A bill for an act relating to end-of-life care under guardianships of adults.(See HF 2577.)
Impact
One significant change proposed in HSB660 is the requirement for guardians to consult with the protected individual regarding end-of-life decisions no more than 14 days before executing such changes. This consultative process not only includes discussions with the individual but also allows for communication with family members if the individual is unable to participate due to their condition. The bill further stipulates that guardians cannot withdraw life-sustaining procedures without a court's approval unless the individual has a terminal illness with a life expectancy of six months or less. This adds an important layer of judicial oversight designed to protect the rights and dignity of vulnerable individuals.
Summary
House Study Bill 660 (HSB660) addresses the framework for making end-of-life care decisions under the guardianship of adults. The measure aims to clarify the authority of guardians when it comes to health interventions, particularly during critical end-of-life circumstances. It seeks to amend the Code of Iowa, specifying that guardians have the authority to make decisions about hospice and palliative care, as well as execute do-not-resuscitate (DNR) orders, provided they have engaged in prior consultations with the affected individual and their healthcare providers.
Contention
While proponents of HSB660 argue that it fortifies the decision-making process in end-of-life situations, critics may raise concerns about the practical implications of these consultations, including the potential for conflict among family members. Some might view the necessity for repeated consultations as an unnecessary burden that could delay crucial medical decisions. Additionally, there may be opposition to the provision requiring a court order before life-sustaining procedures can be withdrawn, as some stakeholders argue this could lead to extended suffering in cases where withdrawal may be medically advisable.
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.
A bill for an act relating to health care decisions related to palliative care, hospice programs, life-sustaining procedures, and out-of-hospital do-not-resuscitate orders.(See HF 2305.)
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.