Rep. Robyn Gabel
Filed: 5/23/2025
 
 
 




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1
AMENDMENT TO SENATE BILL 1950


2    AMENDMENT NO. ______. Amend Senate Bill 1950 by replacing 
3everything after the enacting clause with the following:

4    "Section 1. Short title; references to Act. 
5    (a) Short Title. This Act may be cited as the End-of-Life 
6Options for Terminally Ill Patients Act.
7    (b) References to Act. This Act may be referred to as Deb's 
8Law.

9    Section 5. Findings and intent. 
10    (a) The General Assembly finds that: 
11        (1) Medical aid in dying is part of general medical 
12 care and complements other end-of-life options, such as 
13 comfort care, pain control, palliative care, and hospice 
14 care, for individuals to have an end-of-life experience 
15 aligned with their beliefs and values. 
16        (2) The availability of medical aid in dying provides 
 
 
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1 an additional end-of-life care option for terminally ill 
2 individuals who seek to retain their autonomy and some 
3 level of control over the progression of the disease as 
4 they near the end of life or to ease unnecessary pain and 
5 suffering. 
6        (3) Illinoisans facing a terminal diagnosis have been 
7 at the forefront of statewide efforts to provide the full 
8 range of end-of-life care options available in 10 states 
9 and the District of Columbia, to qualified mentally 
10 capable terminal adults residing in Illinois through the 
11 addition of medical aid-in-dying care as an end-of-life 
12 option in their home state. Advocates include: 
13            (A) Deb Robertson, a lifelong Illinois resident 
14 who has been living with a rare form of her terminal 
15 illness, who wants to live but knows that she is going 
16 to die, and who has been actively engaged in advocacy 
17 to change Illinois law because she doesn't want to 
18 move to another state in order to access the 
19 end-of-life medical care that would bring her comfort 
20 and reduce her fear related to the pain of dying. 
21            (B) Andrew Flack, who could not move back to 
22 Illinois to be with his family after his terminal 
23 diagnosis and instead had to live hundreds of miles 
24 away from his family, in a state that offered medical 
25 aid-in-dying care, in order to have a painless death 
26 surrounded by his loved ones. 
 
 
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1            (C) Miguel Carrasquillo, who despite enduring 
2 excruciatingly painful treatments to cure his cancer, 
3 which spread to his liver, stomach, testicles, and 
4 other organs, continued to advocate for a change in 
5 the law until his death, so other Illinoisans with a 
6 terminal diagnosis would not be forced to suffer at 
7 the end of their lives and die in pain as he did but 
8 would instead have the option of medical aid-in-dying 
9 care. 
10        (4) Illinoisans throughout the State, across 
11 demographics, including religion, political affiliation, 
12 race, gender, disability, and age, also support the 
13 inclusion of medical aid-in-dying care in the options 
14 available for end-of-life care. Supporters and advocates 
15 recognize that mentally capable adult individuals have a 
16 fundamental right to determine their own medical treatment 
17 options in accordance with their own values, beliefs, or 
18 personal preferences, and having the option of medical aid 
19 in dying is an expression of this fundamental right. This 
20 includes advocates, like Lowell Sachnoff, who, alongside 
21 his wife Fay Clayton, was a tireless advocate for the 
22 expansion of end-of-life options for terminally ill adults 
23 over the course of a decade, up to and including the day he 
24 died. 
25    (b) It is the intent of the General Assembly to uphold both 
26the highest standard of medical care and the full range of 
 
 
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1options for each individual, particularly at the end of life.

2    Section 10. Definitions. As used in this Act:
3    "Adult" means an individual 18 years of age or older.
4    "Advanced practice registered nurse" means an advanced 
5practice registered nurse licensed under the Nurse Practice 
6Act who is certified as a psychiatric mental health 
7practitioner.
8    "Aid in dying" means an end-of-life care option that 
9allows a qualified patient to obtain a prescription for 
10medication pursuant to this Act.
11    "Attending physician" means the physician who has primary 
12responsibility for the care of the patient and treatment of 
13the patient's terminal disease.
14    "Clinical psychologist" means a psychologist licensed 
15under the Clinical Psychologist Licensing Act.
16    "Clinical social worker" means a person licensed under the 
17Clinical Social Work and Social Work Practice Act.
18    "Coercion or undue influence" means the willful attempt, 
19whether by deception, intimidation, or any other means to:
20        (1) cause a patient to request, obtain, or 
21 self-administer medication pursuant to this Act with 
22 intent to cause the death of the patient; or
23        (2) prevent a qualified patient, in a manner that 
24 conflicts with the Health Care Right of Conscience Act, 
25 from obtaining or self-administering medication pursuant 
 
