PG 425 Lines 4-12 Govt mandates Advance Care Planning Consultations. (seniors)

SEC. 1233. ADVANCE CARE PLANNING CONSULTATION

(A) An explanation by the practitioner of advance care planning, including key questions and considerations, important steps, and suggested people to talk to
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Pg 425 Lines 17-19 Govt will instruct & consult regarding living wills, durable powers of atty. Mandatory!

SEC. 1233. ADVANCE CARE PLANNING CONSULTATION

(D) The provision by the practitioner of a list of national and State-specific resources to assist consumers and their families with advance care planning, including the national toll-free hotline, the advance care planning clearinghouses, and State legal service organizations (including those funded through the Older Americans Act of 1965)
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PG 425 Lines 22-25, 426 Lines 1-3 Govt provides approved list of end of life resources, guiding you in death.

SEC. 1233. ADVANCE CARE PLANNING CONSULTATION

(E) An explanation by the practitioner of the continuum of end-of-life services and supports available, including palliative care and hospice, and benefits for such services and supports that are available under this title.
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PG 427 Lines 15-24 Govt mandates program for orders for end of life. The Govt has a say in how your life ends

SEC. 1233. ADVANCE CARE PLANNING CONSULTATION

(II) distributes or makes accessible such orders to physicians and other health professionals that (acting within the scope of the professional's authority under State law) may sign orders for life sustaining treatment

(III) provides training for health care professionals across the continuum of care about the goals and use of orders for life sustaining treatment

(IV) is guided by a coalition of stakeholders includes representatives from emergency medical services, emergency department physicians or nurses, state long-term care association, state medical association, state surveyors, agency responsible for senior services, state department of health, state hospital association, home health association, state bar association, and state hospice association
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Pg 429 Lines 1-9 An "adv. care planning consult" will be used frequently as patients health deteriorates.

SEC. 1233. ADVANCE CARE PLANNING CONSULTATION

(4) A consultation under this subsection may include the formulation of an order regarding life sustaining treatment or a similar order

(5)(A) For purposes of this section, the term 'order regarding life sustaining treatment' means, with respect to an individual, an actionable medical order relating to the treatment of that individual that:

(i) is signed and dated by a physician (as defined in subsection (r)(1)) or another health care professional (as specified by the Secretary and who is acting within the scope of the professional's authority under State law in signing such an order, including a nurse practitioner or physician assistant) and is in a form that permits it to stay with the individual and be followed by health care professionals and providers across the continuum of care
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PG 429 Lines 10-12 "adv. care consultation" may include an ORDER FOR END OF LIFE plans. AN "ORDER" from the GOVERNMENT on when your life ends.

SEC. 1233. ADVANCE CARE PLANNING CONSULTATION

(ii) effectively communicates the individual's preferences regarding life sustaining treatment, including an indication of the treatment and care desired by the individual
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Pg 429 Lines 13-25 - The govt will specify which Doctors can write an end of life order.

SEC. 1233. ADVANCE CARE PLANNING CONSULTATION

(iii) is uniquely identifiable and standardized within a given locality, region, or State (as identified by the Secretary); and

(iv) may incorporate any advance directive (as defined in section 1866(f)(3)) if executed by the individual
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PG 430 Lines 11-15 The Govt will decide what level of treatment you will have at end of life.

SEC. 1233. ADVANCE CARE PLANNING CONSULTATION

(B) The level of treatment indicated under subparagraph (A)(ii) may range from an indication for full treatment to an indication to limit some or all or specified interventions. Such indicated levels of treatment may include indications respecting, among other items

(i) the intensity of medical intervention if the patient is pulse less, apneic, or has serious cardiac or pulmonary problems

(ii) the individual's desire regarding transfer to a hospital or remaining at the current care setting

(iii) the use of antibiotics; and

(iv) the use of artificially administered nutrition and hydration