|
|
To amend sections 1337.11 and 1337.14 and to enact | 1 |
sections 2135.01 to 2135.14 of the Revised Code to | 2 |
permit the execution of a Declaration for Mental | 3 |
Health Treatment. | 4 |
Section 1. That sections 1337.11 and 1337.14 be amended and | 5 |
sections 2135.01, 2135.02, 2135.03, 2135.04, 2135.05, 2135.06, | 6 |
2135.07, 2135.08, 2135.09, 2135.10, 2135.11, 2135.12, 2135.13, and | 7 |
2135.14 of the Revised Code be enacted to read as follows: | 8 |
Sec. 1337.11. As used in sections 1337.11 to 1337.17 of the | 9 |
Revised Code: | 10 |
(A) "Adult" means a person who is eighteen years of age or | 11 |
older. | 12 |
(B) "Attending physician" means the physician to whom a | 13 |
principal or the family of a principal has assigned primary | 14 |
responsibility for the treatment or care of the principal or, if | 15 |
the responsibility has not been assigned, the physician who has | 16 |
accepted that responsibility. | 17 |
(C) "Comfort care" means any of the following: | 18 |
(1) Nutrition when administered to diminish the pain or | 19 |
discomfort of a principal, but not to postpone death; | 20 |
(2) Hydration when administered to diminish the pain or | 21 |
discomfort of a principal, but not to postpone death; | 22 |
(3) Any other medical or nursing procedure, treatment, | 23 |
intervention, or other measure that is taken to diminish the pain | 24 |
or discomfort of a principal, but not to postpone death. | 25 |
(D) "Consulting physician" means a physician who, in | 26 |
conjunction with the attending physician of a principal, makes one | 27 |
or more determinations that are required to be made by the | 28 |
attending physician, or to be made by the attending physician and | 29 |
one other physician, by an applicable provision of sections | 30 |
1337.11 to 1337.17 of the Revised Code, to a reasonable degree of | 31 |
medical certainty and in accordance with reasonable medical | 32 |
standards. | 33 |
(E) "Declaration for mental health treatment" has the same | 34 |
meaning as in section 2135.01 of the Revised Code. | 35 |
(F) "Guardian" means a person appointed by a probate court | 36 |
pursuant to Chapter 2111. of the Revised Code to have the care and | 37 |
management of the person of an incompetent. | 38 |
| 39 |
procedure to maintain, diagnose, or treat an individual's physical | 40 |
or mental condition or physical or mental health. | 41 |
| 42 |
to give informed consent, or withdrawal of informed consent to | 43 |
health care. | 44 |
| 45 |
(1) A hospital; | 46 |
(2) A hospice care program or other institution that | 47 |
specializes in comfort care of patients in a terminal condition or | 48 |
in a permanently unconscious state; | 49 |
(3) A nursing home; | 50 |
(4) A home health agency; | 51 |
(5) An intermediate care facility for the mentally retarded; | 52 |
(6) A regulated community mental health organization. | 53 |
| 54 |
physician assistants, emergency medical technicians-basic, | 55 |
emergency medical technicians-intermediate, emergency medical | 56 |
technicians-paramedic, medical technicians, dietitians, other | 57 |
authorized persons acting under the direction of an attending | 58 |
physician, and administrators of health care facilities. | 59 |
| 60 |
section
| 61 |
| 62 |
section 3712.01 of the Revised Code. | 63 |
| 64 |
2108.01, 3701.01, and 5122.01 of the Revised Code. | 65 |
| 66 |
technologically administered. | 67 |
| 68 |
2111.01 of the Revised Code. | 69 |
| 70 |
has the same meaning as in section 5111.20 of the Revised Code. | 71 |
| 72 |
procedure, treatment, intervention, or other measure that, when | 73 |
administered to a principal, will serve principally to prolong the | 74 |
process of dying. | 75 |
| 76 |
77 |
(S) "Mental health treatment" has the same meaning as in | 78 |
section 2135.01 of the Revised Code. | 79 |
| 80 |
3721.01 of the Revised Code. | 81 |
| 82 |
technologically administered. | 83 |
| 84 |
permanent unconsciousness in a principal that, to a reasonable | 85 |
degree of medical certainty as determined in accordance with | 86 |
reasonable medical standards by the principal's attending | 87 |
physician and one other physician who has examined the principal, | 88 |
is characterized by both of the following: | 89 |
(1) Irreversible unawareness of one's being and environment. | 90 |
(2) Total loss of cerebral cortical functioning, resulting in | 91 |
the principal having no capacity to experience pain or suffering. | 92 |
| 93 |
the Revised Code and additionally includes political subdivisions | 94 |
and governmental agencies, boards, commissions, departments, | 95 |
institutions, offices, and other instrumentalities. | 96 |
