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The Patient Self-Determination Act of 1991 (PSDA) requires hospitals, nursing homes, and organizations receiving Medicare and Medicaid funds from the federal government to notify patients of their right to express their wishes concerning life-sustaining care and of the laws of the relevant state with respect to advance directives. The law does not require patients to sign such a document.

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Table Reference Number
Table 33–4. Abilities required for decision-making capacity

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