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AUL Modl Lgslato


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Americans United for Life


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ASSiSTeD SUiCiDe BAn ACT

HoUSe/SenAte BILL n. ______

By rpsaivs/Sas ____________

Section 1. Title.

this Ac ay b kw ad cid as h Assisd Suicid Ba Ac.

Section 2. Legislative Findings and Purposes.

th [(a) Legislature] f h Sa f [Insert name of State] nds that:

I als vy Saidd, i als vy ws dcacyi is a(1)

ci assis a suicid. th Sas assisd-suicid bas a ivais.rah hy a lgsadig xpssis f h Sas ci h

pci ad psvai f all hua lif. Washington v. Glucksberg, 521

U.S. 702, 710 (1997).

Idd, ppsii ad cdai f suicidad, hf, f(2)

assisig suicida csis ad duig hs f u philsphical,

lgal ad culual hiags. this uivsal adii has lg jcd a

igh assisd suicid ad h Sa f [Insert name of State] cius

xplicily jc i day, v f ially ill, ally cp aduls.

Washington v. Glucksberg, 521 U.S. 702, 711 ad 723 (1997).

th Sa f [(3) Insert name of State] has an unqualied interest in the

psvai f hua lif[ad] i pvig suicid. Washington v.

Glucksberg, 521 U.S. 702, 729-30 (1997).

th Sa f [(4) Insert name of State] has a is i pcig vulabl

gupsicludig h p, h ldly, ad disabld pssf abus,

glc, [coercion] and mistakes. A ban on assisted suicide reects and

ifcs u wll-suppd plicy ha h livs f h ially ill,

disabld, ad ldly ppl us b lss valud ha h livs f h yugad halhy, ad ha a siusly disabld [ially-ill ldly] pss

suicidal ipulss shuld b ipd ad ad h sa way as ay

lss. Washington v. Glucksberg, 521 U.S. 702, 731-32 (1997).

th Sa f [(5) Insert name of State] has a is i pcig h igiy


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and ethics of the medical profession and afrms its responsibility to its patients

as hals ad hs picipls aiculad i h Hippcaic oah :

a. Kp h sick f ha ad ijusic.

b. rfai f givig aybdy a dadly dug if askd f i, ak a

suggsi his ffc.

More specically, the State of [(6) Insert name of State] cgizs h cls

lik bw physicia-assisd suicid ad uhaasia wh a igh

di asily bcs a duy di. A phibii f assisd suicid is h

ly asabl as pc f fsabl abuss. Washington v.

Glucksberg, 521 U.S. 702, 734-35 (1997); Vacco v. Quill, 521 U.S. 793, 808-09

(1997).

th Sa f [(7) Insert name of State] cgizs h disici bw a pai

fusig lif-susaiig dical a ( iclud h wihdawalof articial nutrition and hydration), where he dies from the underlying

faal disas pahlgy; ad a pai igsig adiisig a lhal

dicai pscibd by a physicia, wh h dicai is h caus f

dah. Vacco v. Quill, 521 U.S. 793, 801 (1997).

th Sa f [(8) Insert name of State] cgizs h ipac f palliaiv ca

ad pai aag ad phasizs h disici i h lgal picipls f

causai ad i bw pai aag idd allvia pai ad

assisd suicid idd caus dah. Vacco v. Quill, 521 U.S. 793, 801-03

(1997).

Based on the ndings in Subsection (a) of this Act, it is the purpose of this Act to:(b)

Pvid pci f u s vulabl ciizs by xplicily phibiig(1)

assisd suicid wihi h Sa f [Insert name of State]s ciial cd.

Reinforce and reect the intended purpose of our medical professions to(2)

psv lif ad ac as hals.

Section 3. Defnitions.

As usd i his Ac ly:

(a) Deliberately as csid cafully, d pups; iial.


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(b) Healthcare provideras ay idividual wh ay b askd paicipa i ay

way i a halhca svic, icludig, bu liid , h fllwig: a physicia, physicias

assisa, us, uss aid, dical assisa, hspial ply, cliic ply, usig

h ply, phaacis, phaacy ply, sach, dical usig schl

faculy, sud ply, cusl, scial wk, ay pfssial, paapfssial,

ay h ps wh fuishs, assiss i h fuishig f, halhca svics.

