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VOLUNTARY ASSISTED DYING BILL 2019

This is a Bill, not an Act. For current law, see the Acts databases.


VOLUNTARY ASSISTED DYING BILL 2019

                      Western Australia


      Voluntary Assisted Dying Bill 2019

                         Contents

        Part 1 -- Preliminary
        Division 1 -- Introductory provisions
1.      Short title                                            2
2.      Commencement                                           2
3.      Act binds Crown                                        2
        Division 2 -- Principles
4.      Principles                                             2
        Division 3 -- Interpretation
5.      Terms used                                             4
6.      Decision-making capacity                               9
7.      Voluntary assisted dying substance                     9
8.      When request and assessment process completed         10
        Division 4 -- Other provisions
9.      Registered health practitioner may refuse to
        participate in voluntary assisted dying               10
10.     Health care worker not to initiate discussion about
        voluntary assisted dying                              10
11.     Contravention of Act by registered health
        practitioner                                          12
12.     Voluntary assisted dying not suicide                  12
13.     Inherent jurisdiction of Supreme Court not affected   12
14.     Relationship with Medicines and Poisons Act 2014
        and Misuse of Drugs Act 1981                          12
        Part 2 -- Requirements for access to
             voluntary assisted dying
15.     When person can access voluntary assisted dying       13
16.     Eligibility criteria                                  13



                           139--2                              page i
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Contents



              Part 3 -- Requesting access to
                   voluntary assisted dying and
                   assessment of eligibility
              Division 1 -- Eligibility requirements for
                     medical practitioners
      17.     Eligibility to act as coordinating practitioner or
              consulting practitioner                                 15
              Division 2 -- First request
      18.     Person may make first request to medical
              practitioner                                            16
      19.     No obligation to continue after making first request    17
      20.     Medical practitioner to accept or refuse first
              request                                                 17
      21.     Medical practitioner to record first request and
              acceptance or refusal                                   18
      22.     Medical practitioner to notify Board of first request   18
      23.     Medical practitioner becomes coordinating
              practitioner if first request accepted                  19
              Division 3 -- First assessment
      24.     First assessment                                        19
      25.     Coordinating practitioner to have completed
              approved training                                       19
      26.     Referral for determination                              20
      27.     Information to be provided if patient assessed as
              meeting eligibility criteria                            21
      28.     Outcome of first assessment                             22
      29.     Recording and notification of outcome of first
              assessment                                              22
      30.     Referral for consulting assessment if patient
              assessed as eligible                                    24
              Division 4 -- Consulting assessment
      31.     Medical practitioner to accept or refuse referral for
              consulting assessment                                   24
      32.     Medical practitioner to record referral and
              acceptance or refusal                                   25
      33.     Medical practitioner to notify Board of referral        25
      34.     Medical practitioner becomes consulting
              practitioner if referral accepted                       26


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                                                              Contents



35.   Consulting assessment                                      26
36.   Consulting practitioner to have completed
      approved training                                          26
37.   Referral for determination                                 27
38.   Information to be provided if patient assessed as
      meeting eligibility criteria                               28
39.   Outcome of consulting assessment                           28
40.   Recording and notification of outcome of
      consulting assessment                                      28
41.   Referral for further consulting assessment if patient
      assessed as ineligible                                     30
      Division 5 -- Written declaration
42.   Patient assessed as eligible may make written
      declaration                                                30
43.   Witness to signing of written declaration                  31
44.   Certification of witness to signing of written
      declaration                                                32
45.   Coordinating practitioner to record written
      declaration                                                33
46.   Coordinating practitioner to notify Board of
      written declaration                                        33
      Division 6 -- Final request and final review
47.   Patient may make final request to coordinating
      practitioner                                               33
48.   When final request can be made                             34
49.   Coordinating practitioner to record final request          34
50.   Coordinating practitioner to notify Board of final
      request                                                    35
51.   Final review by coordinating practitioner on
      receiving final request                                    35
52.   Technical error not to invalidate request and
      assessment process                                         37
53.   No obligation for patient to continue after
      completion of request and assessment process               37
      Part 4 -- Accessing voluntary
           assisted dying and death
      Division 1 -- Eligibility requirements for
            administering practitioners
54.   Eligibility to act as administering practitioner           38

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Contents



              Division 2 -- Administration of voluntary
                     assisted dying substance
      55.     Application of Division                              39
      56.     Administration decision                              39
      57.     Revocation of administration decision                40
      58.     Self-administration                                  41
      59.     Practitioner administration                          43
      60.     Coordinating practitioner to notify Board of
              administration decision and prescription of
              substance                                            44
      61.     Certification by administering practitioner
              following administration of prescribed substance     45
      62.     Witness to administration of prescribed substance    46
      63.     Transfer of administering practitioner's role        47
              Division 3 -- Contact person
      64.     Application of Division                              48
      65.     Patient to appoint contact person                    48
      66.     Contact person appointment form                      49
      67.     Role of contact person                               50
      68.     Contact person may refuse to continue in role        51
              Division 4 -- Prescribing, supplying and
                     disposing of voluntary assisted dying
                     substance
      69.     Information to be given before prescribing
              substance                                            51
      70.     Prescription for substance                           53
      71.     Authorised supplier to authenticate prescription     54
      72.     Information to be given when supplying prescribed
              substance                                            54
      73.     Labelling requirements for prescribed substance      55
      74.     Authorised supplier to record and notify of supply   55
      75.     Disposal of prescribed substance by authorised
              disposer                                             56
      76.     Authorised disposer to record and notify of
              disposal                                             56
      77.     Disposal of prescribed substance by administering
              practitioner                                         57
      78.     Administering practitioner to record and notify of
              disposal                                             58


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                                                             Contents



       Division 5 -- Other matters
79.    Authorised suppliers and authorised disposers           59
80.    Certain directions as to supply or administration
       prohibited                                              59
81.    Structured administration and supply arrangement
       not to be issued for substance                          60
82.    Notification of death                                   60
       Part 5 -- Review by Tribunal
83.    Terms used                                              62
84.    Application for review of certain decisions by
       Tribunal                                                62
85.    Notice of decision and right to have it reviewed        63
86.    Consequences of review application                      63
87.    Review application taken to be withdrawn if
       patient dies                                            64
88.    Decision of Tribunal                                    64
89.    Effect of decision under s. 88(a), (c) or (e)           65
90.    Effect of decision under s. 88(b), (d) or (f)           66
91.    Coordinating practitioner may refuse to continue in
       role                                                    67
92.    Constitution and membership of Tribunal                 67
93.    Hearings of Tribunal to be held in private              67
94.    Notice requirements                                     68
95.    Coordinating practitioner to give Tribunal relevant
       material                                                69
96.    Tribunal to give written reasons for decision           69
97.    Published decisions or reasons to exclude personal
       information                                             70
98.    Interim orders                                          71
       Part 6 -- Offences
99.    Unauthorised administration of prescribed
       substance                                               72
100.   Inducing another person to request or access
       voluntary assisted dying                                72
101.   Inducing self-administration of prescribed
       substance                                               72
102.   False or misleading information                         73



                                                              page v
Voluntary Assisted Dying Bill 2019



Contents



      103.    Advertising Schedule 4 or 8 poison as voluntary
              assisted dying substance                               73
      104.    Cancellation of document presented as prescription     73
      105.    Contact person to give unused or remaining
              substance to authorised disposer                       74
      106.    Recording, use or disclosure of information            75
      107.    Publication of personal information concerning
              proceeding before Tribunal                             75
      108.    Failure to give form to Board                          76
              Part 7 -- Enforcement
      109.    Application of Medicines and Poisons Act 2014
              Part 7                                                 78
      110.    Court to notify CEO of conviction of offence under
              Act                                                    78
      111.    Who may commence proceedings for simple
              offence                                                79
      112.    Time limit for prosecution of simple offence           79
              Part 8 -- Protection from liability
      113.    Protection for persons assisting access to voluntary
              assisted dying or present when substance
              administered                                           80
      114.    Protection for persons acting in accordance with
              Act                                                    80
      115.    Protection for certain persons who do not
              administer lifesaving treatment                        81
              Part 9 -- Voluntary Assisted Dying
                   Board
              Division 1 -- Establishment
      116.    Board established                                      82
      117.    Status                                                 82
              Division 2 -- Functions and powers
      118.    Functions of Board                                     82
      119.    Powers of Board                                        83
      120.    Delegation by Board                                    83
              Division 3 -- Staff and assistance
      121.    Staff and services                                     84
      122.    Assistance                                             84

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                                                            Contents



       Division 4 -- Accountability
123.   Minister may give directions                           84
124.   Minister to have access to information                 84
       Division 5 -- Membership
125.   Membership of Board                                    85
126.   Chairperson and deputy chairperson                     85
127.   Term of office                                         86
128.   Casual vacancies                                       86
129.   Extension of term of office during vacancy             87
130.   Alternate members                                      87
131.   Remuneration of members                                88
       Division 6 -- Board meetings
132.   Holding meetings                                       88
133.   Quorum                                                 88
134.   Presiding member                                       88
135.   Procedure at meetings                                  88
136.   Voting                                                 88
137.   Holding meetings remotely                              89
138.   Resolution without meeting                             89
139.   Minutes                                                89
       Division 7 -- Disclosure of interests
140.   Disclosure of material personal interest               89
141.   Voting by interested member                            90
142.   Section 141 may be declared inapplicable               90
143.   Quorum where s. 141 applies                            90
144.   Minister may declare s. 141 and 143 inapplicable       91
       Division 8 -- Committees
145.   Establishment of committees                            91
146.   Directions to committee                                91
147.   Committee to determine own procedures                  91
148.   Remuneration of committee members                      92
       Division 9 -- Information
149.   Board to send information to contact person for
       patient                                                92
150.   Request for information                                92
151.   Disclosure of information                              92
152.   Board to record and retain statistical information     93
       Division 10 -- Miscellaneous
153.   Board to notify receipt of forms                       93

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Voluntary Assisted Dying Bill 2019



Contents



      154.    Execution of documents by Board                            94
      155.    Annual report                                              94
              Part 10 -- Access standard
      156.    Standard about access to voluntary assisted dying          96
              Part 11 -- General
      157.    Transfer of coordinating practitioner's role               97
      158.    Communication between patient and practitioner             98
      159.    Information about voluntary assisted dying                 99
      160.    CEO may approve training                                  100
      161.    CEO may approve forms                                     100
      162.    Interpreters                                              100
      163.    Regulations                                               101
      164.    Review of Act                                             101
              Part 12 -- Consequential
                   amendments to other Acts
              Division 1 -- Constitution Acts Amendment
                    Act 1899 amended
      165.    Act amended                                               103
      166.    Schedule V amended                                        103
              Division 2 -- Coroners Act 1996 amended
      167.    Act amended                                               103
      168.    Section 3A inserted                                       103
              3A.      Death under Voluntary Assisted Dying
                       Act 2019 not reportable death              103
              Division 3 -- Guardianship and Administration
                    Act 1990 amended
      169.    Act amended                                               104
      170.    Section 3B inserted                                       104
              3B.      Act does not authorise decisions about
                       voluntary assisted dying                   104
              Division 4 -- Health and Disability Services
                    (Complaints) Act 1995 amended
      171.    Act amended                                               104
      172.    Section 3 amended                                         105
              Division 5 -- Medicines and Poisons Act 2014
                    amended
      173.    Act amended                                               105

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                                                              Contents



174.   Section 3 amended                                       105
175.   Section 7 amended                                       106
176.   Section 14 amended                                      107
177.   Section 28 amended                                      110
178.   Section 83 amended                                      110
179.   Section 115 amended                                     110
       Division 6 -- Misuse of Drugs Act 1981
             amended
180.   Act amended                                             111
181.   Section 5C inserted                                     111
       5C.     Authorisation under Voluntary Assisted
               Dying Act 2019                           111
182.   Section 5 amended                                       112
183.   Section 6 amended                                       112
184.   Section 7 amended                                       113
185.   Section 7B amended                                      113
186.   Section 27 amended                                      113
       Defined terms




                                                               page ix
                           Western Australia


                     LEGISLATIVE ASSEMBLY

                      (As amended in Committee)

          Voluntary Assisted Dying Bill 2019

                               A Bill for


An Act --
 to provide for and regulate access to voluntary assisted dying;
   and
 to establish the Voluntary Assisted Dying Board; and
 to make consequential amendments to other Acts.



The Parliament of Western Australia enacts as follows:




                                                              page 1
     Voluntary Assisted Dying Bill 2019
     Part 1          Preliminary
     Division 1      Introductory provisions
     s. 1



1                             Part 1 -- Preliminary
2                     Division 1 -- Introductory provisions
3    1.         Short title
4               This is the Voluntary Assisted Dying Act 2019.

5    2.         Commencement
6               This Act comes into operation as follows --
7                (a) Part 1 (other than Divisions 2 to 4) -- on the day on
8                      which this Act receives the Royal Assent;
9                (b) the rest of the Act -- on a day fixed by proclamation.

10   3.         Act binds Crown
11              This Act binds the Crown in right of Western Australia, and so
12              far as the legislative power of the Parliament permits, the Crown
13              in all its other capacities.

14                            Division 2 -- Principles
15   4.         Principles
16        (1)   A person exercising a power or performing a function under this
17              Act must have regard to the following principles --
18               (a) every human life has equal value;
19               (b) a person's autonomy, including autonomy in respect of
20                     end of life choices, should be respected;
21               (c) a person has the right to be supported in making
22                     informed decisions about the person's medical
23                     treatment, and should be given, in a manner the person
24                     understands, information about medical treatment
25                     options including comfort and palliative care and
26                     treatment;
27               (d) a person approaching the end of life should be provided
28                     with high quality care and treatment, including palliative

     page 2
                                          Voluntary Assisted Dying Bill 2019
                                                 Preliminary          Part 1
                                               Interpretation    Division 3
                                                                         s. 5



1                  care and treatment, to minimise the person's suffering
2                  and maximise the person's quality of life;
3            (e)   a therapeutic relationship between a person and the
4                  person's health practitioner should, wherever possible,
5                  be supported and maintained;
6            (f)   a person should be encouraged to openly discuss death
7                  and dying, and the person's preferences and values
8                  regarding their care, treatment and end of life should be
9                  encouraged and promoted;
10          (g)    a person should be supported in conversations with the
11                 person's health practitioners, family and carers and
12                 community about treatment and care preferences;
13          (h)    a person is entitled to genuine choices about the
14                 person's care, treatment and end of life, irrespective of
15                 where the person lives in Western Australia and having
16                 regard to the person's culture and language;
17           (i)   a person who is a regional resident is entitled to the
18                 same level of access to voluntary assisted dying as a
19                 person who lives in the metropolitan region;
20           (j)   there is a need to protect persons who may be subject to
21                 abuse or coercion;
22          (k)    all persons, including health practitioners, have the right
23                 to be shown respect for their culture, religion, beliefs,
24                 values and personal characteristics.
25   (2)   In subsection (1), the reference to a person exercising a power
26         or performing a function under this Act includes the Tribunal
27         exercising its review jurisdiction in relation to a decision made
28         under this Act.




                                                                       page 3
     Voluntary Assisted Dying Bill 2019
     Part 1          Preliminary
     Division 3      Interpretation
     s. 5



1                        Division 3 -- Interpretation
2    5.       Terms used
3             In this Act, unless the contrary intention appears --
4             administering practitioner, for a patient, means --
5               (a) the coordinating practitioner for the patient; or
6               (b) a person to whom the role of administering practitioner
7                      is transferred under section 63(2);
8             administration, in relation to a voluntary assisted dying
9             substance, includes self-administration;
10            administration decision means a self-administration decision or
11            a practitioner administration decision;
12            approved form means a form approved by the CEO under
13            section 161 for the purposes of the provision in which the term
14            is used;
15            approved training means training approved by the CEO under
16            section 160;
17            authorised disposal form has the meaning given in
18            section 76(1);
19            authorised disposer has the meaning given in section 79(4);
20            authorised supplier has the meaning given in section 79(2);
21            Board means the Voluntary Assisted Dying Board established
22            by section 116;
23            business day means a day other than a Saturday, a Sunday or a
24            public holiday throughout Western Australia;
25            CEO means the chief executive officer of the Department;
26            completed, in relation to the request and assessment process, has
27            the meaning given in section 8;
28            consulting assessment means an assessment of a patient
29            conducted under section 35(1);
30            consulting assessment report form has the meaning given in
31            section 40(2);

     page 4
                                   Voluntary Assisted Dying Bill 2019
                                          Preliminary          Part 1
                                        Interpretation    Division 3
                                                                  s. 5



1    consulting practitioner, for a patient, means a medical
2    practitioner who accepts a referral to conduct a consulting
3    assessment of the patient;
4    contact details, in relation to a person, includes the address,
5    telephone number and email address of the person;
6    contact person, for a patient, means the person appointed by the
7    patient under section 65(1);
8    contact person appointment form has the meaning given in
9    section 66(1);
10   coordinating practitioner, for a patient, means --
11     (a) a medical practitioner who accepts the patient's first
12            request; or
13     (b) a consulting practitioner for the patient who accepts a
14            transfer of the role of coordinating practitioner under
15            section 157;
16   decision-making capacity, in relation to voluntary assisted
17   dying, has the meaning given in section 6(2);
18   Department means the department of the Public Service
19   principally assisting in the administration of this Act;
20   disability has the meaning given in the Disability Services
21   Act 1993 section 3;
22   eligibility criteria means the criteria set out in section 16(1);
23   family member, of a person, means the person's spouse,
24   de facto partner, parent, sibling, child or grandchild;
25   final request means a final request for access to voluntary
26   assisted dying made under section 47(1);
27   final review means a review conducted under section 51(1)(a)
28   by the coordinating practitioner for a patient;
29   final review form has the meaning given in section 51(1)(b);
30   first assessment means an assessment of a patient conducted
31   under section 24(1);



                                                               page 5
     Voluntary Assisted Dying Bill 2019
     Part 1          Preliminary
     Division 3      Interpretation
     s. 5



1             first assessment report form has the meaning given in
2             section 29(2);
3             first request means a request for access to voluntary assisted
4             dying made under section 18(1);
5             health service has the meaning given in the Health Services
6             Act 2016 section 7;
7             medical practitioner means a person registered under the
8             Health Practitioner Regulation National Law (Western
9             Australia) in the medical profession (other than as a student);
10            medicine has the meaning given in the Medicines and Poisons
11            Act 2014 section 3;
12            member means a member of the Board;
13            metropolitan region has the meaning given in the Planning and
14            Development Act 2005 section 4(1);
15            nurse practitioner means a person registered under the Health
16            Practitioner Regulation National Law (Western Australia) in
17            the nursing profession whose registration under that Law is
18            endorsed as nurse practitioner;
19            palliative care and treatment means care and treatment that --
20              (a) is provided to a person who is diagnosed with a disease,
21                     illness or medical condition that is progressive and
22                     life-limiting; and
23              (b) is directed at preventing, identifying, assessing,
24                     relieving or treating the person's pain, discomfort or
25                     suffering in order to improve their comfort and quality
26                     of life;
27            patient means a person who makes a request for access to
28            voluntary assisted dying under this Act;
29            personal information has the meaning given in the Freedom of
30            Information Act 1992 Glossary clause 1;
31            practitioner administration decision has the meaning given in
32            section 56(1)(b);



     page 6
                                    Voluntary Assisted Dying Bill 2019
                                           Preliminary          Part 1
                                         Interpretation    Division 3
                                                                   s. 5



1    practitioner administration form has the meaning given in
2    section 61(3);
3    practitioner disposal form has the meaning given in
4    section 78(1);
5    prepare, in relation to a prescribed substance --
6      (a) means to do anything necessary to ensure that the
7            substance is in a form suitable for administration; and
8      (b) includes to decant, dilute, dissolve, mix, reconstitute,
9            colour or flavour the substance;
10   prescribe, in relation to a voluntary assisted dying substance,
11   means to issue a prescription for the substance;
12   prescribed substance means --
13     (a) a voluntary assisted dying substance prescribed for a
14           patient by the coordinating practitioner for the patient;
15           and
16     (b) in relation to a patient, the voluntary assisted dying
17           substance prescribed for the patient by the coordinating
18           practitioner for the patient;
19   prescription, in relation to a voluntary assisted dying substance,
20   has the same meaning as it has, in relation to a Schedule 4 or 8
21   poison, in the Medicines and Poisons Act 2014 section 7(1);
22   professional care services means any of the following provided
23   to another person under a contract of employment or a contract
24   for services --
25     (a) assistance or support, including the following --
26              (i) assistance with bathing, showering, personal
27                   hygiene, toileting, dressing, undressing or meals;
28             (ii) assistance for persons with mobility problems;
29            (iii) assistance for persons who are mobile but require
30                   some form of assistance or supervision;
31            (iv) assistance or supervision in administering
32                   medicine;


                                                                page 7
     Voluntary Assisted Dying Bill 2019
     Part 1          Preliminary
     Division 3      Interpretation
     s. 6



1                       (v) the provision of substantial emotional support;
2               (b) a disability service as defined in the Disability Services
3                     Act 1993 section 3;
4             regional resident means a person who ordinarily resides in an
5             area of Western Australia that is outside the metropolitan
6             region;
7             registered health practitioner means a person registered under
8             the Health Practitioner Regulation National Law (Western
9             Australia) to practise a health profession (other than as a
10            student);
11            request and assessment process means the process that consists
12            of the following steps --
13              (a) a first request;
14              (b) a first assessment;
15              (c) a consulting assessment;
16              (d) a written declaration;
17              (e) a final request;
18               (f) a final review;
19            self-administration decision has the meaning given in
20            section 56(1)(a);
21            supply, in relation to a voluntary assistance dying substance, has
22            the same meaning as it has, in relation to a poison, in the
23            Medicines and Poisons Act 2014 section 8;
24            Tribunal means the State Administrative Tribunal;
25            voluntary assisted dying means the administration of a
26            voluntary assisted dying substance and includes steps
27            reasonably related to that administration;
28            voluntary assisted dying substance has the meaning given in
29            section 7(2);
30            written declaration means a written declaration made under
31            section 42(1).



     page 8
                                               Voluntary Assisted Dying Bill 2019
                                                      Preliminary          Part 1
                                                    Interpretation    Division 3
                                                                              s. 6



1    6.         Decision-making capacity
2         (1)   In this section --
3               voluntary assisted dying decision means --
4                 (a) a request for access to voluntary assisted dying; or
5                 (b) a decision to access voluntary assisted dying.
6         (2)   For the purposes of this Act, a patient has decision-making
7               capacity in relation to voluntary assisted dying if the patient has
8               the capacity to --
9                 (a) understand any information or advice about a voluntary
10                      assisted dying decision that is required under this Act to
11                      be provided to the patient; and
12                (b) understand the matters involved in a voluntary assisted
13                      dying decision; and
14                (c) understand the effect of a voluntary assisted dying
15                      decision; and
16                (d) weigh up the factors referred to in paragraphs (a), (b)
17                      and (c) for the purposes of making a voluntary assisted
18                      dying decision; and
19                (e) communicate a voluntary assisted dying decision in
20                      some way.
21        (3)   For the purposes of this Act, a patient is presumed to have
22              decision-making capacity in relation to voluntary assisted dying
23              unless the patient is shown not to have that capacity.

