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.
The bill’s titles are written by its sponsor.
Sponsor and status
Apr 3, 1990
101st Congress, 1989–1990
Died in a previous Congress
This bill was introduced on April 3, 1990, in a previous session of Congress, but was not enacted.
Representative for Michigan's 17th congressional district
What stakeholders are saying
Apr 3, 1990
Bills and resolutions are referred to committees which debate the bill before possibly sending it on to the whole chamber.
H.R. 4449 (101st) was a bill in the United States Congress.
A bill must be passed by both the House and Senate in identical form and then be signed by the President to become law.
This bill was introduced in the 101st Congress, which met from Jan 3, 1989 to Oct 28, 1990. Legislation not enacted by the end of a Congress is cleared from the books.
How to cite this information.
We recommend the following MLA-formatted citation when using the information you see here in academic work:
Civic Impulse. (2018). H.R. 4449 — 101st Congress: Patient Self Determination Act of 1990. Retrieved from https://www.govtrack.us/congress/bills/101/hr4449
“H.R. 4449 — 101st Congress: Patient Self Determination Act of 1990.” www.GovTrack.us. 1990. February 21, 2018 <https://www.govtrack.us/congress/bills/101/hr4449>
|title=H.R. 4449 (101st)
|accessdate=February 21, 2018
|author=101st Congress (1990)
|date=April 3, 1990
|quote=Patient Self Determination Act of 1990
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