Illinois has amended its Living Will Act to mandate compliance with instructional advance directives.
"A physician, health care provider, employee, or facility may rely on and must comply with a qualified patient's declaration that is apparent and immediately available if a patient has been determined to be a qualified patient and the patient lacks ability to give directions regarding the use of death delaying procedures."
"No physician, health care provider, employee, or facility may require the execution of a POLST or other such similar form to put into effect the qualified patient's declaration if a patient has been determined to be a qualified patient."
Still, the new amendments also provide that instructional advance directives are "not operative as long as an agent is available who is authorized by a health care agency to make decisions concerning life-sustaining or death delaying procedures for the patient, and nothing in this Act may impair or supersede the authority of an agent under a health care agency to make decisions regarding life-sustaining or death delaying treatment."

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