Pennsylvania Act 2004-194 — DECEDENTS, ESTATES AND FIDUCIARIES (20 PA.C.S.) - MENTAL HEALTH CARE DECLARATIONS AND POWERS OF ATTORNEY AND PRUDENT INVESTOR RULE

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DECEDENTS, ESTATES AND FIDUCIARIES (20 PA.C.S.) - MENTAL HEALTH CARE
      DECLARATIONS AND POWERS OF ATTORNEY AND PRUDENT INVESTOR RULE
                 Act of Nov. 30, 2004, P.L. 1525, No. 194             Cl. 20
                             Session of 2004
                               No. 2004-194

     HB 2036

                                  AN ACT

     Amending Title 20 (Decedents, Estates and Fiduciaries) of the
        Pennsylvania Consolidated Statutes, providing for mental
        health care declarations and powers of attorney; further
        providing for the prudent investor rule; and repealing
        provisions relating to the applicability of requirements for
        charitable trusts with controlling interests in certain
        corporations.

        The General Assembly of the Commonwealth of Pennsylvania
     hereby enacts as follows:

        Section 1.  Title 20 of the Pennsylvania Consolidated
     Statutes is amended by adding a chapter to read:
                                CHAPTER 58
                            MENTAL HEALTH CARE
     Subchapter
        A.  General Provisions
        B.  Mental Health Declarations
        C.  Mental Health Powers of Attorney
                               SUBCHAPTER A
                            GENERAL PROVISIONS
     Sec.
     5801.  Applicability.
     5802.  Definitions.
     5803.  Legislative findings and intent.
     5804.  Compliance.
     5805.  Liability.
     5806.  Penalties.
     5807.  Rights and responsibilities.
     5808.  Combining mental health care instruments.
      § 5801.  Applicability.
        (a)  General rule.--This chapter applies to mental health
     declarations and mental health powers of attorney.
        (b)  Preservation of existing rights.--The provisions of this
     chapter shall not be construed to impair or supersede any
     existing rights or responsibilities not addressed in this
     chapter.
      § 5802.  Definitions.
        The following words and phrases when used in this chapter
     shall have the meanings given to them in this section unless the
     context clearly indicates otherwise:
        "Attending physician."  A physician who has primary
     responsibility for the treatment and care of the declarant or
     principal.
        "Declarant."  An individual who makes a declaration in
     accordance with this chapter.
        "Declaration."  A writing made in accordance with this
     chapter that expresses a declarant's wishes and instructions for
     mental health care and mental health care directions and which
     may contain other specific directions.
        "Mental health care."  Any care, treatment, service or
     procedure to maintain, diagnose, treat or provide for mental
     health, including any medication program and therapeutical
     treatment.
        "Mental health care agent."  An individual designated by a
     principal in a mental health power of attorney.
        "Mental health care provider."  A person who is licensed,
     certified or otherwise authorized by the laws of this
     Commonwealth to administer or provide mental health care in the
     ordinary course of business or practice of a profession.
        "Mental health power of attorney."  A writing made by a
     principal designating an individual to make mental health care
     decisions for the principal.
        "Mental health treatment professional."  A licensed physician
     who has successfully completed a residency program in psychiatry
     or a person trained and licensed in social work, psychology or
     nursing who has a graduate degree and clinical experience in
     mental health.
        "Principal."  An individual who makes a mental health power
     of attorney in accordance with this chapter.
      § 5803.  Legislative findings and intent.
        (a)  Intent.--This chapter provides a means for competent
     adults to control their mental health care either directly
     through instructions written in advance or indirectly through a
     mental health care agent.
        (b)  Presumption not created.--This chapter shall not be
     construed to create any presumption regarding the intent of an
     individual who has not executed a declaration or mental health
     care power of attorney to consent to the use or withholding of
     treatment.
        (c)  Findings in general.--The General Assembly finds that
     all capable adults have a qualified right to control decisions
     relating to their own mental health care.
      § 5804.  Compliance.
        (a)  Duty to comply.--
            (1)  An attending physician and mental health care
        provider shall comply with mental health declarations and
        powers of attorney.
            (2)  If an attending physician or other mental health
        care provider cannot in good conscience comply with a
        declaration or mental health care decision of a mental health
        care agent because the instructions are contrary to accepted
        clinical practice and medical standards or because treatment
        is unavailable or if the policies of a mental health care
        provider preclude compliance with a declaration or mental
        health care decision of a mental health care agent,
        immediately upon receipt of the declaration or power of
        attorney and as soon as any possibility of noncompliance
        becomes apparent, the attending physician or mental health
        care provider shall so inform the following:
                (i)  The declarant if the declarant is competent.
                (ii)  The substitute named in the declaration if the
            declarant is incompetent.
                (iii)  The guardian or other legal representative of
            the declarant if the declarant is incompetent and a
            substitute is not named in the declaration.
                (iv)  The mental health care agent of the principal.
            (3)  The physician or mental health care provider shall
        document the reasons for noncompliance.
        (b)  Transfer.--An attending physician or mental health care
     provider under subsection (a)(2) shall make every reasonable
     effort to assist in the transfer of the declarant or principal
     to another physician or mental health care provider who will
     comply with the declaration or mental health care decision of
     the mental health care agent. While the transfer is pending, the
     patient shall be treated consistent with the declaration or
     mental health care decision of the mental health agent. If
     reasonable efforts to transfer fail, the patient may be
     discharged.
      § 5805.  Liability.
        (a)  General rule.--A person who is a physician, another
     mental health care provider or another person who acts in good
     faith and consistent with this chapter may not be subject to
     criminal or civil liability, discipline for unprofessional
     conduct or administrative sanctions and may not be found to have
     committed an act of unprofessional conduct by any professional
     board or administrative body with such authority as a result of
     any of the following:
            (1)  Complying with a direction or decision of an
        individual who the person believes in good faith has
        authority to act as a principal's mental health care agent so
        long as the direction or decision is not clearly contrary to
        the terms of the mental health power of attorney.
            (2)  Refusing to comply with a direction or decision of
        an individual based on a good faith belief that the
        individual lacks authority to act as a principal's mental
        health care agent.
            (3)  Complying with a mental health care power of
        attorney or declaration under the assumption that it was
        valid when made and has not been amended or revoked.
            (4)  Disclosing mental health care information to another
        person based upon a good faith belief that the disclosure is
        authorized, permitted or required by this chapter.
            (5)  Refusing to comply with the direction or decision of
        an individual due to conflicts with a provider's contractual,
        network or payment policy restrictions.
            (6)  Refusing to comply with a declaration or mental
        health power of attorney which violates accepted clinical
        standards or medical standards of care.
            (7)  Making a determination that the patient lacks
        capacity to make mental health decisions that causes a
        declaration or a mental health power of attorney to become
        effective.
            (8)  Failing to determine that a patient lacks capacity
        to make mental health decisions for the purposes of this
        chapter.
        (b)  Same effect as if dealing with principal.--Any attending
     physician, mental health care provider and other person who acts
     under subsection (a) shall be protected and released to the same
     extent as if dealing directly with a competent principal.
