.25, and 2133.26 of the   29           

Revised Code be enacted to read as follows:                        30           

      Sec. 1337.12.  (A)(1)  An adult who is of sound mind         39           

voluntarily may create a valid durable power of attorney for       40           

health care by executing a durable power of attorney, in           41           

accordance with division (B) of section 1337.09 of the Revised     42           

Code, that authorizes an attorney in fact as described in          43           

division (A)(2) of this section to make health care decisions for  44           

the principal at any time that the attending physician of the      45           

principal determines that he THE PRINCIPAL has lost the capacity   46           

to make informed health care decisions for himself THE PRINCIPAL.  48           

                                                          2      

                                                                 
Except as otherwise provided in divisions (B) to (F) of section    51           

1337.13 of the Revised Code, the authorization may include the     52           

right to give informed consent, to refuse to give informed         53           

consent, or to withdraw informed consent, to any health care that  54           

is being or could be provided to the principal.  Additionally, to  55           

be valid, a durable power of attorney for health care shall        56           

satisfy both of the following:                                     57           

      (a)  It shall be signed by the principal and state the date  59           

of its execution.                                                  60           

      (b)  It shall be witnessed in accordance with division (B)   62           

of this section or be acknowledged by the principal in accordance  63           

with division (C) of this section.                                 64           

      (2)  Except as otherwise provided in this division, a        66           

durable power of attorney for health care may designate any        67           

competent adult as the attorney in fact.  The attending physician  68           

of the principal and an administrator of any nursing home in       69           

which the principal is receiving care shall not be designated as   70           

an attorney in fact in, or act as an attorney in fact pursuant     71           

to, a durable power of attorney for health care.  An employee or   72           

agent of the attending physician of the principal and an employee  73           

or agent of any health care facility in which the principal is     74           

being treated shall not be designated as an attorney in fact in,   75           

or act as an attorney in fact pursuant to, a durable power of      76           

attorney for health care, except that these limitations do not     77           

preclude a principal from designating either type of employee or   78           

agent as his THE PRINCIPAL'S attorney in fact if the individual    79           

is a competent adult and related to the principal by blood,        81           

marriage, or adoption, or if the individual is a competent adult   82           

and the principal and the individual are members of the same       83           

religious order.                                                   84           

      (3)  A durable power of attorney for health care shall not   86           

expire, unless the principal specifies an expiration date in the   87           

instrument.  However, when a durable power of attorney contains    88           

an expiration date, if the principal lacks the capacity to make    89           

                                                          3      

                                                                 
informed health care decisions for himself THE PRINCIPAL on the    90           

expiration date, the instrument shall continue in effect until     92           

the principal regains the capacity to make informed health care    93           

decisions for himself THE PRINCIPAL.                               94           

      (B)  If witnessed for purposes of division (A)(1)(b) of      96           

this section, a durable power of attorney for health care shall    97           

be witnessed by at least two individuals who are adults and who    98           

are not ineligible to be witnesses under this division.  Any       99           

person who is related to the principal by blood, marriage, or      100          

adoption, any person who is designated as the attorney in fact in  101          

the instrument, the attending physician of the principal, and the  102          

administrator of any nursing home in which the principal is        103          

receiving care are ineligible to be witnesses.                     104          

      The witnessing of a durable power of attorney for health     106          

care shall involve the principal signing, or acknowledging his     107          

THE PRINCIPAL'S signature on, the instrument in the presence of    108          

each witness.  Then, each witness shall subscribe his THE          109          

WITNESS'S signature on the durable power of attorney for health    111          

care and, by doing so, attest to his THE WITNESS'S belief that     112          

the principal appears to be of sound mind and not under or         113          

subject to duress, fraud, or undue influence.                                   

      (C)  If acknowledged for purposes of division (A)(1)(b) of   115          

this section, a durable power of attorney for health care shall    116          

be acknowledged before a notary public, who shall make the         117          

certification described in section 147.53 of the Revised Code and  118          

also shall attest that the principal appears to be of sound mind   119          

and not under or subject to duress, fraud, or undue influence.     120          

      (D)(1)  IF A PRINCIPAL HAS BOTH A VALID DURABLE POWER OF     123          

ATTORNEY FOR HEALTH CARE AND A VALID DECLARATION, DIVISION (B) OF  124          

SECTION 2133.03 OF THE REVISED CODE APPLIES.  IF A PRINCIPAL HAS   127          

BOTH A VALID DURABLE POWER OF ATTORNEY FOR HEALTH CARE AND A DNR   128          

IDENTIFICATION THAT IS BASED UPON A VALID DECLARATION AND IF THE   129          

DECLARATION SUPERSEDES THE DURABLE POWER OF ATTORNEY FOR HEALTH    130          

CARE UNDER DIVISION (B) OF SECTION 2133.03 OF THE REVISED CODE,    133          

                                                          4      

                                                                 
THE DNR IDENTIFICATION SUPERSEDES THE DURABLE POWER OF ATTORNEY    135          

FOR HEALTH CARE TO THE EXTENT OF ANY CONFLICT BETWEEN THE TWO.  A  136          

VALID DURABLE POWER OF ATTORNEY FOR HEALTH CARE SUPERSEDES ANY     137          

DNR IDENTIFICATION THAT IS BASED UPON A DO-NOT-RESUSCITATE ORDER   138          

THAT A PHYSICIAN ISSUED FOR THE PRINCIPAL WHICH IS INCONSISTENT    140          

WITH THE DURABLE POWER OF ATTORNEY FOR HEALTH CARE OR A VALID      141          

DECISION BY THE ATTORNEY IN FACT UNDER A DURABLE POWER OF                       

ATTORNEY.                                                          142          

      (2)  AS USED IN DIVISION (D) OF THIS SECTION:                144          

      (a)  "DECLARATION" HAS THE SAME MEANING AS IN SECTION        146          

2133.01 OF THE REVISED CODE.                                       147          

      (b)  "DO-NOT-RESUSCITATE ORDER" AND "DNR IDENTIFICATION"     149          

HAVE THE SAME MEANINGS AS IN SECTION 2133.21 OF THE REVISED CODE.  150          

      Sec. 2133.01.  Unless the context otherwise requires, as     159          

used in this chapter SECTIONS 2133.01 TO 2133.15 OF THE REVISED    160          

CODE:                                                                           

      (A)  "Adult" means an individual who is eighteen years of    162          

age or older.                                                      163          

      (B)  "Attending physician" means the physician to whom a     165          

declarant or other patient, or the family of a declarant or other  166          

patient, has assigned primary responsibility for the treatment or  167          

care of the declarant or other patient, or, if the responsibility  168          

has not been assigned, the physician who has accepted that         169          

responsibility.                                                                 

      (C)  "Comfort care" means any of the following:              171          

      (1)  Nutrition when administered to diminish the pain or     173          

discomfort of a declarant or other patient, but not to postpone    174          

THE DECLARANT'S OR OTHER PATIENT'S death;                          175          

      (2)  Hydration when administered to diminish the pain or     177          

discomfort of a declarant or other patient, but not to postpone    178          

THE DECLARANT'S OR OTHER PATIENT'S death;                          179          

      (3)  Any other medical or nursing procedure, treatment,      181          

intervention, or other measure that is taken to diminish the pain  182          

or discomfort of a declarant or other patient, but not to          183          

                                                          5      

                                                                 
postpone THE DECLARANT'S OR OTHER PATIENT'S death.                 184          

      (D)  "Consulting physician" means a physician who, in        186          

conjunction with the attending physician of a declarant or other   187          

patient, makes one or more determinations that are required to be  188          

made by the attending physician, or to be made by the attending    189          

physician and one other physician, by an applicable provision of   190          

this chapter, to a reasonable degree of medical certainty and in   191          

accordance with reasonable medical standards.                      192          

      (E)  "Declarant" means any adult who has executed a          194          

declaration in accordance with section 2133.02 of the Revised      195          

Code.                                                              196          

      (F)  "Declaration" means a written document executed in      198          

accordance with section 2133.02 of the Revised Code.               199          

      (G)  "Durable power of attorney for health care" means a     201          

document created pursuant to sections 1337.11 to 1337.17 of the    202          

Revised Code.                                                      203          

      (H)  "Guardian" means a person appointed by a probate court  205          

pursuant to Chapter 2111. of the Revised Code to have the care     206          

and management of the person of an incompetent.                    207          

      (I)  "Health care facility" means any of the following:      209          

      (1)  A hospital;                                             211          

      (2)  A hospice care program or other institution that        213          

specializes in comfort care of patients in a terminal condition    214          

or in a permanently unconscious state;                             215          

      (3)  A nursing home OR RESIDENTIAL CARE FACILITY, AS         217          

DEFINED IN SECTION 3721.01 OF THE REVISED CODE;                    218          

      (4)  A home health agency AND ANY RESIDENTIAL FACILITY       220          

WHERE A PERSON IS RECEIVING CARE UNDER THE DIRECTION OF A HOME     221          

HEALTH AGENCY;                                                                  

      (5)  An intermediate care facility for the mentally          223          

retarded.                                                          224          

      (J)  "Health care personnel" means physicians, nurses,       226          

physician assistants, emergency medical technicians-basic,         228          

emergency medical technicians-intermediate, emergency medical      229          

                                                          6      

                                                                 
technicians-paramedic, medical technicians, dietitians, other      230          

authorized persons acting under the direction of an attending      231          

physician, and administrators of health care facilities.                        

      (K)  "Home health agency" has the same meaning as in         233          

section 3701.88 of the Revised Code.                               234          

      (L)  "Hospice care program" has the same meaning as in       236          

section 3712.01 of the Revised Code.                               237          

      (M)  "Hospital" has the same meanings as in sections         239          

2108.01, 3701.01, and 5122.01 of the Revised Code.                 240          

      (N)  "Hydration" means fluids that are artificially or       242          

technologically administered.                                      243          

      (O)  "Incompetent" has the same meaning as in section        245          

2111.01 of the Revised Code.                                       246          

      (P)  "Intermediate care facility for the mentally retarded"  248          

has the same meaning as in section 5111.20 of the Revised Code.    249          

      (Q)  "Life-sustaining treatment" means any medical           251          

procedure, treatment, intervention, or other measure that, when    252          

administered to a qualified patient or other patient, will serve   253          

principally to prolong the process of dying.                       254          

      (R)  "Nurse" means a person who is licensed to practice      256          

nursing as a registered nurse or to practice practical nursing as  257          

a licensed practical nurse pursuant to Chapter 4723. of the        258          

Revised Code.                                                      259          

      (S)  "Nursing home" has the same meaning as in section       261          

3721.01 of the Revised Code.                                       262          

      (T)  "Nutrition" means sustenance that is artificially or    264          

technologically administered.                                      265          

      (U)  "Permanently unconscious state" means a state of        267          

permanent unconsciousness in a declarant or other patient that,    268          

to a reasonable degree of medical certainty as determined in       269          

accordance with reasonable medical standards by the declarant's    270          

or other patient's attending physician and one other physician     271          

who has examined the declarant or other patient, is characterized  272          

by both of the following:                                          273          

                                                          7      

                                                                 
      (1)  Irreversible unawareness of one's being and             275          

environment.                                                                    

      (2)  Total loss of cerebral cortical functioning, resulting  277          

in the declarant or other patient having no capacity to            278          

experience pain or suffering.                                                   

      (V)  "Person" has the same meaning as in section 1.59 of     280          

the Revised Code and additionally includes political subdivisions  281          

and governmental agencies, boards, commissions, departments,       282          

institutions, offices, and other instrumentalities.                283          

      (W)  "Physician" means a person who is authorized under      285          

Chapter 4731. of the Revised Code to practice medicine and         287          

surgery or osteopathic medicine and surgery.                                    

