For the purposes of this chapter, the term:
Prior Codifications 1981 Ed., § 21-2011. Effect of Amendments D.C. Law 16-79 added pars. (5A) and (5B). D.C. Law 16-305, in par. (24), substituted "individuals with mental retardation" for "mentally retarded individuals". D.C. Law 17-249 redesignated former par. (1) as par. (1A); added pars. (1), (5C), (11A), (25A); and rewrote par. (8), which had read as follows: "(8) 'Guardian' means a person who has qualified as a guardian of an incapacitated individual pursuant to court appointment and includes a limited guardian as described in section 21-2044(c), but excludes one who is merely a guardian ad litem." D.C. Law 19-169, in par. (7), substituted "developmental disability" for "mental retardation"; and, in par. (24), substituted "Qualified developmental disability" for "Qualified mental retardation" and "intellectual disabilities" for "mental retardation". Temporary Amendments of Section Section 2(a) of D.C. Law 12-249 added (5A) to read as follows: For the purposes of this chapter, the term: * * *** "(5A) "Emergency care" means immediate treatment, including diagnostic treatment, provided in response to a sudden, acute, and unanticipated medical crisis in order to avoid injury, extreme pain, impairment, or death." Section 5(b) of D.C. Law 12-249 provided that this act shall expire after 225 days of its having taken effect. Section 2 (a) of D.C. Law 13-88 added a definition of emergency care. Section 5 (b) of D.C. Law 13-88 provides that the act shall expire after 225 days of its having taken effect. Section 2(a) of D.C. Law 13-221 added par. (5A) which defined "emergency care". Section 5(b) of D.C. Law 13-221 provides that the act shall expire after 225 days of its having taken effect. Section 2(a) of D.C. Law 14-64 added par. (5A) to read as follows: "(5A) 'Emergency care' means immediate treatment, including diagnostic treatment, provided in response to a sudden, acute, and unanticipated medical crisis in order to avoid injury, extreme pain, impairment, or death." Section 5(b) of D.C. Law 14-64 provides that the act shall expire after 225 days of its having taken effect. Section 2(a) of D.C. Law 14-241 added par. (5A) to read as follows: "(5A) 'Emergency care' means immediate treatment, including diagnostic treatment, provided in response to a sudden, acute, and unanticipated medical crisis in order to avoid injury, extreme pain, impairment, or death." Section 5(b) of D.C. Law 14-241 provides that the act shall expire after 225 days of its having taken effect. Section 2(a) of D.C. Law 15-98 added par. (5A) to read as follows: "(5A) 'Emergency care' means immediate treatment, including diagnostic treatment, provided in response to a sudden, acute, and unanticipated medical crisis in order to avoid injury, extreme pain, impairment, or death." Section 5(b) of D.C. Law 15-98 provides that the act shall expire after 225 days of its having taken effect. Section 2(a) of D.C. Law 15-245 added par. (5A) to read as follows: "(5A) 'Emergency care' means immediate treatment, including diagnostic treatment, provided in response to a sudden, acute, and unanticipated medical crisis in order to avoid injury, extreme pain, impairment, or death.". Section 5(b) of D.C. Law 15-245 provides that the act shall expire after 225 days of its having taken effect. Section 2(a) of D.C. Law 16-46 added par. (5A) to read as follows: "(5A) 'Emergency care' means immediate treatment, including diagnostic treatment, provided in response to a sudden, acute, and unanticipated medical crisis in order to avoid injury, extreme pain, impairment, or death." Section 6(b) of D.C. Law 16-46 provides that the act shall expire after 225 days of its having taken effect. Section 2(b) of D.C. Law 16-194 redesignated par. (1) as par. (1A), added pars. (1), (5C), (11A), and (25A), and amended par. (8) to read as follows: "(1) 'Best interests' means promoting personal well-being by assessing: "(A) The reason for the proposed action, its risks and benefits, and any alternatives considered and rejected; and "(B) The least intrusive, least restrictive, and most normalizing course of action possible to provide for the needs of the individual." "(5C) 'Emergency care' means immediate treatment, including diagnostic treatment, provided in response to a sudden, acute, and unanticipated medical crisis in order to avoid injury, extreme pain, impairment, or death." "(8) 'Guardian' means a person other than a guardian ad litem who has qualified as a guardian of an incapacitated individual pursuant to court appointment, and includes: "(A) A limited guardian whose powers are limited by