PRIOR PRINTER'S NO. 2382                      PRINTER'S NO. 2419

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 1956 Session of 1993


        INTRODUCED BY M. COHEN, CALTAGIRONE, PETRARCA, COY, VEON, BEBKO-
           JONES, MIHALICH, BELFANTI, ROBINSON, ULIANA AND TRELLO,
           JUNE 28, 1993

        AS REPORTED FROM COMMITTEE ON JUDICIARY, HOUSE OF
           REPRESENTATIVES, AS AMENDED, SEPTEMBER 28, 1993

                                     AN ACT

     1  Amending Title 20 (Decedents, Estates and Fiduciaries) of the     <--
     2     Pennsylvania Consolidated Statutes, providing for anatomical
     3     gifts; and making a repeal.
     4  AMENDING TITLE 20 (DECEDENTS, ESTATES AND FIDUCIARIES) OF THE     <--
     5     PENNSYLVANIA CONSOLIDATED STATUTES, FURTHER PROVIDING FOR THE
     6     FORM AND IMPLEMENTATION OF A POWER OF ATTORNEY AND FOR
     7     DECLARATIONS GOVERNING LIFE-SUSTAINING TREATMENT; AND
     8     PROVIDING FOR ANATOMICAL GIFTS.

     9     The General Assembly of the Commonwealth of Pennsylvania
    10  hereby enacts as follows:
    11     Section 1.  Chapter 86 of Title 20 of the Pennsylvania         <--
    12  Consolidated Statutes is repealed.
    13     Section 2.  Title 20 is amended by adding a chapter to read:
    14                             CHAPTER 86
    15                          ANATOMICAL GIFTS
    16  Subchapter
    17     A.  General Provisions
    18     B.  Express Anatomical Gifts
    19     C.  Presumed Anatomical Gifts
    20                            SUBCHAPTER A

     1                         GENERAL PROVISIONS
     2  Sec.
     3  8601.  Definitions.
     4  § 8601.  Definitions.
     5     The following words and phrases when used in this chapter
     6  shall have the meanings given to them in this section unless the
     7  context clearly indicates otherwise:
     8     "Bank or storage facility."  A facility licensed, accredited
     9  or approved under the laws of any state for storage of human
    10  bodies or parts thereof.
    11     "Board."  The Humanity Gifts Registry.
    12     "Decedent."  A deceased individual, including a stillborn
    13  infant or fetus.
    14     "Donor."  An individual who makes a gift of all or part of
    15  his body.
    16     "Hospital."  A hospital licensed, accredited or approved
    17  under the laws of any state, including a hospital operated by
    18  the Federal Government, a state or a subdivision thereof,
    19  although not required to be licensed under state laws.
    20     "Organ procurement organization."  An organization that meets
    21  the requirements of section 371 of the Public Health Service Act
    22  (58 Stat. 682, 42 U.S.C. § 273).
    23     "Part."  Organs, tissues, eyes, bones, arteries, blood, other
    24  fluids and any other portions of a human body.
    25     "Person."  An individual, corporation, government or
    26  governmental subdivision or agency, business trust, estate,
    27  trust, partnership or association or any other legal entity.
    28     "Physician" or "surgeon."  A physician or surgeon licensed or
    29  authorized to practice under the laws of any state.
    30     "Registry."  The Transplant Organ Registry under section 8632
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     1  (relating to refusal to donate).
     2     "State."  Any state, district, commonwealth, territory,
     3  insular possession and any other area subject to the legislative
     4  authority of the United States of America.
     5                            SUBCHAPTER B
     6                      EXPRESS ANATOMICAL GIFTS
     7  Sec.
     8  8611.  Persons who may execute an anatomical gift.
     9  8612.  Persons who may become donees; purposes for which
    10         anatomical gifts may be made.
    11  8613.  Manner of executing anatomical gifts.
    12  8614.  Delivery of document of gift.
    13  8615.  Amendment or revocation of gift.
    14  8616.  Rights and duties at death.
    15  8617.  Requests for anatomical gifts.
    16  § 8611.  Persons who may execute an anatomical gift.
    17     (a)  General rule.--Any individual of sound mind and 18 years
    18  of age or more may give all or any part of his body for any
    19  purpose specified in section 8612 (relating to persons who may
    20  become donees; purposes for which anatomical gifts may be made),
    21  the gift to take effect upon death. A gift of the whole body
    22  shall be invalid unless made in writing at least 15 days prior
    23  to the date of death. If a gift is not made under this
    24  subchapter, a gift of organs or tissues, or both, for
    25  transplantation or therapeutic purposes in accordance with
    26  Subchapter C (relating to presumed anatomical gifts) shall be
    27  presumed.
    28     (b)  Others entitled to donate anatomy of decedent.--Any of
    29  the following persons, in order of priority stated, when persons
    30  in prior classes are not available at the time of death, and in
    19930H1956B2419                  - 3 -

     1  the absence of actual notice of contrary indications by the
     2  decedent or actual notice of opposition by a member of the same
     3  or a prior class, may give all or any part of the decedent's
     4  body for any purpose specified in section 8612:
     5         (1)  The spouse.
     6         (2)  An adult son or daughter.
     7         (3)  Either parent.
     8         (4)  An adult brother or sister.
     9         (5)  A guardian of the person of the decedent at the time
    10     of his death.
    11         (6)  Any other person authorized or under obligation to
    12     dispose of the body.
    13     (c)  Donee not to accept in certain cases.--If the donee has
    14  actual notice of contrary indications by the decedent or that a
    15  gift by a member of a class is opposed by a member of the same
    16  or a prior class, the donee shall not accept the gift. The
    17  persons authorized by subsection (b) may make the gift after or
    18  immediately before death.
    19     (d)  Examinations.--A gift of all or part of a body
    20  authorizes any examination necessary to assure medical
    21  acceptability of the gift for the purposes intended.
    22     (e)  Rights of donee paramount.--The rights of the donee
    23  created by the gift are paramount to the rights of others except
    24  as provided by section 8616(d) (relating to rights and duties at
    25  death).
    26  § 8612.  Persons who may become donees; purposes for which
    27             anatomical gifts may be made.
    28     The following persons may become donees of gifts of bodies or
    29  parts thereof for the purposes stated:
    30         (1)  any hospital, surgeon or physician for medical or
    19930H1956B2419                  - 4 -

     1     dental education, research, advancement of medical or dental
     2     science, therapy or transplantation;
     3         (2)  any accredited medical or dental school, college or
     4     university for education, research, advancement of medical or
     5     dental science or therapy;
     6         (3)  any bank or storage facility for medical or dental
     7     education, research, advancement of medical or dental
     8     science, therapy or transplantation;
     9         (4)  any specified individual for therapy or
    10     transplantation needed by him;
    11         (5)  the board.
    12  § 8613.  Manner of executing anatomical gifts.
    13     (a)  Gifts by will.--A gift of all or part of the body under
    14  section 8611(a) (relating to persons who may execute an
    15  anatomical gift) may be made by will. The gift becomes effective
    16  upon the death of the testator without waiting for probate. If
    17  the will is not probated or if it is declared invalid for
    18  testamentary purposes, the gift, to the extent that it has been
    19  acted upon in good faith, is nevertheless valid and effective.
    20     (b)  Gifts by other documents.--A gift of all or part of the
    21  body under section 8611(a) may also be made by document other
    22  than a will. The gift becomes effective upon the death of the
    23  donor. The document, which may be a card designed to be carried
    24  on the person, must be signed by the donor in the presence of
    25  two witnesses who must sign the document in his presence. If the
    26  donor is mentally competent to signify his desire to sign the
    27  document but is physically unable to do so, the document may be
    28  signed for him by another at his direction and in his presence
    29  in the presence of two witnesses who must sign the document in
    30  his presence. Delivery of the document of gift during the
    19930H1956B2419                  - 5 -

     1  donor's lifetime is not necessary to make the gift valid.
     2     (c)  Specified and unspecified donees.--The gift may be made
     3  to a specified donee or without specifying a donee. If the
     4  latter, the gift may be accepted by the attending physician as
     5  donee upon or following death. If the gift is made to a
     6  specified donee who is not available at the time and place of
     7  death, the attending physician upon or following death, in the
     8  absence of any expressed indication that the donor desired
     9  otherwise, may accept the gift as donee. The physician who
    10  becomes a donee under this subsection shall not participate in
    11  the procedures for removing or transplanting a part.
    12     (d)  Designation of person to carry out procedures.--
    13  Notwithstanding section 8616(b) (relating to rights and duties
    14  at death) the donor may designate in his will, card or other
    15  document of gift the surgeon or physician to carry out the
    16  appropriate procedures. In the absence of a designation or if
    17  the designee is not available, the donee or other person
    18  authorized to accept the gift may employ or authorize any
    19  surgeon or physician for the purpose, or, in the case of a gift
    20  of eyes, he may employ or authorize a person who is a funeral
    21  director licensed by the State Board of Funeral Directors, an
    22  eye bank technician or medical student, if the person has
    23  successfully completed a course in eye enucleation approved by
    24  the State Board of Medical Education and Licensure, or an eye
    25  bank technician or medical student trained under a program in
    26  the sterile technique for eye enucleation approved by the State
    27  Board of Medical Education and Licensure to enucleate eyes for
    28  an eye bank for the gift after certification of death by a
    29  physician. A qualified funeral director, eye bank technician or
    30  medical student acting in accordance with the terms of this
    19930H1956B2419                  - 6 -

     1  subsection shall not have any liability, civil or criminal, for
     2  the eye enucleation.
     3     (e)  Consent not necessary.--Where a donor card evidencing a
     4  gift of the donor's eyes has been validly executed, consent of
     5  any person designated in section 8611(b) at the time of the
     6  donor's death or immediately thereafter is not necessary to
     7  render the gift valid and effective.
     8     (f)  Documentation of gifts by others.--Any gift by a person
     9  designated in section 8611(b) shall be made by a document signed
    10  by him or made by his telegraphic, recorded telephonic or other
    11  recorded message.
    12  § 8614.  Delivery of document of gift.
    13     If the gift is made by the donor to a specified donee, the
    14  will, card or other document, or an executed copy thereof, may
    15  be delivered to the donee to expedite the appropriate procedures
    16  immediately after death. Delivery is not necessary to the
    17  validity of the gift. The will, card or other document, or an
    18  executed copy thereof, may be deposited in any hospital, bank or
    19  storage facility that accepts it for safekeeping or for
    20  facilitation of procedures after death. On request of any
    21  interested party upon or after the donor's death, the person in
    22  possession shall produce the document for examination. Absent
    23  such a document, a gift shall be presumed under Subchapter C
    24  (relating to presumed anatomical gifts).
    25  § 8615.  Amendment or revocation of gift.
    26     (a)  Document delivered to donee.--If the will, card or other
    27  document, or executed copy thereof, has been delivered to a
    28  specified donee, the donor may amend or revoke the gift by:
    29         (1)  the execution and delivery to the donee of a signed
    30     statement;
    19930H1956B2419                  - 7 -

