H 1664 Massachusetts House · 193rd Legislature (2023-2024)

An Act improving medical decision making

This bill establishes a clear legal process for making medical decisions for incapacitated adults in Massachusetts who do not have a valid advance directive or a court-appointed guardian. It allows qualified individuals, such as family members or friends, to act as surrogate decision-makers without needing to go through the court system, provided they consult with the patient's attending physician. The law sets a specific order of priority for who can serve as a surrogate and requires these individuals to make choices based on the patient's known values or, if unknown, their best interests. Additionally, the bill clarifies that these surrogates can authorize transfers to nursing facilities but cannot commit patients to inpatient mental health facilities.
Bill status passed 3 of 4 stages cleared
Introduction
Feb 2023
Committee Review
Feb 2023
Senate Passage
Apr 2024
Governor
Introduced Feb 16, 2023 Last action May 6, 2024
Floor votes

How they voted

This bill passed the Senate. No roll call record of that vote is available.
Full legislative history

Actions timeline

Total actions
6
Key actions
2
Committee
1
Apr 1, 2024
Upper · Passed
Senate concurred
upper
Feb 16, 2023
Upper · Passed
Senate concurred
upper
Feb 16, 2023
Committee
Referred to the committee on The Judiciary
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Christopher Markey
Christopher Markey
DDemocratic
MA
9th Bristol