(c) Person as ay aual ps; ad wh apppia, a gaizai

iclud:

(1) A public or private corporation, company, association, rm, partnership,

ji-sck cpay;

(2) Gv a gval isualiy;

(3) A fudai, isiui, sciy, ui, club, chuch.

(d) Physician as a ps licsd pacic dici i h Sa f [Insert nameof State]. this icluds dical dcs ad dcs f spahy.

() Suicideas h ac isac f akig s w lif vluaily ad iially.

Section 4. Criminal Penalties.

(a) Ay ps wh dlibaly adviss, assiss, cuags ah ci suicid,

is guily f [Insert appropriate degree of felony].

(b) Ay physicia halhca pvid ha:

(1) Pscibs ay dug, cpud, subsac a pai wih h idd

pups assis i dig h pais lif;

(2) Assiss pfs ay dical pcdu f h idd pups assis i

dig h pais lif

is guily f [Insert appropriate degree of felony].

Section 5. Civil Penalties and Fines.

(a) Ay ps, physicia, halhca pvid wh iially kwigly vilas

his Ac shall b liabl f daags.

(b) If any person assists a suicide, any surviving family member, other beneciary,


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xcu, adiisa f h dcds sa ay big a apppia aci ud [Insert

reference(s) to states wrongful death statute(s)].

(c) Ay physicia h halhca pvid wh assiss a suicid i vilai f his Ac

shall b csidd hav gagd i upfssial cduc f which his h [certifcate

or] lics pvid halhca svics i h Sa f [Insert name of State] shall bsuspdd vkd by h Sa f [Insert name of State Medical Board or other appropriate

entity].

Section 6. Construction.

nhig i his Ac shall b csud phibi a physicia halhca pvid f:

(1) Paicipaig i h xcui f a ps scd by a cu dah by

lhal ijci;

(2) Fllwig a pais cla, xpssd, ad dcud wishs wihhld

wihdaw lif-susaiig a [not necessarily inclusive of withdrawing

artifcial nutrition and hydration].

(3) Pscibig ad adiisig palliaiv ca pai dicai a

pis idd liv pai whil h pais illss cdii fllws

is aual cus.

Section 7. Right of Intervention.

th [Legislature], by ji slui, ay appi f is bs, wh spsd

or cosponsored this Act in his or her ofcial capacity, to intervene as a matter of right in any

cas i which h csiuialiy f his Ac ay pi hf is challgd.

Section 8. Severability.

If ay pvisi, wd, phas, claus f his Ac h applicai hf ay ps

cicusac is hld ivalid, such ivalidiy shall affc h pvisis, wds, phass,

clauss, applicais f his Ac which ca b giv ffc wihu h ivalid pvisi,

wd, phas, claus, applicai ad his d, h pvisis, wds, phass, ad claussf his Ac a dclad svabl.

Section 9. Effective Date.

this Ac aks ffc [Insert date].


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PAin MeDiCine eDUCATiOn ACT

HoUSe/SenAte BILL n. _________

By rpsaivs/Sas ______________

Section 1. Title.

this Ac ay b kw ad cid as h Pai mdici educai Ac.

Section 2. Legislative Findings and Purposes.

(a) th Lgislau f h Sa f [Insert name of State] nds that:

o gal f dici is liv suffig.(1)

Iadqua pai lif is a sius public halh pbl i h Uid Sas,(2)

spcially f hs wih chic pai, h ially ill, hs wh a

hwis i h las sags f lif. Appxialy 80 [or other number based

on studies or other evidence] pc f chic-pai pais i his Sa d

civ adqua a f hi pai syps.

Cliical xpic dsas ha adqua pai aag lads (3)

hacd fuciig ad icasd qualiy f lif, whil uclld pai

cibus disabiliy ad dspai.

evy ps dis, suffs, ad xpics pai a s pi i his h(4)

lif. Diagsis ad a f pai is igal h pacic f dici ad

apppia aag f ach pai is h spsibiliy f h aig

physicia.

Iapppia pai a ay sul f halhca pvids lack f(5)

kwldg abu pai aag.

All halhca pvids shuld bc kwldgabl abu assssig(6)

pais pai ad ffciv hds f pai a, as wll as sauyquis f pscibig clld subsacs.

many healthcare providers are ill-infored about current and effective anage-(7)

ent techniques for patients pain syptos because this topic is not adequately

addressed in the noral course of healthcare provider schools curricula.


