Digital Estate Roles · Roles

Health-care agent

A person named in advance to make health and personal welfare decisions once the person can no longer make them.

54 jurisdictions · 16 countries · role id health-care-agent

Africa

South Africa

Person mandated in writing to consent

South Africa has no enduring power of attorney, but the National Health Act lets a user mandate someone in writing to give informed consent to health services on their behalf once the user cannot give it themselves.

Assigned
User mandates a person in writing to grant consent on his or her behalf Capable
Starts
When the user is unable to give informed consent Incapacitated
Ends
Death of the user Deceased

National Health Act 61 of 2003, s 7(1)(a); National Health Act 61 of 2003, s 7; Administration of Estates Act 66 of 1965, s 14

Asia

India

Nominated representative

Anyone not a minor may appoint a nominated representative in writing on plain paper, or name one in order of precedence in an advance directive that also says how they wish, or do not wish, to be treated for mental illness.

Assigned
Person who is not a minor appoints a nominated representative in writing, or names individuals in order of precedence in an advance directive Capable
Starts
On appointment in writing, signed or thumb-marked, the appointee having accepted Capable
Ends
Revocation of the appointment Capable

The Mental Healthcare Act, 2017 (Act 10 of 2017), s 14; The Mental Healthcare Act, 2017 (Act 10 of 2017), s 5

Singapore

Donee of a lasting power of attorney (personal welfare)

The same instrument may confer authority over personal welfare, and it works the same way: created only on registration, exercisable only once P lacks capacity for the decision in question.

Assigned
P executes an instrument conferring authority over personal welfare on a donee who meets the statutory requirements Capable
Starts
On registration, and when P no longer has capacity to make the welfare decision Incapacitated
Ends
P revokes the power at any time while having capacity to do so Capable
Death of P; the estate passes to the personal representative Deceased

Mental Capacity Act 2008, s 11; Mental Capacity Act 2008, s 12; Mental Capacity Act 2008, s 15; Probate and Administration Act 1934, s 8

Europe

France

Personne de confiance — Trusted person for health decisions

Designated in writing and co-signed by the designee, consulted when the patient can no longer express their will. Its distinguishing feature is evidential: the personne de confiance reports the patient's wishes and that testimony prevails over any other.

Assigned
Adult designates a relative, a close person or their doctor in writing; the designation is co-signed by the designee and valid without time limit Capable
Starts
When the patient is no longer able to express their will and receive the information needed for that purpose Incapacitated
Ends
Revised or revoked at any time, by either the patient or the personne de confiance Capable
Death of the patient Deceased

Code de la santé publique, art. L1111-6; Code civil, art. 724

Germany — federal law

Bevollmächtigter in Gesundheitsangelegenheiten — Authorised person in health matters

The same agent acting for health care. Consent to risky measures, confinement and coercive treatment requires written authority that expressly covers them.

Assigned
Written power of attorney expressly covering health measures Capable
Starts
On the principal becoming unable to consent Incapacitated
Ends
Revocation, or death of the principal Deceased

BGB § 1820; BGB § 1827; BGB § 168

Ireland

Attorney under an enduring power (personal welfare)

The same instrument may cover personal welfare. The 2022 Act repealed the separate welfare-scope section and folded that authority into s 59 itself.

Assigned
Donor confers authority over all or part of personal welfare in the enduring power Capable
Starts
Registration under s 69 and the donor's lack of capacity, on the same cumulative test as the property side Incapacitated
Ends
Revocation, disclaimer or removal from the Register Incapacitated
Death of the donor Deceased

Assisted Decision-Making (Capacity) Act 2015, s 59; Assisted Decision-Making (Capacity) Act 2015, s 69; Succession Act 1965, s 10

Ireland

Designated healthcare representative

Named inside an advance healthcare directive rather than in a separate instrument, and must sign it to accept. Its core power is to ensure the directive is complied with; interpretive and consent powers are optional add-ons.

Assigned
Directive-maker designates a named individual in an advance healthcare directive, who signs to confirm willingness Capable
Starts
When the directive applies, on the directive-maker's loss of capacity Incapacitated
Ends
Directive revoked, or the representative declines or is disqualified Incapacitated
Death of the directive-maker Deceased

Assisted Decision-Making (Capacity) Act 2015, s 87; Assisted Decision-Making (Capacity) Act 2015, s 88; Succession Act 1965, s 10

Italy

Health-care representative under advance directives (fiduciario) — Health-care representative under advance directives

Under the 2017 law on informed consent and advance directives, an adult may record their wishes about treatment and name a person of trust — the fiduciario — to stand in their place and represent them with the doctor and the health service. If there is no fiduciary, or they decline, die or become incapable, the directives keep their effect and the giudice tutelare may appoint a support administrator if needed.

Assigned
An adult capable of understanding and willing, anticipating possible future incapacity and after receiving adequate medical information, makes advance directives and names a person of trust to represent them Capable
Starts
The fiduciary stands in the person’s place with the doctor and the health service; acceptance is by signing the directives or by a later act annexed to them Incapacitated
Ends
The directives contain no fiduciary, or the fiduciary renounces, dies or becomes incapable — the directives keep their effect and, if needed, the giudice tutelare appoints a support administrator Incapacitated

L. 219/2017 art. 4; Codice civile art. 404

Netherlands

Schriftelijk gemachtigde (WGBO) — Representative authorised in writing

A person authorised in writing to stand in the patient's place for treatment decisions. It ranks below a curator or mentor but above the family, and needs only a written authorisation, not a notarial deed.

Assigned
Patient authorises a person in writing to act in their place Capable
Starts
When the care provider judges the adult patient incapable of a reasonable appraisal of their interests, and no curatele or mentorschap is in place Incapacitated
Ends
Curatele or mentorschap instituted, which displaces the written authorisation Incapacitated
Patient regains capacity, or dies Deceased

Burgerlijk Wetboek Boek 7, art. 7:465; Burgerlijk Wetboek Boek 1, art. 1:450

Spain — state law

Representante designado en instrucciones previas — Representative named in advance instructions

Through an advance instructions document a person states their treatment wishes and may name a representative; it also covers what happens to the body and organs after death.

Assigned
Named in the instrucciones previas document Capable
Starts
When the grantor can no longer express their wishes personally Incapacitated
Ends
Authority over the body and organs continues past death by the document’s own terms; the document itself may be revoked freely in writing at any time while the grantor can do so Deceased

Ley 41/2002 art. 11; Ley 41/2002 art. 11.4

UK — England & Wales

Attorney under a health and welfare lasting power of attorney

A registered health and welfare LPA lets the attorney decide about care, where the donor lives and medical treatment. It works only when the donor lacks capacity for the decision, or the attorney reasonably believes so. The attorney can decide about life-sustaining treatment only if the LPA expressly says so.

