<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".20" citation="COMAR 10.07.21.20" title_num="10" subtitle_num="07" chapter_num="21" heading="Patient's Representative.">
  <paragraph num="A.">
    <text>A hospice care program shall recognize the authority of:</text>
    <paragraph num="(1)">
      <text>A guardian of the person under Estates and Trusts Article, §13-705, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A guardian of the property under Estates and Trusts Article, §13-201, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>An advance directive established in compliance with Health-General Article, §5-602, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>A surrogate decision maker with authority under Health-General Article, §5-605, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>A power of attorney that meets the requirements of Estates and Trusts Article, §13-601, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>A representative payee or other similar fiduciary; or</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Any other person, if that person was designated by a patient who was competent at the time of designation, and the patient or representative has provided the hospice care program with documentation of the designation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The hospice care program may not recognize the authority of the patient's representative if the representative attempts to exceed the authority:</text>
    <paragraph num="(1)">
      <text>Stated in the instrument that grants the representative authority; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Established by State law.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>The hospice care program shall document in the patient's record the name of the representative, including a copy, when applicable, of the designation.</text>
  </paragraph>
</regulation>