24   7.         Voluntary assisted dying substance
25        (1)   The CEO may, in writing, approve a Schedule 4 poison or
26              Schedule 8 poison (as those terms are defined in the Medicines
27              and Poisons Act 2014 section 3) for use under this Act for the
28              purpose of causing a patient's death.
29        (2)   A poison approved under subsection (1) is a voluntary assisted
30              dying substance.



                                                                            page 9
     Voluntary Assisted Dying Bill 2019
     Part 1          Preliminary
     Division 4      Other provisions
     s. 8



1    8.          When request and assessment process completed
2                For the purposes of this Act, the request and assessment process
3                has been completed in respect of a patient if the coordinating
4                practitioner for the patient --
5                  (a) has completed the final review form in respect of the
6                        patient; and
7                  (b) has certified in the final review form that the request and
8                        assessment process has been completed in accordance
9                        with this Act.

10                         Division 4 -- Other provisions
11   9.          Registered health practitioner may refuse to participate in
12               voluntary assisted dying
13         (1)   A registered health practitioner who has a conscientious
14               objection to voluntary assisted dying has the right to refuse to
15               do any of the following --
16                 (a) participate in the request and assessment process;
17                (b) prescribe, supply or administer a voluntary assisted
18                       dying substance;
19                 (c) be present at the time of the administration of a
20                       voluntary assisted dying substance.
21         (2)   Subsection (1) is not intended to limit the circumstances in
22               which a registered health practitioner may refuse to do any of
23               the things referred to in that subsection.

24   10.         Health care worker not to initiate discussion about
25               voluntary assisted dying
26         (1)   In this section --
27               health care worker means --
28                 (a) a registered health practitioner; or
29                 (b) any other person who provides health services or
30                        professional care services.

     page 10
                                          Voluntary Assisted Dying Bill 2019
                                                 Preliminary          Part 1
                                             Other provisions    Division 4
                                                                        s. 10



1    (2)   A health care worker who provides health services or
2          professional care services to a person must not, in the course of
3          providing the services to the person --
4            (a) initiate discussion with the person that is in substance
5                  about voluntary assisted dying; or
6            (b) in substance, suggest voluntary assisted dying to the
7                  person.
8    (3)   Nothing in subsection (2) prevents a medical practitioner or
9          nurse practitioner from doing something referred to in
10         subsection (2)(a) or (b) if, at the time it is done, the medical
11         practitioner or nurse practitioner also informs the person about
12         the following --
13           (a) the treatment options available to the person and the
14                 likely outcomes of that treatment; and
15           (b) the palliative care and treatment options available to the
16                 person and the likely outcomes of that care and
17                 treatment.
18   (4)   Nothing in subsection (2) prevents a health care worker from
19         providing information about voluntary assisted dying to a
20         person at the person's request.
21   (5)   A contravention of subsection (2) by a registered health
22         practitioner is unprofessional conduct for the purposes of the
23         Health Practitioner Regulation National Law (Western
24         Australia).
25   (6)   Subsection (5) overrides section 11(1).
26   (7)   A contravention of subsection (2) by a provider, as defined in
27         the Health and Disability Services (Complaints) Act 1995
28         section 3(1), is taken to be unreasonable conduct described in
29         section 25(1)(c) of that Act.




                                                                     page 11
     Voluntary Assisted Dying Bill 2019
     Part 1          Preliminary
     Division 4      Other provisions
     s. 11



1    11.         Contravention of Act by registered health practitioner
2          (1)   A contravention of a provision of this Act by a registered health
3                practitioner is capable of constituting professional misconduct
4                or unprofessional conduct for the purposes of the Health
5                Practitioner Regulation National Law (Western Australia).
6          (2)   Subsection (1) applies whether or not the contravention
7                constitutes an offence under this Act.

8    12.         Voluntary assisted dying not suicide
9                For the purposes of the law of the State, a person who dies as
10               the result of the administration of a prescribed substance in
11               accordance with this Act does not die by suicide.

12   13.         Inherent jurisdiction of Supreme Court not affected
13               Nothing in this Act affects the inherent jurisdiction of the
14               Supreme Court.

15   14.         Relationship with Medicines and Poisons Act 2014 and
16               Misuse of Drugs Act 1981
17               If there is a conflict or inconsistency between a provision of this
18               Act and a provision of the Medicines and Poisons Act 2014 or
19               the Misuse of Drugs Act 1981, the provision of this Act prevails
20               to the extent of the conflict or inconsistency.




     page 12
                                                Voluntary Assisted Dying Bill 2019
                 Requirements for access to voluntary assisted dying        Part 2

                                                                               s. 15



1            Part 2 -- Requirements for access to voluntary
2                           assisted dying
3    15.         When person can access voluntary assisted dying
4                A person may access voluntary assisted dying if --
5                 (a) the person has made a first request; and
6                 (b) the person has been assessed as eligible for access to
7                       voluntary assisted dying by --
8                          (i) the coordinating practitioner for the person; and
9                         (ii) the consulting practitioner for the person;
10                      and
11                (c) the person has made a written declaration; and
12                (d) the person has made a final request to the coordinating
13                      practitioner for the person; and
14                (e) the coordinating practitioner for the person has certified
15                      in a final review form that --
16                         (i) the request and assessment process has been
17                              completed in accordance with this Act; and
18                        (ii) the practitioner is satisfied of each of the matters
19                              referred to in section 51(3)(f);
20                      and
21                 (f) the person has made an administration decision; and
22                (g) if the person has made a self-administration decision,
23                      the person has appointed a contact person.

24   16.         Eligibility criteria
25         (1)   The following criteria must be met for a person to be eligible for
26               access to voluntary assisted dying --
27                 (a) the person has reached 18 years of age;




                                                                           page 13
     Voluntary Assisted Dying Bill 2019
     Part 2          Requirements for access to voluntary assisted dying

     s. 16



1               (b)    the person --
2                         (i) is an Australian citizen or permanent resident;
3                              and
4                        (ii) at the time of making a first request, has been
5                              ordinarily resident in Western Australia for a
6                              period of at least 12 months;
7                (c)   the person is diagnosed with at least 1 disease, illness or
8                      medical condition that --
9                         (i) is advanced, progressive and will cause death;
10                             and
11                       (ii) will, on the balance of probabilities, cause death
12                             within a period of 6 months or, in the case of a
13                             disease, illness or medical condition that is
14                             neurodegenerative, within a period of 12 months;
15                             and
16                      (iii) is causing suffering to the person that cannot be
17                             relieved in a manner that the person considers
18                             tolerable;
19              (d)    the person has decision-making capacity in relation to
20                     voluntary assisted dying;
21               (e)   the person is acting voluntarily and without coercion;
22               (f)   the person's request for access to voluntary assisted
23                     dying is enduring.
24      (2)    A person is not eligible for access to voluntary assisted dying
25             only because the person has a disability or is diagnosed with a
26             mental illness (as defined in the Mental Health Act 2014
27             section 4).




     page 14
                                                   Voluntary Assisted Dying Bill 2019
                   Requesting access to voluntary assisted dying and           Part 3
                                               assessment of eligibility
                      Eligibility requirements for medical practitioners  Division 1
                                                                                 s. 17


1    Part 3 -- Requesting access to voluntary assisted dying
2                and assessment of eligibility
3    Division 1 -- Eligibility requirements for medical practitioners
4    17.         Eligibility to act as coordinating practitioner or consulting
5                practitioner
6          (1)   In this section --
7                general registration means general registration under the
8                Health Practitioner Regulation National Law (Western
9                Australia) in the medical profession;
10               limited registration means limited registration under the Health
11               Practitioner Regulation National Law (Western Australia) in
12               the medical profession;
13               provisional registration means provisional registration under
14               the Health Practitioner Regulation National Law (Western
15               Australia) in the medical profession;
16               specialist registration means specialist registration under the
17               Health Practitioner Regulation National Law (Western
18               Australia) in the medical profession in a recognised specialty.
19         (2)   A medical practitioner is eligible to act as a coordinating
20               practitioner or consulting practitioner for a patient if --
21                 (a) the medical practitioner --
22                          (i) holds specialist registration, has practised the
23                               medical profession for at least 1 year as the
24                               holder of specialist registration and meets the
25                               requirements approved by the CEO for the
26                               purposes of this subparagraph; or
27                         (ii) holds general registration, has practised the
28                               medical profession for at least 10 years as the
29                               holder of general registration and meets the
30                               requirements approved by the CEO for the
31                               purposes of this subparagraph; or


                                                                             page 15
     Voluntary Assisted Dying Bill 2019
     Part 3          Requesting access to voluntary assisted dying and
                     assessment of eligibility
     Division 2      First request
     s. 18


1                        (iii)     is an overseas-trained specialist who holds
2                                  limited registration or provisional registration
3                                  and meets the requirements approved by the
4                                  CEO for the purposes of this subparagraph;
5                       and
6                 (b)   the medical practitioner is not a family member of the
7                       patient; and
8                 (c)   the medical practitioner does not know or believe that
9                       the practitioner --
10                         (i) is a beneficiary under a will of the patient; or
11                        (ii) may otherwise benefit financially or in any other
12                              material way from the death of the patient, other
13                              than by receiving reasonable fees for the
14                              provision of services as the coordinating
15                              practitioner or consulting practitioner for the
16                              patient.
17         (3)   The CEO must publish the requirements approved for the
18               purposes of subsection (2)(a)(i), (ii) and (iii) on the
19               Department's website.

20                               Division 2 -- First request
21   18.         Person may make first request to medical practitioner
22         (1)   A person may make a request to a medical practitioner for
23               access to voluntary assisted dying.
24         (2)   The request must be --
25                (a) clear and unambiguous; and
26                (b) made during a medical consultation; and
27                (c) made in person or, if that is not practicable, in
28                      accordance with section 158(2)(a).
29         (3)   The person may make the request verbally or in another way
30               (for example, by gestures).


     page 16
                                                 Voluntary Assisted Dying Bill 2019
                   Requesting access to voluntary assisted dying and         Part 3
                                             assessment of eligibility
                                                        First request   Division 2
                                                                               s. 19


1    19.         No obligation to continue after making first request
2          (1)   A person who makes a first request may decide at any time not
3                to continue the request and assessment process.
4          (2)   The request and assessment process ends if the person decides
5                not to continue the process.
6          (3)   If the request and assessment process ends under subsection (2),
7                the person may begin a new request and assessment process by
8                making a new first request.

9    20.         Medical practitioner to accept or refuse first request
10         (1)   If a first request is made to a medical practitioner, the
11               practitioner must accept or refuse the request.
12         (2)   The reasons for which the medical practitioner can refuse the
13               first request are as follows --
14                  (a) the practitioner has a conscientious objection to
15                        voluntary assisted dying or is otherwise unwilling to
16                        perform the duties of a coordinating practitioner;
17                 (b) the practitioner is unable to perform the duties of a
18                        coordinating practitioner because of unavailability or
19                        some other reason;
20                  (c) the practitioner is required to refuse the request under
21                        subsection (3).
22         (3)   The medical practitioner must refuse the first request if the
23               practitioner is not eligible to act as a coordinating practitioner.
24         (4)   Unless subsection (5) applies, the medical practitioner must,
25               within 2 business days after the first request is made --
26                (a) inform the patient that the practitioner accepts or refuses
27                       the request; and
28                (b) give the patient the information approved by the CEO
29                       for the purposes of this section.



                                                                              page 17
     Voluntary Assisted Dying Bill 2019
     Part 3          Requesting access to voluntary assisted dying and
                     assessment of eligibility
     Division 2      First request
     s. 21


1          (5)   If the medical practitioner refuses the first request because the
2                practitioner has a conscientious objection to voluntary assisted
3                dying, the practitioner must, immediately after the first request
4                is made --
5                   (a) inform the patient that the practitioner refuses the
6                        request; and
7                  (b) give the patient the information referred to in
8                        subsection (4)(b).

9    21.         Medical practitioner to record first request and acceptance
10               or refusal
11               The medical practitioner must record the following in the
12               patient's medical record --
13                 (a) the first request;
14                 (b) the practitioner's decision to accept or refuse the first
15                       request;
16                 (c) if the practitioner's decision is to refuse the first request,
17                       the reason for the refusal;
18                 (d) whether the practitioner has given the patient the
19                       information referred to in section 20(4)(b).

20   22.         Medical practitioner to notify Board of first request
21         (1)   Within 2 business days after deciding to accept or refuse the
22               first request, the medical practitioner must complete the
23               approved form (the first request form) and give a copy of it to
24               the Board.
25         (2)   The first request form must include the following --
26                (a) the name, date of birth and contact details of the patient;
27                (b) the name and contact details of the medical practitioner;
28                (c) the date when the first request was made;
29                (d) whether the first request was made in person or using
30                       audiovisual communication and whether it was made
31                       verbally or in another way (for example, by gestures);

     page 18
                                                 Voluntary Assisted Dying Bill 2019
                   Requesting access to voluntary assisted dying and         Part 3
                                             assessment of eligibility
                                                   First assessment     Division 3
                                                                               s. 23


1                  (e)   the medical practitioner's decision to accept or refuse
2                        the first request;
3                  (f)   if the medical practitioner's decision is to refuse the first
4                        request, the reason for the refusal;
5                 (g)    the date when the medical practitioner informed the
6                        patient of the practitioner's decision and gave the patient
7                        the information referred to in section 20(4)(b);
8                 (h)    the signature of the medical practitioner and the date
9                        when the form was signed.

10   23.         Medical practitioner becomes coordinating practitioner if
11               first request accepted
12               If the medical practitioner accepts the first request, the
13               practitioner becomes the coordinating practitioner for the
14               patient.

15                          Division 3 -- First assessment
16   24.         First assessment
17         (1)   The coordinating practitioner for a patient must assess whether
18               the patient is eligible for access to voluntary assisted dying.
19         (2)   For the purposes of subsection (1), the coordinating practitioner
20               must make a decision in respect of each of the eligibility
21               criteria.
22         (3)   Nothing in this section prevents the coordinating practitioner
23               from having regard to relevant information about the patient that
24               has been prepared by, or at the instigation of, another registered
25               health practitioner.

26   25.         Coordinating practitioner to have completed approved
27               training
28               The coordinating practitioner must not begin the first
29               assessment unless the practitioner has completed approved
30               training.

                                                                             page 19
     Voluntary Assisted Dying Bill 2019
     Part 3          Requesting access to voluntary assisted dying and
                     assessment of eligibility
     Division 3      First assessment
     s. 26


1    26.         Referral for determination
2          (1)   Subsection (2) applies if the coordinating practitioner is unable
3                to determine whether --
4                  (a) the patient has a disease, illness or medical condition
5                        that meets the requirements of section 16(1)(c); or
6                  (b) the patient has decision-making capacity in relation to
7                        voluntary assisted dying as required by section 16(1)(d).
8          (2)   The coordinating practitioner must refer the patient to a
9                registered health practitioner who has appropriate skills and
10               training to make a determination in relation to the matter.
11         (3)   If the coordinating practitioner is unable to determine whether
12               the patient is acting voluntarily and without coercion as required
13               by section 16(1)(e), the coordinating practitioner must refer the
14               patient to another person who has appropriate skills and training
15               to make a determination in relation to the matter.
16         (4)   If the coordinating practitioner makes a referral under
17               subsection (2) or (3), the coordinating practitioner may adopt
18               the determination of the registered health practitioner or other
19               person, as the case requires, in relation to the matter in respect
20               of which the referral was made.
21         (5)   A registered health practitioner or other person to whom the
22               patient is referred under subsection (2) or (3) must not be --
23                 (a) a family member of the patient; or
24                 (b) a person who knows or believes that they --
25                          (i) are a beneficiary under a will of the patient; or
26                         (ii) may otherwise benefit financially or in any other
27                                material way from the death of the patient, other
28                                than by receiving reasonable fees for the
29                                provision of services in connection with the
30                                referral.




     page 20
                                                 Voluntary Assisted Dying Bill 2019
                   Requesting access to voluntary assisted dying and         Part 3
                                             assessment of eligibility
                                                   First assessment     Division 3
                                                                               s. 27


1    27.         Information to be provided if patient assessed as meeting
2                eligibility criteria
3          (1)   If the coordinating practitioner is satisfied that the patient meets
4                all of the eligibility criteria, the coordinating practitioner must
5                inform the patient about the following matters --
6                   (a) the patient's diagnosis and prognosis;
7                  (b) the treatment options available to the patient and the
8                         likely outcomes of that treatment;
9                   (c) the palliative care and treatment options available to the
10                        patient and the likely outcomes of that care and
11                        treatment;
12                 (d) the potential risks of self-administering or being
13                        administered a voluntary assisted dying substance likely
14                        to be prescribed under this Act for the purposes of
15                        causing the patient's death;
16                  (e) that the expected outcome of self-administering or being
17                        administered a substance referred to in paragraph (d) is
18                        death;
19                  (f) the method by which a substance referred to in
20                        paragraph (d) is likely to be self-administered or
21                        administered;
22                 (g) the request and assessment process, including the
23                        requirement for a written declaration signed in the
24                        presence of 2 witnesses;
25                 (h) that if the patient makes a self-administration decision,
26                        the patient must appoint a contact person;
27                  (i) that the patient may decide at any time not to continue
28                        the request and assessment process or not to access
29                        voluntary assisted dying;
30                  (j) that if the patient is receiving ongoing health services
31                        from a medical practitioner other than the coordinating
32                        practitioner, the patient is encouraged to inform the
33                        medical practitioner of the patient's request for access to
34                        voluntary assisted dying.

                                                                             page 21
     Voluntary Assisted Dying Bill 2019
     Part 3          Requesting access to voluntary assisted dying and
                     assessment of eligibility
     Division 3      First assessment
     s. 28


1          (2)   In addition to informing the patient about the matters referred to
2                in subsection (1), the coordinating practitioner must take all
3                reasonable steps to fully explain to the patient and, if the patient
4                consents, another person nominated by the patient --
5                  (a) all relevant clinical guidelines; and
6                  (b) a plan in respect of the administration of a voluntary
7                        assisted dying substance.
8          (3)   Nothing in this section affects any duty a medical practitioner
9                has at common law or under any other enactment.