Assigned
Donor (18+, with capacity) executes the prescribed LPA form Capable
Starts
Registered by OPG AND donor lacks (or attorney reasonably believes donor lacks) capacity for the particular decision Incapacitated
Ends
Donor dies (LPA ends automatically; executors/personal representatives take over) Deceased
Donor revokes while having capacity (deed of revocation sent to OPG) Capable
Attorney disclaims, dies or lacks capacity, or the marriage or civil partnership between donor and attorney is dissolved or annulled (unless the LPA says otherwise). This ends that attorney's appointment. It revokes the LPA unless a replacement or a joint-and-several co-attorney remains Incapacitated
Court of Protection determines the power revoked or invalid, or revokes it for fraud or for acts not in the donor's best interests; OPG cancels registration Incapacitated

Mental Capacity Act 2005 s 9; Mental Capacity Act 2005 Sch 1; Mental Capacity Act 2005 s 11(7)-(8); GOV.UK, Make, register or end a lasting power of attorney; GOV.UK, Make, register or end a lasting power of attorney: End your lasting power of attorney; OPG, Public Guardian practice note: notification of death (SD16); Powers of Attorney Act 1971 s 5; Mental Capacity Act 2005 s 13

UK — Scotland

Welfare attorney (welfare power of attorney)

An individual appointed to make personal welfare decisions, including medical treatment consent. The power must be registered with the OPG, and it can be used only when the granter is incapable of the decision, or the attorney reasonably believes so. A welfare attorney cannot authorise organ or tissue donation for the granter.

Assigned
Granter subscribes a written document with a welfare-power statement, a statement on how incapacity may be determined, and a certificate Capable
Starts
After registration AND only while the granter is incapable of the decision, or the attorney reasonably believes so Incapacitated
Ends
Death of the granter Deceased
Decree of separation, divorce or nullity (or civil partnership equivalent), unless document provides otherwise Capable
Attorney resigns (28 days after OPG receives notice) Incapacitated
Guardian appointed with powers over the same matter Incapacitated
Revocation by granter (registered notice) or by sheriff Capable

Adults with Incapacity (Scotland) Act 2000 s 16(1)-(3); Adults with Incapacity (Scotland) Act 2000 s 19; Adults with Incapacity (Scotland) Act 2000 s 16(5)(b); Office of the Public Guardian (Scotland), 'Types of power of attorney'; Office of the Public Guardian (Scotland), 'FAQs'; Office of the Public Guardian (Scotland), 'Ending a power of attorney'; Adults with Incapacity (Scotland) Act 2000 s 24(1), (1A); Adults with Incapacity (Scotland) Act 2000 s 23; Adults with Incapacity (Scotland) Act 2000 s 24(2); Adults with Incapacity (Scotland) Act 2000 s 22A; Adults with Incapacity (Scotland) Act 2000 s 20

North America

Canada — British Columbia

Representative under a section 9 (non-standard) representation agreement

A capable adult can authorize a representative to make personal care and health care decisions, including where to live and giving or refusing life-sustaining treatment. The agreement takes effect on execution unless it names a later triggering event. The representative helps the adult decide or decides for the adult; the representative does not need a finding of incapacity. The agreement ends on the adult's death.

Assigned
Adult who understands the nature and consequences signs a s 9 agreement before 2 witnesses (or 1 lawyer or notary); representative signs Capable
Starts
On execution unless the agreement names a later triggering event and says who confirms it. For substitute consent to health care, the health care provider must first be of the opinion that the adult is incapable of consenting. Capable
Ends
Adult dies Deceased
Capable adult revokes with written notice Capable
Court cancels the agreement Incapacitated
Representative resigns, dies or becomes incapable, or spousal relationship ends (unless an alternate or co-representative continues, or the agreement says otherwise) Incapacitated
Adult becomes a patient by court order under the Patients Property Act (unless the court orders otherwise) Incapacitated

Representation Agreement Act, RSBC 1996, c 405, ss 9-10; Representation Agreement Act, RSBC 1996, c 405, s 13; Representation Agreement Act, RSBC 1996, c 405, s 15; Health Care (Consent) and Care Facility (Admission) Act, RSBC 1996, c 181, s 11; Health Care (Consent) and Care Facility (Admission) Act, RSBC 1996, c 181, s 7; Representation Agreement Act, RSBC 1996, c 405, s 29; Representation Agreement Act, RSBC 1996, c 405, s 27; Representation Agreement Act, RSBC 1996, c 405, ss 30, 32; Patients Property Act, RSBC 1996, c 349, ss 19-19.1

Canada — Ontario

Attorney for personal care

A written power of attorney for personal care authorizes an attorney to make personal-care decisions (health care, shelter, nutrition, clothing, hygiene, safety). A provision is effective only when the grantor is incapable. For treatment covered by the HCCA, that means when the health practitioner finds the person incapable. For other decisions, when the attorney has reasonable grounds to believe so, unless the document requires confirmation (by its own method or a capacity assessor).

Assigned
Grantor with capacity under s 47 signs a written POAPC (two witnesses) Capable
Starts
Decision by decision. HCCA decisions: when a health practitioner finds the grantor incapable for that treatment and the HCCA gives the attorney authority. Other decisions: when the attorney has reasonable grounds to believe the grantor is incapable, or on assessor confirmation if the POA requires it. Incapacitated
Ends
Grantor regains capacity for the decision (their own decision governs) Capable
Court appoints a guardian of the person under s 55 Incapacitated
Revocation, or execution of a new POAPC unless multiple are provided for Capable
Attorney dies, becomes incapable of personal care or resigns, with no remaining joint attorney or substitute Incapacitated
Grantor dies: personal-care decision-making ends because there is no living grantor to decide for. Section 53 does NOT list the grantor's death (unlike s 12(1)(f) for CPOAs). Deceased

Substitute Decisions Act, 1992, SO 1992, c 30, s 46; Substitute Decisions Act, 1992, SO 1992, c 30, s 47; Substitute Decisions Act, 1992, SO 1992, c 30, s 48; Substitute Decisions Act, 1992, SO 1992, c 30, s 49; Health Care Consent Act, 1996, SO 1996, c 2, Sched A, s 10; Health Care Consent Act, 1996, SO 1996, c 2, Sched A, s 20; Health Care Consent Act, 1996, SO 1996, c 2, Sched A, s 16; Substitute Decisions Act, 1992, SO 1992, c 30, s 53(1); Substitute Decisions Act, 1992, SO 1992, c 30, s 55

Canada — Québec

Mandatary under a protection mandate (protection of the person)

A person of full age gives a protection mandate in anticipation of incapacity, by notarial act en minute or before 2 witnesses. It has no effect until incapacity is shown by medical and psychosocial assessment reports and the court, or a notary under the CCP, homologates it. The mandatary then consents to care and looks after the person's well-being. It ends when the court finds the mandator capable again, on revocation, or on either party's death.