| 97 |
Chapter 4731. of the Revised Code to practice medicine and surgery | 98 |
or osteopathic medicine and surgery. | 99 |
| 100 |
meanings as in section 2744.01 of the Revised Code. | 101 |
| 102 |
by the board or other entity that regulates the professional | 103 |
conduct of health care personnel, including the state medical | 104 |
board and the board of nursing. | 105 |
| 106 |
means a residential facility as defined and licensed under section | 107 |
5119.22 of the Revised Code or a community mental health agency as | 108 |
defined in section 5122.01 of the Revised Code. | 109 |
(BB) "Terminal condition" means an irreversible, incurable, | 110 |
and untreatable condition caused by disease, illness, or injury | 111 |
from which, to a reasonable degree of medical certainty as | 112 |
determined in accordance with reasonable medical standards by a | 113 |
principal's attending physician and one other physician who has | 114 |
examined the principal, both of the following apply: | 115 |
(1) There can be no recovery. | 116 |
(2) Death is likely to occur within a relatively short time | 117 |
if life-sustaining treatment is not administered. | 118 |
| 119 |
injury, death, or loss to person or property, other than a civil | 120 |
action for damages for a breach of contract or another agreement | 121 |
between persons. | 122 |
Sec. 1337.14. (A) A principal who creates a valid durable | 123 |
power of attorney for health care may revoke that instrument or | 124 |
the designation of the attorney in fact under it. | 125 |
The principal may so revoke at any time and in any manner, | 126 |
except that the principal may not revoke the instrument or the | 127 |
designation if the principal has lost the capacity to make | 128 |
informed health care decisions for the principal. The revocation | 129 |
shall be effective when the principal expresses
| 130 |
to so revoke, except that, if the principal
made
| 131 |
principal's attending physician aware of the durable power of | 132 |
attorney for health care, the revocation shall be effective upon | 133 |
its communication to the attending physician by the principal | 134 |
135 | |
personnel to whom the revocation is communicated by such a | 136 |
witness. Absent actual knowledge to the contrary, the attending | 137 |
physician of the principal and other health care personnel who are | 138 |
informed of the revocation of a durable power of attorney for | 139 |
health care by an alleged witness may rely on the information and | 140 |
act in accordance with the revocation. | 141 |
(B) Upon the communication as described in division (A) of | 142 |
this section to the attending physician of a principal of the fact | 143 |
that
| 144 |
has been revoked, the attending physician or other health care | 145 |
personnel acting under the direction of the attending physician | 146 |
shall make the fact a part of the principal's medical record. | 147 |
(C) Unless the instrument provides otherwise, a valid durable | 148 |
power of attorney for health care revokes a prior, valid durable | 149 |
power of attorney for health care. | 150 |
(D) Regardless of when the declaration is drafted, the | 151 |
execution of a declaration for mental health treatment does not | 152 |
revoke a valid durable power of attorney for health care. A | 153 |
declaration for mental health treatment executed in accordance | 154 |
with Chapter 2135. of the Revised Code supersedes a valid durable | 155 |
power of attorney for health care with regard to mental health | 156 |
treatment and the designation of a proxy to make decisions | 157 |
regarding mental health treatment. | 158 |
Sec. 2135.01. As used in sections 2135.01 to 2135.14 of the | 159 |
Revised Code: | 160 |
(A) "Adult" means a person who is eighteen years of age or | 161 |
older. | 162 |
(B) "Capacity to consent to mental health treatment | 163 |
decisions" means the functional ability to understand information | 164 |
about the risks of, benefits of, and alternatives to the proposed | 165 |
mental health treatment, to rationally use that information, to | 166 |
appreciate how that information applies to the declarant, and to | 167 |
express a choice about the proposed treatment. | 168 |
(C) "Declarant" means an adult who has executed a declaration | 169 |
for mental health treatment in accordance with this chapter. | 170 |
(D) "Declaration for mental health treatment" or | 171 |
"declaration" means a written document declaring preferences or | 172 |
instructions regarding mental health treatment executed in | 173 |
accordance with this chapter. | 174 |
(E) "Designated physician" means the physician the declarant | 175 |