        (c)  Good faith of mental health care agent.--A mental health
     care agent who acts according to the terms of a mental health
     power of attorney may not be subject to civil or criminal
     liability for acting in good faith for a principal or failing in
     good faith to act for a principal.
      § 5806.  Penalties.
        (a)  Offense defined.--A person commits a felony of the third
     degree by willfully:
            (1)  Concealing, canceling, altering, defacing,
        obliterating or damaging a declaration without the consent of
        the declarant.
            (2)  Concealing, canceling, altering, defacing,
        obliterating or damaging a mental health power of attorney or
        any amendment or revocation thereof without the consent of
        the principal.
            (3)  Causing a person to execute a declaration or power
        of attorney under this chapter by undue influence, fraud or
        duress.
            (4)  Falsifying or forging a mental health power of
        attorney or declaration or any amendment or revocation
        thereof, the result of which is a direct change in the mental
        health care provided to the principal.
        (b)  Removal and liability.--An agent who willfully fails to
     comply with a mental health power of attorney may be removed and
     sued for actual damages.
      § 5807.  Rights and responsibilities.
        (a)  Declarants and principals.--Persons who execute a
     declaration or a mental health power of attorney shall have the
     following rights and responsibilities:
            (1)  For the purposes of this chapter, persons are
        presumed capable of making mental health decisions, including
        the execution of a mental health declaration or power of
        attorney, unless they are adjudicated incapacitated,
        involuntarily committed or found to be incapable of making
        mental health decisions after examination by a psychiatrist
        and one of the following: another psychiatrist, psychologist,
        family physician, attending physician or mental health
        treatment professional. Whenever possible, at least one of
        the decision makers shall be a treating professional of the
        declarant or principal.
            (2)  Persons shall be required to notify their mental
        health care provider of the existence of any declaration or
        mental health power of attorney.
            (3)  Persons shall execute or amend their declarations or
        mental health powers of attorney every two years; however, if
        a person is incapable of making mental heath care decisions
        at the time this document would expire, the document shall
        remain in effect and be reviewed at the time when the person
        regains capacity.
            (4)  Persons shall give notice of amendment and
        revocation to providers, agents and guardians, if any.
        (b)  Providers.--Mental health treatment providers shall have
     the following rights and responsibilities:
            (1)  Inquire as to the existence of declarations or
        powers of attorney for persons in their care.
            (2)  Inform persons who are being discharged from
        treatment about the availability of mental health
        declarations and powers of attorney as part of discharge
        planning.
            (3)  Not require declarations or powers of attorney as
        conditions of treatment. Mental health treatment providers
        may not choose whether to accept a person for treatment based
        solely on the existence or absence of a mental health
        declaration or power of attorney.
      § 5808.  Combining mental health instruments.
        (a)  General rule.--A declaration and mental health power of
     attorney may be combined into one mental health document.
        (b)  Form.--A combined declaration and mental health power of
     attorney may be in the following form or any other written form
     which contains the information required under Subchapters B
     (relating to mental health declarations) and C (relating to
     mental health powers of attorney):
                 Combined Mental Health Care Declaration
                        and Power of Attorney Form
        Part I.  Introduction.
        I,               , having capacity to make mental health
        decisions, willfully and voluntarily make this declaration
        and power of attorney regarding my mental health care.
        I understand that mental health care includes any care,
        treatment, service or procedure to maintain, diagnose, treat
        or provide for mental health, including any medication
        program and therapeutic treatment. Electroconvulsive therapy
        may be administered only if I have specifically consented to
        it in this document. I will be the subject of laboratory
        trials or research only if specifically provided for in this
        document. Mental health care does not include psychosurgery
        or termination of parental rights.
        I understand that my incapacity will be determined by
        examination by a psychiatrist and one of the following:
        another psychiatrist, psychologist, family physician,
        attending physician or mental health treatment professional.
        Whenever possible, one of the decision makers will be one of
        my treating professionals.
        Part II.  Mental Health Declaration.
        A.  When this declaration becomes effective.
        This declaration becomes effective at the following
        designated time:
        ( ) When I am deemed incapable of making mental health care
        decisions.
        ( ) When the following condition is met:
                             (List condition)
        B.  Treatment preferences.
            1.  Choice of treatment facility.
        ( ) In the event that I require commitment to a psychiatric
        treatment facility, I would prefer to be admitted to the
        following facility:
                    (Insert name and address of facility)
        ( ) In the event that I require commitment to a psychiatric
        treatment facility, I do not wish to be committed to the
        following facility:
                    (Insert name and address of facility)
        I understand that my physician may have to place me in a
        facility that is not my preference.
            2.  Preferences regarding medications for psychiatric
        treatment.
        ( ) I consent to the medications that my treating physician
        recommends.
        ( ) I consent to the medications that my treating physician
        recommends with the following exception, preference or
        limitation:
        (List medication and reason for exception, preference or
        limitation)
        The exception, preference or limitation applies to generic,
        brand name and trade name equivalents. I understand that
        dosage instructions are not binding on my physician.
        ( ) I do not consent to the use of any medications.
        ( ) I have designated an agent under the power of attorney
        portion of this document to make decisions related to
        medication.
            3.  Preferences regarding electroconvulsive therapy
        (ECT).
        ( ) I consent to the administration of electroconvulsive
        therapy.
        ( ) I do not consent to the administration of
        electroconvulsive therapy.
        ( ) I have designated an agent under the power of attorney
        portion of this document to make decisions related to
        electroconvulsive therapy.
            4.  Preferences for experimental studies or drug trials.
        ( ) I consent to participation in experimental studies if my
        treating physician believes that the potential benefits to me
        outweigh the possible risks to me.
        ( ) I have designated an agent under the power of attorney
        portion of this document to make decisions related to
        experimental studies.
        ( ) I do not consent to participation in experimental
        studies.
        ( ) I consent to participation in drug trials if my treating
        physician believes that the potential benefits to me outweigh
        the possible risks to me.
        ( ) I have designated an agent under the power of attorney
        portion of this document to make decisions related to drug
        trials.
        ( ) I do not consent to participation in any drug trials.
            5.  Additional instructions or information.
        Examples of other instructions or information that may be
        included:
            Activities that help or worsen symptoms.
            Type of intervention preferred in the event of a crisis.
            Mental and physical health history.
            Dietary requirements.
            Religious preferences.
            Temporary custody of children.
            Family notification.
            Limitations on the release or disclosure of mental health
                records.
            Other matters of importance.
        C.  Revocation.
        This declaration may be revoked in whole or in part at any
        time, either orally or in writing, as long as I have not been
        found to be incapable of making mental health decisions.
        My revocation will be effective upon communication to my
        attending physician or other mental health care provider,
        either by me or a witness to my revocation, of the intent to
        revoke. If I choose to revoke a particular instruction
        contained in this declaration in the manner specified, I
        understand that the other instructions contained in this
        declaration will remain effective until:
            (1)  I revoke this declaration in its entirety;
            (2)  I make a new combined mental health declaration and
        power of attorney; or
            (3)  two years after the date this document was executed.
