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This is a Bill, not an Act. For current law, see the Acts databases.
Western Australia Voluntary Assisted Dying Bill 2019 Contents Part 1 -- Preliminary Division 1 -- Introductory provisions 1. Short title 2 2. Commencement 2 3. Act binds Crown 2 Division 2 -- Principles 4. Principles 2 Division 3 -- Interpretation 5. Terms used 4 6. Decision-making capacity 9 7. Voluntary assisted dying substance 9 8. When request and assessment process completed 10 Division 4 -- Other provisions 9. Registered health practitioner may refuse to participate in voluntary assisted dying 10 10. Health care worker not to initiate discussion about voluntary assisted dying 10 11. Contravention of Act by registered health practitioner 12 12. Voluntary assisted dying not suicide 12 13. Inherent jurisdiction of Supreme Court not affected 12 14. Relationship with Medicines and Poisons Act 2014 and Misuse of Drugs Act 1981 12 Part 2 -- Requirements for access to voluntary assisted dying 15. When person can access voluntary assisted dying 13 16. Eligibility criteria 13 139--2 page i Voluntary Assisted Dying Bill 2019 Contents Part 3 -- Requesting access to voluntary assisted dying and assessment of eligibility Division 1 -- Eligibility requirements for medical practitioners 17. Eligibility to act as coordinating practitioner or consulting practitioner 15 Division 2 -- First request 18. Person may make first request to medical practitioner 16 19. No obligation to continue after making first request 17 20. Medical practitioner to accept or refuse first request 17 21. Medical practitioner to record first request and acceptance or refusal 18 22. Medical practitioner to notify Board of first request 18 23. Medical practitioner becomes coordinating practitioner if first request accepted 19 Division 3 -- First assessment 24. First assessment 19 25. Coordinating practitioner to have completed approved training 19 26. Referral for determination 20 27. Information to be provided if patient assessed as meeting eligibility criteria 21 28. Outcome of first assessment 22 29. Recording and notification of outcome of first assessment 22 30. Referral for consulting assessment if patient assessed as eligible 24 Division 4 -- Consulting assessment 31. Medical practitioner to accept or refuse referral for consulting assessment 24 32. Medical practitioner to record referral and acceptance or refusal 25 33. Medical practitioner to notify Board of referral 25 34. Medical practitioner becomes consulting practitioner if referral accepted 26 page ii Voluntary Assisted Dying Bill 2019 Contents 35. Consulting assessment 26 36. Consulting practitioner to have completed approved training 26 37. Referral for determination 27 38. Information to be provided if patient assessed as meeting eligibility criteria 28 39. Outcome of consulting assessment 28 40. Recording and notification of outcome of consulting assessment 28 41. Referral for further consulting assessment if patient assessed as ineligible 30 Division 5 -- Written declaration 42. Patient assessed as eligible may make written declaration 30 43. Witness to signing of written declaration 31 44. Certification of witness to signing of written declaration 32 45. Coordinating practitioner to record written declaration 33 46. Coordinating practitioner to notify Board of written declaration 33 Division 6 -- Final request and final review 47. Patient may make final request to coordinating practitioner 33 48. When final request can be made 34 49. Coordinating practitioner to record final request 34 50. Coordinating practitioner to notify Board of final request 35 51. Final review by coordinating practitioner on receiving final request 35 52. Technical error not to invalidate request and assessment process 37 53. No obligation for patient to continue after completion of request and assessment process 37 Part 4 -- Accessing voluntary assisted dying and death Division 1 -- Eligibility requirements for administering practitioners 54. Eligibility to act as administering practitioner 38 page iii Voluntary Assisted Dying Bill 2019 Contents Division 2 -- Administration of voluntary assisted dying substance 55. Application of Division 39 56. Administration decision 39 57. Revocation of administration decision 40 58. Self-administration 41 59. Practitioner administration 43 60. Coordinating practitioner to notify Board of administration decision and prescription of substance 44 61. Certification by administering practitioner following administration of prescribed substance 45 62. Witness to administration of prescribed substance 46 63. Transfer of administering practitioner's role 47 Division 3 -- Contact person 64. Application of Division 48 65. Patient to appoint contact person 48 66. Contact person appointment form 49 67. Role of contact person 50 68. Contact person may refuse to continue in role 51 Division 4 -- Prescribing, supplying and disposing of voluntary assisted dying substance 69. Information to be given before prescribing substance 51 70. Prescription for substance 53 71. Authorised supplier to authenticate prescription 54 72. Information to be given when supplying prescribed substance 54 73. Labelling requirements for prescribed substance 55 74. Authorised supplier to record and notify of supply 55 75. Disposal of prescribed substance by authorised disposer 56 76. Authorised disposer to record and notify of disposal 56 77. Disposal of prescribed substance by administering practitioner 57 78. Administering practitioner to record and notify of disposal 58 page iv Voluntary Assisted Dying Bill 2019 Contents Division 5 -- Other matters 79. Authorised suppliers and authorised disposers 59 80. Certain directions as to supply or administration prohibited 59 81. Structured administration and supply arrangement not to be issued for substance 60 82. Notification of death 60 Part 5 -- Review by Tribunal 83. Terms used 62 84. Application for review of certain decisions by Tribunal 62 85. Notice of decision and right to have it reviewed 63 86. Consequences of review application 63 87. Review application taken to be withdrawn if patient dies 64 88. Decision of Tribunal 64 89. Effect of decision under s. 88(a), (c) or (e) 65 90. Effect of decision under s. 88(b), (d) or (f) 66 91. Coordinating practitioner may refuse to continue in role 67 92. Constitution and membership of Tribunal 67 93. Hearings of Tribunal to be held in private 67 94. Notice requirements 68 95. Coordinating practitioner to give Tribunal relevant material 69 96. Tribunal to give written reasons for decision 69 97. Published decisions or reasons to exclude personal information 70 98. Interim orders 71 Part 6 -- Offences 99. Unauthorised administration of prescribed substance 72 100. Inducing another person to request or access voluntary assisted dying 72 101. Inducing self-administration of prescribed substance 72 102. False or misleading information 73 page v Voluntary Assisted Dying Bill 2019 Contents 103. Advertising Schedule 4 or 8 poison as voluntary assisted dying substance 73 104. Cancellation of document presented as prescription 73 105. Contact person to give unused or remaining substance to authorised disposer 74 106. Recording, use or disclosure of information 75 107. Publication of personal information concerning proceeding before Tribunal 75 108. Failure to give form to Board 76 Part 7 -- Enforcement 109. Application of Medicines and Poisons Act 2014 Part 7 78 110. Court to notify CEO of conviction of offence under Act 78 111. Who may commence proceedings for simple offence 79 112. Time limit for prosecution of simple offence 79 Part 8 -- Protection from liability 113. Protection for persons assisting access to voluntary assisted dying or present when substance administered 80 114. Protection for persons acting in accordance with Act 80 115. Protection for certain persons who do not administer lifesaving treatment 81 Part 9 -- Voluntary Assisted Dying Board Division 1 -- Establishment 116. Board established 82 117. Status 82 Division 2 -- Functions and powers 118. Functions of Board 82 119. Powers of Board 83 120. Delegation by Board 83 Division 3 -- Staff and assistance 121. Staff and services 84 122. Assistance 84 page vi Voluntary Assisted Dying Bill 2019 Contents Division 4 -- Accountability 123. Minister may give directions 84 124. Minister to have access to information 84 Division 5 -- Membership 125. Membership of Board 85 126. Chairperson and deputy chairperson 85 127. Term of office 86 128. Casual vacancies 86 129. Extension of term of office during vacancy 87 130. Alternate members 87 131. Remuneration of members 88 Division 6 -- Board meetings 132. Holding meetings 88 133. Quorum 88 134. Presiding member 88 135. Procedure at meetings 88 136. Voting 88 137. Holding meetings remotely 89 138. Resolution without meeting 89 139. Minutes 89 Division 7 -- Disclosure of interests 140. Disclosure of material personal interest 89 141. Voting by interested member 90 142. Section 141 may be declared inapplicable 90 143. Quorum where s. 141 applies 90 144. Minister may declare s. 141 and 143 inapplicable 91 Division 8 -- Committees 145. Establishment of committees 91 146. Directions to committee 91 147. Committee to determine own procedures 91 148. Remuneration of committee members 92 Division 9 -- Information 149. Board to send information to contact person for patient 92 150. Request for information 92 151. Disclosure of information 92 152. Board to record and retain statistical information 93 Division 10 -- Miscellaneous 153. Board to notify receipt of forms 93 page vii Voluntary Assisted Dying Bill 2019 Contents 154. Execution of documents by Board 94 155. Annual report 94 Part 10 -- Access standard 156. Standard about access to voluntary assisted dying 96 Part 11 -- General 157. Transfer of coordinating practitioner's role 97 158. Communication between patient and practitioner 98 159. Information about voluntary assisted dying 99 160. CEO may approve training 100 161. CEO may approve forms 100 162. Interpreters 100 163. Regulations 101 164. Review of Act 101 Part 12 -- Consequential amendments to other Acts Division 1 -- Constitution Acts Amendment Act 1899 amended 165. Act amended 103 166. Schedule V amended 103 Division 2 -- Coroners Act 1996 amended 167. Act amended 103 168. Section 3A inserted 103 3A. Death under Voluntary Assisted Dying Act 2019 not reportable death 103 Division 3 -- Guardianship and Administration Act 1990 amended 169. Act amended 104 170. Section 3B inserted 104 3B. Act does not authorise decisions about voluntary assisted dying 104 Division 4 -- Health and Disability Services (Complaints) Act 1995 amended 171. Act amended 104 172. Section 3 amended 105 Division 5 -- Medicines and Poisons Act 2014 amended 173. Act amended 105 page viii Voluntary Assisted Dying Bill 2019 Contents 174. Section 3 amended 105 175. Section 7 amended 106 176. Section 14 amended 107 177. Section 28 amended 110 178. Section 83 amended 110 179. Section 115 amended 110 Division 6 -- Misuse of Drugs Act 1981 amended 180. Act amended 111 181. Section 5C inserted 111 5C. Authorisation under Voluntary Assisted Dying Act 2019 111 182. Section 5 amended 112 183. Section 6 amended 112 184. Section 7 amended 113 185. Section 7B amended 113 186. Section 27 amended 113 Defined terms page ix Western Australia LEGISLATIVE ASSEMBLY (As amended in Committee) Voluntary Assisted Dying Bill 2019 A Bill for An Act -- to provide for and regulate access to voluntary assisted dying; and to establish the Voluntary Assisted Dying Board; and to make consequential amendments to other Acts. The Parliament of Western Australia enacts as follows: page 1 Voluntary Assisted Dying Bill 2019 Part 1 Preliminary Division 1 Introductory provisions s. 1 1 Part 1 -- Preliminary 2 Division 1 -- Introductory provisions 3 1. Short title 4 This is the Voluntary Assisted Dying Act 2019. 5 2. Commencement 6 This Act comes into operation as follows -- 7 (a) Part 1 (other than Divisions 2 to 4) -- on the day on 8 which this Act receives the Royal Assent; 9 (b) the rest of the Act -- on a day fixed by proclamation. 10 3. Act binds Crown 11 This Act binds the Crown in right of Western Australia, and so 12 far as the legislative power of the Parliament permits, the Crown 13 in all its other capacities. 14 Division 2 -- Principles 15 4. Principles 16 (1) A person exercising a power or performing a function under this 17 Act must have regard to the following principles -- 18 (a) every human life has equal value; 19 (b) a person's autonomy, including autonomy in respect of 20 end of life choices, should be respected; 21 (c) a person has the right to be supported in making 22 informed decisions about the person's medical 23 treatment, and should be given, in a manner the person 24 understands, information about medical treatment 25 options including comfort and palliative care and 26 treatment; 27 (d) a person approaching the end of life should be provided 28 with high quality care and treatment, including palliative page 2 Voluntary Assisted Dying Bill 2019 Preliminary Part 1 Interpretation Division 3 s. 5 1 care and treatment, to minimise the person's suffering 2 and maximise the person's quality of life; 3 (e) a therapeutic relationship between a person and the 4 person's health practitioner should, wherever possible, 5 be supported and maintained; 6 (f) a person should be encouraged to openly discuss death 7 and dying, and the person's preferences and values 8 regarding their care, treatment and end of life should be 9 encouraged and promoted; 10 (g) a person should be supported in conversations with the 11 person's health practitioners, family and carers and 12 community about treatment and care preferences; 13 (h) a person is entitled to genuine choices about the 14 person's care, treatment and end of life, irrespective of 15 where the person lives in Western Australia and having 16 regard to the person's culture and language; 17 (i) a person who is a regional resident is entitled to the 18 same level of access to voluntary assisted dying as a 19 person who lives in the metropolitan region; 20 (j) there is a need to protect persons who may be subject to 21 abuse or coercion; 22 (k) all persons, including health practitioners, have the right 23 to be shown respect for their culture, religion, beliefs, 24 values and personal characteristics. 25 (2) In subsection (1), the reference to a person exercising a power 26 or performing a function under this Act includes the Tribunal 27 exercising its review jurisdiction in relation to a decision made 28 under this Act. page 3 Voluntary Assisted Dying Bill 2019 Part 1 Preliminary Division 3 Interpretation s. 5 1 Division 3 -- Interpretation 2 5. Terms used 3 In this Act, unless the contrary intention appears -- 4 administering practitioner, for a patient, means -- 5 (a) the coordinating practitioner for the patient; or 6 (b) a person to whom the role of administering practitioner 7 is transferred under section 63(2); 8 administration, in relation to a voluntary assisted dying 9 substance, includes self-administration; 10 administration decision means a self-administration decision or 11 a practitioner administration decision; 12 approved form means a form approved by the CEO under 13 section 161 for the purposes of the provision in which the term 14 is used; 15 approved training means training approved by the CEO under 16 section 160; 17 authorised disposal form has the meaning given in 18 section 76(1); 19 authorised disposer has the meaning given in section 79(4); 20 authorised supplier has the meaning given in section 79(2); 21 Board means the Voluntary Assisted Dying Board established 22 by section 116; 23 business day means a day other than a Saturday, a Sunday or a 24 public holiday throughout Western Australia; 25 CEO means the chief executive officer of the Department; 26 completed, in relation to the request and assessment process, has 27 the meaning given in section 8; 28 consulting assessment means an assessment of a patient 29 conducted under section 35(1); 30 consulting assessment report form has the meaning given in 31 section 40(2); page 4 Voluntary Assisted Dying Bill 2019 Preliminary Part 1 Interpretation Division 3 s. 5 1 consulting practitioner, for a patient, means a medical 2 practitioner who accepts a referral to conduct a consulting 3 assessment of the patient; 4 contact details, in relation to a person, includes the address, 5 telephone number and email address of the person; 6 contact person, for a patient, means the person appointed by the 7 patient under section 65(1); 8 contact person appointment form has the meaning given in 9 section 66(1); 10 coordinating practitioner, for a patient, means -- 11 (a) a medical practitioner who accepts the patient's first 12 request; or 13 (b) a consulting practitioner for the patient who accepts a 14 transfer of the role of coordinating practitioner under 15 section 157; 16 decision-making capacity, in relation to voluntary assisted 17 dying, has the meaning given in section 6(2); 18 Department means the department of the Public Service 19 principally assisting in the administration of this Act; 20 disability has the meaning given in the Disability Services 21 Act 1993 section 3; 22 eligibility criteria means the criteria set out in section 16(1); 23 family member, of a person, means the person's spouse, 24 de facto partner, parent, sibling, child or grandchild; 25 final request means a final request for access to voluntary 26 assisted dying made under section 47(1); 27 final review means a review conducted under section 51(1)(a) 28 by the coordinating practitioner for a patient; 29 final review form has the meaning given in section 51(1)(b); 30 first assessment means an assessment of a patient conducted 31 under section 24(1); page 5 Voluntary Assisted Dying Bill 2019 Part 1 Preliminary Division 3 Interpretation s. 5 1 first assessment report form has the meaning given in 2 section 29(2); 3 first request means a request for access to voluntary assisted 4 dying made under section 18(1); 5 health service has the meaning given in the Health Services 6 Act 2016 section 7; 7 medical practitioner means a person registered under the 8 Health Practitioner Regulation National Law (Western 9 Australia) in the medical profession (other than as a student); 10 medicine has the meaning given in the Medicines and Poisons 11 Act 2014 section 3; 12 member means a member of the Board; 13 metropolitan region has the meaning given in the Planning and 14 Development Act 2005 section 4(1); 15 nurse practitioner means a person registered under the Health 16 Practitioner Regulation National Law (Western Australia) in 17 the nursing profession whose registration under that Law is 18 endorsed as nurse practitioner; 19 palliative care and treatment means care and treatment that -- 20 (a) is provided to a person who is diagnosed with a disease, 21 illness or medical condition that is progressive and 22 life-limiting; and 23 (b) is directed at preventing, identifying, assessing, 24 relieving or treating the person's pain, discomfort or 25 suffering in order to improve their comfort and quality 26 of life; 27 patient means a person who makes a request for access to 28 voluntary assisted dying under this Act; 29 personal information has the meaning given in the Freedom of 30 Information Act 1992 Glossary clause 1; 31 practitioner administration decision has the meaning given in 32 section 56(1)(b); page 6 Voluntary Assisted Dying Bill 2019 Preliminary Part 1 Interpretation Division 3 s. 5 1 practitioner administration form has the meaning given in 2 section 61(3); 3 practitioner disposal form has the meaning given in 4 section 78(1); 5 prepare, in relation to a prescribed substance -- 6 (a) means to do anything necessary to ensure that the 7 substance is in a form suitable for administration; and 8 (b) includes to decant, dilute, dissolve, mix, reconstitute, 9 colour or flavour the substance; 10 prescribe, in relation to a voluntary assisted dying substance, 11 means to issue a prescription for the substance; 12 prescribed substance means -- 13 (a) a voluntary assisted dying substance prescribed for a 14 patient by the coordinating practitioner for the patient; 15 and 16 (b) in relation to a patient, the voluntary assisted dying 17 substance prescribed for the patient by the coordinating 18 practitioner for the patient; 19 prescription, in relation to a voluntary assisted dying substance, 20 has the same meaning as it has, in relation to a Schedule 4 or 8 21 poison, in the Medicines and Poisons Act 2014 section 7(1); 22 professional care services means any of the following provided 23 to another person under a contract of employment or a contract 24 for services -- 25 (a) assistance or support, including the following -- 26 (i) assistance with bathing, showering, personal 27 hygiene, toileting, dressing, undressing or meals; 28 (ii) assistance for persons with mobility problems; 29 (iii) assistance for persons who are mobile but require 30 some form of assistance or supervision; 31 (iv) assistance or supervision in administering 32 medicine; page 7 Voluntary Assisted Dying Bill 2019 Part 1 Preliminary Division 3 Interpretation s. 6 1 (v) the provision of substantial emotional support; 2 (b) a disability service as defined in the Disability Services 3 Act 1993 section 3; 4 regional resident means a person who ordinarily resides in an 5 area of Western Australia that is outside the metropolitan 6 region; 7 registered health practitioner means a person registered under 8 the Health Practitioner Regulation National Law (Western 9 Australia) to practise a health profession (other than as a 10 student); 11 request and assessment process means the process that consists 12 of the following steps -- 13 (a) a first request; 14 (b) a first assessment; 15 (c) a consulting assessment; 16 (d) a written declaration; 17 (e) a final request; 18 (f) a final review; 19 self-administration decision has the meaning given in 20 section 56(1)(a); 21 supply, in relation to a voluntary assistance dying substance, has 22 the same meaning as it has, in relation to a poison, in the 23 Medicines and Poisons Act 2014 section 8; 24 Tribunal means the State Administrative Tribunal; 25 voluntary assisted dying means the administration of a 26 voluntary assisted dying substance and includes steps 27 reasonably related to that administration; 28 voluntary assisted dying substance has the meaning given in 29 section 7(2); 30 written declaration means a written declaration made under 31 section 42(1). page 8 Voluntary Assisted Dying Bill 2019 Preliminary Part 1 Interpretation Division 3 s. 6 1 6. Decision-making capacity 2 (1) In this section -- 3 voluntary assisted dying decision means -- 4 (a) a request for access to voluntary assisted dying; or 5 (b) a decision to access voluntary assisted dying. 6 (2) For the purposes of this Act, a patient has decision-making 7 capacity in relation to voluntary assisted dying if the patient has 8 the capacity to -- 9 (a) understand any information or advice about a voluntary 10 assisted dying decision that is required under this Act to 11 be provided to the patient; and 12 (b) understand the matters involved in a voluntary assisted 13 dying decision; and 14 (c) understand the effect of a voluntary assisted dying 15 decision; and 16 (d) weigh up the factors referred to in paragraphs (a), (b) 17 and (c) for the purposes of making a voluntary assisted 18 dying decision; and 19 (e) communicate a voluntary assisted dying decision in 20 some way. 21 (3) For the purposes of this Act, a patient is presumed to have 22 decision-making capacity in relation to voluntary assisted dying 23 unless the patient is shown not to have that capacity. 