10   28.         Outcome of first assessment
11         (1)   The coordinating practitioner must assess the patient as eligible
12               for access to voluntary assisted dying if the coordinating
13               practitioner is satisfied that --
14                 (a) the patient meets all of the eligibility criteria; and
15                 (b) the patient understands the information required to be
16                       provided under section 27(1).
17         (2)   If the coordinating practitioner is not satisfied as to any matter
18               in subsection (1) --
19                  (a) the coordinating practitioner must assess the patient as
20                        ineligible for access to voluntary assisted dying; and
21                 (b) the request and assessment process ends.

22   29.         Recording and notification of outcome of first assessment
23         (1)   The coordinating practitioner must inform the patient of the
24               outcome of the first assessment as soon as practicable after its
25               completion.
26         (2)   Within 2 business days after completing the first assessment, the
27               coordinating practitioner must complete the approved form (the
28               first assessment report form) and give a copy of it to the Board.




     page 22
                                           Voluntary Assisted Dying Bill 2019
             Requesting access to voluntary assisted dying and         Part 3
                                       assessment of eligibility
                                             First assessment     Division 3
                                                                         s. 29


1    (3)   As soon as practicable after completing the first assessment
2          report form, the coordinating practitioner must give a copy of it
3          to the patient.
4    (4)   The first assessment report form must include the following --
5           (a) the name, date of birth and contact details of the patient;
6           (b) the following information in respect of the patient --
7                     (i) gender;
8                    (ii) nationality;
9                   (iii) ethnicity;
10                  (iv) whether the patient has a disability;
11                   (v) whether the patient's first language is a language
12                         other than English;
13                  (vi) whether the coordinating practitioner engaged an
14                         interpreter in accordance with section 162(2) to
15                         communicate the information in section 27 to the
16                         patient;
17          (c) the name and contact details of the coordinating
18                 practitioner;
19          (d) a statement confirming that the coordinating practitioner
20                 meets the requirements of section 17(2);
21          (e) the date when the first request was made;
22           (f) the date when the first assessment was completed;
23          (g) the outcome of the first assessment, including the
24                 coordinating practitioner's decision in respect of each of
25                 the eligibility criteria;
26          (h) the date when the patient was informed of the outcome
27                 of the first assessment;
28           (i) if the patient was referred under section 26(2) or (3), the
29                 outcome of the referral (including a copy of any report
30                 given by the registered health practitioner or other
31                 person to whom the patient was referred);



                                                                     page 23
     Voluntary Assisted Dying Bill 2019
     Part 3          Requesting access to voluntary assisted dying and
                     assessment of eligibility
     Division 4      Consulting assessment
     s. 30


1                  (j)   if the patient was assisted by an interpreter when having
2                        the first assessment, the name, contact details and
3                        accreditation details of the interpreter;
4                 (k)    the palliative care and treatment options available to the
5                        patient and the likely outcomes of that care and
6                        treatment;
7                  (l)   the signature of the coordinating practitioner and the
8                        date when the form was signed.

9    30.         Referral for consulting assessment if patient assessed as
10               eligible
11               If the coordinating practitioner assesses the patient as eligible
12               for access to voluntary assisted dying, the practitioner must
13               refer the patient to another medical practitioner for a consulting
14               assessment.

15                       Division 4 -- Consulting assessment
16   31.         Medical practitioner to accept or refuse referral for
17               consulting assessment
18         (1)   If a patient is referred to a medical practitioner for a consulting
19               assessment under section 30, 41 or 157(6)(a), the practitioner
20               must accept or refuse the referral.
21         (2)   The reasons for which the medical practitioner can refuse the
22               referral are as follows --
23                 (a) the practitioner has a conscientious objection to
24                        voluntary assisted dying or is otherwise unwilling to
25                        perform the duties of a consulting practitioner;
26                 (b) the practitioner is unable to perform the duties of a
27                        consulting practitioner because of unavailability or some
28                        other reason;
29                 (c) the practitioner is required to refuse the referral under
30                        subsection (3).



     page 24
                                                 Voluntary Assisted Dying Bill 2019
                   Requesting access to voluntary assisted dying and         Part 3
                                             assessment of eligibility
                                             Consulting assessment      Division 4
                                                                               s. 32


1          (3)   The medical practitioner must refuse the referral if the
2                practitioner is not eligible to act as a consulting practitioner.
3          (4)   Unless subsection (5) applies, the medical practitioner must,
4                within 2 business days after receiving the referral, inform the
5                patient and the coordinating practitioner for the patient that the
6                practitioner accepts or refuses the referral.
7          (5)   If the medical practitioner refuses the referral because the
8                practitioner has a conscientious objection to voluntary assisted
9                dying, the practitioner must, immediately after receiving the
10               referral, inform the patient and the coordinating practitioner for
11               the patient that the practitioner refuses the referral.

12   32.         Medical practitioner to record referral and acceptance or
13               refusal
14               The medical practitioner must record the following in the
15               patient's medical record --
16                 (a) the referral;
17                 (b) the practitioner's decision to accept or refuse the
18                       referral;
19                 (c) if the practitioner's decision is to refuse the referral, the
20                       reason for the refusal.

21   33.         Medical practitioner to notify Board of referral
22         (1)   Within 2 business days after deciding to accept or refuse the
23               referral, the medical practitioner must complete the approved
24               form (the consultation referral form) and give a copy of it to
25               the Board.
26         (2)   The consultation referral form must include the following --
27                (a) the name, date of birth and contact details of the patient;
28                (b) the name and contact details of the medical practitioner;
29                (c) the date when the referral was received;
30                (d) the medical practitioner's decision to accept or refuse
31                      the referral;

                                                                              page 25
     Voluntary Assisted Dying Bill 2019
     Part 3          Requesting access to voluntary assisted dying and
                     assessment of eligibility
     Division 4      Consulting assessment
     s. 34


1                  (e)   if the medical practitioner's decision is to refuse the
2                        referral, the reason for the refusal;
3                  (f)   the date when the medical practitioner informed the
4                        patient and the coordinating practitioner for the patient
5                        of the practitioner's decision;
6                 (g)    the signature of the medical practitioner and the date
7                        when the form was signed.

8    34.         Medical practitioner becomes consulting practitioner if
9                referral accepted
10               If the medical practitioner accepts the referral, the practitioner
11               becomes the consulting practitioner for the patient.

12   35.         Consulting assessment
13         (1)   The consulting practitioner for a patient must assess whether the
14               patient is eligible for access to voluntary assisted dying.
15         (2)   For the purposes of subsection (1), the consulting practitioner
16               must make a decision in respect of each of the eligibility
17               criteria.
18         (3)   For the purposes of subsection (1), the consulting practitioner
19               must independently of the coordinating practitioner form their
20               own opinions on the matters to be decided.
21         (4)   Nothing in this section prevents the consulting practitioner from
22               having regard to relevant information about the patient that has
23               been prepared by, or at the instigation of, another registered
24               health practitioner.

25   36.         Consulting practitioner to have completed approved
26               training
27               The consulting practitioner must not begin the consulting
28               assessment unless the practitioner has completed approved
29               training.



     page 26
                                                 Voluntary Assisted Dying Bill 2019
                   Requesting access to voluntary assisted dying and         Part 3
                                             assessment of eligibility
                                             Consulting assessment      Division 4
                                                                               s. 37


1    37.         Referral for determination
2          (1)   Subsection (2) applies if the consulting practitioner is unable to
3                determine whether --
4                  (a) the patient has a disease, illness or medical condition
5                       that meets the requirements of section 16(1)(c); or
6                  (b) the patient has decision-making capacity in relation to
7                       voluntary assisted dying as required by section 16(1)(d).
8          (2)   The consulting practitioner must refer the patient to a registered
9                health practitioner who has appropriate skills and training to
10               make a determination in relation to the matter.
11         (3)   If the consulting practitioner is unable to determine whether the
12               patient is acting voluntarily and without coercion as required by
13               section 16(1)(e), the consulting practitioner must refer the
14               patient to another person who has appropriate skills and training
15               to make a determination in relation to the matter.
16         (4)   If the consulting practitioner makes a referral under
17               subsection (2) or (3), the consulting practitioner may adopt the
18               determination of the registered health practitioner or other
19               person, as the case requires, in relation to the matter in respect
20               of which the referral was made.
21         (5)   A registered health practitioner or other person to whom the
22               patient is referred under subsection (2) or (3) must not be --
23                 (a) a family member of the patient; or
24                 (b) a person who knows or believes that they --
25                          (i) are a beneficiary under a will of the patient; or
26                         (ii) may otherwise benefit financially or in any other
27                                material way from the death of the patient, other
28                                than by receiving reasonable fees for the
29                                provision of services in connection with the
30                                referral.




                                                                            page 27
     Voluntary Assisted Dying Bill 2019
     Part 3          Requesting access to voluntary assisted dying and
                     assessment of eligibility
     Division 4      Consulting assessment
     s. 38


1    38.         Information to be provided if patient assessed as meeting
2                eligibility criteria
3          (1)   If the consulting practitioner is satisfied that the patient meets
4                all of the eligibility criteria, the consulting practitioner must
5                inform the patient about the matters referred to in section 27(1).
6          (2)   Nothing in this section affects any duty a medical practitioner
7                has at common law or under any other enactment.

8    39.         Outcome of consulting assessment
9          (1)   The consulting practitioner must assess the patient as eligible
10               for access to voluntary assisted dying if the consulting
11               practitioner is satisfied that --
12                 (a) the patient meets all of the eligibility criteria; and
13                 (b) the patient understands the information required to be
14                       provided under section 38(1).
15         (2)   If the consulting practitioner is not satisfied as to any matter in
16               subsection (1), the consulting practitioner must assess the
17               patient as ineligible for access to voluntary assisted dying.

18   40.         Recording and notification of outcome of consulting
19               assessment
20         (1)   The consulting practitioner must inform the patient and the
21               coordinating practitioner for the patient of the outcome of the
22               consulting assessment as soon as practicable after its
23               completion.
24         (2)   Within 2 business days after completing the consulting
25               assessment, the consulting practitioner must complete the
26               approved form (the consulting assessment report form) and
27               give a copy of it to the Board.
28         (3)   As soon as practicable after completing the consulting
29               assessment report form, the consulting practitioner must give a
30               copy of it to the patient.


     page 28
                                           Voluntary Assisted Dying Bill 2019
             Requesting access to voluntary assisted dying and         Part 3
                                       assessment of eligibility
                                       Consulting assessment      Division 4
                                                                         s. 40


1    (4)   The consulting assessment report form must include the
2          following --
3            (a) the name, date of birth and contact details of the patient;
4            (b) the name and contact details of the consulting
5                 practitioner;
6            (c) a statement confirming that the consulting practitioner
7                 meets the requirements of section 17(2);
8            (d) the date when the first request was made;
9            (e) the date when the referral for the consulting assessment
10                was made;
11            (f) the date when the referral for the consulting assessment
12                was received;
13           (g) the date when the consulting assessment was completed;
14           (h) the outcome of the consulting assessment, including the
15                consulting practitioner's decision in respect of each of
16                the eligibility criteria;
17            (i) the date when the patient was informed of the outcome
18                of the consulting assessment;
19            (j) the date when the coordinating practitioner for the
20                patient was informed of the outcome of the consulting
21                assessment;
22           (k) if the patient was referred under section 37(2) or (3), the
23                outcome of the referral (including a copy of any report
24                given by the registered health practitioner or other
25                person to whom the patient was referred);
26            (l) if the patient was assisted by an interpreter when having
27                the consulting assessment, the name, contact details and
28                accreditation details of the interpreter;
29          (m) the palliative care and treatment options available to the
30                patient and the likely outcomes of that care and
31                treatment;
32           (n) the signature of the consulting practitioner and the date
33                when the form was signed.

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     Part 3          Requesting access to voluntary assisted dying and
                     assessment of eligibility
     Division 5      Written declaration
     s. 41


1          (5)   The consulting practitioner must give a copy of the consulting
2                assessment report form to the coordinating practitioner for the
3                patient as soon as practicable after completing the consulting
4                assessment.

5    41.         Referral for further consulting assessment if patient
6                assessed as ineligible
7                If the consulting practitioner assesses the patient as ineligible
8                for access to voluntary assisted dying, the coordinating
9                practitioner for the patient may refer the patient to another
10               medical practitioner for a further consulting assessment.

11                        Division 5 -- Written declaration
12   42.         Patient assessed as eligible may make written declaration
13         (1)   A patient may make a written declaration requesting access to
14               voluntary assisted dying if the patient has been assessed as
15               eligible for access to voluntary assisted dying by --
16                 (a) the coordinating practitioner for the patient; and
17                 (b) the consulting practitioner for the patient.
18         (2)   The written declaration must be in the approved form and given
19               to the coordinating practitioner for the patient.
20         (3)   The written declaration must --
21                (a) specify that the patient --
22                         (i) makes it voluntarily and without coercion; and
23                        (ii) understands its nature and effect;
24                      and
25                (b) be signed by the patient, or a person referred to in
26                      subsection (4), in the presence of 2 witnesses; and
27                (c) include the following --
28                         (i) the name, date of birth and contact details of the
29                             patient;


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                   Requesting access to voluntary assisted dying and         Part 3
                                             assessment of eligibility
                                                  Written declaration   Division 5
                                                                               s. 43


1                         (ii)   if the patient was assisted by an interpreter, the
2                                name, contact details and accreditation details of
3                                the interpreter;
4                        (iii)   the name and contact details of the coordinating
5                                practitioner for the patient.
6          (4)   A person may sign the written declaration on behalf of the
7                patient if --
8                  (a) the patient is unable to sign the declaration; and
9                  (b) the patient directs the person to sign the declaration; and
10                 (c) the person --
11                          (i) has reached 18 years of age; and
12                         (ii) is not a witness to the signing of the declaration;
13                              and
14                        (iii) is not the coordinating practitioner or consulting
15                              practitioner for the patient making the
16                              declaration.
17         (5)   A person who signs the written declaration on behalf of the
18               patient must do so in the patient's presence.
19         (6)   If the patient makes the written declaration with the assistance
20               of an interpreter, the interpreter must certify on the declaration
21               that the interpreter provided a true and correct translation of any
22               material translated.

23   43.         Witness to signing of written declaration
24         (1)   For the purposes of section 42(3)(b), a person is eligible to
25               witness the signing of a written declaration if the person --
26                (a) has reached 18 years of age; and
27                (b) is not an ineligible witness.




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     Part 3          Requesting access to voluntary assisted dying and
                     assessment of eligibility
     Division 5      Written declaration
     s. 44


1          (2)   For the purposes of subsection (1)(b), a person is an ineligible
2                witness if the person --
3                 (a) knows or believes that the person --
4                          (i) is a beneficiary under a will of the patient
5                                making the declaration; or
6                         (ii) may otherwise benefit financially or in any other
7                                material way from the death of the patient
8                                making the declaration;
9                        or
10                (b) is a family member of the patient making the
11                       declaration; or
12                (c) is the coordinating practitioner or consulting practitioner
13                       for the patient making the declaration.

14   44.         Certification of witness to signing of written declaration
15         (1)   In this section --
16               ineligible witness means a person who is an ineligible witness
17               under section 43(2).
18         (2)   A witness who witnesses the signing of a written declaration by
19               the patient making the declaration must --
20                 (a) certify in writing in the declaration that, in the presence
21                       of the witness, the patient appeared to freely and
22                       voluntarily sign the declaration; and
23                 (b) state that the witness is not knowingly an ineligible
24                       witness.
25         (3)   A witness who witnesses the signing of a written declaration by
26               another person on behalf of the patient making the declaration
27               must --
28                 (a) certify in writing in the declaration that --
29                        (i) in the presence of the witness, the patient
30                             appeared to freely and voluntarily direct the
31                             other person to sign the declaration; and


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                   Requesting access to voluntary assisted dying and         Part 3
                                             assessment of eligibility
                                       Final request and final review   Division 6
                                                                               s. 45


1                         (ii)   the other person signed the declaration in the
2                                presence of the patient and the witness;
3                        and
4                 (b)    state that the witness is not knowingly an ineligible
5                        witness.

6    45.         Coordinating practitioner to record written declaration
7                If a patient gives a written declaration to the coordinating
8                practitioner for the patient, the coordinating practitioner must
9                record the following in the patient's medical record --
10                  (a) the date when the written declaration was made;
11                 (b) the date when the written declaration was received by
12                        the coordinating practitioner.

13   46.         Coordinating practitioner to notify Board of written
14               declaration
15               Within 2 business days after receiving a written declaration
16               made by a patient, the coordinating practitioner for the patient
17               must give a copy of it to the Board.

18                 Division 6 -- Final request and final review
19   47.         Patient may make final request to coordinating practitioner
20         (1)   A patient who has made a written declaration may make a final
21               request to the coordinating practitioner for the patient for access
22               to voluntary assisted dying.
23         (2)   The final request must be --
24                (a) clear and unambiguous; and
25                (b) made in person or, if that is not practicable, in
26                      accordance with section 158(2)(a).
27         (3)   The patient may make the final request verbally or in another
28               way (for example, by gestures).



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     Voluntary Assisted Dying Bill 2019
     Part 3          Requesting access to voluntary assisted dying and
                     assessment of eligibility
     Division 6      Final request and final review
     s. 48


1    48.         When final request can be made
2          (1)   In this section --
3                designated period means the period of 9 days beginning on the
4                day on which the patient made the first request.
5          (2)   The final request cannot be made --
6                 (a) before the end of the designated period, except as
7                       provided in subsection (3); and
8                 (b) in any case, until after the day on which the consulting
9                       assessment that assessed the patient as eligible for
10                      access to voluntary assisted dying was completed.
11         (3)   The final request can be made before the end of the designated
12               period if --
13                 (a) in the opinion of the coordinating practitioner for the
14                       patient, the patient is likely to die, or to lose
15                       decision-making capacity in relation to voluntary
16                       assisted dying, before the end of the designated period;
17                       and
18                 (b) the opinion of the coordinating practitioner is consistent
19                       with the opinion of the consulting practitioner for the
20                       patient.

21   49.         Coordinating practitioner to record final request
22               The coordinating practitioner for the patient must record the
23               following in the patient's medical record --
24                 (a) the date when the final request was made;
25                 (b) if the final request was made before the end of the
26                      designated period as defined in section 48(1), the reason
27                      for it being made before the end of that period.




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                                                 Voluntary Assisted Dying Bill 2019
                   Requesting access to voluntary assisted dying and         Part 3
                                             assessment of eligibility
                                       Final request and final review   Division 6
                                                                               s. 50


1    50.         Coordinating practitioner to notify Board of final request
2          (1)   Within 2 business days after receiving a final request made by a
3                patient, the coordinating practitioner for the patient must
4                complete the approved form (the final request form) and give a
5                copy of it to the Board.
6          (2)   The final request form must include the following --
7                 (a) the name, date of birth and contact details of the patient;
8                 (b) the name and contact details of the coordinating
9                       practitioner;
10                (c) the date when the first request was made;
11                (d) the date when the final request was made;
12                (e) whether the final request was made in person or using
13                      audiovisual communication and whether it was made
14                      verbally or in another way;
15                 (f) if the patient was assisted by an interpreter when making
16                      the final request, the name, contact details and
17                      accreditation details of the interpreter;
18                (g) if the final request was made before the end of the
19                      designated period as defined in section 48(1), the reason
20                      for it being made before the end of that period;
21                (h) the signature of the coordinating practitioner and the
22                      date when the form was signed.

23   51.         Final review by coordinating practitioner on receiving final
24               request
25         (1)   On receiving a final request made by a patient, the coordinating
26               practitioner for the patient must --
27                 (a) review the following in respect of the patient --
28                          (i) the first assessment report form;
29                         (ii) all consulting assessment report forms;
30                        (iii) the written declaration;
31                       and

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     Voluntary Assisted Dying Bill 2019
     Part 3          Requesting access to voluntary assisted dying and
                     assessment of eligibility
     Division 6      Final request and final review
     s. 51


1               (b)   complete the approved form (the final review form) in
2                     respect of the patient.
3       (2)    When conducting the final review, the coordinating practitioner
4              must have regard to any decision made by the Tribunal under
5              Part 5 in respect of a decision made in the request and
6              assessment process.
7       (3)    The final review form must include the following --
8               (a) the name, date of birth and contact details of the patient;
9               (b) the name and contact details of the coordinating
10                    practitioner;
11              (c) a statement that the coordinating practitioner has
12                    reviewed the forms referred to in subsection (1)(a);
13              (d) a statement certifying whether or not the request and
14                    assessment process has been completed in accordance
15                    with this Act;
16              (e) if the patient was assisted by an interpreter, the name,
17                    contact details and accreditation details of the
18                    interpreter;
19               (f) a statement certifying whether or not the coordinating
20                    practitioner is satisfied of each of the following --
21                       (i) that the patient has decision-making capacity in
22                            relation to voluntary assisted dying;
23                      (ii) that the patient in requesting access to voluntary
24                            assisted dying is acting voluntarily and without
25                            coercion;
26                     (iii) that the patient's request to access voluntary
27                            assisted dying is enduring;
28              (g) the signature of the coordinating practitioner and the
29                    date when the form was signed.
30      (4)    Within 2 business days after completing the final review form,
31             the coordinating practitioner must give a copy of it to the Board.