        D.  Termination.
        I understand that this declaration will automatically
        terminate two years from the date of execution unless I am
        deemed incapable of making mental health care decisions at
        the time that this declaration would expire.
                              (Specify date)
        E.  Preference as to a court-appointed guardian.
        I understand that I may nominate a guardian of my person for
        consideration by the court if incapacity proceedings are
        commenced under 20 Pa.C.S. § 5511. I understand that the
        court will appoint a guardian in accordance with my most
        recent nomination except for good cause or disqualification.
        In the event a court decides to appoint a guardian, I desire
        the following person to be appointed:
          (Insert name, address, telephone number of the designated
                                 person)
        ( ) The appointment of a guardian of my person will not give
        the guardian the power to revoke, suspend or terminate this
        declaration.
        ( ) Upon appointment of a guardian, I authorize the guardian
        to revoke, suspend or terminate this declaration.
        Part III.  Mental Health Power of Attorney.
        I,                , having the capacity to make mental health
        decisions, authorize my designated health care agent to make
        certain decisions on my behalf regarding my mental health
        care. If I have not expressed a choice in this document or in
        the accompanying declaration, I authorize my agent to make
        the decision that my agent determines is the decision I would
        make if I were competent to do so.
        A.  Designation of agent.
        I hereby designate and appoint the following person as my
        agent to make mental health care decisions for me as
        authorized in this document. This authorization applies only
        to mental health decisions that are not addressed in the
        accompanying signed declaration.
        (Insert name of designated person)
        Signed:
        (My name, address, telephone number)
        Witnesses signatures:
        (Insert names, addresses, telephone numbers of witnesses)
        Agent's acceptance:
        I hereby accept designation as mental health care agent for
        (Insert name of declarant)
        Agent's signature:
        (Insert name, address, telephone number of designated person)
        B.  Designation of alternative agent.
        In the event that my first agent is unavailable or unable to
        serve as my mental health care agent, I hereby designate and
        appoint the following individual as my alternative mental
        health care agent to make mental health care decisions for me
        as authorized in this document:
        (Insert name of designated person)
        Signed:
        (My name, address, telephone number)
        Witnesses signatures:
        (Insert names, addresses, telephone numbers of witnesses)
        Alternative agent's acceptance:
        I hereby accept designation as alternative mental health care
        agent for (Insert name of declarant)
        Alternative agent's signature:
        (Insert name, address, telephone number of alternative agent)
        C.  When this power of attorney become effective.
        This power of attorney will become effective at the following
        designated time:
        ( ) When I am deemed incapable of making mental health care
        decisions.
        ( ) When the following condition is met:
                             (List condition)
        D.  Authority granted to my mental health care agent.
        I hereby grant to my agent full power and authority to make
        mental health care decisions for me consistent with the
        instructions and limitations set forth in this document. If I
        have not expressed a choice in this power of attorney or in
        the accompanying declaration, I authorize my agent to make
        the decision that my agent determines is the decision I would
        make if I were competent to do so.
            (1)  Preferences regarding medications for psychiatric
        treatment.
        ( ) My agent is authorized to consent to the use of any
        medications after consultation with my treating psychiatrist
        and any other persons my agent considers appropriate.
        ( ) My agent is not authorized to consent to the use of any
        medications.
            (2)  Preferences regarding electroconvulsive therapy
        (ECT).
        ( ) My agent is authorized to consent to the administration
        of electroconvulsive therapy.
        ( ) My agent is not authorized to consent to the
        administration of electroconvulsive therapy.
            (3)  Preferences for experimental studies or drug trials.
        ( ) My agent is authorized to consent to my participation in
        experimental studies if, after consultation with my treating
        physician and any other individuals my agent deems
        appropriate, my agent believes that the potential benefits to
        me outweigh the possible risks to me.
        ( ) My agent is not authorized to consent to my participation
        in experimental studies.
        ( ) My agent is authorized to consent to my participation in
        drug trials if, after consultation with my treating physician
        and any other individuals my agent deems appropriate, my
        agent believes that the potential benefits to me outweigh the
        possible risks to me.
        ( ) My agent is not authorized to consent to my participation
        in drug trials.
        E.  Revocation.
        This power of attorney may be revoked in whole or in part at
        any time, either orally or in writing, as long as I have not
        been found to be incapable of making mental health decisions.
        My revocation will be effective upon communication to my
        attending physician or other mental health care provider,
        either by me or a witness to my revocation, of the intent to
        revoke. If I choose to revoke a particular instruction
        contained in this power of attorney in the manner specified,
        I understand that the other instructions contained in this
        power of attorney will remain effective until:
            (1)  I revoke this power of attorney in its entirety;
            (2)  I make a new combined mental health care declaration
        and power of attorney; or
            (3)  two years from the date this document was executed.
        I understand that this power of attorney will automatically
        terminate two years from the date of execution unless I am
        deemed incapable of making mental health care decisions at
        the time that the power of attorney would expire.
        I am making this combined mental health care declaration and
        power of attorney on the (insert day) day of (insert month),
        (insert year).
        My signature:
        (My name, address, telephone number)
        Witnesses signatures:
        (Names, addresses, telephone numbers of witnesses).
        If the principal making this combined mental health care
        declaration and power of attorney is unable to sign this
        document, another individual may sign on behalf of and at the
        direction of the principal.
        Signature of person signing on my behalf:
        (Name, address, telephone number)
                               SUBCHAPTER B
                        MENTAL HEALTH DECLARATIONS
     Sec.
     5821.  Short title of subchapter.
     5822.  Execution.
     5823.  Form.
     5824.  Operation.
     5825.  Revocation.
     5826.  Amendment.
      § 5821.  Short title of subchapter.
        This subchapter shall be known and may be cited as the
     Advance Directive for Mental Health Act.
      § 5822.  Execution.
        (a)  Who may make.--An individual who is at least 18 years of
     age or an emancipated minor and has not been deemed
     incapacitated pursuant to section 5511 (relating to petition and
     hearing; independent evaluation) or severely mentally disabled
     pursuant to Article III of the act of July 9, 1976 (P.L.817,
     No.143), known as the Mental Health Procedures Act, may make a
     declaration governing the initiation, continuation, withholding
     or withdrawal of mental health treatment.
        (b)  Requirements.--A declaration must be:
            (1)  Dated and signed by the declarant by signature or
        mark or by another individual on behalf of and at the
        direction of the declarant.
            (2)  Witnessed by two individuals, each of whom must be
        at least 18 years of age.
        (c)  Witnesses.--
            (1)  An individual who signs a declaration on behalf of
        and at the direction of a declarant may not witness the
        declaration.
            (2)  A mental health care provider and its agent may not
        sign a declaration on behalf of and at the direction of a
        declarant if the mental health care provider or agent
        provides mental health care services to the declarant.
      § 5823.  Form.
        A declaration may be in the following form or any other
     written form that expresses the wishes of a declarant regarding
     the initiation, continuation or refusal of mental health
     treatment and may include other specific directions, including,
     but not limited to, designation of another individual to make
     mental health treatment decisions for the declarant if the
     declarant is incapable of making mental health decisions:
                        Mental Health Declaration.