      (X)  "Political subdivision" and "state" have the same       289          

meanings as in section 2744.01 of the Revised Code.                290          

      (Y)  "Professional disciplinary action" means action taken   292          

by the board or other entity that regulates the professional       293          

conduct of health care personnel, including the state medical      294          

board and the board of nursing.                                    295          

      (Z)  "Qualified patient" means an adult who has executed a   297          

declaration and has been determined to be in a terminal condition  298          

or in a permanently unconscious state.                             299          

      (AA)  "Terminal condition" means an irreversible,            301          

incurable, and untreatable condition caused by disease, illness,   302          

or injury from which, to a reasonable degree of medical certainty  303          

as determined in accordance with reasonable medical standards by   304          

a declarant's or other patient's attending physician and one       305          

other physician who has examined the declarant or other patient,   306          

both of the following apply:                                       307          

      (1)  There can be no recovery.                               309          

      (2)  Death is likely to occur within a relatively short      311          

time if life-sustaining treatment is not administered.             312          

      (BB)  "Tort action" means a civil action for damages for     314          

injury, death, or loss to person or property, other than a civil   315          

action for damages for breach of a contract or another agreement   316          

                                                          8      

                                                                 
between persons.                                                   317          

      Sec. 2133.02.  (A)(1)  An adult who is of sound mind         327          

voluntarily may execute at any time a declaration governing the    328          

use or continuation, or the withholding or withdrawal, of          329          

life-sustaining treatment.  The declaration shall be signed by     330          

the declarant or by another individual at the direction of the     331          

declarant, state the date of its execution, and either be          332          

witnessed as described in division (B)(1) of this section or be    333          

acknowledged by the declarant in accordance with division (B)(2)   334          

of this section.  The declaration may include a designation by     335          

the declarant of one or more persons who are to be notified by     336          

the declarant's attending physician at any time that               337          

life-sustaining treatment would be withheld or withdrawn pursuant  338          

to the declaration.  THE DECLARATION MAY INCLUDE A SPECIFIC        339          

AUTHORIZATION FOR THE USE OR CONTINUATION OR THE WITHHOLDING OR    340          

WITHDRAWAL OF CPR, BUT THE FAILURE TO INCLUDE A SPECIFIC           342          

AUTHORIZATION FOR THE WITHHOLDING OR WITHDRAWAL OF CPR DOES NOT    343          

PRECLUDE THE WITHHOLDING OR WITHDRAWAL OF CPR IN ACCORDANCE WITH   344          

SECTIONS 2133.01 TO 2133.15 OR SECTIONS 2133.21 TO 2133.26 OF THE  345          

REVISED CODE.                                                                   

      (2)  Depending upon whether the declarant intends his THE    347          

declaration to apply when he THE DECLARANT is in a terminal        348          

condition, in a permanently unconscious state, or in either a      350          

terminal condition or a permanently unconscious state, his THE     351          

DECLARANT'S declaration shall use either or both of the terms      353          

"terminal condition" and "permanently unconscious state," and      354          

shall define or otherwise explain those terms in capital letters   355          

and in a manner that is substantially consistent with the          356          

provisions of section 2133.01 of the Revised Code.                 357          

      (3)(a)  If a declarant who has authorized the withholding    359          

or withdrawal of life-sustaining treatment intends that his THE    360          

DECLARANT'S attending physician withhold or withdraw nutrition or  361          

hydration when he THE DECLARANT is in a permanently unconscious    363          

state and when the nutrition and hydration will not or no longer   364          

                                                          9      

                                                                 
will serve to provide comfort to him THE DECLARANT or alleviate    365          

his THE DECLARANT'S pain, then the declarant shall authorize his   366          

THE DECLARANT'S attending physician to withhold or withdraw        367          

nutrition or hydration when he THE DECLARANT is in the             368          

permanently unconscious state by doing both of the following in    370          

the declaration:                                                                

      (i)  Including a statement in capital letters that his THE   372          

DECLARANT'S attending physician may withhold or withdraw           373          

nutrition and hydration if he THE DECLARANT is in a permanently    374          

unconscious state and if his THE DECLARANT'S attending physician   375          

and at least one other physician who has examined him THE          377          

DECLARANT determine, to a reasonable degree of medical certainty   379          

and in accordance with reasonable medical standards, that          380          

nutrition or hydration will not or no longer will serve to                      

provide comfort to him THE DECLARANT or alleviate his THE          382          

DECLARANT'S pain, or checking or otherwise marking a box or line   383          

that is adjacent to a similar statement on a printed form of a     384          

declaration;                                                                    

      (ii)  Placing his THE DECLARANT'S initials or signature      386          

underneath or adjacent to the statement, check, or other mark      388          

described in division (A)(3)(a)(i) of this section.                389          

      (b)  Division (A)(3)(a) of this section does not apply, and  391          

shall not be construed as applying, to the extent that a           392          

declaration authorizes the withholding or withdrawal of            393          

life-sustaining treatment when a declarant is in a terminal        394          

condition.  The provisions of division (E) of section 2133.12 of   395          

the Revised Code pertaining to comfort care shall apply to a       396          

declarant in a terminal condition.                                 397          

      (B)(1)  If witnessed for purposes of division (A) of this    399          

section, a declaration shall be witnessed by two individuals as    400          

described in this division in whose presence the declarant, or     401          

another individual at the direction of the declarant, signed the   402          

declaration.  The witnesses to a declaration shall be adults who   403          

are not related to the declarant by blood, marriage, or adoption,  404          

                                                          10     

                                                                 
who are not the attending physician of the declarant, and who are  405          

not the administrator of any nursing home in which the declarant   406          

is receiving care.  Each witness shall subscribe his THE WITNESS'  408          

signature on the declaration and, by doing so, attest to his THE   409          

WITNESS' belief that the declarant appears to be of sound mind     411          

and not under or subject to duress, fraud, or undue influence.     412          

      (2)  If acknowledged for purposes of division (A) of this    414          

section, a declaration shall be acknowledged before a notary       415          

public, who shall make the certification described in section      416          

147.53 of the Revised Code and also shall attest that the          417          

declarant appears to be of sound mind and not under or subject to  418          

duress, fraud, or undue influence.                                 419          

      (C)  An attending physician, or other health care personnel  421          

acting under the direction of an attending physician, who is       422          

furnished a copy of a declaration shall make it a part of the      423          

declarant's medical record and, when section 2133.05 of the        424          

Revised Code is applicable, also shall comply with that section.   425          

      (D)(1)  Subject to division (D)(2) of this section, an       427          

attending physician of a declarant or a health care facility in    428          

which a declarant is confined may refuse to comply or allow        429          

compliance with the declarant's declaration on the basis of a      430          

matter of conscience or on another basis.  An employee or agent    431          

of an attending physician of a declarant or of a health care       432          

facility in which a declarant is confined may refuse to comply     433          

with the declarant's declaration on the basis of a matter of       434          

conscience.                                                        435          

      (2)  If an attending physician of a declarant or a health    437          

care facility in which a declarant is confined is not willing or   438          

not able to comply or allow compliance with the declarant's        439          

declaration, the physician or facility promptly shall so advise    440          

the declarant and comply with the provisions of section 2133.10    441          

of the Revised Code, or, if the declaration has become operative   442          

as described in division (A) of section 2133.03 of the Revised     443          

Code, shall comply with the provisions of section 2133.10 of the   444          

                                                          11     

                                                                 
Revised Code.                                                      445          

      (E)  AS USED IN THIS SECTION, "CPR" HAS THE SAME MEANING AS  448          

IN SECTION 2133.21 OF THE REVISED CODE.                                         

      Sec. 2133.03.  (A)(1)  A declaration becomes operative when  457          

it is communicated to the attending physician of the declarant,    458          

the attending physician and one other physician who examines the   459          

declarant determine that the declarant is in a terminal condition  460          

or in a permanently unconscious state, whichever is addressed in   461          

the declaration, the applicable requirements of divisions (A)(2)   462          

and (3) of this section are satisfied, and the attending           463          

physician determines that the declarant no longer is able to make  464          

informed decisions regarding the administration of                 465          

life-sustaining treatment.  When the declaration becomes           466          

operative, the attending physician and health care facilities      467          

shall act in accordance with its provisions or comply with the     468          

provisions of section 2133.10 of the Revised Code.                 469          

      (2)  In order for a declaration to become operative in       471          

connection with a declarant who is in a permanently unconscious    472          

state, the consulting physician associated with the determination  473          

that the declarant is in the permanently unconscious state shall   474          

be a physician who, by virtue of advanced education or training,   475          

of a practice limited to particular diseases, illnesses,           476          

injuries, therapies, or branches of medicine or surgery or         477          

osteopathic medicine and surgery, of certification as a            478          

specialist in a particular branch of medicine or surgery or        479          

osteopathic medicine and surgery, or of experience acquired in     480          

the practice of medicine or surgery or osteopathic medicine and    481          

surgery, is qualified to determine whether the declarant is in a   482          

permanently unconscious state.                                     483          

      (3)  In order for a declaration to become operative in       485          

connection with a declarant who is in a terminal condition or in   486          

a permanently unconscious state, the attending physician of the    487          

declarant shall determine, in good faith, to a reasonable degree   488          

of medical certainty, and in accordance with reasonable medical    489          

                                                          12     

                                                                 
standards, that there is no reasonable possibility that the        490          

declarant will regain the capacity to make informed decisions      491          

regarding the administration of life-sustaining treatment.         492          

      (B)(1)(a)  A declaration supersedes any general consent to   494          

treatment form signed by or on behalf of the declarant prior to,   495          

upon, or after his THE DECLARANT'S admission to a health care      496          

facility to the extent there is a conflict between the             498          

declaration and the form, even if the form is signed after the     499          

execution of the declaration.  To the extent that the provisions   500          

of a declaration and a general consent to treatment form do not    501          

conflict, both documents shall govern the use or continuation, or  502          

the withholding or withdrawal, of life-sustaining treatment and    503          

other medical or nursing procedures, treatments, interventions,    504          

or other measures in connection with the declarant.  This          505          

division DIVISION (B)(1)(a) OF THIS SECTION does not apply if a    507          

declaration is revoked pursuant to section 2133.04 of the Revised  508          

Code after the signing of a general consent to treatment form.     509          

      (b)  A DECLARATION SUPERSEDES A DNR IDENTIFICATION, AS       511          

DEFINED IN SECTION 2133.21 OF THE REVISED CODE, OF THE DECLARANT   513          

THAT IS BASED UPON A PRIOR, INCONSISTENT DECLARATION OF THE        515          

DECLARANT OR THAT IS BASED UPON A DO-NOT-RESUSCITATE ORDER, AS     516          

DEFINED IN SECTION 2133.21 OF THE REVISED CODE, THAT A PHYSICIAN                

HAS ISSUED FOR THE DECLARANT AND THAT IS INCONSISTENT WITH THE     518          

DECLARATION.                                                                    

