Bill > HB4418

This bill establishes a comprehensive framework for designating a patient surrogate to make healthcare decisions when a patient is unable to make decisions for themselves. The bill defines key terms such as "health care decision" and "surrogate," and outlines a detailed process for selecting and authorizing a surrogate when a patient cannot make their own medical choices. The bill creates a priority list for selecting a surrogate, starting with previously appointed guardians or individuals named in power of attorney documents, then moving through family members like spouse, adult children, domestic partners, parents, and siblings. The surrogate must act in the patient's best interests, following the patient's known preferences, and is subject to several important restrictions, including being disqualified if they have a personal protection order against them or pose a danger to the patient. The surrogate must sign an acceptance of authority that includes specific limitations, such as not being able to receive compensation and not having the power to make decisions that would result in the patient's death. The bill also requires healthcare providers to document surrogate decisions, communicate with the patient when possible, and ensure that the surrogate's actions are properly recorded. Importantly, the bill does not override existing patient advocate designations and provides a mechanism for resolving disputes about surrogate selection through court intervention if necessary.

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https://legislature.mi.gov/Bills/Bill?ObjectName=2025-HB-4418