        I,                  , having the capacity to make mental
        health decisions, willfully and voluntarily make this
        declaration regarding my mental health care.
        I understand that mental health care includes any care,
        treatment, service or procedure to maintain, diagnose, treat
        or provide for mental health, including any medication
        program and therapeutic treatment. Electroconvulsive therapy
        may be administered only if I have specifically consented to
        it in this document. I will be the subject of laboratory
        trials or research only if specifically provided for in this
        document. Mental health care does not include psychosurgery
        or termination of parental rights.
        I understand that my incapacity will be determined by
        examination by a psychiatrist and one of the following:
        another psychiatrist, psychologist, family physician,
        attending physician or mental health treatment professional.
        Whenever possible, one of the decision makers will be one of
        my treating professionals.
        A.  When this declaration becomes effective.
        This declaration becomes effective at the following
        designated time:
        ( ) When I am deemed incapable of making mental health care
        decisions.
        ( ) When the following condition is met:
                             (List condition)
        B.  Treatment preferences.
            1.  Choice of treatment facility.
        ( ) In the event that I require commitment to a psychiatric
        treatment facility, I would prefer to be admitted to the
        following facility:
                  (Insert name and address of facility)
        ( ) In the event that I require commitment to a psychiatric
        treatment facility, I do not wish to be committed to the
        following facility:
                  (Insert name and address of facility)
        I understand that my physician may have to place me in a
        facility that is not my preference.
            2.  Preferences regarding medications for psychiatric
        treatment.
        ( ) I consent to the medications that my treating physician
        recommends with the following exception, preference or
        limitation:
        (List medication and reason for exception, preference or
        limitation)
        This exception, preference or limitation applies to generic,
        brand name and trade name equivalents. I understand that
        dosage instructions are not binding on my physician.
        ( ) I do not consent to the use of any medications.
            3.  Preferences regarding electroconvulsive therapy
        (ECT).
        ( ) I consent to the administration of electroconvulsive
        therapy.
        ( ) I do not consent to the administration of
        electroconvulsive therapy.
            4.  Preferences for experimental studies or drug trials.
        ( ) I consent to participation in experimental studies if my
        treating physician believes that the potential benefits to me
        outweigh the possible risks to me.
        ( ) I do not consent to participation in experimental
        studies.
        ( ) I consent to participation in drug trials if my treating
        physician believes that the potential benefits to me outweigh
        the possible risks to me.
        ( ) I do not consent to participation in any drug trials.
            5.  Additional instructions or information.
        Examples of other instructions or information that may be
        included:
            Activities that help or worsen symptoms.
            Type of intervention preferred in the event of a crisis.
            Mental and physical health history.
            Dietary requirements.
            Religious preferences.
            Temporary custody of children.
            Family notification.
            Limitations on the release or disclosure of mental health
                records.
            Other matters of importance.
        C.  Revocation.
        This declaration may be revoked in whole or in part at any
        time, either orally or in writing, as long as I have not been
        found to be incapable of making mental health decisions.
        My revocation will be effective upon communication to my
        attending physician or other mental health care provider,
        either by me or a witness to my revocation, of the intent to
        revoke. If I choose to revoke a particular instruction
        contained in this declaration in the manner specified, I
        understand that the other instructions contained in this
        declaration will remain effective until:
            (1)  I revoke this declaration in its entirety;
            (2)  I make a new mental health care declaration; or
            (3)  two years after the date this document was executed.
        D.  Termination.
        I understand that this declaration will automatically
        terminate two years from the date of execution unless I am
        deemed incapable of making mental health care decisions at
        the time that the declaration would expire.
        E.  Preference as to a court-appointed guardian.
        I understand that I may nominate a guardian of my person for
        consideration by the court if incapacity proceedings are
        commenced pursuant to 20 Pa.C.S. § 5511. I understand that
        the court will appoint a guardian in accordance with my most
        recent nomination except for good cause or disqualification.
        In the event a court decides to appoint a guardian, I desire
        the following person to be appointed:
                 (Insert name, address and telephone number
                            of designated person)
        ( ) The appointment of a guardian of my person will not give
        the guardian the power to revoke, suspend or terminate this
        declaration.
        ( ) Upon appointment of a guardian, I authorize the guardian
        to revoke, suspend or terminate this declaration.
            I am making this declaration on the (insert day)
        day of (insert month), (insert year).
        My signature: (My name, address, telephone number)
        Witnesses' signatures: (Names, addresses, telephone numbers
        of witnesses)
        If the principal making this declaration is unable to sign
        it, another individual may sign on behalf of and at the
        direction of the principal.
        Signature of person signing on my behalf:
        (Name, address and telephone number)
      § 5824.  Operation.
        (a)  When operative.--A declaration becomes operative when:
            (1)  A copy is provided to the attending physician.
            (2)  The conditions stated in the declaration are met.
        (b)  Compliance.--When a declaration becomes operative, the
     attending physician and other mental health care providers shall
     act in accordance with its provisions or comply with the
     transfer provisions of section 5804 (relating to compliance).
        (c)  Invalidity of specific direction.--If a specific
     direction in the declaration is held to be invalid, the
     invalidity shall not be construed to negate other directions in
     the declaration that can be effected without the invalid
     direction.
        (d)  Mental health record.--A physician or other mental
     health care provider to whom a copy of a declaration is
     furnished shall make it a part of the mental health record of
     the declarant for at least two years from the date of execution
     and, if unwilling to comply with the declaration, promptly so
     advise those listed in section 5804(a)(2).
        (e)  Duration.--A declaration shall be valid until revoked by
     the declarant or until two years from the date of execution. If
     a declaration for mental health treatment has been invoked and
     is in effect at the specified expiration date after its
     execution, the declaration shall remain effective until the
     principal is no longer incapable.
        (f)  Absence of declaration.--If an individual does not make
     a declaration, a presumption does not arise regarding the intent
     of the individual to consent to or to refuse a mental health
     treatment.
      § 5825.  Revocation.
        (a)  When declaration may be revoked.--A declaration may be
     revoked by the declarant at any time, either orally or in
     writing, in whole or in part, unless the individual has been
     found to be incapable of making mental health decisions or the
     individual has been involuntarily committed.
        (b)  Capacity to revoke.--Subsection (a) notwithstanding,
     during a period of involuntary commitment pursuant to Article
     III of the act of July 9, 1976 (P.L.817, No.143), known as the
     Mental Health Procedures Act, a declarant may revoke the
     declaration only if found to be capable of making mental health
     decisions after examination by a psychiatrist and one of the
     following: another psychiatrist, a psychologist, a family
     physician, an attending physician or a mental treatment
     professional. Whenever possible, at least one of the decision
     makers shall be a treating professional of the declarant or
     principal.
        (c)  Effect of revocation.--A revocation of a declaration
     shall be effective upon communication to the attending physician
     or other mental health care provider by the declarant or a
     witness to the revocation of the intent to revoke.
        (d)  Mental health record.--An attending physician or other
     mental health care provider shall make revocation, a finding of
     capacity or a declaration part of the mental health record of
     the declarant.
      § 5826.  Amendment.