has named in a declaration for mental health treatment and has | 176 |
assigned the primary responsibility for the declarant's mental | 177 |
health treatment or, if the declarant has not so named a | 178 |
physician, the physician who has accepted that responsibility. | 179 |
(F) "Guardian" means a person appointed by a probate court | 180 |
pursuant to Chapter 2111. of the Revised Code to have the care and | 181 |
management of the person of an incompetent. | 182 |
(G) "Health care" means any care, treatment, service, or | 183 |
procedure to maintain, diagnose, or treat an individual's physical | 184 |
or mental condition or physical or mental health. | 185 |
(H) "Health care facility" has the same meaning as in section | 186 |
1337.11 of the Revised Code. | 187 |
(I) "Incompetent" has the same meaning as in section 2111.01 | 188 |
of the Revised Code. | 189 |
(J) "Informed consent" means consent voluntarily given by a | 190 |
person after a sufficient explanation and disclosure of the | 191 |
subject matter involved to enable that person to have a general | 192 |
understanding of the nature, purpose, and goal of the treatment or | 193 |
procedures, including the substantial risks and hazards inherent | 194 |
in the proposed treatment or procedures and any alternative | 195 |
treatment or procedures, and to make a knowing health care | 196 |
decision without coercion or undue influence. | 197 |
(K) "Medical record" means any document or combination of | 198 |
documents that pertains to a declarant's medical history, | 199 |
diagnosis, prognosis, or medical condition and that is generated | 200 |
and maintained in the process of the declarant's health care. | 201 |
(L) "Mental health treatment" means any care, treatment, | 202 |
service, or procedure to maintain, diagnose, or treat an | 203 |
individual's mental condition or mental health, including, but not | 204 |
limited to, electroconvulsive or other convulsive treatment, | 205 |
treatment of mental illness with medication, and admission to and | 206 |
retention in a health care facility. | 207 |
(M) "Mental health treatment decision" means informed | 208 |
consent, refusal to give informed consent, or withdrawal of | 209 |
informed consent to mental health treatment. | 210 |
(N) "Mental health treatment provider" means physicians, | 211 |
physician assistants, psychologists, licensed independent social | 212 |
workers, licensed professional clinical counselors, and | 213 |
psychiatric nurses. | 214 |
(O) "Physician" means a person who is authorized under | 215 |
Chapter 4731. of the Revised Code to practice medicine and surgery | 216 |
or osteopathic medicine and surgery. | 217 |
(P) "Professional disciplinary action" means action taken by | 218 |
the board or other entity that regulates the professional conduct | 219 |
of health care personnel, including, but not limited to, the state | 220 |
medical board, the state board of psychology, and the state board | 221 |
of nursing. | 222 |
(Q) "Proxy" means an adult designated to make mental health | 223 |
treatment decisions for a declarant under a valid declaration for | 224 |
mental health treatment. | 225 |
(R) "Psychiatric nurse" means a registered nurse who holds a | 226 |
master's degree or doctorate in nursing with a specialization in | 227 |
psychiatric nursing. | 228 |
(S) "Psychiatrist" has the same meaning as in section 5122.01 | 229 |
of the Revised Code. | 230 |
(T) "Psychologist" has the same meaning as in section 4732.01 | 231 |
of the Revised Code. | 232 |
(U) "Registered nurse" has the same meaning as in section | 233 |
4723.01 of the Revised Code. | 234 |
(V) "Tort action" means a civil action for damages for | 235 |
injury, death, or loss to person or property, other than a civil | 236 |
action for damages for a breach of contract or another agreement | 237 |
between persons. | 238 |
Sec. 2135.02. (A) An adult who has the capacity to consent to | 239 |
mental health treatment decisions voluntarily may execute at any | 240 |
time a declaration governing the use or continuation, or the | 241 |
withholding or withdrawal, of mental health treatment. The | 242 |
declaration shall be signed at the end by the declarant, state the | 243 |
date of its execution, and either be witnessed or be acknowledged | 244 |
in accordance with section 2135.06 of the Revised Code. The | 245 |
declaration may include a designation by the declarant of a person | 246 |
to act as a proxy to make decisions regarding mental health | 247 |
treatment pursuant to the declaration, and, if the declaration | 248 |
includes a designation of a proxy, the declaration shall be signed | 249 |
