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HR 4449 101th Congress House Health Health maintenance organizations Home care services Hospices (Terminal care) Hospitals Information services Medicaid Medicare Nursing homes Patients' rights Public assistance programs Right to die Social Welfare

Patient Self Determination Act of 1990

Introduced: April 3, 1990 See on congress.gov
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This bill died when the 101st Congress ended
It never became law before the 101st Congress (1989–1990) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 6 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jul 2, 1990
For Further Action See H.R.5067.
Apr 23, 1990
Referred to the Subcommittee on Health and the Environment.
Apr 12, 1990
Referred to the Subcommittee on Health.
Apr 3, 1990
Referred to the House Committee on Energy and Commerce.
Apr 3, 1990
Referred to the House Committee on Ways and Means.
Apr 3, 1990
Introduced in House
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 Plain-English summary Congressional Research Service

Patient Self Determination Act of 1990 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to require hospitals, skilled nursing facilities, home health agencies, hospice programs, and health maintenance organizations to: (1) inform patients of their rights under State law to make decisions concerning their medical care; (2) periodically inquire as to whether a patient executed an advanced directive and document the patient's wishes regarding their medical care; (3) not discriminate against persons who have executed an advance directive; (4) ensure that legally valid advance directives and documented medical care wishes are implemented to the extent permitted by State law; and (5) provide educational programs for staff, patients, and the community on ethical issues concerning patient self-determination and advance directives.

Directs the Secretary of Health and Human Services to: (1) arrange with the Institute of Medicine of the National Academy of Sciences for a study assessing the implementation of directed health care decisions; and (2) develop and implement a demonstration project in selected States to inform the public of the option to execute advance directives and a patient's right to participate in and direct health care decisions.

What's happening now July 2, 1990

For Further Action See H.R.5067.

 Related & companion bills 1
  • HR 5067 Procedurally related Patient Self Determination Act of 1990
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 4
 Cosponsors 1
All 1 Democratic 1
D
Pelosi, Nancy
California · Apr 25, 1990
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 4449: Patient Self Determination Act of 1990. 101st Congress. Open America. https://openamerica.io/bill/101-HR-4449/
MLA
"H.R. 4449: Patient Self Determination Act of 1990." 101st Congress, 2026, Open America, https://openamerica.io/bill/101-HR-4449/.
Bluebook (legal)
H.R. 4449, 101st Cong. (2026), https://openamerica.io/bill/101-HR-4449/.
Markdown link
[H.R. 4449: Patient Self Determination Act of 1990](https://openamerica.io/bill/101-HR-4449/)
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