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Elder law, HIPAA and health care proxy

I have agreed to be my friend's agent for her health care proxy but I'm not sure how it will work (I want to be there for her when she needs me). How will I be able to make decisions and will I be able to get doctors to give me info and listen to me? I'm a nurse at a doctor's office so I know a little bit about elder law and it seems like the confidentiality rules of HIPAA might cause problems. What do you think?

Editor's Response

I think you'll make a great health care agent, and I would not worry about it too much.  If, when the time comes, you run into problems, here is some information for you:
 
1.  The Agent has the right to review the Principal’s records and be informed about the Principal’s condition, and the authority to make any health care decision that the Principal could make if competent, including decisions about life sustaining treatment.  (Mass. Gen. L. ch. 201D § 5.)  And, the federal Health Insurance Portability and Accountability Act (HIPAA) does not limit the Agent’s rights or powers.  Doctors are permitted and obligated to share medical information with an incapacitated patient’s “personal representative,” a generic term that includes the patient’s Health Care Agent.  In fact, many health care proxy forms even contain some language to clarify this issue, such as:  "My Agent should be considered my 'personal representative' as that term is used in HIPAA."
 
2.  Unless the Proxy or a court says otherwise, the Agent’s decision should be treated as though it were made by the Principal and takes precedence over the position of other family members or persons acting pursuant to a durable power of attorney.  (Mass. Gen. L. ch. 201D § 5.)
 
3.  Neither the doctor, nor the facility, will be subject to criminal or civil liability, or deemed guilty of engaging in unprofessional conduct, as a result of carrying out in good faith the decision of the Agent.   (Mass. Gen. L. ch. 201D § 8.)
 
Good luck, and please tell your friends about The Forum.

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