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7 LONG TITLE
8 General Description:
9 This bill permits a minor to consent to and participate in tobacco and nicotine cessation
10 services.
11 Highlighted Provisions:
12 This bill:
13 ▸ permits a minor to consent to and participate in tobacco and nicotine cessation
14 services that are delivered or contracted for by the Department of Health and
15 Human Services or a local health department.
16 Money Appropriated in this Bill:
17 None
18 Other Special Clauses:
19 None
20 Utah Code Sections Affected:
21 AMENDS:
22 78B-3-406, as last amended by Laws of Utah 2021, Chapter 262
23 ENACTS:
24 26B-7-522, Utah Code Annotated 1953
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26 Be it enacted by the Legislature of the state of Utah:
27 Section 1. Section 26B-7-522 is enacted to read:
28 26B-7-522. Tobacco and nicotine cessation services for minors.
29 (1) As used in this section:
30 (a) "Minor" means an individual who is younger than 18 years old.
31 (b) "Tobacco and nicotine cessation services" means a program that:
32 (i) is specifically designed for minors who use tobacco products, electronic cigarette
33 products, or nicotine products;
34 (ii) is operated by the department, a local health department, or a contractor that is
35 approved by the department or a local health department;
36 (iii) provides general information about the services offered by the department, the
37 local health department, or a contractor that is approved by the department or the local health
38 department before the minor's registration and participation in the program;
39 (iv) provides the minor with access to any of the following:
40 (A) assessment;
41 (B) phone counseling;
42 (C) web-based resources; or
43 (D) coaching through technology-based communication tools; and
44 (v) does not provide:
45 (A) any form of nicotine replacement therapy; or
46 (B) any other service not described in Subsection (1)(b)(iii) or (iv).
47 (2) A minor may consent to and participate in tobacco and nicotine cessation services
48 without:
49 (a) informing the minor's parent or legal guardian that the minor intends to participate
50 in a tobacco nicotine cessation service; or
51 (b) obtaining consent from the minor's parent or legal guardian to participate in tobacco
52 and nicotine cessation services.
53 Section 2. Section 78B-3-406 is amended to read:
54 78B-3-406. Failure to obtain informed consent -- Proof required of patient --
55 Defenses -- Consent to health care.
56 (1) (a) When a person submits to health care rendered by a health care provider, it is
57 presumed that actions taken by the health care provider are either expressly or impliedly
58 authorized to be done.
59 (b) For a patient to recover damages from a health care provider in an action based
60 upon the provider's failure to obtain informed consent, the patient must prove the following:
61 (i) that a provider-patient relationship existed between the patient and health care
62 provider;
63 (ii) the health care provider rendered health care to the patient;
64 (iii) the patient suffered personal injuries arising out of the health care rendered;
65 (iv) the health care rendered carried with it a substantial and significant risk of causing
66 the patient serious harm;
67 (v) the patient was not informed of the substantial and significant risk;
68 (vi) a reasonable, prudent person in the patient's position would not have consented to
69 the health care rendered after having been fully informed as to all facts relevant to the decision
70 to give consent; and
71 (vii) the unauthorized part of the health care rendered was the proximate cause of
72 personal injuries suffered by the patient.
73 (2) In determining what a reasonable, prudent person in the patient's position would do
74 under the circumstances, the finder of fact shall use the viewpoint of the patient before health
75 care was provided and before the occurrence of any personal injuries alleged to have arisen
76 from said health care.
77 (3) It shall be a defense to any malpractice action against a health care provider based
78 upon alleged failure to obtain informed consent if:
79 (a) the risk of the serious harm which the patient actually suffered was relatively
80 minor;
81 (b) the risk of serious harm to the patient from the health care provider was commonly
82 known to the public;
83 (c) the patient stated, prior to receiving the health care complained of, that he would
84 accept the health care involved regardless of the risk; or that he did not want to be informed of
85 the matters to which he would be entitled to be informed;
86 (d) the health care provider, after considering all of the attendant facts and
87 circumstances, used reasonable discretion as to the manner and extent to which risks were
88 disclosed, if the health care provider reasonably believed that additional disclosures could be
89 expected to have a substantial and adverse effect on the patient's condition; or
90 (e) the patient or the patient's representative executed a written consent which sets forth
91 the nature and purpose of the intended health care and which contains a declaration that the
92 patient accepts the risk of substantial and serious harm, if any, in hopes of obtaining desired
93 beneficial results of health care and which acknowledges that health care providers involved
94 have explained the patient's condition and the proposed health care in a satisfactory manner and
95 that all questions asked about the health care and its attendant risks have been answered in a
96 manner satisfactory to the patient or the patient's representative.
97 (4) The written consent shall be a defense to an action against a health care provider
98 based upon failure to obtain informed consent unless the patient proves that the person giving
99 the consent lacked capacity to consent or shows by clear and convincing evidence that the
100 execution of the written consent was induced by the defendant's affirmative acts of fraudulent
101 misrepresentation or fraudulent omission to state material facts.
102 (5) This act may not be construed to prevent any person 18 years old or over from
103 refusing to consent to health care for the patient's own person upon personal or religious
104 grounds.
105 (6) Except as provided in Section 76-7-304.5, the following persons are authorized and
106 empowered to consent to any health care not prohibited by law:
107 (a) any parent, whether an adult or a minor, for the parent's minor child;
108 (b) any married person, for a spouse;
109 (c) any person temporarily standing in loco parentis, whether formally serving or not,
110 for the minor under that person's care and any guardian for the guardian's ward;
111 (d) any person 18 years old or [
112 reason of age, physical or mental condition, to provide such consent;
113 (e) any patient 18 years old or [
114 (f) any female regardless of age or marital status, when given in connection with her
115 pregnancy or childbirth;
116 (g) in the absence of a parent, any adult for the adult's minor brother or sister;
117 (h) in the absence of a parent, any grandparent for the grandparent's minor grandchild;
118 (i) an emancipated minor as provided in Section 80-7-105;
119 (j) a minor who has contracted a lawful marriage; [
120 (k) an unaccompanied homeless minor, as that term is defined in the McKinney-Vento
121 Homeless Assistance Act of 1987, Pub. L. 100-77, as amended, who is 15 years old or older[
122 and
123 (l) a minor receiving tobacco and nicotine cessation services under Section 26B-7-522.
124 (7) A person who in good faith consents or authorizes health care treatment or
125 procedures for another as provided by this act may not be subject to civil liability.
126 (8) Notwithstanding any other provision of this section, if a health care provider fails to
127 comply with the requirement in Section 58-1-509, the health care provider is presumed to have
128 lacked informed consent with respect to the patient examination, as defined in Section
129 58-1-509.
130 Section 3. Effective date.
131 This bill takes effect on May 1, 2024.