Patient Self Determination Act State Law Guide 2025

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The Patient Self-Determination Act (PSDA) is a federal law, and compliance is mandatory. It is the purpose of this act to ensure that a patients right to self-determination in health care decisions be communicated and protected.
These rights include patients ability to express their wishes in an advance directive, to appoint a surrogate to make care decisions when the patient is no longer able to do so, and to have these wishes honored by health care providers.
It mandates that patient advance directives be implemented if necessary, assuming those wishes are legally valid and permissible by State law. It requires education programs including advance directives, bioethics, patient wishes, and the concept of patient self-determination.
The PSDA requires that hospitals and other specified types of health care organizations participating in Medicare and Medicaid programs inform patients of their right under existing State law to accept or refuse medical or surgical treatment and to formulate advance directives.