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             Requesting access to voluntary assisted dying and         Part 3
                                       assessment of eligibility
                                 Final request and final review   Division 6
                                                                         s. 52


1    52.   Technical error not to invalidate request and assessment
2          process
3          The validity of the request and assessment process is not
4          affected by any minor or technical error in a final review form
5          or a form referred to in section 51(1)(a).

6    53.   No obligation for patient to continue after completion of
7          request and assessment process
8          A patient in respect of whom the request and assessment
9          process has been completed may decide at any time not to take
10         any further step in relation to access to voluntary assisted dying.




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     Voluntary Assisted Dying Bill 2019
     Part 4          Accessing voluntary assisted dying and death
     Division 1      Eligibility requirements for administering practitioners
     s. 54



1    Part 4 -- Accessing voluntary assisted dying and death
2           Division 1 -- Eligibility requirements for administering
3                                 practitioners
4    54.         Eligibility to act as administering practitioner
5          (1)   A person is eligible to act as an administering practitioner for a
6                patient if --
7                  (a) the person is --
8                           (i) a medical practitioner who is eligible to act as a
9                               coordinating practitioner for the patient under
10                              section 17(2); or
11                         (ii) a nurse practitioner who has practised the
12                              nursing profession for at least 2 years as a nurse
13                              practitioner and meets the requirements approved
14                              by the CEO for the purposes of this
15                              subparagraph;
16                       and
17                 (b) the person has completed approved training; and
18                 (c) the person is not a family member of the patient; and
19                 (d) the person does not know or believe that they --
20                          (i) are a beneficiary under a will of the patient; or
21                         (ii) may otherwise benefit financially or in any other
22                              material way from the death of the patient, other
23                              than by receiving reasonable fees for the
24                              provision of services as the administering
25                              practitioner for the patient.
26         (2)   The CEO must publish the requirements approved for the
27               purposes of subsection (1)(a)(ii) on the Department's website.




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                        Accessing voluntary assisted dying and death           Part 4
                  Administration of voluntary assisted dying substance    Division 2
                                                                                 s. 55



1                Division 2 -- Administration of voluntary assisted
2                               dying substance
3    55.         Application of Division
4                This Division applies if --
5                 (a) the request and assessment process has been completed
6                       in respect of a patient; and
7                 (b) the final review form in respect of the patient certifies
8                       that the coordinating practitioner for the patient is
9                       satisfied of each of the following --
10                         (i) that the patient has decision-making capacity in
11                              relation to voluntary assisted dying;
12                        (ii) that the patient in requesting access to voluntary
13                              assisted dying is acting voluntarily and without
14                              coercion;
15                       (iii) that the patient's request to access voluntary
16                              assisted dying is enduring.

17   56.         Administration decision
18         (1)   The patient may, in consultation with and on the advice of the
19               coordinating practitioner for the patient --
20                 (a) decide to self-administer a voluntary assisted dying
21                      substance (a self-administration decision); or
22                 (b) decide that a voluntary assisted dying substance is to be
23                      administered to the patient by the administering
24                      practitioner for the patient (a practitioner
25                      administration decision).
26         (2)   A practitioner administration decision can only be made if the
27               coordinating practitioner for the patient advises the patient that
28               self-administration of a voluntary assisted dying substance is
29               inappropriate having regard to 1 or more of the following --
30                 (a) the ability of the patient to self-administer the substance;



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     Part 4          Accessing voluntary assisted dying and death
     Division 2      Administration of voluntary assisted dying substance
     s. 57



1                 (b)    the patient's concerns about self-administering the
2                        substance;
3                  (c)   the method for administering the substance that is
4                        suitable for the patient.
5          (3)   An administration decision must be --
6                 (a) clear and unambiguous; and
7                 (b) made in person before the coordinating practitioner for
8                      the patient or, if that is not practicable, in accordance
9                      with section 158(2)(a).
10         (4)   The patient may make an administration decision verbally or in
11               another way (for example, by gestures).
12         (5)   If the patient makes an administration decision, the coordinating
13               practitioner for the patient must record the decision in the
14               patient's medical record.

15   57.         Revocation of administration decision
16         (1)   The patient may at any time --
17                (a) revoke a self-administration decision by informing the
18                      coordinating practitioner for the patient that the patient
19                      has decided not to self-administer a voluntary assisted
20                      dying substance; or
21                (b) revoke a practitioner administration decision by
22                      informing the administering practitioner for the patient
23                      that the patient has decided not to proceed with the
24                      administration of a voluntary assisted dying substance.
25         (2)   For the purposes of subsection (1), the patient may inform the
26               coordinating practitioner or administering practitioner of the
27               patient's decision in writing, verbally or in another way (for
28               example, by gestures).




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                       Accessing voluntary assisted dying and death           Part 4
                 Administration of voluntary assisted dying substance    Division 2
                                                                                s. 58



1          (3)   If the patient revokes an administration decision under
2                subsection (1), the coordinating practitioner or administering
3                practitioner who is informed of the patient's decision must --
4                   (a) record the revocation in the patient's medical record;
5                        and
6                  (b) if the practitioner is not the coordinating practitioner for
7                        the patient, inform the coordinating practitioner of the
8                        revocation; and
9                   (c) within 2 business days after the revocation, complete the
10                       approved form (the revocation form) and give a copy of
11                       it to the Board.
12         (4)   The revocation form must include the following --
13                (a) the name, date of birth and contact details of the patient;
14                (b) the name and contact details of the person completing
15                      the form;
16                (c) if the person completing the form is not the coordinating
17                      practitioner for the patient, the name and contact details
18                      of the coordinating practitioner;
19                (d) the date when the administration decision was made;
20                (e) the date when the administration decision was revoked;
21                 (f) if the patient was assisted by an interpreter when
22                      revoking the administration decision, the name, contact
23                      details and accreditation details of the interpreter;
24                (g) the signature of the person completing the form and the
25                      date when the form was signed.
26         (5)   The revocation of an administration decision does not prevent
27               the patient from making another administration decision under
28               section 56(1).

29   58.         Self-administration
30         (1)   This section applies if the patient has made a self-administration
31               decision and has not revoked it.


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     Voluntary Assisted Dying Bill 2019
     Part 4          Accessing voluntary assisted dying and death
     Division 2      Administration of voluntary assisted dying substance
     s. 59



1       (2)    The coordinating practitioner for the patient is authorised to
2              prescribe a voluntary assisted dying substance for the patient
3              that is of a sufficient dose to cause death.
4       (3)    Subsection (2) is subject to section 66(6).
5       (4)    The authorised supplier who is given the prescription for the
6              patient is authorised to --
7                (a) possess the prescribed substance for the purpose of
8                      preparing it and supplying it to a person referred to in
9                      paragraph (c); and
10               (b) prepare the prescribed substance; and
11               (c) supply the prescribed substance to the patient, the
12                     contact person for the patient or an agent of the patient.
13      (5)    The patient is authorised to --
14              (a) receive the prescribed substance from an authorised
15                    supplier, the contact person for the patient or an agent of
16                    the patient; and
17              (b) possess the prescribed substance for the purpose of
18                    preparing and self-administering it; and
19              (c) prepare the prescribed substance; and
20              (d) self-administer the prescribed substance.
21      (6)    The contact person for the patient is authorised as set out in
22             section 67(1).
23      (7)    An agent of the patient is authorised to --
24              (a) receive the prescribed substance from an authorised
25                   supplier; and
26              (b) possess the prescribed substance for the purpose of
27                   supplying it to the patient; and
28              (c) supply the prescribed substance to the patient.




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                       Accessing voluntary assisted dying and death           Part 4
                 Administration of voluntary assisted dying substance    Division 2
                                                                                s. 59



1    59.         Practitioner administration
2          (1)   This section applies if the patient has made a practitioner
3                administration decision and has not revoked it.
4          (2)   The coordinating practitioner for the patient is authorised to
5                prescribe a voluntary assisted dying substance for the patient
6                that is of a sufficient dose to cause death.
7          (3)   The authorised supplier who is given the prescription for the
8                patient is authorised to --
9                  (a) possess the prescribed substance for the purpose of
10                       preparing it and supplying it to the administering
11                       practitioner for the patient; and
12                 (b) prepare the prescribed substance; and
13                 (c) supply the prescribed substance to the administering
14                       practitioner for the patient.
15         (4)   The administering practitioner for the patient is authorised to --
16                (a) receive the prescribed substance from an authorised
17                     supplier; and
18                (b) possess the prescribed substance for the purpose of
19                     preparing it and administering it to the patient; and
20                (c) prepare the prescribed substance.
21         (5)   The administering practitioner for the patient is authorised, in
22               the presence of a witness, to administer the prescribed substance
23               to the patient if the administering practitioner is satisfied at the
24               time of administration that --
25                 (a) the patient has decision-making capacity in relation to
26                       voluntary assisted dying; and
27                 (b) the patient is acting voluntarily and without coercion;
28                       and
29                 (c) the patient's request for access to voluntary assisted
30                       dying is enduring.



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     Voluntary Assisted Dying Bill 2019
     Part 4          Accessing voluntary assisted dying and death
     Division 2      Administration of voluntary assisted dying substance
     s. 60



1    60.         Coordinating practitioner to notify Board of administration
2                decision and prescription of substance
3          (1)   Within 2 business days after prescribing a voluntary assisted
4                dying substance for the patient, the coordinating practitioner for
5                the patient must --
6                  (a) complete the approved form (the administration
7                        decision and prescription form); and
8                  (b) give the Board --
9                          (i) a copy of the administration decision and
10                              prescription form; and
11                        (ii) if the patient has made a self-administration
12                              decision, a copy of the contact person
13                              appointment form given to the coordinating
14                              practitioner under section 66(3).
15         (2)   The administration decision and prescription form must include
16               the following --
17                 (a) the name, date of birth and contact details of the patient;
18                 (b) the name and contact details of the coordinating
19                       practitioner;
20                 (c) the administration decision made by the patient;
21                 (d) the date when the administration decision was made;
22                 (e) a statement confirming that the coordinating practitioner
23                       has complied with section 69(2) or (3), as the case
24                       requires;
25                  (f) the date when the prescription for the voluntary assisted
26                       dying substance was issued;
27                 (g) if the patient was assisted by an interpreter when making
28                       the administration decision, the name, contact details
29                       and accreditation details of the interpreter;
30                 (h) the signature of the coordinating practitioner and the
31                       date when the form was signed.



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                       Accessing voluntary assisted dying and death           Part 4
                 Administration of voluntary assisted dying substance    Division 2
                                                                                s. 61



1    61.         Certification by administering practitioner following
2                administration of prescribed substance
3          (1)   This section applies if the administering practitioner for the
4                patient administers the prescribed substance to the patient.
5          (2)   The administering practitioner must certify in writing that --
6                 (a) the patient made a practitioner administration decision
7                      and did not revoke the decision; and
8                 (b) the administering practitioner was satisfied at the time of
9                      administering the prescribed substance to the patient --
10                        (i) that the patient had decision-making capacity in
11                             relation to voluntary assisted dying; and
12                       (ii) that the patient was acting voluntarily and
13                             without coercion; and
14                      (iii) that the patient's request for access to voluntary
15                             assisted dying was enduring.
16         (3)   The certificate must be in the approved form (the practitioner
17               administration form) and must include the following --
18                 (a) the name and date of birth of the patient;
19                (b) the name and contact details of the administering
20                      practitioner;
21                 (c) the name, date of birth and contact details of the witness
22                      to the administration of the prescribed substance (the
23                      witness);
24                (d) the date, time and location where the prescribed
25                      substance was administered;
26                 (e) the date and time of the patient's death;
27                 (f) the period of time that lapsed between the administration
28                      of the prescribed substance and the patient's death;
29                (g) details of any complications relating to the
30                      administration of the prescribed substance;
31                (h) the certificate of the witness required under
32                      section 62(3);

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     Division 2      Administration of voluntary assisted dying substance
     s. 62



1                  (i)   the signature of the administering practitioner and the
2                        date when the form was signed;
3                  (j)   the signature of the witness and the date when the form
4                        was signed.
5          (4)   Within 2 business days after administering the prescribed
6                substance, the administering practitioner must give a copy of the
7                practitioner administration form to the Board.

8    62.         Witness to administration of prescribed substance
9          (1)   For the purposes of section 59(5), a person is eligible to witness
10               the administration of a prescribed substance to a patient if the
11               person --
12                 (a) has reached 18 years of age; and
13                 (b) is not an ineligible witness.
14         (2)   For the purposes of subsection (1)(b), a person is an ineligible
15               witness if the person --
16                (a) is a family member of the administering practitioner for
17                       the patient; or
18                (b) is employed, or engaged under a contract for services,
19                       by the administering practitioner for the patient.
20         (3)   The witness to the administration of a prescribed substance to a
21               patient must certify in the practitioner administration form for
22               the patient that --
23                 (a) the patient's request for access to voluntary assisted
24                       dying appeared to be free, voluntary and enduring; and
25                 (b) the administering practitioner for the patient
26                       administered the prescribed substance to the patient in
27                       the presence of the witness.




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                       Accessing voluntary assisted dying and death           Part 4
                 Administration of voluntary assisted dying substance    Division 2
                                                                                s. 63



1    63.         Transfer of administering practitioner's role
2          (1)   This section applies if --
3                 (a) a patient has made a practitioner administration
4                       decision; and
5                 (b) the coordinating practitioner for the patient has
6                       prescribed a voluntary assisted dying substance for the
7                       patient; and
8                 (c) the administering practitioner for the patient (the
9                       original practitioner) is unable or unwilling for any
10                      reason to administer the prescribed substance to the
11                      patient, whether the original practitioner is the
12                      coordinating practitioner for the patient or a person to
13                      whom the role of administering practitioner has been
14                      transferred under subsection (2).
15         (2)   The original practitioner must transfer the role of administering
16               practitioner to another person who is eligible to act as an
17               administering practitioner for the patient and accepts the
18               transfer of the role.
19         (3)   If a person (the new practitioner) accepts the transfer of the
20               role, the original practitioner must --
21                  (a) inform the patient of the transfer and of the name and
22                        contact details of the new practitioner; and
23                 (b) record the transfer in the patient's medical record; and
24                  (c) within 2 business days after the acceptance of the
25                        transfer, complete the approved form (the administering
26                        practitioner transfer form) and give a copy of it to the
27                        Board.
28         (4)   The administering practitioner transfer form must include the
29               following --
30                 (a) the name, date of birth and contact details of the patient;
31                 (b) the name and contact details of the original practitioner;
32                 (c) the name and contact details of the new practitioner;


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1                 (d)    the date when the new practitioner accepted the transfer;
2                 (e)    the date when the patient was informed of the transfer;
3                  (f)   the signature of the original practitioner and the date
4                        when the form was signed.
5          (5)   If the original practitioner has possession of the prescribed
6                substance when the role is transferred --
7                   (a) the original practitioner is authorised to supply the
8                         prescribed substance to the new practitioner; and
9                  (b) the new practitioner is authorised to receive the
10                        prescribed substance from the original practitioner.
11         (6)   The coordinating practitioner for the patient remains the
12               coordinating practitioner despite any transfer of the role of
13               administering practitioner under subsection (2), but subject to
14               section 157.

15                          Division 3 -- Contact person
16   64.         Application of Division
17               This Division applies if a patient has made a self-administration
18               decision.

19   65.         Patient to appoint contact person
20         (1)   The patient must appoint a person as the contact person for the
21               patient.
22         (2)   A person is eligible for appointment if the person has reached
23               18 years of age.
24         (3)   Without limiting who can be appointed as the contact person,
25               the patient may appoint their coordinating practitioner, their
26               consulting practitioner or another registered health practitioner.
27         (4)   A person cannot be appointed as the contact person unless the
28               person consents to the appointment.
29         (5)   The patient may revoke the appointment of the contact person.

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1          (6)   If the patient revokes the appointment of the contact person --
2                   (a) the patient must inform the person of the revocation; and
3                  (b) the person ceases to be the contact person for the patient
4                        on being informed under paragraph (a); and
5                   (c) the patient must make another appointment under
6                        subsection (1).

7    66.         Contact person appointment form
8          (1)   An appointment under section 65(1) must be made in the
9                approved form (the contact person appointment form) and
10               include the following --
11                 (a) the name, date of birth and contact details of the patient;
12                 (b) the name and contact details of the coordinating
13                       practitioner for the patient;
14                 (c) the name, date of birth and contact details of the contact
15                       person;
16                 (d) a statement that the contact person consents to the
17                       appointment;
18                 (e) a statement that the contact person understands their role
19                       under this Act (including the requirements under
20                       section 105 to give the prescribed substance, or any
21                       unused or remaining prescribed substance, to an
22                       authorised disposer and the penalties for offences under
23                       that section);
24                  (f) if the patient was assisted by an interpreter when making
25                       the appointment, the name, contact details and
26                       accreditation details of the interpreter;
27                 (g) the signature of the contact person and the date when the
28                       form was signed;
29                 (h) the signature of the patient, or other person who
30                       completes the form on behalf of the patient, and the date
31                       when the form was signed.



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1          (2)   If the patient is unable to complete the contact person
2                appointment form, another person can complete the form on
3                behalf of the patient if --
4                   (a) the patient directs the person to complete the contact
5                        person appointment form; and
6                  (b) the person has reached 18 years of age.
7          (3)   The patient or the contact person for the patient must give the
8                contact person appointment form to the coordinating
9                practitioner for the patient.
10         (4)   Within 2 business days after receiving the contact person
11               appointment form, the coordinating practitioner for the patient
12               must give a copy of it to the Board.
13         (5)   Subsection (4) does not apply if a copy of the form is given to
14               the Board under section 60(1)(b)(ii).
15         (6)   The coordinating practitioner for the patient cannot prescribe a
16               voluntary assisted dying substance for the patient before the
17               contact person appointment form is given to the coordinating
18               practitioner.

19   67.         Role of contact person
20         (1)   The contact person for the patient is authorised to --
21                (a) receive the prescribed substance from an authorised
22                      supplier; and
23                (b) possess the prescribed substance for the purpose of
24                      paragraph (c) or (d); and
25                (c) supply the prescribed substance to the patient; and
26                (d) give the prescribed substance, or any unused or
27                      remaining prescribed substance, to an authorised
28                      disposer as required by section 105.




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                                                      dying substance
                                                                                s. 68


1          (2)   The contact person for the patient must inform the coordinating
2                practitioner for the patient if the patient dies (whether as a result
3                of self-administering the prescribed substance or from some
4                other cause).

5    68.         Contact person may refuse to continue in role
6          (1)   The contact person for a patient may refuse to continue to
7                perform the role of contact person.
8          (2)   If the contact person for a patient refuses to continue to perform
9                the role --
10                  (a) the person must inform the patient of the refusal; and
11                 (b) the person ceases to be the contact person for the patient
12                        on informing the patient under paragraph (a); and
13                  (c) the patient must make another appointment under
14                        section 65(1).

15   Division 4 -- Prescribing, supplying and disposing of voluntary
16                      assisted dying substance
17   69.         Information to be given before prescribing substance
18         (1)   In this section --
19               Schedule 4 poison and Schedule 8 poison have the meanings
20               given in the Medicines and Poisons Act 2014 section 3.
21         (2)   The coordinating practitioner for a patient who has made a
22               self-administration decision must, before prescribing a
23               voluntary assisted dying substance for the patient, inform the
24               patient, in writing, of the following --
25                 (a) the Schedule 4 poison or Schedule 8 poison, or
26                       combination of those poisons, constituting the
27                       substance;
28                 (b) that the patient is not under any obligation to obtain the
29                       substance;



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     s. 69


1               (c)    that the patient is not under any obligation to
2                      self-administer the substance;
3               (d)    that the substance must be stored in accordance with the
4                      information provided by the authorised supplier who
5                      supplies the substance;
6               (e)    how to prepare and self-administer the substance;
7               (f)    the method by which the substance will be self-
8                      administered;
9               (g)    the expected effects of self-administration of the
10                     substance;
11              (h)    the period within which the patient is likely to die after
12                     self-administration of the substance;
13               (i)   the potential risks of self-administration of the
14                     substance;
15               (j)   that, if the patient decides not to self-administer the
16                     substance, their contact person must give the substance
17                     to an authorised disposer for disposal;
18              (k)    that, if the patient dies, their contact person must give
19                     any unused or remaining substance to an authorised
20                     disposer for disposal.
21      (3)    The coordinating practitioner for a patient who has made a
22             practitioner administration decision must, before prescribing a
23             voluntary assisted dying substance for the patient, inform the
24             patient, in writing, of the following --
25               (a) the Schedule 4 poison or Schedule 8 poison, or
26                     combination of those poisons, constituting the
27                     substance;
28               (b) that the patient is not under any obligation to have the
29                     substance administered;
30               (c) the method by which the substance will be administered;
31               (d) the expected effects of administration of the substance;
32               (e) the period within which the patient is likely to die after
33                     administration of the substance;

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                                                      dying substance
                                                                                s. 70


1                 (f)    the potential risks of administration of the substance;
2                 (g)    that, if the practitioner administration decision is made
3                        after the revocation of a self-administration decision, the
4                        contact person for the patient must give any prescribed
5                        substance received by the patient, the contact person or
6                        an agent of the patient to an authorised disposer for
7                        disposal.