the court as described in section 21-2044(c); "(B) A temporary guardian appointed as described in section 21-2046 for a finite period of time to serve as: "(i) An emergency guardian whose authority may not extend beyond 15 days and who may exercise any powers granted by court order and not prohibited by law; "(ii) A health-care guardian whose authority is granted for up to 90 days and may be extended for up to an additional 90 days to provide substituted consent in accordance with section 21-2210 for an individual certified as incapacitated for a health-care decision; or "(iii) A provisional guardian whose authority is granted for a specified period not to exceed 6 months, upon the court's finding that any guardian is not effectively performing duties and that the welfare of the incapacitated individual requires immediate action; and "(C) A general guardian not limited by the court in scope as described in section 21-2044(c) or in time as described in section 21-2046." "(11A) 'Incapacitated individual for health-care decisions' means an adult individual who lacks sufficient mental capacity to: "(A) Appreciate the nature and implications of a health-care decision; "(B) Make a choice regarding the alternatives presented; or "(C) Communicate that choice in an unambiguous manner." "(25A) 'Substituted judgment' means making a decision that conforms as closely as possible with the decision that the individual would have made, based upon knowledge of the beliefs, values, and preferences of the individual.". Section 6(b) of D.C. Law 16-194 provides that the act shall expire after 225 days of its having taken effect. Section 2(b) of D.C. Law 17-100 redesignated par. (1) as par. (1A), and amended par. (8) and added pars. (1), (5C), (11A), and (25A) to read as follows: "(1) 'Best interests' means promoting personal well-being by assessing: "(A) The reason for the proposed action, its risks and benefits, and any alternatives considered and rejected; and "(B) The least intrusive, least restrictive, and most normalizing course of action possible to provide for the needs of the individual." "(5C) 'Emergency care' means immediate treatment, including diagnostic treatment, provided in response to a sudden, acute, and unanticipated medical crisis in order to avoid injury, extreme pain, impairment, or death." "(8) 'Guardian' means a person who has qualified as a guardian of an incapacitated individual pursuant to court appointment, not including a guardian ad litem, but including: "(A) A limited guardian whose powers are limited by the court as described in section 21-2044(c); "(B) A temporary guardian appointed as described in section 21-2046 for a finite period of time to serve as: "(i) An emergency guardian whose authority may not extend beyond 15 days and who may exercise any powers granted by court order and not prohibited by law; "(ii) A health-care guardian whose authority is granted for up to 90 days and may be extended for up to an additional 90 days to provide substituted consent in accordance with section 21-2210 for an individual certified as incapacitated for a health-care decision; or "(iii) A provisional guardian whose authority is granted for a specified period not to exceed 6 months, upon the court's finding that any guardian is not effectively performing duties and that the welfare of the incapacitated individual requires immediate action; and "(C) A general guardian not limited by the court in scope as described in section 21-2044(c) or in time as described in section 21-2046." "(11A) 'Incapacitated individual for health-care decisions' means an adult individual who lacks sufficient mental capacity to: "(A) Appreciate the nature and implications of a health-care decision; "(B) Make a choice regarding the alternatives presented; or "(C) Communicate that choice in an unambiguous manner." "(25A) 'Substituted judgment' means making a decision that conforms as closely as possible with the decision that the individual would have made, based upon the knowledge of the beliefs, values, and preferences of the individual." Section 6(b) of D.C. Law 17-100 provides that the act shall expire after 225 days of its having taken effect. Emergency Act Amendments For temporary amendment of section, see § 2(a) of the Mentally Retarded Citizens Substituted Consent for Health Care Decisions Emergency Amendment Act of 1998 (D.C. Act 12-554, December 30, 1998, 45 DCR 566). For temporary amendment of section, see § 2(a) of the Mentally Retarded Citizens Substituted Consent for Health Care Decisions Congressional Review Emergency Amendment Act of 1999 (D.C. Act 13-56, April 16, 1999, 46 DCR 