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Bill

Bill

SB 252

AN ACT ALLOWING PHYSICIAN ASSISTANTS TO ISSUE DO NOT RESUSCITATE ORDERS.

2025 Regular Session Introduced by Heather Somers

Connecticut bill would permit physician assistants to independently issue Do Not Resuscitate orders, expanding end-of-life medical decision-making authority beyond physicians.

REF. TO JOINT COMM. ON Public Health
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Bill Summary · SB 252

Legislative bill overview

SB 252 would expand the authority of physician assistants (PAs) in Connecticut to independently issue Do Not Resuscitate (DNR) orders—medical directives that prevent emergency resuscitation efforts if a patient's heart stops or breathing ceases. Currently, only physicians can issue such orders. The bill grants PAs this decision-making power, likely with specified conditions and patient consent requirements.

Why is this important

DNR orders are critical end-of-life care documents that directly affect medical treatment during emergencies. Expanding who can issue them could improve access to this service in underserved areas and reduce physician bottlenecks in healthcare settings. However, since DNR orders have irreversible consequences and reflect fundamental life-or-death medical judgments, the scope of PA authority and oversight mechanisms are substantively important to patient safety and autonomy.

Potential points of contention

  • Scope of PA training and oversight: Whether physician assistants have sufficient independent training in end-of-life ethics, palliative care, and informed consent compared to physicians, and what supervisory requirements should apply
  • Patient protection standards: Questions about whether the bill adequately protects vulnerable populations (elderly, disabled, economically disadvantaged) from potential coercion or inadequate counseling on reversible alternatives
  • Liability and accountability: Disputes over malpractice liability, disciplinary authority, and whether PAs should face the same legal standards as physicians for DNR order issuance

Compiled from official sources — confirm details with the bill’s official record.

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