H.R. 4449 (101st): Patient Self Determination Act of 1990

Apr 03, 1990 (101st Congress, 1989–1990)
Died (Referred to Committee)
See Instead:

H.R. 5067 (same title)
Referred to Committee — Jun 18, 1990

Sander Levin
Representative for Michigan's 17th congressional district
Related Bills
H.R. 5067 (Related)
Patient Self Determination Act of 1990

Referred to Committee
Last Action: Jun 18, 1990


This bill was introduced on April 3, 1990, in a previous session of Congress, but was not enacted.

Introduced Apr 03, 1990
Referred to Committee Apr 03, 1990
Full Title

To amend titles XVIII and XIX of the Social Security Act to require providers of services and health maintenance organizations under the medicare and medicaid programs to assure that individuals receiving services will be given an opportunity to participate in and direct health care decisions affecting themselves.


No summaries available.

7 cosponsors (7D) (show)

House Energy and Commerce

House Ways and Means


The committee chair determines whether a bill will move past the committee stage.

Primary Source

THOMAS.gov (The Library of Congress)

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H.R. stands for House of Representatives bill.

A bill must be passed by both the House and Senate in identical form and then be signed by the president to become law.

The bill’s title was written by its sponsor.

GovTrack’s Bill Summary

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Library of Congress Summary

The summary below was written by the Congressional Research Service, which is a nonpartisan division of the Library of Congress.

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.

House Republican Conference Summary

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No summary available.

House Democratic Caucus Summary

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