        (a)  Capacity to amend.--While having the capacity to make
     mental health decisions, a declarant may amend a declaration by
     a writing executed in accordance with the provisions of section
     5822 (relating to execution).
        (b)  Determination of capacity.--During the period of
     involuntary treatment pursuant to Article III of the act of July
     9, 1976 (P.L.817, No.143), known as the Mental Health Procedures
     Act, a declarant may amend the declaration if the individual is
     found to be capable of making mental health decisions after
     examination by a psychiatrist and one of the following: another
     psychiatrist, a psychologist, family physician, attending
     physician or mental health treatment professional. Whenever
     possible, at least one of the decision makers shall be a
     treating professional of the declarant or principal.
                               SUBCHAPTER C
                     MENTAL HEALTH POWERS OF ATTORNEY
     Sec.
     5831.  Short title of subchapter.
     5832.  Execution.
     5833.  Form.
     5834.  Operation.
     5835.  Appointment of mental health care agents.
     5836.  Authority of mental health care agent.
     5837.  Removal of agent.
     5838.  Effect of divorce.
     5839.  Revocation.
     5840.  Amendment.
     5841.  Relation of mental health care agent to court-appointed
            guardian and other agents.
     5842.  Duties of attending physician and mental health care
            provider.
     5843.  Construction.
     5844.  Conflicting
            provisions.
     5845.  Validity.
      § 5831.  Short title of subchapter.
        This subchapter shall be known and may be cited as the Mental
     Health Care Agents Act.
      § 5832.  Execution.
        (a)  Who may make.--An individual who is at least 18 years of
     age or an emancipated minor and who has not been deemed
     incapacitated pursuant to section 5511 (relating to petition and
     hearing; independent evaluation) or found to be severely
     mentally disabled pursuant to Article III of the act of July 9,
     1976 (P.L.817, No.143), known as the Mental Health Procedures
     Act, may make a mental health power of attorney governing the
     initiation, continuation, withholding or withdrawal of mental
     health treatment.
        (b)  Requirements.--A mental health power of attorney must
     be:
            (1)  Dated and signed by the principal by signature or
        mark or by another individual on behalf of and at the
        direction of the principal.
            (2)  Witnessed by two individuals, each of whom must be
        at least 18 years of age.
        (c)  Witnesses.--
            (1)  An individual who signs a mental health power of
        attorney on behalf of and at the direction of a principal may
        not witness the mental health power of attorney.
            (2)  A mental health care provider and its agent may not
        sign a mental health power of attorney on behalf of and at
        the direction of a principal if the mental health care
        provider or agent provides mental health care services to the
        principal.
      § 5833.  Form.
        (a)  Requirements.--A mental health power of attorney must do
     the following:
            (1)  Identify the principal and appoint the mental health
        care agent.
            (2)  Declare that the principal authorizes the mental
        health care agent to make mental health care decisions on
        behalf of the principal.
        (b)  Optional provisions.--A mental health power of attorney
     may:
            (1)  Describe any limitations that the principal imposes
        upon the authority of the mental health care agent.
            (2)  Indicate the intent of the principal regarding the
        initiation, continuation or refusal of mental health
        treatment.
            (3)  Nominate a guardian of the person of the principal
        as provided in Subchapter C of Chapter 55 (relating to
        appointment of guardian; bonds; removal and discharge).
            (4)  Contain other provisions as the principal may
        specify regarding the implementation of mental health care
        decisions and related actions by the mental health care
        agent.
        (c)  Written form.--A mental health power of attorney may be
     in the following form or any other written form identifying the
     principal, appointing a mental health care agent and declaring
     that the principal authorizes the mental health care agent to
     make mental health care decisions on behalf of the principal:
                     Mental Health Power of Attorney
        I,                  , having the capacity to make mental
        health decisions, authorize my designated health care agent
        to make certain decisions on my behalf regarding my mental
        health care. If I have not expressed a choice in this
        document, I authorize my agent to make the decision that my
        agent determines is the decision I would make if I were
        competent to do so.
        I understand that mental health care includes any care,
        treatment, service or procedure to maintain, diagnose, treat
        or provide for mental health, including any medication
        program and therapeutic treatment. Electroconvulsive therapy
        may be administered only if I have specifically consented to
        it in this document. I will be the subject of laboratory
        trials or research only if specifically provided for in this
        document. Mental health care does not include psychosurgery
        or termination of parental rights.
        I understand that my incapacity will be determined by
        examination by a psychiatrist and one of the following:
        another psychiatrist, psychologist, family physician,
        attending physician or mental health treatment professional.
        Whenever possible, one of the decision makers shall be one of
        my treating professionals.
        A.  Designation of agent.
        I hereby designate and appoint the following person as my
        agent to make mental health care decisions for me as
        authorized in this document:
                    (Insert name of designated person)
        Signed:
        (My name, address, telephone number)
        (Witnesses' signatures)
        (Names, addresses, telephone numbers of witnesses)
        Agent's acceptance:
        I hereby accept designation as mental health care agent for
        (Insert name of declarant)
        Agent's signature:
        (Insert name, address, telephone number of designated person)
        B.  Designation of alternative agent.
        In the event that my first agent is unavailable or unable to
        serve as my mental health care agent, I hereby designate and
        appoint the following individual as my alternative mental
        health care agent to make mental health care decisions for me
        as authorized in this document:
        (Insert name of designated person)
        Signed:
        (Witnesses' signatures)
        (Names, addresses, telephone numbers of witnesses)
        Alternative agent's acceptance:
        I hereby accept designation as alternative mental health care
        agent for
        (Insert name of declarant)
        Alternative agent's signature:                  .
        (Insert name, address, telephone number)
        C.  When this power of attorney becomes effective.
        This power of attorney will become effective at the following
        designated time:
        ( )  When I am deemed incapable of making mental health care
        decisions.
        ( )  When the following condition is met:
                             (List condition)
        D.  Authority granted to my mental health care agent.
        I hereby grant to my agent full power and authority to make
        mental health care decisions for me consistent with the
        instructions and limitations set forth in this power of
        attorney. If I have not expressed a choice in this power of
        attorney, I authorize my agent to make the decision that my
        agent determines is the decision I would make if I were
        competent to do so.
        E.  Treatment preferences.
            1.  Choice of treatment facility.
        ( )  In the event that I require commitment to a psychiatric
        treatment facility, I would prefer to be admitted to the
        following facility:
                    (Insert name and address of facility)
        ( )  In the event that I require commitment to a psychiatric
        treatment facility, I do not wish to be committed to the
        following facility:
                  (Insert name and address of facility)
        I understand that my physician may have to place me in a
        facility that is not my preference.
            2.  Preferences regarding medications for psychiatric
        treatment.
        ( )  I consent to the medications that my agent agrees to
        after consultation with my treating physician and any other
        persons my agent considers appropriate.
        ( )  I consent to the medications that my agent agrees to,
        with the following exception or limitation:
                      (List exception or limitation)
        This exception or limitation applies to generic, brand name
        and trade name equivalents.
        ( )  My agent is not authorized to consent to the use of any
        medications.
            3.  Preferences regarding electroconvulsive therapy
        (ECT).
