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Kentucky · Snapshot 09/05/2026

KRS 311.631: Responsible parties authorized to make health care decisions.

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Where this section sits in the code
  1. KRS Chapter 311

(1) If an adult patient whose physician has determined that he or she does not have

decisional capacity has not executed an advance directive, or to the extent the

advance directive does not address a decision that must be made, any one (1) of the

following responsible parties, in the following order of priority if no individual in a

prior class is reasonably available, willing, and competent to act, shall be authorized

to make health care decisions on behalf of the patient:

(a) The judicially appointed guardian of the patient, if the guardian has been

appointed and if medical decisions are within the scope of the guardianship;

(b) The attorney -in-fact named in a durable power of att orney, if the durable

power of attorney specifically includes authority for health care decisions;

(c) The spouse of the patient;

(d) An adult child of the patient, or if the patient has more than one (1) child, the

majority of the adult children who are reasonably available for consultation;

(e) The parents of the patient;

(f) The nearest living relative of the patient, or if more than one (1) relative of the

same relation is reasonably available for consultation, a majority of the

nearest living relatives; or

(g) An adult friend of the patient who:

1. Has maintained regular contact with the patient; and

2. Is familiar with the patient's activities, health, and religious and moral

beliefs.

(2) In any case in which a health care decision is made under this section, the decision

shall be noted in writing in the patient's medical records.

(3) An individual authorized to consent for another under this section shall act in good

faith, in accordance with any advance directive executed by the individual who

lacks decisional capacity, and in the best interest of the individual who does not

have decisional capacity.

(4) In any case in which a health care decision is made under this section,

hospitalization for psychiatric treatment at a general hospital shall not exceed

fourteen (14) consecutive days unless a court order is obtained under KRS Chapter

202A or 202B. For t he purposes of this section, a general hospital is one that is not

owned or operated by the Commonwealth of Kentucky.

(5) An individual authorized to make a health care decision under this section may

authorize the withdrawal or withholding of artificially -provided nutrition and

hydration only in the circumstances as set forth in KRS 311.629(3).

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

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