Iowa 2023-2024 Regular Session

Iowa House Bill HF2577

Introduced
2/19/24  

Caption

A bill for an act relating to end-of-life care under guardianships of adults.(Formerly HSB 660.)

Impact

By establishing clear guidelines for guardians in making end-of-life decisions, HF2577 seeks to balance the need for timely healthcare interventions with the rights of individuals under guardianship. It mandates that guardians must engage in meaningful conversations with those they represent about such decisions and consult with the attending physician to ensure informed choices are being made. The bill further stipulates that, in cases where the protected person cannot engage meaningfully, guardians are permitted to consult family members or significant others before making decisions.

Summary

House File 2577 (HF2577) addresses end-of-life care decisions made by guardians of adults. The bill aims to clarify the responsibilities and limitations of guardians in relation to making critical healthcare decisions on behalf of individuals under guardianship. Specifically, it allows guardians to make decisions about hospice and palliative care, as well as to execute or revoke do-not-resuscitate or do-not-intubate orders, but with stipulations regarding consultation with the protected person and their physician.

Contention

Notably, HF2577 restricts a guardian's ability to withdraw life-sustaining procedures without a court order, except in cases of terminal illness with a prognosis of six months or less. This provision has the potential to spark debate regarding the autonomy of guardians versus the rights of the protected individuals. Advocates for the bill argue that it reinforces the importance of consultation and consent, while critics may contend that the requirement for court approval could delay necessary end-of-life care decisions, complicating the already challenging process for both guardians and those they care for.

Companion Bills

IA HSB660

Related A bill for an act relating to end-of-life care under guardianships of adults.(See HF 2577.)

Previously Filed As

IA SF2423

A bill for an act relating to care facility placement decisions for certain adults.(Formerly SSB 3096.)

IA HB99

Guardianships, bill of rights for adults with guardians

IA HF2305

A bill for an act relating to health care decisions related to palliative care, hospice programs, life-sustaining procedures, out-of-hospital do-not-resuscitate orders, durable power of attorney for health care, and probate court guardianship reports. (Formerly HF 708.) Effective date: 07/01/2026.

IA HF2503

A bill for an act relating to matters under the purview of the department of inspections, appeals, and licensing.(Formerly HSB 586.)

IA HF2570

A bill for an act relating to the authority of an attorney in fact under a durable power of attorney for health care.(Formerly HSB 161.)

IA HF2232

A bill for an act relating to life insurance, permissible third parties, and financial exploitation of eligible adults. (Formerly HSB 516.) Effective date: 07/01/2026.

IA HF2562

A bill for an act relating to care facility placement decisions for certain adults, and including effective date provisions. (Formerly HSB 653.) Effective Date: Conditional, 07/01/2026.

IA SF2454

A bill for an act relating to life insurance, permissible third parties, and financial exploitation of eligible adults.(Formerly SSB 3094.)

IA HF802

A bill for an act relating to the right to try Act.(Formerly HF 320.)

IA HB1100

Guardianship for Incapacitated Adults

Similar Bills

CA AB1025

Standby Caretaker Act.

NJ A969

Establishes Office of Professional Corporate Guardians.

CA AB2283

State Public Guardian.

TX SB2342

Relating to the application for appointment of a guardian and to requiring criminal history record information and other information in connection with the guardianship of a ward or the ward's estate.

WV HB4358

Establishing pilot program for Public Guardian Ad Litem Services

WV HB2035

Establishing pilot program for Public Guardian Ad Litem Services

IL HB3811

PRIVATE PROFESSIONAL GUARDIANS

MI HB4634

Probate: guardians and conservators; appointment; modify procedure. Amends secs. 5303, 5304, 5306, 5306a, 5312 & 5416 of 1998 PA 386 (MCL 700.5303 et seq.). TIE BAR WITH: HB 4632'25, HB 4633'25, HB 4635'25