<section number="75A-9-120"><effdate>1/1/2026</effdate><histories><history>Enacted by Chapter <modchap sess="2025GS">439</modchap>, 2025 General Session</history><modyear>2025</modyear></histories><catchline>Duties of health care professional, responsible health care professional, and health care institution.</catchline><subsection number="75A-9-120(1)">A responsible health care professional who is aware that an individual has been found to lack capacity to make a decision shall make a reasonable effort to determine if the individual has a surrogate.</subsection><subsection number="75A-9-120(2)">If possible before implementing a health care decision made by a surrogate, a responsible health care professional as soon as reasonably feasible shall communicate to the individual the decision made and the identity of the surrogate.</subsection><subsection number="75A-9-120(3)">A responsible health care professional who makes or is informed of a finding that an individual lacks capacity to make a health care decision or no longer lacks capacity, or that other circumstances exist that affect a health care instruction or the authority of a surrogate, as soon as reasonably feasible, shall:<subsection number="75A-9-120(3)(a)">document the finding or circumstance in the individual's medical record; and</subsection><subsection number="75A-9-120(3)(b)">if possible, communicate to the individual and the individual's surrogate the finding or circumstance and that the individual may object under Subsection <xref depth="4" refnumber="75A-9-104(3)">75A-9-104(3)</xref> to the finding under Subsection <xref depth="4" refnumber="75A-9-103(2)">75A-9-103(2)</xref>.</subsection></subsection><subsection number="75A-9-120(4)">A responsible health care professional who is informed that an individual has created or revoked an advance health care directive, or that a surrogate for an individual has been appointed, designated, or disqualified, shall:<subsection number="75A-9-120(4)(a)">document the information as soon as reasonably feasible in the individual's medical record; and</subsection><subsection number="75A-9-120(4)(b)">if evidence of the directive, revocation, appointment, designation, or disqualification is in a record, request a copy and, on receipt, cause the copy to be included in the individual's medical record.</subsection></subsection><subsection number="75A-9-120(5)">Except as provided in Subsections (6) and (7), a health care professional or health care institution providing health care to an individual shall comply with:<subsection number="75A-9-120(5)(a)">a health care instruction given by the individual regarding the individual's health care;</subsection><subsection number="75A-9-120(5)(b)">a reasonable interpretation by the individual's surrogate of an instruction given by the individual; and</subsection><subsection number="75A-9-120(5)(c)">a health care decision for the individual made by the individual's surrogate in accordance with Sections <xref depth="3" refnumber="75A-9-116">75A-9-116</xref> and <xref depth="3" refnumber="75A-9-117">75A-9-117</xref> to the same extent as if the decision had been made by the individual at a time when the individual had capacity.</subsection></subsection><subsection number="75A-9-120(6)">A health care professional or a health care institution may refuse to provide health care consistent with a health care instruction or health care decision if:<subsection number="75A-9-120(6)(a)">the instruction or decision is contrary to a policy of the health care institution providing care to the individual that is based expressly on reasons of conscience and the policy was timely communicated to the individual or to the individual's surrogate;</subsection><subsection number="75A-9-120(6)(b)">the care would require health care that is not available to the professional or institution; or</subsection><subsection number="75A-9-120(6)(c)">compliance with the instruction or decision would:<subsection number="75A-9-120(6)(c)(i)">require the professional to provide care that is contrary to the professional's religious belief or moral conviction if other law permits the professional to refuse to provide care for that reason;</subsection><subsection number="75A-9-120(6)(c)(ii)">require the professional or institution to provide care that is contrary to generally accepted health care standards applicable to the professional or institution; or</subsection><subsection number="75A-9-120(6)(c)(iii)">violate a court order or other law.</subsection></subsection></subsection><subsection number="75A-9-120(7)">A health care professional or health care institution that refuses to provide care under Subsection (6) shall:<subsection number="75A-9-120(7)(a)">as soon as reasonably feasible, inform the individual, if possible, and the individual's surrogate of the refusal;</subsection><subsection number="75A-9-120(7)(b)">immediately make a reasonable effort to transfer the individual to another health care professional or health care institution that is willing to comply with the instruction or decision; and</subsection><subsection number="75A-9-120(7)(c)">either:<subsection number="75A-9-120(7)(c)(i)">if care is refused under Subsection (6)(a) or (b), provide life-sustaining care and care needed to keep or make the individual comfortable, consistent with accepted medical standards to the extent feasible, until a transfer is made; or</subsection><subsection number="75A-9-120(7)(c)(ii)">if care is refused under Subsection (6)(c), provide life-sustaining care and care needed to keep or make the individual comfortable, consistent with accepted medical standards, until a transfer is made or, if the professional or institution reasonably believes that a transfer cannot be made, for at least 10 days after the refusal.</subsection></subsection></subsection></section>