     1         (2)  an oral statement made in the presence of two
     2     persons and communicated to the donee;
     3         (3)  a statement during a terminal illness or injury
     4     addressed to an attending physician and communicated to the
     5     donee; or
     6         (4)  a signed card or document found on his person or in
     7     his effects.
     8     (b)  Document not delivered to donee.--Any document of gift
     9  which has not been delivered to the donee may be revoked by the
    10  donor in the manner set out in subsection (a) or by destruction,
    11  cancellation or mutilation of the document and all executed
    12  copies thereof.
    13     (c)  Gifts by will.--Any gift made by a will may also be
    14  amended or revoked in the manner provided for amendment or
    15  revocation of wills, or as provided in subsection (a).
    16  § 8616.  Rights and duties at death.
    17     (a)  Donees and relatives.--The donee may accept or reject
    18  the gift. If the donee accepts a gift of the entire body, he
    19  shall, subject to the terms of the gift, authorize embalming and
    20  the use of the body in funeral services if the surviving spouse
    21  or next of kin as determined in section 8611(b) (relating to
    22  persons who may execute an anatomical gift) requests embalming
    23  and use of the body for funeral services. If the gift is of a
    24  part of the body, the donee, upon the death of the donor and
    25  prior to embalming, shall cause the part to be removed without
    26  unnecessary mutilation. After removal of the part, custody of
    27  the remainder of the body vests in the surviving spouse, next of
    28  kin or other persons under obligation to dispose of the body.
    29     (b)  Physicians.--The time of death shall be determined by a
    30  physician who tends the donor at his death or, if none, the
    19930H1956B2419                  - 8 -

     1  physician who certifies the death. The physician who certifies
     2  death or any of his professional partners or associates shall
     3  not participate in the procedures for removing or transplanting
     4  a part.
     5     (c)  Certain liability limited.--A person who acts in good
     6  faith in accordance with the terms of this subchapter or with
     7  the anatomical gift laws of another state or a foreign country
     8  is not liable for damages in any civil action or subject to
     9  prosecution in any criminal proceeding for his act.
    10     (d)  Law on autopsies applicable.--The provisions of this
    11  subchapter are subject to the laws of this State prescribing
    12  powers and duties with respect to autopsies.
    13  § 8617.  Requests for anatomical gifts.
    14     (a)  Procedure.--On or before the occurrence of death in an
    15  acute care general hospital, the hospital shall request consent
    16  to a gift of all or any part of the decedent's body for any
    17  purpose specified under this subchapter. The request and its
    18  disposition shall be noted in the patient's medical record.
    19  Whenever medical criteria developed by organ procurement
    20  organizations establishes that a body or body part donation
    21  would not be suitable for use, a request need not be made.
    22     (b)  Limitation.--Where the hospital administrator, or his
    23  designee, has received actual notice of opposition from any of
    24  the persons named in section 8611(b) (relating to persons who
    25  may execute an anatomical gift) and the decedent was not in
    26  possession of a validly executed donor card, the gift of all or
    27  any part of the decedent's body shall not be requested.
    28     (c)  Donor card.--Notwithstanding any provision of law to the
    29  contrary, the intent of a decedent to participate in an organ
    30  donor program as evidenced by the possession of a validly
    19930H1956B2419                  - 9 -

     1  executed donor card shall not be revoked by any member of any of
     2  the classes specified in section 8611(b).
     3     (d)  Identification of potential donors.--Each acute care
     4  general hospital shall develop, with the concurrence of the
     5  hospital medical staff and an organ procurement organization, a
     6  protocol for identifying potential organ and tissue donors. It
     7  shall require that, at or near the time of notification of
     8  death, persons designated under section 8611(a) and (b) be asked
     9  whether the deceased was an organ donor or if the family is a
    10  donor family. If not, such persons shall be informed of the
    11  option to donate organs and tissues. Pursuant to this
    12  subchapter, the hospital shall then notify an organ and tissue
    13  procurement organization and cooperate in the procurement of the
    14  anatomical gift or gifts. The protocol shall encourage
    15  discretion and sensitivity to family circumstances in all
    16  discussions regarding donations of tissue or organs. The
    17  protocol shall take into account the deceased individual's
    18  religious beliefs or nonsuitability for organ and tissue
    19  donation. In the event an organ and tissue procurement
    20  organization does not exist in a region, the hospital shall
    21  contact an organ or a tissue procurement organization in an
    22  alternative region.
    23     (e)  Guidelines.--The Department of Health in conjunction
    24  with organ procurement organizations shall establish guidelines
    25  regarding efficient procedures facilitating the delivery of
    26  anatomical gift donations from receiving hospitals to potential
    27  recipients and appropriate training concerning the manner and
    28  conduct of employees making requests for anatomical gift
    29  donations.
    30                            SUBCHAPTER C
    19930H1956B2419                 - 10 -

     1                     PRESUMED ANATOMICAL GIFTS
     2  Sec.
     3  8631.  Presumption of anatomical gift.
     4  8632.  Refusal to donate.
     5  8633.  Donees.
     6  8634.  Physician obligations.
     7  8635.  Confidentiality requirement.
     8  8636.  Limitation of liability.
     9  8637.  Applicability.
    10  § 8631.  Presumption of anatomical gift.
    11     Organs and tissues may be removed, upon death, from the body
    12  of any Commonwealth resident by a physician, surgeon or
    13  technician for transplantation or for the preparation of
    14  therapeutic substances, unless it is established that a refusal
    15  was expressed in accordance with this subchapter.
    16  § 8632.  Refusal to donate.
    17     (a)  General rule.--An individual may refuse to donate organs
    18  or tissues for any reason, including, but not limited to,
    19  religious purposes.
    20     (b)  Form of refusal.--
    21         (1)  The refusal may be expressed in a document, which
    22     may be a card designed to be carried on the person, including
    23     a card issued by the Department of Health under subsection
    24     (e). If the individual is mentally competent to signify his
    25     desire to sign the document but is physically unable to do
    26     so, the document may be signed for him by another at his
    27     direction.
    28         (2)  Any of the following persons, in the order of
    29     priority stated, when persons in prior classes are not
    30     available at the time of death, may refuse to donate the
    19930H1956B2419                 - 11 -

     1     decedent's organs or tissues.
     2             (i)  The spouse.
     3             (ii)  An adult son or daughter.
     4             (iii)  Either parent.
     5             (iv)  An adult brother or sister.
     6             (v)  A guardian of the decedent at the time of death.
     7             (vi)  Any person authorized or under obligation to
     8         dispose of the body.
     9     Persons under this paragraph shall be notified of their
    10     rights of refusal by the person who will carry out the
    11     removal procedures. All reasonable efforts shall be made to
    12     carry out this notification.
    13     (c)  Capacity.--Any individual who is 18 years of age or
    14  older and capable of making known his wishes may express a
    15  refusal under this section. A minor who is capable of making
    16  known his wishes may also express a refusal under this section,
    17  or, during his lifetime, his parent or guardian may express the
    18  refusal. A refusal by a parent or guardian of a minor shall
    19  override any contrary indication by the minor. If a minor is
    20  incapable of making known his wishes, a refusal may be expressed
    21  by the minor's parent or guardian.
    22     (d)  Mental incompetence.--If an individual is incapable of
    23  making known his wishes by reason of a mental condition, a
    24  refusal under this section may be expressed by the individual's
    25  guardian or, in the absence of a guardian, next of kin.
    26     (e)  Nondonor cards and stickers.--An individual may attach
    27  to the reverse side of his driver's license or identification
    28  card issued by the Department of Transportation a card or
    29  sticker supplied by the Department of Health or an organ
    30  procurement organization which indicates the individual's
    19930H1956B2419                 - 12 -

     1  refusal to make a gift of organs or tissues for transplantation
     2  or therapeutic purposes. In the first year following the
     3  effective date of this subsection, the Department of Revenue
     4  shall insure that individuals in this Commonwealth receive this
     5  card and sticker along with their personal income tax return
     6  forms. The Department of Transportation shall distribute these
     7  cards and stickers at all photo license centers and make the
     8  cards and stickers available to any political subdivision or
     9  organization upon request.
    10     (f)  Tax return form designation.--The Department of Revenue
    11  shall provide a space on the face of the individual tax return
    12  form whereby an individual may designate nondonor status. The
    13  Department of Revenue shall coordinate with the registry to
    14  ensure the registration of individual's nondonor status.
    15     (g)  Transplant Organ Registry.--The card or other document
    16  indicative of an individual's nondonor status, or an executed
    17  copy thereof, may be deposited in the Transplant Organ Registry
    18  which shall be established and maintained by the Department of
    19  Health. Upon registration of an individual's nondonor status,
    20  the registry shall send confirmation of that status to the
    21  individual. The registry shall be equipped at all times, that
    22  is, 24 hours a day, each day of the year, to furnish and shall
    23  furnish to any qualified hospital, physician or organ
    24  procurement organization, upon request, information relating to
    25  an individual's nondonor status. The Department of Health shall
    26  promulgate regulations necessary to implement the registry. The
    27  Department of Health shall establish a single Statewide toll-
    28  free telephone number to handle requests for registry
    29  information.
    30     (h)  Definition.--As used in this section, the term "minor"
    19930H1956B2419                 - 13 -

     1  means an individual under 18 years of age.
     2  § 8633.  Donees.
     3     Organs and tissues removed in accordance with this subchapter
     4  shall be made available to donees who are located in this
     5  Commonwealth whenever possible. If no suitable Commonwealth
     6  donee is available, the organs and tissues shall be distributed
     7  using Organ Procurement and Transplantation Network (OPTN)
     8  guidelines. A donee under Subchapter A (relating to express
     9  anatomical gifts) is an eligible donee under this subchapter if
    10  the donee is able to accept the organ or tissue removed for
    11  transplantation or therapeutic purposes.
    12  § 8634.  Physician obligations.
    13     (a)  Conditions for removal.--A physician may not proceed to
    14  carry out a removal under this subchapter:
    15         (1)  If a refusal has been expressed under section 8632
    16     (relating to refusal to donate).
    17         (2)  If a refusal has been expressed in any other manner
    18     by the potential donor or other authorized person and has
    19     been communicated to the physician.
    20         (3)  Unless the death of the donor has been established
    21     by a physician. The physician may not be the attending
    22     physician of the recipient or those who will carry out the
    23     removal or transplantation.
    24     (b)  Respect for remains.--The removal of organs and tissues
    25  and the suturing of the body shall be carried out in such a way
    26  as to respect the remains of the decedent and not alter the
    27  appearance of the decedent.
    28     (c)  Autopsies and investigations.--In case of violent death,
    29  the physician carrying out the removal of organs or tissues
    30  shall not interfere with the course of an autopsy or
    19930H1956B2419                 - 14 -