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Wih pp aag chiqus, chic pai ay b ducd i h(8)

vwhlig ajiy f suffig pais.

Clld subsacs, icludig piid aalgsics, ay b ssial i h(9)

cuss f a f all yps f pai ad a, hf, cssay h

public halh.

Halhca pfssials ducai has pvidd apppia aiig i h(10)

us f piid dicais f chic pai.

Pai pai shuld b assssd ad ad pply, ad h quaiy ad(11)

fqucy f dss shuld b adjusd h isiy, duai f h pai, ad

a ucs.

tlac ad physical dpdc a al csqucs f susaid us(12)

f piid aalgsics ad a h sa as addici.

th [(13) Legislature] cgizs ha s yps f pai ca b cplly

livd.

(b) th [Legislatures] pups i pulgaig his Ac is fuh h ipa ad

cpllig scial iss f:

expadig h ppuiis f dical suds, sids, ad h(1)

halhca pvids gai xpic i aig sv pai syps i

suffig pais.

esuig h bs pssibl dical ca f all pais suffig f(2)

iacabl ad chic pai.

Ipvig h qualiy f lif f all chic pai suffs, spcially hs i(3)

h las sags f lif, by suig ha pais udg a pacful, aual, ad,

as uch as pssibl, pai-f d-f-lif xpic.

rducig pai quss f physicia-assisd suicid (PAS) by addssig(4)

pai issus ha ay lad dpssi ad dspai, h causs ads-cid ivais f PAS.

Badig pai auy by psig h gas ub f pssibl(5)

pis f a hugh csulai wih adqualy kwldgabl

physicias.


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Section 3. Defnitions.

As usd i his Ac ly:

(a) Addiction as a piay, chic, ubilgical disas, wih gic,

psychosocial, and environmental factors inuencing its development and manifestations. It ischaacizd by bhavis ha iclud h fllwig: ipaid cl v dug us, cavig,

cpulsiv us, ad ciud us dspi ha. Physical dpdc ad lac a

al physilgical csqucs f xdd piid hapy f pai ad a h sa as

addici.

(b) Classroom instruction as ducai cducd wih a licsd isuc

ps, ih by lcu discussi, as a igad pa f a halhca pvid schl

cus cuiculu.

(c) Clinical instruction as ducai cducd hugh iaci wih paissuffig f sv chic acu pai i hspial-basd sis, hspial-basd

abulay ca sigs, ad palliaiv ca sis ad hspics, ad ud h supvisi f a

licsd halhca pvid. this ca iclud sadadizd pai xpics.

(d) Double Effect is a dci jusifyig palliaiv sdai ad quiig h

sadads f hical dical a: (1) h a islf is ally wg; (2)

the intended benet to the patient is not achieved by the secondary and unintended effects of

h a; ad (3) ppialiy xiss bw h idd ffcs ad h uidd

scday ffcs.

() Healthcare provider icluds h fllwig pfssials:

(1) Nurses as licss f h [Insert name of the State Board of Nursing],

icludig advacd pacic uss.

(2) Pharmacists as licss f h [Insert the name of the State Board of

Pharmacy].

(3) Physicians as licss f h [Insert name of the State Board(s)

licensing M.D.s and D.O.s].

(4) Physicians assistants as licss gisas f h [Insert the name

of the State Board regulating physician assistants, which may include the

Board of Medicine].


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(5) Nurse-practitioners as licss f h [Insert name of State Board(s)

licensing nurse-practitioners].

(f) Intractable pain as a sa f pai, v if pay, i which asabl

ffs v dy h caus f h pai hav faild hav pv iadqua.

(g) Opioid as a sg pai dicai divd f piu, syhsizd

bhav lik piu divaivs. exapls f piids iclud bu a liid phi,

cdi, xycd, had, ad fayl.

(h) Pain is a uplasa ssy ad ial xpic assciad wih acual

pial issu daag dscibd i s f such daag.

(1) Acute pain is h al, pdicd physilgical sps a xius

chical, hal, chaical siulus ad ypically is assciad wih

ivasiv pcdus, aua, ad disas. I is gally i-liid.

