Table Of Contents of the INDEX

 

Attorney
Sec 240. -- Dissemination Of Advance Care Planning Information.
(c) ADVANCED DIRECTIVE DEFINED.
DIVISION A TITLE II SUBTITLE D SEC 240. (c)
Automated Concept:

HEALTH care ;   Term advanced directive including living or durable power of attorney for

Index of Sec 240. ...

Health benefits
Health benefits: participating
Sec 240. -- Dissemination Of Advance Care Planning Information.
(a) IN GENERAL. - paragraph (1)
DIVISION A TITLE II SUBTITLE D SEC 240. (a) (1)
Automated Concept:

HEALTH benefits planing offered through Exchange ;   Providing for dissemination of information related to end-of-life planning to individuals seeking enrollment in Exchange-participating

Index of Sec 240. ...

Health benefits: qualified
Sec 240. -- Dissemination Of Advance Care Planning Information.
(b) CONSTRUCTION. - paragraph (2)
DIVISION A TITLE II SUBTITLE D SEC 240. (b) (2)
Automated Concept:

HEALTH benefits planning ;   Duration or scope of medical benefits otherwise covered under qualified

Index of Sec 240. ...

Health care
Sec 240. -- Dissemination Of Advance Care Planning Information.
(c) ADVANCED DIRECTIVE DEFINED.
DIVISION A TITLE II SUBTITLE D SEC 240. (c)
Automated Concept:

HEALTH care ;   Term advanced directive including living or durable power of attorney for

Index of Sec 240. ...

Information
Sec 240. -- Dissemination Of Advance Care Planning Information.
(a) IN GENERAL. - paragraph (2) - paragraph (B)
DIVISION A TITLE II SUBTITLE D SEC 240. (a) (2) (B)
Automated Concept:

INFORMATION related to other planning tools  ;  

Index of Sec 240. ...
(a) IN GENERAL. - paragraph (3)
DIVISION A TITLE II SUBTITLE D SEC 240. (a) (3)
Automated Concept:

INFORMATION including options to maintain ;   Information presented under paragraph not presuming withdrawal of treatment and including end-of-life planning

Index of Sec 240. ...
(1) IN GENERAL.
DIVISION A TITLE II SUBTITLE D SEC 240. (d) (1)
Automated Concept:

INFORMATION provided to meet requirements of subsection not including advanced directives or other planning tools listing or describing as option suicide  ;  

Index of Sec 240. ...

Information: dissemination of
Sec 240. -- Dissemination Of Advance Care Planning Information.
(a) IN GENERAL. - paragraph (1)
DIVISION A TITLE II SUBTITLE D SEC 240. (a) (1)
Automated Concept:

DISSEMINATION of information related to end-of-life planning to individuals seeking enrollment in Exchange-participating health benefits planing offered through Exchange ;   Providing for

Index of Sec 240. ...

Information: end-of-life planning
Sec 240. -- Dissemination Of Advance Care Planning Information.
(a) IN GENERAL. - paragraph (3)
DIVISION A TITLE II SUBTITLE D SEC 240. (a) (3)
Automated Concept:

INFORMATION including options to maintain ;   Information presented under paragraph not presuming withdrawal of treatment and including end-of-life planning

Index of Sec 240. ...

Medical benefits
Sec 240. -- Dissemination Of Advance Care Planning Information.
(b) CONSTRUCTION. - paragraph (2)
DIVISION A TITLE II SUBTITLE D SEC 240. (b) (2)
Automated Concept:

HEALTH benefits planning ;   Duration or scope of medical benefits otherwise covered under qualified

Index of Sec 240. ...

Of-life decision: palliative care or end-
Sec 240. -- Dissemination Of Advance Care Planning Information.
(3) NO PREEMPTION OF STATE LAW.
DIVISION A TITLE II SUBTITLE D SEC 240. (d) (3)
Automated Concept:

OF-life decision-making ;   Nothing in section to be construed to preempt or otherwise effect on State laws regarding advance care planning, palliative care or end-

Index of Sec 240. ...

Of-life planning: end-
Sec 240. -- Dissemination Of Advance Care Planning Information.
(a) IN GENERAL. - paragraph (1)
DIVISION A TITLE II SUBTITLE D SEC 240. (a) (1)
Automated Concept:

HEALTH benefits planing offered through Exchange ;   Providing for dissemination of information related to end-of-life planning to individuals seeking enrollment in Exchange-participating

Index of Sec 240. ...