        ( )  My agent is authorized to consent to the administration
        of electroconvulsive therapy.
        ( )  My agent is not authorized to consent to the
        administration of electroconvulsive therapy.
            4.  Preferences for experimental studies or drug trials.
        ( )  My agent is authorized to consent to my participation in
        experimental studies if, after consultation with my treating
        physician and any other individuals my agent deems
        appropriate, my agent believes that the potential benefits to
        me outweigh the possible risks to me.
        ( )  My agent is not authorized to consent to my
        participation in experimental studies.
        ( )  My agent is authorized to consent to my participation in
        drug trials if, after consultation with my treating physician
        and any other individuals my agent deems appropriate, my
        agent believes that the potential benefits to me outweigh the
        possible risks to me.
        ( )  My agent is not authorized to consent to my
        participation in drug trials.
            5.  Additional information and instructions.
        Examples of other information that may be included:
            Activities that help or worsen symptoms.
            Type of intervention preferred in the event of a crisis.
            Mental and physical health history.
            Dietary requirements.
            Religious preferences.
            Temporary custody of children.
            Family notification.
            Limitations on release or disclosure of mental health
                records.
            Other matters of importance.
        F.  Revocation.
        This power of attorney may be revoked in whole or in part at
        any time, either orally or in writing, as long as I have not
        been found to be incapable of making mental health decisions.
        My revocation will be effective upon communication to my
        attending physician or other mental health care provider,
        either by me or a witness to my revocation, of the intent to
        revoke. If I choose to revoke a particular instruction
        contained in this power of attorney in the manner specified,
        I understand that the other instructions contained in this
        power of attorney will remain effective until:
            (1)  I revoke this power of attorney in its entirety;
            (2)  I make a new mental health power of attorney; or
            (3)  two years after the date this document was executed.
        G.  Termination.
        I understand that this power of attorney will automatically
        terminate two years from the date of execution unless I am
        deemed incapable of making mental health care decisions at
        the time the power of attorney would expire.
        H.  Preference as to a court-appointed guardian.
        I understand that I may nominate a guardian of my person for
        consideration by the court if incapacity proceedings are
        commenced pursuant to 20 Pa.C.S. § 5511. I understand that
        the court will appoint a guardian in accordance with my most
        recent nomination except for good cause or disqualification.
        In the event a court decides to appoint a guardian, I desire
        the following person to be appointed:
        (Insert name, address, telephone number of designated person)
        ( )  The appointment of a guardian of my person will not give
        the guardian the power to revoke, suspend or terminate this
        power of attorney.
        ( )  Upon appointment of a guardian, I authorize the guardian
        to revoke, suspend or terminate this power of attorney.
        I am making this power of attorney on the (insert day) of
        (insert month), (insert year).
        My signature:
        (My name, address, telephone number)
        Witnesses' signatures:
        (Names, addresses, telephone numbers of witnesses)
        If the principal making this power of attorney is unable to
        sign it, another individual may sign on behalf of and at the
        direction of the principal.
        Signature of person signing on my behalf:
        (Name, address telephone number)
      § 5834.  Operation.
        (a)  When operative.--A mental health power of attorney shall
     become operative when:
            (1)  A copy is provided to the attending physician.
            (2)  The conditions stated in the power of attorney are
        met.
        (b)  Invalidity of specific direction.--If a specific
     direction in a mental health power of attorney is held to be
     invalid, the invalidity does not negate other directions in the
     mental health power of attorney that can be effected without the
     invalid direction.
        (c)  Duration.--A mental health power of attorney shall be
     valid until revoked by the principal or until two years after
     the date of execution. If a mental health power of attorney for
     mental health treatment has been invoked and is in effect at the
     specified date of expiration after its execution, the mental
     health power of attorney shall remain effective until the
     principal is no longer incapable.
        (d)  Court approval unnecessary.--A mental health care
     decision made by a mental health care agent for a principal
     shall be effective without court approval.
      § 5835.  Appointment of mental health care agents.
        (a)  Successor mental health care agents.--A principal may
     appoint one or more successor agents who shall serve in the
     order named in the mental health power of attorney unless the
     principal expressly directs to the contrary.
        (b)  Who may not be appointed mental health care agent.--
     Unless related to the principal by blood, marriage or adoption,
     a principal may not appoint any of the following to be the
     mental health care agent:
            (1)  The principal's attending physician or other mental
        health care provider or an employee of the attending
        physician or other mental health care provider.
            (2)  An owner, operator or employee of a residential
        facility in which the principal receives care.
      § 5836.  Authority of mental health care agent.
        (a)  Extent of authority.--Except as expressly provided
     otherwise in a mental health power of attorney and subject to
     subsections (b) and (c), a mental health care agent may make any
     mental health care decision and exercise any right and power
     regarding the principal's care, custody and mental health care
     treatment that the principal could have made and exercised.
        (b)  Powers not granted.--A mental health power of attorney
     may not convey the power to relinquish parental rights or
     consent to psychosurgery.
        (c)  Powers and duties only specifically granted.--Unless
     specifically included in a mental health power of attorney, the
     agent shall not have the power to consent to electroconvulsive
     therapy or to experimental procedures or research.
        (d)  Mental health care decisions.--After consultation with
     mental health care providers and after consideration of the
     prognosis and acceptable alternatives regarding diagnosis,
     treatments and side effects, a mental health care agent shall
     make mental health care decisions in accordance with the mental
     health care agent's understanding and interpretation of the
     instructions given by the principal at a time when the principal
     had the capacity to make and communicate mental health care
     decisions. Instructions include a declaration made by the
     principal and any clear written or verbal directions that cover
     the situation presented. In the absence of instructions, the
     mental health care agent shall make mental health care decisions
     conforming with the mental health care agent's assessment of the
     principal's preferences.
        (e)  Mental health care information.--
            (1)  Unless specifically provided otherwise in a mental
        health power of attorney, a mental health care agent shall
        have the same rights and limitations as the principal to
        request, examine, copy and consent or refuse to consent to
        the disclosure of mental health care information.
            (2)  Disclosure of mental health care information to a
        mental health care agent shall not be construed to constitute
        a waiver of any evidentiary privilege or right to assert
        confidentiality.
            (3)  A mental health care provider that discloses mental
        health care information to a mental health care agent in good
        faith shall not be liable for the disclosure.
            (4)  A mental health care agent may not disclose mental
        health care information regarding the principal except as is
        reasonably necessary to perform the agent's obligations to
        the principal or as otherwise required by law.
        (f)  Liability of agent.--A mental health care agent shall
     not be personally liable for the costs of care and treatment of
     the principal.
      § 5837.  Removal of agent.
        (a)  Grounds for removal.--A mental health care agent may be
     removed by the court for any of the following reasons:
            (1)  Death or incapacity.
            (2)  Noncompliance with a mental health power of
        attorney.
            (3)  Physical assault or threats of harm.
            (4)  Coercion.
            (5)  Voluntary withdrawal by the agent.
            (6)  Divorce.
        (b)  Notice of voluntary withdrawal.--
            (1)  A mental health care agent who voluntarily withdraws
        shall inform the principal.