at the end by the designated proxy. The declarant may also | 250 |
specifically designate in the declaration an alternate proxy to | 251 |
act in that role if the original proxy is unable or unwilling to | 252 |
act at any time, and, if the declaration includes a designation of | 253 |
an alternate proxy, the declaration shall be signed at the end by | 254 |
the designated alternate proxy. The declarant may name in the | 255 |
declaration a physician and assign the physician the primary | 256 |
responsibility for the declarant's mental health treatment. The | 257 |
declaration may include a specific authorization for the use or | 258 |
continuation, or the withholding or withdrawal, of mental health | 259 |
treatment. | 260 |
(B) A mental health treatment provider or a health care | 261 |
facility providing services to a declarant shall continue to | 262 |
obtain the declarant's informed consent to all mental health | 263 |
treatment decisions if the declarant has the capacity to consent | 264 |
to mental health treatment decisions. | 265 |
Sec. 2135.03. (A) A declaration for mental health treatment | 266 |
remains valid and may become operative, as provided in section | 267 |
2135.04 of the Revised Code, for three years after its execution | 268 |
unless it is properly revoked. If the declaration becomes | 269 |
operative, the authority of a proxy named in the declaration | 270 |
continues in effect as long as the declaration designating the | 271 |
proxy is in effect or until the proxy has withdrawn. If a | 272 |
declaration for mental health treatment has become operative and | 273 |
is in effect at the expiration of three years after its execution, | 274 |
the declaration remains effective until the declarant has the | 275 |
capacity to consent to mental health treatment decisions. If a | 276 |
declaration for mental health treatment has not become operative | 277 |
at the expiration of three years after its execution, the | 278 |
declaration expires. | 279 |
(B) A valid declaration may be revoked in accordance with | 280 |
section 2135.09 of the Revised Code or renewed in accordance with | 281 |
division (C) of this section, but it shall not otherwise be | 282 |
altered or amended after it has been executed. A properly executed | 283 |
declaration is not revoked or invalidated by an alteration of or | 284 |
amendment to the declaration. Any alteration of or amendment to | 285 |
the declaration is not a part of the declaration. | 286 |
(C) A declarant may renew a declaration once, extending the | 287 |
validity of the document for an additional three-year period from | 288 |
the date of the renewed execution, by repeating the procedures set | 289 |
forth in section 2135.06 of the Revised Code. A declarant shall | 290 |
not make any changes to any term or provision of the declaration | 291 |
when renewing under this division. | 292 |
Sec. 2135.04. (A) A declaration becomes operative when both | 293 |
of the following apply: | 294 |
(1) The declaration is communicated to a mental health | 295 |
treatment provider of the declarant. | 296 |
(2) The designated physician or a psychiatrist, and one other | 297 |
mental health treatment provider, who examine the declarant | 298 |
determine that the declarant does not have the capacity to consent | 299 |
to mental health treatment decisions. At least one of the two | 300 |
persons who make this determination shall not currently be | 301 |
involved in the declarant's treatment at the time of the | 302 |
determination. If a designated physician is named in the | 303 |
declaration and is not one of the two persons who make this | 304 |
determination, then the psychiatrist who makes the determination | 305 |
in lieu of the designated physician shall make a good faith effort | 306 |
to consult with the designated physician as soon as practicable. | 307 |
(B) A mental health treatment provider for a declarant or a | 308 |
health care facility providing services to a declarant shall make | 309 |
a declaration part of the declarant's medical record and shall | 310 |
note in that record when the declaration is operative. | 311 |
(C) A mental health treatment provider for a declarant or a | 312 |
health care facility providing services to a declarant shall act | 313 |
in accordance with an operative declaration of the declarant | 314 |
consistent with reasonable medical practice, the availability of | 315 |
treatments requested, and applicable law. The mental health | 316 |
treatment provider or the health care facility shall continue to | 317 |
act in accordance with an operative declaration until the | 318 |
