Issue Date: November 15, 2013
Volume 40, Issue 23, Pages 1942—1943
DEPARTMENT OF HEALTH AND MENTAL HYGIENE
10.01.21 Medical Orders for Life-Sustaining Treatment (MOLST) Form — Procedures and Requirements
Authority: Health-General Article, §5-608.1, Annotated Code of Maryland
Notice of Proposed Action
The Secretary of Health and Mental Hygiene proposes to amend Regulations .02—.04 under COMAR 10.01.21 Medical Orders for Life-Sustaining Treatment (MOLST) Form — Procedures and Requirements.
Statement of Purpose
The purpose of this action is to amend the MOLST form and accompanying regulatory provisions to reflect the statutory change that authorized a physician assistant to sign a MOLST form in accordance with Chapter 273 of the 2013 Session Laws of Maryland.
Comparison to Federal Standards
There is no corresponding federal standard to this proposed action.
Estimate of Economic Impact
The proposed action has no economic impact.
Economic Impact on Small Businesses
The proposed action has minimal or no economic impact on small businesses.
Impact on Individuals with Disabilities
The proposed action has no impact on individuals with disabilities.
Opportunity for Public Comment
Comments may be sent to Michele Phinney, Director, Office of Regulation and Policy Coordination, Department of Health and Mental Hygiene, 201 West Preston Street, Room 512, Baltimore, MD 21201, or call 410-767-6499; TTY:800-735-2258, or email to firstname.lastname@example.org, or fax to 410-767-6483. Comments will be accepted through December 16, 2013. A public hearing has not been scheduled.
A. In this chapter, the following terms have the meanings indicated.
B. Terms Defined.
(1)—(21) (text unchanged)
(22) “Physician assistant” has the meaning stated in Health-General Article, §5-601(s), Annotated Code of Maryland
[(22)] (23) “Practitioner” means a physician [or a] , nurse practitioner, or physician assistant.
[(23)] (24)—[(24)] (25) (text unchanged)
.03 Nature and Contents of the MOLST Form and Instructions.
The content of the form and the form’s instructions are as follows:
.04 Use of the MOLST Form.
A.—D. (text unchanged)
E. When initially completing a MOLST form or updating an existing MOLST form, a health care facility shall:
(1) Offer the patient or authorized decision maker the opportunity to participate in completing or updating the MOLST form, and on request of the patient, offer any physician [or] , nurse practitioner , or physician assistant selected by the patient the opportunity to participate in updating or completing the MOLST form;
(2)—(4) (text unchanged)
F.—H. (text unchanged)
JOSHUA M. SHARFSTEIN, M.D.
Secretary of Health and Mental Hygiene