     1  investigation. In case of death from unknown causes or under
     2  suspicious circumstances which falls under the jurisdiction of a
     3  medical examiner or coroner, removal of organs or tissues shall
     4  precede an autopsy as long as the removal does not interfere
     5  with an investigation. In medical examiner and coroner cases, an
     6  operative report shall be made available by the physician,
     7  surgeon or technician removing the organs or tissues.
     8  § 8635.  Confidentiality requirement.
     9     The identity of the donor and of the recipient may not be
    10  communicated unless expressly authorized by the recipient and
    11  next of kin of the decedent.
    12  § 8636.  Limitation of liability.
    13     A person who acts in good faith in accordance with the
    14  provisions of this subchapter shall not be subject to criminal
    15  or civil liability arising from any action taken under this
    16  subchapter. The immunity provided by this section shall not
    17  extend to persons if damages result from the gross negligence,
    18  recklessness or intentional misconduct of the person.
    19  § 8637.  Applicability.
    20     This subchapter shall not apply to the transfer of embryos,
    21  the removal and transplantation of testicles and ovaries and the
    22  use of ova and sperm.
    23     Section 3.  The Department of Public Welfare shall, within
    24  one year of the effective date of this act, establish and
    25  disseminate guidelines for mental health and mental retardation
    26  facilities to use in counseling clients and their guardians as
    27  to the method for effectuating a right of refusal under 20
    28  Pa.C.S. Ch. 86 Subch. C.
    29     Section 4.  The Department of Education, in cooperation with
    30  the Department of Health and organ procurement organizations,
    19930H1956B2419                 - 15 -

     1  shall establish a program that can be used for secondary
     2  education purposes, which shall include:
     3         (1)  Information about State law relating to anatomical
     4     gifts, including how to effectuate a right of refusal.
     5         (2)  General information about organ transplantation in
     6     the United States.
     7     Section 5.  This act shall take effect July 1, 1994, or
     8  immediately, whichever is later.
     9     SECTION 1.  SECTION 5404(B) OF TITLE 20 OF THE PENNSYLVANIA    <--
    10  CONSOLIDATED STATUTES IS AMENDED TO READ:
    11  § 5404.  DECLARATION.
    12     * * *
    13     (B)  FORM.--A DECLARATION MAY BUT NEED NOT BE IN THE
    14  FOLLOWING FORM AND MAY INCLUDE OTHER SPECIFIC DIRECTIONS,
    15  INCLUDING, BUT NOT LIMITED TO, DESIGNATION OF ANOTHER PERSON TO
    16  MAKE THE TREATMENT DECISION FOR THE DECLARANT IF THE DECLARANT
    17  IS INCOMPETENT AND IS DETERMINED TO BE IN A TERMINAL CONDITION
    18  OR TO BE PERMANENTLY UNCONSCIOUS.
    19                            DECLARATION
    20         I,              , BEING OF SOUND MIND, WILLFULLY AND
    21     VOLUNTARILY MAKE THIS DECLARATION TO BE FOLLOWED IF I BECOME
    22     INCOMPETENT. THIS DECLARATION REFLECTS MY FIRM AND SETTLED
    23     COMMITMENT TO REFUSE LIFE-SUSTAINING TREATMENT UNDER THE
    24     CIRCUMSTANCES INDICATED BELOW.
    25         I DIRECT MY ATTENDING PHYSICIAN TO WITHHOLD OR WITHDRAW
    26     LIFE-SUSTAINING TREATMENT THAT SERVES ONLY TO PROLONG THE
    27     PROCESS OF MY DYING, IF I SHOULD BE IN A TERMINAL CONDITION
    28     OR IN A STATE OF PERMANENT UNCONSCIOUSNESS.
    29         I DIRECT THAT TREATMENT BE LIMITED TO MEASURES TO KEEP ME
    30     COMFORTABLE AND TO RELIEVE PAIN, INCLUDING ANY PAIN THAT
    19930H1956B2419                 - 16 -

     1     MIGHT OCCUR BY WITHHOLDING OR WITHDRAWING LIFE-SUSTAINING
     2     TREATMENT.
     3         IN ADDITION, IF I AM IN THE CONDITION DESCRIBED ABOVE, I
     4     FEEL ESPECIALLY STRONG ABOUT THE FOLLOWING FORMS OF
     5     TREATMENT:
     6         I ( ) DO ( ) DO NOT WANT CARDIAC RESUSCITATION.
     7         I ( ) DO ( ) DO NOT WANT MECHANICAL RESPIRATION.
     8         I ( ) DO ( ) DO NOT WANT TUBE FEEDING OR ANY OTHER
     9     ARTIFICIAL OR INVASIVE FORM OF NUTRITION (FOOD) OR HYDRATION
    10     (WATER).
    11         I ( ) DO ( ) DO NOT WANT BLOOD OR BLOOD PRODUCTS.
    12         I ( ) DO ( ) DO NOT WANT ANY FORM OF SURGERY OR INVASIVE
    13     DIAGNOSTIC TESTS.
    14         I ( ) DO ( ) DO NOT WANT KIDNEY DIALYSIS.
    15         I ( ) DO ( ) DO NOT WANT ANTIBIOTICS.
    16     I REALIZE THAT IF I DO NOT SPECIFICALLY INDICATE MY
    17     PREFERENCE REGARDING ANY OF THE FORMS OF TREATMENT LISTED
    18     ABOVE, I MAY RECEIVE THAT FORM OF TREATMENT.
    19         OTHER INSTRUCTIONS:
    20         I ( ) DO ( ) DO NOT WANT TO DESIGNATE ANOTHER PERSON AS
    21     MY SURROGATE TO MAKE MEDICAL TREATMENT DECISIONS FOR ME IF I
    22     SHOULD BE INCOMPETENT AND IN A TERMINAL CONDITION OR IN A
    23     STATE OF PERMANENT UNCONSCIOUSNESS. NAME AND ADDRESS OF
    24     SURROGATE (IF APPLICABLE):
    25     NAME AND ADDRESS OF SUBSTITUTE SURROGATE (IF SURROGATE
    26     DESIGNATED ABOVE IS UNABLE TO SERVE):
    27         I ( ) DO ( ) DO NOT WANT TO MAKE AN ANATOMICAL GIFT OF
    28     ALL OR PART OF MY BODY, SUBJECT TO THE FOLLOWING LIMITATIONS,
    29     IF ANY:
    30         I MADE THIS DECLARATION ON THE        DAY OF (MONTH,
    19930H1956B2419                 - 17 -

     1     YEAR).
     2         DECLARANT'S SIGNATURE:
     3         DECLARANT'S ADDRESS:
     4         THE DECLARANT OR THE PERSON ON BEHALF OF AND AT THE
     5     DIRECTION OF THE DECLARANT KNOWINGLY AND VOLUNTARILY SIGNED
     6     THIS WRITING BY SIGNATURE OR MARK IN MY PRESENCE.
     7         WITNESS'S SIGNATURE:
     8         WITNESS'S ADDRESS:
     9         WITNESS'S SIGNATURE:
    10         WITNESS'S ADDRESS:
    11     * * *
    12     SECTION 2.  SECTION 5602(A) OF TITLE 20 IS AMENDED BY ADDING
    13  A PARAGRAPH TO READ:
    14  § 5602.  FORM OF POWER OF ATTORNEY.
    15     (A)  SPECIFICATION OF POWERS.--A PRINCIPAL MAY, BY INCLUSION
    16  OF THE LANGUAGE QUOTED IN ANY OF THE FOLLOWING PARAGRAPHS OR BY
    17  INCLUSION OF OTHER LANGUAGE SHOWING A SIMILAR INTENT ON THE PART
    18  OF THE PRINCIPAL, EMPOWER HIS ATTORNEY-IN-FACT TO DO ANY OR ALL
    19  OF THE FOLLOWING, EACH OF WHICH IS DEFINED IN SECTION 5603
    20  (RELATING TO IMPLEMENTATION OF POWER OF ATTORNEY):
    21         * * *
    22         (23)  "TO MAKE AN ANATOMICAL GIFT OF ALL OR PART OF MY
    23     BODY."
    24     * * *
    25     SECTION 3.  SECTION 5603 OF TITLE 20 IS AMENDED BY ADDING A
    26  SUBSECTION TO READ:
    27  § 5603.  IMPLEMENTATION OF POWER OF ATTORNEY.
    28     * * *
    29     (U.1)  POWER TO MAKE ANATOMICAL GIFT.--A POWER "TO MAKE AN
    30  ANATOMICAL GIFT OF ALL OR PART OF MY BODY" SHALL MEAN THAT THE
    19930H1956B2419                 - 18 -

     1  ATTORNEY-IN-FACT MAY ARRANGE AND CONSENT TO PROCEDURES TO MAKE
     2  AN ANATOMICAL GIFT IN ACCORDANCE WITH CHAPTER 86 (RELATING TO
     3  ANATOMICAL GIFTS).
     4     * * *
     5     SECTION 4.  CHAPTER 86 OF TITLE 20 IS REPEALED.
     6     SECTION 5.  TITLE 20 IS AMENDED BY ADDING A CHAPTER TO READ:
     7                             CHAPTER 86
     8                          ANATOMICAL GIFTS
     9  SUBCHAPTER
    10     A.  GENERAL PROVISIONS
    11     B.  EXPRESS ANATOMICAL GIFTS
    12     C.  CORNEAL TRANSPLANTS
    13                            SUBCHAPTER A
    14                         GENERAL PROVISIONS
    15  SEC.
    16  8601.  DEFINITIONS.
    17  § 8601.  DEFINITIONS.
    18     THE FOLLOWING WORDS AND PHRASES WHEN USED IN THIS CHAPTER
    19  SHALL HAVE THE MEANINGS GIVEN TO THEM IN THIS SECTION UNLESS THE
    20  CONTEXT CLEARLY INDICATES OTHERWISE:
    21     "ACUTE CARE GENERAL HOSPITAL."  ANY HOSPITAL WHICH HAS AN
    22  EMERGENCY ROOM FACILITY.
    23     "ADVISORY COMMITTEE."  THE ORGAN DONATION ADVISORY COMMITTEE
    24  ESTABLISHED UNDER SECTION 8624 (RELATING TO ORGAN DONATION
    25  AWARENESS TRUST FUND).
    26     "BANK OR STORAGE FACILITY."  A FACILITY LICENSED, ACCREDITED
    27  OR APPROVED UNDER THE LAWS OF ANY STATE FOR STORAGE OF HUMAN
    28  BODIES OR PARTS THEREOF.
    29     "BOARD."  THE HUMANITY GIFTS REGISTRY.
    30     "DECEDENT."  A DECEASED INDIVIDUAL, INCLUDING A STILLBORN
    19930H1956B2419                 - 19 -

