To amend titles XVIII and XIX of the Social Security Act to require providers of services and health maintenance organizations under the medicare and medicaid programs to assure that individuals receiving services will be given an opportunity to participate in and direct health care decisions affecting themselves.
Patient Self Determination Act of 1990 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to require hospitals, skilled nursing facilities, home health agencies, hospice programs, and health maintenance organizations to: (1) inform patients of their rights under State law to make decisions concerning their medical care; (2) periodically inquire as to whether a patient executed an advanced directive and document the patient's wishes regarding their medical care; (3) not discriminate against persons who have executed an advance directive; (4) ensure that legally valid advance directives and documented medical care wishes are implemented to the extent permitted by State law; and (5) provide educational programs for staff, patients, and the community on ethical issues concerning patient self-determination and advance directives.
Directs the Secretary of Health and Human Services to: (1) arrange with the Institute of Medicine of the National Academy of Sciences for a study assessing the implementation of directed health care decisions; and (2) develop and implement a demonstration project in selected States to inform the public of the option to execute advance directives and a patient's right to participate in and direct health care decisions.
See H.R.5835.
Introduced in House
Introduced in House
Referred to the House Committee on Ways and Means.
Referred to the House Committee on Energy and Commerce.
Referred to the Subcommittee on Health.
Referred to the Subcommittee on Health and the Environment.
For Further Action See H.R.5067.
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