Patient Self Determination Act of 1989

Patient Self Determination Act of 1989 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to require health care providers to: (1) inform patients of their right to make decisions involving their medical care; (2) inquire as to whether a patient prepared a living will or written power of attorney; (3) document patient treatment wishes and periodically review such wishes with the patient; (4) ensure that legally valid living wills or written durable powers of attorney are implemented to the maximum extent permitted by State law; (5) arrange for the prompt and orderly transfer of a patient to the care of others when unable as a matter of conscience to implement the patient's wishes; and (6) implement an institutional ethics committee.

Requires States to enact legislation recognizing the validity of living wills and written durable powers of attorney.

Directs the Secretary of Health and Human Services to conduct a study and report to the Congress within four years after this Act's enactment assessing this Act's initiatives and further steps which may be taken to advance patient self-determination.

Requires the Secretary to develop and implement a national campaign within six months after this Act's enactment informing the public of their options in participating in and directing their medical care.