     1  INFANT OR FETUS.
     2     "DONOR."  AN INDIVIDUAL WHO MAKES A GIFT OF ALL OR PART OF
     3  HIS BODY.
     4     "FUND."  THE ORGAN DONATION AWARENESS TRUST FUND ESTABLISHED
     5  UNDER SECTION 8624 (RELATING TO ORGAN DONATION AWARENESS TRUST
     6  FUND).
     7     "HOSPITAL."  A HOSPITAL LICENSED, ACCREDITED OR APPROVED
     8  UNDER THE LAWS OF ANY STATE, INCLUDING A HOSPITAL OPERATED BY
     9  THE FEDERAL GOVERNMENT, A STATE OR A SUBDIVISION THEREOF,
    10  ALTHOUGH NOT REQUIRED TO BE LICENSED UNDER STATE LAWS.
    11     "ORGAN PROCUREMENT ORGANIZATION."  AN ORGANIZATION THAT MEETS
    12  THE REQUIREMENTS OF SECTION 371 OF THE PUBLIC HEALTH SERVICE ACT
    13  (58 STAT. 682, 42 U.S.C. § 273).
    14     "PART."  ORGANS, TISSUES, EYES, BONES, ARTERIES, BLOOD, OTHER
    15  FLUIDS AND ANY OTHER PORTIONS OF A HUMAN BODY.
    16     "PERSON."  AN INDIVIDUAL, CORPORATION, GOVERNMENT OR
    17  GOVERNMENTAL SUBDIVISION OR AGENCY, BUSINESS TRUST, ESTATE,
    18  TRUST, PARTNERSHIP, ASSOCIATION OR ANY OTHER LEGAL ENTITY.
    19     "PHYSICIAN" OR "SURGEON."  A PHYSICIAN OR SURGEON LICENSED OR
    20  AUTHORIZED TO PRACTICE UNDER THE LAWS OF ANY STATE.
    21     "REGISTRY."  THE TRANSPLANT ORGAN REGISTRY KNOWN AS THE
    22  REGISTRY FOR LIFE ESTABLISHED UNDER SECTION 8618 (RELATING TO
    23  TRANSPLANT ORGAN REGISTRY).
    24     "STATE."  ANY STATE, DISTRICT, COMMONWEALTH, TERRITORY,
    25  INSULAR POSSESSION AND ANY OTHER AREA SUBJECT TO THE LEGISLATIVE
    26  AUTHORITY OF THE UNITED STATES OF AMERICA.
    27                            SUBCHAPTER B
    28                      EXPRESS ANATOMICAL GIFTS
    29  SEC.
    30  8611.  PERSONS WHO MAY EXECUTE ANATOMICAL GIFT.
    19930H1956B2419                 - 20 -

     1  8612.  PERSONS WHO MAY BECOME DONEES; PURPOSES FOR WHICH
     2         ANATOMICAL GIFTS MAY BE MADE.
     3  8613.  MANNER OF EXECUTING ANATOMICAL GIFTS.
     4  8614.  DELIVERY OF DOCUMENT OF GIFT.
     5  8615.  AMENDMENT OR REVOCATION OF GIFT.
     6  8616.  RIGHTS AND DUTIES AT DEATH.
     7  8617.  REQUESTS FOR ANATOMICAL GIFTS.
     8  8618.  TRANSPLANT ORGAN REGISTRY.
     9  8619.  USE OF TAX FORM TO INDICATE ORGAN OR TISSUE DONATION.
    10  8620.  VOLUNTARY CONTRIBUTION SYSTEM.
    11  8621.  USE OF DRIVER'S LICENSE TO INDICATE ORGAN OR TISSUE
    12         DONATION.
    13  8622.  POLICE AND EMERGENCY PERSONNEL RESPONSIBILITIES.
    14  8623.  ORGAN DONATION AWARENESS TRUST FUND CONTRIBUTIONS.
    15  8624.  ORGAN DONATION AWARENESS TRUST FUND.
    16  8625.  CONFIDENTIALITY REQUIREMENT.
    17  § 8611.  PERSONS WHO MAY EXECUTE ANATOMICAL GIFT.
    18     (A)  GENERAL RULE.--ANY INDIVIDUAL OF SOUND MIND AND 18 YEARS
    19  OF AGE OR MORE MAY GIVE ALL OR ANY PART OF HIS BODY FOR ANY
    20  PURPOSE SPECIFIED IN SECTION 8612 (RELATING TO PERSONS WHO MAY
    21  BECOME DONEES; PURPOSES FOR WHICH ANATOMICAL GIFTS MAY BE MADE),
    22  THE GIFT TO TAKE EFFECT UPON DEATH. ANY INDIVIDUAL WHO IS A
    23  MINOR AND 16 YEARS OR AGE OR OLDER MAY EFFECTUATE A GIFT FOR ANY
    24  PURPOSE SPECIFIED IN SECTION 8612, PROVIDED PARENTAL OR GUARDIAN
    25  CONSENT IS DEEMED GIVEN. PARENTAL OR GUARDIAN CONSENT SHALL BE
    26  NOTED ON THE MINOR'S DONOR CARD, DONOR DRIVER'S LICENSE OR OTHER
    27  DOCUMENT OF GIFT. A GIFT OF THE WHOLE BODY SHALL BE INVALID
    28  UNLESS MADE IN WRITING AT LEAST 15 DAYS PRIOR TO THE DATE OF
    29  DEATH.
    30     (B)  OTHERS ENTITLED TO DONATE ANATOMY OF DECEDENT.--ANY OF
    19930H1956B2419                 - 21 -

     1  THE FOLLOWING PERSONS, IN ORDER OF PRIORITY STATED, WHEN PERSONS
     2  IN PRIOR CLASSES ARE NOT AVAILABLE AT THE TIME OF DEATH, AND IN
     3  THE ABSENCE OF ACTUAL NOTICE OF CONTRARY INDICATIONS BY THE
     4  DECEDENT OR ACTUAL NOTICE OF OPPOSITION BY A MEMBER OF THE SAME
     5  OR A PRIOR CLASS, MAY GIVE ALL OR ANY PART OF THE DECEDENT'S
     6  BODY FOR ANY PURPOSE SPECIFIED IN SECTION 8612:
     7         (1)  THE SPOUSE.
     8         (2)  AN ADULT SON OR DAUGHTER.
     9         (3)  EITHER PARENT.
    10         (4)  AN ADULT BROTHER OR SISTER.
    11         (5)  A GUARDIAN OF THE PERSON OF THE DECEDENT AT THE TIME
    12     OF HIS DEATH.
    13         (6)  ANY OTHER PERSON AUTHORIZED OR UNDER OBLIGATION TO
    14     DISPOSE OF THE BODY.
    15     (C)  DONEE NOT TO ACCEPT IN CERTAIN CASES.--IF THE DONEE HAS
    16  ACTUAL NOTICE OF CONTRARY INDICATIONS BY THE DECEDENT OR THAT A
    17  GIFT BY A MEMBER OF A CLASS IS OPPOSED BY A MEMBER OF THE SAME
    18  OR A PRIOR CLASS, THE DONEE SHALL NOT ACCEPT THE GIFT. THE
    19  PERSONS AUTHORIZED BY SUBSECTION (B) MAY MAKE THE GIFT AFTER OR
    20  IMMEDIATELY BEFORE DEATH.
    21     (D)  EXAMINATIONS.--A GIFT OF ALL OR PART OF A BODY
    22  AUTHORIZES ANY EXAMINATION NECESSARY TO ASSURE MEDICAL
    23  ACCEPTABILITY OF THE GIFT FOR THE PURPOSES INTENDED.
    24     (E)  RIGHTS OF DONEE PARAMOUNT.--THE RIGHTS OF THE DONEE
    25  CREATED BY THE GIFT ARE PARAMOUNT TO THE RIGHTS OF OTHERS EXCEPT
    26  AS PROVIDED BY SECTION 8616(D) (RELATING TO RIGHTS AND DUTIES AT
    27  DEATH).
    28  § 8612.  PERSONS WHO MAY BECOME DONEES; PURPOSES FOR WHICH
    29             ANATOMICAL GIFTS MAY BE MADE.
    30     THE FOLLOWING PERSONS MAY BECOME DONEES OF GIFTS OF BODIES OR
    19930H1956B2419                 - 22 -

     1  PARTS THEREOF FOR ANY OF THE PURPOSES STATED:
     2         (1)  ANY HOSPITAL, SURGEON OR PHYSICIAN FOR MEDICAL OR
     3     DENTAL EDUCATION, RESEARCH, ADVANCEMENT OF MEDICAL OR DENTAL
     4     SCIENCE, THERAPY OR TRANSPLANTATION.
     5         (2)  ANY ACCREDITED MEDICAL OR DENTAL SCHOOL, COLLEGE OR
     6     UNIVERSITY FOR EDUCATION, RESEARCH, ADVANCEMENT OF MEDICAL OR
     7     DENTAL SCIENCE OR THERAPY.
     8         (3)  ANY BANK OR STORAGE FACILITY FOR MEDICAL OR DENTAL
     9     EDUCATION, RESEARCH, ADVANCEMENT OF MEDICAL OR DENTAL
    10     SCIENCE, THERAPY OR TRANSPLANTATION.
    11         (4)  ANY SPECIFIED INDIVIDUAL FOR THERAPY OR
    12     TRANSPLANTATION NEEDED BY HIM.
    13         (5)  THE BOARD.
    14  § 8613.  MANNER OF EXECUTING ANATOMICAL GIFTS.
    15     (A)  GIFTS BY WILL.--A GIFT OF ALL OR PART OF THE BODY UNDER
    16  SECTION 8611(A) (RELATING TO PERSONS WHO MAY EXECUTE ANATOMICAL
    17  GIFT) MAY BE MADE BY WILL. THE GIFT BECOMES EFFECTIVE UPON THE
    18  DEATH OF THE TESTATOR WITHOUT WAITING FOR PROBATE. IF THE WILL
    19  IS NOT PROBATED OR IF IT IS DECLARED INVALID FOR TESTAMENTARY
    20  PURPOSES, THE GIFT, TO THE EXTENT THAT IT HAS BEEN ACTED UPON IN
    21  GOOD FAITH, IS NEVERTHELESS VALID AND EFFECTIVE.
    22     (B)  GIFTS BY OTHER DOCUMENTS.--A GIFT OF ALL OR PART OF THE
    23  BODY UNDER SECTION 8611(A) MAY ALSO BE MADE BY DOCUMENT OTHER
    24  THAN A WILL. THE GIFT BECOMES EFFECTIVE UPON THE DEATH OF THE
    25  DONOR. THE DOCUMENT, WHICH MAY BE A CARD DESIGNED TO BE CARRIED
    26  ON THE PERSON, MUST BE SIGNED BY THE DONOR IN THE PRESENCE OF
    27  TWO WITNESSES WHO MUST SIGN THE DOCUMENT IN HIS PRESENCE. IF THE
    28  DONOR IS MENTALLY COMPETENT TO SIGNIFY HIS DESIRE TO SIGN THE
    29  DOCUMENT BUT IS PHYSICALLY UNABLE TO DO SO, THE DOCUMENT MAY BE
    30  SIGNED FOR HIM BY ANOTHER AT HIS DIRECTION AND IN HIS PRESENCE
    19930H1956B2419                 - 23 -