Assigned
Mandator signs protection mandate (notarial act en minute or before 2 disinterested witnesses) Capable
Starts
Homologation by the court (or before a notary under CCP art 312) on proof of incapacity by medical and psychosocial assessments, on application by the designated mandatary Incapacitated
Ends
Court ascertains mandator has again become capable (presumed if no objection within 30 days after the capacity report is filed) Capable
Death of the mandator or the mandatary (mandatary must notify the Public Curator of the mandator's death) Deceased
Court revokes the mandate for unfaithful performance or other serious reason (and may institute tutorship) Incapacitated
Mandatary renounces after arranging replacement or applying for tutorship Incapacitated

Civil Code of Québec, art 2166; Civil Code of Québec, arts 2166.1, 2167; Code of Civil Procedure, CQLR c C-25.01, art 303; Code of Civil Procedure, CQLR c C-25.01, arts 312, 315; Code of Civil Procedure, CQLR c C-25.01, art 404; Civil Code of Québec, arts 2172-2173; Civil Code of Québec, art 2175; Civil Code of Québec, arts 2182-2184; Civil Code of Québec, arts 2176-2177, 2181; Civil Code of Québec, arts 2174-2174.2

US — uniform/model law + federal

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Individual signs power of attorney for health care (2023: in a record with one qualifying adult witness; 1993: signed writing) Capable
Starts
Finding of lack of capacity under §4(b) or by a court (2023). 1993: primary physician's determination unless the directive says otherwise, or immediately if the POA so specifies Incapacitated
Ends
Principal found to have regained capacity (power ceases; may resume) Capable
Revocation by principal; spouse-agent divorce/separation events; disqualification Capable
Principal's death: neither UHCDA text expressly addresses this; no post-death powers (autopsy, disposition of remains) are granted. Any post-death anatomical-gift authority comes from Revised UAGA §9(a)(1) Deceased

UHCDA §8 (2023); UHCDA §2 (1993); UHCDA §18(a) (2023); UHCDA §4 (2023); UHCDA §2(d) (1993); UHCDA §2 cmt. (1993); UHCDA §15 (2023); UHCDA §15(d) (2023); UHCDA §3 (1993); UHCDA §2(3), (6), (28) (2023); Revised UAGA §9 (2006)

US — Arizona differs from the US model

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Adult signs a health care power of attorney, notarised or witnessed by one qualifying adult (§36-3221) Capable
Starts
Principal is unable to make or communicate health care decisions — the statute prescribes no determination procedure and names no certifier, unlike the mental health care power at §36-3281 Incapacitated
Ends
Revoked by the principal or by court order — the appointment has no other statutory end point Capable
Guardian appointed for the express purpose of making health care decisions becomes the surrogate in the agent's place Incapacitated
Death of principal, except where the instrument also grants funeral and disposition authority, which survives Deceased

A.R.S. § 36-3221; A.R.S. § 36-3223; A.R.S. § 36-3231; A.R.S. § 36-3281; A.R.S. § 36-831; A.R.S. § 36-3224

US — California differs from the US model

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Adult having capacity executes a power of attorney for health care (Health Care Decisions Law, Prob. Code §4600 et seq.) Capable
Starts
Unless the POA provides otherwise, on a determination that the principal lacks capacity, made by the primary physician unless the directive specifies otherwise Incapacitated
Ends
Determination that the principal has recovered capacity (authority ceases; can resume on a new determination) Capable
Revocation by signed writing or by personally informing the supervising provider Capable
Dissolution or annulment of marriage to the agent Capable
Post-death decisions end once anatomical gift, autopsy, remains disposition and records release are completed Deceased

Cal. Prob. Code §4600; Cal. Prob. Code §4671; Cal. Prob. Code §4682; Cal. Prob. Code §4658; Cal. Prob. Code §4695; Cal. Prob. Code §4697; Cal. Prob. Code §4683

US — Colorado differs from the US model

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Individual signs power of attorney for health care (2023: in a record with one qualifying adult witness; 1993: signed writing) Capable
Starts
Finding of lack of capacity under §4(b) or by a court (2023). 1993: primary physician's determination unless the directive says otherwise, or immediately if the POA so specifies Incapacitated
Ends
Principal found to have regained capacity (power ceases; may resume) Capable
Revocation by principal; spouse-agent divorce/separation events; disqualification Capable
Principal's death: neither UHCDA text expressly addresses this; no post-death powers (autopsy, disposition of remains) are granted. Any post-death anatomical-gift authority comes from Revised UAGA §9(a)(1) Deceased

UHCDA §8 (2023); UHCDA §2 (1993); UHCDA §18(a) (2023); UHCDA §4 (2023); UHCDA §2(d) (1993); UHCDA §2 cmt. (1993); UHCDA §15 (2023); UHCDA §15(d) (2023); UHCDA §3 (1993); UHCDA §2(3), (6), (28) (2023); Revised UAGA §9 (2006)

US — Delaware differs from the US model

Agent under power of attorney for health care

An agent appointed under Delaware's Uniform Health-Care Decisions Act (2023). One adult witness who may attend by video or audio alone; no notarisation. An agent is disqualified by a protection-from-abuse petition or order, or any no-contact order. The authority commences on a finding of incapacity and ceases if capacity returns.

Assigned
Individual signs power of attorney for health care (2023: in a record with one qualifying adult witness; 1993: signed writing) Capable
Starts
Finding of lack of capacity under §4(b) or by a court (2023). 1993: primary physician's determination unless the directive says otherwise, or immediately if the POA so specifies Incapacitated
Ends
Principal found to have regained capacity (power ceases; may resume) Capable
Revocation by principal; spouse-agent divorce/separation events; disqualification Capable
Principal's death: neither UHCDA text expressly addresses this; no post-death powers (autopsy, disposition of remains) are granted. Any post-death anatomical-gift authority comes from Revised UAGA §9(a)(1) Deceased

UHCDA §8 (2023); UHCDA §2 (1993); UHCDA §18(a) (2023); UHCDA §4 (2023); UHCDA §2(d) (1993); UHCDA §2 cmt. (1993); UHCDA §15 (2023); UHCDA §15(d) (2023); UHCDA §3 (1993); UHCDA §2(3), (6), (28) (2023); Revised UAGA §9 (2006)

US — Florida differs from the US model

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Principal signs written designation before two subscribing adult witnesses; surrogate may not witness and one witness must be neither spouse nor blood relative Capable
Starts
Primary or attending physician determines principal lacks capacity and enters evaluation in record (second physician if in question); or immediately if the document so stipulates Incapacitated
Ends
Physician determines principal regained capacity (authority ceases but recommences on later incapacity; not applicable to immediately exercisable authority) Capable
Revocation by signed writing, destruction, oral expression, or materially different later directive; effective when communicated Capable
Dissolution or annulment of marriage revokes designation of former spouse Capable
Court in guardianship modifies or revokes surrogate authority Incapacitated
Time of termination stated in the document Capable

Fla. Stat. §765.202 (2026); Fla. Stat. §765.202(2) (2026); Fla. Stat. §765.204(2) (2026); Fla. Stat. §765.204(3) (2026); Fla. Stat. §765.202(6) (2026); Fla. Stat. §765.101(21) (2026); Fla. Stat. §765.203 (2026); Fla. Stat. §765.104 (2026); Fla. Stat. §765.104(2) (2026); Fla. Stat. §744.3115 (2026); Fla. Stat. §765.205 (2026); Fla. Stat. §765.202(7) (2026)

US — Idaho differs from the US model

Agent under power of attorney for health care

A person nominated as health care agent in an advance care planning document. Idaho has no Uniform Health-Care Decisions Act; since 2023 a single statutory instrument, the ACPD, carries whatever advance directions and agent nomination the person chooses, and the instrument itself sets the conditions on which the agent may act.

