Public Act 104-0378
 
SB1411 EnrolledLRB104 07373 JRC 17413 b

    AN ACT concerning civil law.
 
    Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
 
    Section 5. The Illinois Living Will Act is amended by
changing Section 9 and by adding Sections 3.5 and 9.5 as
follows:
 
    (755 ILCS 35/3.5 new)
    Sec. 3.5. Applicability. Section 4-11 of the Illinois
Power of Attorney Act governs the applicability of this Act if
a patient has a health care agency. Notwithstanding Section
9.5 or any other provision in this Act, a declaration is not
operative as long as an agent is available who is authorized by
a health care agency to make decisions concerning
life-sustaining or death delaying procedures for the patient,
and nothing in this Act may impair or supersede the authority
of an agent under a health care agency to make decisions
regarding life-sustaining or death delaying treatment.
 
    (755 ILCS 35/9)  (from Ch. 110 1/2, par. 709)
    Sec. 9. General provisions.
    (a) The withholding or withdrawal of death delaying
procedures from a qualified patient in accordance with the
provisions of this Act shall not, for any purpose, constitute
a suicide.
    (b) The making of a declaration pursuant to Section 3
shall not affect in any manner the sale, procurement, or
issuance of any policy of life insurance, nor shall it be
deemed to modify the terms of an existing policy of life
insurance. No policy of life insurance shall be legally
impaired or invalidated in any manner by the withholding or
withdrawal of death delaying procedures from an insured
qualified patient, notwithstanding any term of the policy to
the contrary.
    (c) No physician, health care facility, or other health
care provider, and no health care service plan, health
maintenance organization, insurer issuing disability
insurance, self-insured employee welfare benefit plan,
nonprofit medical service corporation or mutual nonprofit
hospital service corporation shall require any person to
execute a declaration as a condition for being insured for, or
receiving, health care services.
    (d) Nothing in this Act shall impair or supersede any
legal right or legal responsibility which any person may have
to effect the withholding or withdrawal of death delaying
procedures in any lawful manner. In such respect the
provisions of this Act are cumulative.
    (e) This Act shall create no presumption concerning the
intention of an individual who has not executed a declaration
to consent to the use or withholding of death delaying
procedures in the event of a terminal condition.
    (f) Nothing in this Act shall be construed to condone,
authorize or approve mercy killing or to permit any
affirmative or deliberate act or omission to end life other
than to permit the natural process of dying as provided in this
Act.
    (g) An instrument executed before the effective date of
this Act that substantially complies with subsection (e) of
Section 3 shall be given effect pursuant to the provisions of
this Act.
    (h) A declaration executed in another state in compliance
with the law of that state or this State is validly executed
for purposes of this Act, and such declaration shall be
applied in accordance with the provisions of this Act.
    (i) Documents, writings, forms, and copies referred to in
this Act may be in hard copy or electronic format. Nothing in
this Act is intended to prevent the population of a
declaration, document, writing, or form with electronic data.
Electronic documents under this Act may be created, signed, or
revoked electronically using a generic, technology-neutral
system in which each user is assigned a unique identifier that
is securely maintained and in a manner that meets the
regulatory requirements for a digital or electronic signature.
Compliance with the standards defined in the Uniform
Electronic Transactions Act or the implementing rules of the
Hospital Licensing Act for medical record entry authentication
for author validation of the documentation, content accuracy,
and completeness meets this standard.
    (j) No physician, health care provider, employee, or
facility may require the execution of a POLST or other such
similar form to put into effect the qualified patient's
declaration if a patient has been determined to be a qualified
patient.
    (k) Except as otherwise provided in this Act, a physician,
health care provider, employee, or facility may rely on and
must comply with a qualified patient's declaration that is
apparent and immediately available if a patient has been
determined to be a qualified patient and the patient lacks
ability to give directions regarding the use of death delaying
procedures.
    (l) Nothing in this Act impairs or supersedes a surrogate
decision maker's authority to make decisions regarding
life-sustaining or death delaying treatment on behalf of a
patient who lacks decisional capacity and has a qualifying
condition as defined in the Health Care Surrogate Act.
(Source: P.A. 101-163, eff. 1-1-20; 102-38, eff. 6-25-21.)
 
    (755 ILCS 35/9.5 new)
    Sec. 9.5. Operation of living will. Subject to Section 3.5
and Section 9(l), a declaration under this Act becomes
operative when all of the following conditions have been met:
        (1) it has been validly executed;
        (2) it has not been revoked in accordance with Section
    5;
        (3) the patient is unable to give directions regarding
    the use of life-sustaining or death delaying procedures;
    and
        (4) the patient is a qualified patient.
    An operative and unrevoked living will declaration
continues in effect until revoked in accordance with this Act.