      (2)  If a declarant has both a valid durable power of        520          

attorney for health care and a valid declaration, the declaration  521          

supersedes the durable power of attorney for health care to the    522          

extent that the provisions of the documents would conflict if the  523          

declarant should be in a terminal condition or in a permanently    524          

unconscious state.  This division DIVISION (B)(2) OF THIS SECTION  526          

does not apply if the declarant revokes his THE declaration        527          

pursuant to section 2133.04 of the Revised Code.                   528          

      Sec. 2133.07.  A printed form of a declaration may be sold   537          

or otherwise distributed in this state for use by adults who are   538          

                                                          13     

                                                                 
not advised by an attorney.  By use of such a printed form OF      539          

THAT NATURE, a declarant may authorize the use or continuation,    541          

or the withholding or withdrawal, of life-sustaining treatment     542          

should he THE DECLARANT be in a terminal condition, a permanently  544          

unconscious state, or either a terminal condition or a             545          

permanently unconscious state, may authorize the withholding or    546          

withdrawal of nutrition or hydration should he THE DECLARANT be    547          

in a permanently unconscious state as described in division        549          

(A)(3)(a) of section 2133.02 of the Revised Code, and may          550          

designate one or more persons who are to be notified by his THE    551          

DECLARANT'S attending physician at any time that life-sustaining   553          

treatment would be withheld or withdrawn pursuant to the           554          

declaration.  The printed form shall not be used as an instrument  555          

for granting any other type of authority or for making any other   556          

type of designation, EXCEPT THAT THE PRINTED FORM MAY BE USED AS   557          

A DNR IDENTIFICATION IF THE DECLARANT SPECIFIES ON THE FORM THAT   558          

THE DECLARANT WISHES TO USE IT AS A DNR IDENTIFICATION.                         

      AS USED IN THIS SECTION, "DNR IDENTIFICATION" HAS THE SAME   560          

MEANING AS IN SECTION 2133.21 OF THE REVISED CODE.                 561          

      Sec. 2133.10.  (A)  An attending physician who, or a health  570          

care facility in which a qualified patient or other patient is     571          

confined that, is not willing or IS not able to comply or allow    572          

compliance with a declaration of a qualified patient, with a       573          

consent given in accordance with section 2133.08 or 2133.09 of     574          

the Revised Code, with any probate court order issued pursuant to  575          

section 2133.05, 2133.08, or 2133.09 of the Revised Code, or with  576          

any other applicable provision of this chapter SECTIONS 2133.01    577          

TO 2133.15 OF THE REVISED CODE shall not prevent or attempt to     579          

prevent, or unreasonably delay or attempt to unreasonably delay,   580          

the transfer of the qualified patient or other patient to the      581          

care of a physician who, or a health care facility that, is        582          

willing and able to so comply or allow compliance.                 583          

      (B)  If a declaration provides for the use or continuation   585          

of life-sustaining treatment should its declarant subsequently be  586          

                                                          14     

                                                                 
in a terminal condition or in a permanently unconscious state, if  587          

a consent decision of a priority individual or class of            588          

individuals under section 2133.08 of the Revised Code is to use    589          

or continue life-sustaining treatment in connection with a         590          

patient described in that section, or if a probate court issues a  591          

reevaluation order pursuant to section 2133.05 or 2133.08 of the   592          

Revised Code that is intended to result in the use or              593          

continuation of life-sustaining treatment in connection with a     594          

qualified patient or other patient, then the attending physician   595          

of the qualified patient or other patient who, or health care      596          

facility in which the qualified patient or other patient is        597          

confined that, is not willing or IS not able to comply or allow    598          

compliance with the declaration, consent decision, or              599          

reevaluation order shall use or continue the life-sustaining       600          

treatment or cause it to be used or continued until a transfer as  601          

described in division (A) of this section is made.                 602          

      Sec. 2133.12.  (A)  The death of a qualified patient or      611          

other patient resulting from the withholding or withdrawal of      612          

life-sustaining treatment in accordance with this chapter          613          

SECTIONS 2133.01 TO 2133.15 OF THE REVISED CODE does not           614          

constitute FOR ANY PURPOSE a suicide, aggravated murder, murder,   615          

or any other homicide offense for any purpose.                     616          

      (B)(1)  The execution of a declaration shall not do either   618          

of the following:                                                  619          

      (a)  Affect the sale, procurement, issuance, or renewal of   621          

any policy of life insurance or annuity, notwithstanding any term  622          

of a policy or annuity to the contrary;                            623          

      (b)  Be deemed to modify or invalidate the terms of any      625          

policy of life insurance or annuity that is in effect on October   626          

10, 1991.                                                          627          

      (2)  Notwithstanding any term of a policy of life insurance  629          

or annuity to the contrary, the withholding or withdrawal of       630          

life-sustaining treatment from an insured, qualified patient or    631          

other patient in accordance with this chapter SECTIONS 2133.01 TO  632          

                                                          15     

                                                                 
2133.15 OF THE REVISED CODE shall not impair or invalidate any     634          

policy of life insurance or annuity.                                            

      (3)  Notwithstanding any term of a policy or plan to the     636          

contrary, the use or continuation, or the withholding or           637          

withdrawal, of life-sustaining treatment from an insured,          638          

qualified patient or other patient in accordance with this         639          

chapter SECTIONS 2133.01 TO 2133.15 OF THE REVISED CODE shall not  640          

impair or invalidate any policy of health insurance or any health  642          

care benefit plan.                                                              

      (4)  No physician, health care facility, other health care   644          

provider, person authorized to engage in the business of           645          

insurance in this state under Title XXXIX of the Revised Code,     646          

health insuring corporation,  other health care plan, legal        648          

entity that is self-insured and provides benefits to its           649          

employees or members, or other person shall require any            650          

individual to execute or refrain from executing a declaration, or  651          

shall require an individual to revoke or refrain from revoking a   652          

declaration, as a condition of being insured or of receiving       653          

health care benefits or services.                                  654          

      (C)(1)  This chapter does SECTIONS 2133.01 TO 2133.15 OF     656          

THE REVISED CODE DO not create any presumption concerning the      658          

intention of an individual who has revoked or has not executed a   659          

declaration with respect to the use or continuation, or the        660          

withholding or withdrawal, of life-sustaining treatment if the     661          

individual should be in a terminal condition or in a permanently   663          

unconscious state at any time.                                                  

      (2)  This chapter does SECTIONS 2133.01 TO 2133.15 OF THE    665          

REVISED CODE DO not affect the right of a qualified patient or     667          

other patient to make informed decisions regarding the use or      668          

continuation, or the withholding or withdrawal, of                              

life-sustaining treatment as long as the qualified patient or      669          

other patient is able to make those decisions.                     670          

      (3)  This chapter does SECTIONS 2133.01 TO 2133.15 OF THE    672          

REVISED CODE DO not require a physician, other health care         674          

                                                          16     

                                                                 
personnel, or a health care facility to take action that is        675          

contrary to reasonable medical standards.                                       

      (4)  This chapter SECTIONS 2133.01 TO 2133.15 OF THE         677          

REVISED CODE and, if applicable, a declaration do not affect or    679          

limit the authority of a physician or a health care facility to    680          

provide or not to provide life-sustaining treatment to a person    681          

in accordance with reasonable medical standards applicable in an   682          

emergency situation.                                                            

      (D)  Nothing in this chapter SECTIONS 2133.01 TO 2133.15 OF  684          

THE REVISED CODE condones, authorizes, or approves of mercy        686          

killing, assisted suicide, or euthanasia.                                       

      (E)(1)  This chapter does SECTIONS 2133.01 TO 2133.15 OF     688          

THE REVISED CODE DO not affect the responsibility of the           690          

attending physician of a qualified patient or other patient, or    691          

other health care personnel acting under the direction of the                   

patient's attending physician, to provide comfort care to the      692          

patient.  Nothing in this chapter SECTIONS 2133.01 TO 2133.15 OF   694          

THE REVISED CODE precludes the attending physician of a qualified  695          

patient or other patient who carries out the responsibility to     696          

provide comfort care to the patient in good faith and while        697          

acting within the scope of the attending physician's authority     698          

from prescribing, dispensing, administering, or causing to be      699          

administered any particular medical procedure, treatment,          700          

intervention, or other measure to the patient, including, but not  701          

limited to, prescribing, dispensing, administering, or causing to  702          

be administered by judicious titration or in another manner any    703          

form of medication, for the purpose of diminishing the qualified   704          

patient's or other patient's pain or discomfort and not for the    705          

purpose of postponing or causing the qualified patient's or other  706          

patient's death, even though the medical procedure, treatment,     708          

intervention, or other measure may appear to hasten or increase    709          

the risk of the patient's death.  Nothing in this chapter          710          

SECTIONS 2133.01 TO 2133.15 OF THE REVISED CODE precludes health   711          

care personnel acting under the direction of the patient's         713          

                                                          17     

                                                                 
attending physician who carry out the responsibility to provide    714          

comfort care to the patient in good faith and while acting within  715          

the scope of their authority from dispensing, administering, or    716          

causing to be administered any particular medical procedure,       717          

treatment, intervention, or other measure to the patient,          718          

including, but not limited to, dispensing, administering, or       719          

causing to be administered by judicious titration or in another    720          

manner any form of medication, for the purpose of diminishing the  721          

qualified patient's or other patient's pain or discomfort and not  723          

for the purpose of postponing or causing the qualified patient's   724          

or other patient's  death, even though the medical procedure,      726          

treatment, intervention, or other measure may appear to hasten or  727          

increase the risk of the patient's death.                                       