8    70.         Prescription for substance
9          (1)   In this section --
10               medication chart means a chart (however described) that
11               records medicines used, or to be used, for the treatment of the
12               patient.
13         (2)   This section applies if the coordinating practitioner for a patient
14               prescribes a voluntary assisted dying substance for the patient.
15         (3)   The prescription issued by the coordinating practitioner (the
16               prescription) must include --
17                 (a) a statement that clearly indicates it is for a voluntary
18                      assisted dying substance; and
19                 (b) a statement --
20                         (i) certifying that the request and assessment
21                              process has been completed in respect of the
22                              patient in accordance with this Act; and
23                        (ii) certifying that the patient has made an
24                              administration decision and specifying whether
25                              the decision is a self-administration decision or a
26                              practitioner administration decision;
27                      and
28                 (c) the telephone number of the patient.
29         (4)   The prescription cannot be in the form of a medication chart.




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1          (5)   The prescription cannot provide for the prescribed substance to
2                be supplied on more than 1 occasion.
3          (6)   The coordinating practitioner must give the prescription directly
4                to an authorised supplier.

5    71.         Authorised supplier to authenticate prescription
6                An authorised supplier who is given a prescription for a
7                voluntary assisted dying substance must not supply the
8                substance in accordance with the prescription unless the
9                authorised supplier has confirmed --
10                 (a) the authenticity of the prescription; and
11                 (b) the identity of the person who issued the prescription;
12                       and
13                 (c) the identity of the person to whom the substance is to be
14                       supplied.

15   72.         Information to be given when supplying prescribed
16               substance
17         (1)   Subsection (2) applies if an authorised supplier supplies a
18               prescribed substance to a patient, the contact person for a patient
19               or an agent of a patient (the recipient).
20         (2)   The authorised supplier must, when supplying the prescribed
21               substance, inform the recipient, in writing, of the following --
22                 (a) that the patient is not under any obligation to
23                      self-administer the substance;
24                 (b) how to store the substance in a safe and secure way;
25                 (c) how to prepare and self-administer the substance;
26                 (d) that, if the patient decides not to self-administer the
27                      substance, their contact person must give the substance
28                      to an authorised disposer for disposal;
29                 (e) that, if the patient dies, their contact person must give
30                      any unused or remaining substance to an authorised
31                      disposer for disposal.

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                                                      dying substance
                                                                                s. 73


1          (3)   If the recipient is not the patient, the authorised supplier must,
2                when supplying the prescribed substance, advise the recipient to
3                give the information provided under subsection (2) to the
4                patient.

5    73.         Labelling requirements for prescribed substance
6          (1)   In addition to any labelling requirements under the Medicines
7                and Poisons Act 2014, an authorised supplier who supplies a
8                prescribed substance must attach a statement in writing to the
9                relevant package or container that --
10                 (a) warns of the purpose of the dose of the substance; and
11                 (b) states the dangers of administration of the substance;
12                       and
13                 (c) states that, if the substance is supplied for
14                       self-administration --
15                          (i) the substance must be stored in accordance with
16                               the advice given by the authorised supplier; and
17                         (ii) any unused or remaining substance must be
18                               given to an authorised disposer by the contact
19                               person for the patient to whom it is supplied.
20         (2)   The statement must be in the approved form.

21   74.         Authorised supplier to record and notify of supply
22         (1)   An authorised supplier who supplies a prescribed substance
23               must immediately complete the approved form (the authorised
24               supply form).
25         (2)   The authorised supply form must include the following --
26                (a) the name, date of birth and contact details of the patient;
27                (b) the name and contact details of the authorised supplier;
28                (c) a statement certifying that the prescribed substance was
29                      supplied;
30                (d) the name and contact details of the person to whom the
31                      prescribed substance was supplied;

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                     dying substance
     s. 75


1                  (e)   the date when the prescribed substance was supplied;
2                  (f)   a statement certifying that the requirements under
3                        sections 72 and 73 were complied with;
4                 (g)    the signature of the authorised supplier and the date
5                        when the form was signed.
6          (3)   Within 2 business days after supplying the prescribed substance,
7                the authorised supplier must give a copy of the completed
8                authorised supply form to the Board.

9    75.         Disposal of prescribed substance by authorised disposer
10         (1)   This section applies if a prescribed substance, or any unused or
11               remaining prescribed substance, is given to an authorised
12               disposer by the contact person for a patient.
13         (2)   The authorised disposer is authorised to --
14                (a) possess the prescribed substance for the purpose of
15                      disposing of it; and
16                (b) dispose of the prescribed substance.
17         (3)   The authorised disposer must dispose of the prescribed
18               substance as soon as practicable after receiving it.
19         (4)   In disposing of the prescribed substance, the authorised disposer
20               must comply with any requirements of the Medicines and
21               Poisons Act 2014 that apply to the disposal.

22   76.         Authorised disposer to record and notify of disposal
23         (1)   An authorised disposer who disposes of a prescribed substance
24               must immediately complete the approved form (the authorised
25               disposal form).
26         (2)   The authorised disposal form must include the following --
27                (a) the name, date of birth and contact details of the patient;
28                (b) the name and contact details of the authorised disposer;



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                                                      dying substance
                                                                                s. 77


1                  (c)   the name and contact details of the person who gave the
2                        prescribed substance to the authorised disposer;
3                 (d)    the date when the prescribed substance was given to the
4                        authorised disposer;
5                  (e)   the date when the prescribed substance was disposed of
6                        by the authorised disposer;
7                  (f)   the signature of the authorised disposer and the date
8                        when the form was signed.
9          (3)   Within 2 business days after disposing of the prescribed
10               substance, the authorised disposer must give a copy of the
11               completed authorised disposal form to the Board.

12   77.         Disposal of prescribed substance by administering
13               practitioner
14         (1)   Subsections (2) and (3) apply if --
15                (a) a patient who has made a practitioner administration
16                      decision revokes the decision; and
17                (b) the administering practitioner for the patient has
18                      possession of the prescribed substance when the
19                      decision is revoked.
20         (2)   The administering practitioner is authorised to --
21                (a) possess the prescribed substance for the purpose of
22                     disposing of it; and
23                (b) dispose of the prescribed substance.
24         (3)   The prescribed substance must be disposed of by the
25               administering practitioner as soon as practicable after the
26               practitioner administration decision is revoked.
27         (4)   Subsections (5) and (6) apply if --
28                (a) a patient who has made a practitioner administration
29                      decision dies (whether or not after being administered
30                      the prescribed substance); and



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                     dying substance
     s. 78


1                 (b)   the administering practitioner for the patient has
2                       possession of any prescribed substance that is unused or
3                       remaining after the patient's death (the unused or
4                       remaining substance).
5          (5)   The administering practitioner is authorised to --
6                 (a) possess the unused or remaining substance for the
7                      purpose of disposing of it; and
8                 (b) dispose of the unused or remaining substance.
9          (6)   The unused or remaining substance must be disposed of by the
10               administering practitioner as soon as practicable after the
11               patient's death.
12         (7)   In disposing of the prescribed substance or the unused or
13               remaining substance, as the case requires, the administering
14               practitioner must comply with any requirements of the
15               Medicines and Poisons Act 2014 that apply to the disposal.

16   78.         Administering practitioner to record and notify of disposal
17         (1)   An administering practitioner for a patient who disposes of a
18               prescribed substance must immediately complete the approved
19               form (the practitioner disposal form).
20         (2)   The practitioner disposal form must include the following --
21                (a) the name, date of birth and contact details of the patient;
22                (b) the name and contact details of the administering
23                      practitioner;
24                (c) the date when the prescribed substance was supplied to
25                      the administering practitioner;
26                (d) the date when the patient revoked the practitioner
27                      administration decision or died;
28                (e) the date when the prescribed substance was disposed of
29                      by the administering practitioner;
30                 (f) the signature of the administering practitioner and the
31                      date when the form was signed.

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1          (3)   Within 2 business days after disposing of the prescribed
2                substance, the administering practitioner must give a copy of the
3                completed practitioner disposal form to the Board.

4                            Division 5 -- Other matters
5    79.         Authorised suppliers and authorised disposers
6          (1)   The CEO may, in writing, authorise a registered health
7                practitioner, or persons in a class of registered health
8                practitioners, to supply prescribed substances for the purposes
9                of this Part.
10         (2)   A person who is authorised under subsection (1) is an
11               authorised supplier.
12         (3)   The CEO may, in writing, authorise a registered health
13               practitioner, or persons in a class of registered health
14               practitioners, to dispose of prescribed substances for the
15               purposes of this Part.
16         (4)   A person who is authorised under subsection (3) is an
17               authorised disposer.
18         (5)   The CEO may, in writing, revoke an authorisation given under
19               subsection (1) or (3).
20         (6)   The CEO must publish an up-to-date list of authorised suppliers
21               and authorised disposers on the Department's website.

22   80.         Certain directions as to supply or administration prohibited
23         (1)   In this section --
24               authorised health professional has the meaning given in the
25               Medicines and Poisons Act 2014 section 3.




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1          (2)   The coordinating practitioner for a patient cannot direct an
2                authorised health professional to supply a prescribed substance
3                to the patient, the contact person for the patient or an agent of
4                the patient, unless --
5                  (a) the authorised health professional is an authorised
6                        supplier; and
7                  (b) the direction is in the form of a prescription for the
8                        prescribed substance given directly to the authorised
9                        supplier.
10         (3)   The coordinating practitioner or administering practitioner for a
11               patient cannot direct an authorised health professional to
12               administer a prescribed substance to the patient.

13   81.         Structured administration and supply arrangement not to
14               be issued for substance
15         (1)   In this section --
16               structured administration and supply arrangement means a
17               document that sets out the circumstances in which a health
18               professional (as defined in the Medicines and Poisons Act 2014
19               section 3) specified, or of a class specified, in the document may
20               administer or supply a medicine specified in the document.
21         (2)   A person cannot issue a structured administration and supply
22               arrangement in relation to the administration or supply of a
23               medicine for the purpose of voluntary assisted dying.

24   82.         Notification of death
25         (1)   In this section --
26               cause of death certificate means a certificate of the cause of a
27               person's death under the Births, Deaths and Marriages
28               Registration Act 1998 section 44(1).
29         (2)   The coordinating practitioner or administering practitioner for a
30               patient must, within 2 business days after becoming aware that
31               the patient has died (whether or not after self-administering, or


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1          being administered, a voluntary assisted dying substance in
2          accordance with this Act), notify the Board, in the approved
3          form, of the patient's death.
4    (3)   Subsection (2) does not apply if the administering practitioner
5          for a patient gives the Board a copy of a practitioner
6          administration form in respect of the patient under
7          section 61(4).
8    (4)   Subsections (5) and (6) apply if a medical practitioner who is
9          required to give a cause of death certificate for a person knows
10         or reasonably believes that the person was a patient who
11         self-administered, or was administered, a voluntary assisted
12         dying substance in accordance with this Act.
13   (5)   The medical practitioner must, within 2 business days after
14         becoming aware that the person has died, notify the Board, in
15         the approved form, of the person's death, unless the medical
16         practitioner is the coordinating practitioner or administering
17         practitioner for the person.
18   (6)   The medical practitioner must not include any reference to
19         voluntary assisted dying in the cause of death certificate for the
20         person.




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1                        Part 5 -- Review by Tribunal
2    83.         Terms used
3                eligible applicant means --
4                  (a) a patient who is the subject of a decision referred to in
5                        section 84(1); or
6                  (b) an agent of a patient referred to in paragraph (a); or
7                  (c) any other person who the Tribunal is satisfied has a
8                        special interest in the medical care and treatment of a
9                        patient referred to in paragraph (a);
10               party to the proceeding, in relation to a review application,
11               means a party to the proceeding before the Tribunal relating to
12               the application;
13               review application, in relation to a patient, means an application
14               under section 84(1) for a review of a decision made in relation
15               to the patient;
16               reviewed decision, in relation to a review application, means the
17               decision the subject of the application.

18   84.         Application for review of certain decisions by Tribunal
19         (1)   An eligible applicant may apply to the Tribunal for a review of
20               any of the following decisions --
21                 (a) a decision of the coordinating practitioner for a patient
22                       in a first assessment that the patient --
23                          (i) at the time of making the first request, has or has
24                                not been ordinarily resident in Western Australia
25                                for a period of at least 12 months; or
26                         (ii) has or does not have decision-making capacity in
27                                relation to voluntary assisted dying; or
28                        (iii) is or is not acting voluntarily and without
29                                coercion;




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                                                                                s. 85



1                 (b)    a decision of the consulting practitioner for a patient in a
2                        consulting assessment that the patient --
3                           (i) at the time of making the first request, has or has
4                                not been ordinarily resident in Western Australia
5                                for a period of at least 12 months; or
6                          (ii) has or does not have decision-making capacity in
7                                relation to voluntary assisted dying; or
8                         (iii) is or is not acting voluntarily and without
9                                coercion;
10                 (c)   a decision of the coordinating practitioner for a patient
11                       to make a statement in a final review form certifying
12                       that the coordinating practitioner is satisfied that the
13                       patient --
14                          (i) has or does not have decision-making capacity in
15                               relation to voluntary assisted dying; or
16                         (ii) in requesting access to voluntary assisted dying
17                               is or is not acting voluntarily and without
18                               coercion.
19         (2)   If a review application is made in relation to a patient, the
20               patient is a party to the proceeding whether or not the patient is
21               the applicant for the review.

22   85.         Notice of decision and right to have it reviewed
23               Despite the State Administrative Tribunal Act 2004
24               section 20(1), the only person who has to be given notice under
25               that section in relation to a decision referred to in section 84(1)
26               is the patient who is the subject of the decision.

27   86.         Consequences of review application
28         (1)   This section applies if a review application is made in relation to
29               a patient.
30         (2)   If the request and assessment process in respect of the patient
31               has not been completed, the request and assessment process is


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1                suspended and no further step in the process is to be taken until
2                the review application is determined or otherwise disposed of.
3          (3)   If the request and assessment process in respect of the patient
4                has been completed, the process for accessing voluntary assisted
5                dying under Part 4 is suspended and no step under that Part
6                (including the prescription, supply or administration of a
7                voluntary assisted dying substance) is to be taken in relation to
8                the patient until the review application is determined or
9                otherwise disposed of.

10   87.         Review application taken to be withdrawn if patient dies
11               A review application made in relation to a patient is taken to be
12               withdrawn if the patient dies.

13   88.         Decision of Tribunal
14               In determining a review application made in relation to a patient
15               the Tribunal may decide that --
16                 (a) at the time of making the first request, the patient had
17                       been ordinarily resident in Western Australia for a
18                       period of at least 12 months; or
19                 (b) at the time of making the first request, the patient had
20                       not been ordinarily resident in Western Australia for a
21                       period of at least 12 months; or
22                 (c) the patient has decision-making capacity in relation to
23                       voluntary assisted dying; or
24                 (d) the patient does not have decision-making capacity in
25                       relation to voluntary assisted dying; or
26                 (e) the patient is acting voluntarily and without coercion; or
27                  (f) the patient is not acting voluntarily and without
28                       coercion.




     page 64
                                                Voluntary Assisted Dying Bill 2019
                                                Review by Tribunal          Part 5

                                                                               s. 89



1    89.         Effect of decision under s. 88(a), (c) or (e)
2          (1)   If the Tribunal makes a decision referred to in section 88(a), (c)
3                or (e) on a review application made in relation to a patient --
4                   (a) section 86 ceases to apply; and
5                  (b) if the request and assessment process in respect of the
6                        patient had not been completed when the review
7                        application was made -- the request and assessment
8                        process can be resumed; and
9                   (c) if the request and assessment process in respect of the
10                       patient had been completed when the review application
11                       was made -- the process under Part 4 can be resumed,
12                       and any step that is authorised under that Part can be
13                       taken, in relation to the patient; and
14                 (d) if the Tribunal sets aside the reviewed decision --
15                       subsection (2), (3) or (4) applies, as the case requires.
16         (2)   If the reviewed decision set aside by the Tribunal is a decision
17               of a coordinating practitioner in a first assessment --
18                  (a) the Tribunal's decision is substituted for the reviewed
19                        decision; and
20                 (b) if the outcome of the first assessment would, but for the
21                        reviewed decision, have been that the patient was
22                        assessed as eligible for access to voluntary assisted
23                        dying -- the coordinating practitioner is taken to have
24                        made a first assessment assessing the patient as eligible
25                        for access to voluntary assisted dying.
26         (3)   If the reviewed decision set aside by the Tribunal is a decision
27               of a consulting practitioner in a consulting assessment --
28                  (a) the Tribunal's decision is substituted for the reviewed
29                        decision; and
30                 (b) if the outcome of the consulting assessment would, but
31                        for the reviewed decision, have been that the patient was
32                        assessed as eligible for access to voluntary assisted
33                        dying -- the consulting practitioner is taken to have

                                                                            page 65
     Voluntary Assisted Dying Bill 2019
     Part 5          Review by Tribunal

     s. 90



1                        made a consulting assessment assessing the patient as
2                        eligible for access to voluntary assisted dying.
3          (4)   If the reviewed decision set aside by the Tribunal is a decision
4                of a coordinating practitioner in a final review --
5                   (a) the Tribunal's decision is substituted for the reviewed
6                         decision; and
7                  (b) the final review form is taken to include --
8                           (i) if the reviewed decision is a decision referred to
9                                in section 84(1)(c)(i) -- a statement certifying
10                               that the coordinating practitioner is satisfied that
11                               the patient has decision-making capacity in
12                               relation to voluntary assisted dying; or
13                         (ii) if the reviewed decision is a decision referred to
14                               in section 84(1)(c)(ii) -- a statement certifying
15                               that the coordinating practitioner is satisfied that
16                               the patient in requesting access to voluntary
17                               assisted dying is acting voluntarily and without
18                               coercion.

19   90.         Effect of decision under s. 88(b), (d) or (f)
20               If the Tribunal makes a decision referred to in section 88(b), (d)
21               or (f) on a review application made in relation to a patient --
22                  (a) the patient is taken to be ineligible for access to
23                        voluntary assisted dying for the purposes of the request
24                        and assessment process in respect of the patient; and
25                 (b) if the request and assessment process in respect of the
26                        patient had not been completed when the review
27                        application was made -- the request and assessment
28                        process ends; and
29                  (c) if the request and assessment process in respect of the
30                        patient had been completed when the review application
31                        was made -- the process for accessing voluntary
32                        assisted dying under Part 4 ends and no step under that
33                        Part (including the prescription, supply or administration


     page 66
                                                Voluntary Assisted Dying Bill 2019
                                                Review by Tribunal          Part 5

                                                                               s. 91



1                       of a voluntary assisted dying substance) is to be taken in
2                       relation to the patient.

3    91.         Coordinating practitioner may refuse to continue in role
4          (1)   If a decision of the Tribunal is substituted for a decision of the
5                coordinating practitioner for a patient under section 89(2)(a)
6                or (4)(a), the coordinating practitioner may refuse to continue to
7                perform the role of coordinating practitioner.
8          (2)   A coordinating practitioner who refuses under subsection (1) to
9                continue to perform the role of coordinating practitioner must
10               transfer the role of coordinating practitioner in accordance with
11               section 157.

12   92.         Constitution and membership of Tribunal
13         (1)   In this section --
14               judicial member, non-judicial member and public sector
15               employee have the meanings given in the State Administrative
16               Tribunal Act 2004 section 3(1).
17         (2)   For the purposes of this Part --
18                (a) the Tribunal, when exercising its review jurisdiction,
19                       must be constituted by, or so as to include, a judicial
20                       member; and
21                (b) a person who is a public sector employee may be
22                       appointed to be a non-judicial member in respect of
23                       matters in the Tribunal's review jurisdiction.

24   93.         Hearings of Tribunal to be held in private
25         (1)   Hearings of the Tribunal in respect of a review application must
26               be held in private.
27         (2)   The Tribunal may give directions as to persons who may be
28               present at a hearing in respect of a review application.