     1  IN THE PRESENCE OF TWO WITNESSES WHO MUST SIGN THE DOCUMENT IN
     2  HIS PRESENCE. DELIVERY OF THE DOCUMENT OF GIFT DURING THE
     3  DONOR'S LIFETIME IS NOT NECESSARY TO MAKE THE GIFT VALID.
     4     (C)  SPECIFIED AND UNSPECIFIED DONEES.--THE GIFT MAY BE MADE
     5  TO A SPECIFIED DONEE OR WITHOUT SPECIFYING A DONEE. IF THE
     6  LATTER, THE GIFT MAY BE ACCEPTED BY THE ATTENDING PHYSICIAN AS
     7  DONEE UPON OR FOLLOWING DEATH. IF THE GIFT IS MADE TO A
     8  SPECIFIED DONEE WHO IS NOT AVAILABLE AT THE TIME AND PLACE OF
     9  DEATH, THE ATTENDING PHYSICIAN UPON OR FOLLOWING DEATH, IN THE
    10  ABSENCE OF ANY EXPRESSED INDICATION THAT THE DONOR DESIRED
    11  OTHERWISE, MAY ACCEPT THE GIFT AS DONEE. THE PHYSICIAN WHO
    12  BECOMES A DONEE UNDER THIS SUBSECTION SHALL NOT PARTICIPATE IN
    13  THE PROCEDURES FOR REMOVING OR TRANSPLANTING A PART.
    14     (D)  DESIGNATION OF PERSON TO CARRY OUT PROCEDURES.--
    15  NOTWITHSTANDING SECTION 8616(B) (RELATING TO RIGHTS AND DUTIES
    16  AT DEATH), THE DONOR MAY DESIGNATE IN HIS WILL, CARD OR OTHER
    17  DOCUMENT OF GIFT THE SURGEON OR PHYSICIAN TO CARRY OUT THE
    18  APPROPRIATE PROCEDURES. IN THE ABSENCE OF A DESIGNATION OR IF
    19  THE DESIGNEE IS NOT AVAILABLE, THE DONEE OR OTHER PERSON
    20  AUTHORIZED TO ACCEPT THE GIFT MAY EMPLOY OR AUTHORIZE ANY
    21  SURGEON OR PHYSICIAN FOR THE PURPOSE, OR, IN THE CASE OF A GIFT
    22  OF EYES, HE MAY EMPLOY OR AUTHORIZE A PERSON WHO IS A FUNERAL
    23  DIRECTOR LICENSED BY THE STATE BOARD OF FUNERAL DIRECTORS, AN
    24  EYE BANK TECHNICIAN OR MEDICAL STUDENT, IF THE PERSON HAS
    25  SUCCESSFULLY COMPLETED A COURSE IN EYE ENUCLEATION APPROVED BY
    26  THE STATE BOARD OF MEDICAL EDUCATION AND LICENSURE, OR AN EYE
    27  BANK TECHNICIAN OR MEDICAL STUDENT TRAINED UNDER A PROGRAM IN
    28  THE STERILE TECHNIQUE FOR EYE ENUCLEATION APPROVED BY THE STATE
    29  BOARD OF MEDICAL EDUCATION AND LICENSURE TO ENUCLEATE EYES FOR
    30  AN EYE BANK FOR THE GIFT AFTER CERTIFICATION OF DEATH BY A
    19930H1956B2419                 - 24 -

     1  PHYSICIAN. A QUALIFIED FUNERAL DIRECTOR, EYE BANK TECHNICIAN OR
     2  MEDICAL STUDENT ACTING IN ACCORDANCE WITH THE TERMS OF THIS
     3  SUBSECTION SHALL NOT HAVE ANY LIABILITY, CIVIL OR CRIMINAL, FOR
     4  THE EYE ENUCLEATION.
     5     (E)  CONSENT NOT NECESSARY.--IF A DONOR CARD, DONOR DRIVER'S
     6  LICENSE, LIVING WILL, DURABLE POWER OF ATTORNEY OR OTHER
     7  DOCUMENT OF GIFT EVIDENCING A GIFT OF ORGANS OR TISSUE HAS BEEN
     8  EXECUTED, CONSENT OF ANY PERSON DESIGNATED IN SECTION 8611(B) AT
     9  THE TIME OF THE DONOR'S DEATH OR IMMEDIATELY THEREAFTER IS NOT
    10  NECESSARY TO RENDER THE GIFT VALID AND EFFECTIVE.
    11     (F)  DOCUMENTATION OF GIFTS BY OTHERS.--ANY GIFT BY A PERSON
    12  DESIGNATED IN SECTION 8611(B) SHALL BE MADE BY A DOCUMENT SIGNED
    13  BY HIM OR MADE BY HIS TELEGRAPHIC, RECORDED TELEPHONIC OR OTHER
    14  RECORDED MESSAGE.
    15  § 8614.  DELIVERY OF DOCUMENT OF GIFT.
    16     IF THE GIFT IS MADE BY THE DONOR TO A SPECIFIED DONEE, THE
    17  WILL, CARD OR OTHER DOCUMENT, OR AN EXECUTED COPY THEREOF, MAY
    18  BE DELIVERED TO THE DONEE TO EXPEDITE THE APPROPRIATE PROCEDURES
    19  IMMEDIATELY AFTER DEATH. DELIVERY IS NOT NECESSARY TO THE
    20  VALIDITY OF THE GIFT. THE WILL, CARD OR OTHER DOCUMENT, OR AN
    21  EXECUTED COPY THEREOF, MAY BE DEPOSITED IN ANY HOSPITAL, BANK OR
    22  STORAGE FACILITY THAT ACCEPTS IT FOR SAFEKEEPING OR FOR
    23  FACILITATION OF PROCEDURES AFTER DEATH. ON REQUEST OF ANY
    24  INTERESTED PARTY UPON OR AFTER THE DONOR'S DEATH, THE PERSON IN
    25  POSSESSION SHALL PRODUCE THE DOCUMENT FOR EXAMINATION.
    26  § 8615.  AMENDMENT OR REVOCATION OF GIFT.
    27     (A)  DOCUMENT DELIVERED TO DONEE.--IF THE WILL, CARD OR OTHER
    28  DOCUMENT, OR EXECUTED COPY THEREOF, HAS BEEN DELIVERED TO A
    29  SPECIFIED DONEE, THE DONOR MAY AMEND OR REVOKE THE GIFT BY ANY
    30  OF THE FOLLOWING:
    19930H1956B2419                 - 25 -

     1         (1)  THE EXECUTION AND DELIVERY TO THE DONEE OF A SIGNED
     2     STATEMENT.
     3         (2)  AN ORAL STATEMENT MADE IN THE PRESENCE OF TWO
     4     PERSONS AND COMMUNICATED TO THE DONEE.
     5         (3)  A STATEMENT DURING A TERMINAL ILLNESS OR INJURY
     6     ADDRESSED TO AN ATTENDING PHYSICIAN AND COMMUNICATED TO THE
     7     DONEE.
     8         (4)  A SIGNED CARD OR DOCUMENT FOUND ON HIS PERSON OR IN
     9     HIS EFFECTS.
    10     (B)  DOCUMENT NOT DELIVERED TO DONEE.--ANY DOCUMENT OF GIFT
    11  WHICH HAS NOT BEEN DELIVERED TO THE DONEE MAY BE REVOKED BY THE
    12  DONOR IN THE MANNER SET OUT IN SUBSECTION (A) OR BY DESTRUCTION,
    13  CANCELLATION OR MUTILATION OF THE DOCUMENT AND ALL EXECUTED
    14  COPIES THEREOF.
    15     (C)  GIFTS BY WILL.--ANY GIFT MADE BY A WILL MAY ALSO BE
    16  AMENDED OR REVOKED IN THE MANNER PROVIDED FOR AMENDMENT OR
    17  REVOCATION OF WILLS, OR AS PROVIDED IN SUBSECTION (A).
    18  § 8616.  RIGHTS AND DUTIES AT DEATH.
    19     (A)  DONEES AND RELATIVES.--THE DONEE MAY ACCEPT OR REJECT
    20  THE GIFT. IF THE DONEE ACCEPTS A GIFT OF THE ENTIRE BODY, HE
    21  SHALL, SUBJECT TO THE TERMS OF THE GIFT, AUTHORIZE EMBALMING AND
    22  THE USE OF THE BODY IN FUNERAL SERVICES IF THE SURVIVING SPOUSE
    23  OR NEXT OF KIN AS DETERMINED IN SECTION 8611(B) (RELATING TO
    24  PERSONS WHO MAY EXECUTE ANATOMICAL GIFT) REQUESTS EMBALMING AND
    25  USE OF THE BODY FOR FUNERAL SERVICES. IF THE GIFT IS OF A PART
    26  OF THE BODY, THE DONEE, UPON THE DEATH OF THE DONOR AND PRIOR TO
    27  EMBALMING, SHALL CAUSE THE PART TO BE REMOVED WITHOUT
    28  UNNECESSARY MUTILATION. AFTER REMOVAL OF THE PART, CUSTODY OF
    29  THE REMAINDER OF THE BODY VESTS IN THE SURVIVING SPOUSE, NEXT OF
    30  KIN OR OTHER PERSONS UNDER OBLIGATION TO DISPOSE OF THE BODY.
    19930H1956B2419                 - 26 -