 
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1 to this Act.
2    "Consulting physician" means a physician who is qualified 
3by specialty or experience to make a professional diagnosis 
4and prognosis regarding the patient's disease.
5    "Department" means the Department of Public Health.
6    "Health care entity" means a hospital or hospital 
7affiliate, nursing home, hospice or any other facility 
8licensed under any of the following Acts: the Ambulatory 
9Surgical Treatment Center Act; the Home Health, Home Services, 
10and Home Nursing Agency Licensing Act; the Hospice Program 
11Licensing Act; the Hospital Licensing Act; the Nursing Home 
12Care Act; or the University of Illinois Hospital Act. "Health 
13care entity" does not include a physician.
14    "Health care professional" means a physician, pharmacist, 
15or licensed mental health professional.
16    "Informed decision" means a decision by a patient with 
17mental capacity and a terminal disease to request and obtain a 
18prescription for medication pursuant to this Act, that the 
19qualified patient may self-administer to bring about a 
20peaceful death, after being fully informed by the attending 
21physician and consulting physician of: 
22        (1) the patient's diagnosis and prognosis;
23        (2) the potential risks and benefits associated with 
24 taking the medication to be prescribed;
25        (3) the probable result of taking the medication to be 
26 prescribed;
 
 
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1        (4) the feasible end-of-life care and treatment 
2 options for the patient's terminal disease, including, but 
3 not limited to, comfort care, palliative care, hospice 
4 care, and pain control, and the risks and benefits of 
5 each;
6        (5) the patient's right to withdraw a request pursuant 
7 this Act, or consent for any other treatment, at any time; 
8 and
9        (6) the patient's right to choose not to obtain the 
10 drug or to choose to obtain the drug but not to ingest it.
11    "Licensed mental health care professional" means a 
12psychiatrist, clinical psychologist, clinical social worker, 
13or advanced practice registered nurse.
14    "Mental capacity" means that, in the opinion of the 
15attending physician or the consulting physician or, if the 
16opinion of a licensed mental health care professional is 
17required under Section 45, the licensed mental health care 
18professional, the patient requesting medication pursuant to 
19this Act has the ability to make and communicate an informed 
20decision.
21    "Oral request" means an affirmative statement that 
22demonstrates a contemporaneous affirmatively stated desire by 
23the patient seeking aid in dying.
24    "Pharmacist" means an individual licensed to engage in the 
25practice of pharmacy under the Pharmacy Practice Act.
26    "Physician" means a person licensed to practice medicine 
 
 
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1in all of its branches under the Medical Practice Act of 1987.
2    "Psychiatrist" means a physician who has successfully 
3completed a residency program in psychiatry accredited by 
4either the Accreditation Council for Graduate Medical 
5Education or the American Osteopathic Association.
6    "Qualified patient" means an adult Illinois resident with 
7the mental capacity to make medical decisions who has 
8satisfied the requirements of this Act in order to obtain a 
9prescription for medication to bring about a peaceful death. 
10No person will be considered a "qualified patient" under this 
11Act solely because of advanced age, disability, or a mental 
12health condition, including depression.
13    "Self-administer" means an affirmative, conscious, 
14voluntary action, performed by a qualified patient, to ingest 
15medication prescribed pursuant to this Act to bring about the 
16patient's peaceful death. "Self-administer" does not include 
17administration by parenteral injection or infusion.
18    "Terminal disease" means an incurable and irreversible 
19disease that will, within reasonable medical judgment, result 
20in death within 6 months. The existence of a terminal disease, 
21as determined after in-person examination by the patient's 
22physician and concurrence by another physician, shall be 
23documented in writing in the patient's medical record. A 
24diagnosis of a major depressive disorder, as defined in the 
25current edition of the Diagnostic and Statistical Manual of 
26Mental Disorders, alone does not qualify as a terminal 
 
 
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1disease.

2    Section 15. Informed consent.
3    (a) Nothing in this Act may be construed to limit the 
4amount of information provided to a patient to ensure the 
5patient can make a fully informed health care decision.
6    (b) An attending physician must provide sufficient 
7information to a patient regarding all appropriate end-of-life 
8care options, including comfort care, hospice care, palliative 
9care, and pain control, as well as the foreseeable risks and 
10benefits of each, so that the patient can make a voluntary and 
11affirmative decision regarding the patient's end-of-life care.
12    (c) If a patient makes a request for the patient's medical 
13records to be transmitted to an alternative physician, the 
14patient's medical records shall be transmitted without undue 
15delay.

16    Section 20. Standard of care. Nothing contained in this 
17Act shall be interpreted to lower the applicable standard of 
18care for the health care professionals participating under 
19this Act.

20    Section 25. Qualification.
21    (a) A qualified patient with a terminal disease may 
22request a prescription for medication under this Act in the 
23following manner:
 
 
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1        (1) The qualified patient may orally request a 
2 prescription for medication under this Act from the 
3 patient's attending physician.
4        (2) The oral request from the qualified patient shall 
5 be documented by the attending physician.
6        (3) The qualified patient shall provide a written 
7 request in accordance with this Act to the patient's 
8 attending physician after making the initial oral request.
9        (4) The qualified patient shall repeat the oral 
10 request to the patient's attending physician no less than 
11 5 days after making the initial oral request.
12    (b) The attending and consulting physicians of a qualified 
13patient shall have met all the requirements of Sections 35 and 
1440.
15    (c) Notwithstanding subsection (a), if the individual's 
16attending physician has medically determined that the 
17individual will, within reasonable medical judgment, die 
18within 5 days after making the initial oral request under this 
19Section, the individual may satisfy the requirements of this 
20Section by providing a written request and reiterating the 
21oral request to the attending physician at any time after 
22making the initial oral request.
23    (d) At the time the patient makes the second oral request, 
24the attending physician shall offer the patient an opportunity 
25to rescind the request.
26    (e) Oral and written requests for aid in dying may be made 
 
 
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1only by the patient and shall not be made by the patient's 
2surrogate decision-maker, health care proxy, health care 
3agent, attorney-in-fact for health care, guardian, nor via 
4advance health care directive.
5    (f) If a requesting patient decides to transfer care to an 
6alternative physician, the records custodian shall, upon 
7written request, transmit, without undue delay, the patient's 
8medical records, including written documentation of the dates 
9of the patient's requests concerning aid in dying.
10    (g) A transfer of care or medical records does not toll or 
11restart any waiting period.

