PRIOR PRINTER'S NO. 2382 PRINTER'S NO. 2419
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-- 12 Consolidated Statutes is repealed. 13 Section 2.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 19930H1956B2419 - 2 -
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. F15L20BIL/19930H1956B2419 - 38 -