24 7. Voluntary assisted dying substance 25 (1) The CEO may, in writing, approve a Schedule 4 poison or 26 Schedule 8 poison (as those terms are defined in the Medicines 27 and Poisons Act 2014 section 3) for use under this Act for the 28 purpose of causing a patient's death. 29 (2) A poison approved under subsection (1) is a voluntary assisted 30 dying substance. page 9 Voluntary Assisted Dying Bill 2019 Part 1 Preliminary Division 4 Other provisions s. 8 1 8. When request and assessment process completed 2 For the purposes of this Act, the request and assessment process 3 has been completed in respect of a patient if the coordinating 4 practitioner for the patient -- 5 (a) has completed the final review form in respect of the 6 patient; and 7 (b) has certified in the final review form that the request and 8 assessment process has been completed in accordance 9 with this Act. 10 Division 4 -- Other provisions 11 9. Registered health practitioner may refuse to participate in 12 voluntary assisted dying 13 (1) A registered health practitioner who has a conscientious 14 objection to voluntary assisted dying has the right to refuse to 15 do any of the following -- 16 (a) participate in the request and assessment process; 17 (b) prescribe, supply or administer a voluntary assisted 18 dying substance; 19 (c) be present at the time of the administration of a 20 voluntary assisted dying substance. 21 (2) Subsection (1) is not intended to limit the circumstances in 22 which a registered health practitioner may refuse to do any of 23 the things referred to in that subsection. 24 10. Health care worker not to initiate discussion about 25 voluntary assisted dying 26 (1) In this section -- 27 health care worker means -- 28 (a) a registered health practitioner; or 29 (b) any other person who provides health services or 30 professional care services. page 10 Voluntary Assisted Dying Bill 2019 Preliminary Part 1 Other provisions Division 4 s. 10 1 (2) A health care worker who provides health services or 2 professional care services to a person must not, in the course of 3 providing the services to the person -- 4 (a) initiate discussion with the person that is in substance 5 about voluntary assisted dying; or 6 (b) in substance, suggest voluntary assisted dying to the 7 person. 8 (3) Nothing in subsection (2) prevents a medical practitioner or 9 nurse practitioner from doing something referred to in 10 subsection (2)(a) or (b) if, at the time it is done, the medical 11 practitioner or nurse practitioner also informs the person about 12 the following -- 13 (a) the treatment options available to the person and the 14 likely outcomes of that treatment; and 15 (b) the palliative care and treatment options available to the 16 person and the likely outcomes of that care and 17 treatment. 18 (4) Nothing in subsection (2) prevents a health care worker from 19 providing information about voluntary assisted dying to a 20 person at the person's request. 21 (5) A contravention of subsection (2) by a registered health 22 practitioner is unprofessional conduct for the purposes of the 23 Health Practitioner Regulation National Law (Western 24 Australia). 25 (6) Subsection (5) overrides section 11(1). 26 (7) A contravention of subsection (2) by a provider, as defined in 27 the Health and Disability Services (Complaints) Act 1995 28 section 3(1), is taken to be unreasonable conduct described in 29 section 25(1)(c) of that Act. page 11 Voluntary Assisted Dying Bill 2019 Part 1 Preliminary Division 4 Other provisions s. 11 1 11. Contravention of Act by registered health practitioner 2 (1) A contravention of a provision of this Act by a registered health 3 practitioner is capable of constituting professional misconduct 4 or unprofessional conduct for the purposes of the Health 5 Practitioner Regulation National Law (Western Australia). 6 (2) Subsection (1) applies whether or not the contravention 7 constitutes an offence under this Act. 8 12. Voluntary assisted dying not suicide 9 For the purposes of the law of the State, a person who dies as 10 the result of the administration of a prescribed substance in 11 accordance with this Act does not die by suicide. 12 13. Inherent jurisdiction of Supreme Court not affected 13 Nothing in this Act affects the inherent jurisdiction of the 14 Supreme Court. 15 14. Relationship with Medicines and Poisons Act 2014 and 16 Misuse of Drugs Act 1981 17 If there is a conflict or inconsistency between a provision of this 18 Act and a provision of the Medicines and Poisons Act 2014 or 19 the Misuse of Drugs Act 1981, the provision of this Act prevails 20 to the extent of the conflict or inconsistency. page 12 Voluntary Assisted Dying Bill 2019 Requirements for access to voluntary assisted dying Part 2 s. 15 1 Part 2 -- Requirements for access to voluntary 2 assisted dying 3 15. When person can access voluntary assisted dying 4 A person may access voluntary assisted dying if -- 5 (a) the person has made a first request; and 6 (b) the person has been assessed as eligible for access to 7 voluntary assisted dying by -- 8 (i) the coordinating practitioner for the person; and 9 (ii) the consulting practitioner for the person; 10 and 11 (c) the person has made a written declaration; and 12 (d) the person has made a final request to the coordinating 13 practitioner for the person; and 14 (e) the coordinating practitioner for the person has certified 15 in a final review form that -- 16 (i) the request and assessment process has been 17 completed in accordance with this Act; and 18 (ii) the practitioner is satisfied of each of the matters 19 referred to in section 51(3)(f); 20 and 21 (f) the person has made an administration decision; and 22 (g) if the person has made a self-administration decision, 23 the person has appointed a contact person. 24 16. Eligibility criteria 25 (1) The following criteria must be met for a person to be eligible for 26 access to voluntary assisted dying -- 27 (a) the person has reached 18 years of age; page 13 Voluntary Assisted Dying Bill 2019 Part 2 Requirements for access to voluntary assisted dying s. 16 1 (b) the person -- 2 (i) is an Australian citizen or permanent resident; 3 and 4 (ii) at the time of making a first request, has been 5 ordinarily resident in Western Australia for a 6 period of at least 12 months; 7 (c) the person is diagnosed with at least 1 disease, illness or 8 medical condition that -- 9 (i) is advanced, progressive and will cause death; 10 and 11 (ii) will, on the balance of probabilities, cause death 12 within a period of 6 months or, in the case of a 13 disease, illness or medical condition that is 14 neurodegenerative, within a period of 12 months; 15 and 16 (iii) is causing suffering to the person that cannot be 17 relieved in a manner that the person considers 18 tolerable; 19 (d) the person has decision-making capacity in relation to 20 voluntary assisted dying; 21 (e) the person is acting voluntarily and without coercion; 22 (f) the person's request for access to voluntary assisted 23 dying is enduring. 24 (2) A person is not eligible for access to voluntary assisted dying 25 only because the person has a disability or is diagnosed with a 26 mental illness (as defined in the Mental Health Act 2014 27 section 4). page 14 Voluntary Assisted Dying Bill 2019 Requesting access to voluntary assisted dying and Part 3 assessment of eligibility Eligibility requirements for medical practitioners Division 1 s. 17 1 Part 3 -- Requesting access to voluntary assisted dying 2 and assessment of eligibility 3 Division 1 -- Eligibility requirements for medical practitioners 4 17. Eligibility to act as coordinating practitioner or consulting 5 practitioner 6 (1) In this section -- 7 general registration means general registration under the 8 Health Practitioner Regulation National Law (Western 9 Australia) in the medical profession; 10 limited registration means limited registration under the Health 11 Practitioner Regulation National Law (Western Australia) in 12 the medical profession; 13 provisional registration means provisional registration under 14 the Health Practitioner Regulation National Law (Western 15 Australia) in the medical profession; 16 specialist registration means specialist registration under the 17 Health Practitioner Regulation National Law (Western 18 Australia) in the medical profession in a recognised specialty. 19 (2) A medical practitioner is eligible to act as a coordinating 20 practitioner or consulting practitioner for a patient if -- 21 (a) the medical practitioner -- 22 (i) holds specialist registration, has practised the 23 medical profession for at least 1 year as the 24 holder of specialist registration and meets the 25 requirements approved by the CEO for the 26 purposes of this subparagraph; or 27 (ii) holds general registration, has practised the 28 medical profession for at least 10 years as the 29 holder of general registration and meets the 30 requirements approved by the CEO for the 31 purposes of this subparagraph; or page 15 Voluntary Assisted Dying Bill 2019 Part 3 Requesting access to voluntary assisted dying and assessment of eligibility Division 2 First request s. 18 1 (iii) is an overseas-trained specialist who holds 2 limited registration or provisional registration 3 and meets the requirements approved by the 4 CEO for the purposes of this subparagraph; 5 and 6 (b) the medical practitioner is not a family member of the 7 patient; and 8 (c) the medical practitioner does not know or believe that 9 the practitioner -- 10 (i) is a beneficiary under a will of the patient; or 11 (ii) may otherwise benefit financially or in any other 12 material way from the death of the patient, other 13 than by receiving reasonable fees for the 14 provision of services as the coordinating 15 practitioner or consulting practitioner for the 16 patient. 17 (3) The CEO must publish the requirements approved for the 18 purposes of subsection (2)(a)(i), (ii) and (iii) on the 19 Department's website. 20 Division 2 -- First request 21 18. Person may make first request to medical practitioner 22 (1) A person may make a request to a medical practitioner for 23 access to voluntary assisted dying. 24 (2) The request must be -- 25 (a) clear and unambiguous; and 26 (b) made during a medical consultation; and 27 (c) made in person or, if that is not practicable, in 28 accordance with section 158(2)(a). 29 (3) The person may make the request verbally or in another way 30 (for example, by gestures). page 16 Voluntary Assisted Dying Bill 2019 Requesting access to voluntary assisted dying and Part 3 assessment of eligibility First request Division 2 s. 19 1 19. No obligation to continue after making first request 2 (1) A person who makes a first request may decide at any time not 3 to continue the request and assessment process. 4 (2) The request and assessment process ends if the person decides 5 not to continue the process. 6 (3) If the request and assessment process ends under subsection (2), 7 the person may begin a new request and assessment process by 8 making a new first request. 9 20. Medical practitioner to accept or refuse first request 10 (1) If a first request is made to a medical practitioner, the 11 practitioner must accept or refuse the request. 12 (2) The reasons for which the medical practitioner can refuse the 13 first request are as follows -- 14 (a) the practitioner has a conscientious objection to 15 voluntary assisted dying or is otherwise unwilling to 16 perform the duties of a coordinating practitioner; 17 (b) the practitioner is unable to perform the duties of a 18 coordinating practitioner because of unavailability or 19 some other reason; 20 (c) the practitioner is required to refuse the request under 21 subsection (3). 22 (3) The medical practitioner must refuse the first request if the 23 practitioner is not eligible to act as a coordinating practitioner. 24 (4) Unless subsection (5) applies, the medical practitioner must, 25 within 2 business days after the first request is made -- 26 (a) inform the patient that the practitioner accepts or refuses 27 the request; and 28 (b) give the patient the information approved by the CEO 29 for the purposes of this section. page 17 Voluntary Assisted Dying Bill 2019 Part 3 Requesting access to voluntary assisted dying and assessment of eligibility Division 2 First request s. 21 1 (5) If the medical practitioner refuses the first request because the 2 practitioner has a conscientious objection to voluntary assisted 3 dying, the practitioner must, immediately after the first request 4 is made -- 5 (a) inform the patient that the practitioner refuses the 6 request; and 7 (b) give the patient the information referred to in 8 subsection (4)(b). 9 21. Medical practitioner to record first request and acceptance 10 or refusal 11 The medical practitioner must record the following in the 12 patient's medical record -- 13 (a) the first request; 14 (b) the practitioner's decision to accept or refuse the first 15 request; 16 (c) if the practitioner's decision is to refuse the first request, 17 the reason for the refusal; 18 (d) whether the practitioner has given the patient the 19 information referred to in section 20(4)(b). 20 22. Medical practitioner to notify Board of first request 21 (1) Within 2 business days after deciding to accept or refuse the 22 first request, the medical practitioner must complete the 23 approved form (the first request form) and give a copy of it to 24 the Board. 25 (2) The first request form must include the following -- 26 (a) the name, date of birth and contact details of the patient; 27 (b) the name and contact details of the medical practitioner; 28 (c) the date when the first request was made; 29 (d) whether the first request was made in person or using 30 audiovisual communication and whether it was made 31 verbally or in another way (for example, by gestures); page 18 Voluntary Assisted Dying Bill 2019 Requesting access to voluntary assisted dying and Part 3 assessment of eligibility First assessment Division 3 s. 23 1 (e) the medical practitioner's decision to accept or refuse 2 the first request; 3 (f) if the medical practitioner's decision is to refuse the first 4 request, the reason for the refusal; 5 (g) the date when the medical practitioner informed the 6 patient of the practitioner's decision and gave the patient 7 the information referred to in section 20(4)(b); 8 (h) the signature of the medical practitioner and the date 9 when the form was signed. 10 23. Medical practitioner becomes coordinating practitioner if 11 first request accepted 12 If the medical practitioner accepts the first request, the 13 practitioner becomes the coordinating practitioner for the 14 patient. 15 Division 3 -- First assessment 16 24. First assessment 17 (1) The coordinating practitioner for a patient must assess whether 18 the patient is eligible for access to voluntary assisted dying. 19 (2) For the purposes of subsection (1), the coordinating practitioner 20 must make a decision in respect of each of the eligibility 21 criteria. 22 (3) Nothing in this section prevents the coordinating practitioner 23 from having regard to relevant information about the patient that 24 has been prepared by, or at the instigation of, another registered 25 health practitioner. 26 25. Coordinating practitioner to have completed approved 27 training 28 The coordinating practitioner must not begin the first 29 assessment unless the practitioner has completed approved 30 training. page 19 Voluntary Assisted Dying Bill 2019 Part 3 Requesting access to voluntary assisted dying and assessment of eligibility Division 3 First assessment s. 26 1 26. Referral for determination 2 (1) Subsection (2) applies if the coordinating practitioner is unable 3 to determine whether -- 4 (a) the patient has a disease, illness or medical condition 5 that meets the requirements of section 16(1)(c); or 6 (b) the patient has decision-making capacity in relation to 7 voluntary assisted dying as required by section 16(1)(d). 8 (2) The coordinating practitioner must refer the patient to a 9 registered health practitioner who has appropriate skills and 10 training to make a determination in relation to the matter. 11 (3) If the coordinating practitioner is unable to determine whether 12 the patient is acting voluntarily and without coercion as required 13 by section 16(1)(e), the coordinating practitioner must refer the 14 patient to another person who has appropriate skills and training 15 to make a determination in relation to the matter. 16 (4) If the coordinating practitioner makes a referral under 17 subsection (2) or (3), the coordinating practitioner may adopt 18 the determination of the registered health practitioner or other 19 person, as the case requires, in relation to the matter in respect 20 of which the referral was made. 21 (5) A registered health practitioner or other person to whom the 22 patient is referred under subsection (2) or (3) must not be -- 23 (a) a family member of the patient; or 24 (b) a person who knows or believes that they -- 25 (i) are a beneficiary under a will of the patient; or 26 (ii) may otherwise benefit financially or in any other 27 material way from the death of the patient, other 28 than by receiving reasonable fees for the 29 provision of services in connection with the 30 referral. page 20 Voluntary Assisted Dying Bill 2019 Requesting access to voluntary assisted dying and Part 3 assessment of eligibility First assessment Division 3 s. 27 1 27. Information to be provided if patient assessed as meeting 2 eligibility criteria 3 (1) If the coordinating practitioner is satisfied that the patient meets 4 all of the eligibility criteria, the coordinating practitioner must 5 inform the patient about the following matters -- 6 (a) the patient's diagnosis and prognosis; 7 (b) the treatment options available to the patient and the 8 likely outcomes of that treatment; 9 (c) the palliative care and treatment options available to the 10 patient and the likely outcomes of that care and 11 treatment; 12 (d) the potential risks of self-administering or being 13 administered a voluntary assisted dying substance likely 14 to be prescribed under this Act for the purposes of 15 causing the patient's death; 16 (e) that the expected outcome of self-administering or being 17 administered a substance referred to in paragraph (d) is 18 death; 19 (f) the method by which a substance referred to in 20 paragraph (d) is likely to be self-administered or 21 administered; 22 (g) the request and assessment process, including the 23 requirement for a written declaration signed in the 24 presence of 2 witnesses; 25 (h) that if the patient makes a self-administration decision, 26 the patient must appoint a contact person; 27 (i) that the patient may decide at any time not to continue 28 the request and assessment process or not to access 29 voluntary assisted dying; 30 (j) that if the patient is receiving ongoing health services 31 from a medical practitioner other than the coordinating 32 practitioner, the patient is encouraged to inform the 33 medical practitioner of the patient's request for access to 34 voluntary assisted dying. page 21 Voluntary Assisted Dying Bill 2019 Part 3 Requesting access to voluntary assisted dying and assessment of eligibility Division 3 First assessment s. 28 1 (2) In addition to informing the patient about the matters referred to 2 in subsection (1), the coordinating practitioner must take all 3 reasonable steps to fully explain to the patient and, if the patient 4 consents, another person nominated by the patient -- 5 (a) all relevant clinical guidelines; and 6 (b) a plan in respect of the administration of a voluntary 7 assisted dying substance. 8 (3) Nothing in this section affects any duty a medical practitioner 9 has at common law or under any other enactment. 10 28. Outcome of first assessment 11 (1) The coordinating practitioner must assess the patient as eligible 12 for access to voluntary assisted dying if the coordinating 13 practitioner is satisfied that -- 14 (a) the patient meets all of the eligibility criteria; and 15 (b) the patient understands the information required to be 16 provided under section 27(1). 17 (2) If the coordinating practitioner is not satisfied as to any matter 18 in subsection (1) -- 19 (a) the coordinating practitioner must assess the patient as 20 ineligible for access to voluntary assisted dying; and 21 (b) the request and assessment process ends. 22 29. Recording and notification of outcome of first assessment 23 (1) The coordinating practitioner must inform the patient of the 24 outcome of the first assessment as soon as practicable after its 25 completion. 26 (2) Within 2 business days after completing the first assessment, the 27 coordinating practitioner must complete the approved form (the 28 first assessment report form) and give a copy of it to the Board. page 22 Voluntary Assisted Dying Bill 2019 Requesting access to voluntary assisted dying and Part 3 assessment of eligibility First assessment Division 3 s. 29 1 (3) As soon as practicable after completing the first assessment 2 report form, the coordinating practitioner must give a copy of it 3 to the patient. 4 (4) The first assessment report form must include the following -- 5 (a) the name, date of birth and contact details of the patient; 6 (b) the following information in respect of the patient -- 7 (i) gender; 8 (ii) nationality; 9 (iii) ethnicity; 10 (iv) whether the patient has a disability; 11 (v) whether the patient's first language is a language 12 other than English; 13 (vi) whether the coordinating practitioner engaged an 14 interpreter in accordance with section 162(2) to 15 communicate the information in section 27 to the 16 patient; 17 (c) the name and contact details of the coordinating 18 practitioner; 19 (d) a statement confirming that the coordinating practitioner 20 meets the requirements of section 17(2); 21 (e) the date when the first request was made; 22 (f) the date when the first assessment was completed; 23 (g) the outcome of the first assessment, including the 24 coordinating practitioner's decision in respect of each of 25 the eligibility criteria; 26 (h) the date when the patient was informed of the outcome 27 of the first assessment; 28 (i) if the patient was referred under section 26(2) or (3), the 29 outcome of the referral (including a copy of any report 30 given by the registered health practitioner or other 31 person to whom the patient was referred); page 23 Voluntary Assisted Dying Bill 2019 Part 3 Requesting access to voluntary assisted dying and assessment of eligibility Division 4 Consulting assessment s. 30 1 (j) if the patient was assisted by an interpreter when having 2 the first assessment, the name, contact details and 3 accreditation details of the interpreter; 4 (k) the palliative care and treatment options available to the 5 patient and the likely outcomes of that care and 6 treatment; 7 (l) the signature of the coordinating practitioner and the 8 date when the form was signed. 9 30. Referral for consulting assessment if patient assessed as 10 eligible 11 If the coordinating practitioner assesses the patient as eligible 12 for access to voluntary assisted dying, the practitioner must 13 refer the patient to another medical practitioner for a consulting 14 assessment. 15 Division 4 -- Consulting assessment 16 31. Medical practitioner to accept or refuse referral for 17 consulting assessment 18 (1) If a patient is referred to a medical practitioner for a consulting 19 assessment under section 30, 41 or 157(6)(a), the practitioner 20 must accept or refuse the referral. 