Living Will And Health Care Proxy

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Section 22-8A-4
Advance Directive for Health Care; living will and health care proxy.
(a) Any competent adult may execute a living will directing the providing, withholding, or
withdrawal of life-sustaining treatment and artificially provided nutrition and hydration.
Artificially provided nutrition and hydration shall not be withdrawn or withheld pursuant to
the living will unless specifically authorized therein.
(b) A competent adult may execute at any time a living will that includes a written health care
proxy designation appointing another competent adult to make decisions regarding the providing,
withholding, or withdrawal of life-sustaining treatment and artificially provided nutrition and
hydration. Artificially provided nutrition and hydration shall not be withdrawn or withheld
pursuant to the proxy designation unless specifically authorized therein. A proxy designation
made pursuant to this section shall be accepted in writing by the individual being appointed.
The acceptance shall be evidenced in writing and attached to the proxy designation. The proxy
designation may be a separate document or part of a living will.
(1) The designation of an attorney-in-fact, made pursuant to Section 26-1-2, as amended from
time to time, who is specifically authorized to make decisions regarding the providing,
withholding, or withdrawing of life-sustaining treatment or artificially provided nutrition and
hydration in instances involving terminal illness or injury and permanent unconsciousness,
constitutes for purposes of this chapter a proxy designating another individual to act for the
declarant pursuant to this subsection, provided, however, that the authority granted to an
attorney-in-fact to make such decisions shall be the same as the authority granted in this
chapter to a health care proxy. The appointment shall be limited to the specific directions
enumerated in the appointment.
(2) Any powers granted to a health care proxy in an advance directive for health care executed
pursuant to this subsection that permit a health care proxy to make general health care
decisions not related to the provision, withdrawal, or withholding of life-sustaining treatment
or artificially provided nutrition and hydration shall be limited to those powers permitted
under the Alabama Durable Power of Attorney Act, Section 26-1-2, as the same shall be amended
from time to time.
(3) Unless otherwise provided in the proxy designation or in an order of divorce, dissolution,
or annulment of marriage or legal separation, the divorce, dissolution, or annulment of
marriage of the declarant revokes the designation of the declarant's former spouse as health
care proxy.
(4) Under no circumstances shall the patient's health care provider or a nonrelative employee
of the patient's health care provider make decisions in the capacity of a health care proxy.
(c) Any advance directive for health care made pursuant to this chapter shall be:
(1) In writing;
(2) Signed by the person making the advance directive for health care, or by another person in
the declarant's presence and by the declarant's expressed direction;
(3) Dated; and
(4) Signed in the presence of two or more witnesses at least 19 years of age, neither of whom
shall be the person who signed the advance directive for health care on behalf of and at the
direction of the person making the advance directive for health care, appointed as the health
care proxy therein, related to the declarant by blood, adoption, or marriage, entitled to any
portion of the estate of the declarant according to the laws of intestate succession of this
state or under any will of the declarant or codicil thereto, or directly financially
responsible for declarant's medical care.
(d) An advance directive for health care shall become effective when: (1) The attending
physician determines that the declarant is no longer able to understand, appreciate, and direct
his or her medical treatment; and (2) two physicians, one of whom shall be the attending
physician, and one of whom shall be qualified and experienced in making such diagnosis, have
personally examined the declarant and have diagnosed and documented in the medical record that
the declarant has either a terminal illness or injury or is in a state of permanent
unconsciousness.

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