Pennsylvania Department proposes new POLST form for patient rights and decision-making

Pennsylvania's House Bill 1254, introduced on April 17, 2025, aims to enhance patient autonomy in healthcare decisions through the establishment of a standardized Physician Orders for Life-Sustaining Treatment (POLST) form. This legislation seeks to empower patients and their authorized surrogates by ensuring they cannot be compelled by healthcare providers or insurers to complete or sign the POLST, thereby reinforcing the principle of voluntary participation in end-of-life care planning.

Key provisions of the bill include the requirement for the POLST form to clearly identify the patient, any surrogate decision-maker, and the healthcare practitioner issuing the orders. Additionally, the form will include instructions for completion to ensure its validity and may feature notices regarding patient rights and healthcare responsibilities, as determined by the Pennsylvania Department of Health in consultation with relevant committees.

The bill has sparked discussions among lawmakers and healthcare professionals regarding its implications for patient rights and the responsibilities of healthcare providers. Supporters argue that it will lead to more personalized and respectful end-of-life care, while critics express concerns about the potential for misuse or misunderstanding of the POLST directives.

Economically, the bill could influence healthcare costs by potentially reducing unnecessary interventions for patients who have clearly expressed their wishes regarding life-sustaining treatments. Socially, it emphasizes the importance of patient-centered care and the need for clear communication between patients, families, and healthcare providers.

As the bill progresses, it will undergo a public comment period following its initial publication in the Pennsylvania Bulletin, allowing stakeholders to voice their opinions and contribute to the final form of the POLST. This collaborative approach aims to ensure that the final legislation reflects the needs and concerns of the community.

In conclusion, House Bill 1254 represents a significant step towards enhancing patient autonomy in Pennsylvania's healthcare system. Its successful implementation could lead to more informed and respectful healthcare decisions, ultimately benefiting patients and their families during critical moments of care.