12    Section 30. Form of written request.
13    (a) A written request for medication under this Act shall 
14be in substantially the form under subsection (e), signed and 
15dated by the requesting patient, and witnessed in the presence 
16of the patient by at least 2 witnesses who attest that to the 
17best of their knowledge and belief the patient has mental 
18capacity, is acting voluntarily, and is not being coerced or 
19unduly influenced to sign the request.
20    (b) One of the witnesses required under this Section must 
21be a person who is not: 
22        (1) a relative of the patient by blood, marriage, 
23 civil union, registered domestic partnership, or adoption;
24        (2) a person who, at the time the request is signed, 
25 would be entitled to any portion of the estate of the 
 
 
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1 qualified patient upon death, under any will or by 
2 operation of law; or
3        (3) an owner, operator, or employee of a health care 
4 entity where the qualified patient is receiving medical 
5 treatment or is a resident.
6    (c) The patient's attending physician at the time the 
7request is signed shall not be a witness.
8    (d) If a person uses an interpreter, the interpreter shall 
9not be a witness.
10    (e) The written request for medication under this Act 
11shall be substantially as follows:

12
"Request for Medication to End My Life in a Peaceful Manner


13    I, ............... (NAME OF PATIENT), am an adult of sound 
14mind, and a resident of Illinois. I have been diagnosed with 
15............... (NAME OF CONDITION) and given a terminal 
16disease prognosis of 6 months or less to live by my attending 
17physician.
18    I affirm that my terminal disease diagnosis was given or 
19confirmed during at least one in-person visit to a health care 
20professional.
21    I have been fully informed of the feasible alternatives 
22and concurrent or additional treatment opportunities for my 
23terminal disease, including, but not limited to, comfort care, 
24palliative care, hospice care, or pain control, as well as the 
 
 
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1potential risks and benefits of each. I have been offered, 
2have received, or have been offered and received resources or 
3referrals to pursue these alternatives and concurrent or 
4additional treatment opportunities for my terminal disease.
5    I have been fully informed of the nature of the medication 
6to be prescribed, including the risks and benefits, and I 
7understand that the likely outcome of self-administering the 
8medication is death.
9    I understand that I can rescind this request at any time, 
10that I am under no obligation to fill the prescription once 
11written, and that I have no duty to self-administer the 
12medication if I obtain it.
13    I request that my attending physician furnish a 
14prescription for medication that will end my life if I choose 
15to self-administer it, and I authorize my attending physician 
16to transmit the prescription to a pharmacist to dispense the 
17medication at a time of my choosing.
18    I make this request voluntarily, free from coercion or 
19undue influence.
20Dated: ................
21Signed..............................................
22
(patient)
23Dated: ................
24Signed...........................................
25
(witness #1)
26Dated: ................
 
 
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1Signed..........................................
2
(witness #2)"


3(f) The interpreter attachment for a written request for 
4medication under this Act shall be substantially as follows:

5
"Request for Medication to End My Life in a Peaceful Manner
6
Interpreter Attachment


7    I, ............... (NAME OF INTERPRETER), am fluent in 
8English and ............... (LANGUAGE OF PATIENT, INCLUDING 
9SIGN LANGUAGE).
10    On ....... (DATE) at approximately ....... (TIME), I read 
11the "Request for Medication to End My Life in a Peaceful 
12Manner" form to ............... (NAME OF PATIENT) in 
13............... (LANGUAGE OF PATIENT, INCLUDING SIGN 
14LANGUAGE).
15    ............... (NAME OF PATIENT) affirmed to me that they 
16understand the content of this form, that they desire to sign 
17this form under their own power and volition, and that they 
18requested to sign the form after consultations with an 
19attending physician.
20    Under penalty of perjury, I declare that I am fluent in 
21English and ............... (LANGUAGE OF PATIENT, INCLUDING 
22SIGN LANGUAGE) and that the contents of this form, to the best 
23of my knowledge, are true and correct. Executed at 
 
 
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1.................................. (NAME OF CITY, COUNTY, AND 
2STATE) on ....... (DATE).
3Interpreter's signature: ....................................
4Interpreter's printed name: .................................
5Interpreter's address: ......................................".

