(B) An advance care planning consultation with respect to an individual may be conducted more frequently than provided under paragraph (1) if there is a significant change in the health condition of the individual, including diagnosis of a chronic, progressive, life-limiting disease, a life-threatening or terminal diagnosis or life-threatening injury, or upon admission to a skilled nursing facility, a long-term care facility (as defined by the Secretary), or a hospice program.Yeah, that's how I want to spend my dying days. Meeting with bureaucrats however frequently they want, to see if I might be enticed to sign a "life-sustaining care" order. Oh wait, the order doesn't have to be signed by me after all:
For purposes of this section, the term order regarding life sustaining treatment means, with respect to an individual, an actionable medical order relating to the treatment of that individual that (i) is signed and dated by a physician...or another health care professional (as specified by the Secretary)So presumably the same bureaucrats who determine how much drugs I get dispensed and when will be responsible for "effectively communicat[ing]" my "preferences regarding life-sustaining treatment".
No problem. The night shift janitor can help you with your decision.