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                                                       PRINTER'S NO. 161

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 151 Session of 1997


        INTRODUCED BY YOUNGBLOOD, THOMAS, HALUSKA, OLIVER, HENNESSEY,
           CLARK, KAISER, LAUGHLIN, OLASZ, RAMOS, BOSCOLA, DALEY,
           PISTELLA, PESCI, MYERS AND HORSEY, JANUARY 29, 1997

        REFERRED TO COMMITTEE ON JUDICIARY, JANUARY 29, 1997

                                     AN ACT

     1  Amending Title 20 (Decedents, Estates and Fiduciaries) of the
     2     Pennsylvania Consolidated Statutes, providing for medical
     3     consent for a minor by an adult caregiver.

     4     The General Assembly of the Commonwealth of Pennsylvania
     5  hereby enacts as follows:
     6     Section 1.  Title 20 of the Pennsylvania Consolidated
     7  Statutes is amended by adding a section to read:
     8  § 5148.  Medical consent for a minor by an adult caregiver.
     9     (a)  Authorization of caregiver to give consent.--A parent,
    10  legal guardian or legal custodian may authorize an adult person
    11  in whose care a minor has been entrusted to consent to any
    12  medical, surgical, dental, developmental or mental health
    13  examination, diagnosis or treatment, including immunization, to
    14  be rendered to the minor under the supervision or upon the
    15  advice of a physician, nurse, dentist or mental health
    16  professional licensed to practice in this Commonwealth and to
    17  obtain any and all records with regard to such services,
    18  provided there is no prior order of any court in any

     1  jurisdiction currently in effect which would prohibit the
     2  parent, legal custodian or legal guardian from exercising the
     3  power that the parent, legal custodian or legal guardian seeks
     4  to convey to another person. Medical, surgical and dental
     5  treatment or examination includes any X-ray or anesthetic
     6  required for diagnosis or treatment.
     7     (b)  Form of authorization.--Any written form that is signed
     8  by the parent, legal guardian or legal custodian may be used to
     9  convey the authority described in subsection (a). The form below
    10  is offered as a sample only and its inclusion in this section
    11  shall not be construed to preclude the use of alternative
    12  language. Any parent, legal guardian or legal custodian signing
    13  any written conveyance of authority is subject to the penalties
    14  for forgery under 18 Pa.C.S. § 4101 (relating to forgery).
    15                   MEDICAL CONSENT SUGGESTED FORM
    16   (PUT A LINE THROUGH THOSE PROVISIONS THAT ARE NOT APPLICABLE)
    17  (    )  I am the parent of the child(ren) listed below and there
    18             are no court orders now in effect which would
    19             prohibit me from exercising the power that I now seek
    20             to convey;
    21  (    )  I am the legal guardian or legal custodian of the
    22             child(ren) by court order (copy attached, if
    23             available) and there are no other court orders now in
    24             effect which would prohibit me from exercising the
    25             power that I now seek to convey.
    26     I am temporarily entrusting to (            Name          ),
    27  an adult who resides at (             Address               ),
    28  the care of the following child(ren):
    29  (Name and Date of Birth)        (Name and Date of Birth)
    30  (Name and Date of Birth)        (Name and Date of Birth)
    19970H0151B0161                  - 2 -

     1     The caregiver named above may consent to medical, dental,
     2  surgical, developmental and/or mental health diagnosis,
     3  examination or treatment, including immunization, for the
     4  child(ren) and may have access to any and all records regarding
     5  any such services.
     6     I am giving this consent freely and knowingly in order to
     7  provide for the child(ren) and not due to pressure, threats or
     8  payments by any person or agency.
     9     Upon notification of intent to revoke, there shall be a
    10  period of 30 days duration before revocation takes effect.
    11  Notification of intent to revoke must be in writing.
    12  (Name                      )    (Date                  )
    13     (c)  Use by health care provider.--A conveyance of authority
    14  described in subsection (a) which is consistent with the
    15  requirements of subsection (b) shall be honored by any health
    16  care facility or practitioner described in subsection (e).
    17  Notwithstanding subsection (f), the existence of a written
    18  document conveying any authority described in subsection (a)
    19  which is consistent with the requirements of subsection (b)
    20  creates a presumption that the authority has been lawfully
    21  conveyed.
    22     (d)  Revocation.--A conveyance of authority described in this
    23  section is revocable at will, unless other terms are agreed upon
    24  by the parent, guardian or custodian and the person to whom
    25  authority is being conveyed. The parties may provide for terms
    26  in writing which would require the revocation of authority to be
    27  in writing, making revocation effective only when a specified
    28  time period has elapsed after notification of intent to revoke
    29  or any other terms that the parties deem appropriate.
    30     (e)  Release of authorization.--A physician, nurse, mental
    19970H0151B0161                  - 3 -

     1  health professional, dentist or other health care professional
     2  or a hospital or medical facility who or which relies on a
     3  written instrument that is consistent with the requirements of
     4  subsection (b) and that authorizes another adult to consent to
     5  medical treatment of the executor's minor child or ward shall
     6  not incur civil or criminal liability for treating a minor
     7  without legal consent if a reasonable and prudent health care
     8  professional would have relied on the written instrument under
     9  the same or similar circumstances. Nothing in this section shall
    10  relieve any individual from liability for violations of other
    11  provisions of law.
    12     (f)  Family reunification services.--This section is not
    13  intended to provide a substitute for family reunification
    14  services conducted under 42 Pa.C.S. Ch. 63 (relating to juvenile
    15  matters). The execution of a document conveying any authority
    16  described in subsection (a) shall not be binding in any future
    17  custody or dependency proceedings. Regardless of the execution
    18  of this document, any future custody or dependency determination
    19  shall be based on the best interests of the child or other
    20  applicable legal standard.
    21     Section 2.  This act shall take effect in 60 days.






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