     1     (B)  PHYSICIANS.--THE TIME OF DEATH SHALL BE DETERMINED BY A
     2  PHYSICIAN WHO TENDS THE DONOR AT HIS DEATH OR, IF NONE, THE
     3  PHYSICIAN WHO CERTIFIES THE DEATH. THE PHYSICIAN WHO CERTIFIES
     4  DEATH OR ANY OF HIS PROFESSIONAL PARTNERS OR ASSOCIATES SHALL
     5  NOT PARTICIPATE IN THE PROCEDURES FOR REMOVING OR TRANSPLANTING
     6  A PART.
     7     (C)  CERTAIN LIABILITY LIMITED.--A PERSON WHO ACTS IN GOOD
     8  FAITH IN ACCORDANCE WITH THE TERMS OF THIS SUBCHAPTER OR WITH
     9  THE ANATOMICAL GIFT LAWS OF ANOTHER STATE OR A FOREIGN COUNTRY
    10  IS NOT LIABLE FOR DAMAGES IN ANY CIVIL ACTION OR SUBJECT TO
    11  PROSECUTION IN ANY CRIMINAL PROCEEDING FOR HIS ACT.
    12     (D)  LAW ON AUTOPSIES APPLICABLE.--THE PROVISIONS OF THIS
    13  SUBCHAPTER ARE SUBJECT TO THE LAWS OF THIS COMMONWEALTH
    14  PRESCRIBING POWERS AND DUTIES WITH RESPECT TO AUTOPSIES.
    15  § 8617.  REQUESTS FOR ANATOMICAL GIFTS.
    16     (A)  PROCEDURE.--ON OR BEFORE THE OCCURRENCE OF EACH DEATH IN
    17  AN ACUTE CARE GENERAL HOSPITAL, THE HOSPITAL SHALL MAKE CONTACT
    18  WITH THE REGIONAL ORGAN PROCUREMENT ORGANIZATION IN ORDER TO
    19  DETERMINE THE SUITABILITY FOR ORGAN, TISSUE AND EYE DONATION FOR
    20  ANY PURPOSE SPECIFIED UNDER THIS SUBCHAPTER. THIS CONTACT AND
    21  THE DISPOSITION SHALL BE NOTED ON THE PATIENT'S MEDICAL RECORD.
    22     (B)  LIMITATION.--IF THE HOSPITAL ADMINISTRATOR OR HIS
    23  DESIGNEE HAS RECEIVED ACTUAL NOTICE OF OPPOSITION FROM ANY OF
    24  THE PERSONS NAMED IN SECTION 8611(B) (RELATING TO PERSONS WHO
    25  MAY EXECUTE ANATOMICAL GIFT) AND THE DECEDENT WAS NOT IN
    26  POSSESSION OF A VALIDLY EXECUTED DONOR CARD, THE GIFT OF ALL OR
    27  ANY PART OF THE DECEDENT'S BODY SHALL NOT BE REQUESTED.
    28     (C)  DONOR CARD.--NOTWITHSTANDING ANY PROVISION OF LAW TO THE
    29  CONTRARY, THE INTENT OF A DECEDENT TO PARTICIPATE IN AN ORGAN
    30  DONOR PROGRAM AS EVIDENCED BY THE POSSESSION OF A VALIDLY
    19930H1956B2419                 - 27 -

     1  EXECUTED DONOR CARD, DONOR DRIVER'S LICENSE, LIVING WILL,
     2  DURABLE POWER OF ATTORNEY OR OTHER DOCUMENT OF GIFT SHALL NOT BE
     3  REVOKED BY ANY MEMBER OF ANY OF THE CLASSES SPECIFIED IN SECTION
     4  8611(B).
     5     (D)  IDENTIFICATION OF POTENTIAL DONORS.--EACH ACUTE CARE
     6  GENERAL HOSPITAL SHALL DEVELOP, WITH THE CONCURRENCE OF THE
     7  HOSPITAL MEDICAL STAFF AND AN ORGAN PROCUREMENT ORGANIZATION, A
     8  PROTOCOL FOR IDENTIFYING POTENTIAL ORGAN AND TISSUE DONORS. IT
     9  SHALL REQUIRE THAT, AT OR NEAR THE TIME OF EVERY INDIVIDUAL
    10  DEATH, ALL ACUTE CARE GENERAL HOSPITALS CONTACT BY TELEPHONE
    11  THEIR REGIONAL ORGAN PROCUREMENT ORGANIZATION TO DETERMINE
    12  SUITABILITY FOR ORGAN, TISSUE AND EYE DONATION OF THE INDIVIDUAL
    13  IN QUESTION. THE PERSON DESIGNATED BY THE ACUTE CARE GENERAL
    14  HOSPITAL TO CONTACT THE ORGAN PROCUREMENT ORGANIZATION SHALL
    15  HAVE THE FOLLOWING INFORMATION AVAILABLE PRIOR TO MAKING THE
    16  CONTACT:
    17         (1)  THE PATIENT'S NAME.
    18         (2)  THE PATIENT'S AGE.
    19         (3)  THE CAUSE OF DEATH.
    20         (4)  ANY PAST MEDICAL HISTORY AVAILABLE.
    21  THE ORGAN PROCUREMENT ORGANIZATION, IN CONSULTATION WITH THE
    22  PATIENT'S ATTENDING PHYSICIAN, SHALL DETERMINE THE SUITABILITY
    23  FOR DONATION. IF THE ORGAN PROCUREMENT ORGANIZATION IN
    24  CONSULTATION WITH THE PATIENT'S ATTENDING PHYSICIAN OR HIS
    25  DESIGNEE DETERMINES THAT DONATION IS NOT APPROPRIATE BASED ON
    26  ESTABLISHED MEDICAL CRITERIA, THIS SHALL BE NOTED BY HOSPITAL
    27  PERSONNEL ON THE PATIENT'S RECORD, AND NO FURTHER ACTION IS
    28  NECESSARY. IF THE ORGAN PROCUREMENT ORGANIZATION IN CONSULTATION
    29  WITH THE PATIENT'S ATTENDING PHYSICIAN OR HIS DESIGNEE
    30  DETERMINES THAT THE PATIENT IS A SUITABLE CANDIDATE FOR
    19930H1956B2419                 - 28 -

     1  ANATOMICAL DONATION, THE ACUTE CARE GENERAL HOSPITAL SHALL
     2  INITIATE A REQUEST BY INFORMING THE PERSONS AND FOLLOWING THE
     3  PROCEDURE DESIGNATED UNDER SECTION 8611(B) OF THE OPTION TO
     4  DONATE ORGANS, TISSUES OR EYES. THE PERSON INITIATING THE
     5  REQUEST SHALL BE AN ORGAN PROCUREMENT ORGANIZATION
     6  REPRESENTATIVE OR A DESIGNATED REQUESTOR. THE ORGAN PROCUREMENT
     7  ORGANIZATION REPRESENTATIVE OR DESIGNATED REQUESTOR SHALL ASK
     8  PERSONS PURSUANT TO SECTION 8611(B) WHETHER THE DECEASED WAS AN
     9  ORGAN DONOR. IF THE PERSON DESIGNATED UNDER SECTION 8611(B) DOES
    10  NOT KNOW, THEN THIS PERSON SHALL BE INFORMED OF THE OPTION TO
    11  DONATE ORGANS AND TISSUES. THE PROTOCOL SHALL ENCOURAGE
    12  DISCRETION AND SENSITIVITY TO FAMILY CIRCUMSTANCES IN ALL
    13  DISCUSSIONS REGARDING DONATIONS OF TISSUE OR ORGANS. THE
    14  PROTOCOL SHALL TAKE INTO ACCOUNT THE DECEASED INDIVIDUAL'S
    15  RELIGIOUS BELIEFS OR NONSUITABILITY FOR ORGAN AND TISSUE
    16  DONATION. IN THE EVENT AN ORGAN AND TISSUE PROCUREMENT
    17  ORGANIZATION DOES NOT EXIST IN A REGION, THE HOSPITAL SHALL
    18  CONTACT AN ORGAN OR TISSUE PROCUREMENT ORGANIZATION IN AN
    19  ALTERNATIVE REGION.
    20     (E)  GUIDELINES.--THE DEPARTMENT OF HEALTH, IN CONJUNCTION
    21  WITH ORGAN PROCUREMENT ORGANIZATIONS, SHALL ESTABLISH GUIDELINES
    22  REGARDING EFFICIENT PROCEDURES FACILITATING THE DELIVERY OF
    23  ANATOMICAL GIFT DONATIONS FROM RECEIVING HOSPITALS TO POTENTIAL
    24  RECIPIENTS.
    25     (F)  FINES.--EACH ORGAN PROCUREMENT ORGANIZATION SHALL BE
    26  GIVEN THE AUTHORITY TO CONDUCT QUARTERLY DEATH RECORD REVIEWS AT
    27  ALL ACUTE CARE GENERAL HOSPITALS LOCATED WITHIN ITS REGION TO
    28  DETERMINE COMPLIANCE BY THOSE HOSPITALS WITH SUBSECTION (D). ALL
    29  REPORTS OF NONCOMPLIANCE SHALL BE FORWARDED TO THE SECRETARY OF
    30  HEALTH FOR REVIEW. IF THE SECRETARY OF HEALTH FINDS THAT THERE
    19930H1956B2419                 - 29 -

     1  HAS BEEN NONCOMPLIANCE BY A HOSPITAL, THEN THE SECRETARY OF
     2  HEALTH SHALL HAVE THE AUTHORITY TO LEVY A FINE OF NOT MORE THAN
     3  $500. ANY FUNDS GENERATED FROM THESE FINES SHALL BE DEPOSITED
     4  INTO THE FUND ESTABLISHED UNDER SECTION 8624 (RELATING TO ORGAN
     5  DONATION AWARENESS TRUST FUND).
     6     (G)  DEFINITIONS.--AS USED IN THIS SECTION, THE FOLLOWING
     7  WORDS AND PHRASES SHALL HAVE THE MEANINGS GIVEN TO THEM IN THIS
     8  SUBSECTION:
     9     "DESIGNATED REQUESTOR."  A HOSPITAL EMPLOYEE COMPLETING A
    10  COURSE OFFERED BY AN ORGAN PROCUREMENT ORGANIZATION ON HOW TO
    11  APPROACH POTENTIAL DONOR FAMILIES AND REQUEST ORGAN OR TISSUE
    12  DONATION.
    13     "NONCOMPLIANCE."  ANY FAILURE ON THE PART OF A HOSPITAL TO
    14  CONTACT AN ORGAN PROCUREMENT ORGANIZATION AS REQUIRED UNDER
    15  SUBSECTION (D).
    16  § 8618.  TRANSPLANT ORGAN REGISTRY.
    17     THE CARD OR OTHER DOCUMENT INDICATIVE OF AN INDIVIDUAL'S
    18  DONOR STATUS, OR AN EXECUTED COPY THEREOF, MAY BE DEPOSITED IN
    19  THE TRANSPLANT ORGAN REGISTRY TO BE KNOWN AS THE REGISTRY FOR
    20  LIFE. THE REGISTRY FOR LIFE SHALL BE ESTABLISHED AND MAINTAINED
    21  BY THE DEPARTMENT OF HEALTH. UPON REGISTRATION OF AN
    22  INDIVIDUAL'S DONOR STATUS, THE REGISTRY SHALL SEND CONFIRMATION
    23  OF THAT STATUS TO THE INDIVIDUAL. IF AN INDIVIDUAL IS REGISTERED
    24  UNDER SECTION 8619 (RELATING TO USE OF TAX FORM TO INDICATE
    25  ORGAN OR TISSUE DONATION), THEN THE REGISTRY SHALL SEND AN
    26  EXECUTABLE DONOR CARD AND CONFIRMATION OF THE INDIVIDUAL'S DONOR
    27  STATUS. THE REGISTRY SHALL BE EQUIPPED AT ALL TIMES, THAT IS, 24
    28  HOURS A DAY, EACH DAY OF THE YEAR, TO FURNISH AND SHALL FURNISH
    29  TO ANY QUALIFIED HOSPITAL, PHYSICIAN OR ORGAN PROCUREMENT
    30  ORGANIZATION, UPON REQUEST, INFORMATION RELATING TO AN
    19930H1956B2419                 - 30 -