4289). For temporary (90-day) amendment of section, see § 2(a) of the Mentally Retarded Citizens Substituted Consent for Health Care Decisions Congressional Review Emergency Amendment Act of 1999 (D.C. Act 13-56, April 16, 1999, 46 DCR 3858). For temporary (90-day) amendment of section, see § 2(a) of the Citizens with Mental Retardation Substituted Consent for Health Care Decisions Emergency Amendment Act of 1999 (D.C. Act 13-202, December 1, 1999, 47 DCR 134). For temporary (90-day) amendment of section, see § 2(a) of the Citizens with Mental Retardation Substituted Consent for Health Care Decisions Congressional Review Emergency Amendment Act of 2000 (D.C. Act 13-285, March 7, 2000, 47 DCR 2033). For temporary (90-day) amendment of section, see § 2(a) of the Citizens with Mental Retardation Substituted Consent for Health Care Decisions Congressional Review Emergency Amendment Act of 2000 (D.C. Act 13-455, November 7, 2000, 47 DCR 9415). For temporary (90 day) amendment of section, see § 2(a) of Citizens with Mental Retardation Substituted Consent for Health Care Decisions Congressional Review Emergency Amendment Act of 2001 (D.C. Act 14-3, February 13, 2001, 48 DCR 2251). For temporary (90 day) amendment of section, see § 2 of Citizens with Mental Retardation Substituted Consent for Health Care Decisions Emergency Amendment Act of 2001 (D.C. Act 14-143, October 23, 2001, 48 DCR 9944). For temporary (90 day) amendment of section, see § 2(a) of Citizens with Mental Retardation Substituted Consent for Health Care Decisions Congressional Review Emergency Amendment Act of 2002 (D.C. Act 14-246, January 28, 2002, 49 DCR 1040). For temporary (90 day) amendment of section, see § 2(a) of Citizens with Mental Retardation Substituted Consent for Health Care Decisions Emergency Amendment Act of 2002 (D.C. Act 14-514, October 23, 2002, 49 DCR 10480). For temporary (90 day) amendment of section, see § 2(a) of Citizens with Mental Retardation Substituted Consent for Health Care Decisions Second Congressional Review Emergency Amendment Act of 2002 (D.C. Act 14-602, January 7, 2003, 50 DCR 684). For temporary (90 day) amendment of section, see § 2(a) of Citizens with Mental Retardation Substituted Consent for Health Care Decisions Emergency Amendment Act of 2003 (D.C. Act 15-234, November 25, 2003, 50 DCR 10734). For temporary (90 day) amendment of section, see § 2(a) of Citizens with Mental Retardation Substituted Consent for Health Care Decisions Congressional Review Emergency Amendment Act of 2004 (D.C. Act 15-359, February 19, 2004, 51 DCR 2578). For temporary (90 day) amendment of section, see § 2(a) of Citizens with Mental Retardation Substituted for Health Care Decisions Emergency Amendment Act of 2004 (D.C. Act 15-558, October 26, 2004, 51 DCR 10375). For temporary (90 day) amendment of section, see § 2(a) of Citizens with Mental Retardation Substituted Consent for Health Care Decisions Congressional Review Emergency Amendment Act of 2005 (D.C. Act 16-6, January 19, 2005, 52 DCR 2683). For temporary (90 day) amendment of section, see § 2(a) of Health-Care Decisions for Persons with Mental Retardation and Developmental Disabilities Emergency Amendment Act of 2005 (D.C. Act 16-190, October 28, 2005, 52 DCR 10021). For temporary (90 day) amendment of section, see § 2(a) of Health-Care Decisions for Persons with Mental Retardation and Development Disabilities Congressional Review Emergency Amendment Act of 2006 (D.C. Act 16-262, January 26, 2006, 53 DCR 795). For temporary (90 day) amendment of section, see § 2(b) of Health-Care Decisions for Persons with Developmental Disabilities Emergency Amendment Act of 2006 (D.C. Act 16-480, September 25, 2006, 53 DCR 7940). For temporary (90 day) amendment of section, see § 2(b) of Health-Care Decisions for Persons with Developmental Disabilities Congressional Review Emergency Amendment Act of 2006 (D.C. Act 16-566, December 19, 2006, 53 DCR 10272). For temporary (90 day) amendment of section, see § 2(b) of Health-Care Decisions for Persons with Developmental Disabilities Emergency Act of 2007 (D.C. Act 17-161, October 18, 2007, 54 DCR 10932). For temporary (90 day) amendment of section, see § 2(b) of Health-Care Decisions for Persons with Developmental Disabilities Congressional Review Emergency Amendment Act of 2008 (D.C. Act 17-245, January 23, 2008, 55 DCR 1230). For temporary (90 day) amendment, see § 2(b) of Health-Care Decisions for Persons with Developmental Disabilities Emergency Act of 2008 (D.C. Act 17-492, August 4, 2008, 55 DCR 9167). Legislative History of Laws For legislative history of D.C. Law 6-204, see Historical and