21 (2) The reasons for which the medical practitioner can refuse the 22 referral are as follows -- 23 (a) the practitioner has a conscientious objection to 24 voluntary assisted dying or is otherwise unwilling to 25 perform the duties of a consulting practitioner; 26 (b) the practitioner is unable to perform the duties of a 27 consulting practitioner because of unavailability or some 28 other reason; 29 (c) the practitioner is required to refuse the referral under 30 subsection (3). page 24 Voluntary Assisted Dying Bill 2019 Requesting access to voluntary assisted dying and Part 3 assessment of eligibility Consulting assessment Division 4 s. 32 1 (3) The medical practitioner must refuse the referral if the 2 practitioner is not eligible to act as a consulting practitioner. 3 (4) Unless subsection (5) applies, the medical practitioner must, 4 within 2 business days after receiving the referral, inform the 5 patient and the coordinating practitioner for the patient that the 6 practitioner accepts or refuses the referral. 7 (5) If the medical practitioner refuses the referral because the 8 practitioner has a conscientious objection to voluntary assisted 9 dying, the practitioner must, immediately after receiving the 10 referral, inform the patient and the coordinating practitioner for 11 the patient that the practitioner refuses the referral. 12 32. Medical practitioner to record referral and acceptance or 13 refusal 14 The medical practitioner must record the following in the 15 patient's medical record -- 16 (a) the referral; 17 (b) the practitioner's decision to accept or refuse the 18 referral; 19 (c) if the practitioner's decision is to refuse the referral, the 20 reason for the refusal. 21 33. Medical practitioner to notify Board of referral 22 (1) Within 2 business days after deciding to accept or refuse the 23 referral, the medical practitioner must complete the approved 24 form (the consultation referral form) and give a copy of it to 25 the Board. 26 (2) The consultation referral form must include the following -- 27 (a) the name, date of birth and contact details of the patient; 28 (b) the name and contact details of the medical practitioner; 29 (c) the date when the referral was received; 30 (d) the medical practitioner's decision to accept or refuse 31 the referral; page 25 Voluntary Assisted Dying Bill 2019 Part 3 Requesting access to voluntary assisted dying and assessment of eligibility Division 4 Consulting assessment s. 34 1 (e) if the medical practitioner's decision is to refuse the 2 referral, the reason for the refusal; 3 (f) the date when the medical practitioner informed the 4 patient and the coordinating practitioner for the patient 5 of the practitioner's decision; 6 (g) the signature of the medical practitioner and the date 7 when the form was signed. 8 34. Medical practitioner becomes consulting practitioner if 9 referral accepted 10 If the medical practitioner accepts the referral, the practitioner 11 becomes the consulting practitioner for the patient. 12 35. Consulting assessment 13 (1) The consulting practitioner for a patient must assess whether the 14 patient is eligible for access to voluntary assisted dying. 15 (2) For the purposes of subsection (1), the consulting practitioner 16 must make a decision in respect of each of the eligibility 17 criteria. 18 (3) For the purposes of subsection (1), the consulting practitioner 19 must independently of the coordinating practitioner form their 20 own opinions on the matters to be decided. 21 (4) Nothing in this section prevents the consulting practitioner from 22 having regard to relevant information about the patient that has 23 been prepared by, or at the instigation of, another registered 24 health practitioner. 25 36. Consulting practitioner to have completed approved 26 training 27 The consulting practitioner must not begin the consulting 28 assessment unless the practitioner has completed approved 29 training. page 26 Voluntary Assisted Dying Bill 2019 Requesting access to voluntary assisted dying and Part 3 assessment of eligibility Consulting assessment Division 4 s. 37 1 37. Referral for determination 2 (1) Subsection (2) applies if the consulting practitioner is unable to 3 determine whether -- 4 (a) the patient has a disease, illness or medical condition 5 that meets the requirements of section 16(1)(c); or 6 (b) the patient has decision-making capacity in relation to 7 voluntary assisted dying as required by section 16(1)(d). 8 (2) The consulting practitioner must refer the patient to a registered 9 health practitioner who has appropriate skills and training to 10 make a determination in relation to the matter. 11 (3) If the consulting practitioner is unable to determine whether the 12 patient is acting voluntarily and without coercion as required by 13 section 16(1)(e), the consulting practitioner must refer the 14 patient to another person who has appropriate skills and training 15 to make a determination in relation to the matter. 16 (4) If the consulting practitioner makes a referral under 17 subsection (2) or (3), the consulting practitioner may adopt the 18 determination of the registered health practitioner or other 19 person, as the case requires, in relation to the matter in respect 20 of which the referral was made. 21 (5) A registered health practitioner or other person to whom the 22 patient is referred under subsection (2) or (3) must not be -- 23 (a) a family member of the patient; or 24 (b) a person who knows or believes that they -- 25 (i) are a beneficiary under a will of the patient; or 26 (ii) may otherwise benefit financially or in any other 27 material way from the death of the patient, other 28 than by receiving reasonable fees for the 29 provision of services in connection with the 30 referral. page 27 Voluntary Assisted Dying Bill 2019 Part 3 Requesting access to voluntary assisted dying and assessment of eligibility Division 4 Consulting assessment s. 38 1 38. Information to be provided if patient assessed as meeting 2 eligibility criteria 3 (1) If the consulting practitioner is satisfied that the patient meets 4 all of the eligibility criteria, the consulting practitioner must 5 inform the patient about the matters referred to in section 27(1). 6 (2) Nothing in this section affects any duty a medical practitioner 7 has at common law or under any other enactment. 8 39. Outcome of consulting assessment 9 (1) The consulting practitioner must assess the patient as eligible 10 for access to voluntary assisted dying if the consulting 11 practitioner is satisfied that -- 12 (a) the patient meets all of the eligibility criteria; and 13 (b) the patient understands the information required to be 14 provided under section 38(1). 15 (2) If the consulting practitioner is not satisfied as to any matter in 16 subsection (1), the consulting practitioner must assess the 17 patient as ineligible for access to voluntary assisted dying. 18 40. Recording and notification of outcome of consulting 19 assessment 20 (1) The consulting practitioner must inform the patient and the 21 coordinating practitioner for the patient of the outcome of the 22 consulting assessment as soon as practicable after its 23 completion. 24 (2) Within 2 business days after completing the consulting 25 assessment, the consulting practitioner must complete the 26 approved form (the consulting assessment report form) and 27 give a copy of it to the Board. 28 (3) As soon as practicable after completing the consulting 29 assessment report form, the consulting practitioner must give a 30 copy of it to the patient. page 28 Voluntary Assisted Dying Bill 2019 Requesting access to voluntary assisted dying and Part 3 assessment of eligibility Consulting assessment Division 4 s. 40 1 (4) The consulting assessment report form must include the 2 following -- 3 (a) the name, date of birth and contact details of the patient; 4 (b) the name and contact details of the consulting 5 practitioner; 6 (c) a statement confirming that the consulting practitioner 7 meets the requirements of section 17(2); 8 (d) the date when the first request was made; 9 (e) the date when the referral for the consulting assessment 10 was made; 11 (f) the date when the referral for the consulting assessment 12 was received; 13 (g) the date when the consulting assessment was completed; 14 (h) the outcome of the consulting assessment, including the 15 consulting practitioner's decision in respect of each of 16 the eligibility criteria; 17 (i) the date when the patient was informed of the outcome 18 of the consulting assessment; 19 (j) the date when the coordinating practitioner for the 20 patient was informed of the outcome of the consulting 21 assessment; 22 (k) if the patient was referred under section 37(2) or (3), the 23 outcome of the referral (including a copy of any report 24 given by the registered health practitioner or other 25 person to whom the patient was referred); 26 (l) if the patient was assisted by an interpreter when having 27 the consulting assessment, the name, contact details and 28 accreditation details of the interpreter; 29 (m) the palliative care and treatment options available to the 30 patient and the likely outcomes of that care and 31 treatment; 32 (n) the signature of the consulting practitioner and the date 33 when the form was signed. page 29 Voluntary Assisted Dying Bill 2019 Part 3 Requesting access to voluntary assisted dying and assessment of eligibility Division 5 Written declaration s. 41 1 (5) The consulting practitioner must give a copy of the consulting 2 assessment report form to the coordinating practitioner for the 3 patient as soon as practicable after completing the consulting 4 assessment. 5 41. Referral for further consulting assessment if patient 6 assessed as ineligible 7 If the consulting practitioner assesses the patient as ineligible 8 for access to voluntary assisted dying, the coordinating 9 practitioner for the patient may refer the patient to another 10 medical practitioner for a further consulting assessment. 11 Division 5 -- Written declaration 12 42. Patient assessed as eligible may make written declaration 13 (1) A patient may make a written declaration requesting access to 14 voluntary assisted dying if the patient has been assessed as 15 eligible for access to voluntary assisted dying by -- 16 (a) the coordinating practitioner for the patient; and 17 (b) the consulting practitioner for the patient. 18 (2) The written declaration must be in the approved form and given 19 to the coordinating practitioner for the patient. 20 (3) The written declaration must -- 21 (a) specify that the patient -- 22 (i) makes it voluntarily and without coercion; and 23 (ii) understands its nature and effect; 24 and 25 (b) be signed by the patient, or a person referred to in 26 subsection (4), in the presence of 2 witnesses; and 27 (c) include the following -- 28 (i) the name, date of birth and contact details of the 29 patient; page 30 Voluntary Assisted Dying Bill 2019 Requesting access to voluntary assisted dying and Part 3 assessment of eligibility Written declaration Division 5 s. 43 1 (ii) if the patient was assisted by an interpreter, the 2 name, contact details and accreditation details of 3 the interpreter; 4 (iii) the name and contact details of the coordinating 5 practitioner for the patient. 6 (4) A person may sign the written declaration on behalf of the 7 patient if -- 8 (a) the patient is unable to sign the declaration; and 9 (b) the patient directs the person to sign the declaration; and 10 (c) the person -- 11 (i) has reached 18 years of age; and 12 (ii) is not a witness to the signing of the declaration; 13 and 14 (iii) is not the coordinating practitioner or consulting 15 practitioner for the patient making the 16 declaration. 17 (5) A person who signs the written declaration on behalf of the 18 patient must do so in the patient's presence. 19 (6) If the patient makes the written declaration with the assistance 20 of an interpreter, the interpreter must certify on the declaration 21 that the interpreter provided a true and correct translation of any 22 material translated. 23 43. Witness to signing of written declaration 24 (1) For the purposes of section 42(3)(b), a person is eligible to 25 witness the signing of a written declaration if the person -- 26 (a) has reached 18 years of age; and 27 (b) is not an ineligible witness. page 31 Voluntary Assisted Dying Bill 2019 Part 3 Requesting access to voluntary assisted dying and assessment of eligibility Division 5 Written declaration s. 44 1 (2) For the purposes of subsection (1)(b), a person is an ineligible 2 witness if the person -- 3 (a) knows or believes that the person -- 4 (i) is a beneficiary under a will of the patient 5 making the declaration; or 6 (ii) may otherwise benefit financially or in any other 7 material way from the death of the patient 8 making the declaration; 9 or 10 (b) is a family member of the patient making the 11 declaration; or 12 (c) is the coordinating practitioner or consulting practitioner 13 for the patient making the declaration. 14 44. Certification of witness to signing of written declaration 15 (1) In this section -- 16 ineligible witness means a person who is an ineligible witness 17 under section 43(2). 18 (2) A witness who witnesses the signing of a written declaration by 19 the patient making the declaration must -- 20 (a) certify in writing in the declaration that, in the presence 21 of the witness, the patient appeared to freely and 22 voluntarily sign the declaration; and 23 (b) state that the witness is not knowingly an ineligible 24 witness. 25 (3) A witness who witnesses the signing of a written declaration by 26 another person on behalf of the patient making the declaration 27 must -- 28 (a) certify in writing in the declaration that -- 29 (i) in the presence of the witness, the patient 30 appeared to freely and voluntarily direct the 31 other person to sign the declaration; and page 32 Voluntary Assisted Dying Bill 2019 Requesting access to voluntary assisted dying and Part 3 assessment of eligibility Final request and final review Division 6 s. 45 1 (ii) the other person signed the declaration in the 2 presence of the patient and the witness; 3 and 4 (b) state that the witness is not knowingly an ineligible 5 witness. 6 45. Coordinating practitioner to record written declaration 7 If a patient gives a written declaration to the coordinating 8 practitioner for the patient, the coordinating practitioner must 9 record the following in the patient's medical record -- 10 (a) the date when the written declaration was made; 11 (b) the date when the written declaration was received by 12 the coordinating practitioner. 13 46. Coordinating practitioner to notify Board of written 14 declaration 15 Within 2 business days after receiving a written declaration 16 made by a patient, the coordinating practitioner for the patient 17 must give a copy of it to the Board. 18 Division 6 -- Final request and final review 19 47. Patient may make final request to coordinating practitioner 20 (1) A patient who has made a written declaration may make a final 21 request to the coordinating practitioner for the patient for access 22 to voluntary assisted dying. 23 (2) The final request must be -- 24 (a) clear and unambiguous; and 25 (b) made in person or, if that is not practicable, in 26 accordance with section 158(2)(a). 27 (3) The patient may make the final request verbally or in another 28 way (for example, by gestures). page 33 Voluntary Assisted Dying Bill 2019 Part 3 Requesting access to voluntary assisted dying and assessment of eligibility Division 6 Final request and final review s. 48 1 48. When final request can be made 2 (1) In this section -- 3 designated period means the period of 9 days beginning on the 4 day on which the patient made the first request. 5 (2) The final request cannot be made -- 6 (a) before the end of the designated period, except as 7 provided in subsection (3); and 8 (b) in any case, until after the day on which the consulting 9 assessment that assessed the patient as eligible for 10 access to voluntary assisted dying was completed. 11 (3) The final request can be made before the end of the designated 12 period if -- 13 (a) in the opinion of the coordinating practitioner for the 14 patient, the patient is likely to die, or to lose 15 decision-making capacity in relation to voluntary 16 assisted dying, before the end of the designated period; 17 and 18 (b) the opinion of the coordinating practitioner is consistent 19 with the opinion of the consulting practitioner for the 20 patient. 21 49. Coordinating practitioner to record final request 22 The coordinating practitioner for the patient must record the 23 following in the patient's medical record -- 24 (a) the date when the final request was made; 25 (b) if the final request was made before the end of the 26 designated period as defined in section 48(1), the reason 27 for it being made before the end of that period. page 34 Voluntary Assisted Dying Bill 2019 Requesting access to voluntary assisted dying and Part 3 assessment of eligibility Final request and final review Division 6 s. 50 1 50. Coordinating practitioner to notify Board of final request 2 (1) Within 2 business days after receiving a final request made by a 3 patient, the coordinating practitioner for the patient must 4 complete the approved form (the final request form) and give a 5 copy of it to the Board. 6 (2) The final request form must include the following -- 7 (a) the name, date of birth and contact details of the patient; 8 (b) the name and contact details of the coordinating 9 practitioner; 10 (c) the date when the first request was made; 11 (d) the date when the final request was made; 12 (e) whether the final request was made in person or using 13 audiovisual communication and whether it was made 14 verbally or in another way; 15 (f) if the patient was assisted by an interpreter when making 16 the final request, the name, contact details and 17 accreditation details of the interpreter; 18 (g) if the final request was made before the end of the 19 designated period as defined in section 48(1), the reason 20 for it being made before the end of that period; 21 (h) the signature of the coordinating practitioner and the 22 date when the form was signed. 23 51. Final review by coordinating practitioner on receiving final 24 request 25 (1) On receiving a final request made by a patient, the coordinating 26 practitioner for the patient must -- 27 (a) review the following in respect of the patient -- 28 (i) the first assessment report form; 29 (ii) all consulting assessment report forms; 30 (iii) the written declaration; 31 and page 35 Voluntary Assisted Dying Bill 2019 Part 3 Requesting access to voluntary assisted dying and assessment of eligibility Division 6 Final request and final review s. 51 1 (b) complete the approved form (the final review form) in 2 respect of the patient. 3 (2) When conducting the final review, the coordinating practitioner 4 must have regard to any decision made by the Tribunal under 5 Part 5 in respect of a decision made in the request and 6 assessment process. 7 (3) The final review form must include the following -- 8 (a) the name, date of birth and contact details of the patient; 9 (b) the name and contact details of the coordinating 10 practitioner; 11 (c) a statement that the coordinating practitioner has 12 reviewed the forms referred to in subsection (1)(a); 13 (d) a statement certifying whether or not the request and 14 assessment process has been completed in accordance 15 with this Act; 16 (e) if the patient was assisted by an interpreter, the name, 17 contact details and accreditation details of the 18 interpreter; 19 (f) a statement certifying whether or not the coordinating 20 practitioner is satisfied of each of the following -- 21 (i) that the patient has decision-making capacity in 22 relation to voluntary assisted dying; 23 (ii) that the patient in requesting access to voluntary 24 assisted dying is acting voluntarily and without 25 coercion; 26 (iii) that the patient's request to access voluntary 27 assisted dying is enduring; 28 (g) the signature of the coordinating practitioner and the 29 date when the form was signed. 30 (4) Within 2 business days after completing the final review form, 31 the coordinating practitioner must give a copy of it to the Board. page 36 Voluntary Assisted Dying Bill 2019 Requesting access to voluntary assisted dying and Part 3 assessment of eligibility Final request and final review Division 6 s. 52 1 52. Technical error not to invalidate request and assessment 2 process 3 The validity of the request and assessment process is not 4 affected by any minor or technical error in a final review form 5 or a form referred to in section 51(1)(a). 6 53. No obligation for patient to continue after completion of 7 request and assessment process 8 A patient in respect of whom the request and assessment 9 process has been completed may decide at any time not to take 10 any further step in relation to access to voluntary assisted dying. page 37 Voluntary Assisted Dying Bill 2019 Part 4 Accessing voluntary assisted dying and death Division 1 Eligibility requirements for administering practitioners s. 54 1 Part 4 -- Accessing voluntary assisted dying and death 2 Division 1 -- Eligibility requirements for administering 3 practitioners 4 54. Eligibility to act as administering practitioner 5 (1) A person is eligible to act as an administering practitioner for a 6 patient if -- 7 (a) the person is -- 8 (i) a medical practitioner who is eligible to act as a 9 coordinating practitioner for the patient under 10 section 17(2); or 11 (ii) a nurse practitioner who has practised the 12 nursing profession for at least 2 years as a nurse 13 practitioner and meets the requirements approved 14 by the CEO for the purposes of this 15 subparagraph; 16 and 17 (b) the person has completed approved training; and 18 (c) the person is not a family member of the patient; and 19 (d) the person does not know or believe that they -- 20 (i) are a beneficiary under a will of the patient; or 21 (ii) may otherwise benefit financially or in any other 22 material way from the death of the patient, other 23 than by receiving reasonable fees for the 24 provision of services as the administering 25 practitioner for the patient. 26 (2) The CEO must publish the requirements approved for the 27 purposes of subsection (1)(a)(ii) on the Department's website. page 38 Voluntary Assisted Dying Bill 2019 Accessing voluntary assisted dying and death Part 4 Administration of voluntary assisted dying substance Division 2 s. 55 1 Division 2 -- Administration of voluntary assisted 2 dying substance 3 55. Application of Division 4 This Division applies if -- 5 (a) the request and assessment process has been completed 6 in respect of a patient; and 7 (b) the final review form in respect of the patient certifies 8 that the coordinating practitioner for the patient is 9 satisfied of each of the following -- 10 (i) that the patient has decision-making capacity in 11 relation to voluntary assisted dying; 12 (ii) that the patient in requesting access to voluntary 13 assisted dying is acting voluntarily and without 14 coercion; 15 (iii) that the patient's request to access voluntary 16 assisted dying is enduring. 17 56. Administration decision 18 (1) The patient may, in consultation with and on the advice of the 19 coordinating practitioner for the patient -- 20 (a) decide to self-administer a voluntary assisted dying 21 substance (a self-administration decision); or 22 (b) decide that a voluntary assisted dying substance is to be 23 administered to the patient by the administering 24 practitioner for the patient (a practitioner 25 administration decision). 