declarant has the capacity to consent to mental health treatment | 319 |
decisions. | 320 |
(D) An operative declaration of a declarant supersedes any | 321 |
general consent to treatment form signed by the declarant prior | 322 |
to, upon, or after the declarant's admission to a health care | 323 |
facility to the extent there is a conflict between the declaration | 324 |
and the form, even if the declarant signs the form after the | 325 |
execution of the declaration. To the extent that the provisions of | 326 |
a declarant's declaration and a general consent to treatment form | 327 |
signed by the declarant do not conflict, both documents shall | 328 |
govern the use or continuation, or the withholding or withdrawal, | 329 |
of mental health treatment for the declarant. This division does | 330 |
not apply if a declarant revokes a declaration after the declarant | 331 |
signs a general consent to treatment form. | 332 |
Sec. 2135.05. (A) A declaration may designate an adult to act | 333 |
as a proxy to make decisions about the mental health treatment of | 334 |
the declarant and may designate an adult as an alternate proxy as | 335 |
described in section 2135.02 of the Revised Code. A proxy | 336 |
designated to make decisions about mental health treatment may | 337 |
make decisions about mental health treatment on behalf of the | 338 |
declarant only when the declaration has become operative. The | 339 |
decisions of the proxy regarding the mental health treatment of | 340 |
the declarant must be consistent with desires the declarant has | 341 |
expressed in the declaration. | 342 |
(B) The following persons may not serve as a proxy for a | 343 |
declarant: | 344 |
(1) The declarant's mental health treatment provider, or an | 345 |
employee of the declarant's mental health treatment provider; | 346 |
(2) The owner, operator, or employee of a health care | 347 |
facility in which the declarant is a patient receiving its | 348 |
services or a resident. | 349 |
(C) Divisions (B)(1) and (2) of this section do not apply if | 350 |
the declarant and proxy are related by blood, marriage, or | 351 |
adoption. | 352 |
(D) A proxy may withdraw from a declaration prior to the | 353 |
declaration becoming operative by giving notice to the declarant. | 354 |
If the declaration is operative, a proxy may withdraw by giving | 355 |
written notice to the declarant's mental health treatment provider | 356 |
or the health care facility providing services to the declarant. | 357 |
The mental health treatment provider or the health care facility | 358 |
shall note the withdrawal of a proxy as part of the declarant's | 359 |
medical record. | 360 |
Sec. 2135.06. (A) A declaration for mental health treatment | 361 |
is valid only if it is signed by the declarant, states the date of | 362 |
its execution, and is either witnessed by two adults or | 363 |
acknowledged before a notary public. | 364 |
If a proxy, or a proxy and an alternate proxy, have been | 365 |
designated in the declaration, then each proxy also shall sign the | 366 |
declaration, and the signature of each proxy shall be either | 367 |
witnessed by two adults or acknowledged before a notary public, | 368 |
except that, notwithstanding these requirements, both of the | 369 |
following apply: | 370 |
(1) No declaration shall be invalid or be held invalid | 371 |
because a proxy has not signed the declaration. | 372 |
(2) If a proxy has not signed the declaration, or if the | 373 |
signature of a proxy named in a valid declaration is not either | 374 |
witnessed by two adults or acknowledged before a notary public, | 375 |
then the designation of the proxy is invalid, but the declaration | 376 |
is not invalid because of the absence of a witnessed or | 377 |
acknowledged signature of a proxy. | 378 |
(B) If witnessed for purposes of this section, a declaration | 379 |
shall be witnessed by two individuals as described in this | 380 |
division in whose presence the declarant and each designated proxy | 381 |
signs the declaration. Each witness shall subscribe the witness' | 382 |
signature after the signature of the declarant and, by doing so, | 383 |
attest to the witness' belief that the declarant appears to be of | 384 |
sound mind and not under or subject to duress, fraud, or undue | 385 |
influence. The signatures of the declarant and any proxy under | 386 |
this section and of the witnesses under this division are not | 387 |
required to appear on the same page of the declaration. | 388 |
(C) If acknowledged for purposes of this section, a | 389 |
declaration shall be acknowledged before a notary public, who | 390 |
shall make the certification described in section 147.53 of the | 391 |