            (2)  If the mental health power of attorney is in effect,
        the agent shall notify providers of mental health treatment.
        (c)  Challenges.--Third parties may challenge the authority
     of a mental health agent in the orphan's court division of the
     court of common pleas.
        (d)  Effect of removal.--If a mental health power of attorney
     provides for a substitute agent, then the substitute agent shall
     assume responsibility when the agent is removed. If the power of
     attorney does not provide for a substitute, then a mental health
     care provider shall follow any instructions in the power of
     attorney.
      § 5838.  Effect of divorce.
        If the spouse of a principal is designated as the principal's
     mental health care agent and thereafter either spouse files an
     action in divorce, the designation of the spouse as mental
     health care agent shall be revoked as of the time the action is
     filed unless it clearly appears from the mental health power of
     attorney that the designation was intended to continue to be
     effective notwithstanding the filing of an action in divorce by
     either spouse.
      § 5839.  Revocation.
        (a)  When a mental health power of attorney may be revoked.--
     A mental health power of attorney may be revoked by the
     principal at any time, either orally or in writing in whole or
     in part, unless the principal has been found to be incapable of
     making mental health treatment decisions or the principal has
     been involuntarily committed.
        (b)  Capacity to revoke.--Notwithstanding subsection (a),
     during a period of involuntary commitment pursuant to Article
     III of the act of July 9, 1976 (P.L.817, No.143), known as the
     Mental Health Procedures Act, a principal may revoke the mental
     health power of attorney only if found to be capable of making
     mental health decisions after examination by a psychiatrist and
     one of the following: another psychiatrist, a psychologist, a
     family physician, an attending physician or a mental health
     treatment professional. Whenever possible, at least one of the
     decision makers shall be a treating professional of the
     declarant or principal.
        (c)  Effect of revocation.--A revocation shall be effective
     upon communication to the attending physician or other mental
     health care provider by the principal or a witness to the
     revocation of the intent to revoke.
        (d)  Mental health record.--The attending physician or other
     mental health care provider shall make the revocation or a
     finding of capacity part of the mental health record of the
     declarant.
        (e)  Reliance on mental health power of attorney.--A
     physician or other mental health care provider may rely on the
     effectiveness of a mental health power of attorney unless
     notified of its revocation.
        (f)  Subsequent action by agent.--A mental health care agent
     who has notice of the revocation of a mental health power of
     attorney may not make or attempt to make mental health care
     decisions for the principal.
      § 5840.  Amendment.
        While having the capacity to make mental health decisions, a
     principal may amend a mental health power of attorney by a
     writing executed in accordance with the provisions of section
     5832 (relating to execution).
      § 5841.  Relation of mental health care agent to court-
                appointed guardian and other agents.
        (a)  Procedure.--
            (1)  Upon  receipt of notice of a guardianship
        proceeding, a provider shall notify the court and the agent
        at the guardianship proceeding of the existence of a mental
        health advance directive.
            (2)  Upon receipt of a notice of guardianship proceeding,
        the agent shall inform the court of the contents of the
        mental health advance directive.
        (b)  Accountability of mental health care agent.--
            (1)  If a principal who has executed a mental health
        power of attorney is later adjudicated an incapacitated
        person, the mental health power of attorney shall remain in
        effect.
            (2)  The court shall give preference to allowing the
        agent to continue making mental health care decisions as
        provided in the mental health advance directive unless the
        principal specified that the guardian has the power to
        terminate, revoke or suspend the mental health power of
        attorney in the advance directive.
            (3)  If, after thorough examination, the court grants the
        powers contained in the mental health advance directive to
        the guardian, the guardian shall be bound by the same
        obligations as the agent would have been.
        (c)  Nomination of guardian of person.--In a mental health
     power of attorney, a principal may nominate the guardian of the
     person for the principal for consideration by the court if
     incapacity proceedings for the principal's person are thereafter
     commenced. If the court determines that the appointment of a
     guardian is necessary, the court shall appoint in accordance
     with the principal's most recent nomination except for good
     cause or disqualification.
      § 5842.  Duties of attending physician and mental health care
                provider.
        (a)  Compliance with decisions of mental health care agent.--
     Subject to any limitation specified in a mental health power of
     attorney, an attending physician or mental health care provider
     shall comply with a mental health care decision made by a mental
     health care agent to the same extent as if the decision had been
     made by the principal.
        (b)  Mental health record.--
            (1)  An attending physician or mental health care
        provider who is given a mental health power of attorney shall
        arrange for the mental health power of attorney or a copy to
        be placed in the mental health record of the principal.
            (2)  An attending physician or mental health care
        provider to whom an amendment or revocation of a mental
        health power of attorney is communicated shall promptly enter
        the information in the mental health record of the principal
        and maintain a copy if one is furnished.
        (c)  Record of determination.--An attending physician who
     determines that a principal is unable to make or has regained
     the capacity to make mental health treatment decisions or makes
     a determination that affects the authority of a mental health
     care agent shall enter the determination in the mental health
     record of the principal and, if possible, promptly inform the
     principal and any mental health care agent of the determination.
      § 5843.  Construction.
        (a)  General rule.--Nothing in this subchapter shall be
     construed to:
            (1)  Affect the requirements of other laws of this
        Commonwealth regarding consent to observation, diagnosis,
        treatment or hospitalization for a mental illness.
            (2)  Authorize a mental health care agent to consent to
        any mental health care prohibited by the laws of this
        Commonwealth.
            (3)  Affect the laws of this Commonwealth regarding any
        of the following:
                (i)  The standard of care of a mental health care
            provider required in the administration of mental health
            care or the clinical decision-making authority of the
            mental health care provider.
                (ii)  When consent is required for mental health
            care.
                (iii)  Informed consent for mental health care.
            (4)  Affect the ability to admit a person to a mental
        health facility under the voluntary and involuntary
        commitment provisions of the act of July 9, 1976 (P.L.817,
        No.143), known as the Mental Health Procedures Act.
        (b)  Disclosure.--
            (1)  The disclosure requirements of section 5836(e)
        (relating to authority of mental health care agent) shall
        supersede any provision in any other State statute or
        regulation that requires a principal to consent to disclosure
        or which otherwise conflicts with section 5836(e), including,
        but not limited to, the following:
                (i)  The act of April 14, 1972 (P.L.221, No.63),
            known as the Pennsylvania Drug and Alcohol Abuse Control
            Act.
                (ii)  Section 111 of the act of July 9, 1976
            (P.L.817, No.143), known as the Mental Health Procedures
            Act.
                (iii)  The act of October 5, 1978 (P.L.1109, No.261),
            known as the Osteopathic Medical Practice Act.
                (iv)  Section 41 of the act of December 20, 1985
            (P.L.457, No.112), known as the Medical Practice Act of
            1985.
                (v)  The act of November 29, 1990 (P.L.585, No.148),
            known as the Confidentiality of HIV-Related Information
            Act.
            (2)  The disclosure requirements under section 5836(e)
        shall not apply to the extent that the disclosure would be
        prohibited by Federal law and implementing regulations.
