Illinois Bill Summary

Illinois End-of-Life Options for Terminally Ill Patients Act SB 3499

The Legislation Allows

a terminally ill, mentally capable adult with a prognosis of six months or less to live the option to request, obtain and take medication — should they choose —  to die peacefully in their sleep if their suffering becomes unbearable.

The bill is modeled after laws in authorized jurisdictions, including the first legislation in Oregon, which has had over 25 years of experience with this law and has never had a single instance of abuse or coercion.

Eligibility Criteria

In all authorized states, to be eligible, a person must be:

  • An adult, aged 18 or older
  • Terminally ill with a prognosis of 6 months or less to live
  • Mentally capable of making an informed healthcare decision

Key Provisions

  • The individual must be able to self-administer the medication. Self-administration does not include administration by intravenous (IV) injection or infusion by any person, including the doctor, family member or patient themselves.
  • Two physicians must confirm that the person is terminally ill with a prognosis of six months or less to live, mentally capable and not being coerced.
  • A terminally ill person can withdraw their request for medication, not take the medication once they have it, or otherwise change their mind at any point.
  • The attending physician must inform the requesting individual about all of their end-of-life care options, including comfort care, hospice and pain control.
  • There is a mandatory mental health evaluation if either physician has concerns about the patient’s capacity to make an informed health care decision; the prescription cannot be written until the mental health provider confirms capacity.
  • Healthcare providers who participate and comply with all aspects of the law are given civil and criminal immunity.
  • Life insurance payments cannot be denied to the families of those who use the law.
  • No healthcare provider is required to participate.
  • Unused medication must be disposed of according to the guidelines specified by the U.S. Drug Enforcement Agency.

Additional Regulatory Requirements

  • The individual must make two separate oral requests for the medication, with a five-day waiting period between the first and second oral request.
  • A written request is also required, which at least two witnesses must sign. At least one witness cannot be a relative or someone who stands to benefit from the person’s estate.
  • Prescribing healthcare providers must comply with medical-record documentation requirements and make records available to the state department of health.
  • The state department of health is required to issue a publicly available annual report. Identifying information about individual patients and doctors is kept confidential.

Additional Information About the Bill:

Primary Sponsor:

  • Assistant Majority Leader Linda Holmes (SD-42)

For More Information:

Amy Sherman
Midwest Advocacy Director, Compassion & Choices Action Network
[email protected]

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