Revised Code and also shall attest that the declarant and each | 392 |
designated proxy appear to be of sound mind and not under or | 393 |
subject to duress, fraud, or undue influence. | 394 |
(D) The following may not serve as a witness to the signing | 395 |
of a declarant's declaration: | 396 |
(1) The declarant's mental health treatment provider or a | 397 |
relative or employee of the declarant's mental health treatment | 398 |
provider; | 399 |
(2) The owner, the operator, or a relative or employee of an | 400 |
owner or operator of a health care facility in which the declarant | 401 |
is a patient receiving its services or a resident; | 402 |
(3) A person related to the declarant by blood, marriage, or | 403 |
adoption; | 404 |
(4) A person named as a proxy in the declarant's declaration. | 405 |
Sec. 2135.07. (A) If a mental health treatment provider of a | 406 |
declarant or a health care facility providing services to a | 407 |
declarant is unwilling at any time to comply with the declarant's | 408 |
declaration, the mental health treatment provider or health care | 409 |
facility promptly shall notify the declarant and any proxy and | 410 |
document the notification in the declarant's medical record. The | 411 |
mental health treatment provider or health care facility that is | 412 |
unwilling to comply with the declarant's declaration shall not | 413 |
prevent or attempt to prevent, or unreasonably delay or attempt to | 414 |
unreasonably delay, the transfer of the declarant to the care of a | 415 |
mental health treatment provider or a health care facility that is | 416 |
willing and able to comply or allow compliance with the | 417 |
declarant's declaration. | 418 |
(B) The mental health treatment provider of a declarant or a | 419 |
health care facility providing services to a declarant may subject | 420 |
the declarant to treatment in a manner contrary to the declarant's | 421 |
expressed wishes only if either of the following applies: | 422 |
(1) The declarant has been committed as a patient under | 423 |
Chapter 2945. or 5122. of the Revised Code, and, if the court | 424 |
knows of the declaration, the committing court acknowledges the | 425 |
existence of the declaration and specifically orders treatment in | 426 |
a manner contrary to the declaration. | 427 |
(2) An emergency situation endangers the life or health of | 428 |
the declarant or others. | 429 |
Sec. 2135.08. (A) The proxy under a declaration is not, as a | 430 |
result of acting in that capacity, personally liable for the cost | 431 |
of treatment provided to the declarant. Except to the extent the | 432 |
right is limited by the declaration or any federal law, a proxy | 433 |
has the same right as the declarant to receive information | 434 |
regarding the proposed mental health treatment of the declarant | 435 |
and to receive, review, and consent to disclosure of the | 436 |
declarant's medical records relating to that treatment. This right | 437 |
of access does not waive any evidentiary privilege. | 438 |
(B) In exercising authority under a declaration, the proxy | 439 |
has a duty to act consistently with the desires of the declarant | 440 |
as expressed in the declaration. If the declarant's desires are | 441 |
not expressed in the declaration, the proxy has a duty to act in | 442 |
what the proxy in good faith believes to be the best interests of | 443 |
the declarant. | 444 |
(C) A proxy is not subject to criminal prosecution, tort or | 445 |
other civil liability for injury, death, or loss to person or | 446 |
property, or professional disciplinary action for an action taken | 447 |
in good faith under a declaration for mental health treatment. | 448 |
Sec. 2135.09. (A) A declarant may revoke a declaration at any | 449 |
time the declarant has the capacity to consent to mental health | 450 |
treatment decisions. Any revocation of a declaration by a | 451 |
declarant shall be in writing, signed by the declarant, and dated. | 452 |
The revocation shall be effective upon its communication to the | 453 |
mental health treatment provider of the declarant or the health | 454 |
care facility providing services to the declarant. If the | 455 |
declaration is operative, then the declarant may revoke the | 456 |
declaration after a designated physician or a psychiatrist, and | 457 |
one other mental health treatment provider, who examine the | 458 |
declarant determine that the declarant has the capacity to consent | 459 |
to mental health treatment decisions. | 460 |
(B) Upon the declarant's revocation of a declaration, the | 461 |
