AMENDMENT(S) PROPOSED BY THE HOUSE

DEL. BELL

1. Line 233, substitute, after that

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(i)

DEL. BELL

2. Line 234, substitute, after declarant

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the remainder of line 234, all of line 235, and through patient on line 236

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. An advance directive may also authorize an agent to approve participation by the declarant in any health care study approved by an institutional review board pursuant to applicable federal regulations, or by a research review committee pursuant to Chapter 5.1 (§ 32.1-162.16 et seq.) of Title 32.1 that aims to increase scientific understanding of any condition that the declarant may have or otherwise to promote human well-being, even though it offers no prospect of direct benefit to the patient

DEL. BELL

3. Line 399, substitute, after that

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(i)

DEL. BELL

4. Line 400, substitute, after me;

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the remainder of line 400 and all of lines 401 and 402

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J. To authorize my participation in any health care study approved by an institutional review board or research review committee pursuant to applicable federal or state law that aims to increase scientific understanding of any condition that I may have or otherwise to promote human well-being, even though it offers no prospect of direct benefit to me;

DEL. BELL

5. At the beginning of line 403, substitute

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J

insert

K

DEL. BELL

6. At the beginning of line 405, substitute

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K

insert

L

DEL. JANIS

7. Line 420, substitute

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all of lines 420 though 427

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If at any time my attending physician should determine that I have a terminal condition where the application of life-prolonging procedures would serve only to artificially prolong the dying process, I direct that the following procedures be withheld or withdrawn (INITIAL ANY PROCEDURE THAT YOU WISH TO HAVE WITHHELD OR WITHDRAWN BELOW):

1. Artificial respiration...............;

2. Artificially administered nutrition and hydration.............;

3. Cardiopulmonary resuscitation..............;

4. All other life-prolonging procedures that would serve only to artificially prolong the dying process...............

Notwithstanding the above, the administration of medication or the performance of any medical procedure deemed necessary to provide me with comfort care or to alleviate pain shall not be considered a life-prolonging procedure.

(OPTION: I specifically direct that the following health care be provided to me in the event I am diagnosed with a terminal condition:..................)

DEL. ARMSTRONG

8. Substitute, after 2. Artificially administered nutrition [in Delegate Janis' floor amendment]

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and hydration

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.....;

3. Artificially administered hydration

DEL. BELL

9. Line 514, substitute, after patient;

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or

DEL. BELL

10. Line 515, substitute, after relationship

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the remainder of line 515, all of lines 516 through 520, and through patient on line 521

DEL. BELL

11. Line 526, substitute

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all of lines 526 through 531

DEL. BELL

12. At the beginning of line 540, substitute

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C

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B

DEL. BELL

13. Line 713, substitute, after misdemeanor.

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Any person who willfully performs such act, when such act directly causes life-prolonging procedures to be withheld or withdrawn and death to be hastened, shall be guilty of a Class 2 felony.

DEL. ARMSTRONG

1. Line 425, substitute, after pain.

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(OPTION:

DEL. ARMSTRONG

2. Line 427, substitute, after condition:

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....................)

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1. Artificial respiration.....;

2. Artificially administered nutrition.....;

3. Artificially administered hydration.....;

4. Cardiopulmonary resuscitation.....;

5. ................................. (other health care)