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This is a Bill, not an Act. For current law, see the Acts databases.
Queensland
GUARDIANSHIP AND
ADMINISTRATION AND
OTHER ACTS AMENDMENT
BILL 2001
Queensland
GUARDIANSHIP AND ADMINISTRATION
AND OTHER ACTS AMENDMENT
BILL 2001
TABLE OF PROVISIONS
Section Page
PART 1--PRELIMINARY
1 Short title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
2 Commencement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
PART 2--AMENDMENT OF GUARDIANSHIP AND
ADMINISTRATION ACT 2000
3 Act amended in pt 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
4 Amendment of s 11 (Principles for adults with impaired capacity) . . . . . . . 6
5 Amendment of s 61 (Purpose to achieve balance for health care) . . . . . . . . 6
6 Amendment of s 63 (Urgent health care) . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
7 Insertion of new s 63A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
63A Life-sustaining measure in an acute emergency . . . . . . . . . . . . . . . . 7
8 Amendment of s 64 (Minor, uncontroversial health care). . . . . . . . . . . . . . . 8
9 Amendment of s 66 (Adult with impaired capacity--order of priority in
dealing with health matter) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
10 Insertion of new ss 66A66B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
66A When consent to withholding or withdrawal of life-sustaining
measure may operate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
66B Certificate in clinical records if life-sustaining measure withheld or
withdrawn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
11 Amendment of s 67 (Effect of adult's objection to health care) . . . . . . . . . . 9
12 Amendment of s 79 (Offence to carry out health care unless authorised) . . 10
13 Amendment of s 82 (Functions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
14 Amendment of s 198 (Health providers may advise adult guardian) . . . . . . 10
15 Insertion of new ch 12, pt 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
2
Guardianship and Administration and Other Acts
Amendment Bill 2001
PART 4--TRANSITIONAL PROVISION FOR GUARDIANSHIP AND
ADMINISTRATION AND POWERS OF ATTORNEY AMENDMENT
ACT 2001
262A Protection for health provider . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
16 Amendment of sch 1, s 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
17 Amendment of sch 2, s 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
18 Insertion in sch 2 of new ss 5A5B. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
5A Life-sustaining measure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
5B Good medical practice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
19 Amendment of sch 2, s 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
20 Omission of sch 2, s 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
21 Amendment of sch 4 (Dictionary). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
PART 3--AMENDMENT OF POWERS OF ATTORNEY ACT 1998
22 Act amended in pt 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
23 Amendment of s 6A (Relationship with Guardianship and Administration
Act 2000). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
24 Amendment of s 35 (Advance health directives) . . . . . . . . . . . . . . . . . . . . . 14
25 Amendment of s 36 (Operation of advance health directive) . . . . . . . . . . . . 14
26 Amendment of s 103 (Protection of health provider for non-compliance
with advance health directive) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
27 Insertion of new ch 9, pt 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
PART 3--TRANSITIONAL PROVISIONS FOR GUARDIANSHIP AND
ADMINISTRATION AND POWERS OF ATTORNEY AMENDMENT
ACT 2001
165 References to special life-sustaining measures . . . . . . . . . . . . . . . . . 15
166 Power for health matters excludes power for withholding or
withdrawal of life-sustaining measure . . . . . . . . . . . . . . . . . . . . . . . . 15
28 Amendment of sch 1, s 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
29 Amendment of schedule 2, s 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