6    Section 35. Attending physician responsibilities. 
7    (a) Following the request of a patient for aid in dying, 
8the attending physician shall conduct an evaluation of the 
9patient and:
10        (1) determine whether the patient has a terminal 
11 disease or has been diagnosed as having a terminal 
12 disease;
13        (2) determine whether a patient has mental capacity;
14        (3) confirm that the patient's request does not arise 
15 from coercion or undue influence;
16        (4) inform the patient of:
17            (A) the diagnosis;
18            (B) the prognosis;
19            (C) the potential risks, benefits, and probable 
20 result of self-administering the prescribed medication 
21 to bring about a peaceful death;
22            (D) the potential benefits and risks of feasible 
23 alternatives, including, but not limited to, 
24 concurrent or additional treatment options for the 
25 patient's terminal disease, comfort care, palliative 
 
 
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1 care, hospice care, and pain control; and
2            (E) the patient's right to rescind the request for 
3 medication pursuant to this Act at any time;
4        (5) inform the patient that there is no obligation to 
5 fill the prescription nor an obligation to self-administer 
6 the medication, if it is obtained;
7        (6) provide the patient with a referral for comfort 
8 care, palliative care, hospice care, pain control, or 
9 other end-of-life treatment options as requested by the 
10 patient and as clinically indicated;
11        (7) refer the patient to a consulting physician for 
12 medical confirmation that the patient requesting 
13 medication pursuant to this Act:
14            (A) has a terminal disease with a prognosis of 6 
15 months or less to live; and 
16            (B) has mental capacity.
17        (8) include the consulting physician's written 
18 determination in the patient's medical record;
19        (9) refer the patient to a licensed mental health 
20 professional in accordance with Section 45 if the 
21 attending physician observes signs that the individual may 
22 not be capable of making an informed decision;
23        (10) include the licensed mental health professional's 
24 written determination in the patient's medical record, if 
25 such determination was requested;
26        (11) inform the patient of the benefits of notifying 
 
 
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1 the next of kin of the patient's decision to request 
2 medication pursuant to this Act;
3        (12) fulfill the medical record documentation 
4 requirements;
5        (13) ensure that all steps are carried out in 
6 accordance with this Act before providing a prescription 
7 to a qualified patient for medication pursuant to this Act 
8 including:
9            (A) confirming that the patient has made an 
10 informed decision to obtain a prescription for 
11 medication;
12            (B) offering the patient an opportunity to rescind 
13 the request for medication; and
14            (C) providing information to the patient on:
15                (i) the recommended procedure for 
16 self-administering the medication to be 
17 prescribed;
18                (ii) the safekeeping and proper disposal of 
19 unused medication in accordance with State and 
20 federal law; 
21                (iii) the importance of having another person 
22 present when the patient self-administers the 
23 medication to be prescribed; and
24                (iv) not taking the aid-in-dying medication in 
25 a public place;
26        (14) deliver, in accordance with State and federal 
 
 
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1 law, the prescription personally, by mail, or through an 
2 authorized electronic transmission to a licensed 
3 pharmacist who will dispense the medication, including any 
4 ancillary medications, to the qualified patient, or to a 
5 person expressly designated by the qualified patient in 
6 person or with a signature required on delivery, by mail 
7 service, or by messenger service;
8        (15) if authorized by the Drug Enforcement 
9 Administration, dispense the prescribed medication, 
10 including any ancillary medications, to the qualified 
11 patient or a person designated by the qualified patient; 
12 and
13        (16) include, in the qualified patient's medical 
14 record, the patient's diagnosis and prognosis, 
15 determination of mental capacity, the date of each oral 
16 request, a copy of the written request, a notation that 
17 the requirements under this Section have been completed, 
18 and an identification of the medication and ancillary 
19 medications prescribed to the qualified patient pursuant 
20 to this Act.
21    (b) Notwithstanding any other provision of law, the 
22attending physician may sign the patient's death certificate.

23    Section 40. Consulting physician responsibilities. A 
24consulting physician shall:
25        (1) conduct an evaluation of the patient and review 
 
 
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1 the patient's relevant medical records, including the 
2 evaluation pursuant to Section 45, if such evaluation was 
3 necessary; 
4        (2) confirm in writing to the attending physician that 
5 the patient:
6            (A) has requested a prescription for aid-in-dying 
7 medication;
8            (B) has a documented terminal disease;
9            (C) has mental capacity or has provided 
10 documentation that the consulting health care 
11 professional has referred the individual for further 
12 evaluation in accordance with Section 45; and
13            (D) is acting voluntarily, free from coercion or 
14 undue influence.

15    Section 45. Referral for determination that the requesting 
16patient has mental capacity.
17    (a) If either the attending physician or the consulting 
18physician has doubts whether the individual has mental 
19capacity and if either one is unable to confirm that the 
20individual is capable of making an informed decision, the 
21attending physician or consulting physician shall refer the 
22patient to a licensed mental health professional for 
23determination regarding mental capability.
24    (b) The licensed mental health professional shall 
25additionally determine whether the patient is suffering from a 
 
 
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1psychiatric or psychological disorder causing impaired 
2judgment.
3    (c) The licensed mental health professional who evaluates 
4the patient under this Section shall submit to the requesting 
5attending or consulting physician a written determination of 
6whether the patient has mental capacity.
7    (d) If the licensed mental health professional determines 
8that the patient does not have mental capacity, or is 
9suffering from a psychiatric or psychological disorder causing 
10impaired judgment, the patient shall not be deemed a qualified 
11patient and the attending physician shall not prescribe 
12medication to the patient under this Act.