26 (2) A practitioner administration decision can only be made if the 27 coordinating practitioner for the patient advises the patient that 28 self-administration of a voluntary assisted dying substance is 29 inappropriate having regard to 1 or more of the following -- 30 (a) the ability of the patient to self-administer the substance; page 39 Voluntary Assisted Dying Bill 2019 Part 4 Accessing voluntary assisted dying and death Division 2 Administration of voluntary assisted dying substance s. 57 1 (b) the patient's concerns about self-administering the 2 substance; 3 (c) the method for administering the substance that is 4 suitable for the patient. 5 (3) An administration decision must be -- 6 (a) clear and unambiguous; and 7 (b) made in person before the coordinating practitioner for 8 the patient or, if that is not practicable, in accordance 9 with section 158(2)(a). 10 (4) The patient may make an administration decision verbally or in 11 another way (for example, by gestures). 12 (5) If the patient makes an administration decision, the coordinating 13 practitioner for the patient must record the decision in the 14 patient's medical record. 15 57. Revocation of administration decision 16 (1) The patient may at any time -- 17 (a) revoke a self-administration decision by informing the 18 coordinating practitioner for the patient that the patient 19 has decided not to self-administer a voluntary assisted 20 dying substance; or 21 (b) revoke a practitioner administration decision by 22 informing the administering practitioner for the patient 23 that the patient has decided not to proceed with the 24 administration of a voluntary assisted dying substance. 25 (2) For the purposes of subsection (1), the patient may inform the 26 coordinating practitioner or administering practitioner of the 27 patient's decision in writing, verbally or in another way (for 28 example, by gestures). page 40 Voluntary Assisted Dying Bill 2019 Accessing voluntary assisted dying and death Part 4 Administration of voluntary assisted dying substance Division 2 s. 58 1 (3) If the patient revokes an administration decision under 2 subsection (1), the coordinating practitioner or administering 3 practitioner who is informed of the patient's decision must -- 4 (a) record the revocation in the patient's medical record; 5 and 6 (b) if the practitioner is not the coordinating practitioner for 7 the patient, inform the coordinating practitioner of the 8 revocation; and 9 (c) within 2 business days after the revocation, complete the 10 approved form (the revocation form) and give a copy of 11 it to the Board. 12 (4) The revocation form must include the following -- 13 (a) the name, date of birth and contact details of the patient; 14 (b) the name and contact details of the person completing 15 the form; 16 (c) if the person completing the form is not the coordinating 17 practitioner for the patient, the name and contact details 18 of the coordinating practitioner; 19 (d) the date when the administration decision was made; 20 (e) the date when the administration decision was revoked; 21 (f) if the patient was assisted by an interpreter when 22 revoking the administration decision, the name, contact 23 details and accreditation details of the interpreter; 24 (g) the signature of the person completing the form and the 25 date when the form was signed. 26 (5) The revocation of an administration decision does not prevent 27 the patient from making another administration decision under 28 section 56(1). 29 58. Self-administration 30 (1) This section applies if the patient has made a self-administration 31 decision and has not revoked it. page 41 Voluntary Assisted Dying Bill 2019 Part 4 Accessing voluntary assisted dying and death Division 2 Administration of voluntary assisted dying substance s. 59 1 (2) The coordinating practitioner for the patient is authorised to 2 prescribe a voluntary assisted dying substance for the patient 3 that is of a sufficient dose to cause death. 4 (3) Subsection (2) is subject to section 66(6). 5 (4) The authorised supplier who is given the prescription for the 6 patient is authorised to -- 7 (a) possess the prescribed substance for the purpose of 8 preparing it and supplying it to a person referred to in 9 paragraph (c); and 10 (b) prepare the prescribed substance; and 11 (c) supply the prescribed substance to the patient, the 12 contact person for the patient or an agent of the patient. 13 (5) The patient is authorised to -- 14 (a) receive the prescribed substance from an authorised 15 supplier, the contact person for the patient or an agent of 16 the patient; and 17 (b) possess the prescribed substance for the purpose of 18 preparing and self-administering it; and 19 (c) prepare the prescribed substance; and 20 (d) self-administer the prescribed substance. 21 (6) The contact person for the patient is authorised as set out in 22 section 67(1). 23 (7) An agent of the patient is authorised to -- 24 (a) receive the prescribed substance from an authorised 25 supplier; and 26 (b) possess the prescribed substance for the purpose of 27 supplying it to the patient; and 28 (c) supply the prescribed substance to the patient. page 42 Voluntary Assisted Dying Bill 2019 Accessing voluntary assisted dying and death Part 4 Administration of voluntary assisted dying substance Division 2 s. 59 1 59. Practitioner administration 2 (1) This section applies if the patient has made a practitioner 3 administration decision and has not revoked it. 4 (2) The coordinating practitioner for the patient is authorised to 5 prescribe a voluntary assisted dying substance for the patient 6 that is of a sufficient dose to cause death. 7 (3) The authorised supplier who is given the prescription for the 8 patient is authorised to -- 9 (a) possess the prescribed substance for the purpose of 10 preparing it and supplying it to the administering 11 practitioner for the patient; and 12 (b) prepare the prescribed substance; and 13 (c) supply the prescribed substance to the administering 14 practitioner for the patient. 15 (4) The administering practitioner for the patient is authorised to -- 16 (a) receive the prescribed substance from an authorised 17 supplier; and 18 (b) possess the prescribed substance for the purpose of 19 preparing it and administering it to the patient; and 20 (c) prepare the prescribed substance. 21 (5) The administering practitioner for the patient is authorised, in 22 the presence of a witness, to administer the prescribed substance 23 to the patient if the administering practitioner is satisfied at the 24 time of administration that -- 25 (a) the patient has decision-making capacity in relation to 26 voluntary assisted dying; and 27 (b) the patient is acting voluntarily and without coercion; 28 and 29 (c) the patient's request for access to voluntary assisted 30 dying is enduring. page 43 Voluntary Assisted Dying Bill 2019 Part 4 Accessing voluntary assisted dying and death Division 2 Administration of voluntary assisted dying substance s. 60 1 60. Coordinating practitioner to notify Board of administration 2 decision and prescription of substance 3 (1) Within 2 business days after prescribing a voluntary assisted 4 dying substance for the patient, the coordinating practitioner for 5 the patient must -- 6 (a) complete the approved form (the administration 7 decision and prescription form); and 8 (b) give the Board -- 9 (i) a copy of the administration decision and 10 prescription form; and 11 (ii) if the patient has made a self-administration 12 decision, a copy of the contact person 13 appointment form given to the coordinating 14 practitioner under section 66(3). 15 (2) The administration decision and prescription form must include 16 the following -- 17 (a) the name, date of birth and contact details of the patient; 18 (b) the name and contact details of the coordinating 19 practitioner; 20 (c) the administration decision made by the patient; 21 (d) the date when the administration decision was made; 22 (e) a statement confirming that the coordinating practitioner 23 has complied with section 69(2) or (3), as the case 24 requires; 25 (f) the date when the prescription for the voluntary assisted 26 dying substance was issued; 27 (g) if the patient was assisted by an interpreter when making 28 the administration decision, the name, contact details 29 and accreditation details of the interpreter; 30 (h) the signature of the coordinating practitioner and the 31 date when the form was signed. page 44 Voluntary Assisted Dying Bill 2019 Accessing voluntary assisted dying and death Part 4 Administration of voluntary assisted dying substance Division 2 s. 61 1 61. Certification by administering practitioner following 2 administration of prescribed substance 3 (1) This section applies if the administering practitioner for the 4 patient administers the prescribed substance to the patient. 5 (2) The administering practitioner must certify in writing that -- 6 (a) the patient made a practitioner administration decision 7 and did not revoke the decision; and 8 (b) the administering practitioner was satisfied at the time of 9 administering the prescribed substance to the patient -- 10 (i) that the patient had decision-making capacity in 11 relation to voluntary assisted dying; and 12 (ii) that the patient was acting voluntarily and 13 without coercion; and 14 (iii) that the patient's request for access to voluntary 15 assisted dying was enduring. 16 (3) The certificate must be in the approved form (the practitioner 17 administration form) and must include the following -- 18 (a) the name and date of birth of the patient; 19 (b) the name and contact details of the administering 20 practitioner; 21 (c) the name, date of birth and contact details of the witness 22 to the administration of the prescribed substance (the 23 witness); 24 (d) the date, time and location where the prescribed 25 substance was administered; 26 (e) the date and time of the patient's death; 27 (f) the period of time that lapsed between the administration 28 of the prescribed substance and the patient's death; 29 (g) details of any complications relating to the 30 administration of the prescribed substance; 31 (h) the certificate of the witness required under 32 section 62(3); page 45 Voluntary Assisted Dying Bill 2019 Part 4 Accessing voluntary assisted dying and death Division 2 Administration of voluntary assisted dying substance s. 62 1 (i) the signature of the administering practitioner and the 2 date when the form was signed; 3 (j) the signature of the witness and the date when the form 4 was signed. 5 (4) Within 2 business days after administering the prescribed 6 substance, the administering practitioner must give a copy of the 7 practitioner administration form to the Board. 8 62. Witness to administration of prescribed substance 9 (1) For the purposes of section 59(5), a person is eligible to witness 10 the administration of a prescribed substance to a patient if the 11 person -- 12 (a) has reached 18 years of age; and 13 (b) is not an ineligible witness. 14 (2) For the purposes of subsection (1)(b), a person is an ineligible 15 witness if the person -- 16 (a) is a family member of the administering practitioner for 17 the patient; or 18 (b) is employed, or engaged under a contract for services, 19 by the administering practitioner for the patient. 20 (3) The witness to the administration of a prescribed substance to a 21 patient must certify in the practitioner administration form for 22 the patient that -- 23 (a) the patient's request for access to voluntary assisted 24 dying appeared to be free, voluntary and enduring; and 25 (b) the administering practitioner for the patient 26 administered the prescribed substance to the patient in 27 the presence of the witness. page 46 Voluntary Assisted Dying Bill 2019 Accessing voluntary assisted dying and death Part 4 Administration of voluntary assisted dying substance Division 2 s. 63 1 63. Transfer of administering practitioner's role 2 (1) This section applies if -- 3 (a) a patient has made a practitioner administration 4 decision; and 5 (b) the coordinating practitioner for the patient has 6 prescribed a voluntary assisted dying substance for the 7 patient; and 8 (c) the administering practitioner for the patient (the 9 original practitioner) is unable or unwilling for any 10 reason to administer the prescribed substance to the 11 patient, whether the original practitioner is the 12 coordinating practitioner for the patient or a person to 13 whom the role of administering practitioner has been 14 transferred under subsection (2). 15 (2) The original practitioner must transfer the role of administering 16 practitioner to another person who is eligible to act as an 17 administering practitioner for the patient and accepts the 18 transfer of the role. 19 (3) If a person (the new practitioner) accepts the transfer of the 20 role, the original practitioner must -- 21 (a) inform the patient of the transfer and of the name and 22 contact details of the new practitioner; and 23 (b) record the transfer in the patient's medical record; and 24 (c) within 2 business days after the acceptance of the 25 transfer, complete the approved form (the administering 26 practitioner transfer form) and give a copy of it to the 27 Board. 28 (4) The administering practitioner transfer form must include the 29 following -- 30 (a) the name, date of birth and contact details of the patient; 31 (b) the name and contact details of the original practitioner; 32 (c) the name and contact details of the new practitioner; page 47 Voluntary Assisted Dying Bill 2019 Part 4 Accessing voluntary assisted dying and death Division 3 Contact person s. 64 1 (d) the date when the new practitioner accepted the transfer; 2 (e) the date when the patient was informed of the transfer; 3 (f) the signature of the original practitioner and the date 4 when the form was signed. 5 (5) If the original practitioner has possession of the prescribed 6 substance when the role is transferred -- 7 (a) the original practitioner is authorised to supply the 8 prescribed substance to the new practitioner; and 9 (b) the new practitioner is authorised to receive the 10 prescribed substance from the original practitioner. 11 (6) The coordinating practitioner for the patient remains the 12 coordinating practitioner despite any transfer of the role of 13 administering practitioner under subsection (2), but subject to 14 section 157. 15 Division 3 -- Contact person 16 64. Application of Division 17 This Division applies if a patient has made a self-administration 18 decision. 19 65. Patient to appoint contact person 20 (1) The patient must appoint a person as the contact person for the 21 patient. 22 (2) A person is eligible for appointment if the person has reached 23 18 years of age. 24 (3) Without limiting who can be appointed as the contact person, 25 the patient may appoint their coordinating practitioner, their 26 consulting practitioner or another registered health practitioner. 27 (4) A person cannot be appointed as the contact person unless the 28 person consents to the appointment. 29 (5) The patient may revoke the appointment of the contact person. page 48 Voluntary Assisted Dying Bill 2019 Accessing voluntary assisted dying and death Part 4 Contact person Division 3 s. 66 1 (6) If the patient revokes the appointment of the contact person -- 2 (a) the patient must inform the person of the revocation; and 3 (b) the person ceases to be the contact person for the patient 4 on being informed under paragraph (a); and 5 (c) the patient must make another appointment under 6 subsection (1). 7 66. Contact person appointment form 8 (1) An appointment under section 65(1) must be made in the 9 approved form (the contact person appointment form) and 10 include the following -- 11 (a) the name, date of birth and contact details of the patient; 12 (b) the name and contact details of the coordinating 13 practitioner for the patient; 14 (c) the name, date of birth and contact details of the contact 15 person; 16 (d) a statement that the contact person consents to the 17 appointment; 18 (e) a statement that the contact person understands their role 19 under this Act (including the requirements under 20 section 105 to give the prescribed substance, or any 21 unused or remaining prescribed substance, to an 22 authorised disposer and the penalties for offences under 23 that section); 24 (f) if the patient was assisted by an interpreter when making 25 the appointment, the name, contact details and 26 accreditation details of the interpreter; 27 (g) the signature of the contact person and the date when the 28 form was signed; 29 (h) the signature of the patient, or other person who 30 completes the form on behalf of the patient, and the date 31 when the form was signed. page 49 Voluntary Assisted Dying Bill 2019 Part 4 Accessing voluntary assisted dying and death Division 3 Contact person s. 67 1 (2) If the patient is unable to complete the contact person 2 appointment form, another person can complete the form on 3 behalf of the patient if -- 4 (a) the patient directs the person to complete the contact 5 person appointment form; and 6 (b) the person has reached 18 years of age. 7 (3) The patient or the contact person for the patient must give the 8 contact person appointment form to the coordinating 9 practitioner for the patient. 10 (4) Within 2 business days after receiving the contact person 11 appointment form, the coordinating practitioner for the patient 12 must give a copy of it to the Board. 13 (5) Subsection (4) does not apply if a copy of the form is given to 14 the Board under section 60(1)(b)(ii). 15 (6) The coordinating practitioner for the patient cannot prescribe a 16 voluntary assisted dying substance for the patient before the 17 contact person appointment form is given to the coordinating 18 practitioner. 19 67. Role of contact person 20 (1) The contact person for the patient is authorised to -- 21 (a) receive the prescribed substance from an authorised 22 supplier; and 23 (b) possess the prescribed substance for the purpose of 24 paragraph (c) or (d); and 25 (c) supply the prescribed substance to the patient; and 26 (d) give the prescribed substance, or any unused or 27 remaining prescribed substance, to an authorised 28 disposer as required by section 105. page 50 Voluntary Assisted Dying Bill 2019 Accessing voluntary assisted dying and death Part 4 Prescribing, supplying and disposing of voluntary assisted Division 4 dying substance s. 68 1 (2) The contact person for the patient must inform the coordinating 2 practitioner for the patient if the patient dies (whether as a result 3 of self-administering the prescribed substance or from some 4 other cause). 5 68. Contact person may refuse to continue in role 6 (1) The contact person for a patient may refuse to continue to 7 perform the role of contact person. 8 (2) If the contact person for a patient refuses to continue to perform 9 the role -- 10 (a) the person must inform the patient of the refusal; and 11 (b) the person ceases to be the contact person for the patient 12 on informing the patient under paragraph (a); and 13 (c) the patient must make another appointment under 14 section 65(1). 15 Division 4 -- Prescribing, supplying and disposing of voluntary 16 assisted dying substance 17 69. Information to be given before prescribing substance 18 (1) In this section -- 19 Schedule 4 poison and Schedule 8 poison have the meanings 20 given in the Medicines and Poisons Act 2014 section 3. 21 (2) The coordinating practitioner for a patient who has made a 22 self-administration decision must, before prescribing a 23 voluntary assisted dying substance for the patient, inform the 24 patient, in writing, of the following -- 25 (a) the Schedule 4 poison or Schedule 8 poison, or 26 combination of those poisons, constituting the 27 substance; 28 (b) that the patient is not under any obligation to obtain the 29 substance; page 51 Voluntary Assisted Dying Bill 2019 Part 4 Accessing voluntary assisted dying and death Division 4 Prescribing, supplying and disposing of voluntary assisted dying substance s. 69 1 (c) that the patient is not under any obligation to 2 self-administer the substance; 3 (d) that the substance must be stored in accordance with the 4 information provided by the authorised supplier who 5 supplies the substance; 6 (e) how to prepare and self-administer the substance; 7 (f) the method by which the substance will be self- 8 administered; 9 (g) the expected effects of self-administration of the 10 substance; 11 (h) the period within which the patient is likely to die after 12 self-administration of the substance; 13 (i) the potential risks of self-administration of the 14 substance; 15 (j) that, if the patient decides not to self-administer the 16 substance, their contact person must give the substance 17 to an authorised disposer for disposal; 18 (k) that, if the patient dies, their contact person must give 19 any unused or remaining substance to an authorised 20 disposer for disposal. 21 (3) The coordinating practitioner for a patient who has made a 22 practitioner administration decision must, before prescribing a 23 voluntary assisted dying substance for the patient, inform the 24 patient, in writing, of the following -- 25 (a) the Schedule 4 poison or Schedule 8 poison, or 26 combination of those poisons, constituting the 27 substance; 28 (b) that the patient is not under any obligation to have the 29 substance administered; 30 (c) the method by which the substance will be administered; 31 (d) the expected effects of administration of the substance; 32 (e) the period within which the patient is likely to die after 33 administration of the substance; page 52 Voluntary Assisted Dying Bill 2019 Accessing voluntary assisted dying and death Part 4 Prescribing, supplying and disposing of voluntary assisted Division 4 dying substance s. 70 1 (f) the potential risks of administration of the substance; 2 (g) that, if the practitioner administration decision is made 3 after the revocation of a self-administration decision, the 4 contact person for the patient must give any prescribed 5 substance received by the patient, the contact person or 6 an agent of the patient to an authorised disposer for 7 disposal. 8 70. Prescription for substance 9 (1) In this section -- 10 medication chart means a chart (however described) that 11 records medicines used, or to be used, for the treatment of the 12 patient. 13 (2) This section applies if the coordinating practitioner for a patient 14 prescribes a voluntary assisted dying substance for the patient. 15 (3) The prescription issued by the coordinating practitioner (the 16 prescription) must include -- 17 (a) a statement that clearly indicates it is for a voluntary 18 assisted dying substance; and 19 (b) a statement -- 20 (i) certifying that the request and assessment 21 process has been completed in respect of the 22 patient in accordance with this Act; and 23 (ii) certifying that the patient has made an 24 administration decision and specifying whether 25 the decision is a self-administration decision or a 26 practitioner administration decision; 27 and 28 (c) the telephone number of the patient. 29 (4) The prescription cannot be in the form of a medication chart. page 53 Voluntary Assisted Dying Bill 2019 Part 4 Accessing voluntary assisted dying and death Division 4 Prescribing, supplying and disposing of voluntary assisted dying substance s. 71 1 (5) The prescription cannot provide for the prescribed substance to 2 be supplied on more than 1 occasion. 3 (6) The coordinating practitioner must give the prescription directly 4 to an authorised supplier. 