<section number="75A-9-103"><effdate>1/1/2026</effdate><histories><history>Enacted by Chapter <modchap sess="2025GS">439</modchap>, 2025 General Session</history><modyear>2025</modyear></histories><catchline>Presumption of capacity -- Overcoming presumption.</catchline><subsection number="75A-9-103(1)">An individual is presumed to have capacity to make or revoke a health care decision, health care instruction, and power of attorney for health care unless:<subsection number="75A-9-103(1)(a)">a court has found the individual lacks capacity to do so; or</subsection><subsection number="75A-9-103(1)(b)">the presumption is rebutted under Subsection (2).</subsection></subsection><subsection number="75A-9-103(2)">Subject to Sections <xref depth="3" refnumber="75A-9-104">75A-9-104</xref> and <xref depth="3" refnumber="75A-9-105">75A-9-105</xref>, a presumption under Subsection (1) may be rebutted by a finding that the individual lacks capacity:<subsection number="75A-9-103(2)(a)">subject to Subsection (3), made on the basis of a contemporaneous examination by any of the following:<subsection number="75A-9-103(2)(a)(i)">a physician;</subsection><subsection number="75A-9-103(2)(a)(ii)">a psychologist licensed or otherwise authorized to practice in this state;</subsection><subsection number="75A-9-103(2)(a)(iii)">an individual with training and expertise in the finding of lack of capacity who is licensed or otherwise authorized to practice in this state as:<subsection number="75A-9-103(2)(a)(iii)(A)">a physician assistant; or</subsection><subsection number="75A-9-103(2)(a)(iii)(B)">an advanced practice registered nurse; or</subsection></subsection><subsection number="75A-9-103(2)(a)(iv)">a responsible health care professional not described in Subsections <xref tempid="888" depth="4" refnumber="(2)(a)(i)">(2)(a)(i)</xref> through (iii) if:<subsection number="75A-9-103(2)(a)(iv)(A)">the individual about whom the finding is to be made is experiencing a health condition requiring a decision regarding health care treatment to be made promptly to avoid loss of life or serious harm to the health of the individual; and</subsection><subsection number="75A-9-103(2)(a)(iv)(B)">an individual described in Subsections <xref tempid="231" depth="4" refnumber="(2)(a)(i)">(2)(a)(i)</xref> through (iii) is not reasonably available;</subsection></subsection></subsection><subsection number="75A-9-103(2)(b)">made in accordance with accepted standards of the profession and the scope of practice of the individual making the finding and to a reasonable degree of certainty; and</subsection><subsection number="75A-9-103(2)(c)">documented in a record signed by the individual making the finding that includes an opinion of the cause, nature, extent, and probable duration of the lack of capacity.</subsection></subsection><subsection number="75A-9-103(3)">The finding under Subsection (2) may not be made by:<subsection number="75A-9-103(3)(a)">a family member of the individual presumed to have capacity;</subsection><subsection number="75A-9-103(3)(b)">the cohabitant of the individual or a descendant of the cohabitant; or</subsection><subsection number="75A-9-103(3)(c)">the individual's surrogate, a family member of the surrogate, or a descendant of the surrogate.</subsection></subsection><subsection number="75A-9-103(4)">If the finding under Subsection (2) was based on a condition the individual no longer has or a responsible health care professional subsequently has good cause to believe the individual has capacity, the individual is presumed to have capacity unless a court finds the individual lacks capacity or the presumption is rebutted under Subsection <xref tempid="494" depth="4" refnumber="(2)">(2)</xref>.</subsection></section>