13    Section 50. Residency requirement.
14    (a) Only requests made by Illinois residents may be 
15granted under this Act.
16    (b) A patient is able to establish residency through any 
17one or more of the following means:
18        (1) possession of a driver's license or other 
19 identification issued by the Secretary of State or State 
20 of Illinois;
21        (2) registration to vote in Illinois;
22        (3) evidence that the person owns, rents, or leases 
23 property in Illinois;
24        (4) the location of any dwelling occupied by the 
25 person;
 
 
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1        (5) the place where any motor vehicle owned by the 
2 person is registered;
3        (6) the residence address, not a post office box, 
4 shown on an income tax return filed for the year preceding 
5 the year in which the person initially makes an oral 
6 request under this Act;
7        (7) the residence address, not a post office box, at 
8 which the person's mail is received;
9        (8) the residence address, not a post office box, 
10 shown on any unexpired resident hunting or fishing or 
11 other licenses held by the person;
12        (9) the receipt of any public benefit conditioned upon 
13 residency; or
14        (10) any other objective facts tending to indicate a 
15 person's place of residence is in Illinois.

16    Section 55. Safe disposal of unused medications. A person 
17who has custody or control of medication prescribed pursuant 
18to this Act after the qualified patient's death shall dispose 
19of the medication by delivering it to the nearest qualified 
20facility that properly disposes of controlled substances or, 
21if none is available, by lawful means in accordance with 
22applicable State and federal guidelines.

23    Section 60. Health care professional protections; no duty 
24to provide aid in dying.
 
 
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1    (a) A health care professional shall not be under any 
2duty, by law or contract, to participate in the provision of 
3aid-in-dying care to a patient as set forth in this Act.
4    (b) A health care professional shall not be subject to 
5civil or criminal liability for participating or refusing to 
6participate in the provision of aid-in-dying care to a patient 
7in good faith compliance with this Act.
8    (c) Except as set forth in Section 65, a health care entity 
9or licensing board shall not subject a health care 
10professional to censure, discipline, suspension, loss of 
11license, loss of privileges, loss of membership, or other 
12penalty for participating or refusing to participate in 
13accordance with this Act.
14    (d) A health care professional may choose not to engage in 
15aid-in-dying care.
16    (e) Only willing health care professionals shall provide 
17aid-in-dying care in accordance with this Act. If a health 
18care professional is unable or unwilling to carry out a 
19patient's request under this Act, and the patient transfers 
20the patient's care to a new health care professional, the 
21prior health care professional shall transmit, upon request, a 
22copy of the patient's relevant medical records to the new 
23health care professional without undue delay.
24    (f) A health care professional shall not engage in false, 
25misleading, or deceptive practices relating to a willingness 
26to qualify a patient or provide aid-in-dying care. 
 
 
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1Intentionally misleading a patient constitutes coercion or 
2undue influence.
3    (g) The provisions of the Health Care Right of Conscience 
4Act apply to this Act and are incorporated by reference.

5    Section 65. Health care entity protections and permissible 
6prohibitions and duties.
7    (a) A health care entity shall not be under any duty, by 
8law or contract, to participate in the provision of 
9aid-in-dying care to a patient as set forth in this Act. 
10    (b) A health care entity shall not be subject to civil or 
11criminal liability for participating or refusing to 
12participate in the provision of aid-in-dying care to a patient 
13in good faith compliance with this Act.
14    (c) A health care entity may prohibit health care 
15professionals, staff, employees, or independent contractors, 
16from practicing aid-in-dying care while performing duties for 
17the entity. A prohibiting entity must provide advance notice 
18in writing to health care professionals and staff at the time 
19of hiring, contracting with, or privileging and on a yearly 
20basis thereafter. Such policies prohibiting aid-in-dying care 
21may include provisions for the health care entity to take 
22disciplinary action, including, but not limited to, 
23termination for those employees, independent contractors, and 
24staff who violate the health care entity's policies, 
25consistent with existing disciplinary policies.
 
 
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1    (d) If a patient wishes to transfer care to another health 
2care entity, the prohibiting entity shall coordinate a timely 
3transfer of care, including transmitting, without undue delay, 
4the patient's medical records.
5    (e) No health care entity shall prohibit a health care 
6professional from:
7        (1) providing information to a patient regarding the 
8 patient's health status, including, but not limited to, 
9 diagnosis, prognosis, recommended treatment and treatment 
10 alternatives, and the risks and benefits of each;
11        (2) providing information regarding health care 
12 services available pursuant to this Act, information about 
13 relevant community resources, and how to access those 
14 resources for obtaining care of the patient's choice;
15        (3) practicing aid-in-dying care outside the scope of 
16 the health care professional's employment or contract with 
17 the prohibiting entity and off the premises of the 
18 prohibiting entity; provided, however, that in such event 
19 the health care professional shall explicitly tell the 
20 patient that such health care professional is providing 
21 such services independently and not as a representative of 
22 their associated health care entity; or
23        (4) being present, if outside the scope of the health 
24 care professional's employment or contractual duties, when 
25 a qualified patient self-administers medication prescribed 
26 pursuant to this Act or at the time of death, if requested 
 