Assigned
Person aged 18 or older executes an advance care planning document nominating a health care agent; the document is valid if it carries the person’s name, date of birth, telephone number and mailing address, a signature and a date, and blanks are deemed intentional Capable
Starts
The conditions the ACPD itself sets for authorising the agent to act are satisfied; the agent then stands second in the §39-4504 consent order, below a court-appointed guardian Incapacitated
Ends
Principal found to have regained capacity (power ceases; may resume) Capable
Revocation by principal; spouse-agent divorce/separation events; disqualification Capable
Principal's death: neither UHCDA text expressly addresses this; no post-death powers (autopsy, disposition of remains) are granted. Any post-death anatomical-gift authority comes from Revised UAGA §9(a)(1) Deceased

Idaho Code § 39-4510; Idaho Code § 39-4504 [effective until January 1, 2027]; UHCDA §18(a) (2023); UHCDA §2 (1993); UHCDA §15 (2023); UHCDA §15(d) (2023); UHCDA §8 (2023); UHCDA §3 (1993); UHCDA §2(3), (6), (28) (2023); Revised UAGA §9 (2006)

US — Illinois differs from the US model

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Principal signs health care agency witnessed by one adult who is not a restricted person; agent is 18+ and not the treating provider Capable
Starts
Statutory form default: when principal cannot make decisions as determined by treating physician(s) (lack of decisional capacity); optional immediate access to records and communication with providers Incapacitated
Ends
Revocation at any time regardless of mental or physical condition (unless 30-day delayed revocation elected) Capable
Judgment of dissolution or legal separation with agent-spouse Capable
After death: continues only as necessary for anatomical gift, autopsy, disposition of remains, access to medical records, and pending benefits applications while no executor or administrator Estate administration

755 ILCS 45/4-5.1; 755 ILCS 45/4-4; 755 ILCS 45/4-5; 755 ILCS 45/4-10; 755 ILCS 45/4-10(d); 755 ILCS 45/4-10; 755 ILCS 45/4-6; 755 ILCS 45/4-6(a-5); 755 ILCS 45/2-6; 755 ILCS 45/4-3; 755 ILCS 45/4-10(c)(5)-(6); 755 ILCS 45/4-10(c)(6)

US — Indiana differs from the US model

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Declarant signs an advance directive designating one or more health care representatives, before two adult witnesses or a notarial officer — in counterparts, by audiovisual presence, or telephonically where that is impossible or impractical (§16-36-7-28) Capable
Starts
Immediately on signing unless the directive states a delayed date or trigger; where it springs on incapacity, on a written determination by a physician, licensed psychologist or judge, or on the treating physician's note in the medical record Capable
Ends
Valid revocation — by a later directive, by a signed revoking document, or orally in the direct physical presence of a health care provider — but decisions already made stand until the representative or provider has actual knowledge of it Capable
A later-signed conflicting document controls, including one signed in another state where the declarant was physically present Capable
Death of the declarant, except that authority continues for anatomical gifts, autopsy and disposition of the body unless the directive provides otherwise Deceased

Ind. Code § 16-36-7-28; Ind. Code § 16-36-7-34; Ind. Code § 16-36-7-34; Ind. Code § 16-36-7-35; Ind. Code § 16-36-7-32; Ind. Code § 16-36-7-44; Ind. Code § 16-36-7-34

US — Iowa differs from the US model

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Individual signs power of attorney for health care (2023: in a record with one qualifying adult witness; 1993: signed writing) Capable
Starts
Finding of lack of capacity under §4(b) or by a court (2023). 1993: primary physician's determination unless the directive says otherwise, or immediately if the POA so specifies Incapacitated
Ends
Principal found to have regained capacity (power ceases; may resume) Capable
Revocation by principal; spouse-agent divorce/separation events; disqualification Capable
Principal's death: neither UHCDA text expressly addresses this; no post-death powers (autopsy, disposition of remains) are granted. Any post-death anatomical-gift authority comes from Revised UAGA §9(a)(1) Deceased

UHCDA §8 (2023); UHCDA §2 (1993); UHCDA §18(a) (2023); UHCDA §4 (2023); UHCDA §2(d) (1993); UHCDA §2 cmt. (1993); UHCDA §15 (2023); UHCDA §15(d) (2023); UHCDA §3 (1993); UHCDA §2(3), (6), (28) (2023); Revised UAGA §9 (2006)

US — Kansas differs from the US model

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Individual signs power of attorney for health care (2023: in a record with one qualifying adult witness; 1993: signed writing) Capable
Starts
Finding of lack of capacity under §4(b) or by a court (2023). 1993: primary physician's determination unless the directive says otherwise, or immediately if the POA so specifies Incapacitated
Ends
Principal found to have regained capacity (power ceases; may resume) Capable
Revocation by principal; spouse-agent divorce/separation events; disqualification Capable
Principal's death: neither UHCDA text expressly addresses this; no post-death powers (autopsy, disposition of remains) are granted. Any post-death anatomical-gift authority comes from Revised UAGA §9(a)(1) Deceased

UHCDA §8 (2023); UHCDA §2 (1993); UHCDA §18(a) (2023); UHCDA §4 (2023); UHCDA §2(d) (1993); UHCDA §2 cmt. (1993); UHCDA §15 (2023); UHCDA §15(d) (2023); UHCDA §3 (1993); UHCDA §2(3), (6), (28) (2023); Revised UAGA §9 (2006)

US — Kentucky differs from the US model

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Individual signs power of attorney for health care (2023: in a record with one qualifying adult witness; 1993: signed writing) Capable
Starts
Finding of lack of capacity under §4(b) or by a court (2023). 1993: primary physician's determination unless the directive says otherwise, or immediately if the POA so specifies Incapacitated
Ends
Principal found to have regained capacity (power ceases; may resume) Capable
Revocation by principal; spouse-agent divorce/separation events; disqualification Capable
Principal's death: neither UHCDA text expressly addresses this; no post-death powers (autopsy, disposition of remains) are granted. Any post-death anatomical-gift authority comes from Revised UAGA §9(a)(1) Deceased

UHCDA §8 (2023); UHCDA §2 (1993); UHCDA §18(a) (2023); UHCDA §4 (2023); UHCDA §2(d) (1993); UHCDA §2 cmt. (1993); UHCDA §15 (2023); UHCDA §15(d) (2023); UHCDA §3 (1993); UHCDA §2(3), (6), (28) (2023); Revised UAGA §9 (2006)

US — Louisiana differs from the US model

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Designated by written instrument signed by the patient before at least two witnesses, which may set the order among several designees Capable
Starts
Finding of lack of capacity under §4(b) or by a court (2023). 1993: primary physician's determination unless the directive says otherwise, or immediately if the POA so specifies Incapacitated
Ends
Principal found to have regained capacity (power ceases; may resume) Capable
Revocation by principal; spouse-agent divorce/separation events; disqualification Capable
Principal's death: neither UHCDA text expressly addresses this; no post-death powers (autopsy, disposition of remains) are granted. Any post-death anatomical-gift authority comes from Revised UAGA §9(a)(1) Deceased

