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HomeMy WebLinkAboutMINUTES - 04241990 - 1.35 /, 3S To: w BOARD OF SUPERVISORS s---.L Contra FROM: Phil Batchelor, County Administrator is Costa n. Count April 18, 1990 •, DATE: d-coun`� SUBJECT: LEGISLATION: AB 3520 (Bentley) SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECONIlENDATION: Adopt a position in OPPOSITION TO AB 3520 by Assemblywoman Bentley which would allow any interested person to file a petition with the court seeking to have the court order the public guardian, adult protective services, ombudsman or other entity to give consent for medical treatment on behalf of an individual for whom no conservator has been appointed and who is unable to provide informed consent for the necessary medical treatment. BACKGROUND: Current law provides that if an adult person who does not have a conservator requires medical treatment for an existing or continuing medical condition and the individual is unable to give informed consent for that medical treatment, a petition may be filed by the spouse of the patient, a relative or friend of the patient, the patient' s physician, a person acting on behalf of the medical facility in which the patient is located if the patient is in a medical facility, or the public guardian or such other county officer as is designated by the board of supervisors of the county in which the patient is located or resides or is temporarily living. The petition seeks an order from the superior court authorizing the medical treatment and authorizing the petitioner to give consent to the treatment on the behalf of the person requiring treatment. Assemblywoman Bentley has introduced AB 3520 which provides that if none of these individuals has filed for a petition for an CONTINUED ON ATTACHMENT:YeS YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE `( APPROVE OTHER SIGNATURES: ACTION OF BOARD ON April 24 , 1990 APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE X UNANIMOUS(ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON�4 DATE SHOWN. APR " ' 1990 CC: ATTESTED PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR BY DEPUTY M382 (10/88) order authorizing medical treatment and authorizing consent to the medical treatment on behalf of the patient, then a petition may be filed by any interested person. The petition must . indicate that none of the other authorized individuals has filed for a petition. The petition must be accompanied by a medical affidavit containing certain specified information about the medical condition and the need for treatment. The petition could be filed in superior court in the county in which the patient resides, in the county in which the patient is temporarily living, or in any other county as may be in the best interests of the patient. Upon receiving the petition and medical affidavit the . superior court could then render an order for the medical treatment and order the public guardian, adult protective services, ombudsman or other designated entity to give consent for the medical treatment on behalf of the patient. County Counsel has expressed concern that if passed, this legislation would open the County to liability to pay for medical treatment which has been initiated by nearly any interested citizen. The existing law already provides a wide variety of individuals who can initiate such a petition. If none of them does so, there may be a good reason why a petition has not been initiated. It is undesirable to lock into statute a procedure whereby an individual who has no relationship to the patient and no connection with the County could obtain a court order which imposes a duty on the County, along with the attendant liability, but which provides the County no input into the process which results in the court order. This . office concurs with County Counsel' s concerns and therefore recommends that the Board of Supervisors indicate its opposition to AB 3520. cc: Assemblywoman Bentley County Administrator Mark Finucane, Health Services Director and Public Guardian Victor J. Westman, County Counsel Jim Rydingsword, Social Services Director Vickie L. Dawes, Deputy County Counsel Les Spahnn, SRJ. Jackson, Barish & Associates