5 71. Authorised supplier to authenticate prescription 6 An authorised supplier who is given a prescription for a 7 voluntary assisted dying substance must not supply the 8 substance in accordance with the prescription unless the 9 authorised supplier has confirmed -- 10 (a) the authenticity of the prescription; and 11 (b) the identity of the person who issued the prescription; 12 and 13 (c) the identity of the person to whom the substance is to be 14 supplied. 15 72. Information to be given when supplying prescribed 16 substance 17 (1) Subsection (2) applies if an authorised supplier supplies a 18 prescribed substance to a patient, the contact person for a patient 19 or an agent of a patient (the recipient). 20 (2) The authorised supplier must, when supplying the prescribed 21 substance, inform the recipient, in writing, of the following -- 22 (a) that the patient is not under any obligation to 23 self-administer the substance; 24 (b) how to store the substance in a safe and secure way; 25 (c) how to prepare and self-administer the substance; 26 (d) that, if the patient decides not to self-administer the 27 substance, their contact person must give the substance 28 to an authorised disposer for disposal; 29 (e) that, if the patient dies, their contact person must give 30 any unused or remaining substance to an authorised 31 disposer for disposal. page 54 Voluntary Assisted Dying Bill 2019 Accessing voluntary assisted dying and death Part 4 Prescribing, supplying and disposing of voluntary assisted Division 4 dying substance s. 73 1 (3) If the recipient is not the patient, the authorised supplier must, 2 when supplying the prescribed substance, advise the recipient to 3 give the information provided under subsection (2) to the 4 patient. 5 73. Labelling requirements for prescribed substance 6 (1) In addition to any labelling requirements under the Medicines 7 and Poisons Act 2014, an authorised supplier who supplies a 8 prescribed substance must attach a statement in writing to the 9 relevant package or container that -- 10 (a) warns of the purpose of the dose of the substance; and 11 (b) states the dangers of administration of the substance; 12 and 13 (c) states that, if the substance is supplied for 14 self-administration -- 15 (i) the substance must be stored in accordance with 16 the advice given by the authorised supplier; and 17 (ii) any unused or remaining substance must be 18 given to an authorised disposer by the contact 19 person for the patient to whom it is supplied. 20 (2) The statement must be in the approved form. 21 74. Authorised supplier to record and notify of supply 22 (1) An authorised supplier who supplies a prescribed substance 23 must immediately complete the approved form (the authorised 24 supply form). 25 (2) The authorised supply form must include the following -- 26 (a) the name, date of birth and contact details of the patient; 27 (b) the name and contact details of the authorised supplier; 28 (c) a statement certifying that the prescribed substance was 29 supplied; 30 (d) the name and contact details of the person to whom the 31 prescribed substance was supplied; page 55 Voluntary Assisted Dying Bill 2019 Part 4 Accessing voluntary assisted dying and death Division 4 Prescribing, supplying and disposing of voluntary assisted dying substance s. 75 1 (e) the date when the prescribed substance was supplied; 2 (f) a statement certifying that the requirements under 3 sections 72 and 73 were complied with; 4 (g) the signature of the authorised supplier and the date 5 when the form was signed. 6 (3) Within 2 business days after supplying the prescribed substance, 7 the authorised supplier must give a copy of the completed 8 authorised supply form to the Board. 9 75. Disposal of prescribed substance by authorised disposer 10 (1) This section applies if a prescribed substance, or any unused or 11 remaining prescribed substance, is given to an authorised 12 disposer by the contact person for a patient. 13 (2) The authorised disposer is authorised to -- 14 (a) possess the prescribed substance for the purpose of 15 disposing of it; and 16 (b) dispose of the prescribed substance. 17 (3) The authorised disposer must dispose of the prescribed 18 substance as soon as practicable after receiving it. 19 (4) In disposing of the prescribed substance, the authorised disposer 20 must comply with any requirements of the Medicines and 21 Poisons Act 2014 that apply to the disposal. 22 76. Authorised disposer to record and notify of disposal 23 (1) An authorised disposer who disposes of a prescribed substance 24 must immediately complete the approved form (the authorised 25 disposal form). 26 (2) The authorised disposal form must include the following -- 27 (a) the name, date of birth and contact details of the patient; 28 (b) the name and contact details of the authorised disposer; page 56 Voluntary Assisted Dying Bill 2019 Accessing voluntary assisted dying and death Part 4 Prescribing, supplying and disposing of voluntary assisted Division 4 dying substance s. 77 1 (c) the name and contact details of the person who gave the 2 prescribed substance to the authorised disposer; 3 (d) the date when the prescribed substance was given to the 4 authorised disposer; 5 (e) the date when the prescribed substance was disposed of 6 by the authorised disposer; 7 (f) the signature of the authorised disposer and the date 8 when the form was signed. 9 (3) Within 2 business days after disposing of the prescribed 10 substance, the authorised disposer must give a copy of the 11 completed authorised disposal form to the Board. 12 77. Disposal of prescribed substance by administering 13 practitioner 14 (1) Subsections (2) and (3) apply if -- 15 (a) a patient who has made a practitioner administration 16 decision revokes the decision; and 17 (b) the administering practitioner for the patient has 18 possession of the prescribed substance when the 19 decision is revoked. 20 (2) The administering practitioner is authorised to -- 21 (a) possess the prescribed substance for the purpose of 22 disposing of it; and 23 (b) dispose of the prescribed substance. 24 (3) The prescribed substance must be disposed of by the 25 administering practitioner as soon as practicable after the 26 practitioner administration decision is revoked. 27 (4) Subsections (5) and (6) apply if -- 28 (a) a patient who has made a practitioner administration 29 decision dies (whether or not after being administered 30 the prescribed substance); and page 57 Voluntary Assisted Dying Bill 2019 Part 4 Accessing voluntary assisted dying and death Division 4 Prescribing, supplying and disposing of voluntary assisted dying substance s. 78 1 (b) the administering practitioner for the patient has 2 possession of any prescribed substance that is unused or 3 remaining after the patient's death (the unused or 4 remaining substance). 5 (5) The administering practitioner is authorised to -- 6 (a) possess the unused or remaining substance for the 7 purpose of disposing of it; and 8 (b) dispose of the unused or remaining substance. 9 (6) The unused or remaining substance must be disposed of by the 10 administering practitioner as soon as practicable after the 11 patient's death. 12 (7) In disposing of the prescribed substance or the unused or 13 remaining substance, as the case requires, the administering 14 practitioner must comply with any requirements of the 15 Medicines and Poisons Act 2014 that apply to the disposal. 16 78. Administering practitioner to record and notify of disposal 17 (1) An administering practitioner for a patient who disposes of a 18 prescribed substance must immediately complete the approved 19 form (the practitioner disposal form). 20 (2) The practitioner disposal form must include the following -- 21 (a) the name, date of birth and contact details of the patient; 22 (b) the name and contact details of the administering 23 practitioner; 24 (c) the date when the prescribed substance was supplied to 25 the administering practitioner; 26 (d) the date when the patient revoked the practitioner 27 administration decision or died; 28 (e) the date when the prescribed substance was disposed of 29 by the administering practitioner; 30 (f) the signature of the administering practitioner and the 31 date when the form was signed. page 58 Voluntary Assisted Dying Bill 2019 Accessing voluntary assisted dying and death Part 4 Other matters Division 5 s. 79 1 (3) Within 2 business days after disposing of the prescribed 2 substance, the administering practitioner must give a copy of the 3 completed practitioner disposal form to the Board. 4 Division 5 -- Other matters 5 79. Authorised suppliers and authorised disposers 6 (1) The CEO may, in writing, authorise a registered health 7 practitioner, or persons in a class of registered health 8 practitioners, to supply prescribed substances for the purposes 9 of this Part. 10 (2) A person who is authorised under subsection (1) is an 11 authorised supplier. 12 (3) The CEO may, in writing, authorise a registered health 13 practitioner, or persons in a class of registered health 14 practitioners, to dispose of prescribed substances for the 15 purposes of this Part. 16 (4) A person who is authorised under subsection (3) is an 17 authorised disposer. 18 (5) The CEO may, in writing, revoke an authorisation given under 19 subsection (1) or (3). 20 (6) The CEO must publish an up-to-date list of authorised suppliers 21 and authorised disposers on the Department's website. 22 80. Certain directions as to supply or administration prohibited 23 (1) In this section -- 24 authorised health professional has the meaning given in the 25 Medicines and Poisons Act 2014 section 3. page 59 Voluntary Assisted Dying Bill 2019 Part 4 Accessing voluntary assisted dying and death Division 5 Other matters s. 81 1 (2) The coordinating practitioner for a patient cannot direct an 2 authorised health professional to supply a prescribed substance 3 to the patient, the contact person for the patient or an agent of 4 the patient, unless -- 5 (a) the authorised health professional is an authorised 6 supplier; and 7 (b) the direction is in the form of a prescription for the 8 prescribed substance given directly to the authorised 9 supplier. 10 (3) The coordinating practitioner or administering practitioner for a 11 patient cannot direct an authorised health professional to 12 administer a prescribed substance to the patient. 13 81. Structured administration and supply arrangement not to 14 be issued for substance 15 (1) In this section -- 16 structured administration and supply arrangement means a 17 document that sets out the circumstances in which a health 18 professional (as defined in the Medicines and Poisons Act 2014 19 section 3) specified, or of a class specified, in the document may 20 administer or supply a medicine specified in the document. 21 (2) A person cannot issue a structured administration and supply 22 arrangement in relation to the administration or supply of a 23 medicine for the purpose of voluntary assisted dying. 24 82. Notification of death 25 (1) In this section -- 26 cause of death certificate means a certificate of the cause of a 27 person's death under the Births, Deaths and Marriages 28 Registration Act 1998 section 44(1). 29 (2) The coordinating practitioner or administering practitioner for a 30 patient must, within 2 business days after becoming aware that 31 the patient has died (whether or not after self-administering, or page 60 Voluntary Assisted Dying Bill 2019 Accessing voluntary assisted dying and death Part 4 Other matters Division 5 s. 82 1 being administered, a voluntary assisted dying substance in 2 accordance with this Act), notify the Board, in the approved 3 form, of the patient's death. 4 (3) Subsection (2) does not apply if the administering practitioner 5 for a patient gives the Board a copy of a practitioner 6 administration form in respect of the patient under 7 section 61(4). 8 (4) Subsections (5) and (6) apply if a medical practitioner who is 9 required to give a cause of death certificate for a person knows 10 or reasonably believes that the person was a patient who 11 self-administered, or was administered, a voluntary assisted 12 dying substance in accordance with this Act. 13 (5) The medical practitioner must, within 2 business days after 14 becoming aware that the person has died, notify the Board, in 15 the approved form, of the person's death, unless the medical 16 practitioner is the coordinating practitioner or administering 17 practitioner for the person. 18 (6) The medical practitioner must not include any reference to 19 voluntary assisted dying in the cause of death certificate for the 20 person. page 61 Voluntary Assisted Dying Bill 2019 Part 5 Review by Tribunal s. 83 1 Part 5 -- Review by Tribunal 2 83. Terms used 3 eligible applicant means -- 4 (a) a patient who is the subject of a decision referred to in 5 section 84(1); or 6 (b) an agent of a patient referred to in paragraph (a); or 7 (c) any other person who the Tribunal is satisfied has a 8 special interest in the medical care and treatment of a 9 patient referred to in paragraph (a); 10 party to the proceeding, in relation to a review application, 11 means a party to the proceeding before the Tribunal relating to 12 the application; 13 review application, in relation to a patient, means an application 14 under section 84(1) for a review of a decision made in relation 15 to the patient; 16 reviewed decision, in relation to a review application, means the 17 decision the subject of the application. 18 84. Application for review of certain decisions by Tribunal 19 (1) An eligible applicant may apply to the Tribunal for a review of 20 any of the following decisions -- 21 (a) a decision of the coordinating practitioner for a patient 22 in a first assessment that the patient -- 23 (i) at the time of making the first request, has or has 24 not been ordinarily resident in Western Australia 25 for a period of at least 12 months; or 26 (ii) has or does not have decision-making capacity in 27 relation to voluntary assisted dying; or 28 (iii) is or is not acting voluntarily and without 29 coercion; page 62 Voluntary Assisted Dying Bill 2019 Review by Tribunal Part 5 s. 85 1 (b) a decision of the consulting practitioner for a patient in a 2 consulting assessment that the patient -- 3 (i) at the time of making the first request, has or has 4 not been ordinarily resident in Western Australia 5 for a period of at least 12 months; or 6 (ii) has or does not have decision-making capacity in 7 relation to voluntary assisted dying; or 8 (iii) is or is not acting voluntarily and without 9 coercion; 10 (c) a decision of the coordinating practitioner for a patient 11 to make a statement in a final review form certifying 12 that the coordinating practitioner is satisfied that the 13 patient -- 14 (i) has or does not have decision-making capacity in 15 relation to voluntary assisted dying; or 16 (ii) in requesting access to voluntary assisted dying 17 is or is not acting voluntarily and without 18 coercion. 19 (2) If a review application is made in relation to a patient, the 20 patient is a party to the proceeding whether or not the patient is 21 the applicant for the review. 22 85. Notice of decision and right to have it reviewed 23 Despite the State Administrative Tribunal Act 2004 24 section 20(1), the only person who has to be given notice under 25 that section in relation to a decision referred to in section 84(1) 26 is the patient who is the subject of the decision. 27 86. Consequences of review application 28 (1) This section applies if a review application is made in relation to 29 a patient. 30 (2) If the request and assessment process in respect of the patient 31 has not been completed, the request and assessment process is page 63 Voluntary Assisted Dying Bill 2019 Part 5 Review by Tribunal s. 87 1 suspended and no further step in the process is to be taken until 2 the review application is determined or otherwise disposed of. 3 (3) If the request and assessment process in respect of the patient 4 has been completed, the process for accessing voluntary assisted 5 dying under Part 4 is suspended and no step under that Part 6 (including the prescription, supply or administration of a 7 voluntary assisted dying substance) is to be taken in relation to 8 the patient until the review application is determined or 9 otherwise disposed of. 10 87. Review application taken to be withdrawn if patient dies 11 A review application made in relation to a patient is taken to be 12 withdrawn if the patient dies. 13 88. Decision of Tribunal 14 In determining a review application made in relation to a patient 15 the Tribunal may decide that -- 16 (a) at the time of making the first request, the patient had 17 been ordinarily resident in Western Australia for a 18 period of at least 12 months; or 19 (b) at the time of making the first request, the patient had 20 not been ordinarily resident in Western Australia for a 21 period of at least 12 months; or 22 (c) the patient has decision-making capacity in relation to 23 voluntary assisted dying; or 24 (d) the patient does not have decision-making capacity in 25 relation to voluntary assisted dying; or 26 (e) the patient is acting voluntarily and without coercion; or 27 (f) the patient is not acting voluntarily and without 28 coercion. page 64 Voluntary Assisted Dying Bill 2019 Review by Tribunal Part 5 s. 89 1 89. Effect of decision under s. 88(a), (c) or (e) 2 (1) If the Tribunal makes a decision referred to in section 88(a), (c) 3 or (e) on a review application made in relation to a patient -- 4 (a) section 86 ceases to apply; and 5 (b) if the request and assessment process in respect of the 6 patient had not been completed when the review 7 application was made -- the request and assessment 8 process can be resumed; and 9 (c) if the request and assessment process in respect of the 10 patient had been completed when the review application 11 was made -- the process under Part 4 can be resumed, 12 and any step that is authorised under that Part can be 13 taken, in relation to the patient; and 14 (d) if the Tribunal sets aside the reviewed decision -- 15 subsection (2), (3) or (4) applies, as the case requires. 16 (2) If the reviewed decision set aside by the Tribunal is a decision 17 of a coordinating practitioner in a first assessment -- 18 (a) the Tribunal's decision is substituted for the reviewed 19 decision; and 20 (b) if the outcome of the first assessment would, but for the 21 reviewed decision, have been that the patient was 22 assessed as eligible for access to voluntary assisted 23 dying -- the coordinating practitioner is taken to have 24 made a first assessment assessing the patient as eligible 25 for access to voluntary assisted dying. 26 (3) If the reviewed decision set aside by the Tribunal is a decision 27 of a consulting practitioner in a consulting assessment -- 28 (a) the Tribunal's decision is substituted for the reviewed 29 decision; and 30 (b) if the outcome of the consulting assessment would, but 31 for the reviewed decision, have been that the patient was 32 assessed as eligible for access to voluntary assisted 33 dying -- the consulting practitioner is taken to have page 65 Voluntary Assisted Dying Bill 2019 Part 5 Review by Tribunal s. 90 1 made a consulting assessment assessing the patient as 2 eligible for access to voluntary assisted dying. 3 (4) If the reviewed decision set aside by the Tribunal is a decision 4 of a coordinating practitioner in a final review -- 5 (a) the Tribunal's decision is substituted for the reviewed 6 decision; and 7 (b) the final review form is taken to include -- 8 (i) if the reviewed decision is a decision referred to 9 in section 84(1)(c)(i) -- a statement certifying 10 that the coordinating practitioner is satisfied that 11 the patient has decision-making capacity in 12 relation to voluntary assisted dying; or 13 (ii) if the reviewed decision is a decision referred to 14 in section 84(1)(c)(ii) -- a statement certifying 15 that the coordinating practitioner is satisfied that 16 the patient in requesting access to voluntary 17 assisted dying is acting voluntarily and without 18 coercion. 19 90. Effect of decision under s. 88(b), (d) or (f) 20 If the Tribunal makes a decision referred to in section 88(b), (d) 21 or (f) on a review application made in relation to a patient -- 22 (a) the patient is taken to be ineligible for access to 23 voluntary assisted dying for the purposes of the request 24 and assessment process in respect of the patient; and 25 (b) if the request and assessment process in respect of the 26 patient had not been completed when the review 27 application was made -- the request and assessment 28 process ends; and 29 (c) if the request and assessment process in respect of the 30 patient had been completed when the review application 31 was made -- the process for accessing voluntary 32 assisted dying under Part 4 ends and no step under that 33 Part (including the prescription, supply or administration page 66 Voluntary Assisted Dying Bill 2019 Review by Tribunal Part 5 s. 91 1 of a voluntary assisted dying substance) is to be taken in 2 relation to the patient. 3 91. Coordinating practitioner may refuse to continue in role 4 (1) If a decision of the Tribunal is substituted for a decision of the 5 coordinating practitioner for a patient under section 89(2)(a) 6 or (4)(a), the coordinating practitioner may refuse to continue to 7 perform the role of coordinating practitioner. 8 (2) A coordinating practitioner who refuses under subsection (1) to 9 continue to perform the role of coordinating practitioner must 10 transfer the role of coordinating practitioner in accordance with 11 section 157. 12 92. Constitution and membership of Tribunal 13 (1) In this section -- 14 judicial member, non-judicial member and public sector 15 employee have the meanings given in the State Administrative 16 Tribunal Act 2004 section 3(1). 17 (2) For the purposes of this Part -- 18 (a) the Tribunal, when exercising its review jurisdiction, 19 must be constituted by, or so as to include, a judicial 20 member; and 21 (b) a person who is a public sector employee may be 22 appointed to be a non-judicial member in respect of 23 matters in the Tribunal's review jurisdiction. 24 93. Hearings of Tribunal to be held in private 25 (1) Hearings of the Tribunal in respect of a review application must 26 be held in private. 27 (2) The Tribunal may give directions as to persons who may be 28 present at a hearing in respect of a review application. page 67 Voluntary Assisted Dying Bill 2019 Part 5 Review by Tribunal s. 94 1 94. Notice requirements 2 (1) If a review application is made in relation to a patient, the 3 Tribunal must give notice of the application and any decision or 4 order (however described) of the Tribunal in respect of the 5 application to -- 6 (a) the coordinating practitioner for the patient if the 7 coordinating practitioner is not a party to the 8 proceeding; and 9 (b) the consulting practitioner for the patient if the 10 consulting practitioner is not a party to the proceeding; 11 and 12 (c) if the role of administering practitioner for the patient 13 has been transferred under section 63(2), the 14 administering practitioner for the patient; and 15 (d) the CEO; and 16 (e) the Board. 