Of-life planning document: other end-
Sec 240. -- Dissemination Of Advance Care Planning Information.
(b) CONSTRUCTION. - paragraph (1)
DIVISION A TITLE II SUBTITLE D SEC 240. (b) (1)
Automated Concept:

OF-life planning document ;   Requiring individual to complete advanced directive or physician's order for life sustaining treatment or other end-

Index of Sec 240. ...

Planning: advance care
Sec 240. -- Dissemination Of Advance Care Planning Information.
(3) NO PREEMPTION OF STATE LAW.
DIVISION A TITLE II SUBTITLE D SEC 240. (d) (3)
Automated Concept:

OF-life decision-making ;   Nothing in section to be construed to preempt or otherwise effect on State laws regarding advance care planning, palliative care or end-

Index of Sec 240. ...

Planning tools: other
Sec 240. -- Dissemination Of Advance Care Planning Information.
(a) IN GENERAL. - paragraph (2) - paragraph (B)
DIVISION A TITLE II SUBTITLE D SEC 240. (a) (2) (B)
Automated Concept:

PLANNING tools ;   Information related to other

Index of Sec 240. ...
(1) IN GENERAL.
DIVISION A TITLE II SUBTITLE D SEC 240. (d) (1)
Automated Concept:

PLANNING tools listing or describing as option suicide ;   Information provided to meet requirements of subsection not including advanced directives or other

Index of Sec 240. ...

Power: durable
Sec 240. -- Dissemination Of Advance Care Planning Information.
(c) ADVANCED DIRECTIVE DEFINED.
DIVISION A TITLE II SUBTITLE D SEC 240. (c)
Automated Concept:

HEALTH care ;   Term advanced directive including living or durable power of attorney for

Index of Sec 240. ...

Risk
Risk of death
Sec 240. -- Dissemination Of Advance Care Planning Information.
(2) CONSTRUCTION. - paragraph (C)


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111th CONGRESS
1st Session


    To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes.


IN THE HOUSE OF REPRESENTATIVES

July 14, 2009

    Mr. Dingell (for himself, Mr. Rangel, Mr. Waxman, Mr. George Miller of California, Mr. Stark, Mr. Pallone, and Mr. Andrews) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and Labor, Oversight and Government Reform, and the Budget, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned


A BILL

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SEC. 240. Dissemination of advance care planning information.

(a) In general.—The QHBP offering entity —

(1) shall provide for the dissemination of information related to end-of-life planning to individuals seeking enrollment in Exchange-participating health benefits plans offered through the Exchange;

(2) shall present such individuals with—

(A) the option to establish advanced directives and physician’s orders for life sustaining treatment according to the laws of the State in which the individual resides; and

(B) information related to other planning tools; and

(3) shall not promote suicide, assisted suicide, euthanasia, or mercy killing.

The information presented under paragraph (2) shall not presume the withdrawal of treatment and shall include end-of-life planning information that includes options to maintain all or most medical interventions.

(b) Construction.— Nothing in this section shall be construed—

(1) to require an individual to complete an advanced directive or a physician’s order for life sustaining treatment or other end-of-life planning document;

(2) to require an individual to consent to restrictions on the amount, duration, or scope of medical benefits otherwise covered under a qualified health benefits plan; or

(3) to promote suicide, assisted suicide, euthanasia, or mercy killing.

(c) Advanced directive defined.—In this section, the term “advanced directive” includes a living will, a comfort care order, or a durable power of attorney for health care.

(d) Prohibition on the promotion of assisted suicide.—

(1) IN GENERAL.—Subject to paragraph (3), information provided to meet the requirements of subsection (a)(2) shall not include advanced directives or other planning tools that list or describe as an option suicide, assisted suicide, euthanasia, or mercy killing, regardless of legality.

(2) CONSTRUCTION.—Nothing in paragraph (1) shall be construed to apply to or affect any option to—

(A) withhold or withdraw of medical treatment or medical care;

(B) withhold or withdraw of nutrition or hydration; and

(C) provide palliative or hospice care or use an item, good, benefit, or service furnished for the purpose of alleviating pain or discomfort, even if such use may increase the risk of death, so long as such item, good, benefit, or service is not also furnished for the purpose of causing, or the purpose of assisting in causing, death, for any reason.

(3) NO PREEMPTION OF STATE LAW.—Nothing in this section shall be construed to preempt or otherwise have any effect on State laws regarding advance care planning, palliative care, or end-of-life decision-making.


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