Issues Law Med. 1992 Spring;7(4):407-28.
Federal legislation requires that health care facilities receiving Medicaid payments must provide their patients upon admission with information on advance directives. The Department of Justice has issued regulations implementing the Americans with Disabilities Act. Oregon is seeking federal approval of a plan to ration health care for Medicaid recipients. A federal court of appeals is reviewing whether section 504 of the Rehabilitation Act applies to infants with disabilities in need of medical care. In cases involving refusal of life-sustaining treatment, state courts continue to grapple with who is the appropriate decisionmaker and what limitations apply to protect incompetent persons. The number of states that have enacted "living will" and durable power of attorney laws has increased.
联邦法律规定，接受医疗补助付款的医疗保健机构必须在患者入院时向其提供有关预先医疗指示的信息。美国司法部已发布实施《美国残疾人法案》的条例。俄勒冈州正在寻求联邦政府批准一项为医疗补助领取者分配医疗资源的计划。一家联邦上诉法院正在审查《康复法案》第504条是否适用于需要医疗护理的残疾婴儿。在涉及拒绝维持生命治疗的案件中，州法院仍在努力解决谁是合适的决策者以及适用哪些限制来保护无行为能力者的问题。已颁布“生前遗嘱”和持久授权书法律的州的数量有所增加。