                                                                            page 67
     Voluntary Assisted Dying Bill 2019
     Part 5          Review by Tribunal

     s. 94



1    94.         Notice requirements
2          (1)   If a review application is made in relation to a patient, the
3                Tribunal must give notice of the application and any decision or
4                order (however described) of the Tribunal in respect of the
5                application to --
6                   (a) the coordinating practitioner for the patient if the
7                         coordinating practitioner is not a party to the
8                         proceeding; and
9                  (b) the consulting practitioner for the patient if the
10                        consulting practitioner is not a party to the proceeding;
11                        and
12                  (c) if the role of administering practitioner for the patient
13                        has been transferred under section 63(2), the
14                        administering practitioner for the patient; and
15                 (d) the CEO; and
16                  (e) the Board.
17         (2)   Subsection (1) does not limit the operation of the State
18               Administrative Tribunal Act 2004 section 75 and is in addition
19               to any requirements for notice under that Act.
20         (3)   The Board must, as soon as practicable after receiving notice of
21               a review application under subsection (1), give written notice of
22               the effect of section 86(2) and (3) to --
23                 (a) each party to the proceeding; and
24                 (b) the coordinating practitioner for the patient if the
25                       coordinating practitioner is not a party to the
26                       proceeding; and
27                 (c) if the role of administering practitioner for the patient
28                       has been transferred under section 63(2), the
29                       administering practitioner for the patient.




     page 68
                                                Voluntary Assisted Dying Bill 2019
                                                Review by Tribunal          Part 5

                                                                              s. 95



1    95.         Coordinating practitioner to give Tribunal relevant material
2                Within 7 business days after receiving notice of a review
3                application under section 94(1) or any shorter period ordered by
4                the Tribunal, the coordinating practitioner for a patient must --
5                  (a) if the coordinating practitioner is the decision-maker for
6                        the purposes of the State Administrative Tribunal
7                        Act 2004, provide the following to the Tribunal --
8                           (i) a statement of the reasons for the reviewed
9                                decision;
10                         (ii) other documents and material in the
11                               practitioner's possession or under the
12                               practitioner's control and relevant to the
13                               Tribunal's review of the reviewed decision;
14                       or
15                 (b) if the coordinating practitioner is not the decision-maker
16                       for the purposes of the State Administrative Tribunal
17                       Act 2004, provide to the Tribunal documents and
18                       material in the practitioner's possession or under the
19                       practitioner's control and relevant to the Tribunal's
20                       review of the reviewed decision.

21   96.         Tribunal to give written reasons for decision
22         (1)   The Tribunal must give written reasons for a decision made in
23               respect of a review application.
24         (2)   The Tribunal must give a copy of the written reasons to --
25                (a) each party to the proceeding; and
26                (b) the coordinating practitioner for the patient if the
27                      coordinating practitioner is not a party to the
28                      proceeding; and
29                (c) the consulting practitioner for the patient if the
30                      consulting practitioner is not a party to the proceeding;
31                      and



                                                                           page 69
     Voluntary Assisted Dying Bill 2019
     Part 5          Review by Tribunal

     s. 97



1                 (d)    if the role of administering practitioner for the patient
2                        has been transferred under section 63(2), the
3                        administering practitioner for the patient; and
4                  (e)   the CEO; and
5                  (f)   the Board.
6          (3)   A written transcript of the part of the proceeding in which the
7                Tribunal's reasons for the decision are given orally is sufficient
8                to constitute written reasons for the purposes of this section.

9    97.         Published decisions or reasons to exclude personal
10               information
11         (1)   If the Tribunal publishes a decision, or its reasons for a decision,
12               made in respect of a review application, the Tribunal must
13               ensure that the decision or reasons are published in a form that
14               does not disclose personal information about any of the
15               following --
16                  (a) a party to the proceeding;
17                 (b) a person who has appeared before the Tribunal in the
18                       proceeding;
19                  (c) the coordinating practitioner for the patient if the
20                       coordinating practitioner is not a party to the
21                       proceeding;
22                 (d) the consulting practitioner for the patient if the
23                       consulting practitioner is not a party to the proceeding;
24                  (e) a former coordinating practitioner or consulting
25                       practitioner for the patient if the person is not a party to
26                       the proceeding;
27                  (f) if the role of administering practitioner for the patient
28                       has been transferred under section 63(2), a person to
29                       whom the role has been transferred.




     page 70
                                              Voluntary Assisted Dying Bill 2019
                                              Review by Tribunal          Part 5

                                                                            s. 98



1         (2)   Subsection (1) does not prevent the Tribunal from disclosing
2               personal information about a person referred to in that
3               subsection in written reasons given under section 96(1) or in a
4               copy of written reasons given under section 96(2).

5   98.         Interim orders
6               On a review application, the Tribunal may make any interim
7               order that it considers necessary.




                                                                         page 71
     Voluntary Assisted Dying Bill 2019
     Part 6          Offences

     s. 99



1                               Part 6 -- Offences
2    99.         Unauthorised administration of prescribed substance
3                A person commits a crime if --
4                  (a) the person administers a prescribed substance to another
5                       person; and
6                 (b) the person is not authorised by section 59(5) to
7                       administer the prescribed substance to the other person.
8                Penalty: imprisonment for life.

9    100.        Inducing another person to request or access voluntary
10               assisted dying
11         (1)   In this section --
12               request for access to voluntary assisted dying means --
13                 (a) a first request; or
14                 (b) a written declaration; or
15                 (c) a final request; or
16                 (d) an administration decision.
17         (2)   A person commits a crime if the person, by dishonesty, undue
18               influence or coercion, induces another person --
19                 (a) to make a request for access to voluntary assisted dying;
20                       or
21                 (b) to access voluntary assisted dying.
22               Penalty for this subsection: imprisonment for 7 years.
23               Summary conviction penalty for this subsection: imprisonment
24                    for 3 years and a fine of $36 000.
25   101.        Inducing self-administration of prescribed substance
26               A person commits a crime if the person, by dishonesty, undue
27               influence or coercion, induces another person to self-administer
28               a prescribed substance.
29               Penalty: imprisonment for life.

     page 72
                                            Voluntary Assisted Dying Bill 2019
                                                      Offences          Part 6

                                                                         s. 102



1    102.     False or misleading information
2       (1)   A person commits a crime if the person does anything set out in
3             subsection (2) --
4               (a) in, or in connection with, a form, declaration or other
5                     document required under this Act; or
6               (b) in compliance, or purported compliance, with a
7                     requirement under this Act; or
8               (c) for any other purpose under this Act.
9             Penalty for this subsection: imprisonment for 7 years.
10            Summary conviction penalty for this subsection: imprisonment
11                 for 3 years and a fine of $36 000.
12      (2)   The things to which subsection (1) applies are making a
13            statement or giving information that --
14              (a) the person knows is false or misleading in a material
15                   particular; or
16              (b) omits anything without which the statement or
17                   information is, to the person's knowledge, misleading in
18                   a material particular.

19   103.     Advertising Schedule 4 or 8 poison as voluntary assisted
20            dying substance
21            A person commits a crime if the person advertises a Schedule 4
22            poison or Schedule 8 poison as a voluntary assisted dying
23            substance.
24            Penalty: imprisonment for 3 years and a fine of $36 000.

25   104.     Cancellation of document presented as prescription
26      (1)   This section applies if --
27             (a) an authorised supplier is given a document that is
28                   presented as a prescription for a voluntary assisted dying
29                   substance; and



                                                                       page 73
     Voluntary Assisted Dying Bill 2019
     Part 6          Offences

     s. 105



1               (b)   the authorised supplier is satisfied that the document --
2                        (i) does not comply with section 70; or
3                       (ii) is not issued by the coordinating practitioner for
4                             the patient to whom it relates; or
5                      (iii) is false in a material particular.
6       (2)    The authorised supplier must --
7                (a) cancel the document by marking the word "cancelled"
8                     across it; and
9               (b) inform the CEO that the document has been cancelled
10                    and of the reasons for cancelling it.
11             Penalty for this subsection: imprisonment for 12 months.

12   105.      Contact person to give unused or remaining substance to
13             authorised disposer
14      (1)    If a patient revokes a self-administration decision after an
15             authorised supplier has supplied a prescribed substance for the
16             patient, the contact person for the patient must, as soon as
17             practicable and in any event within 14 days after the day on
18             which the decision is revoked, give the prescribed substance to
19             an authorised disposer.
20             Penalty for this subsection: imprisonment for 12 months.
21      (2)    If a patient who has made a self-administration decision dies
22             and the patient's death occurs after an authorised supplier has
23             supplied a prescribed substance for the patient, the contact
24             person for the patient must, as soon as practicable and in any
25             event within 14 days after the day on which the patient dies,
26             give any unused or remaining substance to an authorised
27             disposer.
28             Penalty for this subsection: imprisonment for 12 months.
29      (3)    In subsection (2) the reference to any unused or remaining
30             substance is a reference to any prescribed substance that the
31             contact person knows is unused or remaining after the patient's
32             death.

     page 74
                                             Voluntary Assisted Dying Bill 2019
                                                       Offences          Part 6

                                                                           s. 106



1    106.     Recording, use or disclosure of information
2       (1)   A person must not, directly or indirectly, record, use or disclose
3             information obtained by the person because of a function that
4             the person has, or at any time had, under this Act.
5             Penalty for this subsection: imprisonment for 12 months.
6       (2)   Subsection (1) does not apply to the recording, use or disclosure
7             of information --
8               (a) for the purpose of performing a function under this Act;
9                     or
10              (b) as required or allowed under this Act or another written
11                    law; or
12              (c) under an order of a court or other person or body acting
13                    judicially; or
14              (d) for the purpose of a proceeding under Part 5 or another
15                    proceeding before a court or other person or body acting
16                    judicially; or
17              (e) for the purpose of the investigation of a suspected
18                    offence or the conduct of proceedings against a person
19                    for an offence; or
20               (f) with the written consent of --
21                       (i) the person to whom the information relates; or
22                      (ii) an executor or administrator of the estate of that
23                            person.
24      (3)   Subsection (1) does not apply to the recording, use or disclosure
25            of statistical or other information that is not personal
26            information.

27   107.     Publication of personal information concerning proceeding
28            before Tribunal
29      (1)   In this section --
30            information about a proceeding means information about --
31              (a) a proceeding before the Tribunal under Part 5; or

                                                                        page 75
     Voluntary Assisted Dying Bill 2019
     Part 6          Offences

     s. 108



1               (b)    a decision or order (however described) of the Tribunal
2                      in a proceeding under that Part;
3              publish means to disseminate to the public or a section of the
4              public by any means, including the following --
5                (a) in a newspaper or periodical publication;
6               (b) by radio broadcast, television, a website, an online
7                      facility or other electronic means.
8       (2)    A person must not publish information about a proceeding in a
9              form that discloses personal information about any of the
10             following --
11               (a) a party to the proceeding;
12               (b) a person who has appeared before the Tribunal in the
13                    proceeding;
14               (c) the coordinating practitioner for the patient if the
15                    coordinating practitioner is not a party to the
16                    proceeding;
17               (d) the consulting practitioner for the patient if the
18                    consulting practitioner is not a party to the proceeding;
19               (e) a former coordinating practitioner or consulting
20                    practitioner for the patient if the person is not a party to
21                    the proceeding;
22                (f) if the role of administering practitioner for the patient
23                    has been transferred under section 63(2), a person to
24                    whom the role has been transferred.
25             Penalty for this subsection: imprisonment for 12 months.

26   108.      Failure to give form to Board
27             A person who contravenes a provision of this Act listed in the
28             Table commits an offence.
29             Penalty: a fine of $10 000.




     page 76
                    Voluntary Assisted Dying Bill 2019
                              Offences          Part 6

                                                s. 108



1                  Table
    s. 29(2)          s. 33(1)

    s. 40(2)          s. 46

    s. 50(1)          s. 51(4)

    s. 57(3)(c)       s. 60(1)(b)

    s. 61(4)          s. 63(3)(c)

    s. 66(4)          s. 74(3)

    s. 76(3)          s. 78(3)

    s. 82(2)          s. 82(5)

    s. 157(4)(c)




                                              page 77
     Voluntary Assisted Dying Bill 2019
     Part 7          Enforcement

     s. 109



1                           Part 7 -- Enforcement
2    109.      Application of Medicines and Poisons Act 2014 Part 7
3       (1)    The provisions of the Medicines and Poisons Act 2014 Part 7
4              Divisions 1 to 5 (the applied provisions) apply, for the purposes
5              of the enforcement of this Act, with the modifications set out in
6              subsections (2) to (7) and any other necessary modifications.
7       (2)    References in the applied provisions to "this Act" are to be read
8              as references to this Act.
9       (3)    References in the applied provisions to "the CEO" are to be read
10             as references to the CEO as defined in section 5 of this Act.
11      (4)    Section 94 is to be read as if "or the Medicines and Poisons
12             Act 2014" were inserted after "the Misuse of Drugs Act 1981".
13      (5)    Section 95(1) is to be read as if section 95(1)(c) were deleted.
14      (6)    Section 101 is to be read as if section 101(1)(a) and (2) were
15             deleted.
16      (7)    Section 103 is to be read as if section 103(2) and (3) were
17             replaced by the following provision --
18

19             (2)   An investigator who enters a place under
20                   section 102(1) is entitled under this section to seize any
21                   patient records or data relating to a patient.
22

23      (8)    Any definition in the Medicines and Poisons Act 2014 of a term
24             used in the applied provisions also applies for the purposes of
25             the application of those provisions under subsection (1).

26   110.      Court to notify CEO of conviction of offence under Act
27             If a court convicts a person of an offence under this Act, the
28             registrar of the court must notify the CEO of the conviction and
29             the penalty imposed.


     page 78
                                            Voluntary Assisted Dying Bill 2019
                                                  Enforcement           Part 7

                                                                         s. 111



1    111.     Who may commence proceedings for simple offence
2             A prosecution for a simple offence under this Act can only be
3             commenced by the CEO or by a person authorised by the CEO
4             to do so.

5    112.     Time limit for prosecution of simple offence
6       (1)   A prosecution for a simple offence under this Act must be
7             commenced within 2 years after the day on which the offence is
8             alleged to have been committed.
9       (2)   However, if a prosecution notice alleging an offence specifies
10            the day on which evidence of the alleged offence first came to
11            the attention of a person authorised under section 111 to
12            commence the prosecution --
13              (a) the prosecution may be commenced within 2 years after
14                    that day; and
15              (b) the prosecution notice need not contain particulars of the
16                    day on which the offence is alleged to have been
17                    committed.
18      (3)   The day on which evidence first came to the attention of a
19            person authorised under section 111 to commence a prosecution
20            is, in the absence of evidence to the contrary, the day specified
21            in the prosecution notice.




                                                                       page 79
     Voluntary Assisted Dying Bill 2019
     Part 8          Protection from liability

     s. 113



1                   Part 8 -- Protection from liability
2    113.      Protection for persons assisting access to voluntary assisted
3              dying or present when substance administered
4              A person does not incur any criminal liability if the person --
5               (a) in good faith, assists another person to request access to,
6                     or access, voluntary assisted dying in accordance with
7                     this Act; or
8               (b) is present when another person self-administers or is
9                     administered a prescribed substance in accordance with
10                    this Act.

11   114.      Protection for persons acting in accordance with Act
12      (1)    This section applies if a person, in good faith and with
13             reasonable care and skill, does a thing --
14               (a) in accordance with this Act; or
15               (b) believing on reasonable grounds that the thing is done in
16                    accordance with this Act.
17      (2)    The person does not incur any civil liability, or any criminal
18             liability under this Act, for doing the thing.
19      (3)    The doing of the thing is not to be regarded as --
20              (a) a breach of professional ethics or standards or any
21                    principles of conduct applicable to the person's
22                    employment; or
23              (b) professional misconduct or unprofessional conduct.
24      (4)    In this section, a reference to the doing of a thing includes a
25             reference to an omission to do a thing.




     page 80
                                             Voluntary Assisted Dying Bill 2019
                                           Protection from liability     Part 8

                                                                           s. 115



1    115.     Protection for certain persons who do not administer
2             lifesaving treatment
3       (1)   In this section --
4             ambulance officer means a person employed or engaged
5             (including on a voluntary basis) by the provider of an
6             ambulance service to provide medical or other assistance to
7             persons in an emergency;
8             lifesaving treatment means lifesaving or life-preserving medical
9             treatment;
10            protected person means --
11               (a) a registered health practitioner; or
12               (b) an ambulance officer; or
13               (c) a person (other than a person referred to in paragraph (a)
14                     or (b)) who has a duty to administer lifesaving treatment
15                     to another person.
16      (2)   This section applies if a protected person, in good faith, does not
17            administer lifesaving treatment to another person in
18            circumstances where --
19              (a) the other person has not requested the administration of
20                   lifesaving treatment; and
21              (b) the protected person believes on reasonable grounds that
22                   the other person is dying after self-administering or
23                   being administered a prescribed substance in accordance
24                   with this Act.
25      (3)   The protected person does not incur any civil liability or
26            criminal liability for not administering the lifesaving treatment.
27      (4)   The non-administration of the lifesaving treatment is not to be
28            regarded as --
29              (a) a breach of professional ethics or standards or any
30                   principles of conduct applicable to the protected
31                   person's employment; or
32              (b) professional misconduct or unprofessional conduct.

                                                                         page 81
     Voluntary Assisted Dying Bill 2019
     Part 9          Voluntary Assisted Dying Board
     Division 1      Establishment
     s. 116



1              Part 9 -- Voluntary Assisted Dying Board
2                          Division 1 -- Establishment
3    116.      Board established
4              A body called the Voluntary Assisted Dying Board is
5              established.

6    117.      Status
7              The Board is an agent of the Crown and has the status,
8              immunities and privileges of the Crown.

9                       Division 2 -- Functions and powers
10   118.      Functions of Board
11             The Board has the following functions --
12              (a) to monitor the operation of this Act;
13              (b) to provide to the Minister or the CEO, on its own
14                   initiative or on request, advice, information and reports
15                   on matters relating to the operation of this Act, including
16                   any recommendations for the improvement of voluntary
17                   assisted dying;
18              (c) to refer to any of the following persons or bodies any
19                   matter identified by the Board in relation to voluntary
20                   assisted dying that is relevant to the functions of the
21                   person or body --
22                      (i) the person holding or acting in the office of
23                            Commissioner of Police under the Police
24                            Act 1892;
25                     (ii) the Registrar of Births, Deaths and Marriages
26                            referred to in the Births, Deaths and Marriages
27                            Registration Act 1998 section 5;
28                    (iii) the State Coroner appointed under the Coroners
29                            Act 1996 section 6;

     page 82
                                             Voluntary Assisted Dying Bill 2019
                                  Voluntary Assisted Dying Board         Part 9
                                           Functions and powers     Division 2
                                                                         s. 119



1                     (iv)    the CEO;
2                      (v)    the chief executive officer of the department of
3                             the Public Service principally assisting in the
4                             administration of the Prisons Act 1981;
5                      (vi) the Australian Health Practitioner Regulation
6                             Agency established by the Health Practitioner
7                             Regulation National Law (Western Australia)
8                             section 23;
9                     (vii) the Director of the Health and Disability Services
10                            Complaints Office appointed under the Health
11                            and Disability Services (Complaints) Act 1995
12                            section 7(1);
13             (d)    to conduct analysis of, and research in relation to,
14                    information given to the Board under this Act;
15              (e)   to collect, use and disclose information given to the
16                    Board under this Act for the purposes of performing its
17                    functions;
18              (f)   any other function given to the Board under this Act.

19   119.     Powers of Board
20            The Board has all the powers it needs to perform its functions.

21   120.     Delegation by Board
22      (1)   The Board may delegate any power or duty of the Board under
23            another provision of this Act to a member or to a committee
24            established under section 145.
25      (2)   The delegation must be in writing executed by the Board.
26      (3)   A person or committee to whom or which a power or duty is
27            delegated under this section cannot delegate the power or duty.
28      (4)   A person or committee exercising or performing a power or
29            duty that has been delegated to the person or committee under
30            this section is taken to do so in accordance with the terms of the
31            delegation unless the contrary is shown.

                                                                        page 83
     Voluntary Assisted Dying Bill 2019
     Part 9          Voluntary Assisted Dying Board
     Division 3      Staff and assistance
     s. 121



1       (5)    Nothing in this section limits the ability of the Board to perform
2              a function through a member of staff provided to the Board
3              under section 121 or an agent of the Board.

4                       Division 3 -- Staff and assistance
5    121.      Staff and services
6              The CEO must ensure that the Board is provided with the staff,
7              services and facilities, and other resources and support, that are
8              reasonably necessary to enable it to perform its functions.

9    122.      Assistance
10      (1)    The Board, with the approval of the Minister, may co-opt any
11             person with special knowledge or skills to assist the Board in a
12             particular matter.
13      (2)    A person who has been co-opted to assist the Board may attend
14             meetings of the Board and participate in its deliberations but
15             cannot vote at a meeting of the Board.

16                          Division 4 -- Accountability
17   123.      Minister may give directions
18      (1)    The Minister may give written directions to the Board with
19             respect to the performance of its functions, and the Board must
20             give effect to any such direction.
21      (2)    However, a direction under subsection (1) cannot be about the
22             performance of a function in relation to a particular person or
23             matter.