      (2)(a)  If, at any time, a person described in division      729          

(A)(2)(a)(i) of section 2133.05 of the Revised Code or the         730          

individual or a majority of the individuals in either of the       731          

first two classes of individuals that pertain to a declarant in    732          

the descending order of priority set forth in division             733          

(A)(2)(a)(ii) of section 2133.05 of the Revised Code believes in   734          

good faith that both of the following circumstances apply, the     735          

person or the individual or majority of individuals in either of   736          

the first two classes of individuals may commence an action in     737          

the probate court of the county in which a declarant who is in a   738          

terminal condition or permanently unconscious state is located     739          

for the issuance of an order mandating the use or continuation of  740          

comfort care in connection with the declarant in a manner that is  741          

consistent with division (E)(1) of this section:                   742          

      (i)  Comfort care is not being used or continued in          744          

connection with the declarant.                                     745          

      (ii)  The withholding or withdrawal of the comfort care is   747          

contrary to division (E)(1) of this section.                       748          

      (b)  If a declarant did not designate in the declarant's     750          

declaration a person as described in division (A)(2)(a)(i) of      752          

section 2133.05 of the Revised Code and if, at any time, a         753          

                                                          18     

                                                                 
priority individual or any member of a priority class of           754          

individuals under division (A)(2)(a)(ii) of section 2133.05 of     755          

the Revised Code or, at any time, the individual or a majority of  756          

the individuals in the next class of individuals that pertains to  757          

the declarant in the descending order of priority set forth in     758          

that division believes in good faith that both of the following    759          

circumstances apply, the priority individual, the member of the    760          

priority class of individuals, or the individual or majority of    761          

individuals in the next class of individuals that pertains to the  762          

declarant may commence an action in the probate court of the       763          

county in which a declarant who is in a terminal condition or      764          

permanently unconscious state is located for the issuance of an    765          

order mandating the use or continuation of comfort care in         766          

connection with the declarant in a manner that is consistent with  767          

division (E)(1) of this section:                                   768          

      (i)  Comfort care is not being used or continued in          770          

connection with the declarant.                                     771          

      (ii)  The withholding or withdrawal of the comfort care is   773          

contrary to division (E)(1) of this section.                       774          

      (c)  If, at any time, a priority individual or any member    776          

of a priority class of individuals under division (B) of section   777          

2133.08 of the Revised Code or, at any time, the individual or a   778          

majority of the individuals in the next class of individuals that  779          

pertains to the patient in the descending order of priority set    780          

forth in that division believes in good faith that both of the     781          

following circumstances apply, the priority individual, the        782          

member of the priority class of individuals, or the individual or  783          

majority of individuals in the next class of individuals that      784          

pertains to the patient may commence an action in the probate      785          

court of the county in which a patient as described in division    786          

(A) of section 2133.08 of the Revised Code is located for the      787          

issuance of an order mandating the use or continuation of comfort  788          

care in connection with the patient in a manner that is            789          

consistent with division (E)(1) of this section:                   790          

                                                          19     

                                                                 
      (i)  Comfort care is not being used or continued in          792          

connection with the patient.                                       793          

      (ii)  The withholding or withdrawal of the comfort care is   795          

contrary to division (E)(1) of this section.                       796          

      Sec. 2133.13.  In the absence of actual knowledge to the     805          

contrary and if acting in good faith, an attending or consulting   806          

physician, other health care personnel, and health care            807          

facilities may assume that a declaration complies with this        808          

chapter SECTIONS 2133.01 TO 2133.15 OF THE REVISED CODE and is                  

valid.                                                                          

      Sec. 2133.14.  A declaration executed under the law of       817          

another state in compliance with that law or in substantial        818          

compliance with this chapter SECTIONS 2133.01 TO 2133.15 OF THE    819          

REVISED CODE shall be considered to be valid for purposes of this  820          

chapter SECTIONS 2133.01 TO 2133.15 OF THE REVISED CODE.                        

      Sec. 2133.15.  (A)  This chapter shall SECTIONS 2133.01 TO   829          

2133.15 OF THE REVISED CODE apply to any written document that     831          

was executed anywhere prior to the effective date of this section  832          

OCTOBER 10, 1991, that voluntarily was so executed by an adult     834          

who was of sound mind, that was signed by the adult or by another  835          

individual at the direction of the adult, that was or was not      836          

witnessed or acknowledged before a notary public as described in   837          

division (B) of section 2133.02 of the Revised Code, and that      838          

specifies the adult's intention with respect to the use or         839          

continuation, or the withholding or withdrawal, of                 840          

life-sustaining treatment if he THE ADULT is at any time in a      842          

terminal condition, in a permanently unconscious state, or in                   

either a terminal condition or a permanently unconscious state,    843          

if he THE ADULT is at that time no longer able to make informed    844          

decisions regarding the administration of life-sustaining          846          

treatment, and if at that time there is no reasonable possibility  847          

that he THE ADULT will regain the capacity to make those informed  849          

decisions.  The document shall be considered to be a declaration,  850          

shall be given effect as if it had been executed on or after the   851          

                                                          20     

                                                                 
effective date of this section OCTOBER 10, 1991, in accordance     852          

with this chapter SECTIONS 2133.01 TO 2133.15 OF THE REVISED       853          

CODE, and, except as otherwise provided in division (B) of this    855          

section, shall be subject to all provisions of this chapter                     

SECTIONS 2133.01 TO 2133.15 OF THE REVISED CODE pertaining to      856          

declarations.                                                                   

      (B)(1)  If a declaration as described in division (A) of     858          

this section does not state that, or does not contain a checked    859          

or marked box or line adjacent to a statement indicating that,     860          

the declarant authorizes his THE DECLARANT'S attending physician   861          

to withhold or withdraw nutrition or hydration when he THE         863          

DECLARANT is in a permanently unconscious state and when his THE   864          

DECLARANT'S attending physician and at least one other physician   866          

who has examined him THE DECLARANT determine, to a reasonable      868          

degree of medical certainty and in accordance with reasonable      869          

medical standards, that nutrition or hydration will not or no      870          

longer will serve to provide comfort to him THE DECLARANT or       871          

alleviate his THE DECLARANT'S pain, then, if the declaration       872          

becomes operative under section 2133.03 of the Revised Code        873          

because the declarant is in a permanently unconscious state, the   874          

attending physician of the declarant shall apply to the probate    875          

court of the county in which the declarant is located for the      876          

issuance of an order whether or not the attending physician is     877          

required to provide the declarant with nutrition and hydration     878          

for as long as the declarant is in the permanently unconscious     879          

state.  Upon the filing of the application, the clerk of the       880          

probate court shall schedule a hearing on it and cause a copy of   881          

it and a notice of the hearing to be served in accordance with     882          

the Rules of Civil Procedure upon the attending physician and the  883          

individuals described in divisions (B)(1) to (5) of section        884          

2133.08 of the Revised Code, which service shall be made, if       885          

possible, within three days after the filing of the application.   886          

The hearing shall be conducted at the earliest possible time, but  887          

no sooner than the thirtieth business day, and no later than the   888          

                                                          21     

                                                                 
sixtieth business day, after such THAT service has been            889          

completed.                                                                      

      (2)  At the hearing, the attending physician and any         891          

individual described in divisions (B)(1) to (5) of section         892          

2133.08 of the Revised Code shall be permitted to testify and      893          

present evidence relative to the use or continuation, or the       894          

withholding or withdrawal, of nutrition and hydration for as long  895          

as the declarant is in the permanently unconscious state.          896          

Immediately following the hearing, the court shall enter on its    897          

journal its determination, based on the evidence presented by all  898          

of the parties at the hearing on the application and subject to    899          

division (B)(3) of this section, whether or not the attending      900          

physician is required to provide the declarant with nutrition and  901          

hydration for as long as he THE DECLARANT is in the permanently    902          

unconscious state.                                                 903          

      (3)  The court shall issue an order that authorizes the      905          

declarant's attending physician to commence the withholding or     906          

withdrawal of nutrition and hydration in connection with the       907          

delarant DECLARANT only if the applicant establishes, by clear     908          

and convincing evidence, that the order would be consistent with   909          

one of the following:                                              910          

      (a)  The declarant's previously expressed intention with     912          

respect to the use or continuation, or the withholding or          913          

withdrawal, of nutrition and hydration should he THE DECLARANT     914          

subsequently be in a permanently unconscious state and no longer   916          

able to make informed decisions regarding the administration of    917          

nutrition and hydration;                                           918          

      (b)  In the absence of such a previously expressed           920          

intention OF THAT NATURE, the type of informed consent decision    921          

that the declarant would have made if he THE DECLARANT had         923          

expressed his THE DECLARANT'S intention with respect to the use    925          

or continuation, or the withholding or withdrawal, of nutrition    926          

and hydration should he THE DECLARANT subsequently be in a         928          

permanently unconscious state and no longer able to make informed  929          

                                                          22     

                                                                 
decisions regarding the administration of nutrition and                         

hydration, as inferred from the lifestyle and character of the     930          

declarant, and from any other evidence of the declarant's          931          

desires, prior to his THE DECLARANT becoming no longer able to     932          

make informed decisions regarding the administration of nutrition  934          

and hydration.  The Rules of Evidence shall not be binding for     935          

purposes of this division.                                         936          

      (4)  Notwithstanding any contrary provision of the Revised   938          

Code or of the Rules of Civil Procedure, the state and persons     939          

other than individuals described in divisions (B)(1) to (5) of     940          

section 2133.08 of the Revised Code and other than the attending   941          

physician of the declarant are prohibited from filing an           942          

application under this division (B) OF THIS SECTION and from       944          

joining or being joined as parties to a hearing conducted under    945          

this division (B) OF THIS SECTION, including joining by way of     946          

intervention.                                                                   

      Sec. 2133.21.  AS USED IN SECTIONS 2133.21 TO 2133.26 OF     948          

THE REVISED CODE, UNLESS THE CONTEST CLEARLY REQUIRES OTHERWISE:   951          

      (A)  "ATTENDING PHYSICIAN" MEANS THE PHYSICIAN TO WHOM A     954          

PERSON, OR THE FAMILY OF A PERSON, HAS ASSIGNED PRIMARY            955          

RESPONSIBILITY FOR THE TREATMENT OR CARE OF THE PERSON OR, IF THE  956          

PERSON OR THE PERSON'S FAMILY HAS NOT ASSIGNED THAT                957          

RESPONSIBILITY, THE PHYSICIAN WHO HAS ACCEPTED THAT                958          

RESPONSIBILITY.                                                                 

      (B)  "DECLARATION," "HEALTH CARE FACILITY,"                  960          

"LIFE-SUSTAINING TREATMENT," "PHYSICIAN," "PROFESSIONAL            961          

DISCIPLINARY ACTION," AND "TORT ACTION" HAVE THE SAME MEANINGS AS  962          

IN SECTION 2133.01 OF THE REVISED CODE.                                         

      (C)  "DNR IDENTIFICATION" MEANS A STANDARDIZED               965          

IDENTIFICATION CARD, FORM, NECKLACE, OR BRACELET THAT IS OF                     

UNIFORM SIZE AND DESIGN, THAT HAS BEEN APPROVED BY THE DEPARTMENT  967          

OF HEALTH PURSUANT TO SECTION 2133.25 OF THE REVISED CODE, AND     969          

THAT SIGNIFIES EITHER OF THE FOLLOWING:                            970          

      (1)  THAT THE PERSON WHO IS NAMED ON AND POSSESSES THE       972          

                                                          23     

                                                                 
CARD, FORM, NECKLACE, OR BRACELET HAS EXECUTED A DECLARATION THAT  974          

AUTHORIZES THE WITHHOLDING OR WITHDRAWAL OF CPR AND THAT HAS NOT   975          

BEEN REVOKED PURSUANT TO SECTION 2133.04 OF THE REVISED CODE;      976          

      (2)  THAT THE ATTENDING PHYSICIAN OF THE PERSON WHO IS       978          

NAMED ON AND POSSESSES THE CARD, FORM, NECKLACE, OR BRACELET HAS   979          

ISSUED A CURRENT DO-NOT-RESUSCITATE ORDER, IN ACCORDANCE WITH THE  980          

DO-NOT-RESUSCITATE PROTOCOL ADOPTED BY THE DEPARTMENT OF HEALTH    981          

PURSUANT TO SECTION 2133.25 OF THE REVISED CODE, FOR THAT PERSON   982          

AND HAS DOCUMENTED THE GROUNDS FOR THE ORDER IN THAT PERSON'S      983          

MEDICAL FILE.                                                                   