(2) Chronic pain is a sa i which pai psiss byd h usual cus f a

acu disas halig f a ijuy, ha ay ay b assciad wih

a acu chic pahlgic pcss ha causs ciuus ii

pai v hs yas.

(i) Palliative care as

(1) h aciv, al ca f pais whs disas dical cdii is

spsiv cuaiv a whs pgsis is liid du pgssiv, fa-advacd disas; ad

(2) h valuai, diagsis, a, ad aag f piay ad

scday pai, whh acu, chic, psis, iacabl, assciad

wih h d f lif, h pups f which is diags ad allvia pai ad

h disssig sigs ad syps ad hac h qualiy f lif.

(j) Palliative sedation as h adiisai f sdaivs ially ill, cscius

pais whs pai ca b hwis livd allvia suffig, bu wih h ffc

f iducig ucsciusss. th i f adiisig h dug is liv pai, pduc ucsciusss.

(k) Physical dependence as a sa f adapai ha is aifsd by dug

class-specic signs and symptoms that can be produced by abrupt cessation, rapid dose

duci, dcasig bld lvl f h dug, ad/ adiisai f a aagis. Physical


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dpdc by islf ds qua wih addici.

(l) Tolerance as a physilgic sa sulig f gula us f a dug i which

an increased dosage is needed to produce a specic effect, or a reduced effect is observed with

a csa ds v i. tlac ay ay b vid duig piid a ad

ds qua wih addici.

Section 4. Requirements for Healthcare Provider Education.

(a) Objectives. th isuci quid by his Ac is dsigd h fllwig

bjcivs:

(1) tha suds will bc cfabl addssig h ds f pais

xpicig chic sv pai.

(2) tha suds will b aid i h s cu hds gadig h us fclld subsacs, spcially piid aalgsics.

(3) tha suds will aliz h ipac f dvlpig a pai a pla

f ach pai i chic sv pai ad la hds ad chiqus

cssay f dvlpig such a pla.

(4) tha suds will la bjciv hds f valuaig pai syps i

pais.

(5) tha suds will udsad h diffcs bw addici piidaalgsics ad lac ad dpdc piid aalgsics.

(6) tha suds will udsad h picipl f dubl ffc, spcially wih

gad palliaiv sdai.

(7) tha suds will udsad h x uliklihd f piid

adiisai hasig dah wh pply id.

(8) tha suds will udsad lva laws applicabl pscipi f

clld subsacs.

(9) tha suds will bc awa f diffcs i divs culual appachs

pai aag ad d-f-lif ca ad bc cfabl wkig

wih pais wh ay xpss pfcs diff ha hs f h suds

w iuiis.


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(b) Curriculum. th cuiculu i ach schl ducaig halhca pvids ad

civig public fuds shall iclud a las igh (8) hus f class isuci ad a las

fu (4) hus f cliical isuci pai aag. th cuiculu shall b dsigd

accplish all bjcivs lisd i Scis 4(a)(1)-(9) f his Ac. I dvlpig a cuiculu

f pai aag ducai, i is cdd ha faculy ducas a aid i

csul h Education for Physicians on End-of-Life Care (EPEC) Curriculum cad by hIsiu f ehics a h Aica mdical Assciai.

(c) Procedures for evaluating and monitoring pain. Suds shall b isucd i h

fllwig sv-sp hd f pai a:

(1) evaluai f h pai. A dical hisy ad physical xaiai us b

baid, valuad, ad dcud i h dical cd. th dical

cd shuld dcu h au ad isiy f h pai, cu ad pas

as f pai, udlyig ad c-xisig disass cdiis, h

ffc f pai physical ad psychlgical fuci, ad hisy f subsacabus. th dical cd shuld als dcu h psc f

cgizd dical idicais f h us f a clld subsac.

(2) ta pla. A wi a pla shuld sa bjcivs ha will b

usd di a accss, such as pai lif ad ipvd physical

ad psychscial fuci, ad shuld idica if ay fuh diagsic valua

is h as a plad. Af a bgis, h physicia

shuld adjus dug hapy h idividual dical ds f ach pai.

oh a daliis a habiliai pga ay b cssay d

pdig h ilgy f h pai ad h x which h pai is assciad wih physical ad psychscial ipai.

