What specific powers are granted to a health care agent under California law?
According to the California advance health care directive form, an agent may consent to or refuse consent for care, select or discharge providers, and approve diagnostic tests. The agent can also direct the provision or withdrawal of artificial nutrition and hydration, unless the principal places specific limits on these authorities in the document.
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Under California law, a designated health care agent holds the authority to make nearly all medical decisions on behalf of the principal, with specific statutory boundaries regarding professional conflicts of interest.
- Comprehensive Decision-Making: Unless the advance health care directive explicitly limits these powers, the agent may consent to or refuse consent for any medical treatment, including the provision or withdrawal of artificial nutrition and hydration.
- Provider Selection and Access: The agent has the right to select or discharge health care providers and to inspect and copy the principal's confidential medical records to inform their decisions.
- Organ Donation and Funeral Wishes: While primarily a medical role, the directive form also allows the agent to express the principal's wishes regarding organ and tissue donation, subject to the principal's instructions.
- Statutory Restrictions: A significant legal nuance is that an agent cannot be an operator, employee, or supervisor at the community or residential care facility where the principal is currently receiving care, unless the agent is a close family member or a coworker.
- Trigger for Authority: The agent's power to act generally becomes active only when the principal is certified as incapable of making their own decisions, unless the principal specifically designates the agent to act immediately even while they still have decision-making capacity.
Warning: If a facility or physician claims they are not obligated to honor your valid advance directive or is improperly refusing to release medical records to your legal agent, contact the Office of the Attorney General or a consumer protection legal aid organization immediately, as this may constitute a violation of patient rights.
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