A hospital shall provide a patient or the legal guardian of a patient with an opportunity to designate one lay caregiver before discharge of the patient. If a patient or the legal guardian of a patient declines to designate a lay caregiver: The hospital shall document the decision in the patient’s medical record; and The hospital shall be deemed to be in compliance with the provisions of this part. If a patient or the legal guardian of a patient designates a lay caregiver, the hospital shall: Record in the patient’s medical record: The designation of the lay caregiver; The relationship of the lay caregiver to the patient; and The name, telephone number, and address of the lay caregiver; and Request the written consent of the patient or the legal guardian of the patient to release medical information to the lay caregiver in accordance with: The procedures of the hospital for releasing personal health information; and All applicable federal and State laws. If a patient or the legal guardian of a patient declines to consent to the release of medical information to the lay caregiver, the hospital is not required to: Provide to the lay caregiver the notice required under § 19–382 of this part; or Consult with the lay caregiver or provide to the lay caregiver information contained in the discharge plan issued under § 19–383 of this part. A patient or the legal guardian of a patient may change the designation of a lay caregiver in the event the lay caregiver becomes incapacitated. A designation of a lay caregiver by a patient or the legal guardian of a patient under this section does not obligate an individual to perform any aftercare for the patient. This section may not be construed to require a patient or the legal guardian of a patient to designate a lay caregiver.