        (c)  Notice and acknowledgment requirements.--The notice and
     acknowledgment requirements of section 5601(c) and (d) (relating
     to general provisions) shall not apply to a power of attorney
     that provides exclusively for mental health care decision
     making.
        (d)  Legal remedies.--An interested party may file a petition
     seeking a determination that following the directions in the
     declaration or the mental health power of attorney may cause
     potential irreparable harm or death. In that event, the court
     may invalidate some or all of the provisions and issue orders
     appropriate to the circumstances authorizing treatment. The
     courts shall issue an order within 72 hours from the filing of
     the petition.
      § 5844.  Conflicting provisions.
        If a provision of a mental health power of attorney conflicts
     with:
            (1)  The provision of another mental health power of
        attorney or with a provision of a declaration, the provision
        of the instrument latest in date of execution shall prevail
        to the extent of the conflict.
            (2)  A power of attorney, the provision in the mental
        health power of attorney shall prevail to the extent of the
        conflict regardless of the date of execution.
      § 5845.  Validity.
        This subchapter shall not be construed to limit the validity
     of a health care power of attorney executed prior to the
     effective date of this subchapter. A mental health power of
     attorney executed in another state or jurisdiction and in
     conformity with the laws of that state or jurisdiction shall be
     considered valid in this Commonwealth, except to the extent that
     the mental health power of attorney executed in another state or
     jurisdiction would allow a mental health care agent to make a
     mental health care decision inconsistent with the laws of this
     Commonwealth.
        Section 2.  Section 7203(d) of Title 20 is amended to read:
      § 7203.  Prudent investor rule.
        * * *
        (d)  Requirements for charitable trusts [holding a
     controlling interest in] having voting control of certain
     publicly traded business corporations.--
            (1)  Notwithstanding any other legal requirement or
        process which may include court review of the activities of a
        charitable trust, a fiduciary for a charitable trust with a
        majority of its beneficiaries at a principal location within
        this Commonwealth [holding a controlling interest in] having
        voting control of a publicly traded business corporation
        received as an asset from the settlor shall not consummate
        any [investment or management decision executing a change in
        the trust's] transaction, or vote to permit consummation of
        or otherwise act to consummate any transaction, which would
        result in the trust no longer having voting control of that
        corporation, by sale, merger, consolidation or otherwise,
        without:
                (i)  serving notice upon the Attorney General at
            least 60 days prior to [executing] the [change in
            control] consummation of the transaction; and
                (ii)  directing that at least 30 days' prior notice
            of the [execution of the change in control] consummation
            of the transaction be provided by the publicly traded
            business corporation controlled by the trust to employees
            of [the publicly traded business] that corporation [held
            by the trust] who are located in this Commonwealth.
            (2)  In addition to any other power or duty provided by
        law, the Attorney General also has the power to [obtain] seek
        judicial review pursuant to this subsection from the court
        having jurisdiction over the trust if the Attorney General
        concludes that the [fiduciary should be prevented from
        executing such a change in control.] consummation of a
        transaction described in paragraph (1) is unnecessary for the
        future economic viability of the corporation and would
        constitute a failure to comply with the provisions of
        subsection (c) or an impairment of the charitable purpose of
        the trust.
            (3)  In [obtaining judicial approval] a judicial
        proceeding commenced by the Attorney General under this
        subsection, the [fiduciary] Attorney General must prove by
        [clear and convincing] a preponderance of the evidence that
        [executing the change in the trust's] consummation of a
        transaction which would result in the charitable trust no
        longer having voting control of the corporation [is necessary
        to maintain the economic viability of the corporation and
        prevent a significant diminution of trust assets or to avoid]
        is unnecessary for the future economic viability of the
        corporation and must be prevented in order to avoid
        noncompliance with the provisions of subsection (c) or an
        impairment of the charitable purpose of the trust.
            (3.1)  If a fiduciary provides the notice under paragraph
        (1)(i), the following apply:
                (i)  Except as set forth in subparagraph (ii), upon
            expiration of the notice period under paragraph (1)(i),
            the fiduciary may:
                    (A)  vote to permit consummation of a transaction
                described in paragraph (1); or
                    (B)  otherwise act to consummate the transaction
                described in paragraph (1).
                (ii)  The fiduciary has no authority under
            subparagraph (i) if the Attorney General has, within 30
            days of receiving the notice under paragraph (1)(i),
            commenced a judicial proceeding under paragraph (2).
                (iii)  If the fiduciary is enjoined in a judicial
            proceeding under subparagraph (ii), the fiduciary shall
            not have authority under subparagraph (i)(A) or (B)
            unless the injunction is dissolved by:
                    (A)  stipulation of the fiduciary and the
                Attorney General; or
                    (B)  an order of a court of competent
                jurisdiction which is not subject to further judicial
                review as of right.
            (4)  In the event court approval to consummate a
        transaction described in paragraph (1) is obtained pursuant
        to this subsection, the court shall ensure that the
        provisions of 15 Pa.C.S. Ch. 25 Subchs. I (relating to
        severance compensation for employees terminated following
        certain control-share acquisitions) and J (relating to
        business combination transactions - labor contracts) apply to
        the [execution of a change in the trust's control effectuated
        by the fiduciary of a charitable trust with beneficiaries at
        a principal location within this Commonwealth holding a
        controlling interest in a publicly traded] business
        corporation [received as an asset from the settlor.]
        described in paragraph (1) upon the consummation of the
        transaction.
            (5)  A fiduciary of a charitable trust with a majority of
        its beneficiaries at a principal location within this
        Commonwealth [holding a controlling interest in] having
        voting control of a publicly traded business corporation
        received as an asset from the settlor shall not be subject to
        liability for the commercially reasonable sale of certain
        shares of the corporation not necessary to maintain voting
        control and for which no control premium is realized if the
        fiduciary reasonably determined that such sale was authorized
        in a manner consistent with the requirements of this section
        and other applicable provisions of this title.
            (6)  The requirements of this subsection shall not apply
        to a noncharitable trust, including a noncharitable trust
        with a charitable remainder and a charitable trust which
        reverts to noncharitable purposes.
            (7)  As used in this subsection, the term "voting
        control" means a majority of the voting power of the
        outstanding shares of stock entitled to vote on the election
        of directors.
        Section 3.  Section 4 of the act of November 6, 2002
     (P.L.1101, No.133), entitled "An act amending Title 20
     (Decedents, Estates and Fiduciaries) of the Pennsylvania
     Consolidated Statutes, further providing for the prudent
     investor rule; codifying existing law setting forth the
     applicability of provisions relating to diversification; and
     making a repeal," is repealed.
        Section 4.  The provisions of this act are severable. If any
     provision of this act or its application to any person or
     circumstance is held invalid, the invalidity shall not affect
     other provisions or applications of this act which can be given
     effect without the invalid provision or application.
        Section 5.  This act shall take effect as follows:
            (1)  The following provisions shall take effect
        immediately:
                (i)  the amendment of 20 Pa.C.S. § 7203(d).
                (ii)  Section 3 of this act.
                (iii)  This section.
            (2)  The remainder of this act shall take effect in 60
        days.

     APPROVED--The 30th day of November, A. D. 2004.

     EDWARD G. RENDELL

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