      (D)  "DO-NOT-RESUSCITATE ORDER" MEANS A DIRECTIVE ISSUED BY  985          

A PHYSICIAN THAT IDENTIFIES A PERSON AND SPECIFIES THAT CPR        987          

SHOULD NOT BE ADMINISTERED TO THE PERSON SO IDENTIFIED.            988          

      (E)  "DO-NOT-RESUSCITATE PROTOCOL" MEANS A STANDARDIZED      991          

METHOD OF PROCEDURE FOR THE WITHHOLDING OF CPR BY PHYSICIANS,      992          

EMERGENCY MEDICAL SERVICE PERSONNEL, AND HEALTH CARE FACILITIES    993          

THAT IS ADOPTED IN THE RULES OF THE DEPARTMENT OF HEALTH PURSUANT  995          

TO SECTION 2133.25 OF THE REVISED CODE.                            996          

      (F)  "EMERGENCY MEDICAL SERVICES PERSONNEL" MEANS PAID OR    999          

VOLUNTEER FIREFIGHTERS, LAW ENFORCEMENT OFFICERS, FIRST            1,000        

RESPONDERS, EMERGENCY MEDICAL TECHNICIANS-BASIC, EMERGENCY         1,001        

MEDICAL TECHNICIANS-INTERMEDIATE, EMERGENCY MEDICAL                1,002        

TECHNICIANS-PARAMEDIC, MEDICAL TECHNICIANS, OR OTHER EMERGENCY     1,003        

SERVICES PERSONNEL ACTING WITHIN THE ORDINARY COURSE OF THEIR      1,004        

PROFESSION.                                                                     

      (G)  "CPR" MEANS CARDIOPULMONARY RESUSCITATION OR A          1,006        

COMPONENT OF CARDIOPULMONARY RESUSCITATION, BUT IT DOES NOT        1,007        

INCLUDE CLEARING A PERSON'S AIRWAY FOR A PURPOSE OTHER THAN AS A   1,008        

COMPONENT OF CPR.                                                               

      Sec. 2133.211.  A PERSON WHO HOLDS A CERTIFICATE OF          1,010        

AUTHORITY TO PRACTICE AS A CERTIFIED NURSE PRACTITIONER OR         1,011        

CLINICAL NURSE SPECIALIST ISSUED UNDER SECTION 4723.42 OF THE      1,012        

REVISED CODE MAY TAKE ANY ACTION THAT MAY BE TAKEN BY AN           1,013        

ATTENDING PHYSICIAN UNDER SECTIONS 2133.21 TO 2133.26 OF THE       1,014        

                                                          24     

                                                                 
REVISED CODE AND HAS THE IMMUNITY PROVIDED BY SECTION 2133.22 OF   1,015        

THE REVISED CODE IF THE ACTION IS TAKEN PURSUANT TO A STANDARD     1,016        

CARE ARRANGEMENT WITH A COLLABORATING PHYSICIAN.                                

      Sec. 2133.22.  (A)(1)  NONE OF THE FOLLOWING ARE SUBJECT TO  1,018        

CRIMINAL PROSECUTION, TO LIABILITY IN DAMAGES IN A TORT OR OTHER   1,020        

CIVIL ACTION FOR INJURY, DEATH, OR LOSS TO PERSON OR PROPERTY, OR  1,021        

TO PROFESSIONAL DISCIPLINARY ACTION ARISING OUT OF OR RELATING TO  1,022        

THE WITHHOLDING OR WITHDRAWAL OF CPR FROM A PERSON AFTER DNR       1,024        

IDENTIFICATION IS DISCOVERED IN THE PERSON'S POSSESSION AND        1,026        

REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE THAT THE PERSON IN               

POSSESSION OF THE DNR IDENTIFICATION IS THE PERSON NAMED ON THE    1,027        

DNR IDENTIFICATION:                                                1,028        

      (a)  A PHYSICIAN WHO CAUSES THE WITHHOLDING OR WITHDRAWAL    1,030        

OF CPR FROM THE PERSON POSSESSING THE DNR IDENTIFICATION;          1,032        

      (b)  A PERSON WHO PARTICIPATES UNDER THE DIRECTION OF OR     1,035        

WITH THE AUTHORIZATION OF A PHYSICIAN IN THE WITHHOLDING OR        1,036        

WITHDRAWAL OF CPR FROM THE PERSON POSSESSING THE DNR               1,037        

IDENTIFICATION;                                                                 

      (c)  ANY EMERGENCY MEDICAL SERVICES PERSONNEL WHO CAUSE OR   1,039        

PARTICIPATE IN THE WITHHOLDING OR WITHDRAWAL OF CPR FROM THE       1,040        

PERSON POSSESSING THE DNR IDENTIFICATION.                          1,041        

      (2)  NONE OF THE FOLLOWING ARE SUBJECT TO CRIMINAL           1,043        

PROSECUTION, TO LIABILITY IN DAMAGES IN A TORT OR OTHER CIVIL      1,044        

ACTION FOR INJURY, DEATH, OR LOSS TO PERSON OR PROPERTY, OR TO     1,045        

PROFESSIONAL DISCIPLINARY ACTION ARISING OUT OF OR RELATING TO     1,046        

THE WITHHOLDING OR WITHDRAWAL OF CPR FROM A PERSON IN A HEALTH     1,048        

CARE FACILITY AFTER DNR IDENTIFICATION IS DISCOVERED IN THE        1,049        

PERSON'S POSSESSION AND REASONABLE EFFORTS HAVE BEEN MADE TO       1,050        

DETERMINE THAT THE PERSON IN POSSESSION OF THE DNR IDENTIFICATION  1,051        

IS THE PERSON NAMED ON THE DNR IDENTIFICATION OR A                 1,053        

DO-NOT-RESUSCITATE ORDER IS ISSUED FOR THE PERSON:                              

      (a)  THE HEALTH CARE FACILITY OR THE ADMINISTRATOR OF THE    1,055        

HEALTH CARE FACILITY;                                              1,056        

      (b)  A PHYSICIAN WHO CAUSES THE WITHHOLDING OR WITHDRAWAL    1,059        

                                                          25     

                                                                 
OF CPR FROM THE PERSON POSSESSING THE DNR IDENTIFICATION OR FOR    1,061        

WHOM THE DO-NOT-RESUSCITATE ORDER HAS BEEN ISSUED;                 1,062        

      (c)  ANY PERSON WHO WORKS FOR THE HEALTH CARE FACILITY AS    1,065        

AN EMPLOYEE, CONTRACTOR, OR VOLUNTEER AND WHO PARTICIPATES UNDER   1,066        

THE DIRECTION OF OR WITH THE AUTHORIZATION OF A PHYSICIAN IN THE   1,067        

WITHHOLDING OR WITHDRAWAL OF CPR FROM THE PERSON POSSESSING THE    1,069        

DNR IDENTIFICATION;                                                             

      (d)  ANY PERSON WHO WORKS FOR THE HEALTH CARE FACILITY AS    1,072        

AN EMPLOYEE, CONTRACTOR, OR VOLUNTEER AND WHO PARTICIPATES UNDER   1,073        

THE DIRECTION OF OR WITH THE AUTHORIZATION OF A PHYSICIAN IN THE   1,074        

WITHHOLDING OR WITHDRAWAL OF CPR FROM THE PERSON FOR WHOM THE      1,076        

DO-NOT-RESUSCITATE ORDER HAS BEEN ISSUED.                                       

      (3)  IF, AFTER DNR IDENTIFICATION IS DISCOVERED IN THE       1,078        

POSSESSION OF A PERSON, THE PERSON MAKES AN ORAL OR WRITTEN        1,079        

REQUEST TO RECEIVE CPR, ANY PERSON WHO PROVIDES CPR PURSUANT TO    1,080        

THE REQUEST, ANY HEALTH CARE FACILITY IN WHICH CPR IS PROVIDED,    1,082        

AND THE ADMINISTRATOR OF ANY HEALTH CARE FACILITY IN WHICH CPR IS  1,083        

PROVIDED ARE NOT SUBJECT TO CRIMINAL PROSECUTION AS A RESULT OF    1,084        

THE PROVISION OF THE CPR, ARE NOT LIABLE IN DAMAGES IN A TORT OR   1,085        

OTHER CIVIL ACTION FOR INJURY, DEATH, OR LOSS TO PERSON OR         1,086        

PROPERTY THAT ARISES OUT OF OR IS RELATED TO THE PROVISION OF THE  1,087        

CPR, AND ARE NOT SUBJECT TO PROFESSIONAL DISCIPLINARY ACTION AS A  1,088        

RESULT OF THE PROVISION OF THE CPR.                                1,089        

      (B)  DIVISIONS (A)(1), (A)(2), AND (C) OF THIS SECTION DO    1,093        

NOT APPLY WHEN CPR IS WITHHELD OR WITHDRAWN FROM A PERSON WHO                   

POSSESSES DNR IDENTIFICATION OR FOR WHOM A DO-NOT-RESUSCITATE      1,094        

ORDER HAS BEEN ISSUED UNLESS THE WITHHOLDING OR WITHDRAWAL IS IN   1,095        

ACCORDANCE WITH THE DO-NOT-RESUSCITATE PROTOCOL.                   1,096        

      (C)  ANY EMERGENCY MEDICAL SERVICES PERSONNEL WHO COMPLY     1,098        

WITH A DO-NOT-RESUSCITATE ORDER ISSUED BY A LICENSED PHYSICIAN     1,100        

AND ANY INDIVIDUALS WHO WORK FOR A HEALTH CARE FACILITY AS         1,101        

EMPLOYEES, CONTRACTORS, OR VOLUNTEERS AND WHO COMPLY WITH A                     

DO-NOT-RESUSCITATE ORDER ISSUED BY A LICENSED PHYSICIAN ARE NOT    1,102        

SUBJECT TO LIABILITY IN DAMAGES IN A CIVIL ACTION FOR INJURY,      1,104        

                                                          26     

                                                                 
DEATH, OR LOSS TO PERSON OR PROPERTY THAT ARISES OUT OF OR IS      1,105        

RELATED TO COMPLIANCE WITH THE ORDER, ARE NOT SUBJECT TO CRIMINAL  1,106        

PROSECUTION AS A RESULT OF COMPLIANCE WITH THE ORDER, AND ARE NOT  1,107        

SUBJECT TO PROFESSIONAL DISCIPLINARY ACTION AS A RESULT OF         1,108        

COMPLIANCE WITH THE ORDER.                                         1,109        

      IN AN EMERGENCY SITUATION, EMERGENCY MEDICAL SERVICES        1,111        

PERSONNEL AND EMERGENCY ROOM PERSONNEL ARE NOT REQUIRED TO SEARCH  1,112        

A PERSON TO DETERMINE IF THE PERSON POSSESSES DNR IDENTIFICATION.  1,115        

IF A PERSON POSSESSES DNR IDENTIFICATION, IF EMERGENCY MEDICAL     1,116        

SERVICES PERSONNEL OR EMERGENCY ROOM PERSONNEL PROVIDE CPR TO THE  1,117        

PERSON IN AN EMERGENCY SITUATION, AND IF, AT THAT TIME, THE        1,119        

PERSONNEL DO NOT KNOW AND DO NOT HAVE REASONABLE CAUSE TO BELIEVE  1,120        

THAT THE PERSON POSSESSES DNR IDENTIFICATION, THE EMERGENCY        1,122        

MEDICAL SERVICES PERSONNEL AND EMERGENCY ROOM PERSONNEL ARE NOT                 

SUBJECT TO CRIMINAL PROSECUTION AS A RESULT OF THE PROVISION OF    1,124        

THE CPR, ARE NOT LIABLE IN DAMAGES IN A TORT OR OTHER CIVIL        1,125        

ACTION FOR INJURY, DEATH, OR LOSS TO PERSON OR PROPERTY THAT       1,126        

ARISES OUT OF OR IS RELATED TO THE PROVISION OF THE CPR, AND ARE   1,128        

NOT SUBJECT TO PROFESSIONAL DISCIPLINARY ACTION AS A RESULT OF     1,129        

THE PROVISION OF THE CPR.                                                       

