Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 261 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR RELATED CONDITIONS (ICF/IID) PROGRAM-CONTRACTING
Subchapter J - SURROGATE DECISION-MAKING
Section 261.287 - Provider Responsibilities Regarding Surrogate Decision-Maker
Universal Citation: 26 TX Admin Code ยง 261.287
Current through Reg. 49, No. 38; September 20, 2024
(a) A community program provider must provide the following information to a person identified as a surrogate decision-maker in accordance with § 261.286 of this chapter (relating to Surrogate Decision-Maker):
(1) a description of the
condition that the proposed treatment, medication, or procedure is intended to
improve or cure;
(2) a description
of the proposed treatment, medication, or procedure, including:
(A) the individual's need for it;
and
(B) the potential benefits and
risks of it to the individual;
(3) a description of any generally accepted
alternatives to the proposed treatment, medication, or procedure, including the
risks and potential benefits of the alternatives to the individual;
(4) the reasons the alternatives were not
proposed for the individual, if applicable;
(5) the time frames involved, such as
immediacy of the need for the proposed treatment, medication, or procedure and
the length of time that consent will be effective; and
(6) that the surrogate decision-maker may:
(A) refuse to give consent or withdraw
consent after it is given;
(B)
defer to a surrogate consent committee for a specific decision; and
(C) withdraw as the surrogate
decision-maker.
(b) A community program provider must document in the individual's record:
(1) the
specific information provided to the surrogate decision-maker as described in
subsection (a) of this section;
(2)
the decision made by the surrogate decision-maker, and:
(A) if consent is given, include a copy of
the written consent given by the surrogate decision-maker; or
(B) if consent is denied, document the reason
for the denial, if known;
(3) withdrawal of consent after it is given
by the surrogate decision-maker and, if known, the reason for the
withdrawal;
(4) deferral by the
surrogate decision-maker for a specific decision and, if known, the reason for
the deferral; and
(5) withdrawal of
the surrogate decision-maker and, if known, the reason for the
withdrawal.
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