La. Rev. Stat. §40:1151.4; UHCDA §18(a) (2023); UHCDA §4 (2023); UHCDA §2 (1993); UHCDA §2(d) (1993); UHCDA §2 cmt. (1993); UHCDA §15 (2023); UHCDA §15(d) (2023); UHCDA §8 (2023); UHCDA §3 (1993); UHCDA §2(3), (6), (28) (2023); Revised UAGA §9 (2006)

US — Maine differs from the US model

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Principal signs a written power of attorney for health care before 2 witnesses, in person — electronic signature is barred Capable
Starts
Determination that the principal lacks capacity, by the primary physician or a court unless the directive specifies otherwise; authority ceases on a determination that capacity has returned Incapacitated
Ends
Principal found to have regained capacity (power ceases; may resume) Capable
Revocation by principal; spouse-agent divorce/separation events; disqualification Capable
Principal's death: neither UHCDA text expressly addresses this; no post-death powers (autopsy, disposition of remains) are granted. Any post-death anatomical-gift authority comes from Revised UAGA §9(a)(1) Deceased

Me. Rev. Stat. tit. 18-C, §5-803; UHCDA §18(a) (2023); UHCDA §2 (1993); UHCDA §15 (2023); UHCDA §15(d) (2023); UHCDA §8 (2023); UHCDA §3 (1993); UHCDA §2(3), (6), (28) (2023); Revised UAGA §9 (2006)

US — Maryland differs from the US model

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Individual signs power of attorney for health care (2023: in a record with one qualifying adult witness; 1993: signed writing) Capable
Starts
Finding of lack of capacity under §4(b) or by a court (2023). 1993: primary physician's determination unless the directive says otherwise, or immediately if the POA so specifies Incapacitated
Ends
Principal found to have regained capacity (power ceases; may resume) Capable
Revocation by principal; spouse-agent divorce/separation events; disqualification Capable
Principal's death: neither UHCDA text expressly addresses this; no post-death powers (autopsy, disposition of remains) are granted. Any post-death anatomical-gift authority comes from Revised UAGA §9(a)(1) Deceased

UHCDA §8 (2023); UHCDA §2 (1993); UHCDA §18(a) (2023); UHCDA §4 (2023); UHCDA §2(d) (1993); UHCDA §2 cmt. (1993); UHCDA §15 (2023); UHCDA §15(d) (2023); UHCDA §3 (1993); UHCDA §2(3), (6), (28) (2023); Revised UAGA §9 (2006)

US — Massachusetts differs from the US model

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Individual signs power of attorney for health care (2023: in a record with one qualifying adult witness; 1993: signed writing) Capable
Starts
Attending physician determines in writing that the principal lacks capacity, stating cause, nature, extent and probable duration, entered in the permanent medical record Incapacitated
Ends
Principal found to have regained capacity (power ceases; may resume) Capable
Revocation by principal; spouse-agent divorce/separation events; disqualification Capable
Principal's death: neither UHCDA text expressly addresses this; no post-death powers (autopsy, disposition of remains) are granted. Any post-death anatomical-gift authority comes from Revised UAGA §9(a)(1) Deceased

UHCDA §8 (2023); UHCDA §2 (1993); Mass. Gen. Laws ch. 201D, §6; UHCDA §18(a) (2023); UHCDA §15 (2023); UHCDA §15(d) (2023); UHCDA §3 (1993); UHCDA §2(3), (6), (28) (2023); Revised UAGA §9 (2006)

US — Michigan differs from the US model

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Designation in writing by an individual 18 or older of sound mind; the patient advocate must accept before acting Capable
Starts
The attending physician and a second physician or licensed psychologist determine on examination that the patient cannot participate in treatment decisions, in writing and in the medical record Incapacitated
Ends
Principal found to have regained capacity (power ceases; may resume) Capable
Revocation by principal; spouse-agent divorce/separation events; disqualification Capable
Principal's death: neither UHCDA text expressly addresses this; no post-death powers (autopsy, disposition of remains) are granted. Any post-death anatomical-gift authority comes from Revised UAGA §9(a)(1) Deceased

Mich. Comp. Laws §700.5506; Mich. Comp. Laws §700.5508; UHCDA §18(a) (2023); UHCDA §2 (1993); UHCDA §15 (2023); UHCDA §15(d) (2023); UHCDA §8 (2023); UHCDA §3 (1993); UHCDA §2(3), (6), (28) (2023); Revised UAGA §9 (2006)

US — Minnesota differs from the US model

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Principal with capacity executes a health care directive, verified by a notary or by witnesses, which may include a health care power of attorney (§§145C.02, 145C.03) Capable
Starts
The attending physician, advanced practice registered nurse or physician assistant judges the principal to lack decision-making capacity, or other conditions the principal specified are met Incapacitated
Ends
Principal recovers decision-making capacity in the clinician's determination — the directive ceases to be effective and revives if capacity is lost again Capable
Revoked by destruction, a dated writing, words spoken before two witnesses, or a later inconsistent directive; a spouse or registered domestic partner agent is revoked by dissolution, annulment or termination proceedings Capable

Minn. Stat. § 145C.02; Minn. Stat. § 145C.03; Minn. Stat. § 145C.06; Minn. Stat. § 145C.07; Minn. Stat. § 145C.09

US — Missouri differs from the US model

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Individual signs power of attorney for health care (2023: in a record with one qualifying adult witness; 1993: signed writing) Capable
Starts
Finding of lack of capacity under §4(b) or by a court (2023). 1993: primary physician's determination unless the directive says otherwise, or immediately if the POA so specifies Incapacitated
Ends
Principal found to have regained capacity (power ceases; may resume) Capable
Revocation by principal; spouse-agent divorce/separation events; disqualification Capable
Principal's death: neither UHCDA text expressly addresses this; no post-death powers (autopsy, disposition of remains) are granted. Any post-death anatomical-gift authority comes from Revised UAGA §9(a)(1) Deceased

UHCDA §8 (2023); UHCDA §2 (1993); UHCDA §18(a) (2023); UHCDA §4 (2023); UHCDA §2(d) (1993); UHCDA §2 cmt. (1993); UHCDA §15 (2023); UHCDA §15(d) (2023); UHCDA §3 (1993); UHCDA §2(3), (6), (28) (2023); Revised UAGA §9 (2006)

US — Nebraska differs from the US model

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Individual signs power of attorney for health care (2023: in a record with one qualifying adult witness; 1993: signed writing) Capable
Starts
Finding of lack of capacity under §4(b) or by a court (2023). 1993: primary physician's determination unless the directive says otherwise, or immediately if the POA so specifies Incapacitated
Ends
Principal found to have regained capacity (power ceases; may resume) Capable
Revocation by principal; spouse-agent divorce/separation events; disqualification Capable
Principal's death: neither UHCDA text expressly addresses this; no post-death powers (autopsy, disposition of remains) are granted. Any post-death anatomical-gift authority comes from Revised UAGA §9(a)(1) Deceased

