Changes to the requirements for do not resusitate orders.

HB 5447 clarifies and expands do-not-resuscitate (DNR) orders in West Virginia by establishing two distinct categories: DNR-CCA (comfort care arrest) and DNR-CC (comfort care). DNR-CCA allows patients to receive all medical treatments - including diagnostics and life-sustaining therapies - until cardiac arrest, after which CPR is not performed. DNR-CC focuses solely on comfort care, with all life-prolonging treatments (like CPR, mechanical ventilation, and antibiotics) withheld while ensuring pain management and palliative support. The bill requires hospitals and healthcare facilities to update their internal policies to reflect these two categories, directly affecting patients, physicians, and healthcare providers involved in end-of-life care decisions.