(3) Ifd cs ad ag f a. th physicia shuld discuss

the risks and benets of the use of controlled substances with the patient,

pss dsigad by h pai, h pais suga guadia if h

pai is wihu dical dcisi-akig capaciy. th pai shuld

civ pscipis f physicia ad phaacy whv pssibl.

If h pai is a high isk f dicai abus has a hisy f subsac

abus, h physicia shuld csid h us f a wi ag bw

physicia ad pai uliig pai spsibiliis, icludig:

a. Ui/su dicai lvls scig wh qusd;

b. Number and frequency of all prescription rells; and


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c. rass f which dug hapy ay b disciud (e.g., vilai f

ag).

(4) Pidic rviw. th physicia shuld pidically viw h cus f pai

treatent and any new inforation about the etiology of the pain or the patients

state of health. Continuation or modication of controlled substances for painaag hapy dpds h physicias valuai f pgss wad

treatent objectives. Satisfactory response to treatent ay be indicated by

h pais dcasd pai, icasd lvl f fuci, ipvd qualiy f

lif. objciv vidc f ipvd diiishd fuci shuld b i

d ad ifai f faily bs h cagivs shuld b

csidd i diig h pais sps a. If h pais

pgss is usaisfacy, h physicia shuld assss h apppiass f

h ciud us f h cu a pla ad csid h us f h

hapuic daliis.

(5) Csulai. th physicia shuld b willig f h pai as cssay

f addiial valuai ad a i d achiv a bjcivs.

Spcial ai shuld b giv hs pais wih pai wh a a isk f

dicai isus, abus, divsi. th aag f pai i pais

wih a hisy f subsac abus wih a cbid psychiaic disd ay

qui xa ca, iig, dcuai, ad csulai wih fal

a xp i h aag f such pais.

(6) mdical cds. th physicia shuld kp accua dical cds

iclud:

a. th dical hisy ad physical xaiai;

b. Diagsis, hapuic, ad labay suls;

c. evaluais ad csulais;

d. ta bjcivs;

e. Discussion of risks and benets;

f. Ifd cs;

g. tas;


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h. mdicais (icludig da, yp, dsag, ad quaiy pscibd);

i. Isucis ad ags; ad

j. Pidic viws.

rcds shuld ai cu ad b aiaid i a accssibl a ad

adily availabl f viw.

(7) Cpliac wih clld subsac laws ad gulais. t pscib,

disps, adiis clld subsacs, h physicia us b licsd i

h Sa ad cply wih applicabl fdal ad Sa gulais. Physicias

a fd hPhysicians Manualf h U.S. Dug efc

Adiisai [and any relevant documents issued by the State Medical

Board] for specic rules governing controlled substances as well as applicable

Sa gulais.

(d) Hours Requirements. th fllwig quis apply h c cuiculu f

ay halhca pvid ducai pga ad a i addii ay cus c quid i

lciv cuss cuss quid f disc aas f dici. A bad issuig a lics

certication to any healthcare provider under [Insert relevant citation(s)] shall qui ha ach

applica f iiial licsu cpl a las:

(1) eigh (8) hus f class isuci, ad

(2) Fu (4) hus f cliical isuci. this Sci shall apply hsskig licsu f h [Insert the name of the State Board of Pharmacy].

() Application. th licsu quis f his dcu shall apply ay sud

bgiig halhca pvid ducai ayi af [Insert date].

Section 5. Pain Management Regulations Encouraged. [for State Medical Boards who have

not already done so]

th [Legislature] sgly cuags [Insert name of State Medical Licensing Board] adp

pai aag gulais basd h Pain Management Model Policy of the Federationof State Medical Licensing Boards ad h pvisis f his Ac.

Section 6. Severability.

Ay pvisi f his Ac hld b ivalid ufcabl by is s, as applid ay


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ps cicusac, shall b csud s as giv i h axiu ffc pid by law,

ulss such hldig shall b f u ivalidiy ufcabiliy, i which v such

pvisi shall b dd svabl hf ad shall affc h aid hf

h applicai f such pvisi h pss siilaly siuad h, dissiila

cicusacs.

Section 7. Right of Intervention.

th [Legislature], by ji slui, ay appi f is bs, wh spsd

or cosponsored this Act in his or her ofcial capacity, to intervene as a matter of right in any

cas i which h csiuialiy f his Ac ay pi hf is challgd.

Section 8. Effective Date.

this Ac aks ffc [Insert date].


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