      (D)  NOTHING IN SECTIONS 2133.21 TO 2133.26 OF THE REVISED   1,132        

CODE OR THE DO-NOT-RESUSCITATE PROTOCOL GRANTS IMMUNITY TO A       1,133        

PHYSICIAN FOR ISSUING A DO-NOT-RESUSCITATE ORDER THAT IS CONTRARY  1,135        

TO REASONABLE MEDICAL STANDARDS OR THAT THE PHYSICIAN KNOWS OR     1,136        

HAS REASON TO KNOW IS CONTRARY TO THE WISHES OF THE PATIENT OR OF  1,137        

A PERSON WHO IS LAWFULLY AUTHORIZED TO MAKE INFORMED MEDICAL       1,138        

DECISIONS ON THE PATIENT'S BEHALF.                                              

      Sec. 2133.23.  (A)  IF EMERGENCY MEDICAL SERVICES            1,141        

PERSONNEL, OTHER THAN A PHYSICIAN, ARE PRESENTED WITH DNR          1,142        

IDENTIFICATION POSSESSED BY A PERSON OR ARE PRESENTED WITH A       1,143        

WRITTEN DO-NOT-RESUSCITATE ORDER FOR A PERSON OR IF A PHYSICIAN    1,144        

DIRECTLY ISSUES TO EMERGENCY MEDICAL SERVICES PERSONNEL, OTHER     1,145        

THAN A PHYSICIAN, AN ORAL DO-NOT-RESUSCITATE ORDER FOR A PERSON,   1,146        

THE EMERGENCY MEDICAL SERVICES PERSONNEL SHALL COMPLY WITH THE     1,147        

                                                          27     

                                                                 
DO-NOT-RESUSCITATE PROTOCOL FOR THE PERSON.  IF THE ORAL           1,148        

DO-NOT-RESUSCITATE ORDER IS ISSUED BY A PHYSICIAN WHO IS NOT       1,150        

PRESENT AT THE SCENE, THE EMERGENCY MEDICAL SERVICES PERSONNEL     1,151        

SHALL VERIFY THE PHYSICIAN'S IDENTITY.                                          

      (B)  IF A PERSON POSSESSES DNR IDENTIFICATION AND IF THE     1,153        

PERSON'S ATTENDING PHYSICIAN OR THE HEALTH CARE FACILITY IN WHICH  1,155        

THE PERSON IS LOCATED IS UNWILLING OR UNABLE TO COMPLY WITH THE    1,156        

DO-NOT-RESUSCITATE PROTOCOL FOR THE PERSON, THE ATTENDING          1,157        

PHYSICIAN OR THE HEALTH CARE FACILITY SHALL NOT PREVENT OR         1,158        

ATTEMPT TO PREVENT, OR UNREASONABLY DELAY OR ATTEMPT TO DELAY,     1,159        

THE TRANSFER OF THE PERSON TO A DIFFERENT PHYSICIAN WHO WILL       1,160        

FOLLOW THE PROTOCOL OR TO A DIFFERENT HEALTH CARE FACILITY IN      1,161        

WHICH THE PROTOCOL WILL BE FOLLOWED.                               1,162        

      (C)  IF A PERSON WHO POSSESSES DNR IDENTIFICATION OR FOR     1,166        

WHOM A CURRENT DO-NOT-RESUSCITATE ORDER HAS BEEN ISSUED IS BEING   1,167        

TRANSFERRED FROM ONE HEALTH CARE FACILITY TO ANOTHER, BEFORE OR    1,168        

AT THE TIME OF THE TRANSFER, THE TRANSFERRING HEALTH CARE          1,169        

FACILITY SHALL NOTIFY THE RECEIVING HEALTH CARE FACILITY AND THE   1,170        

PERSONS TRANSPORTING THE PERSON OF THE EXISTENCE OF THE DNR        1,171        

IDENTIFICATION OR THE ORDER.  IF A CURRENT DO-NOT-RESUSCITATE                   

ORDER WAS ISSUED ORALLY, IT SHALL BE REDUCED TO WRITING BEFORE     1,172        

THE TIME OF THE TRANSFER.  THE DNR IDENTIFICATION OR THE ORDER     1,173        

SHALL ACCOMPANY THE PERSON TO THE RECEIVING HEALTH CARE FACILITY   1,174        

AND SHALL REMAIN IN EFFECT UNLESS IT IS REVOKED OR UNLESS, IN THE  1,175        

CASE OF A DO-NOT-RESUSCITATE ORDER, THE ORDER NO LONGER IS         1,176        

CURRENT.                                                           1,177        

      Sec. 2133.24.  (A)  THE DEATH OF A PERSON RESULTING FROM     1,179        

THE WITHHOLDING OR WITHDRAWAL OF CPR FOR THE PERSON PURSUANT TO    1,180        

THE DO-NOT-RESUSCITATE PROTOCOL AND IN THE CIRCUMSTANCES           1,182        

DESCRIBED IN SECTION 2133.22 OF THE REVISED CODE OR IN ACCORDANCE  1,183        

WITH DIVISION (A) OF SECTION 2133.23 OF THE REVISED CODE DOES NOT  1,185        

CONSTITUTE FOR ANY PURPOSE A SUICIDE, AGGRAVATED MURDER, MURDER,   1,186        

OR ANY OTHER HOMICIDE.                                             1,187        

      (B)(1)  IF A PERSON POSSESSES DNR IDENTIFICATION OR IF A     1,190        

                                                          28     

                                                                 
CURRENT DO-NOT-RESUSCITATE ORDER HAS BEEN ISSUED FOR A PERSON,                  

THE POSSESSION OR ORDER SHALL NOT DO EITHER OF THE FOLLOWING:      1,191        

      (a)  AFFECT IN ANY MANNER THE SALE, PROCUREMENT, ISSUANCE,   1,194        

OR RENEWAL OF A POLICY OF LIFE INSURANCE OR ANNUITY,               1,195        

NOTWITHSTANDING ANY TERM OF A POLICY OR ANNUITY TO THE CONTRARY;   1,196        

      (b)  BE DEEMED TO MODIFY IN ANY MANNER OR INVALIDATE THE     1,199        

TERMS OF ANY POLICY OF LIFE INSURANCE OR ANNUITY THAT IS IN        1,200        

EFFECT ON THE EFFECTIVE DATE OF THIS SECTION.                                   

      (2)  NOTWITHSTANDING ANY TERM OF A POLICY OF LIFE INSURANCE  1,203        

OR ANNUITY TO THE CONTRARY, THE WITHHOLDING OR WITHDRAWAL OF CPR   1,204        

FROM A PERSON WHO IS INSURED OR COVERED UNDER THE POLICY OR        1,205        

ANNUITY AND WHO POSSESSES DNR IDENTIFICATION OR FOR WHOM A         1,206        

CURRENT DO-NOT-RESUSCITATE ORDER HAS BEEN ISSUED, IN ACCORDANCE    1,207        

WITH SECTIONS 2133.21 TO 2133.26 OF THE REVISED CODE, SHALL NOT    1,209        

IMPAIR OR INVALIDATE ANY POLICY OF LIFE INSURANCE OR ANNUITY.      1,210        

      (3)  NOTWITHSTANDING ANY TERM OF A POLICY OR PLAN TO THE     1,212        

CONTRARY, NEITHER OF THE FOLLOWING SHALL IMPAIR OR INVALIDATE ANY  1,213        

POLICY OF HEALTH INSURANCE OR ANY HEALTH CARE BENEFIT PLAN:        1,214        

      (a)  THE WITHHOLDING OR WITHDRAWAL IN ACCORDANCE WITH        1,216        

SECTIONS 2133.21 TO 2133.26 OF THE REVISED CODE OF CPR FROM A      1,217        

PERSON WHO IS INSURED OR COVERED UNDER THE POLICY OR ANNUITY AND   1,219        

WHO POSSESSES DNR IDENTIFICATION OR FOR WHOM A CURRENT             1,220        

DO-NOT-RESUSCITATE ORDER HAS BEEN ISSUED;                          1,221        

      (b)  THE PROVISION IN ACCORDANCE WITH SECTIONS 2133.21 TO    1,223        

2133.26 OF THE REVISED CODE OF CPR TO A PERSON OF THE NATURE       1,224        

DESCRIBED IN DIVISION (B)(3)(a) OF THIS SECTION.                   1,225        

      (4)  NO PHYSICIAN, HEALTH CARE FACILITY, OTHER HEALTH CARE   1,228        

PROVIDER, PERSON AUTHORIZED TO ENGAGE IN THE BUSINESS OF                        

INSURANCE IN THIS STATE UNDER TITLE XXXIX OF THE REVISED CODE,     1,230        

HEALTH INSURING CORPORATION, OTHER HEALTH CARE PLAN, LEGAL ENTITY  1,232        

THAT IS SELF-INSURED AND PROVIDES BENEFITS TO ITS EMPLOYEES OR     1,233        

MEMBERS, OR OTHER PERSON SHALL REQUIRE AN INDIVIDUAL TO POSSESS    1,234        

DNR IDENTIFICATION, OR SHALL REQUIRE AN INDIVIDUAL TO REVOKE OR    1,236        

REFRAIN FROM POSSESSING DNR IDENTIFICATION, AS A CONDITION OF      1,238        

                                                          29     

                                                                 
BEING INSURED OR OF RECEIVING HEALTH CARE BENEFITS OR SERVICES.    1,239        

      (C)(1)  SECTIONS 2133.21 TO 2133.26 OF THE REVISED CODE DO   1,242        

NOT CREATE ANY PRESUMPTION CONCERNING THE INTENT OF AN INDIVIDUAL  1,243        

WHO DOES NOT POSSESS DNR IDENTIFICATION WITH RESPECT TO THE USE,   1,246        

WITHHOLDING, OR WITHDRAWAL OF CPR.                                              

      (2)  SECTIONS 2133.21 TO 2133.26 OF THE REVISED CODE DO NOT  1,249        

AFFECT THE RIGHT OF A PERSON TO MAKE INFORMED DECISIONS REGARDING  1,250        

THE USE, WITHHOLDING, OR WITHDRAWAL OF CPR FOR THE PERSON AS LONG  1,252        

AS THE PERSON IS ABLE TO MAKE THOSE DECISIONS.                                  