30 Insertion in sch 2 of new ss 5A5B. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
5A Life-sustaining measure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
5B Good medical practice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
31 Amendment of sch 2, s 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
32 Omission of sch 2, s 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
3
Guardianship and Administration and Other Acts
Amendment Bill 2001
33 Amendment of sch 3 (Dictionary). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
PART 4--AMENDMENT OF PUBLIC TRUSTEE ACT 1978
34 Act amended in pt 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
35 Amendment of s 102A (Public trustee may refund certain amounts
to accountable persons) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
2001
A BILL
FOR
An Act to amend the Guardianship and Administration Act 2000, the
Powers of Attorney Act 1998 and the Public Trustee Act 1978
s1 6 s5
Guardianship and Administration and Other Acts
Amendment Bill 2001
The Parliament of Queensland enacts-- 1
PART 1--PRELIMINARY 2
1 Short title
Clause 3
This Act may be cited as the Guardianship and Administration and 4
Other Acts Amendment Act 2001. 5
2 Commencement
Clause 6
(1) Part 4 commences on assent. 7
(2) The remaining provisions of this Act commence on a day to be fixed 8
by proclamation. 9
PART 2--AMENDMENT OF GUARDIANSHIP AND 10
ADMINISTRATION ACT 2000 11
3 Act amended in pt 2
Clause 12
This part amends the Guardianship and Administration Act 2000. 13
4 Amendment of s 11 (Principles for adults with impaired capacity)
Clause 14
Section 11(1), after `for a health matter'-- 15
insert-- 16
`or a special health matter'. 17
5 Amendment of s 61 (Purpose to achieve balance for health care)
Clause 18
Section 61(b)-- 19
omit, insert-- 20
s6 7 s7
Guardianship and Administration and Other Acts
Amendment Bill 2001
`(b) ensuring health care given to the adult is only-- 1
(i) health care that is necessary and appropriate to maintain or 2
promote the adult's health or wellbeing; or 3
(ii) health care that is, in all the circumstances, in the adult's 4
best interests.1'. 5
6 Amendment of s 63 (Urgent health care)
Clause 6
(1) Section 63(1), `considers'-- 7
omit, insert-- 8
`reasonably considers'. 9
(2) Section 63(2), footnote-- 10
omit. 11
(3) Section 63-- 12
insert-- 13
`(5) In this section-- 14
"health care", of an adult, does not include withholding or withdrawal of a 15
life-sustaining measure for the adult.'. 16
7 Insertion of new s 63A
Clause 17
After section 63-- 18
insert-- 19
`63A Life-sustaining measure in an acute emergency 20
`(1) A life-sustaining measure may be withheld or withdrawn for an 21
adult without consent if the adult's health provider reasonably considers-- 22
(a) the adult has impaired capacity for the health matter concerned; 23
and 24
(b) the commencement or continuation of the measure for the adult 25
would be inconsistent with good medical practice; and 26
1 See also section 11 (Principles for adults with impaired capacity).
s8 8 s 10
Guardianship and Administration and Other Acts
Amendment Bill 2001
(c) consistent with good medical practice, the decision to withhold 1
or withdraw the measure must be taken immediately. 2
`(2) However, the measure may not be withheld or withdrawn without 3
consent if the health provider knows the adult objects to the withholding or 4
withdrawal.2 5
`(3) The health provider must certify in the adult's clinical records as to 6
the various things enabling the measure to be withheld or withdrawn 7
because of this section. 8
`(4) For this section, artificial nutrition and hydration is not a 9
"life-sustaining measure".'. 10
8 Amendment of s 64 (Minor, uncontroversial health care)
Clause 11
Section 64(1), `considers'-- 12
omit, insert-- 13
`reasonably considers'. 14
9 Amendment of s 66 (Adult with impaired capacity--order of
Clause 15
priority in dealing with health matter) 16
Section 66-- 17
insert-- 18
`(6) This section does not apply to a health matter relating to health care 19
that may be carried out without consent under division 1.'. 20
10 Insertion of new ss 66A66B
Clause 21
After section 66-- 22
insert-- 23
2 "Object" is defined in schedule 4 (Dictionary).
