Health Care Decisions Act - Surrogate Decision Making - Hospital Surrogate Committee

HB 1323 requires hospitals in Maryland to establish a "surrogate committee" to make treatment decisions for patients who cannot make their own health care choices and have no available legal surrogate or advance directive. The committee must include a physician (not treating the patient), a nurse, a social worker or clergy member, a patient advisory committee member, an independent patient advocate, and community members with lived experience. Committees must complete mandatory training on bioethics, confidentiality, and implicit bias, and hospitals must report annual usage data to state health officials. This law directly affects unrepresented hospitalized patients who lack decision-making capacity and clear treatment preferences.