     1  INDIVIDUAL'S DONOR STATUS. THE DEPARTMENT OF HEALTH SHALL
     2  PROMULGATE REGULATIONS NECESSARY TO IMPLEMENT THE REGISTRY. THE
     3  DEPARTMENT OF HEALTH SHALL ESTABLISH A SINGLE STATEWIDE TOLL-
     4  FREE TELEPHONE NUMBER TO HANDLE REQUESTS FOR REGISTRY
     5  INFORMATION.
     6  § 8619.  USE OF TAX FORM TO INDICATE ORGAN OR TISSUE DONATION.
     7     BEGINNING AS SOON AS PRACTICABLE, BUT NO LATER THAN ONE YEAR
     8  FOLLOWING THE EFFECTIVE DATE OF THIS SECTION, THE DEPARTMENT OF
     9  REVENUE SHALL REDESIGN THE STATE INDIVIDUAL INCOME TAX RETURN
    10  FORM TO CONTAIN REQUESTS FOR INFORMATION REGARDING CONSENT OF
    11  THE TAXPAYER AND THE TAXPAYER'S SPOUSE TO ORGAN AND TISSUE
    12  DONATION. A QUESTION AS TO WHETHER THE TAXPAYER OR THE SPOUSE OF
    13  THE TAXPAYER WISHES TO DONATE SOME OR ALL OF THEIR ORGANS AND
    14  TISSUE SHALL BE SET OUT ON THE FORM IN THE FOLLOWING MANNER:
    15               PLEASE CHECK THE FOLLOWING THAT APPLY:
    16         ( )  I (TAXPAYER) WISH TO BE PLACED ON THE STATEWIDE
    17             DONOR REGISTRY.
    18         ( )  I (SPOUSE) WISH TO BE PLACED ON THE STATEWIDE
    19             DONOR REGISTRY.
    20  ANY AFFIRMATIVE RESPONSE BY THE TAXPAYER OR THE TAXPAYER'S
    21  SPOUSE SHALL BE FORWARDED TO THE DEPARTMENT OF HEALTH FOR ENTRY
    22  IN THE REGISTRY. IF THE TAXPAYER OR THE TAXPAYER'S SPOUSE DOES
    23  NOT RESPOND TO THE QUESTIONS REGARDING ORGAN AND TISSUE
    24  DONATION, CONSENT IS DEEMED NOT GIVEN.
    25  § 8620.  VOLUNTARY CONTRIBUTION SYSTEM.
    26     (A)  VOLUNTARY DESIGNATION.--THE DEPARTMENT OF REVENUE SHALL
    27  PROVIDE A SPACE ON THE FACE OF THE STATE INDIVIDUAL INCOME TAX
    28  RETURN FORM FOR THE 1995 TAX YEAR WHEREBY AN INDIVIDUAL MAY
    29  VOLUNTARILY DESIGNATE A CONTRIBUTION OF ANY AMOUNT DESIRED TO
    30  THE FUND ESTABLISHED IN SECTION 8624 (RELATING TO ORGAN DONATION
    19930H1956B2419                 - 31 -

     1  AWARENESS TRUST FUND).
     2     (B)  DEDUCTION FROM REFUND.--THE AMOUNT SO DESIGNATED BY AN
     3  INDIVIDUAL ON THE STATE INDIVIDUAL INCOME TAX RETURN FORM SHALL
     4  BE DEDUCTED FROM THE TAX REFUND TO WHICH THE INDIVIDUAL IS
     5  ENTITLED AND SHALL NOT CONSTITUTE A CHARGE AGAINST THE INCOME
     6  TAX REVENUES DUE THE COMMONWEALTH.
     7     (C)  TRANSFER OF FUNDS.--THE DEPARTMENT OF REVENUE SHALL
     8  ANNUALLY DETERMINE THE TOTAL AMOUNT DESIGNATED PURSUANT TO THIS
     9  SECTION AND SHALL REPORT THAT AMOUNT TO THE STATE TREASURER, WHO
    10  SHALL TRANSFER THAT AMOUNT FROM THE GENERAL FUND TO THE FUND.
    11     (D)  FORM INSTRUCTIONS.--THE DEPARTMENT OF REVENUE SHALL
    12  PROVIDE IN ITS INSTRUCTIONS WHICH ACCOMPANY STATE INDIVIDUAL
    13  INCOME TAX RETURN FORMS:
    14         (1)  ADEQUATE INFORMATION CONCERNING THE ORGAN DONOR
    15     AWARENESS TRUST FUND WHICH SHALL INCLUDE THE LISTING OF AN
    16     ADDRESS, FURNISHED TO IT BY THE ADVISORY COMMITTEE, TO WHICH
    17     CONTRIBUTIONS MAY BE SENT BY THOSE TAXPAYERS WISHING TO
    18     CONTRIBUTE TO THE FUND BUT WHO DO NOT RECEIVE REFUNDS.
    19         (2)  THE SINGLE STATEWIDE TOLL-FREE TELEPHONE NUMBER TO
    20     HANDLE REQUESTS FOR REGISTRY FOR LIFE INFORMATION, FURNISHED
    21     TO THE DEPARTMENT OF REVENUE BY THE DEPARTMENT OF HEALTH,
    22     INCLUDING THE STATEMENT "FOR FURTHER INFORMATION ON THE
    23     REGISTRY FOR LIFE CONTACT."
    24     (E)  APPLICABILITY.--THIS SECTION SHALL APPLY TO TAXABLE
    25  YEARS BEGINNING ON OR AFTER JANUARY 1, 1995.
    26  § 8621.  USE OF DRIVER'S LICENSE TO INDICATE ORGAN OR TISSUE
    27             DONATION.
    28     BEGINNING AS SOON AS PRACTICABLE, BUT NO LATER THAN ONE YEAR
    29  FOLLOWING THE EFFECTIVE DATE OF THIS SECTION, THE DEPARTMENT OF
    30  TRANSPORTATION SHALL REDESIGN THE DRIVER'S LICENSE APPLICATION
    19930H1956B2419                 - 32 -

     1  AND RENEWAL FORMS TO CONTAIN REQUESTS FOR INFORMATION REGARDING
     2  CONSENT OF THE INDIVIDUAL TO ORGAN AND TISSUE DONATION. THE
     3  FOLLOWING QUESTIONS AS TO WHETHER THE INDIVIDUAL WISHES TO
     4  DONATE SOME OR ALL OF HIS ORGANS AND TISSUE SHALL BE SET OUT ON
     5  THE FORMS AS FOLLOWS:
     6               PLEASE CHECK THE FOLLOWING THAT APPLY:
     7         ( )  I HEREBY CONSENT TO MAKE A GIFT OF MY ORGANS OR
     8             TISSUE UPON MY DEATH.
     9         ( )  I WISH TO BE PLACED ON TO THE STATEWIDE DONOR
    10             REGISTRY.
    11  ONLY AN AFFIRMATIVE RESPONSE OF AN INDIVIDUAL SHALL BE NOTED ON
    12  THE FRONT OF THE DRIVER'S LICENSE AND SHALL CLEARLY INDICATE THE
    13  INDIVIDUAL'S INTENT TO DONATE HIS ORGANS OR TISSUE. A NOTATION
    14  ON AN INDIVIDUAL'S DRIVER'S LICENSE THAT HE INTENDS TO DONATE
    15  HIS ORGANS AND TISSUE IS DEEMED SUFFICIENT TO SATISFY ALL
    16  REQUIREMENTS FOR CONSENT TO ORGAN OR TISSUE DONATION.
    17  § 8622.  POLICE AND EMERGENCY PERSONNEL RESPONSIBILITIES.
    18     POLICE AND EMERGENCY PERSONNEL RESPONDING TO THE SCENE OF AN
    19  ACCIDENT OR TRAUMA SHALL TAKE REASONABLE STEPS TO INSURE THAT
    20  THE DRIVER'S LICENSE OR PERSONAL IDENTIFICATION CARD OF THE
    21  INDIVIDUAL INVOLVED IN THE ACCIDENT OR TRAUMA ACCOMPANIES THE
    22  INDIVIDUAL TO THE HOSPITAL OR OTHER HEALTH CARE FACILITY.
    23  § 8623.  ORGAN DONATION AWARENESS TRUST FUND CONTRIBUTIONS.
    24     THE DEPARTMENT OF TRANSPORTATION SHALL PROVIDE AN APPLICANT
    25  FOR AN ORIGINAL OR RENEWAL DRIVER'S LICENSE, COMMERCIAL DRIVER'S
    26  LICENSE OR MOTORCYCLE OPERATOR'S LICENSE THE OPPORTUNITY TO MAKE
    27  A CONTRIBUTION OF $1, $5 OR OTHER AMOUNT TO THE FUND. THE
    28  CONTRIBUTION SHALL BE ADDED TO THE REGULAR FEE FOR AN ORIGINAL
    29  OR RENEWAL DRIVER'S LICENSE, COMMERCIAL DRIVER'S LICENSE OR
    30  MOTORCYCLE OPERATOR'S LICENSE. ONE CONTRIBUTION MAY BE MADE FOR
    19930H1956B2419                 - 33 -

     1  EACH ISSUANCE OR RENEWAL OF A LICENSE OR ANY COMBINATION
     2  THEREOF. CONTRIBUTIONS SHALL BE USED EXCLUSIVELY FOR THE
     3  PURPOSES SET OUT IN SECTION 8624 (RELATING TO ORGAN DONATION
     4  AWARENESS TRUST FUND). THE DEPARTMENT OF TRANSPORTATION SHALL
     5  BIANNUALLY DETERMINE THE TOTAL AMOUNT DESIGNATED UNDER THIS
     6  SECTION AND SHALL REPORT THAT AMOUNT TO THE STATE TREASURER, WHO
     7  SHALL TRANSFER THAT AMOUNT FROM THE GENERAL FUND TO THE ORGAN
     8  DONATION AWARENESS TRUST FUND.
     9  § 8624.  ORGAN DONATION AWARENESS TRUST FUND.
    10     (A)  ESTABLISHMENT.--ALL CONTRIBUTIONS RECEIVED BY THE
    11  DEPARTMENT OF TRANSPORTATION UNDER SECTION 8623 (RELATING TO
    12  ORGAN DONATION AWARENESS TRUST FUND CONTRIBUTIONS) AND THE
    13  DEPARTMENT OF REVENUE UNDER SECTION 8620 (RELATING TO VOLUNTARY
    14  CONTRIBUTION SYSTEM) SHALL BE DEPOSITED INTO A SPECIAL FUND IN
    15  THE STATE TREASURY TO BE KNOWN AS THE ORGAN DONATION AWARENESS
    16  TRUST FUND, WHICH IS HEREBY ESTABLISHED.
    17     (B)  APPROPRIATION.--ALL MONEYS DEPOSITED IN THE FUND AND
    18  INTEREST WHICH ACCRUES FROM THOSE FUNDS ARE APPROPRIATED ON A
    19  CONTINUING BASIS TO THE DEPARTMENTS AND FOR THE PURPOSES SET
    20  FORTH IN THIS SUBSECTION. MONEYS IN THE FUND SHALL BE PAID BY
    21  THE STATE TREASURER PERIODICALLY TO THOSE DEPARTMENTS AUTHORIZED
    22  UNDER THIS SUBSECTION TO EXPEND THEM IN AMOUNTS AS MAY BE
    23  NECESSARY TO SATISFY THE FUNDING NEEDS OF THE DEPARTMENTS.
    24  MONEYS IN THE FUND SHALL BE ALLOCATED AS FOLLOWS:
    25         (1)  UP TO 50% MAY BE EXPENDED FOR GRANTS TO CERTIFIED
    26     ORGAN PROCUREMENT ORGANIZATIONS FOR THE DEVELOPMENT AND
    27     IMPLEMENTATION OF ORGAN DONATION AWARENESS PROGRAMS IN THIS
    28     COMMONWEALTH.
    29         (2)  UP TO 25% MAY BE EXPENDED BY THE DEPARTMENT OF
    30     HEALTH FOR THE PROJECT-MAKE-A-CHOICE PROGRAM, WHICH SHALL
    19930H1956B2419                 - 34 -