s 11 9 s 11
Guardianship and Administration and Other Acts
Amendment Bill 2001
`66A When consent to withholding or withdrawal of life-sustaining 1
measure may operate 2
`(1) This section applies if a matter concerning the withholding or 3
withdrawal of a life-sustaining measure is to be dealt with under 4
section 66(3), (4) or (5).3 5
`(2) A consent to the withholding or withdrawal of a life-sustaining 6
measure for the adult can not operate unless the adult's health provider 7
reasonably considers the commencement or continuation of the measure 8
for the adult would be inconsistent with good medical practice. 9
`66B Certificate in clinical records if life-sustaining measure withheld 10
or withdrawn 11
`(1) This section applies if a life-sustaining measure is withheld or 12
withdrawn for an adult other than because of section 63A.4 13
`(2) The adult's health provider must certify in the adult's medical 14
records as to the various things enabling the measure to be withheld or 15
withdrawn because of-- 16
(a) for a withholding or withdrawal under a direction in the adult's 17
advance health directive--section 66(2) and the Powers of 18
Attorney Act 1998, section 36;5 or 19
(b) for a withholding or withdrawal by consent--section 66(3), (4) 20
or (5) and section 66A.'. 21
11 Amendment of s 67 (Effect of adult's objection to health care)
Clause 22
Section 67(3)(c)-- 23
omit. 24
3 If a matter concerning the withholding or withdrawal of a life-sustaining measure is
to be dealt with under section 66(2), see the Powers of Attorney Act 1998,
section 36(2) (Operation of advance health directive) as to when a direction to
withhold or withdraw a life-sustaining measure can operate.
4 Section 63A (Life-sustaining measure in an acute emergency)
5 Powers of Attorney Act 1998, section 36 (Operation of advance health directive)
s 12 10 s 14
Guardianship and Administration and Other Acts
Amendment Bill 2001
12 Amendment of s 79 (Offence to carry out health care unless
Clause 1
authorised) 2
Section 79(1)(a), `consent;6 or'-- 3
omit, insert-- 4
`consent;7 or'. 5
13 Amendment of s 82 (Functions)
Clause 6
(1) Section 82(1)(d)(ii) and (iii)-- 7
omit, insert-- 8
`(ii) attorneys; 9
(iii) enduring documents; 10
(iv) related matters;'. 11
(2) Section 82(1)(f) to (h)-- 12
renumber as section 82(1)(g) to (i). 13
(3) Section 82(1)-- 14
insert-- 15
`(f) consenting to the withholding or withdrawal of a life-sustaining 16
measure for adults with impaired capacity for the health matter 17
concerned;'. 18
14 Amendment of s 198 (Health providers may advise adult
Clause 19
guardian) 20
Section 198(1), `considers'-- 21
omit, insert-- 22
`reasonably considers'. 23
6 See sections 63 (Urgent health care) and 64 (Minor, uncontroversial health care).
7 See sections 63 (Urgent health care), 63A (Life-sustaining measure in an acute
emergency) and 64 (Minor, uncontroversial health care).
s 15 11 s 16
Guardianship and Administration and Other Acts
Amendment Bill 2001
15 Insertion of new ch 12, pt 4
Clause 1
Chapter 12-- 2
insert-- 3
`PART 4--TRANSITIONAL PROVISION FOR 4
GUARDIANSHIP AND ADMINISTRATION AND 5
POWERS OF ATTORNEY AMENDMENT ACT 2001 6
`262A Protection for health provider 7
`(1) This section applies if-- 8
(a) an adult's health provider withheld or withdrew a life-sustaining 9
measure for the adult on or after 1 July 2000 and before the 10
commencement of this section; and 11
(b) at the time the measure was withheld or withdrawn the health 12
provider reasonably considered-- 13
(i) the adult had impaired capacity for the health matter 14
concerned; and 15
(ii) the commencement or continuation of the measure for the 16
adult would have been inconsistent with good medical 17
practice. 18
`(2) The withholding or withdrawal of the measure is taken-- 19
(a) for section 798--to have been health care for which consent was 20
properly given under this Act; and 21
(b) for section 809--to have been health care authorised by this Act.'. 22