17 (2) Subsection (1) does not limit the operation of the State 18 Administrative Tribunal Act 2004 section 75 and is in addition 19 to any requirements for notice under that Act. 20 (3) The Board must, as soon as practicable after receiving notice of 21 a review application under subsection (1), give written notice of 22 the effect of section 86(2) and (3) to -- 23 (a) each party to the proceeding; and 24 (b) the coordinating practitioner for the patient if the 25 coordinating practitioner is not a party to the 26 proceeding; and 27 (c) if the role of administering practitioner for the patient 28 has been transferred under section 63(2), the 29 administering practitioner for the patient. page 68 Voluntary Assisted Dying Bill 2019 Review by Tribunal Part 5 s. 95 1 95. Coordinating practitioner to give Tribunal relevant material 2 Within 7 business days after receiving notice of a review 3 application under section 94(1) or any shorter period ordered by 4 the Tribunal, the coordinating practitioner for a patient must -- 5 (a) if the coordinating practitioner is the decision-maker for 6 the purposes of the State Administrative Tribunal 7 Act 2004, provide the following to the Tribunal -- 8 (i) a statement of the reasons for the reviewed 9 decision; 10 (ii) other documents and material in the 11 practitioner's possession or under the 12 practitioner's control and relevant to the 13 Tribunal's review of the reviewed decision; 14 or 15 (b) if the coordinating practitioner is not the decision-maker 16 for the purposes of the State Administrative Tribunal 17 Act 2004, provide to the Tribunal documents and 18 material in the practitioner's possession or under the 19 practitioner's control and relevant to the Tribunal's 20 review of the reviewed decision. 21 96. Tribunal to give written reasons for decision 22 (1) The Tribunal must give written reasons for a decision made in 23 respect of a review application. 24 (2) The Tribunal must give a copy of the written reasons to -- 25 (a) each party to the proceeding; and 26 (b) the coordinating practitioner for the patient if the 27 coordinating practitioner is not a party to the 28 proceeding; and 29 (c) the consulting practitioner for the patient if the 30 consulting practitioner is not a party to the proceeding; 31 and page 69 Voluntary Assisted Dying Bill 2019 Part 5 Review by Tribunal s. 97 1 (d) if the role of administering practitioner for the patient 2 has been transferred under section 63(2), the 3 administering practitioner for the patient; and 4 (e) the CEO; and 5 (f) the Board. 6 (3) A written transcript of the part of the proceeding in which the 7 Tribunal's reasons for the decision are given orally is sufficient 8 to constitute written reasons for the purposes of this section. 9 97. Published decisions or reasons to exclude personal 10 information 11 (1) If the Tribunal publishes a decision, or its reasons for a decision, 12 made in respect of a review application, the Tribunal must 13 ensure that the decision or reasons are published in a form that 14 does not disclose personal information about any of the 15 following -- 16 (a) a party to the proceeding; 17 (b) a person who has appeared before the Tribunal in the 18 proceeding; 19 (c) the coordinating practitioner for the patient if the 20 coordinating practitioner is not a party to the 21 proceeding; 22 (d) the consulting practitioner for the patient if the 23 consulting practitioner is not a party to the proceeding; 24 (e) a former coordinating practitioner or consulting 25 practitioner for the patient if the person is not a party to 26 the proceeding; 27 (f) if the role of administering practitioner for the patient 28 has been transferred under section 63(2), a person to 29 whom the role has been transferred. page 70 Voluntary Assisted Dying Bill 2019 Review by Tribunal Part 5 s. 98 1 (2) Subsection (1) does not prevent the Tribunal from disclosing 2 personal information about a person referred to in that 3 subsection in written reasons given under section 96(1) or in a 4 copy of written reasons given under section 96(2). 5 98. Interim orders 6 On a review application, the Tribunal may make any interim 7 order that it considers necessary. page 71 Voluntary Assisted Dying Bill 2019 Part 6 Offences s. 99 1 Part 6 -- Offences 2 99. Unauthorised administration of prescribed substance 3 A person commits a crime if -- 4 (a) the person administers a prescribed substance to another 5 person; and 6 (b) the person is not authorised by section 59(5) to 7 administer the prescribed substance to the other person. 8 Penalty: imprisonment for life. 9 100. Inducing another person to request or access voluntary 10 assisted dying 11 (1) In this section -- 12 request for access to voluntary assisted dying means -- 13 (a) a first request; or 14 (b) a written declaration; or 15 (c) a final request; or 16 (d) an administration decision. 17 (2) A person commits a crime if the person, by dishonesty, undue 18 influence or coercion, induces another person -- 19 (a) to make a request for access to voluntary assisted dying; 20 or 21 (b) to access voluntary assisted dying. 22 Penalty for this subsection: imprisonment for 7 years. 23 Summary conviction penalty for this subsection: imprisonment 24 for 3 years and a fine of $36 000. 25 101. Inducing self-administration of prescribed substance 26 A person commits a crime if the person, by dishonesty, undue 27 influence or coercion, induces another person to self-administer 28 a prescribed substance. 29 Penalty: imprisonment for life. page 72 Voluntary Assisted Dying Bill 2019 Offences Part 6 s. 102 1 102. False or misleading information 2 (1) A person commits a crime if the person does anything set out in 3 subsection (2) -- 4 (a) in, or in connection with, a form, declaration or other 5 document required under this Act; or 6 (b) in compliance, or purported compliance, with a 7 requirement under this Act; or 8 (c) for any other purpose under this Act. 9 Penalty for this subsection: imprisonment for 7 years. 10 Summary conviction penalty for this subsection: imprisonment 11 for 3 years and a fine of $36 000. 12 (2) The things to which subsection (1) applies are making a 13 statement or giving information that -- 14 (a) the person knows is false or misleading in a material 15 particular; or 16 (b) omits anything without which the statement or 17 information is, to the person's knowledge, misleading in 18 a material particular. 19 103. Advertising Schedule 4 or 8 poison as voluntary assisted 20 dying substance 21 A person commits a crime if the person advertises a Schedule 4 22 poison or Schedule 8 poison as a voluntary assisted dying 23 substance. 24 Penalty: imprisonment for 3 years and a fine of $36 000. 25 104. Cancellation of document presented as prescription 26 (1) This section applies if -- 27 (a) an authorised supplier is given a document that is 28 presented as a prescription for a voluntary assisted dying 29 substance; and page 73 Voluntary Assisted Dying Bill 2019 Part 6 Offences s. 105 1 (b) the authorised supplier is satisfied that the document -- 2 (i) does not comply with section 70; or 3 (ii) is not issued by the coordinating practitioner for 4 the patient to whom it relates; or 5 (iii) is false in a material particular. 6 (2) The authorised supplier must -- 7 (a) cancel the document by marking the word "cancelled" 8 across it; and 9 (b) inform the CEO that the document has been cancelled 10 and of the reasons for cancelling it. 11 Penalty for this subsection: imprisonment for 12 months. 12 105. Contact person to give unused or remaining substance to 13 authorised disposer 14 (1) If a patient revokes a self-administration decision after an 15 authorised supplier has supplied a prescribed substance for the 16 patient, the contact person for the patient must, as soon as 17 practicable and in any event within 14 days after the day on 18 which the decision is revoked, give the prescribed substance to 19 an authorised disposer. 20 Penalty for this subsection: imprisonment for 12 months. 21 (2) If a patient who has made a self-administration decision dies 22 and the patient's death occurs after an authorised supplier has 23 supplied a prescribed substance for the patient, the contact 24 person for the patient must, as soon as practicable and in any 25 event within 14 days after the day on which the patient dies, 26 give any unused or remaining substance to an authorised 27 disposer. 28 Penalty for this subsection: imprisonment for 12 months. 29 (3) In subsection (2) the reference to any unused or remaining 30 substance is a reference to any prescribed substance that the 31 contact person knows is unused or remaining after the patient's 32 death. page 74 Voluntary Assisted Dying Bill 2019 Offences Part 6 s. 106 1 106. Recording, use or disclosure of information 2 (1) A person must not, directly or indirectly, record, use or disclose 3 information obtained by the person because of a function that 4 the person has, or at any time had, under this Act. 5 Penalty for this subsection: imprisonment for 12 months. 6 (2) Subsection (1) does not apply to the recording, use or disclosure 7 of information -- 8 (a) for the purpose of performing a function under this Act; 9 or 10 (b) as required or allowed under this Act or another written 11 law; or 12 (c) under an order of a court or other person or body acting 13 judicially; or 14 (d) for the purpose of a proceeding under Part 5 or another 15 proceeding before a court or other person or body acting 16 judicially; or 17 (e) for the purpose of the investigation of a suspected 18 offence or the conduct of proceedings against a person 19 for an offence; or 20 (f) with the written consent of -- 21 (i) the person to whom the information relates; or 22 (ii) an executor or administrator of the estate of that 23 person. 24 (3) Subsection (1) does not apply to the recording, use or disclosure 25 of statistical or other information that is not personal 26 information. 27 107. Publication of personal information concerning proceeding 28 before Tribunal 29 (1) In this section -- 30 information about a proceeding means information about -- 31 (a) a proceeding before the Tribunal under Part 5; or page 75 Voluntary Assisted Dying Bill 2019 Part 6 Offences s. 108 1 (b) a decision or order (however described) of the Tribunal 2 in a proceeding under that Part; 3 publish means to disseminate to the public or a section of the 4 public by any means, including the following -- 5 (a) in a newspaper or periodical publication; 6 (b) by radio broadcast, television, a website, an online 7 facility or other electronic means. 8 (2) A person must not publish information about a proceeding in a 9 form that discloses personal information about any of the 10 following -- 11 (a) a party to the proceeding; 12 (b) a person who has appeared before the Tribunal in the 13 proceeding; 14 (c) the coordinating practitioner for the patient if the 15 coordinating practitioner is not a party to the 16 proceeding; 17 (d) the consulting practitioner for the patient if the 18 consulting practitioner is not a party to the proceeding; 19 (e) a former coordinating practitioner or consulting 20 practitioner for the patient if the person is not a party to 21 the proceeding; 22 (f) if the role of administering practitioner for the patient 23 has been transferred under section 63(2), a person to 24 whom the role has been transferred. 25 Penalty for this subsection: imprisonment for 12 months. 26 108. Failure to give form to Board 27 A person who contravenes a provision of this Act listed in the 28 Table commits an offence. 29 Penalty: a fine of $10 000. page 76 Voluntary Assisted Dying Bill 2019 Offences Part 6 s. 108 1 Table s. 29(2) s. 33(1) s. 40(2) s. 46 s. 50(1) s. 51(4) s. 57(3)(c) s. 60(1)(b) s. 61(4) s. 63(3)(c) s. 66(4) s. 74(3) s. 76(3) s. 78(3) s. 82(2) s. 82(5) s. 157(4)(c) page 77 Voluntary Assisted Dying Bill 2019 Part 7 Enforcement s. 109 1 Part 7 -- Enforcement 2 109. Application of Medicines and Poisons Act 2014 Part 7 3 (1) The provisions of the Medicines and Poisons Act 2014 Part 7 4 Divisions 1 to 5 (the applied provisions) apply, for the purposes 5 of the enforcement of this Act, with the modifications set out in 6 subsections (2) to (7) and any other necessary modifications. 7 (2) References in the applied provisions to "this Act" are to be read 8 as references to this Act. 9 (3) References in the applied provisions to "the CEO" are to be read 10 as references to the CEO as defined in section 5 of this Act. 11 (4) Section 94 is to be read as if "or the Medicines and Poisons 12 Act 2014" were inserted after "the Misuse of Drugs Act 1981". 13 (5) Section 95(1) is to be read as if section 95(1)(c) were deleted. 14 (6) Section 101 is to be read as if section 101(1)(a) and (2) were 15 deleted. 16 (7) Section 103 is to be read as if section 103(2) and (3) were 17 replaced by the following provision -- 18 19 (2) An investigator who enters a place under 20 section 102(1) is entitled under this section to seize any 21 patient records or data relating to a patient. 22 23 (8) Any definition in the Medicines and Poisons Act 2014 of a term 24 used in the applied provisions also applies for the purposes of 25 the application of those provisions under subsection (1). 26 110. Court to notify CEO of conviction of offence under Act 27 If a court convicts a person of an offence under this Act, the 28 registrar of the court must notify the CEO of the conviction and 29 the penalty imposed. page 78 Voluntary Assisted Dying Bill 2019 Enforcement Part 7 s. 111 1 111. Who may commence proceedings for simple offence 2 A prosecution for a simple offence under this Act can only be 3 commenced by the CEO or by a person authorised by the CEO 4 to do so. 5 112. Time limit for prosecution of simple offence 6 (1) A prosecution for a simple offence under this Act must be 7 commenced within 2 years after the day on which the offence is 8 alleged to have been committed. 9 (2) However, if a prosecution notice alleging an offence specifies 10 the day on which evidence of the alleged offence first came to 11 the attention of a person authorised under section 111 to 12 commence the prosecution -- 13 (a) the prosecution may be commenced within 2 years after 14 that day; and 15 (b) the prosecution notice need not contain particulars of the 16 day on which the offence is alleged to have been 17 committed. 18 (3) The day on which evidence first came to the attention of a 19 person authorised under section 111 to commence a prosecution 20 is, in the absence of evidence to the contrary, the day specified 21 in the prosecution notice. page 79 Voluntary Assisted Dying Bill 2019 Part 8 Protection from liability s. 113 1 Part 8 -- Protection from liability 2 113. Protection for persons assisting access to voluntary assisted 3 dying or present when substance administered 4 A person does not incur any criminal liability if the person -- 5 (a) in good faith, assists another person to request access to, 6 or access, voluntary assisted dying in accordance with 7 this Act; or 8 (b) is present when another person self-administers or is 9 administered a prescribed substance in accordance with 10 this Act. 11 114. Protection for persons acting in accordance with Act 12 (1) This section applies if a person, in good faith and with 13 reasonable care and skill, does a thing -- 14 (a) in accordance with this Act; or 15 (b) believing on reasonable grounds that the thing is done in 16 accordance with this Act. 17 (2) The person does not incur any civil liability, or any criminal 18 liability under this Act, for doing the thing. 19 (3) The doing of the thing is not to be regarded as -- 20 (a) a breach of professional ethics or standards or any 21 principles of conduct applicable to the person's 22 employment; or 23 (b) professional misconduct or unprofessional conduct. 24 (4) In this section, a reference to the doing of a thing includes a 25 reference to an omission to do a thing. page 80 Voluntary Assisted Dying Bill 2019 Protection from liability Part 8 s. 115 1 115. Protection for certain persons who do not administer 2 lifesaving treatment 3 (1) In this section -- 4 ambulance officer means a person employed or engaged 5 (including on a voluntary basis) by the provider of an 6 ambulance service to provide medical or other assistance to 7 persons in an emergency; 8 lifesaving treatment means lifesaving or life-preserving medical 9 treatment; 10 protected person means -- 11 (a) a registered health practitioner; or 12 (b) an ambulance officer; or 13 (c) a person (other than a person referred to in paragraph (a) 14 or (b)) who has a duty to administer lifesaving treatment 15 to another person. 16 (2) This section applies if a protected person, in good faith, does not 17 administer lifesaving treatment to another person in 18 circumstances where -- 19 (a) the other person has not requested the administration of 20 lifesaving treatment; and 21 (b) the protected person believes on reasonable grounds that 22 the other person is dying after self-administering or 23 being administered a prescribed substance in accordance 24 with this Act. 25 (3) The protected person does not incur any civil liability or 26 criminal liability for not administering the lifesaving treatment. 27 (4) The non-administration of the lifesaving treatment is not to be 28 regarded as -- 29 (a) a breach of professional ethics or standards or any 30 principles of conduct applicable to the protected 31 person's employment; or 32 (b) professional misconduct or unprofessional conduct. page 81 Voluntary Assisted Dying Bill 2019 Part 9 Voluntary Assisted Dying Board Division 1 Establishment s. 116 1 Part 9 -- Voluntary Assisted Dying Board 2 Division 1 -- Establishment 3 116. Board established 4 A body called the Voluntary Assisted Dying Board is 5 established. 6 117. Status 7 The Board is an agent of the Crown and has the status, 8 immunities and privileges of the Crown. 9 Division 2 -- Functions and powers 10 118. Functions of Board 11 The Board has the following functions -- 12 (a) to monitor the operation of this Act; 13 (b) to provide to the Minister or the CEO, on its own 14 initiative or on request, advice, information and reports 15 on matters relating to the operation of this Act, including 16 any recommendations for the improvement of voluntary 17 assisted dying; 18 (c) to refer to any of the following persons or bodies any 19 matter identified by the Board in relation to voluntary 20 assisted dying that is relevant to the functions of the 21 person or body -- 22 (i) the person holding or acting in the office of 23 Commissioner of Police under the Police 24 Act 1892; 25 (ii) the Registrar of Births, Deaths and Marriages 26 referred to in the Births, Deaths and Marriages 27 Registration Act 1998 section 5; 28 (iii) the State Coroner appointed under the Coroners 29 Act 1996 section 6; page 82 Voluntary Assisted Dying Bill 2019 Voluntary Assisted Dying Board Part 9 Functions and powers Division 2 s. 119 1 (iv) the CEO; 2 (v) the chief executive officer of the department of 3 the Public Service principally assisting in the 4 administration of the Prisons Act 1981; 5 (vi) the Australian Health Practitioner Regulation 6 Agency established by the Health Practitioner 7 Regulation National Law (Western Australia) 8 section 23; 9 (vii) the Director of the Health and Disability Services 10 Complaints Office appointed under the Health 11 and Disability Services (Complaints) Act 1995 12 section 7(1); 13 (d) to conduct analysis of, and research in relation to, 14 information given to the Board under this Act; 15 (e) to collect, use and disclose information given to the 16 Board under this Act for the purposes of performing its 17 functions; 18 (f) any other function given to the Board under this Act. 19 119. Powers of Board 20 The Board has all the powers it needs to perform its functions. 21 120. Delegation by Board 22 (1) The Board may delegate any power or duty of the Board under 23 another provision of this Act to a member or to a committee 24 established under section 145. 25 (2) The delegation must be in writing executed by the Board. 26 (3) A person or committee to whom or which a power or duty is 27 delegated under this section cannot delegate the power or duty. 28 (4) A person or committee exercising or performing a power or 29 duty that has been delegated to the person or committee under 30 this section is taken to do so in accordance with the terms of the 31 delegation unless the contrary is shown. page 83 Voluntary Assisted Dying Bill 2019 Part 9 Voluntary Assisted Dying Board Division 3 Staff and assistance s. 121 1 (5) Nothing in this section limits the ability of the Board to perform 2 a function through a member of staff provided to the Board 3 under section 121 or an agent of the Board. 4 Division 3 -- Staff and assistance 5 121. Staff and services 6 The CEO must ensure that the Board is provided with the staff, 7 services and facilities, and other resources and support, that are 8 reasonably necessary to enable it to perform its functions. 9 122. Assistance 10 (1) The Board, with the approval of the Minister, may co-opt any 11 person with special knowledge or skills to assist the Board in a 12 particular matter. 13 (2) A person who has been co-opted to assist the Board may attend 14 meetings of the Board and participate in its deliberations but 15 cannot vote at a meeting of the Board. 16 Division 4 -- Accountability 17 123. Minister may give directions 18 (1) The Minister may give written directions to the Board with 19 respect to the performance of its functions, and the Board must 20 give effect to any such direction. 21 (2) However, a direction under subsection (1) cannot be about the 22 performance of a function in relation to a particular person or 23 matter. 24 124. Minister to have access to information 25 (1) In this section -- 26 document includes any tape, disk or other device or medium on 27 which information is recorded or stored; page 84 Voluntary Assisted Dying Bill 2019 Voluntary Assisted Dying Board Part 9 Membership Division 5 s. 125 1 information means information specified, or of a description 2 specified, by the Minister that relates to the functions of the 3 Board. 4 (2) The Minister is entitled -- 5 (a) to have information in the possession of the Board; and 6 (b) if the information is in or on a document, to have, and 7 make and retain copies of, that document. 8 (3) However, the Minister is not entitled to have personal 9 information about a person unless the person has consented to 10 the disclosure of the information. 11 (4) For the purposes of subsection (2), the Minister may -- 12 (a) request the Board to give information to the Minister; 13 and 14 (b) request the Board to give the Minister access to 15 information; and 16 (c) for the purposes of paragraph (b), make use of staff 17 provided to the Board under section 121 to obtain the 18 information and give it to the Minister. 19 (5) The Board must comply with a request under subsection (4) and 20 make staff and facilities available to the Minister for the 21 purposes of subsection (4)(c). 22 Division 5 -- Membership 23 125. Membership of Board 24 The Board consists of 5 members appointed by the Minister. 25 126. Chairperson and deputy chairperson 26 (1) The Minister must designate one member to be the chairperson 27 of the Board and another member to be the deputy chairperson 28 of the Board. page 85 Voluntary Assisted Dying Bill 2019 Part 9 Voluntary Assisted Dying Board Division 5 Membership s. 127 1 (2) If the chairperson is unable to act because of illness, absence or 2 other cause or if there is no chairperson, the deputy chairperson 3 must act in the chairperson's place. 4 (3) An act or omission of the deputy chairperson acting in the 5 chairperson's place cannot be questioned on the ground that the 6 occasion to act in the chairperson's place had not arisen or had 7 ceased. 8 127. Term of office 9 (1) A member holds office for the term, not exceeding 3 years, that 10 is specified in the member's instrument of appointment. 