     1     INCLUDE PUBLIC INFORMATION AND PUBLIC EDUCATION ABOUT
     2     CONTRIBUTING TO THE FUND WHEN OBTAINING OR RENEWING A
     3     DRIVER'S LICENSE, A COMMERCIAL DRIVER'S LICENSE OR A
     4     MOTORCYCLE OPERATOR'S LICENSE AND WHEN COMPLETING A STATE
     5     INDIVIDUAL INCOME TAX RETURN FORM. IN ADDITION, A MAXIMUM OF
     6     5% OF THIS AMOUNT MAY BE EXPENDED BY THE DEPARTMENT OF HEALTH
     7     FOR ADMINISTRATIVE EXPENSES, INCLUDING ADVISORY COMMITTEE
     8     EXPENSES.
     9         (3)  UP TO 25% MAY BE EXPENDED BY THE DEPARTMENT OF
    10     EDUCATION FOR THE IMPLEMENTATION OF ORGAN DONATION AWARENESS
    11     PROGRAMS IN THE SECONDARY SCHOOLS IN THIS COMMONWEALTH.
    12     (C)  ADVISORY COMMITTEE.--THE ORGAN DONATION ADVISORY
    13  COMMITTEE IS HEREBY ESTABLISHED, WITH MEMBERSHIP AS FOLLOWS:
    14         (1)  TWO REPRESENTATIVES OF ORGAN PROCUREMENT
    15     ORGANIZATIONS.
    16         (2)  SIX MEMBERS REPRESENTATIVE OF ORGAN RECIPIENTS,
    17     FAMILIES OF RECIPIENTS, ORGAN DONORS AND FAMILIES OF DONORS.
    18         (3)  THREE REPRESENTATIVES OF ACUTE CARE HOSPITALS.
    19  ALL MEMBERS SHALL BE APPOINTED BY THE GOVERNOR WITH THE ADVICE
    20  AND CONSENT OF A MAJORITY OF THE MEMBERS ELECTED TO THE SENATE.
    21  APPOINTMENTS SHALL BE MADE IN A MANNER THAT PROVIDES
    22  REPRESENTATION OF THE NORTHWEST, NORTH CENTRAL, NORTHEAST,
    23  SOUTHWEST, SOUTH CENTRAL AND SOUTHEAST REGIONS OF THIS
    24  COMMONWEALTH. MEMBERS SHALL SERVE FIVE-YEAR TERMS. THE GOVERNOR
    25  MAY REAPPOINT ADVISORY COMMITTEE MEMBERS FOR SUCCESSIVE TERMS.
    26  MEMBERS OF THE ADVISORY COMMITTEE SHALL REMAIN IN OFFICE UNTIL A
    27  SUCCESSOR IS APPOINTED AND QUALIFIED. IF VACANCIES OCCUR PRIOR
    28  TO COMPLETION OF A TERM THE GOVERNOR SHALL APPOINT ANOTHER
    29  MEMBER IN ACCORDANCE WITH THIS SUBSECTION TO FILL THE UNEXPIRED
    30  TERM. THE ADVISORY COMMITTEE SHALL MEET AT LEAST ANNUALLY TO
    19930H1956B2419                 - 35 -

     1  REVIEW PROGRESS IN THE AREA OF ORGAN AND TISSUE DONATION IN THIS
     2  COMMONWEALTH, RECOMMEND EDUCATION AND AWARENESS TRAINING
     3  PROGRAMS, RECOMMEND PRIORITIES IN EXPENDITURES FROM THE FUND AND
     4  ADVISE THE SECRETARY OF HEALTH ON MATTERS RELATING TO
     5  ADMINISTRATION OF THE FUND. THE ADVISORY COMMITTEE SHALL
     6  RECOMMEND LEGISLATION AS IT DEEMS NECESSARY TO FULFILL THE
     7  PURPOSES OF THIS CHAPTER. THE ADVISORY COMMITTEE SHALL SUBMIT A
     8  REPORT CONCERNING ITS ACTIVITIES AND PROGRESS TO THE GENERAL
     9  ASSEMBLY WITHIN 30 DAYS PRIOR TO THE EXPIRATION OF EACH
    10  LEGISLATIVE SESSION. THE DEPARTMENT OF HEALTH SHALL REIMBURSE
    11  MEMBERS OF THE ADVISORY COMMITTEE FOR ALL NECESSARY AND
    12  REASONABLE TRAVEL AND OTHER EXPENSES INCURRED IN THE PERFORMANCE
    13  OF THEIR DUTIES UNDER THIS SECTION.
    14     (D)  REPORTS.--THE DEPARTMENT OF HEALTH AND THE DEPARTMENT OF
    15  EDUCATION SHALL SUBMIT AN ANNUAL REPORT TO THE GENERAL ASSEMBLY
    16  ON EXPENDITURES OF FUND MONEYS AND ANY PROGRESS MADE IN REDUCING
    17  THE NUMBER OF POTENTIAL DONORS WHO WERE NOT IDENTIFIED.
    18  § 8625.  CONFIDENTIALITY REQUIREMENT.
    19     THE IDENTITY OF THE DONOR AND OF THE RECIPIENT MAY NOT BE
    20  COMMUNICATED UNLESS EXPRESSLY AUTHORIZED BY THE RECIPIENT AND
    21  NEXT OF KIN OF THE DECEDENT.
    22                            SUBCHAPTER C
    23                        CORNEAL TRANSPLANTS
    24  SEC.
    25  8641.  REMOVAL OF CORNEAL TISSUE PERMITTED UNDER CERTAIN
    26         CIRCUMSTANCES.
    27  8642.  LIMITATION OF LIABILITY.
    28  § 8641.  REMOVAL OF CORNEAL TISSUE PERMITTED UNDER CERTAIN
    29             CIRCUMSTANCES.
    30     (A)  GENERAL RULE.--ON A REQUEST FROM AN AUTHORIZED OFFICIAL
    19930H1956B2419                 - 36 -

     1  OF AN EYE BANK FOR CORNEAL TISSUE, A CORONOR OR MEDICAL EXAMINER
     2  MAY PERMIT THE REMOVAL OF CORNEAL TISSUE IF ALL OF THE FOLLOWING
     3  APPLY:
     4         (1)  THE DECEDENT FROM WHOM THE TISSUE IS TO BE REMOVED
     5     DIED UNDER CIRCUMSTANCES REQUIRING AN INQUEST.
     6         (2)  NO OBJECTION BY A PERSON LISTED IN SECTION 8611
     7     (RELATING TO PERSONS WHO MAY EXECUTE ANATOMICAL GIFT) IS
     8     KNOWN BY THE CORONOR OR MEDICAL EXAMINER.
     9         (3)  THE REMOVAL OF THE CORNEAL TISSUE WILL NOT INTERFERE
    10     WITH THE SUBSEQUENT COURSE OF AN INVESTIGATION OR AUTOPSY OR
    11     ALTER THE DECEDENT'S POSTMORTEM FACIAL APPEARANCE.
    12     (B)  DEFINITION.--AS USED IN THIS SECTION, THE TERM "EYE
    13  BANK" MEANS A NONPROFIT CORPORATION CHARTERED UNDER THE LAWS OF
    14  THIS COMMONWEALTH TO OBTAIN, STORE AND DISTRIBUTE DONOR EYES TO
    15  BE USED BY PHYSICIANS OR SURGEONS FOR CORNEAL TRANSPLANTS,
    16  RESEARCH OR OTHER MEDICAL PURPOSES AND THE MEDICAL ACTIVITIES OF
    17  WHICH ARE DIRECTED BY A PHYSICIAN OR SURGEON IN THIS
    18  COMMONWEALTH.
    19  § 8642.  LIMITATION OF LIABILITY.
    20     A PERSON WHO ACTS IN GOOD FAITH IN ACCORDANCE WITH THE
    21  PROVISIONS OF THIS SUBCHAPTER SHALL NOT BE SUBJECT TO CRIMINAL
    22  OR CIVIL LIABILITY ARISING FROM ANY ACTION TAKEN UNDER THIS
    23  SUBCHAPTER. THE IMMUNITY PROVIDED BY THIS SECTION SHALL NOT
    24  EXTEND TO PERSONS IF DAMAGES RESULT FROM THE GROSS NEGLIGENCE,
    25  RECKLESSNESS OR INTENTIONAL MISCONDUCT OF THE PERSON.
    26     SECTION 6.  THE DEPARTMENT OF PUBLIC WELFARE SHALL, WITHIN
    27  ONE YEAR OF THE EFFECTIVE DATE OF THIS ACT, ESTABLISH AND
    28  DISSEMINATE GUIDELINES FOR MENTAL HEALTH AND MENTAL RETARDATION
    29  FACILITIES TO USE IN COUNSELING CLIENTS AND THEIR GUARDIANS AS
    30  TO ORGAN DONOR AWARENESS UNDER 20 PA.C.S. CH. 86.
    19930H1956B2419                 - 37 -

     1     SECTION 7.  THE DEPARTMENT OF EDUCATION, IN COOPERATION WITH
     2  THE DEPARTMENT OF HEALTH AND ORGAN PROCUREMENT ORGANIZATIONS,
     3  SHALL ESTABLISH A PROGRAM THAT CAN BE USED FOR SECONDARY
     4  EDUCATION PURPOSES, WHICH SHALL INCLUDE:
     5         (1)  INFORMATION ABOUT STATE LAW RELATING TO ANATOMICAL
     6     GIFTS, INCLUDING HOW TO BECOME AN ORGAN DONOR.
     7         (2)  GENERAL INFORMATION ABOUT ORGAN TRANSPLANTATION IN
     8     THE UNITED STATES.
     9     SECTION 8.  THIS ACT SHALL TAKE EFFECT DECEMBER 31, 1994, OR
    10  IMMEDIATELY, WHICHEVER IS LATER.














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