16 Amendment of sch 1, s 12
Clause 23
Schedule 1, section 12(1), other than the example-- 24
omit, insert-- 25
`(1) The "health care principle" means power for a health matter, or 26
special health matter, for an adult should be exercised by a guardian, the 27
8 Section 79 (Offence to carry out health care unless authorised)
9 Section 80 (No less protection than if adult gave health consent)
s 17 12 s 18
Guardianship and Administration and Other Acts
Amendment Bill 2001
adult guardian, the tribunal, or for a matter relating to prescribed special 1
health care, another entity-- 2
(a) in the way least restrictive of the adult's rights; and 3
(b) only if the exercise of power-- 4
(i) is necessary and appropriate to maintain or promote the 5
adult's health or wellbeing; or 6
(ii) is, in all the circumstances, in the adult's best interests.'. 7
17 Amendment of sch 2, s 5
Clause 8
(1) Schedule 2, section 5(2)-- 9
renumber as section 5(3). 10
(2) Schedule 2, section 5-- 11
insert-- 12
`(2) "Health care", of an adult, includes withholding or withdrawal of a 13
life-sustaining measure for the adult if the commencement or continuation 14
of the measure for the adult would be inconsistent with good medical 15
practice.'. 16
18 Insertion in sch 2 of new ss 5A5B
Clause 17
Schedule 2-- 18
insert-- 19
`5A Life-sustaining measure 20
`(1) A "life-sustaining measure" is health care intended to sustain or 21
prolong life and that supplants or maintains the operation of vital bodily 22
functions that are temporarily or permanently incapable of independent 23
operation. 24
`(2) Without limiting subsection (1), each of the following is a 25
"life-sustaining measure"-- 26
(a) cardiopulmonary resuscitation; 27
(b) assisted ventilation; 28
s 19 13 s 21
Guardianship and Administration and Other Acts
Amendment Bill 2001
(c) artificial nutrition and hydration. 1
`(3) A blood transfusion is not a "life-sustaining measure". 2
`5B Good medical practice 3
` "Good medical practice" is good medical practice for the medical 4
profession in Australia having regard to-- 5
(a) the recognised medical standards, practices and procedures of the 6
medical profession in Australia; and 7
(b) the recognised ethical standards of the medical profession in 8
Australia.'. 9
19 Amendment of sch 2, s 7
Clause 10
(1) Schedule 2, section 7(f)-- 11
omit. 12
(2) Schedule 2, section 7(g)-- 13
renumber as section 7(f). 14
20 Omission of sch 2, s 16
Clause 15
Schedule 2, section 16-- 16
omit. 17
21 Amendment of sch 4 (Dictionary)
Clause 18
(1) Schedule 4, definition, "special life-sustaining measures"-- 19
omit. 20
(2) Schedule 4-- 21
insert-- 22
` "good medical practice" see schedule 2, section 5B. 23
"life-sustaining measure" see schedule 2, section 5A. 24
"reasonably considers" means considers on grounds that are reasonable in 25
the circumstances.'. 26
s 22 14 s 26
Guardianship and Administration and Other Acts
Amendment Bill 2001
PART 3--AMENDMENT OF POWERS OF ATTORNEY 1
ACT 1998 2
22 Act amended in pt 3
Clause 3
This part amends the Powers of Attorney Act 1998. 4
23 Amendment of s 6A (Relationship with Guardianship and
Clause 5
Administration Act 2000) 6
Section 6A(1)(c), after `consent'-- 7
insert-- 8
`to the withholding or withdrawal of a life-sustaining measure and'. 9
24 Amendment of s 35 (Advance health directives)
Clause 10
Section 35(2)(b), `particular special life-sustaining measures'-- 11
omit, insert-- 12
`a life-sustaining measure'. 13
25 Amendment of s 36 (Operation of advance health directive)
Clause 14
(1) Section 36(2), `special'-- 15
omit. 16
(2) Section 36(2)(b)-- 17
omit, insert-- 18
`(b) for a direction to withhold or withdraw artificial nutrition or 19
artificial hydration--the commencement or continuation of the 20
measure would be inconsistent with good medical practice; and'. 21
26 Amendment of s 103 (Protection of health provider for
Clause 22
non-compliance with advance health directive) 23