UHCDA §8 (2023); UHCDA §2 (1993); UHCDA §18(a) (2023); UHCDA §4 (2023); UHCDA §2(d) (1993); UHCDA §2 cmt. (1993); UHCDA §15 (2023); UHCDA §15(d) (2023); UHCDA §3 (1993); UHCDA §2(3), (6), (28) (2023); Revised UAGA §9 (2006)

US — New Jersey differs from the US model

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Declarant executes a proxy directive designating an adult with mental capacity Capable
Starts
The directive is transmitted to the attending physician or health care institution AND the patient is determined to lack capacity for the particular decision Incapacitated
Ends
Principal found to have regained capacity (power ceases; may resume) Capable
Revocation by principal; spouse-agent divorce/separation events; disqualification Capable
Principal's death: neither UHCDA text expressly addresses this; no post-death powers (autopsy, disposition of remains) are granted. Any post-death anatomical-gift authority comes from Revised UAGA §9(a)(1) Deceased

N.J. Stat. §26:2H-58; N.J. Stat. §26:2H-59; UHCDA §18(a) (2023); UHCDA §2 (1993); UHCDA §15 (2023); UHCDA §15(d) (2023); UHCDA §8 (2023); UHCDA §3 (1993); UHCDA §2(3), (6), (28) (2023); Revised UAGA §9 (2006)

US — New York differs from the US model

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Competent adult signs and dates health care proxy before two adult witnesses (agent cannot witness) Capable
Starts
Attending practitioner determines, in writing and to a reasonable degree of medical certainty, that principal lacks capacity; consultation required for certain decisions or conditions; notice to principal and agent Incapacitated
Ends
Attending practitioner determines principal regained capacity Capable
Revocation (oral, written or any act showing specific intent); divorce or legal separation from spouse-agent unless proxy specifies otherwise Capable
Expiration date or condition stated in the proxy Capable
Death, except that the agent ranks first to make an anatomical gift of the decedent's body Deceased

N.Y. Pub. Health Law §2981; N.Y. Pub. Health Law §2983; N.Y. Pub. Health Law §2985; N.Y. Pub. Health Law §4301

US — North Carolina differs from the US model

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Individual signs power of attorney for health care (2023: in a record with one qualifying adult witness; 1993: signed writing) Capable
Starts
Physicians designated by the principal determine in writing that the principal lacks sufficient understanding or capacity to make or communicate health care decisions Incapacitated
Ends
Principal found to have regained capacity (power ceases; may resume) Capable
Revocation by principal; spouse-agent divorce/separation events; disqualification Capable
Principal's death: neither UHCDA text expressly addresses this; no post-death powers (autopsy, disposition of remains) are granted. Any post-death anatomical-gift authority comes from Revised UAGA §9(a)(1) Deceased

UHCDA §8 (2023); UHCDA §2 (1993); N.C. Gen. Stat. §32A-20; UHCDA §18(a) (2023); UHCDA §15 (2023); UHCDA §15(d) (2023); UHCDA §3 (1993); UHCDA §2(3), (6), (28) (2023); Revised UAGA §9 (2006)

US — Ohio differs from the US model

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Adult of sound mind executes a durable power of attorney for health care Capable
Starts
When the principal's attending physician determines the principal has lost the capacity to make informed health care decisions Incapacitated
Ends
Principal found to have regained capacity (power ceases; may resume) Capable
Revocation by principal; spouse-agent divorce/separation events; disqualification Capable
Principal's death: neither UHCDA text expressly addresses this; no post-death powers (autopsy, disposition of remains) are granted. Any post-death anatomical-gift authority comes from Revised UAGA §9(a)(1) Deceased

Ohio Rev. Code §1337.12; Ohio Rev. Code §1337.13; UHCDA §18(a) (2023); UHCDA §2 (1993); UHCDA §15 (2023); UHCDA §15(d) (2023); UHCDA §8 (2023); UHCDA §3 (1993); UHCDA §2(3), (6), (28) (2023); Revised UAGA §9 (2006)

US — Oklahoma differs from the US model

Agent under power of attorney for health care

An agent appointed under the Oklahoma Health Care Agent Act. The directive becomes operative only once it has reached the attending physician and the declarant can no longer decide, and a state registry holds filed directives with access for the agents they name. A replacement uniform act is enacted and takes effect on 1 July 2027.

Assigned
Individual signs power of attorney for health care (2023: in a record with one qualifying adult witness; 1993: signed writing) Capable
Starts
Finding of lack of capacity under §4(b) or by a court (2023). 1993: primary physician's determination unless the directive says otherwise, or immediately if the POA so specifies Incapacitated
Ends
Principal found to have regained capacity (power ceases; may resume) Capable
Revocation by principal; spouse-agent divorce/separation events; disqualification Capable
Principal's death: neither UHCDA text expressly addresses this; no post-death powers (autopsy, disposition of remains) are granted. Any post-death anatomical-gift authority comes from Revised UAGA §9(a)(1) Deceased

UHCDA §8 (2023); UHCDA §2 (1993); UHCDA §18(a) (2023); UHCDA §4 (2023); UHCDA §2(d) (1993); UHCDA §2 cmt. (1993); UHCDA §15 (2023); UHCDA §15(d) (2023); UHCDA §3 (1993); UHCDA §2(3), (6), (28) (2023); Revised UAGA §9 (2006)

US — Pennsylvania differs from the US model

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Individual signs power of attorney for health care (2023: in a record with one qualifying adult witness; 1993: signed writing) Capable
Starts
A copy of the health care power of attorney is given to the attending physician and that physician determines the principal is incompetent Incapacitated
Ends
Becomes inoperative during any time the attending physician determines the principal is competent Capable

UHCDA §8 (2023); UHCDA §2 (1993); 20 Pa.C.S. §5454

US — Texas differs from the US model

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Individual signs power of attorney for health care (2023: in a record with one qualifying adult witness; 1993: signed writing) Capable
Starts
Attending physician certifies in writing, filed in the medical record, that the principal is incompetent Incapacitated
Ends
Revocation by oral or written notice or any act showing intent to revoke, regardless of principal's competence; or a later medical POA Incapacitated
Divorce, annulment or voiding of marriage to agent unless POA provides otherwise Capable
Probate court suspends or revokes agent in guardianship proceeding Incapacitated
Principal's death Deceased

UHCDA §8 (2023); UHCDA §2 (1993); Tex. Health & Safety Code §166.152; Tex. Health & Safety Code §166.155; Tex. Health & Safety Code §166.156

US — Utah differs from the US model

Agent under power of attorney for health care

An agent appointed in a power of attorney for health care under Utah's 2025 Uniform Health Care Decisions Act. One adult witness, who may attend by video or even by audio alone if the individual's identity can be authenticated; no notarisation. The agent's decisions need no court approval.