Statutory Notes following § 21-2001. Law 12-81, the "Technical Amendments Act of 1998," was introduced in Council and assigned Bill No. 12-408, which was referred to the Committee of the Whole. The Bill was adopted on first and second readings on November 4, 1997, and December 4, 1997, respectively. Signed by the Mayor on December 22, 1997, it was assigned Act No. 12-246 and transmitted to both Houses of Congress for its review. D.C. Law 12-81 became effective on March 24, 1998. Law 12-249, the "Mentally Retarded Citizens Substitute Consent for Health Care Decisions and Emergency Care Definition Temporary Amendment Act of 1998," was introduced in Council and assigned Bill No. 12-757. The Bill was adopted on first and second readings on December 1, 1998, and December 15, 1998, respectively. Signed by the Mayor on December 24, 1998, it was assigned Act No. 12-588 and transmitted to both Houses of Congress for its review. D.C. Law 12- 249 became effective on April 20, 1999. Law 13-221, the "Citizens with Mental Retardation Substituted Consent for Health Care Decisions Temporary Act of 2000", was introduced in Council and assigned Bill No. 13-856. The Bill was adopted on first and second readings on October 3, 2000, and November 8, 2000, respectively. Signed by the Mayor on November 29, 2000, it was assigned Act No. 13-480 and transmitted to both Houses of Congress for its review. D.C. Law 13-221 became effective on April 3, 2001. Law 14-64, the "Citizens With Mental Retardation Substituted Consent for Health Care Decisions Temporary Amendment Act of 2001", was introduced in Council and assigned Bill No. 14-357, which was retained by Council. The Bill was adopted on first and second readings on October 2, 2001, and November 6, 2001, respectively. Signed by the Mayor on November 19, 2001, it was assigned Act No. 14-169 and transmitted to both Houses of Congress for its review. D.C. Law 14-64 became effective on February 27, 2002. Law 14-241, the "Citizens with Mental Health Retardation Substituted Consent for Health Care decisions Temporary Amendment Act of 2002", was introduced in Council and assigned Bill No. 14-871, and was retained by Council. The Bill was adopted on first and second readings on October 1, 2002, and November 7, 2002, respectively. Signed by the Mayor on November 26, 2002, it was assigned Act No. 14-522 and transmitted to both Houses of Congress for its review. D.C. Law 14-241 became effective on March 25, 2003. Law 15-98, the "Citizens with Mental Retardation Substituted Consent for Health Care Decisions Temporary Amendment Act of 2003", was introduced in Council and assigned Bill No. 15-557, and was retained by Council. The Bill was adopted on first and second readings on November 4, 2003, and December 2, 2003, respectively. Signed by the Mayor on December 18, 2003, it was assigned Act No. 15-268 and transmitted to both Houses of Congress for its review. D.C. Law 15-98 became effective on March 10, 2004. Law 15-245, the "Citizens with Mental Retardation Substituted Consent for Health Care Decisions Temporary Amendment Act of 2004", was introduced in Council and assigned Bill No. 15-1051, and was retained by Council. The Bill was adopted on first and second readings on October 5, 2004, and November 9, 2004, respectively. Signed by the Mayor on November 30, 2004, it was assigned Act No. 15-602 and transmitted to both Houses of Congress for its review. D.C. Law 15-245 became effective on March 17, 2005. Law 16-79, the "Domestic Partnership Equality Amendment Act of 2006", was introduced in Council and assigned Bill No. 16-52 which was referred to the Committee on Judiciary. The Bill was adopted on first and second readings on December 6, 2005, and January 4, 2006, respectively. Signed by the Mayor on January 26, 2006, it was assigned Act No. 16-265 and transmitted to both Houses of Congress for its review. D.C. Law 16-79 became effective on April 4, 2006. For Law 16-305, see notes following § 21-501. For Law 17-249, see notes following § 21-2002. For history of Law 19-169, see notes under § 21-501. Uniform Law This section is based upon § 1-201 of the Uniform Guardianship and Protective Proceedings Act (1982 Act). See 8A Uniform Laws Annotated, Master Edition, or ULA Database on WESTLAW. DC CODE § 21-2011 Current through December 11, 2012
(Feb. 28, 1987, D.C. Law 6-204, § 2(a), 34 DCR 632; Mar. 24, 1998, D.C. Law 12-81, § 14(r), 45 DCR 745; Apr. 4, 2006, D.C. Law 16-79, § 7(a), 53 DCR 1035; Apr. 24, 2007, D.C. Law 16-305, § 35(c)(1), 53 DCR 6198; Oct. 22, 2008, D.C. Law 17-249, § 2(b), 55 DCR 9206; Sept. 26, 2012, D.C. Law 19- 169, § 21(h)(2), 59 DCR 5567.)