24   124.      Minister to have access to information
25      (1)    In this section --
26             document includes any tape, disk or other device or medium on
27             which information is recorded or stored;



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                                             Voluntary Assisted Dying Bill 2019
                                  Voluntary Assisted Dying Board         Part 9
                                                     Membership     Division 5
                                                                         s. 125



1             information means information specified, or of a description
2             specified, by the Minister that relates to the functions of the
3             Board.
4       (2)   The Minister is entitled --
5              (a) to have information in the possession of the Board; and
6              (b) if the information is in or on a document, to have, and
7                   make and retain copies of, that document.
8       (3)   However, the Minister is not entitled to have personal
9             information about a person unless the person has consented to
10            the disclosure of the information.
11      (4)   For the purposes of subsection (2), the Minister may --
12             (a) request the Board to give information to the Minister;
13                    and
14             (b) request the Board to give the Minister access to
15                    information; and
16             (c) for the purposes of paragraph (b), make use of staff
17                    provided to the Board under section 121 to obtain the
18                    information and give it to the Minister.
19      (5)   The Board must comply with a request under subsection (4) and
20            make staff and facilities available to the Minister for the
21            purposes of subsection (4)(c).

22                         Division 5 -- Membership
23   125.     Membership of Board
24            The Board consists of 5 members appointed by the Minister.

25   126.     Chairperson and deputy chairperson
26      (1)   The Minister must designate one member to be the chairperson
27            of the Board and another member to be the deputy chairperson
28            of the Board.



                                                                        page 85
     Voluntary Assisted Dying Bill 2019
     Part 9          Voluntary Assisted Dying Board
     Division 5      Membership
     s. 127



1       (2)    If the chairperson is unable to act because of illness, absence or
2              other cause or if there is no chairperson, the deputy chairperson
3              must act in the chairperson's place.
4       (3)    An act or omission of the deputy chairperson acting in the
5              chairperson's place cannot be questioned on the ground that the
6              occasion to act in the chairperson's place had not arisen or had
7              ceased.

8    127.      Term of office
9       (1)    A member holds office for the term, not exceeding 3 years, that
10             is specified in the member's instrument of appointment.
11      (2)    A member is eligible for reappointment.

12   128.      Casual vacancies
13      (1)    In this section --
14             misconduct includes conduct that renders the member unfit to
15             hold office as a member even though the conduct does not relate
16             to a duty of the office.
17      (2)    The office of a member becomes vacant if the member --
18              (a) dies, resigns or is removed from office under this
19                    section; or
20              (b) is, according to the Interpretation Act 1984 section 13D,
21                    a bankrupt or a person whose affairs are under
22                    insolvency laws; or
23              (c) is convicted of an offence punishable by imprisonment
24                    for more than 12 months; or
25              (d) is convicted of an offence under section 140.
26      (3)    A member may at any time resign from office by written notice
27             given to the Minister.
28      (4)    The Minister may remove a member from office on the grounds
29             of --
30               (a) neglect of duty; or

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                                             Voluntary Assisted Dying Bill 2019
                                  Voluntary Assisted Dying Board         Part 9
                                                     Membership     Division 5
                                                                         s. 129



1              (b)   misconduct or incompetence; or
2              (c)   mental or physical incapacity, other than temporary
3                    illness, impairing the performance of the member's
4                    duties; or
5              (d)   absence, without leave, from 3 consecutive meetings of
6                    the Board of which the member has had notice.

7    129.     Extension of term of office during vacancy
8       (1)   If the office of a member becomes vacant because the member's
9             term of office expires by effluxion of time, the member
10            continues to be a member during that vacancy until the day on
11            which the vacancy is filled (whether by reappointment of the
12            member or appointment of a successor to the member).
13      (2)   Subsection (1) ceases to apply if the member resigns or is
14            removed from office under section 128.
15      (3)   The maximum period for which a member continues to be a
16            member under this section after the member's term of office
17            expires is 3 months.

18   130.     Alternate members
19      (1)   If a member other than the chairperson is unable to act because
20            of illness, absence or other cause, the Minister may appoint
21            another person as an alternate member to act temporarily in the
22            member's place.
23      (2)   If the deputy chairperson is acting in the chairperson's place, the
24            Minister may appoint another person as an alternate member to
25            act temporarily in the deputy chairperson's place.
26      (3)   While acting in accordance with their appointment an alternate
27            member is taken to be, and to have any entitlement of, a
28            member.
29      (4)   An act or omission of an alternate member cannot be questioned
30            on the ground that the occasion for the appointment or acting
31            had not arisen or had ceased.

                                                                        page 87
     Voluntary Assisted Dying Bill 2019
     Part 9          Voluntary Assisted Dying Board
     Division 6      Board meetings
     s. 131



1    131.      Remuneration of members
2              A member is entitled to be paid any remuneration and
3              allowances that the Minister may from time to time determine
4              on the recommendation of the Public Sector Commissioner.

5                         Division 6 -- Board meetings
6    132.      Holding meetings
7       (1)    The first meeting of the Board must be convened by the
8              chairperson, and subsequent meetings must be held at times and
9              places determined by the Board.
10      (2)    A special meeting of the Board may at any time be convened by
11             the chairperson.

12   133.      Quorum
13             A quorum for a meeting of the Board is 3 members of the
14             Board.

15   134.      Presiding member
16      (1)    The chairperson, if present, must preside at a meeting of the
17             Board.
18      (2)    If neither the chairperson, nor the deputy chairperson acting in
19             the chairperson's place, is presiding under subsection (1), the
20             members present at the meeting must elect one of their number
21             to preside.

22   135.      Procedure at meetings
23             The Board must determine its own meeting procedures to the
24             extent that they are not fixed by this Act.

25   136.      Voting
26      (1)    At a meeting of the Board each member present has a
27             deliberative vote unless section 141 prevents the member from
28             voting.

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                                             Voluntary Assisted Dying Bill 2019
                                  Voluntary Assisted Dying Board         Part 9
                                           Disclosure of interests  Division 7
                                                                         s. 137



1       (2)   In the case of an equality of votes, the member presiding has a
2             casting vote in addition to a deliberative vote.
3       (3)   A question is resolved by a majority of the votes cast.

4    137.     Holding meetings remotely
5             The presence of a person at a meeting of the Board need not be
6             by attendance in person but may be by that person and each
7             other person at the meeting being simultaneously in contact by
8             telephone or other means of instantaneous communication.

9    138.     Resolution without meeting
10            A resolution in writing signed or otherwise assented to in
11            writing by each member has the same effect as if it had been
12            passed at a meeting of the Board.

13   139.     Minutes
14            The Board must cause accurate minutes to be kept of the
15            proceedings at each of its meetings.

16                   Division 7 -- Disclosure of interests
17   140.     Disclosure of material personal interest
18      (1)   A member who has a material personal interest in a matter being
19            considered or about to be considered by the Board must, as soon
20            as practicable after the relevant facts have come to the
21            member's knowledge, disclose the nature of the interest at a
22            meeting of the Board.
23            Penalty for this subsection: a fine of $10 000.
24      (2)   A disclosure under subsection (1) must be recorded in the
25            minutes of the meeting.




                                                                        page 89
     Voluntary Assisted Dying Bill 2019
     Part 9          Voluntary Assisted Dying Board
     Division 7      Disclosure of interests
     s. 141



1    141.      Voting by interested member
2       (1)    A member who has a material personal interest in a matter that
3              is being considered by the Board --
4                (a) must not vote, whether at a meeting or otherwise, on the
5                      matter; and
6                (b) must not be present while the matter is being considered
7                      at a meeting.
8       (2)    A reference in subsection (1) to a matter includes a reference to
9              a proposed resolution under section 142 in respect of the matter,
10             whether relating to that member or a different member.

11   142.      Section 141 may be declared inapplicable
12             Section 141 does not apply if --
13               (a) a member has disclosed under section 140 an interest in
14                    a matter; and
15              (b) the Board has at any time passed a resolution that --
16                       (i) specifies the member, the interest and the matter;
17                           and
18                      (ii) states that the members voting for the resolution
19                           are satisfied that the interest is so trivial or
20                           insignificant as to be unlikely to influence the
21                           disclosing member's conduct and should not
22                           disqualify the member from considering or
23                           voting on the matter.

24   143.      Quorum where s. 141 applies
25      (1)    Despite section 133, if a member is disqualified under
26             section 141 in relation to a matter, a quorum is present during
27             the consideration of the matter if 2 members of the Board who
28             are entitled to vote on any motion that may be moved at the
29             meeting in relation to the matter are present.
30      (2)    The Minister may deal with a matter to the extent that the Board
31             cannot deal with it because of subsection (1).

     page 90
                                             Voluntary Assisted Dying Bill 2019
                                  Voluntary Assisted Dying Board         Part 9
                                                     Committees     Division 8
                                                                         s. 144



1    144.     Minister may declare s. 141 and 143 inapplicable
2       (1)   The Minister may in writing declare that section 141 or 143 or
3             both of them do not apply in relation to a specified matter either
4             generally or in voting on particular resolutions.
5       (2)   The Minister must cause a copy of a declaration made under
6             subsection (1) to be laid before each House of Parliament within
7             14 sitting days of the House after the declaration is made.

8                          Division 8 -- Committees
9    145.     Establishment of committees
10      (1)   The Board may establish committees to assist it in the
11            performance of its functions.
12      (2)   The Board may discharge, alter or reconstitute a committee.
13      (3)   The Board may --
14             (a) determine the functions, membership and constitution of
15                  a committee; and
16             (b) appoint any members of the Board or other persons as it
17                  thinks fit to be members of a committee.

18   146.     Directions to committee
19      (1)   The Board may give directions to a committee with respect to
20            its functions and procedures.
21      (2)   A committee must comply with a direction given to it by the
22            Board.

23   147.     Committee to determine own procedures
24            Subject to any directions of the Board and the terms of any
25            delegation under section 120, a committee may determine its
26            own procedures.




                                                                        page 91
     Voluntary Assisted Dying Bill 2019
     Part 9          Voluntary Assisted Dying Board
     Division 9      Information
     s. 148



1    148.      Remuneration of committee members
2              A member of a committee is entitled to be paid any
3              remuneration and allowances that the Minister may from time to
4              time determine on the recommendation of the Public Sector
5              Commissioner.

6                           Division 9 -- Information
7    149.      Board to send information to contact person for patient
8              The Board must, within 2 business days after receiving a copy
9              of a contact person appointment form for a patient under
10             section 60(1)(b)(ii) or 66(4), send information to the contact
11             person for the patient that --
12               (a) explains the requirements under section 105 to give the
13                     prescribed substance, or any unused or remaining
14                     prescribed substance, to an authorised disposer; and
15               (b) outlines the support services available to assist the
16                     contact person to comply with the requirements referred
17                     to in paragraph (a).

18   150.      Request for information
19      (1)    The Board may request any person (including the contact person
20             for a patient) to give information to the Board to assist it in
21             performing any of its functions.
22      (2)    A person may comply with a request under subsection (1)
23             despite any enactment that prohibits or restricts the disclosure of
24             the information.

25   151.      Disclosure of information
26             The Board may, on request, disclose information (other than
27             personal information) obtained in the performance of its
28             functions to --
29               (a) a public authority as defined in the Health Services
30                    Act 2016 section 6; or

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                                             Voluntary Assisted Dying Bill 2019
                                  Voluntary Assisted Dying Board         Part 9
                                                   Miscellaneous   Division 10
                                                                         s. 152



1              (b)   a person or body for the purposes of education or
2                    research.

3    152.     Board to record and retain statistical information
4       (1)   The Board must record and retain statistical information about
5             the following matters relating to voluntary assisted dying --
6               (a) the disease, illness or medical condition of a patient that
7                     met the requirements of section 16(1)(c) (whether or not
8                     the patient made a final request);
9               (b) if a patient has died after self-administering or being
10                    administered a voluntary assisted dying substance in
11                    accordance with this Act, the age of the patient on the
12                    day the patient died;
13              (c) participation in the request and assessment process, and
14                    access to voluntary assisted dying, by patients who are
15                    regional residents;
16              (d) a matter specified in a direction under subsection (2).
17      (2)   The Minister may give a written direction to the Board requiring
18            it --
19               (a) to record and retain statistical information about a matter
20                   relating to voluntary assisted dying specified in the
21                   direction; and
22               (b) to include that statistical information in its report under
23                   section 155(1).
24      (3)   The Board must give effect to a direction under subsection (2).

25                       Division 10 -- Miscellaneous
26   153.     Board to notify receipt of forms
27      (1)   The Board must, as soon as practicable after receiving a form or
28            a copy of a form from a person under this Act, notify the person
29            that it has been received.



                                                                        page 93
     Voluntary Assisted Dying Bill 2019
     Part 9          Voluntary Assisted Dying Board
     Division 10     Miscellaneous
     s. 154



1       (2)    The Board must, as soon as practicable after receiving a copy of
2              an authorised disposal form or practitioner disposal form, give a
3              copy of that form to the CEO.

4    154.      Execution of documents by Board
5       (1)    A document is duly executed by the Board if it is signed on
6              behalf of the Board by 2 members authorised to do so under
7              subsection (2).
8       (2)    The Board may authorise any of its members to sign documents
9              on behalf of the Board, either generally or subject to the
10             conditions that are specified in the authorisation.
11      (3)    A document purporting to be executed in accordance with this
12             section is to be presumed to be duly executed until the contrary
13             is shown.

14   155.      Annual report
15      (1)    The Board must, within 6 months after the end of each financial
16             year, prepare and give to the Minister a report on the operation
17             of this Act during that financial year.
18      (2)    The report must include --
19              (a) any recommendations that the Board considers
20                    appropriate in relation to voluntary assisted dying; and
21              (b) any information that the Board considers relevant to the
22                    performance of its functions; and
23              (c) the number of any referrals made by the Board under
24                    section 118(c); and
25              (d) the text of any direction given to the Board under
26                    section 123(1) or 152(2); and
27              (e) details of any disclosure under section 140(1) that
28                    relates to a matter dealt with in the report and of any
29                    resolution under section 142 in respect of the disclosure;
30                    and



     page 94
                                         Voluntary Assisted Dying Bill 2019
                              Voluntary Assisted Dying Board         Part 9
                                               Miscellaneous   Division 10
                                                                     s. 155



1            (f)   statistical information that the Board is directed under
2                  section 152(2) to include in the report; and
3           (g)    information about the extent to which regional residents
4                  had access to voluntary assisted dying, including
5                  statistical information recorded and retained under
6                  section 152(1)(c), and having regard to the access
7                  standard under section 156.
8    (3)   The report must not include --
9           (a) personal information about a patient, medical
10                practitioner or other person who has participated in the
11                request and assessment process or the process for
12                accessing voluntary assisted dying under Part 4; or
13          (b) information that would prejudice --
14                   (i) any criminal investigation or criminal
15                        proceeding; or
16                  (ii) any civil proceeding; or
17                 (iii) any proceeding in the Coroner's Court of
18                        Western Australia.
19   (4)   The Minister must cause a copy of the report to be laid before
20         each House of Parliament within 6 sitting days of the House
21         after the day on which the Minister receives the report.




                                                                    page 95
     Voluntary Assisted Dying Bill 2019
     Part 10         Access standard

     s. 156



1                       Part 10 -- Access standard
2    156.      Standard about access to voluntary assisted dying
3       (1)    The CEO must issue a standard (the access standard) setting
4              out how the State intends to facilitate access to voluntary
5              assisted dying for persons ordinarily resident in Western
6              Australia, including how the State intends to facilitate those
7              persons' access to --
8                (a) the services of medical practitioners and other persons
9                      who carry out functions under this Act; and
10               (b) prescribed substances; and
11               (c) information about accessing voluntary assisted dying.
12      (2)    The access standard must specifically set out how the State
13             intends to facilitate access to voluntary assisted dying for
14             regional residents.
15      (3)    The CEO may modify or replace the access standard.
16      (4)    The CEO must publish the access standard on the Department's
17             website.




     page 96
                                              Voluntary Assisted Dying Bill 2019
                                                         General        Part 11

                                                                             s. 157



1                             Part 11 -- General
2    157.     Transfer of coordinating practitioner's role
3       (1)   The coordinating practitioner for a patient (the original
4             practitioner) may transfer the role of coordinating practitioner
5             to the consulting practitioner for the patient if --
6               (a) the consulting practitioner has assessed the patient as
7                     eligible for access to voluntary assisted dying; and
8               (b) the consulting practitioner accepts the transfer of the
9                     role.
10      (2)   The transfer of the role can be --
11             (a) at the request of the patient; or
12             (b) on the original practitioner's own initiative.
13      (3)   Within 2 business days after being requested by the original
14            practitioner to accept a transfer under subsection (1), the
15            consulting practitioner must inform the original practitioner
16            whether the consulting practitioner accepts or refuses the
17            transfer of the role.
18      (4)   If the consulting practitioner accepts the transfer of the role, the
19            original practitioner must --
20               (a) inform the patient of the transfer; and
21              (b) record the transfer in the patient's medical record; and
22               (c) within 2 business days after the acceptance of the
23                     transfer, complete the approved form (the coordinating
24                     practitioner transfer form) and give a copy of it to the
25                     Board.
26      (5)   The coordinating practitioner transfer form must include the
27            following --
28              (a) the name, date of birth and contact details of the patient;
29              (b) the name and contact details of the original practitioner;



                                                                          page 97
     Voluntary Assisted Dying Bill 2019
     Part 11         General

     s. 158



1                (c)   the name and contact details of the consulting
2                      practitioner;
3                (d)   the date when the consulting practitioner accepted the
4                      transfer;
5                (e)   the date when the patient was informed of the transfer;
6                (f)   the signature of the original practitioner and the date
7                      when the form was signed.
8       (6)    If the consulting practitioner refuses the transfer of the role, the
9              original practitioner may --
10                (a) refer the patient to another medical practitioner for a
11                      further consulting assessment; and
12               (b) transfer the role of coordinating practitioner to that
13                      medical practitioner if the practitioner --
14                         (i) accepts the referral for a further consulting
15                              assessment; and
16                        (ii) assesses the patient as eligible for access to
17                              voluntary assisted dying; and
18                       (iii) accepts the transfer of the role.
19      (7)    On acceptance of the referral for a further consulting
20             assessment, the consulting assessment that previously assessed
21             the patient as eligible for access to voluntary assisted dying
22             becomes void.

23   158.      Communication between patient and practitioner
24      (1)    In this section --
25             audiovisual communication means a method of electronic
26             communication that is designed to allow people to see and hear
27             each other simultaneously.
28      (2)    If it is not practicable for a patient to make a first request, final
29             request or administration decision in person --
30                (a) the patient may make the request or decision using
31                       audiovisual communication; and

     page 98
                                              Voluntary Assisted Dying Bill 2019
                                                         General        Part 11

                                                                            s. 159



1              (b)    the medical practitioner who receives the request or is
2                     being informed of the decision may give the patient
3                     advice or information in relation to the request or
4                     decision using audiovisual communication.
5       (3)   Except as provided in subsection (2)(b), a medical practitioner
6             or other registered health practitioner may give advice or
7             information to, or otherwise communicate with, a person for the
8             purposes of this Act using any method of communication
9             (including electronic communication) that the practitioner
10            considers appropriate.
11      (4)   However, subsections (2) and (3) do not authorise the use of a
12            method of communication if, or to the extent that, the use is
13            contrary to or inconsistent with a law of the Commonwealth.

14   159.     Information about voluntary assisted dying
15      (1)   In this section --
16            authorised official means --
17              (a) the CEO; or
18              (b) a public service officer employed in the Department; or
19              (c) a person designated as an authorised official under
20                     subsection (2).
21      (2)   The CEO may, in writing, designate persons, or persons in a
22            class, as authorised officials for the purposes of this section.
23      (3)   An authorised official may make information about voluntary
24            assisted dying publicly available.
25      (4)   Information may be made available under this section using any
26            method of communication (including electronic
27            communication) that the authorised official considers
28            appropriate.
29      (5)   However, subsection (4) does not authorise the use of a method
30            of communication if, or to the extent that, the use is contrary to
31            or inconsistent with a law of the Commonwealth.

                                                                          page 99
     Voluntary Assisted Dying Bill 2019
     Part 11         General

     s. 160



1    160.       CEO may approve training
2               The CEO may approve training relating to the following
3               matters --
4                (a) the operation of this Act in relation to medical
5                       practitioners and nurse practitioners, including the
6                       functions of coordinating practitioners, consulting
7                       practitioners and administering practitioners;
8                (b) assessing whether or not a patient meets the eligibility
9                       criteria;
10               (c) identifying and assessing risk factors for abuse or
11                      coercion;
12               (d) other matters relating to the operation of this Act.