11 (2) A member is eligible for reappointment. 12 128. Casual vacancies 13 (1) In this section -- 14 misconduct includes conduct that renders the member unfit to 15 hold office as a member even though the conduct does not relate 16 to a duty of the office. 17 (2) The office of a member becomes vacant if the member -- 18 (a) dies, resigns or is removed from office under this 19 section; or 20 (b) is, according to the Interpretation Act 1984 section 13D, 21 a bankrupt or a person whose affairs are under 22 insolvency laws; or 23 (c) is convicted of an offence punishable by imprisonment 24 for more than 12 months; or 25 (d) is convicted of an offence under section 140. 26 (3) A member may at any time resign from office by written notice 27 given to the Minister. 28 (4) The Minister may remove a member from office on the grounds 29 of -- 30 (a) neglect of duty; or page 86 Voluntary Assisted Dying Bill 2019 Voluntary Assisted Dying Board Part 9 Membership Division 5 s. 129 1 (b) misconduct or incompetence; or 2 (c) mental or physical incapacity, other than temporary 3 illness, impairing the performance of the member's 4 duties; or 5 (d) absence, without leave, from 3 consecutive meetings of 6 the Board of which the member has had notice. 7 129. Extension of term of office during vacancy 8 (1) If the office of a member becomes vacant because the member's 9 term of office expires by effluxion of time, the member 10 continues to be a member during that vacancy until the day on 11 which the vacancy is filled (whether by reappointment of the 12 member or appointment of a successor to the member). 13 (2) Subsection (1) ceases to apply if the member resigns or is 14 removed from office under section 128. 15 (3) The maximum period for which a member continues to be a 16 member under this section after the member's term of office 17 expires is 3 months. 18 130. Alternate members 19 (1) If a member other than the chairperson is unable to act because 20 of illness, absence or other cause, the Minister may appoint 21 another person as an alternate member to act temporarily in the 22 member's place. 23 (2) If the deputy chairperson is acting in the chairperson's place, the 24 Minister may appoint another person as an alternate member to 25 act temporarily in the deputy chairperson's place. 26 (3) While acting in accordance with their appointment an alternate 27 member is taken to be, and to have any entitlement of, a 28 member. 29 (4) An act or omission of an alternate member cannot be questioned 30 on the ground that the occasion for the appointment or acting 31 had not arisen or had ceased. page 87 Voluntary Assisted Dying Bill 2019 Part 9 Voluntary Assisted Dying Board Division 6 Board meetings s. 131 1 131. Remuneration of members 2 A member is entitled to be paid any remuneration and 3 allowances that the Minister may from time to time determine 4 on the recommendation of the Public Sector Commissioner. 5 Division 6 -- Board meetings 6 132. Holding meetings 7 (1) The first meeting of the Board must be convened by the 8 chairperson, and subsequent meetings must be held at times and 9 places determined by the Board. 10 (2) A special meeting of the Board may at any time be convened by 11 the chairperson. 12 133. Quorum 13 A quorum for a meeting of the Board is 3 members of the 14 Board. 15 134. Presiding member 16 (1) The chairperson, if present, must preside at a meeting of the 17 Board. 18 (2) If neither the chairperson, nor the deputy chairperson acting in 19 the chairperson's place, is presiding under subsection (1), the 20 members present at the meeting must elect one of their number 21 to preside. 22 135. Procedure at meetings 23 The Board must determine its own meeting procedures to the 24 extent that they are not fixed by this Act. 25 136. Voting 26 (1) At a meeting of the Board each member present has a 27 deliberative vote unless section 141 prevents the member from 28 voting. page 88 Voluntary Assisted Dying Bill 2019 Voluntary Assisted Dying Board Part 9 Disclosure of interests Division 7 s. 137 1 (2) In the case of an equality of votes, the member presiding has a 2 casting vote in addition to a deliberative vote. 3 (3) A question is resolved by a majority of the votes cast. 4 137. Holding meetings remotely 5 The presence of a person at a meeting of the Board need not be 6 by attendance in person but may be by that person and each 7 other person at the meeting being simultaneously in contact by 8 telephone or other means of instantaneous communication. 9 138. Resolution without meeting 10 A resolution in writing signed or otherwise assented to in 11 writing by each member has the same effect as if it had been 12 passed at a meeting of the Board. 13 139. Minutes 14 The Board must cause accurate minutes to be kept of the 15 proceedings at each of its meetings. 16 Division 7 -- Disclosure of interests 17 140. Disclosure of material personal interest 18 (1) A member who has a material personal interest in a matter being 19 considered or about to be considered by the Board must, as soon 20 as practicable after the relevant facts have come to the 21 member's knowledge, disclose the nature of the interest at a 22 meeting of the Board. 23 Penalty for this subsection: a fine of $10 000. 24 (2) A disclosure under subsection (1) must be recorded in the 25 minutes of the meeting. page 89 Voluntary Assisted Dying Bill 2019 Part 9 Voluntary Assisted Dying Board Division 7 Disclosure of interests s. 141 1 141. Voting by interested member 2 (1) A member who has a material personal interest in a matter that 3 is being considered by the Board -- 4 (a) must not vote, whether at a meeting or otherwise, on the 5 matter; and 6 (b) must not be present while the matter is being considered 7 at a meeting. 8 (2) A reference in subsection (1) to a matter includes a reference to 9 a proposed resolution under section 142 in respect of the matter, 10 whether relating to that member or a different member. 11 142. Section 141 may be declared inapplicable 12 Section 141 does not apply if -- 13 (a) a member has disclosed under section 140 an interest in 14 a matter; and 15 (b) the Board has at any time passed a resolution that -- 16 (i) specifies the member, the interest and the matter; 17 and 18 (ii) states that the members voting for the resolution 19 are satisfied that the interest is so trivial or 20 insignificant as to be unlikely to influence the 21 disclosing member's conduct and should not 22 disqualify the member from considering or 23 voting on the matter. 24 143. Quorum where s. 141 applies 25 (1) Despite section 133, if a member is disqualified under 26 section 141 in relation to a matter, a quorum is present during 27 the consideration of the matter if 2 members of the Board who 28 are entitled to vote on any motion that may be moved at the 29 meeting in relation to the matter are present. 30 (2) The Minister may deal with a matter to the extent that the Board 31 cannot deal with it because of subsection (1). page 90 Voluntary Assisted Dying Bill 2019 Voluntary Assisted Dying Board Part 9 Committees Division 8 s. 144 1 144. Minister may declare s. 141 and 143 inapplicable 2 (1) The Minister may in writing declare that section 141 or 143 or 3 both of them do not apply in relation to a specified matter either 4 generally or in voting on particular resolutions. 5 (2) The Minister must cause a copy of a declaration made under 6 subsection (1) to be laid before each House of Parliament within 7 14 sitting days of the House after the declaration is made. 8 Division 8 -- Committees 9 145. Establishment of committees 10 (1) The Board may establish committees to assist it in the 11 performance of its functions. 12 (2) The Board may discharge, alter or reconstitute a committee. 13 (3) The Board may -- 14 (a) determine the functions, membership and constitution of 15 a committee; and 16 (b) appoint any members of the Board or other persons as it 17 thinks fit to be members of a committee. 18 146. Directions to committee 19 (1) The Board may give directions to a committee with respect to 20 its functions and procedures. 21 (2) A committee must comply with a direction given to it by the 22 Board. 23 147. Committee to determine own procedures 24 Subject to any directions of the Board and the terms of any 25 delegation under section 120, a committee may determine its 26 own procedures. page 91 Voluntary Assisted Dying Bill 2019 Part 9 Voluntary Assisted Dying Board Division 9 Information s. 148 1 148. Remuneration of committee members 2 A member of a committee is entitled to be paid any 3 remuneration and allowances that the Minister may from time to 4 time determine on the recommendation of the Public Sector 5 Commissioner. 6 Division 9 -- Information 7 149. Board to send information to contact person for patient 8 The Board must, within 2 business days after receiving a copy 9 of a contact person appointment form for a patient under 10 section 60(1)(b)(ii) or 66(4), send information to the contact 11 person for the patient that -- 12 (a) explains the requirements under section 105 to give the 13 prescribed substance, or any unused or remaining 14 prescribed substance, to an authorised disposer; and 15 (b) outlines the support services available to assist the 16 contact person to comply with the requirements referred 17 to in paragraph (a). 18 150. Request for information 19 (1) The Board may request any person (including the contact person 20 for a patient) to give information to the Board to assist it in 21 performing any of its functions. 22 (2) A person may comply with a request under subsection (1) 23 despite any enactment that prohibits or restricts the disclosure of 24 the information. 25 151. Disclosure of information 26 The Board may, on request, disclose information (other than 27 personal information) obtained in the performance of its 28 functions to -- 29 (a) a public authority as defined in the Health Services 30 Act 2016 section 6; or page 92 Voluntary Assisted Dying Bill 2019 Voluntary Assisted Dying Board Part 9 Miscellaneous Division 10 s. 152 1 (b) a person or body for the purposes of education or 2 research. 3 152. Board to record and retain statistical information 4 (1) The Board must record and retain statistical information about 5 the following matters relating to voluntary assisted dying -- 6 (a) the disease, illness or medical condition of a patient that 7 met the requirements of section 16(1)(c) (whether or not 8 the patient made a final request); 9 (b) if a patient has died after self-administering or being 10 administered a voluntary assisted dying substance in 11 accordance with this Act, the age of the patient on the 12 day the patient died; 13 (c) participation in the request and assessment process, and 14 access to voluntary assisted dying, by patients who are 15 regional residents; 16 (d) a matter specified in a direction under subsection (2). 17 (2) The Minister may give a written direction to the Board requiring 18 it -- 19 (a) to record and retain statistical information about a matter 20 relating to voluntary assisted dying specified in the 21 direction; and 22 (b) to include that statistical information in its report under 23 section 155(1). 24 (3) The Board must give effect to a direction under subsection (2). 25 Division 10 -- Miscellaneous 26 153. Board to notify receipt of forms 27 (1) The Board must, as soon as practicable after receiving a form or 28 a copy of a form from a person under this Act, notify the person 29 that it has been received. page 93 Voluntary Assisted Dying Bill 2019 Part 9 Voluntary Assisted Dying Board Division 10 Miscellaneous s. 154 1 (2) The Board must, as soon as practicable after receiving a copy of 2 an authorised disposal form or practitioner disposal form, give a 3 copy of that form to the CEO. 4 154. Execution of documents by Board 5 (1) A document is duly executed by the Board if it is signed on 6 behalf of the Board by 2 members authorised to do so under 7 subsection (2). 8 (2) The Board may authorise any of its members to sign documents 9 on behalf of the Board, either generally or subject to the 10 conditions that are specified in the authorisation. 11 (3) A document purporting to be executed in accordance with this 12 section is to be presumed to be duly executed until the contrary 13 is shown. 14 155. Annual report 15 (1) The Board must, within 6 months after the end of each financial 16 year, prepare and give to the Minister a report on the operation 17 of this Act during that financial year. 18 (2) The report must include -- 19 (a) any recommendations that the Board considers 20 appropriate in relation to voluntary assisted dying; and 21 (b) any information that the Board considers relevant to the 22 performance of its functions; and 23 (c) the number of any referrals made by the Board under 24 section 118(c); and 25 (d) the text of any direction given to the Board under 26 section 123(1) or 152(2); and 27 (e) details of any disclosure under section 140(1) that 28 relates to a matter dealt with in the report and of any 29 resolution under section 142 in respect of the disclosure; 30 and page 94 Voluntary Assisted Dying Bill 2019 Voluntary Assisted Dying Board Part 9 Miscellaneous Division 10 s. 155 1 (f) statistical information that the Board is directed under 2 section 152(2) to include in the report; and 3 (g) information about the extent to which regional residents 4 had access to voluntary assisted dying, including 5 statistical information recorded and retained under 6 section 152(1)(c), and having regard to the access 7 standard under section 156. 8 (3) The report must not include -- 9 (a) personal information about a patient, medical 10 practitioner or other person who has participated in the 11 request and assessment process or the process for 12 accessing voluntary assisted dying under Part 4; or 13 (b) information that would prejudice -- 14 (i) any criminal investigation or criminal 15 proceeding; or 16 (ii) any civil proceeding; or 17 (iii) any proceeding in the Coroner's Court of 18 Western Australia. 19 (4) The Minister must cause a copy of the report to be laid before 20 each House of Parliament within 6 sitting days of the House 21 after the day on which the Minister receives the report. page 95 Voluntary Assisted Dying Bill 2019 Part 10 Access standard s. 156 1 Part 10 -- Access standard 2 156. Standard about access to voluntary assisted dying 3 (1) The CEO must issue a standard (the access standard) setting 4 out how the State intends to facilitate access to voluntary 5 assisted dying for persons ordinarily resident in Western 6 Australia, including how the State intends to facilitate those 7 persons' access to -- 8 (a) the services of medical practitioners and other persons 9 who carry out functions under this Act; and 10 (b) prescribed substances; and 11 (c) information about accessing voluntary assisted dying. 12 (2) The access standard must specifically set out how the State 13 intends to facilitate access to voluntary assisted dying for 14 regional residents. 15 (3) The CEO may modify or replace the access standard. 16 (4) The CEO must publish the access standard on the Department's 17 website. page 96 Voluntary Assisted Dying Bill 2019 General Part 11 s. 157 1 Part 11 -- General 2 157. Transfer of coordinating practitioner's role 3 (1) The coordinating practitioner for a patient (the original 4 practitioner) may transfer the role of coordinating practitioner 5 to the consulting practitioner for the patient if -- 6 (a) the consulting practitioner has assessed the patient as 7 eligible for access to voluntary assisted dying; and 8 (b) the consulting practitioner accepts the transfer of the 9 role. 10 (2) The transfer of the role can be -- 11 (a) at the request of the patient; or 12 (b) on the original practitioner's own initiative. 13 (3) Within 2 business days after being requested by the original 14 practitioner to accept a transfer under subsection (1), the 15 consulting practitioner must inform the original practitioner 16 whether the consulting practitioner accepts or refuses the 17 transfer of the role. 18 (4) If the consulting practitioner accepts the transfer of the role, the 19 original practitioner must -- 20 (a) inform the patient of the transfer; and 21 (b) record the transfer in the patient's medical record; and 22 (c) within 2 business days after the acceptance of the 23 transfer, complete the approved form (the coordinating 24 practitioner transfer form) and give a copy of it to the 25 Board. 26 (5) The coordinating practitioner transfer form must include the 27 following -- 28 (a) the name, date of birth and contact details of the patient; 29 (b) the name and contact details of the original practitioner; page 97 Voluntary Assisted Dying Bill 2019 Part 11 General s. 158 1 (c) the name and contact details of the consulting 2 practitioner; 3 (d) the date when the consulting practitioner accepted the 4 transfer; 5 (e) the date when the patient was informed of the transfer; 6 (f) the signature of the original practitioner and the date 7 when the form was signed. 8 (6) If the consulting practitioner refuses the transfer of the role, the 9 original practitioner may -- 10 (a) refer the patient to another medical practitioner for a 11 further consulting assessment; and 12 (b) transfer the role of coordinating practitioner to that 13 medical practitioner if the practitioner -- 14 (i) accepts the referral for a further consulting 15 assessment; and 16 (ii) assesses the patient as eligible for access to 17 voluntary assisted dying; and 18 (iii) accepts the transfer of the role. 19 (7) On acceptance of the referral for a further consulting 20 assessment, the consulting assessment that previously assessed 21 the patient as eligible for access to voluntary assisted dying 22 becomes void. 23 158. Communication between patient and practitioner 24 (1) In this section -- 25 audiovisual communication means a method of electronic 26 communication that is designed to allow people to see and hear 27 each other simultaneously. 28 (2) If it is not practicable for a patient to make a first request, final 29 request or administration decision in person -- 30 (a) the patient may make the request or decision using 31 audiovisual communication; and page 98 Voluntary Assisted Dying Bill 2019 General Part 11 s. 159 1 (b) the medical practitioner who receives the request or is 2 being informed of the decision may give the patient 3 advice or information in relation to the request or 4 decision using audiovisual communication. 5 (3) Except as provided in subsection (2)(b), a medical practitioner 6 or other registered health practitioner may give advice or 7 information to, or otherwise communicate with, a person for the 8 purposes of this Act using any method of communication 9 (including electronic communication) that the practitioner 10 considers appropriate. 11 (4) However, subsections (2) and (3) do not authorise the use of a 12 method of communication if, or to the extent that, the use is 13 contrary to or inconsistent with a law of the Commonwealth. 14 159. Information about voluntary assisted dying 15 (1) In this section -- 16 authorised official means -- 17 (a) the CEO; or 18 (b) a public service officer employed in the Department; or 19 (c) a person designated as an authorised official under 20 subsection (2). 21 (2) The CEO may, in writing, designate persons, or persons in a 22 class, as authorised officials for the purposes of this section. 23 (3) An authorised official may make information about voluntary 24 assisted dying publicly available. 25 (4) Information may be made available under this section using any 26 method of communication (including electronic 27 communication) that the authorised official considers 28 appropriate. 29 (5) However, subsection (4) does not authorise the use of a method 30 of communication if, or to the extent that, the use is contrary to 31 or inconsistent with a law of the Commonwealth. page 99 Voluntary Assisted Dying Bill 2019 Part 11 General s. 160 1 160. CEO may approve training 2 The CEO may approve training relating to the following 3 matters -- 4 (a) the operation of this Act in relation to medical 5 practitioners and nurse practitioners, including the 6 functions of coordinating practitioners, consulting 7 practitioners and administering practitioners; 8 (b) assessing whether or not a patient meets the eligibility 9 criteria; 10 (c) identifying and assessing risk factors for abuse or 11 coercion; 12 (d) other matters relating to the operation of this Act. 13 161. CEO may approve forms 14 The CEO may approve forms for use under this Act. 15 162. Interpreters 16 (1) In this section -- 17 health facility means any of the following -- 18 (a) a hospital as defined in the Health Services Act 2016 19 section 8; 20 (b) a private psychiatric hostel as defined in the Private 21 Hospitals and Health Services Act 1927 section 2(1); 22 (c) premises where residential care, as defined in the Aged 23 Care Act 1997 (Commonwealth) section 41-3, is 24 provided; 25 (d) premises, other than a private residence, where 26 accommodation and personal care or nursing care, or 27 both, are provided to a person with a disability; 28 interpreter, for a patient, means an interpreter who assists a 29 patient in relation to -- 30 (a) the request and assessment process; or page 100 Voluntary Assisted Dying Bill 2019 General Part 11 s. 163 1 (b) the process for accessing voluntary assisted dying under 2 Part 4; or 3 (c) a proceeding under Part 5. 4 (2) An interpreter for a patient -- 5 (a) must be accredited by a body approved by the CEO; and 6 (b) must not -- 7 (i) be a family member of the patient; or 8 (ii) know or believe that they are a beneficiary under 9 a will of the patient or that they may otherwise 10 benefit financially or in any other material way 11 from the death of the patient; or 12 (iii) be an owner of, or be responsible for the 13 day-to-day management and operation of, any 14 health facility at which the patient is being 15 treated or resides; or 16 (iv) be a person who is directly involved in providing 17 health services or professional care services to 18 the patient. 19 163. Regulations 20 The Governor may make regulations prescribing matters 21 necessary or convenient to be prescribed for giving effect to this 22 Act. 23 164. Review of Act 24 (1) The Minister must review the operation and effectiveness of this 25 Act, and prepare a report based on the review -- 26 (a) as soon as practicable after the 2nd anniversary of the 27 day on which this section comes into operation; and 28 (b) after that, at intervals of not more than 5 years. page 101 Voluntary Assisted Dying Bill 2019 Part 11 General s. 164 1 (2) The Minister must cause the report to be laid before each House 2 of Parliament as soon as practicable after it is prepared, but not 3 later than 12 months after the 2nd anniversary or the expiry of 4 the period of 5 years, as the case may be. page 102 Voluntary Assisted Dying Bill 2019 Consequential amendments to other Acts Part 12 Constitution Acts Amendment Act 1899 amended Division 1 s. 165 1 Part 12 -- Consequential amendments to other Acts 2 Division 1 -- Constitution Acts Amendment Act 1899 amended 3 165. Act amended 4 This Division amends the Constitution Acts Amendment 5 Act 1899. 6 166. Schedule V amended 7 In Schedule V Part 3 before the item relating to the Waste 8 Authority insert: 9 10 The Voluntary Assisted Dying Board established by the Voluntary 11 Assisted Dying Act 2019. 12 13 Division 2 -- Coroners Act 1996 amended 14 167. Act amended 15 This Division amends the Coroners Act 1996. 