 
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1 by the qualified patient or their representative.
2    (f) A health care entity shall not engage in false, 
3misleading, or deceptive practices relating to its policy 
4around end-of-life care services, including whether it has a 
5policy that prohibits affiliated health care professionals 
6from practicing aid-in-dying care; or intentionally denying a 
7patient access to medication pursuant to this Act by 
8intentionally failing to transfer a patient and the patient's 
9medical records to another health care professional in a 
10timely manner. Intentionally misleading a patient or deploying 
11misinformation to obstruct access to services pursuant to this 
12Act constitutes coercion or undue influence.
13    (g) The provisions of the Health Care Right of Conscience 
14Act apply to this Act and are incorporated by reference.
15    (h) If any part of this Section is found to be in conflict 
16with federal requirements which are a prescribed condition to 
17receipt of federal funds, the conflicting part of this Section 
18is inoperative solely to the extent of the conflict with 
19respect to the entity directly affected, and such finding or 
20determination shall not affect the operation of the remainder 
21of the Section or this Act.

22    Section 70. Immunities for actions in good faith; 
23prohibition against reprisals.
24    (a) Except as set forth in Section 65, a health care 
25professional or health care entity shall not be subject to 
 
 
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1civil or criminal liability, licensing sanctions, or other 
2professional disciplinary action for actions taken in good 
3faith compliance with this Act.
4    (b) If a health care professional or health care entity is 
5unable or unwilling to carry out an individual's request for 
6aid in dying, the professional or entity shall, at a minimum:
7        (1) inform the individual of the professional's or 
8 entity's inability or unwillingness;
9        (2) refer the individual either to a health care 
10 professional who is able and willing to evaluate and 
11 qualify the individual or to another individual or entity 
12 to assist the requesting individual in seeking aid in 
13 dying, in accordance with the Health Care Right of 
14 Conscience Act; and
15        (3) note, in the medical record, the individual's date 
16 of request and health care professional's notice to the 
17 individual of the health care professional's unwillingness 
18 or inability to carry out the individual's request.
19    (c) Except as set forth in Section 65, a health care entity 
20or licensing board shall not subject a health care 
21professional to censure, discipline, suspension, loss of 
22license, loss of privileges, loss of membership, or other 
23penalty for engaging in good faith compliance with this Act.
24    (d) Except as set forth in Section 65, a health care 
25professional, health care entity, or licensing board shall not 
26subject a health care professional to discharge, demotion, 
 
 
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1censure, discipline, suspension, loss of license, loss of 
2privileges, loss of membership, discrimination, or any other 
3penalty for providing aid-in-dying care in accordance with the 
4standard of care and in good faith under this Act when:
5        (1) engaged in the outside practice of medicine and 
6 off of the objecting health care entity's premises; or
7        (2) providing scientific and accurate information 
8 about aid-in-dying care to a patient when discussing 
9 end-of-life care options.
10    (e) A physician is not subject to civil or criminal 
11liability or professional discipline if, at the request of the 
12qualified patient, the physician is present outside the scope 
13of the physician's employment contract and off the entity's 
14premises, when the qualified patient self-administers 
15medication pursuant to this Act, or at the time of death.
16    (f) A physician who is present at self-administration may, 
17without civil or criminal liability, assist the qualified 
18patient by preparing the medication prescribed pursuant to 
19this Act.
20    (g) A request by a patient for aid in dying does not alone 
21constitute grounds for neglect or elder abuse for any purpose 
22of law, nor shall it be the sole basis for appointment of a 
23guardian.
24    (h) This Section does not limit civil liability for 
25intentional misconduct.

 
 
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1    Section 75. Reporting requirements.
2    (a) Within 45 days after the effective date of this Act, 
3the Department shall create and post to its website an 
4Attending Physician Checklist Form and Attending Physician 
5Follow-Up Form to facilitate collection of the information 
6described in this Section. Failure to create or post the 
7Attending Physician Checklist Form, the Attending Physician 
8Follow-Up Form, or both shall not suspend the effective date 
9of this Act.
10    (b) Within 30 calendar days of providing a prescription 
11for medication pursuant to this Act, the attending physician 
12shall submit to the Department an Attending Physician 
13Checklist Form with the following information:
14        (1) the qualifying patient's name and date of birth;
15        (2) the qualifying patient's terminal diagnosis and 
16 prognosis;
17        (3) notice that the requirements under this Act were 
18 completed; and
19        (4) notice that medication has been prescribed 
20 pursuant to this Act.
21    (c) Within 60 calendar days of notification of a qualified 
22patient's death from self-administration of medication 
23prescribed pursuant to this Act, the attending physician shall 
24submit to the Department, an Attending Physician Follow-Up 
25Form with the following information:
26        (1) the qualified patient's name and date of birth;
 
