VETOES

(3) THE DEGREE TO WHICH THE PATIENT'S INDIVIDUAL'S MEDICAL
CONDITION, THE TREATMENT, OR THE WITHHOLDING OR WITHDRAWAL OF
TREATMENT RESULTS IN A SEVERE AND CONTINUING IMPAIRMENT OF THE
DIGNITY OF THE PATIENT INDIVIDUAL BY SUBJECTING THE PATIENT INDIVIDUAL TO
A CONDITION OF EXTREME HUMILIATION AND DEPENDENCY;

(4) THE EFFECT OF THE MEDICAL CONDITION TREATMENT ON THE
LIFE EXPECTANCY OF THE PATIENT INDIVIDUAL;

(5)      THE PROGNOSIS OF THE PATIENT INDIVIDUAL FOR RECOVERY, WITH
AND WITHOUT THE TREATMENT;

(6)      THE RISKS, SIDE EFFECTS, AND BENEFITS OF EACH LIKELY RISKS
AND SIDE EFFECTS RISKS, SIDE EFFECTS, AND BENEFITS OF THE TREATMENT OPTION,
OR THE WITHHOLDING OR WITHDRAWAL OF THE TREATMENT; AND

(7)      THE RELIGIOUS BELIEFS AND BASIC VALUES OF THE PATIENT
INDIVIDUAL RECEIVING TREATMENT, TO THE EXTENT THESE MAY ASSIST THE
DECISION MAKER IN DETERMINING BEST INTEREST.

(E) (F) "COMPETENT INDIVIDUAL" MEANS A PERSON WHO IS AT LEAST 18
YEARS OF AGE OR WHO UNDER § 20-102(A) OF THIS ARTICLE HAS THE SAME
CAPACITY AS AN ADULT TO CONSENT TO MEDICAL TREATMENT AND WHO HAS NOT
BEEN DETERMINED TO BE INCAPABLE OF MAKING AN INFORMED DECISION.

(F) (G) "DECLARANT" MEANS A COMPETENT INDIVIDUAL WHO MAKES AN
ADVANCE DIRECTIVE WHILE CAPABLE OF MAKING AND COMMUNICATING AN
INFORMED DECISION.

(G) (H) "EMERGENCY MEDICAL SERVICES "DO NOT RESUSCITATE ORDER" "
MEANS A PHYSICIAN'S WRITTEN ORDER IN A FORM ESTABLISHED BY PROTOCOL
ISSUED BY THE MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES IN
CONJUNCTION WITH THE STATE BOARD OF PHYSICIAN QUALITY ASSURANCE
WHICH, IN THE EVENT OF A CARDIAC OR RESPIRATORY ARREST OF A PARTICULAR
PATIENT, AUTHORIZES QUALIFIED CERTIFIED EMERGENCY MEDICAL SERVICES
PERSONNEL TO WITHHOLD OR WITHDRAW CARDIOPULMONARY RESUSCITATION
INCLUDING CARDIAC COMPRESSION, ENDOTRACHEAL INTUBATION, AN© OTHER
ADVANCED AIRWAY MANAGEMENT TECHNIQUES, ARTIFICIAL VENTILATION, AND
DEFIBRILLATION AND OTHER RELATED LIFE PROLONGING LIFE-SUSTAINING
PROCEDURES.

(I) "END-STAGE CONDITION" MEANS AN ADVANCED, PROGRESSIVE,
IRREVERSIBLE CONDITION CAUSED BY INJURY, DISEASE, OR ILLNESS THAT:

(1) HAS CAUSED SEVERE AND PROGRESSIVE DETERIORATION; AND

(2) TO A REASONABLE DEGREE OF MEDICAL PROBABILITY, WILL
CAUSE THE INDIVIDUAL TO SUFFER FURTHER PROGRESSIVE DETERIORATION
UNTIL A MEDICALLY FORESEEABLE DEATH, WHETHER OR NOT LIFE PROLONGING
PROCEDURES ARE PROVIDED RESULTED IN SEVERE AND PERMANENT
DETERIORATION INDICATED BY INCOMPETENCY AND COMPLETE PHYSICAL
DEPENDENCY; AND

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S.B. 664