This file contains UNDERSCORE. If you cannot see the UNDERSCORE attribute or would like to change how this attribute is displayed, please use the following form to make the desired change.

House Journal: Page 400: Wednesday, February 21, 1996

45   voluntarily make known my desire that:
46     1.  If at any time I should have an incurable or
47   irreversible condition, certified by two physicians,
48   in writing, to be a terminal condition, I direct that
49   upon my request, my attending physician provide
50   assistance-in-dying so that I might die in a

Page   3

 1   dignified, painless, and humane manner.
 2     2.  It is my intention that this declaration shall
 3   be honored by my family and physician as the final
 4   expression of my legal right to be provided
 5   assistance-in-dying, and I accept the consequences of
 6   this declaration.
 7     3.  If I am pregnant with a fetus that could
 8   develop to the point of live birth, this declaration
 9   shall have no force or effect during the course of my
10   pregnancy.
11     4.  I understand that I may amend or revoke this
12   declaration at any time.
13        Signed this ______ day of _________,_________________
14        Signature ________________________________________
15        City, County, and State of residence _________________
16        __________________________________________________
17     This declarant is personally known to me and
18   voluntarily signed this document in my presence.
19        Witness __________________________________________
20        Address __________________________________________
21        Witness __________________________________________
22        Address __________________________________________
23     Sec. 4.  NEW SECTION.  144D.4  REVOCATION.
24     1.  A declaration may be revoked at any time and in
25   any manner by which the declarant is able to
26   communicate the declarant's intent to revoke, without
27   regard to the declarant's mental or physical state.
28     2.  The attending physician shall make the
29   revocation a part of the declarant's medical record.
30     3.  A person is not subject to civil or criminal
31   liability for failure to act upon a revocation made
32   pursuant to this section unless the person has actual
33   or constructive notice of the revocation.
34     Sec. 5.  NEW SECTION.  144D.5  IMMUNITIES.
35     1.  In the absence of actual or constructive notice
36   of the revocation of a declaration, the following,
37   while acting in accordance with the requirements of
38   this chapter, are not subject to civil or criminal
39   liability or guilty of unprofessional conduct:
40     a.  A physician who provides assistance-in-dying to
41   a qualified patient.
42     b.  The health care provider in which the
43   assistance-in-dying is provided.
44     c.  A person who participates in providing

Iowa General Assembly

Index: House Journal (76th General Assembly: Session 2)

© 1996 Cornell College and League of Women Voters of Iowa

Comments? hjourn@legis.iowa.gov.

Last update: Thu Feb 22 13:15:02 CST 1996
URL: /DOCS/GA/76GA/Session.2/HJournal/00400/00400.html
jhf