 
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1        (2) the date of the qualified patient's death; and 
2        (3) a notation of whether the qualified patient was 
3 enrolled in hospice services at the time of the qualified 
4 patient's death.
5    (d) The information collected shall be confidential and 
6shall be collected in a manner that protects the privacy of the 
7patient, the patient's family, and any health care 
8professional involved with the patient under the provisions of 
9this Act. The information shall be privileged and strictly 
10confidential, and shall not be disclosed, discoverable, or 
11compelled to be produced in any civil, criminal, 
12administrative, or other proceeding.
13    (e) One year after the effective date of this Act, and each 
14year thereafter, the Department shall create and post on its 
15website a public statistical report of nonidentifying 
16information. The report shall be limited to:
17        (1) the number of prescriptions for medication written 
18 pursuant to this Act;
19        (2) the number of physicians who wrote prescriptions 
20 for medication pursuant to this Act;
21        (3) the number of qualified patients who died 
22 following self-administration of medication prescribed and 
23 dispensed pursuant to this Act; and 
24        (4) the number of people who died due to using an 
25 aid-in-dying drug, with demographic percentages organized 
26 by the following characteristics as aggregated and 
 
 
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1 de-identified data sets:
2            (A) age at death;
3            (B) education level;
4            (C) race;
5            (D) gender;
6            (E) type of insurance, including whether the 
7 patient had insurance;
8            (F) underlying illness; and
9            (G) enrollment in hospice.
10    (f) Except as otherwise required by law, the information 
11collected by the Department is not a public record, is not 
12available for public inspection, and is not available through 
13the Freedom of Information Act.
14    (g) Willful failure or refusal to timely submit records 
15required under this Act may result in disciplinary action.

16    Section 80. Effect on construction of wills, contracts, 
17and statutes.
18    (a) No provision in a contract, will, or other agreement, 
19whether written or oral, that would determine whether a 
20patient may make or rescind a request pursuant to this Act is 
21valid.
22    (b) No obligation owing under any contract that is in 
23effect on the effective date of this Act shall be conditioned 
24or affected by a patient's act of making or rescinding a 
25request pursuant to this Act.
 
 
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1    (c) It is unlawful for an insurer to deny or alter health 
2care benefits otherwise available to a patient with a terminal 
3disease based on the availability of aid-in-dying care or 
4otherwise attempt to coerce a patient with a terminal disease 
5to make a request for aid-in-dying medication.
6    (d) Nothing in this Act prevents an insurer from 
7exercising any right to void a policy based on a material 
8misrepresentation, as provided under Section 154 of the 
9Illinois Insurance Code, in an application for insurance.

10    Section 85. Insurance or annuity policies.
11    (a) The sale, procurement, or issuance of a life, health, 
12or accident insurance policy, annuity policy, or the rate 
13charged for a policy shall not be conditioned upon or affected 
14by a patient's act of making or rescinding a request for 
15medication pursuant to this Act.
16    (b) A qualified patient's act of self-administering 
17medication pursuant to this Act does not invalidate any part 
18of a life, health, or accident insurance, or annuity policy.
19    (c) An insurance plan, including medical assistance under 
20Article V of the Illinois Public Aid Code, shall not deny or 
21alter benefits to a patient with a terminal disease who is a 
22covered beneficiary of a health insurance plan, based on the 
23availability of aid-in-dying care, their request for 
24medication pursuant to this Act, or the absence of a request 
25for medication pursuant to this Act. Failure to meet this 
 
 
10400SB1950ham002- 31 -LRB104 10803 AAS 26718 a


1requirement shall constitute a violation of the Illinois 
2Insurance Code.
3    (d) The Department of Insurance shall enforce the 
4provisions of this Act with respect to any life, health, or 
5accident insurance policy or annuity policy pursuant to the 
6enforcement powers granted to it by law. A violation of this 
7Act by any person or entity under the jurisdiction of the 
8Department of Insurance shall be deemed a violation of the 
9relevant provisions of the Illinois Insurance Code under which 
10the person or entity is authorized to transact business in 
11this State. 
12    (e) For the purposes of this Act, "life, health, or 
13accident insurance policy or annuity policy" means any 
14insurance under Class 1(a), 1(b), or 2(a) of the Illinois 
15Insurance Code, a health care plan under the Health 
16Maintenance Organization Act, a limited health care plan under 
17the Limited Health Service Organization Act, a dental service 
18plan under the Dental Service Plans Act, or a voluntary health 
19services plan under the Voluntary Health Services Plan Act.

20    Section 90. Death certificate.
21    (a) Unless otherwise prohibited by law, the attending 
22physician may sign the death certificate of a qualified 
23patient who obtained and self-administered a prescription for 
24medication pursuant to this Act.
25    (b) When a death has occurred in accordance with this Act, 
 
 
10400SB1950ham002- 32 -LRB104 10803 AAS 26718 a


1the death shall be attributed to the underlying terminal 
2disease.
3        (1) Death following self-administering medication 
4 under this Act does not alone constitute grounds for 
5 postmortem inquiry.
6        (2) Death in accordance with this Act shall not be 
7 designated a suicide or homicide.
8    (c) A qualified patient's act of self-administering 
9medication prescribed pursuant to this Act shall not be 
10indicated on the death certificate.