Assigned
Individual signs power of attorney for health care (2023: in a record with one qualifying adult witness; 1993: signed writing) Capable
Starts
Finding of lack of capacity under §4(b) or by a court (2023). 1993: primary physician's determination unless the directive says otherwise, or immediately if the POA so specifies Incapacitated
Ends
Principal found to have regained capacity (power ceases; may resume) Capable
Revocation by principal; spouse-agent divorce/separation events; disqualification Capable
Principal's death: neither UHCDA text expressly addresses this; no post-death powers (autopsy, disposition of remains) are granted. Any post-death anatomical-gift authority comes from Revised UAGA §9(a)(1) Deceased

UHCDA §8 (2023); UHCDA §2 (1993); UHCDA §18(a) (2023); UHCDA §4 (2023); UHCDA §2(d) (1993); UHCDA §2 cmt. (1993); UHCDA §15 (2023); UHCDA §15(d) (2023); UHCDA §3 (1993); UHCDA §2(3), (6), (28) (2023); Revised UAGA §9 (2006)

US — Virginia differs from the US model

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Individual signs power of attorney for health care (2023: in a record with one qualifying adult witness; 1993: signed writing) Capable
Starts
Finding of lack of capacity under §4(b) or by a court (2023). 1993: primary physician's determination unless the directive says otherwise, or immediately if the POA so specifies Incapacitated
Ends
Principal found to have regained capacity (power ceases; may resume) Capable
Revocation by principal; spouse-agent divorce/separation events; disqualification Capable
Principal's death: neither UHCDA text expressly addresses this; no post-death powers (autopsy, disposition of remains) are granted. Any post-death anatomical-gift authority comes from Revised UAGA §9(a)(1) Deceased

UHCDA §8 (2023); UHCDA §2 (1993); UHCDA §18(a) (2023); UHCDA §4 (2023); UHCDA §2(d) (1993); UHCDA §2 cmt. (1993); UHCDA §15 (2023); UHCDA §15(d) (2023); UHCDA §3 (1993); UHCDA §2(3), (6), (28) (2023); Revised UAGA §9 (2006)

US — Washington differs from the US model

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Individual signs power of attorney for health care (2023: in a record with one qualifying adult witness; 1993: signed writing) Capable
Starts
Power of attorney grants general authority over health care matters Incapacitated
Ends
Principal found to have regained capacity (power ceases; may resume) Capable
Revocation by principal; spouse-agent divorce/separation events; disqualification Capable
Principal's death: neither UHCDA text expressly addresses this; no post-death powers (autopsy, disposition of remains) are granted. Any post-death anatomical-gift authority comes from Revised UAGA §9(a)(1) Deceased

UHCDA §8 (2023); UHCDA §2 (1993); Wash. Rev. Code §11.125.400; UHCDA §18(a) (2023); UHCDA §15 (2023); UHCDA §15(d) (2023); UHCDA §3 (1993); UHCDA §2(3), (6), (28) (2023); Revised UAGA §9 (2006)

US — West Virginia differs from the US model

Agent under power of attorney for health care

An individual appointed in a power of attorney for health care to make health-care decisions when the principal cannot. Under UHCDA (2023) decision-making power always 'springs' on a finding of lack of capacity, and only the health-information power may start at once. The 1993 Act let the document make the agent's authority effective immediately.

Assigned
Individual signs power of attorney for health care (2023: in a record with one qualifying adult witness; 1993: signed writing) Capable
Starts
Finding of lack of capacity under §4(b) or by a court (2023). 1993: primary physician's determination unless the directive says otherwise, or immediately if the POA so specifies Incapacitated
Ends
Principal found to have regained capacity (power ceases; may resume) Capable
Revocation by principal; spouse-agent divorce/separation events; disqualification Capable
Principal's death: neither UHCDA text expressly addresses this; no post-death powers (autopsy, disposition of remains) are granted. Any post-death anatomical-gift authority comes from Revised UAGA §9(a)(1) Deceased

UHCDA §8 (2023); UHCDA §2 (1993); UHCDA §18(a) (2023); UHCDA §4 (2023); UHCDA §2(d) (1993); UHCDA §2 cmt. (1993); UHCDA §15 (2023); UHCDA §15(d) (2023); UHCDA §3 (1993); UHCDA §2(3), (6), (28) (2023); Revised UAGA §9 (2006)

Oceania

Australia — New South Wales

Enduring guardian

A person an adult appoints, by a witnessed instrument the appointee also accepts, to make decisions about where they live, health care, personal services and consent to medical and dental treatment. The appointment operates only while the appointor is a 'person in need of a guardian'. It is revoked automatically if the appointor later marries someone else, and is suspended by any guardianship order.

Assigned
Adult (18+) signs prescribed-form instrument; appointee endorses acceptance; eligible witness certifies voluntary execution and apparent understanding Capable
Starts
Only while the appointor is totally or partially incapable of managing their person because of a disability. The appointee may ask NCAT to declare that the appointment has effect. Incapacitated
Ends
Revocation by the appointor with legal capacity, by prescribed witnessed instrument with written notice to the appointee Capable
Appointor marries or remarries someone other than the appointee Capable
Resignation: by written notice if the appointor is not in need of a guardian, or with Tribunal approval if they are Incapacitated
Revocation by NCAT on review (best interests or at the guardian's request) or by the Supreme Court Incapacitated
Appointor regains capacity: the appointment stops having effect, but revives in any later period of need Capable
Death of the appointor Deceased

Guardianship Act 1987 (NSW) ss 5, 6, 6C; Guardianship Act 1987 (NSW) s 6A; Guardianship Act 1987 (NSW) s 3(1)–(2); Guardianship Act 1987 (NSW) s 6M; Guardianship Act 1987 (NSW) s 6H; NSW Government, Choose an enduring guardian (last updated 30 October 2025); Guardianship Act 1987 (NSW) s 6HA; Guardianship Act 1987 (NSW) s 6HB; Guardianship Act 1987 (NSW) ss 6J–6L; NSW Government, Guardian support services

Australia — Queensland

Attorney for personal (including health) matters under an enduring power of attorney

An enduring power of attorney may give power for personal matters, which include health matters. The principal cannot choose an earlier start: this power is exercisable only while the principal has impaired capacity for the matter. An advance health directive and any QCAT guardian rank ahead of the attorney for health matters.

Assigned
Adult principal with capacity signs approved form; attorney accepts Capable
Starts
Only during any or every period the principal has impaired capacity for the matter Incapacitated
Ends
Principal regains capacity (power not exercisable) Capable
Death of principal Deceased
Marriage/civil partnership, divorce/termination, revocation, later document, attorney becomes paid carer or health provider, resignation, court/QCAT order Capable

Powers of Attorney Act 1998 (Qld) s 32; Powers of Attorney Act 1998 (Qld) s 44; Powers of Attorney Act 1998 (Qld) s 33(4); Powers of Attorney Act 1998 (Qld) s 51; Powers of Attorney Act 1998 (Qld) s 52; Powers of Attorney Act 1998 (Qld) s 52A; Powers of Attorney Act 1998 (Qld) s 53; Powers of Attorney Act 1998 (Qld) s 53A; Powers of Attorney Act 1998 (Qld) ss 47-49; Powers of Attorney Act 1998 (Qld) s 50; Powers of Attorney Act 1998 (Qld) ss 54-59; Powers of Attorney Act 1998 (Qld) ss 109A, 116

Australia — Queensland

Attorney appointed by an advance health directive (and the directive itself)

In an advance health directive, an adult gives directions about future health care, which can include refusing life-sustaining measures. The adult may also appoint attorneys for health matters in case the directions prove inadequate. The document needs a doctor's or nurse practitioner's capacity certificate. Its directions and the attorney's power operate only while the principal has impaired capacity, and a direction takes priority over every other decision maker.