Section 103(1), `contrary to'-- 24
s 27 15 s 28
Guardianship and Administration and Other Acts
Amendment Bill 2001
omit, insert-- 1
`inconsistent with'. 2
27 Insertion of new ch 9, pt 3
Clause 3
Chapter 9-- 4
insert-- 5
`PART 3--TRANSITIONAL PROVISIONS FOR 6
GUARDIANSHIP AND ADMINISTRATION AND 7
POWERS OF ATTORNEY AMENDMENT ACT 2001 8
`165 References to special life-sustaining measures 9
`A reference in an enduring document of force and effect immediately 10
before the commencement of this section to special life-sustaining 11
measures or a special life-sustaining measure, however described, is, from 12
the commencement of this section, taken to be a reference to life-sustaining 13
measures or a life-sustaining measure. 14
`166 Power for health matters excludes power for withholding or 15
withdrawal of life-sustaining measure 16
`An enduring document of force and effect immediately before the 17
commencement of this section that authorises an attorney to exercise power 18
for health matters does not, from the commencement of this section, 19
authorise the attorney to exercise power for the withholding or withdrawal 20
of a life-sustaining measure.'. 21
28 Amendment of sch 1, s 12
Clause 22
Schedule 1, section 12(1)(b)-- 23
omit, insert-- 24
`(b) only if the exercise of power-- 25
(i) is necessary and appropriate to maintain or promote the 26
adult's health or wellbeing; or 27
(ii) is, in all the circumstances, in the adult's best interests.'. 28
s 29 16 s 30
Guardianship and Administration and Other Acts
Amendment Bill 2001
29 Amendment of schedule 2, s 5
Clause 1
(1) Schedule 2, section 5(2)-- 2
renumber as section 5(3). 3
(2) Schedule 2, section 5-- 4
insert-- 5
`(2) "Health care", of a principal, includes withholding or withdrawal 6
of a life-sustaining measure for the principal if the commencement or 7
continuation of the measure for the principal would be inconsistent with 8
good medical practice.'. 9
30 Insertion in sch 2 of new ss 5A5B
Clause 10
Schedule 2-- 11
insert-- 12
`5A Life-sustaining measure 13
`(1) A "life-sustaining measure" is health care intended to sustain or 14
prolong life and that supplants or maintains the operation of vital bodily 15
functions that are temporarily or permanently incapable of independent 16
operation. 17
`(2) Without limiting subsection (1), each of the following is a 18
"life-sustaining measure"-- 19
(a) cardiopulmonary resuscitation; 20
(b) assisted ventilation; 21
(c) artificial nutrition and hydration. 22
`(3) A blood transfusion is not a "life-sustaining measure". 23
`5B Good medical practice 24
` "Good medical practice" is good medical practice for the medical 25
profession in Australia having regard to-- 26
(a) the recognised medical standards, practices and procedures of the 27
medical profession in Australia; and 28
(b) the recognised ethical standards of the medical profession in 29
Australia.'. 30
s 31 17 s 35
Guardianship and Administration and Other Acts
Amendment Bill 2001
31 Amendment of sch 2, s 7
Clause 1
(1) Schedule 2, section 7(f)-- 2
omit. 3
(2) Schedule 2, section 7(g)-- 4
renumber as section 7(f). 5
32 Omission of sch 2, s 16
Clause 6
Schedule 2, section 16-- 7
omit. 8
33 Amendment of sch 3 (Dictionary)
Clause 9
(1) Schedule 3, definition, "special life-sustaining measures"-- 10
omit. 11
(2) Schedule 3-- 12
insert-- 13
` "good medical practice" see schedule 2, section 5B. 14
"life-sustaining measure" see schedule 2, section 5A.'. 15
PART 4--AMENDMENT OF PUBLIC TRUSTEE ACT 16
1978 17
34 Act amended in pt 4
Clause 18
This part amends the Public Trustee Act 1978. 19
35 Amendment of s 102A (Public trustee may refund certain
Clause 20
amounts to accountable persons) 21
Section 102A(2), `, less the public trustee's reasonable expenses,'-- 22
omit. 23
s 35 18 s 35
Guardianship and Administration and Other Acts
Amendment Bill 2001
1
© State of Queensland 2001
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