Health Department mandates timely review of Physician Order for Life-Sustaining Treatment

House Bill 1254, introduced in the Pennsylvania Legislature on April 17, 2025, aims to enhance the effectiveness and compliance of Physician Orders for Life-Sustaining Treatment (POLST) forms. The bill seeks to address critical issues surrounding end-of-life care by establishing clearer guidelines for reviewing and adhering to POLST directives.

The main provisions of House Bill 1254 include a mandated review of POLST forms with patients or their authorized decision-makers as soon as feasible. This review process is crucial for ensuring that the POLST remains relevant and reflects the patient's current health status and treatment preferences. The bill also outlines specific circumstances under which a POLST should be reviewed, such as significant changes in a patient's health or shifts in their goals of care.

A notable aspect of the bill is its compliance section, which addresses situations where a healthcare provider may be unable to comply with a POLST due to personal or institutional policies. In such cases, the provider is required to inform the patient or their surrogate and assist in transferring the patient to a provider willing to honor the POLST. Importantly, the bill protects healthcare providers from criminal or civil liability if they must provide life-sustaining care when transfer is not feasible.

The introduction of House Bill 1254 has sparked discussions among healthcare professionals and advocacy groups. Supporters argue that the bill will empower patients and ensure their wishes are respected, potentially improving the quality of end-of-life care. However, some opposition has emerged regarding the implications of mandatory compliance and the potential burden on healthcare providers.

The bill's passage could have significant social and ethical implications, as it emphasizes patient autonomy in healthcare decisions. Experts suggest that if enacted, House Bill 1254 may lead to more consistent application of POLST directives across Pennsylvania, ultimately fostering a healthcare environment that prioritizes patient-centered care.

As the legislative process unfolds, stakeholders will be closely monitoring the bill's progress and its potential impact on healthcare practices in the state.