Assigned
Adult with capacity makes written directive, witnessed, with doctor or nurse practitioner certificate; attorney signs acceptance Capable
Starts
Only while the principal has impaired capacity for the matter Incapacitated
Ends
Death of principal Deceased
Revocation in writing by principal with capacity, or later inconsistent enduring document Capable
Marriage/civil partnership or divorce/termination (as to attorney appointments) Capable
Court or QCAT revokes or changes Incapacitated

Powers of Attorney Act 1998 (Qld) s 35; Powers of Attorney Act 1998 (Qld) s 42; Powers of Attorney Act 1998 (Qld) s 44; Powers of Attorney Act 1998 (Qld) s 44(6); Powers of Attorney Act 1998 (Qld) s 36(1)(a); Guardianship and Administration Act 2000 (Qld) s 66; Powers of Attorney Act 1998 (Qld) s 51; Powers of Attorney Act 1998 (Qld) ss 47-49; Powers of Attorney Act 1998 (Qld) s 50; Powers of Attorney Act 1998 (Qld) s 52; Powers of Attorney Act 1998 (Qld) s 52A; Powers of Attorney Act 1998 (Qld) s 53; Powers of Attorney Act 1998 (Qld) s 53A; Powers of Attorney Act 1998 (Qld) ss 109A, 116

Australia — Victoria

Attorney for personal matters under an enduring power of attorney

The same enduring power of attorney can cover personal or lifestyle matters, such as where and with whom the principal lives. It cannot cover medical treatment, which is handled by a medical treatment decision maker under the 2016 Act. In Victoria, power over personal matters is not limited by statute to periods of incapacity: the principal sets the start, and the default is on making. It ends at death.

Assigned
Principal with capacity executes the prescribed form confining or extending power to personal matters; attorney accepts Capable
Starts
As specified in the instrument (e.g. when the principal ceases to have capacity); otherwise on making Capable
Ends
Death of the principal Deceased
Revocation by the principal or a later enduring power; resignation; death, incapacity or disqualifying event of the attorney Capable
VCAT guardianship order suspends exercise unless VCAT authorises Incapacitated

Powers of Attorney Act 2014 (Vic) s 22; Powers of Attorney Act 2014 (Vic) s 32; Powers of Attorney Act 2014 (Vic) s 37(1); Powers of Attorney Act 2014 (Vic) s 39; Powers of Attorney Act 2014 (Vic) s 39(2); Powers of Attorney Act 2014 (Vic) s 51; Powers of Attorney Act 2014 (Vic) s 44; Powers of Attorney Act 2014 (Vic) s 55; Powers of Attorney Act 2014 (Vic) ss 52-53; Powers of Attorney Act 2014 (Vic) s 54(1); Powers of Attorney Act 2014 (Vic) ss 56, 59; Powers of Attorney Act 2014 (Vic) s 83 (as affected by Guardianship and Administration Act 2019 (Vic))

Australia — Victoria

Appointed medical treatment decision maker

An adult with capacity may appoint one or more medical treatment decision makers. The appointment is in force from the date it is made, but it gives no decision-making power while the person can decide. It is used only when the person lacks decision-making capacity for the treatment decision. The appointee then makes the decision the person would have made. It ranks first in the statutory hierarchy.

Assigned
Adult with capacity signs a written appointment, witnessed and certified; each appointee signs a witnessed acceptance Capable
Starts
Appointment is in force on the date made, but the power to decide arises only when the person does not have decision-making capacity for the particular treatment decision Incapacitated
Ends
Person regains decision-making capacity (power not exercisable) Capable
Revocation by the person with capacity, resignation, or VCAT revocation Capable
Death of the person: no treatment decisions remain. The Act has no express provision; after death, tissue donation authority passes to the senior available next of kin under the Human Tissue Act 1982. Deceased

Medical Treatment Planning and Decisions Act 2016 (Vic) s 26; Medical Treatment Planning and Decisions Act 2016 (Vic) s 28; Medical Treatment Planning and Decisions Act 2016 (Vic) s 38; Medical Treatment Planning and Decisions Act 2016 (Vic) s 58(1); Medical Treatment Planning and Decisions Act 2016 (Vic) s 61(1); Medical Treatment Planning and Decisions Act 2016 (Vic) s 55; Medical Treatment Planning and Decisions Act 2016 (Vic) s 30; Medical Treatment Planning and Decisions Act 2016 (Vic) s 39; Medical Treatment Planning and Decisions Act 2016 (Vic) s 43; Human Tissue Act 1982 (Vic) s 26

Other

Austria

Vorsorgebevollmächtigter für Gesundheitsangelegenheiten

The same registered representative acting in health matters. Austria keeps the appointment and the treatment refusal in separate instruments: a Patientenverfügung refuses treatment and appoints nobody.

Assigned
Health matters are a Wirkungsbereich of the Vorsorgevollmacht; the instrument may be limited to kinds of matter (§261) Capable
Starts
On entry of the Vorsorgefall, as for property Incapacitated
Ends
As for property — death, or an ÖZVV entry Deceased

ABGB § 261; ABGB § 262; ABGB § 245; ABGB § 246

Switzerland — federal law

In einer Patientenverfügung bezeichnete Person

A person named in a patient directive to discuss medical measures with the attending physician and decide in the patient's name. The directive needs only writing, a date and a signature; its existence and deposit location may be noted on the holder's insurance card, and the physician must check that card when a patient lacks capacity and it is not known whether a directive exists.

Assigned
Person capable of judgement executes a written, dated and signed Patientenverfügung naming the person; the fact and deposit location may be entered on the insurance card Capable
Starts
The patient loses capacity of judgement; the attending physician establishes whether a directive exists from the insurance card, urgent cases excepted, and the named person ranks first among those entitled to consent Incapacitated
Ends
Patient regains capacity of judgement Capable
Revocation, to which the rule on revoking a Vorsorgeauftrag applies by analogy Capable
Death of the patient Deceased

ZGB Art. 370; ZGB Art. 371; ZGB Art. 372; ZGB Art. 378; ZGB Art. 560

South America

Argentina

Persona designada en directivas médicas anticipadas — Person named in advance medical directives

A fully capable person may issue advance directives and confer a mandate about their health in anticipation of their own incapacity, and may name who is to give consent to medical acts and to act as curator. Directives amounting to euthanasia are treated as unwritten.

Assigned
Fully capable person anticipates directives and designates the person who is to express consent to medical acts and to exercise the curatela Capable
Starts
In anticipation of the grantor’s own incapacity Incapacitated
Ends
Death of the grantor Deceased

Código Civil y Comercial de la Nación (Ley 26.994), artículo 60; Código Civil y Comercial de la Nación (Ley 26.994), artículo 2277

The interactive viewer carries the lifecycle diagram, the state machine and the full source list, including the quoted text of each provision. Not legal advice. This is a research aid summarising primary legal sources as retrieved on the dates shown; always read the cited current text and consult a lawyer licensed in the jurisdiction.