The bill aims to enhance access to and practices surrounding portable orders for life-sustaining treatment in Washington State. It mandates the Department of Health to adopt guidelines for emergency medical personnel regarding the treatment of individuals who have expressed a desire not to receive futile emergency medical treatment. A key feature of the bill is the establishment of a statewide registry for portable orders for life-sustaining treatment forms, which will be maintained by the Department of Health. The registry will allow for the digital storage of these forms and will include provisions for individuals to opt out of having their forms submitted to the registry. Additionally, the bill provides legal immunity for healthcare providers who act in good faith according to the directives outlined in these forms.

Furthermore, the bill introduces new procedures for submitting and revoking portable orders for life-sustaining treatment forms, ensuring that individuals have access to their documents and can easily update or revoke them as necessary. It also emphasizes the importance of patient confidentiality and compliance with state and federal regulations. The Department of Health is tasked with researching alternative evidence to indicate a person's wishes regarding resuscitation, such as medical jewelry or electronic applications, and is required to report its findings to the legislature by June 30, 2026. The contents of the registry are exempt from public inspection and copying, ensuring the privacy of individuals' health care decisions.

Statutes affected:
Original Bill: 43.70.480, 70.122.130
Substitute Bill: 43.70.480, 70.122.130