mental health treatment provider or the health care facility shall | 462 |
make the revocation a part of the declarant's medical record. | 463 |
(C) A valid declaration for mental health treatment revokes a | 464 |
prior, valid declaration for mental health treatment. | 465 |
(D) The probate judge of the county in which the declarant is | 466 |
located may revoke a declaration if the judge appoints a guardian | 467 |
for the declarant and specifically orders the revocation of the | 468 |
declaration. | 469 |
Sec. 2135.10. A mental health treatment provider of a | 470 |
declarant, a health care facility providing services to a | 471 |
declarant, or other authorized persons acting under the direction | 472 |
of either a mental health treatment provider of a declarant or a | 473 |
health care facility providing services to a declarant who | 474 |
administer or do not administer mental health treatment according | 475 |
to and in good faith reliance upon the validity of the declarant's | 476 |
declaration are not subject to criminal prosecution, are not | 477 |
liable in tort or other civil damages for injury, death, or loss | 478 |
to person or property, and are not subject to professional | 479 |
disciplinary action resulting from a subsequent finding of a | 480 |
declaration's invalidity. | 481 |
Sec. 2135.11. No person shall require an individual to | 482 |
execute or to refrain from executing a declaration as a criterion | 483 |
for insurance, as a condition for receiving mental health | 484 |
treatment or health care, or as a condition of admission to or | 485 |
discharge from a health care facility. | 486 |
Sec. 2135.12. (A) A declaration executed in accordance with | 488 |
this chapter shall not supersede a valid declaration governing the | 489 |
use or continuation, or the withholding or withdrawal, of | 490 |
life-sustaining treatment executed under Chapter 2133. of the | 491 |
Revised Code. | 492 |
(B) A declaration executed in accordance with this chapter | 493 |
does not revoke a valid durable power of attorney for health care | 494 |
created under Chapter 1337. of the Revised Code, but a declaration | 495 |
so executed shall supersede the designation of an attorney in fact | 496 |
made in a valid health care power of attorney under Chapter 1337. | 497 |
of the Revised Code with respect to the mental health treatment of | 498 |
the declarant. The designation of an attorney in fact in a valid | 499 |
health care power of attorney under Chapter 1337. of the Revised | 500 |
Code shall remain effective in all other respects. | 501 |
Sec. 2135.13. (A) A person who opposes any decision arising | 502 |
under this chapter may make an application opposing the decision | 503 |
to the probate division of the court of common pleas of the county | 504 |
in which the declarant is located or in which the declaration was | 505 |
either witnessed or acknowledged as described in this chapter. | 506 |
(B) If a declarant has not named any proxies in the | 507 |
declaration, or if all the named proxies have withdrawn or are | 508 |
unable or unwilling to act at a time when the declaration has | 509 |
become operative, then the physician who has the primary | 510 |
responsibility for treating the declarant may petition the probate | 511 |
division of the court of common pleas of the county in which the | 512 |
declarant is located to appoint a person to act as a proxy. If the | 513 |
judge of the probate division of the court of common pleas finds | 514 |
it to be in the best interest of the declarant, then the court | 515 |
shall appoint a person to serve as a proxy for the declarant while | 516 |
the declaration is effective. The person so appointed shall be a | 517 |
person who is eligible to serve as a proxy as determined under | 518 |
section 2135.05 of the Revised Code. | 519 |
Sec. 2135.14. A printed form of a declaration may be sold or | 520 |
otherwise distributed in this state for use by adults who are not | 521 |
advised by an attorney. By use of a printed form of that nature, a | 522 |
declarant may consent or refuse to consent to mental health | 523 |
treatment and shall designate a proxy to make mental health | 524 |
treatment decisions in accordance with this chapter. The printed | 525 |
form shall not be used as an instrument for granting any other | 526 |
type of authority or for making any other type of designation, | 527 |
including those declarations that may be made under Chapter 2133. | 528 |
of the Revised Code or designations made under Chapter 1337. of | 529 |
the Revised Code. | 530 |
Section 2. That existing sections 1337.11 and 1337.14 of the | 531 |
Revised Code are hereby repealed. | 532 |