      (3)  SECTIONS 2133.21 TO 2133.26 OF THE REVISED CODE ARE IN  1,255        

ADDITION TO AND INDEPENDENT OF, AND DO NOT LIMIT, IMPAIR, OR       1,256        

SUPERSEDE, ANY RIGHT OR RESPONSIBILITY THAT A PERSON HAS TO        1,257        

EFFECT THE WITHHOLDING OR WITHDRAWAL OF LIFE-SUSTAINING TREATMENT  1,258        

TO ANOTHER PURSUANT TO SECTIONS 2133.01 TO 2133.15 OF THE REVISED  1,260        

CODE OR IN ANY OTHER LAWFUL MANNER.                                             

      (D)  NOTHING IN SECTIONS 2133.21 TO 2133.26 OF THE REVISED   1,264        

CODE CONDONES, AUTHORIZES, OR APPROVES OF MERCY KILLING, ASSISTED  1,265        

SUICIDE, OR EUTHANASIA.                                                         

      Sec. 2133.25.  (A)  THE DEPARTMENT OF HEALTH, BY RULE        1,268        

ADOPTED PURSUANT TO CHAPTER 119. OF THE REVISED CODE, SHALL ADOPT  1,270        

A STANDARDIZED METHOD OF PROCEDURE FOR THE WITHHOLDING OF CPR BY   1,271        

PHYSICIANS, EMERGENCY MEDICAL SERVICES PERSONNEL, AND HEALTH CARE  1,272        

FACILITITES IN ACCORDANCE WITH SECTIONS 2133.21 TO 2133.26 OF THE  1,273        

REVISED CODE.  THE STANDARDIZED METHOD SHALL SPECIFY CRITERIA FOR               

DETERMINING WHEN A DO-NOT-RESUSCITATE ORDER ISSUED BY A PHYSICIAN  1,274        

IS CURRENT.  THE STANDARDIZED METHOD SO ADOPTED SHALL BE THE       1,275        

"DO-NOT-RESUSCITATE PROTOCOL" FOR PURPOSES OF SECTIONS 2133.21 TO  1,276        

2133.26 OF THE REVISED CODE. THE DEPARTMENT ALSO SHALL APPROVE     1,277        

ONE OR MORE STANDARD FORMS OF DNR IDENTIFICATION TO BE USED        1,278        

THROUGHOUT THIS STATE.                                             1,279        

      (B)  THE DEPARTMENT OF HEALTH SHALL ADOPT RULES IN           1,281        

ACCORDANCE WITH CHAPTER 119. OF THE REVISED CODE FOR THE           1,282        

ADMINISTRATION OF SECTIONS 2133.21 TO 2133.26 OF THE REVISED       1,285        

CODE.                                                                           

                                                          30     

                                                                 
      (C)  THE DEPARTMENT OF HEALTH SHALL APPOINT AN ADVISORY      1,287        

COMMITTEE TO ADVISE THE DEPARTMENT IN THE DEVELOPMENT OF RULES     1,288        

UNDER THIS SECTION.  THE ADVISORY COMMITTEE SHALL INCLUDE, BUT     1,289        

SHALL NOT BE LIMITED TO, REPRESENTATIVES OF EACH OF THE FOLLOWING  1,290        

ORGANIZATIONS:                                                                  

      (1)  THE ASSOCIATION FOR HOSPITALS AND HEALTH SYSTEMS        1,292        

(OHA);                                                                          

      (2)  THE OHIO STATE MEDICAL ASSOCIATION;                     1,294        

      (3)  THE OHIO CHAPTER OF THE AMERICAN COLLEGE OF EMERGENCY   1,297        

PHYSICIANS;                                                                     

      (4)  THE OHIO HOSPICE ORGANIZATION;                          1,299        

      (5)  THE OHIO COUNCIL FOR HOME CARE;                         1,301        

      (6)  THE OHIO HEALTH CARE ASSOCIATION;                       1,303        

      (7)  THE OHIO AMBULANCE ASSOCIATION;                         1,305        

      (8)  THE OHIO MEDICAL DIRECTORS ASSOCIATION;                 1,307        

      (9)  THE OHIO ASSOCIATION OF EMERGENCY MEDICAL SERVICES;     1,309        

      (10)  THE BIOETHICS NETWORK OF OHIO;                         1,311        

      (11)  THE OHIO NURSES ASSOCIATION;                           1,313        

      (12)  THE OHIO ACADEMY OF NURSING HOMES;                     1,315        

      (13)  THE OHIO ASSOCIATION 0F PROFESSIONAL FIREFIGHTERS;     1,317        

      (14)  THE OHIO DEPARTMENT OF MENTAL RETARDATION AND          1,319        

DEVELOPMENTAL DISABILITIES;                                        1,320        

      (15)  THE OHIO OSTEOPATHIC ASSOCIATION;                      1,322        

      (16)  THE ASSOCIATION OF OHIO PHILANTHROPIC HOMES, HOUSING   1,324        

AND SERVICES FOR THE AGING;                                        1,325        

      (17)  THE CATHOLIC CONFERENCE OF OHIO.                       1,327        

      Sec. 2133.26.  (A)(1)  NO PHYSICIAN SHALL WILLFULLY PREVENT  1,330        

OR ATTEMPT TO PREVENT, OR DELAY OR UNREASONABLY ATTEMPT TO DELAY,  1,331        

THE TRANSFER OF A PATIENT IN VIOLATION OF DIVISION (B) OF SECTION  1,332        

2133.23 OF THE REVISED CODE.                                       1,333        

      (2)  NO PERSON SHALL PURPOSELY CONCEAL, CANCEL, DEFACE, OR   1,335        

OBLITERATE THE DNR IDENTIFICATION OF ANOTHER PERSON WITHOUT THE    1,336        

CONSENT OF THE OTHER PERSON.                                       1,338        

      (3)  NO PERSON SHALL FALSIFY OR FORGE A REVOCATION OF A      1,340        

                                                          31     

                                                                 
DECLARATION THAT IS THE BASIS OF THE DNR IDENTIFICATION OF         1,342        

ANOTHER PERSON OR FALSIFY OR FORGE AN ORDER OF A PHYSICIAN THAT    1,343        

PURPORTS TO SUPERSEDE A DO-NOT-RESUSCITATE ORDER ISSUED FOR        1,344        

ANOTHER PERSON.                                                                 

      (4)  NO PERSON SHALL FALSIFY OR FORGE THE DNR                1,347        

IDENTIFICATION OF ANOTHER PERSON WITH THE INTENT TO CAUSE THE      1,348        

USE, WITHHOLDING, OR WITHDRAWAL OF CPR FOR THE OTHER PERSON.       1,349        

      (5)  NO PERSON WHO HAS PERSONAL KNOWLEDGE THAT ANOTHER       1,351        

PERSON HAS REVOKED A DECLARATION THAT IS THE BASIS OF THE OTHER    1,353        

PERSON'S DNR IDENTIFICATION OR PERSONAL KNOWLEDGE THAT A           1,354        

PHYSICIAN HAS ISSUED AN ORDER THAT SUPERSEDES A                    1,355        

DO-NOT-RESUSCITATE ORDER THAT THE PHYSICIAN ISSUED FOR ANOTHER     1,356        

PERSON SHALL PURPOSELY CONCEAL OR WITHHOLD THAT PERSONAL           1,357        

KNOWLEDGE WITH THE INTENT TO CAUSE THE USE, WITHHOLDING, OR        1,358        

WITHDRAWAL OF CPR FOR THE OTHER PERSON.                                         

      (B)(1)  WHOEVER VIOLATES DIVISION (A)(1) OR (5) OF THIS      1,361        

SECTION IS GUILTY OF A MISDEMEANOR OF THE THIRD DEGREE.            1,362        

      (2)  WHOEVER VIOLATES DIVISION (A)(2), (3), OR (4) OF THIS   1,364        

SECTION IS GUILTY OF A MISDEMEANOR OF THE FIRST DEGREE.            1,365        

      Sec. 4506.07.  (A)  Every application for a commercial       1,374        

driver's license, restricted commercial driver's license, or a     1,375        

commercial driver's temporary instruction permit, or a duplicate   1,376        

of such a license, shall be made upon a form approved and          1,377        

furnished by the registrar of motor vehicles.  Except as provided  1,378        

in section 4506.24 of the Revised Code in regard to a restricted   1,379        

commercial driver's license, the application shall be signed by    1,380        

the applicant and shall contain the following information:         1,381        

      (1)  The APPLICANT'S name, date of birth, social security    1,383        

account number, sex, general description including height,         1,384        

weight, and color of hair and eyes, current residence, duration    1,385        

of residence in this state, country of citizenship, and            1,386        

occupation;                                                                     

      (2)  Whether the applicant previously has been licensed to   1,388        

operate a commercial motor vehicle or any other type of motor      1,389        

                                                          32     

                                                                 
vehicle in another state or a foreign jurisdiction and, if so,     1,390        

when, by what state, and whether the license or driving            1,391        

privileges currently are suspended or revoked in any               1,392        

jurisdiction, or the applicant otherwise has been disqualified     1,393        

from operating a commercial motor vehicle, or is subject to an     1,394        

out-of-service order issued under this chapter or any similar law  1,395        

of another state or a foreign jurisdiction and, if so, the date    1,396        

of, locations involved, and reason for the suspension,             1,397        

revocation, disqualification, or out-of-service order;             1,398        

      (3)  Whether the applicant is afflicted with or suffering    1,400        

from any physical or mental disability or disease that prevents    1,401        

him THE APPLICANT from exercising reasonable and ordinary control  1,403        

over a motor vehicle while operating it upon a highway or is or    1,404        

has been subject to any condition resulting in episodic            1,405        

impairment of consciousness or loss of muscular control and, if    1,406        

so, the nature and extent of the disability, disease, or           1,407        

condition, and the names and addresses of the physicians           1,408        

attending him THE APPLICANT;                                       1,409        

      (4)  Whether the applicant has obtained a medical            1,411        

examiner's certificate as required by this chapter;                1,412        

      (5)  Whether the applicant has pending a citation for        1,414        

violation of any motor vehicle law or ordinance except a parking   1,415        

violation and, if so, a description of the citation, the court     1,416        

having jurisdiction of the offense, and the date when the offense  1,417        

occurred;                                                          1,418        

      (6)  Whether the applicant wishes to certify willingness to  1,420        

make an anatomical donation under section 2108.04 of the Revised   1,421        

Code, which shall be given no consideration in the issuance of a   1,422        

license;                                                           1,423        

      (7)  On and after May 1, 1993, whether the applicant has     1,425        

executed a valid durable power of attorney for health care         1,426        

pursuant to sections 1337.11 to 1337.17 of the Revised Code or     1,427        

has executed a declaration governing the use or continuation, or   1,428        

the withholding or withdrawal, of life-sustaining treatment        1,429        

                                                          33     

                                                                 
pursuant to Chapter 2133. SECTIONS 2133.01 TO 2133.15 of the       1,431        

Revised Code and, if the applicant has executed either type of     1,432        

instrument, whether he THE APPLICANT wishes his THE license        1,433        

ISSUED to indicate that he THE APPLICANT has executed the          1,434        

instrument.                                                                     

