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Kentucky · Snapshot 09/05/2026

KRS 311.629: Powers of health care surrogate.

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  1. KRS Chapter 311

(1) A surrogate designated pursuant to an advance directive may make health care

decisions for the grantor which the grantor could make individually if he or she had

decisional capacity, provided all the decisions shall be made in accordance with the

desires of the grantor as indicated in the advance directive. When making any health

care decision for the grantor, the surrogate shall consider the recommendation of the

attending physician and honor the decision made by the grantor as expressed in the

advance directive.

(2) The surrogate may not make a health care decision in any situation in which the

grantor's attending physician has determined in good faith that the grantor has

decisional capacity. The attending physician shall proceed as if there were no

designation if the surrogate is unavailable or refuses to make a health care decision.

(3) A health care surrogate may authorize the withdrawal or withholding of artificially -

provided nutrition and hydration in the following circumstances:

(a) When inevitable d eath is imminent, which for the purposes of this provision

shall mean when death is expected, by reasonable medical judgment, within a

few days; or

(b) When a patient is in a permanently unconscious state if the grantor has

executed an advance directive au thorizing the withholding or withdrawal of

artificially-provided nutrition and hydration; or

(c) When the provision of artificial nutrition cannot be physically assimilated by

the person; or

(d) When the burden of the provision of artificial nutrition and hydration itself

shall outweigh its benefit. Even in the exceptions listed in paragraphs (a), (b),

and (c) of this subsection, artificially -provided nutrition and hydration shall

not be withheld or withdrawn if it is needed for comfort or the relief of pain.

(4) Notwithstanding the execution of an advance directive, life sustaining treatment and

artificially-provided nutrition and hydration shall be provided to a pregnant woman

unless, to a reasonable degree of medical certainty, as certified on the woman's

medical chart by the attending physician and one (1) other physician who has

examined the woman, the procedures will not maintain the woman in a way to

permit the continuing development and live birth of the unborn child, will be

physically harmful to the woman or prolong severe pain which cannot be alleviated

by medication.

Collected 2026-09-05T20:58:05Z. Source file · JSON

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