SC House Bill 4802 (Physician Orders for Scope of Treatment Act) Introduced in the House

SC House Bill 4802, the Physician Orders for Scope of Treatment Act, was developed through CSI’s POST Workgroup, chaired by Wilma Rice at Roper St. Francis, and much of the work was done by SCMA. Key CSI organizations were involved in drafting and reviewing the language, including SCHA. 

The bill has been introduced in the House and is currently residing in the House Committee on Medical, Military, Public and Municipal Affairs.


SCHA is a founding member of the SC Coalition for the Care of the Seriously Ill (CSI), along with other organizations including SCMA, TCC, SC AARP, the SC Bar, our SC Society of Chaplains, DHEC, the SC Nurses Association, and the South Carolina Healthcare Ethics Network. For several years we have been conducting under the auspices of CSI a pilot of the National POLST Paradigm, which stands for Physician Orders for Life-Sustaining Treatment. In SC, we named our program “POST” for “Physician Orders for Scope of Treatment.” POST is an approach to end-of-life planning that emphasizes patients’ wishes about the medical treatments they would want during a medical crisis if they are unable to speak for themselves. It emphasizes (1) advance care planning conversations between patients (and their loved ones) with healthcare professionals, (2) informed shared decision-making between the patient and his/her health care professional about the treatment the patient would like to receive at the end of his/her life, and (3) ensuring that patient treatment wishes are honored. The decisions from these conversations are documented as actionable medical orders on the POST Form. The target population for POST is persons with serious illnesses or frailty, for whom a health care professional would not be surprised if they died within one year. For healthy persons, an advance care planning document, such as a health care power of attorney, is an appropriate tool for making future end-of-life care wishes known. 

02-05-2018 01:55 (EST)