13   161.       CEO may approve forms
14              The CEO may approve forms for use under this Act.

15   162.       Interpreters
16      (1)     In this section --
17              health facility means any of the following --
18                (a) a hospital as defined in the Health Services Act 2016
19                       section 8;
20                (b) a private psychiatric hostel as defined in the Private
21                       Hospitals and Health Services Act 1927 section 2(1);
22                (c) premises where residential care, as defined in the Aged
23                       Care Act 1997 (Commonwealth) section 41-3, is
24                       provided;
25                (d) premises, other than a private residence, where
26                       accommodation and personal care or nursing care, or
27                       both, are provided to a person with a disability;
28              interpreter, for a patient, means an interpreter who assists a
29              patient in relation to --
30                (a) the request and assessment process; or


     page 100
                                             Voluntary Assisted Dying Bill 2019
                                                        General        Part 11

                                                                          s. 163



1              (b)    the process for accessing voluntary assisted dying under
2                     Part 4; or
3               (c)   a proceeding under Part 5.
4       (2)   An interpreter for a patient --
5              (a) must be accredited by a body approved by the CEO; and
6              (b) must not --
7                       (i) be a family member of the patient; or
8                      (ii) know or believe that they are a beneficiary under
9                            a will of the patient or that they may otherwise
10                           benefit financially or in any other material way
11                           from the death of the patient; or
12                    (iii) be an owner of, or be responsible for the
13                           day-to-day management and operation of, any
14                           health facility at which the patient is being
15                           treated or resides; or
16                    (iv) be a person who is directly involved in providing
17                           health services or professional care services to
18                           the patient.

19   163.     Regulations
20            The Governor may make regulations prescribing matters
21            necessary or convenient to be prescribed for giving effect to this
22            Act.

23   164.     Review of Act
24      (1)   The Minister must review the operation and effectiveness of this
25            Act, and prepare a report based on the review --
26             (a) as soon as practicable after the 2nd anniversary of the
27                   day on which this section comes into operation; and
28             (b) after that, at intervals of not more than 5 years.




                                                                       page 101
    Voluntary Assisted Dying Bill 2019
    Part 11         General

    s. 164



1      (2)     The Minister must cause the report to be laid before each House
2              of Parliament as soon as practicable after it is prepared, but not
3              later than 12 months after the 2nd anniversary or the expiry of
4              the period of 5 years, as the case may be.




    page 102
                                                Voluntary Assisted Dying Bill 2019
                             Consequential amendments to other Acts       Part 12
                     Constitution Acts Amendment Act 1899 amended      Division 1
                                                                            s. 165



1      Part 12 -- Consequential amendments to other Acts
2     Division 1 -- Constitution Acts Amendment Act 1899 amended
3    165.      Act amended
4              This Division amends the Constitution Acts Amendment
5              Act 1899.

6    166.      Schedule V amended
7              In Schedule V Part 3 before the item relating to the Waste
8              Authority insert:
9

10          The Voluntary Assisted Dying Board established by the Voluntary
11                  Assisted Dying Act 2019.
12


13                   Division 2 -- Coroners Act 1996 amended
14   167.      Act amended
15             This Division amends the Coroners Act 1996.

16   168.      Section 3A inserted
17             After section 3 insert:
18


19          3A.        Death under Voluntary Assisted Dying Act 2019 not
20                     reportable death
21             (1)     Despite the definition of reportable death in section 3,
22                     a Western Australian death of a person who has
23                     self-administered, or has been administered, a
24                     voluntary assisted dying substance in accordance with
25                     the Voluntary Assisted Dying Act 2019 is not a
26                     reportable death for the purposes of this Act.



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     Part 12         Consequential amendments to other Acts
     Division 3      Guardianship and Administration Act 1990 amended
     s. 169



1               (2)    Subsection (1) does not apply to a Western Australian
2                      death of a person who immediately before death was a
3                      person held in care.
4


5                  Division 3 -- Guardianship and Administration
6                               Act 1990 amended
7    169.       Act amended
8               This Division amends the Guardianship and Administration
9               Act 1990.

10   170.       Section 3B inserted
11              At the end of Part 1 insert:
12


13           3B.       Act does not authorise decisions about voluntary
14                     assisted dying
15                     Nothing in this Act authorises the making of a
16                     treatment decision, whether in an advance health
17                     directive or otherwise, in relation to voluntary assisted
18                     dying as defined in the Voluntary Assisted Dying
19                     Act 2019 section 5.
20


21          Division 4 -- Health and Disability Services (Complaints)
22                            Act 1995 amended
23   171.       Act amended
24              This Division amends the Health and Disability Services
25              (Complaints) Act 1995.




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                                               Voluntary Assisted Dying Bill 2019
                           Consequential amendments to other Acts        Part 12
                          Medicines and Poisons Act 2014 amended      Division 5
                                                                           s. 172



1    172.      Section 3 amended
2              In section 3 in the definition of health service paragraph (b)
3              delete "including palliative health care; and" and insert:
4

5                             including --
6                                (i) palliative health care; and
7                               (ii) voluntary assisted dying as defined in
8                                    the Voluntary Assisted Dying Act 2019
9                                    section 5;
10                            and
11


12          Division 5 -- Medicines and Poisons Act 2014 amended
13   173.      Act amended
14             This Division amends the Medicines and Poisons Act 2014.

15   174.      Section 3 amended
16      (1)    In section 3 insert in alphabetical order:
17

18                     voluntary assisted dying substance means a
19                     Schedule 4 or 8 poison that is a voluntary assisted
20                     dying substance as defined in the Voluntary Assisted
21                     Dying Act 2019 section 7(2).
22

23      (2)    In section 3 in the definition of veterinary surgeon delete
24             "1960." and insert:
25

26             1960;
27




                                                                        page 105
     Voluntary Assisted Dying Bill 2019
     Part 12         Consequential amendments to other Acts
     Division 5      Medicines and Poisons Act 2014 amended
     s. 175



1    175.       Section 7 amended
2       (1)     In section 7(1) delete the definition of prescriber and insert:
3

4                     prescriber means --
5                       (a) in relation to a Schedule 4 or 8 poison (other
6                            than a voluntary assisted dying substance
7                            prescribed for the purposes of the Voluntary
8                            Assisted Dying Act 2019) -- an authorised
9                            health professional who has authority to
10                           prescribe the poison; or
11                      (b) in relation to a voluntary assisted dying
12                           substance prescribed for the purposes of the
13                           Voluntary Assisted Dying Act 2019 -- a person
14                           who is authorised by that Act to prescribe the
15                           substance;
16

17      (2)     In section 7(1) in the definition of prescription:
18                (a) delete paragraph (a) and insert:
19

20                      (a)   sets out particulars of the poison, or a substance
21                            that contains the poison, that is --
22                               (i) to be used by, or administered to, a
23                                    person named in the document for
24                                    therapeutic purposes or for the purposes
25                                    of the Voluntary Assisted Dying
26                                    Act 2019; or
27                              (ii) to be administered to an animal
28                                    described in the document for
29                                    therapeutic purposes;
30                            and
31




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                                            Voluntary Assisted Dying Bill 2019
                        Consequential amendments to other Acts        Part 12
                       Medicines and Poisons Act 2014 amended      Division 5
                                                                        s. 176



1              (b)   delete paragraph (c) and insert:
2

3                    (c)   complies with --
4                            (i) any requirements prescribed by the
5                                regulations; or
6                           (ii) if the poison is a voluntary assisted
7                                dying substance that is to be used or
8                                administered for the purposes of the
9                                Voluntary Assisted Dying Act 2019, any
10                               requirements under that Act or
11                               prescribed by the regulations to the
12                               extent they are consistent with that Act.
13

14      (3)   In section 7(3):
15              (a) in paragraph (b)(i)(I) delete "a person -- " and insert:
16

17                   a person or for the use of, or administration to, a person
18                   under the Voluntary Assisted Dying Act 2019 --
19

20             (b)   in paragraph (b)(ii) after "obtain" insert:
21

22                   or receive
23


24   176.     Section 14 amended
25      (1)   In section 14(1) delete the passage that begins with "unless" and
26            ends with "in accordance with the regulations." and insert:
27

28            unless subsection (1A) is complied with.
29




                                                                       page 107
     Voluntary Assisted Dying Bill 2019
     Part 12         Consequential amendments to other Acts
     Division 5      Medicines and Poisons Act 2014 amended
     s. 176



1       (2)     After section 14(1) insert:
2

3             (1A)    This subsection is complied with --
4                      (a) in the case of the manufacture of a Schedule 4
5                            or 8 poison, if the person who manufactures the
6                            poison does so --
7                               (i) under and in accordance with an
8                                    appropriate licence or a professional
9                                    authority; and
10                             (ii) in accordance with the regulations;
11                           or
12                     (b) in the case of the supply of a Schedule 4 or 8
13                           poison (other than the supply of a voluntary
14                           assisted dying substance for the purposes of the
15                           Voluntary Assisted Dying Act 2019), if the
16                           person who supplies the poison does so --
17                              (i) under and in accordance with an
18                                   appropriate licence or a professional
19                                   authority; and
20                             (ii) in accordance with the regulations;
21                           or
22                     (c) in the case of the supply of a voluntary assisted
23                           dying substance for the purposes of the
24                           Voluntary Assisted Dying Act 2019, if --
25                              (i) the person who supplies the substance is
26                                   authorised by that Act to supply it; and
27                             (ii) the supply is in accordance with that
28                                   Act.
29




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                                          Voluntary Assisted Dying Bill 2019
                      Consequential amendments to other Acts        Part 12
                     Medicines and Poisons Act 2014 amended      Division 5
                                                                      s. 176



1    (3)    In section 14(3) delete the passage that begins with "unless -- "
2           and ends with "in accordance with the regulations." and insert:
3

4           unless subsection (3A) is complied with.
5

6    (4)    After section 14(3) insert:
7

8          (3A)   This subsection is complied with --
9                  (a) in the case of the prescription of a Schedule 4
10                       or 8 poison (other than the prescription of a
11                       voluntary assisted dying substance for the
12                       purposes of the Voluntary Assisted Dying
13                       Act 2019), if --
14                          (i) the person who prescribes the poison is
15                               a health professional who is authorised
16                               under section 25 to prescribe the poison;
17                               and
18                         (ii) the prescription is in accordance with
19                               the regulations;
20                       or
21                 (b) in the case of the prescription of a voluntary
22                       assisted dying substance for the purposes of the
23                       Voluntary Assisted Dying Act 2019, if --
24                          (i) the person who prescribes the substance
25                               is authorised by that Act to prescribe the
26                               substance; and
27                         (ii) the prescription is in accordance with
28                               that Act and the regulations to the extent
29                               they are consistent with that Act.
30




                                                                    page 109
     Voluntary Assisted Dying Bill 2019
     Part 12         Consequential amendments to other Acts
     Division 5      Medicines and Poisons Act 2014 amended
     s. 177



1       (5)     In section 14(4)(i) after "1981" insert:
2

3               or the Voluntary Assisted Dying Act 2019
4


5    177.       Section 28 amended
6               After section 28(1)(a)(ii) insert:
7

8                              (iia)    the Voluntary Assisted Dying Act 2019;
9

10   178.       Section 83 amended
11              After section 83(2) insert:
12

13              (3)    Regulations referred to in subsection (1) cannot make
14                     provision in relation to the supply or prescription, for
15                     the purposes of the Voluntary Assisted Dying Act 2019,
16                     of a drug of addiction that is a voluntary assisted dying
17                     substance.
18


19   179.       Section 115 amended
20              In section 115(1)(a):
21                (a) in subparagraph (iii) delete "substance," and insert:
22

23                      substance; or
24

25               (b)    after subparagraph (iii) insert:
26

27                             (iv)     a voluntary assisted dying substance
28                                      prescribed, supplied, possessed or used
29                                      for the purposes of the Voluntary
30                                      Assisted Dying Act 2019,
31


     page 110
                                            Voluntary Assisted Dying Bill 2019
                         Consequential amendments to other Acts       Part 12
                             Misuse of Drugs Act 1981 amended      Division 6
                                                                        s. 180



1             Division 6 -- Misuse of Drugs Act 1981 amended
2    180.     Act amended
3             This Division amends the Misuse of Drugs Act 1981.

4    181.     Section 5C inserted
5             At the end of Part I insert:
6


7           5C.     Authorisation under Voluntary Assisted Dying
8                   Act 2019
9             (1)   For the purposes of this Act, a person is authorised
10                  under the Voluntary Assisted Dying Act 2019 to
11                  prepare, sell or supply a prohibited drug if --
12                    (a) the person is authorised by section 58, 59, 63
13                          or 67 of that Act to prepare or supply the drug;
14                          and
15                    (b) the preparation or supply is in accordance with
16                          that Act.
17            (2)   For the purposes of this Act, a person is authorised
18                  under the Voluntary Assisted Dying Act 2019 to
19                  possess a prohibited drug if --
20                    (a) the person is authorised by section 58, 59, 63,
21                          67, 75 or 77 of that Act to receive or possess
22                          the drug; and
23                   (b) the receipt or possession is in accordance with
24                          that Act.
25            (3)   For the purposes of this Act, a person is authorised
26                  under the Voluntary Assisted Dying Act 2019 to use a
27                  prohibited drug if --
28                    (a) the person is authorised by section 58 or 59 of
29                          that Act to prepare, self-administer or
30                          administer the drug; and


                                                                       page 111
     Voluntary Assisted Dying Bill 2019
     Part 12         Consequential amendments to other Acts
     Division 6      Misuse of Drugs Act 1981 amended
     s. 182



1                      (b)    the preparation, self-administration or
2                             administration is in accordance with that Act.
3


4    182.       Section 5 amended
5               In section 5(3):
6                 (a) after paragraph (a) insert:
7

8                      (aa)   that the preparation, sale or supply of the drug
9                             was by a person authorised under the Voluntary
10                            Assisted Dying Act 2019 to prepare, sell or
11                            supply the drug; or
12

13               (b)   in paragraph (b) delete "Act or the Medicines and
14                     Poisons Act 2014" and insert:
15

16                     Act, the Medicines and Poisons Act 2014 or the
17                     Voluntary Assisted Dying Act 2019
18


19   183.       Section 6 amended
20      (1)     In section 6(3)(a) and (b) delete "Act or the Medicines and
21              Poisons Act 2014" and insert:
22

23              Act, the Medicines and Poisons Act 2014 or the Voluntary
24              Assisted Dying Act 2019
25

26      (2)     In section 6(4) and (5) delete "Act or the Medicines and Poisons
27              Act 2014." and insert:
28

29              Act, the Medicines and Poisons Act 2014 or the Voluntary
30              Assisted Dying Act 2019.
31




     page 112
                                         Voluntary Assisted Dying Bill 2019
                      Consequential amendments to other Acts       Part 12
                          Misuse of Drugs Act 1981 amended      Division 6
                                                                     s. 184



1    184.   Section 7 amended
2           In section 7(3)(a) and (b) delete "Act or the Medicines and
3           Poisons Act 2014" and insert:
4

5           Act, the Medicines and Poisons Act 2014 or the Voluntary
6           Assisted Dying Act 2019
7


8    185.   Section 7B amended
9           In section 7B(7)(a) and (b)(i) delete "Act or the Medicines and
10          Poisons Act 2014" and insert:
11

12          Act, the Medicines and Poisons Act 2014 or the Voluntary
13          Assisted Dying Act 2019
14


15   186.   Section 27 amended
16          In section 27(1):
17            (a) in paragraph (a)(ii) delete "Act or under the Medicines
18                  and Poisons Act 2014" and insert:
19

20                 Act, the Medicines and Poisons Act 2014 or the
21                 Voluntary Assisted Dying Act 2019
22

23           (b)   in paragraph (b) delete "Act or by or under the
24                 Medicines and Poisons Act 2014" and insert:
25

26                 Act, the Medicines and Poisons Act 2014 or the
27                 Voluntary Assisted Dying Act 2019
28


29




                                                                     page 113
Voluntary Assisted Dying Bill 2019


Defined terms



                                              Defined terms
            [This is a list of terms defined and the provisions where they are defined.
                                   The list is not part of the law.]
      Defined term                                                                                            Provision(s)
      administering practitioner .....................................................................................5
      administering practitioner transfer form ........................................................ 63(3)
      administration .......................................................................................................5
      administration decision .........................................................................................5
      administration decision and prescription form ............................................... 60(1)
      ambulance officer ........................................................................................ 115(1)
      applied provisions ........................................................................................ 109(1)
      approved form .......................................................................................................5
      approved training ..................................................................................................5
      audiovisual communication ......................................................................... 158(1)
      authorised disposal form ............................................................................ 5, 76(1)
      authorised disposer .................................................................................... 5, 79(4)
      authorised health professional ........................................................................ 80(1)
      authorised official ........................................................................................ 159(1)
      authorised supplier ..................................................................................... 5, 79(2)
      authorised supply form .................................................................................. 74(1)
      Board.....................................................................................................................5
      business day ..........................................................................................................5
      cause of death certificate ................................................................................ 82(1)
      CEO ......................................................................................................................5
      completed .......................................................................................................... 5, 8
      consultation referral form .............................................................................. 33(1)
      consulting assessment ...........................................................................................5
      consulting assessment report form ............................................................. 5, 40(2)
      consulting practitioner ..........................................................................................5
      contact details .......................................................................................................5
      contact person .......................................................................................................5
      contact person appointment form ............................................................... 5, 66(1)
      coordinating practitioner .......................................................................................5
      coordinating practitioner transfer form ........................................................ 157(4)
      decision-making capacity............................................................................. 5, 6(2)
      Department............................................................................................................5
      designated period ........................................................................................... 48(1)
      disability ...............................................................................................................5
      document...................................................................................................... 124(1)
      eligibility criteria ...................................................................................................5
      eligible applicant ................................................................................................. 83
      family member ......................................................................................................5
      final request...........................................................................................................5
      final request form ........................................................................................... 50(1)


page 114
                                                             Voluntary Assisted Dying Bill 2019



                                                                                                    Defined terms



final review ...........................................................................................................5
final review form ....................................................................................... 5, 51(1)
first assessment .....................................................................................................5
first assessment report form ....................................................................... 5, 29(2)
first request ...........................................................................................................5
first request form ............................................................................................ 22(1)
general registration ........................................................................................ 17(1)
health care worker .......................................................................................... 10(1)
health facility ............................................................................................... 162(1)
health service ........................................................................................................5
ineligible witness ........................................................................................... 44(1)
information................................................................................................... 124(1)
information about a proceeding ................................................................... 107(1)
interpreter ..................................................................................................... 162(1)
judicial member ............................................................................................. 92(1)
lifesaving treatment ...................................................................................... 115(1)
limited registration ......................................................................................... 17(1)
medical practitioner ..............................................................................................5
medication chart ............................................................................................. 70(1)
medicine ................................................................................................................5
member .................................................................................................................5
metropolitan region ...............................................................................................5
misconduct ................................................................................................... 128(1)
new practitioner ............................................................................................. 63(3)
non-judicial member ...................................................................................... 92(1)
nurse practitioner ..................................................................................................5
original practitioner ........................................................................... 63(1), 157(1)
palliative care and treatment .................................................................................5
party to the proceeding........................................................................................ 83
patient ...................................................................................................................5
personal information .............................................................................................5
practitioner administration decision ........................................................... 5, 56(1)
practitioner administration form ................................................................ 5, 61(3)
practitioner disposal form .......................................................................... 5, 78(1)
prepare ..................................................................................................................5
prescribe ................................................................................................................5
prescribed substance .............................................................................................5
prescription ................................................................................................ 5, 70(3)
professional care services .....................................................................................5
protected person ........................................................................................... 115(1)
provisional registration .................................................................................. 17(1)
public sector employee .................................................................................. 92(1)
publish.......................................................................................................... 107(1)
recipient ......................................................................................................... 72(1)
regional resident ....................................................................................................5


                                                                                                           page 115
Voluntary Assisted Dying Bill 2019


Defined terms



      registered health practitioner .................................................................................5
      request and assessment process.............................................................................5
      request for access to voluntary assisted dying ............................................. 100(1)
      review application ............................................................................................... 83
      reviewed decision ............................................................................................... 83
      revocation form .............................................................................................. 57(3)
      Schedule 4 poison .......................................................................................... 69(1)
      Schedule 8 poison .......................................................................................... 69(1)
      self-administration decision ....................................................................... 5, 56(1)
      specialist registration ..................................................................................... 17(1)
      structured administration and supply arrangement ........................................ 81(1)
      supply ....................................................................................................................5
      Tribunal .................................................................................................................5
      unused or remaining substance ...................................................................... 77(4)
      voluntary assisted dying ........................................................................................5
      voluntary assisted dying decision .................................................................... 6(1)
      voluntary assisted dying substance .............................................................. 5, 7(2)
      witness ........................................................................................................... 61(3)
      written declaration ................................................................................................5