16 168. Section 3A inserted 17 After section 3 insert: 18 19 3A. Death under Voluntary Assisted Dying Act 2019 not 20 reportable death 21 (1) Despite the definition of reportable death in section 3, 22 a Western Australian death of a person who has 23 self-administered, or has been administered, a 24 voluntary assisted dying substance in accordance with 25 the Voluntary Assisted Dying Act 2019 is not a 26 reportable death for the purposes of this Act. page 103 Voluntary Assisted Dying Bill 2019 Part 12 Consequential amendments to other Acts Division 3 Guardianship and Administration Act 1990 amended s. 169 1 (2) Subsection (1) does not apply to a Western Australian 2 death of a person who immediately before death was a 3 person held in care. 4 5 Division 3 -- Guardianship and Administration 6 Act 1990 amended 7 169. Act amended 8 This Division amends the Guardianship and Administration 9 Act 1990. 10 170. Section 3B inserted 11 At the end of Part 1 insert: 12 13 3B. Act does not authorise decisions about voluntary 14 assisted dying 15 Nothing in this Act authorises the making of a 16 treatment decision, whether in an advance health 17 directive or otherwise, in relation to voluntary assisted 18 dying as defined in the Voluntary Assisted Dying 19 Act 2019 section 5. 20 21 Division 4 -- Health and Disability Services (Complaints) 22 Act 1995 amended 23 171. Act amended 24 This Division amends the Health and Disability Services 25 (Complaints) Act 1995. page 104 Voluntary Assisted Dying Bill 2019 Consequential amendments to other Acts Part 12 Medicines and Poisons Act 2014 amended Division 5 s. 172 1 172. Section 3 amended 2 In section 3 in the definition of health service paragraph (b) 3 delete "including palliative health care; and" and insert: 4 5 including -- 6 (i) palliative health care; and 7 (ii) voluntary assisted dying as defined in 8 the Voluntary Assisted Dying Act 2019 9 section 5; 10 and 11 12 Division 5 -- Medicines and Poisons Act 2014 amended 13 173. Act amended 14 This Division amends the Medicines and Poisons Act 2014. 15 174. Section 3 amended 16 (1) In section 3 insert in alphabetical order: 17 18 voluntary assisted dying substance means a 19 Schedule 4 or 8 poison that is a voluntary assisted 20 dying substance as defined in the Voluntary Assisted 21 Dying Act 2019 section 7(2). 22 23 (2) In section 3 in the definition of veterinary surgeon delete 24 "1960." and insert: 25 26 1960; 27 page 105 Voluntary Assisted Dying Bill 2019 Part 12 Consequential amendments to other Acts Division 5 Medicines and Poisons Act 2014 amended s. 175 1 175. Section 7 amended 2 (1) In section 7(1) delete the definition of prescriber and insert: 3 4 prescriber means -- 5 (a) in relation to a Schedule 4 or 8 poison (other 6 than a voluntary assisted dying substance 7 prescribed for the purposes of the Voluntary 8 Assisted Dying Act 2019) -- an authorised 9 health professional who has authority to 10 prescribe the poison; or 11 (b) in relation to a voluntary assisted dying 12 substance prescribed for the purposes of the 13 Voluntary Assisted Dying Act 2019 -- a person 14 who is authorised by that Act to prescribe the 15 substance; 16 17 (2) In section 7(1) in the definition of prescription: 18 (a) delete paragraph (a) and insert: 19 20 (a) sets out particulars of the poison, or a substance 21 that contains the poison, that is -- 22 (i) to be used by, or administered to, a 23 person named in the document for 24 therapeutic purposes or for the purposes 25 of the Voluntary Assisted Dying 26 Act 2019; or 27 (ii) to be administered to an animal 28 described in the document for 29 therapeutic purposes; 30 and 31 page 106 Voluntary Assisted Dying Bill 2019 Consequential amendments to other Acts Part 12 Medicines and Poisons Act 2014 amended Division 5 s. 176 1 (b) delete paragraph (c) and insert: 2 3 (c) complies with -- 4 (i) any requirements prescribed by the 5 regulations; or 6 (ii) if the poison is a voluntary assisted 7 dying substance that is to be used or 8 administered for the purposes of the 9 Voluntary Assisted Dying Act 2019, any 10 requirements under that Act or 11 prescribed by the regulations to the 12 extent they are consistent with that Act. 13 14 (3) In section 7(3): 15 (a) in paragraph (b)(i)(I) delete "a person -- " and insert: 16 17 a person or for the use of, or administration to, a person 18 under the Voluntary Assisted Dying Act 2019 -- 19 20 (b) in paragraph (b)(ii) after "obtain" insert: 21 22 or receive 23 24 176. Section 14 amended 25 (1) In section 14(1) delete the passage that begins with "unless" and 26 ends with "in accordance with the regulations." and insert: 27 28 unless subsection (1A) is complied with. 29 page 107 Voluntary Assisted Dying Bill 2019 Part 12 Consequential amendments to other Acts Division 5 Medicines and Poisons Act 2014 amended s. 176 1 (2) After section 14(1) insert: 2 3 (1A) This subsection is complied with -- 4 (a) in the case of the manufacture of a Schedule 4 5 or 8 poison, if the person who manufactures the 6 poison does so -- 7 (i) under and in accordance with an 8 appropriate licence or a professional 9 authority; and 10 (ii) in accordance with the regulations; 11 or 12 (b) in the case of the supply of a Schedule 4 or 8 13 poison (other than the supply of a voluntary 14 assisted dying substance for the purposes of the 15 Voluntary Assisted Dying Act 2019), if the 16 person who supplies the poison does so -- 17 (i) under and in accordance with an 18 appropriate licence or a professional 19 authority; and 20 (ii) in accordance with the regulations; 21 or 22 (c) in the case of the supply of a voluntary assisted 23 dying substance for the purposes of the 24 Voluntary Assisted Dying Act 2019, if -- 25 (i) the person who supplies the substance is 26 authorised by that Act to supply it; and 27 (ii) the supply is in accordance with that 28 Act. 29 page 108 Voluntary Assisted Dying Bill 2019 Consequential amendments to other Acts Part 12 Medicines and Poisons Act 2014 amended Division 5 s. 176 1 (3) In section 14(3) delete the passage that begins with "unless -- " 2 and ends with "in accordance with the regulations." and insert: 3 4 unless subsection (3A) is complied with. 5 6 (4) After section 14(3) insert: 7 8 (3A) This subsection is complied with -- 9 (a) in the case of the prescription of a Schedule 4 10 or 8 poison (other than the prescription of a 11 voluntary assisted dying substance for the 12 purposes of the Voluntary Assisted Dying 13 Act 2019), if -- 14 (i) the person who prescribes the poison is 15 a health professional who is authorised 16 under section 25 to prescribe the poison; 17 and 18 (ii) the prescription is in accordance with 19 the regulations; 20 or 21 (b) in the case of the prescription of a voluntary 22 assisted dying substance for the purposes of the 23 Voluntary Assisted Dying Act 2019, if -- 24 (i) the person who prescribes the substance 25 is authorised by that Act to prescribe the 26 substance; and 27 (ii) the prescription is in accordance with 28 that Act and the regulations to the extent 29 they are consistent with that Act. 30 page 109 Voluntary Assisted Dying Bill 2019 Part 12 Consequential amendments to other Acts Division 5 Medicines and Poisons Act 2014 amended s. 177 1 (5) In section 14(4)(i) after "1981" insert: 2 3 or the Voluntary Assisted Dying Act 2019 4 5 177. Section 28 amended 6 After section 28(1)(a)(ii) insert: 7 8 (iia) the Voluntary Assisted Dying Act 2019; 9 10 178. Section 83 amended 11 After section 83(2) insert: 12 13 (3) Regulations referred to in subsection (1) cannot make 14 provision in relation to the supply or prescription, for 15 the purposes of the Voluntary Assisted Dying Act 2019, 16 of a drug of addiction that is a voluntary assisted dying 17 substance. 18 19 179. Section 115 amended 20 In section 115(1)(a): 21 (a) in subparagraph (iii) delete "substance," and insert: 22 23 substance; or 24 25 (b) after subparagraph (iii) insert: 26 27 (iv) a voluntary assisted dying substance 28 prescribed, supplied, possessed or used 29 for the purposes of the Voluntary 30 Assisted Dying Act 2019, 31 page 110 Voluntary Assisted Dying Bill 2019 Consequential amendments to other Acts Part 12 Misuse of Drugs Act 1981 amended Division 6 s. 180 1 Division 6 -- Misuse of Drugs Act 1981 amended 2 180. Act amended 3 This Division amends the Misuse of Drugs Act 1981. 4 181. Section 5C inserted 5 At the end of Part I insert: 6 7 5C. Authorisation under Voluntary Assisted Dying 8 Act 2019 9 (1) For the purposes of this Act, a person is authorised 10 under the Voluntary Assisted Dying Act 2019 to 11 prepare, sell or supply a prohibited drug if -- 12 (a) the person is authorised by section 58, 59, 63 13 or 67 of that Act to prepare or supply the drug; 14 and 15 (b) the preparation or supply is in accordance with 16 that Act. 17 (2) For the purposes of this Act, a person is authorised 18 under the Voluntary Assisted Dying Act 2019 to 19 possess a prohibited drug if -- 20 (a) the person is authorised by section 58, 59, 63, 21 67, 75 or 77 of that Act to receive or possess 22 the drug; and 23 (b) the receipt or possession is in accordance with 24 that Act. 25 (3) For the purposes of this Act, a person is authorised 26 under the Voluntary Assisted Dying Act 2019 to use a 27 prohibited drug if -- 28 (a) the person is authorised by section 58 or 59 of 29 that Act to prepare, self-administer or 30 administer the drug; and page 111 Voluntary Assisted Dying Bill 2019 Part 12 Consequential amendments to other Acts Division 6 Misuse of Drugs Act 1981 amended s. 182 1 (b) the preparation, self-administration or 2 administration is in accordance with that Act. 3 4 182. Section 5 amended 5 In section 5(3): 6 (a) after paragraph (a) insert: 7 8 (aa) that the preparation, sale or supply of the drug 9 was by a person authorised under the Voluntary 10 Assisted Dying Act 2019 to prepare, sell or 11 supply the drug; or 12 13 (b) in paragraph (b) delete "Act or the Medicines and 14 Poisons Act 2014" and insert: 15 16 Act, the Medicines and Poisons Act 2014 or the 17 Voluntary Assisted Dying Act 2019 18 19 183. Section 6 amended 20 (1) In section 6(3)(a) and (b) delete "Act or the Medicines and 21 Poisons Act 2014" and insert: 22 23 Act, the Medicines and Poisons Act 2014 or the Voluntary 24 Assisted Dying Act 2019 25 26 (2) In section 6(4) and (5) delete "Act or the Medicines and Poisons 27 Act 2014." and insert: 28 29 Act, the Medicines and Poisons Act 2014 or the Voluntary 30 Assisted Dying Act 2019. 31 page 112 Voluntary Assisted Dying Bill 2019 Consequential amendments to other Acts Part 12 Misuse of Drugs Act 1981 amended Division 6 s. 184 1 184. Section 7 amended 2 In section 7(3)(a) and (b) delete "Act or the Medicines and 3 Poisons Act 2014" and insert: 4 5 Act, the Medicines and Poisons Act 2014 or the Voluntary 6 Assisted Dying Act 2019 7 8 185. Section 7B amended 9 In section 7B(7)(a) and (b)(i) delete "Act or the Medicines and 10 Poisons Act 2014" and insert: 11 12 Act, the Medicines and Poisons Act 2014 or the Voluntary 13 Assisted Dying Act 2019 14 15 186. Section 27 amended 16 In section 27(1): 17 (a) in paragraph (a)(ii) delete "Act or under the Medicines 18 and Poisons Act 2014" and insert: 19 20 Act, the Medicines and Poisons Act 2014 or the 21 Voluntary Assisted Dying Act 2019 22 23 (b) in paragraph (b) delete "Act or by or under the 24 Medicines and Poisons Act 2014" and insert: 25 26 Act, the Medicines and Poisons Act 2014 or the 27 Voluntary Assisted Dying Act 2019 28 29 page 113 Voluntary Assisted Dying Bill 2019 Defined terms Defined terms [This is a list of terms defined and the provisions where they are defined. The list is not part of the law.] Defined term Provision(s) administering practitioner .....................................................................................5 administering practitioner transfer form ........................................................ 63(3) administration .......................................................................................................5 administration decision .........................................................................................5 administration decision and prescription form ............................................... 60(1) ambulance officer ........................................................................................ 115(1) applied provisions ........................................................................................ 109(1) approved form .......................................................................................................5 approved training ..................................................................................................5 audiovisual communication ......................................................................... 158(1) authorised disposal form ............................................................................ 5, 76(1) authorised disposer .................................................................................... 5, 79(4) authorised health professional ........................................................................ 80(1) authorised official ........................................................................................ 159(1) authorised supplier ..................................................................................... 5, 79(2) authorised supply form .................................................................................. 74(1) Board.....................................................................................................................5 business day ..........................................................................................................5 cause of death certificate ................................................................................ 82(1) CEO ......................................................................................................................5 completed .......................................................................................................... 5, 8 consultation referral form .............................................................................. 33(1) consulting assessment ...........................................................................................5 consulting assessment report form ............................................................. 5, 40(2) consulting practitioner ..........................................................................................5 contact details .......................................................................................................5 contact person .......................................................................................................5 contact person appointment form ............................................................... 5, 66(1) coordinating practitioner .......................................................................................5 coordinating practitioner transfer form ........................................................ 157(4) decision-making capacity............................................................................. 5, 6(2) Department............................................................................................................5 designated period ........................................................................................... 48(1) disability ...............................................................................................................5 document...................................................................................................... 124(1) eligibility criteria ...................................................................................................5 eligible applicant ................................................................................................. 83 family member ......................................................................................................5 final request...........................................................................................................5 final request form ........................................................................................... 50(1) page 114 Voluntary Assisted Dying Bill 2019 Defined terms final review ...........................................................................................................5 final review form ....................................................................................... 5, 51(1) first assessment .....................................................................................................5 first assessment report form ....................................................................... 5, 29(2) first request ...........................................................................................................5 first request form ............................................................................................ 22(1) general registration ........................................................................................ 17(1) health care worker .......................................................................................... 10(1) health facility ............................................................................................... 162(1) health service ........................................................................................................5 ineligible witness ........................................................................................... 44(1) information................................................................................................... 124(1) information about a proceeding ................................................................... 107(1) interpreter ..................................................................................................... 162(1) judicial member ............................................................................................. 92(1) lifesaving treatment ...................................................................................... 115(1) limited registration ......................................................................................... 17(1) medical practitioner ..............................................................................................5 medication chart ............................................................................................. 70(1) medicine ................................................................................................................5 member .................................................................................................................5 metropolitan region ...............................................................................................5 misconduct ................................................................................................... 128(1) new practitioner ............................................................................................. 63(3) non-judicial member ...................................................................................... 92(1) nurse practitioner ..................................................................................................5 original practitioner ........................................................................... 63(1), 157(1) palliative care and treatment .................................................................................5 party to the proceeding........................................................................................ 83 patient ...................................................................................................................5 personal information .............................................................................................5 practitioner administration decision ........................................................... 5, 56(1) practitioner administration form ................................................................ 5, 61(3) practitioner disposal form .......................................................................... 5, 78(1) prepare ..................................................................................................................5 prescribe ................................................................................................................5 prescribed substance .............................................................................................5 prescription ................................................................................................ 5, 70(3) professional care services .....................................................................................5 protected person ........................................................................................... 115(1) provisional registration .................................................................................. 17(1) public sector employee .................................................................................. 92(1) publish.......................................................................................................... 107(1) recipient ......................................................................................................... 72(1) regional resident ....................................................................................................5 page 115 Voluntary Assisted Dying Bill 2019 Defined terms registered health practitioner .................................................................................5 request and assessment process.............................................................................5 request for access to voluntary assisted dying ............................................. 100(1) review application ............................................................................................... 83 reviewed decision ............................................................................................... 83 revocation form .............................................................................................. 57(3) Schedule 4 poison .......................................................................................... 69(1) Schedule 8 poison .......................................................................................... 69(1) self-administration decision ....................................................................... 5, 56(1) specialist registration ..................................................................................... 17(1) structured administration and supply arrangement ........................................ 81(1) supply ....................................................................................................................5 Tribunal .................................................................................................................5 unused or remaining substance ...................................................................... 77(4) voluntary assisted dying ........................................................................................5 voluntary assisted dying decision .................................................................... 6(1) voluntary assisted dying substance .............................................................. 5, 7(2) witness ........................................................................................................... 61(3) written declaration ................................................................................................5
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