      (B)  Every applicant shall certify, on a form approved and   1,436        

furnished by the registrar, all of the following:                  1,437        

      (1)  That the motor vehicle in which the applicant intends   1,439        

to take the driving skills test is representative of the type of   1,440        

motor vehicle that the applicant expects to operate as a driver;   1,441        

      (2)  That the applicant is not subject to any                1,443        

disqualification or out-of-service order, or license suspension,   1,444        

revocation, or cancellation, under the laws of this state, of      1,445        

another state, or of a foreign jurisdiction and does not have      1,446        

more than one driver's license issued by this or another state or  1,447        

a foreign jurisdiction;                                            1,448        

      (3)  Any additional information, certification, or evidence  1,450        

that the registrar requires by rule in order to ensure that the    1,451        

issuance of a commercial driver's license to the applicant is in   1,452        

compliance with the law of this state and with federal law.        1,453        

      (C)  Every applicant shall execute a form, approved and      1,455        

furnished by the registrar, under which the applicant consents to  1,456        

the release by the registrar of information from the applicant's   1,457        

driving record.                                                    1,458        

      (D)  The registrar or a deputy registrar shall, in           1,460        

accordance with section 3503.11 of the Revised Code, SHALL         1,462        

register as an elector any applicant for a commercial driver's     1,463        

license or for a renewal or duplicate of such a license under      1,464        

this chapter, if the applicant is eligible and wishes to be        1,465        

registered as an elector.  The decision of an applicant whether    1,466        

to register as an elector shall be given no consideration in the   1,467        

decision of whether to issue him THE APPLICANT a license or a      1,468        

renewal or duplicate.                                                           

      (E)  The registrar or a deputy registrar shall, in           1,470        

                                                          34     

                                                                 
accordance with section 3503.11 of the Revised Code, SHALL offer   1,472        

the opportunity of completing a notice of change of residence or   1,473        

change of name to any applicant for a commercial driver's license  1,475        

or for a renewal or duplicate of such a license who is a resident  1,476        

of this state, if the applicant is a registered elector who has    1,477        

changed his THE APPLICANT'S residence or name and has not filed    1,478        

such a notice.                                                                  

      Sec. 4507.06.  (A)(1)  Every application for a driver's      1,487        

license or motorcycle operator's license or endorsement, or        1,488        

duplicate of any such license or endorsement, shall be made upon   1,489        

the approved form furnished by the registrar of motor vehicles     1,490        

and shall be signed by the applicant.                              1,491        

      Every application shall state the following:                 1,493        

      (a)  The applicant's name, date of birth, social security    1,495        

number if such has been assigned, sex, general description,        1,496        

including height, weight, color of hair, and eyes, residence       1,497        

address, including county of residence, duration of residence in   1,498        

this state, and country of citizenship;                            1,499        

      (b)  Whether the applicant previously has been licensed as   1,501        

an operator, chauffeur, driver, commercial driver, or motorcycle   1,502        

operator and, if so, when, by what state, and whether such         1,503        

license is suspended or revoked at the present time and, if so,    1,504        

the date of and reason for the suspension or revocation;           1,505        

      (c)  Whether the applicant is now or ever has been           1,507        

afflicted with epilepsy, or whether the applicant now is           1,508        

suffering from any physical or mental disability or disease and,   1,509        

if so, the nature and extent of the disability or disease, giving  1,510        

the names and addresses of physicians then or previously in        1,511        

attendance upon the applicant;                                     1,512        

      (d)  Whether an applicant for a duplicate driver's license,  1,514        

or duplicate license containing a motorcycle operator endorsement  1,515        

has pending a citation for violation of any motor vehicle law or   1,516        

ordinance, a description of any such citation pending, and the     1,517        

date of the citation;                                              1,518        

                                                          35     

                                                                 
      (e)  Whether the applicant wishes to certify willingness to  1,520        

make an anatomical gift under section 2108.04 of the Revised       1,521        

Code, which shall be given no consideration in the issuance of a   1,522        

license or endorsement;                                            1,523        

      (f)  On and after May 1, 1993, whether the applicant has     1,525        

executed a valid durable power of attorney for health care         1,526        

pursuant to sections 1337.11 to 1337.17 of the Revised Code or     1,527        

has executed a declaration governing the use or continuation, or   1,528        

the withholding or withdrawal, of life-sustaining treatment        1,529        

pursuant to Chapter 2133. SECTIONS 2133.01 TO 2133.15 of the       1,531        

Revised Code and, if the applicant has executed either type of     1,532        

instrument, whether the applicant wishes the applicant's license   1,534        

to indicate that the applicant has executed the instrument.        1,536        

      (2)  Every applicant for a driver's license shall be         1,538        

photographed in color at the time the application for the license  1,539        

is made.  The application shall state any additional information   1,540        

that the registrar requires.                                       1,541        

      (B)  The registrar or a deputy registrar, in accordance      1,543        

with section 3503.11 of the Revised Code, shall register as an     1,544        

elector any person who applies for a driver's license or           1,545        

motorcycle operator's license or endorsement under division (A)    1,546        

of this section, or for a renewal or duplicate of the license or   1,547        

endorsement, if the applicant is eligible and wishes to be         1,548        

registered as an elector.  The decision of an applicant whether    1,549        

to register as an elector shall be given no consideration in the   1,550        

decision of whether to issue the applicant a license or            1,551        

endorsement, or a renewal or duplicate.                                         

      (C)  The registrar or a deputy registrar, in accordance      1,553        

with section 3503.11 of the Revised Code, shall offer the          1,554        

opportunity of completing a notice of change of residence or       1,555        

change of name to any applicant for a driver's license or          1,557        

endorsement under division (A) of this section, or for a renewal   1,558        

or duplicate of the license or endorsement, if the applicant is a  1,559        

registered elector who has changed the applicant's residence or    1,560        

                                                          36     

                                                                 
name and has not filed such a notice.                              1,561        

      Sec. 4507.51.  (A)(1)  Every application for an              1,570        

identification card or duplicate shall be made on a form           1,571        

furnished by the registrar of motor vehicles, shall be signed by   1,572        

the applicant, and by his THE APPLICANT'S parent or guardian if    1,573        

the applicant is under eighteen years of age, and shall contain    1,575        

the following information pertaining to the applicant:  name,      1,576        

date of birth, sex, general description including the applicant's  1,577        

height, weight, hair color, and eye color, address, and at the     1,578        

option of the applicant, his THE APPLICANT'S social security       1,579        

number, his THE APPLICANT'S blood type, or his THE APPLICANT'S     1,581        

social security number and his blood type.  The application form   1,582        

shall state that an applicant is not required to furnish his THE   1,583        

APPLICANT'S social security number or his THE APPLICANT'S blood    1,585        

type.  The application shall also state whether an applicant       1,586        

wishes to certify willingness to make an anatomical gift under     1,587        

section 2108.04 of the Revised Code and shall include information  1,588        

about the requirements of that section that apply to persons who   1,589        

are less than eighteen years of age.  The statement regarding      1,590        

willingness to make such a donation shall be given no              1,592        

consideration in the decision of whether to issue an               1,593        

identification card.  Each applicant shall be photographed in      1,594        

color at the time of making application.                                        

      (2)  On and after May 1, 1993, the application also shall    1,596        

state whether the applicant has executed a valid durable power of  1,598        

attorney for health care pursuant to sections 1337.11 to 1337.17                

of the Revised Code or has executed a declaration governing the    1,599        

use or continuation, or the withholding or withdrawal, of          1,600        

life-sustaining treatment pursuant to Chapter 2133. SECTIONS       1,601        

2133.01 TO 2133.15 of the Revised Code and, if the applicant has   1,602        

executed either type of instrument, whether he THE APPLICANT       1,604        

wishes his THE identification card ISSUED to indicate that he THE  1,605        

APPLICANT has executed the instrument.                             1,606        

      (3)  The registrar or deputy registrar, in accordance with   1,608        

                                                          37     

                                                                 
section 3503.11 of the Revised Code, shall register as an elector  1,610        

any person who applies for an identification card or duplicate if  1,611        

the applicant is eligible and wishes to be registered as an        1,612        

elector.  The decision of an applicant whether to register as an   1,613        

elector shall be given no consideration in the decision of         1,614        

whether to issue him THE APPLICANT an identification card or       1,615        

duplicate.                                                                      

      (B)  The application for an identification card or           1,617        

duplicate shall be filed in the office of the registrar or deputy  1,619        

registrar.  Each applicant shall present documentary evidence as                

required by the registrar of his THE APPLICANT'S age and           1,620        

identity.  Each applicant who did not enter his OR HER social      1,621        

security number on his OR HER application form, upon request,      1,623        

shall furnish the registrar or the deputy registrar with the       1,624        

applicant's social security number, if such a number has been      1,626        

assigned to the applicant, for purposes of determining whether a   1,628        

driver's or commercial driver's license has been issued under the  1,629        

same social security number.  The registrar or deputy registrar    1,630        

shall not maintain the social security number as a part of the     1,631        

record or enter it on the application form.  The applicant shall   1,632        

swear that all information given is true.                          1,633        

      All applications for an identification card or duplicate     1,635        

shall be filed in duplicate, and if submitted to a deputy          1,636        

registrar, a copy shall be forwarded to the registrar.  The        1,637        

registrar shall prescribe rules for the manner in which a deputy   1,638        

registrar is to file and maintain applications and other records.  1,639        

The registrar shall maintain a suitable, indexed record of all     1,640        

applications denied and cards issued or canceled.                  1,641        

      Section 2.  That existing sections 1337.12, 2133.01,         1,643        

2133.02, 2133.03, 2133.07, 2133.10, 2133.12, 2133.13, 2133.14,     1,644        

2133.15, 4506.07, 4507.06, and 4507.51 of the Revised Code are     1,645        

hereby repealed.                                                   1,646        

      Section 3.  That Section 3 of Am. Sub. S.B. 1 of the 119th   1,648        

General Assembly be amended to read as follows:                    1,649        

                                                          38     

                                                                 
      "Sec. 3.  Chapter 2133. of the Revised Code, as enacted      1,651        

AMENDED by this act, shall be entitled the Modified Uniform        1,652        

Rights of the Terminally Ill Act AND THE DNR IDENTIFICATION AND    1,654        

DO-NOT-RESUSCITATE ORDER LAW."                                                  

      Section 4.  That existing Section 3 of Am. Sub. S.B. 1 of    1,656        

the 119th General Assembly is hereby repealed.                     1,657