11    Section 95. Liabilities and penalties.
12    (a) Nothing in this Act limits civil or criminal liability 
13arising from:
14        (1) Intentionally or knowingly altering or forging a 
15 patient's request for medication pursuant to this Act or 
16 concealing or destroying a rescission of a request for 
17 medication pursuant to this Act.
18        (2) Intentionally or knowingly coercing or exerting 
19 undue influence on a patient with a terminal disease to 
20 request medication pursuant to this Act or to request or 
21 use or not use medication pursuant to this Act.
22        (3) Intentional misconduct by a health care 
23 professional or health care entity.
24    (b) The penalties specified in this Act do not preclude 
25criminal penalties applicable under other laws for conduct 
 
 
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1inconsistent with this Act.
2    (c) As used in this Section, "intentionally" and 
3"knowingly" have the meanings provided in Sections 4-4 and 4-5 
4of the Criminal Code of 2012.

5    Section 100. Construction.
6    (a) Nothing in this Act authorizes a physician or any 
7other person, including the qualified patient, to end the 
8qualified patient's life by lethal injection, lethal infusion, 
9mercy killing, homicide, murder, manslaughter, euthanasia, or 
10any other criminal act.
11    (b) Actions taken in accordance with this Act do not, for 
12any purposes, constitute suicide, assisted suicide, 
13euthanasia, mercy killing, homicide, murder, manslaughter, 
14elder abuse or neglect, or any other civil or criminal 
15violation under the law.

16    Section 105. Rulemaking Authority. The Department of 
17Public Health and the Department of Veterans Affairs may adopt 
18rules for the implementation and administration of this Act.

19    Section 110. Severability. The provisions of this Act are 
20severable under Section 1.31 of the Statute on Statutes.

21    Section 200. The Freedom of Information Act is amended by 
22changing Section 7.5 as follows:

 
 
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1    (5 ILCS 140/7.5)
2    Sec. 7.5. Statutory exemptions. To the extent provided for 
3by the statutes referenced below, the following shall be 
4exempt from inspection and copying:
5        (a) All information determined to be confidential 
6 under Section 4002 of the Technology Advancement and 
7 Development Act.
8        (b) Library circulation and order records identifying 
9 library users with specific materials under the Library 
10 Records Confidentiality Act.
11        (c) Applications, related documents, and medical 
12 records received by the Experimental Organ Transplantation 
13 Procedures Board and any and all documents or other 
14 records prepared by the Experimental Organ Transplantation 
15 Procedures Board or its staff relating to applications it 
16 has received.
17        (d) Information and records held by the Department of 
18 Public Health and its authorized representatives relating 
19 to known or suspected cases of sexually transmitted 
20 infection or any information the disclosure of which is 
21 restricted under the Illinois Sexually Transmitted 
22 Infection Control Act.
23        (e) Information the disclosure of which is exempted 
24 under Section 30 of the Radon Industry Licensing Act.
25        (f) Firm performance evaluations under Section 55 of 
 
 
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1 the Architectural, Engineering, and Land Surveying 
2 Qualifications Based Selection Act.
3        (g) Information the disclosure of which is restricted 
4 and exempted under Section 50 of the Illinois Prepaid 
5 Tuition Act.
6        (h) Information the disclosure of which is exempted 
7 under the State Officials and Employees Ethics Act, and 
8 records of any lawfully created State or local inspector 
9 general's office that would be exempt if created or 
10 obtained by an Executive Inspector General's office under 
11 that Act.
12        (i) Information contained in a local emergency energy 
13 plan submitted to a municipality in accordance with a 
14 local emergency energy plan ordinance that is adopted 
15 under Section 11-21.5-5 of the Illinois Municipal Code.
16        (j) Information and data concerning the distribution 
17 of surcharge moneys collected and remitted by carriers 
18 under the Emergency Telephone System Act.
19        (k) Law enforcement officer identification information 
20 or driver identification information compiled by a law 
21 enforcement agency or the Department of Transportation 
22 under Section 11-212 of the Illinois Vehicle Code.
23        (l) Records and information provided to a residential 
24 health care facility resident sexual assault and death 
25 review team or the Executive Council under the Abuse 
26 Prevention Review Team Act.
 
 
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1        (m) Information provided to the predatory lending 
2 database created pursuant to Article 3 of the Residential 
3 Real Property Disclosure Act, except to the extent 
4 authorized under that Article.
5        (n) Defense budgets and petitions for certification of 
6 compensation and expenses for court appointed trial 
7 counsel as provided under Sections 10 and 15 of the 
8 Capital Crimes Litigation Act (repealed). This subsection 
9 (n) shall apply until the conclusion of the trial of the 
10 case, even if the prosecution chooses not to pursue the 
11 death penalty prior to trial or sentencing.
12        (o) Information that is prohibited from being 
13 disclosed under Section 4 of the Illinois Health and 
14 Hazardous Substances Registry Act.
15        (p) Security portions of system safety program plans, 
16 investigation reports, surveys, schedules, lists, data, or 
17 information compiled, collected, or prepared by or for the 
18 Department of Transportation under Sections 2705-300 and 
19 2705-616 of the Department of Transportation Law of the 
20 Civil Administrative Code of Illinois, the Regional 
21 Transportation Authority under Section 2.11 of the 
22 Regional Transportation Authority Act, or the St. Clair 
23 County Transit District under the Bi-State Transit Safety 
24 Act (repealed). 
25        (q) Information prohibited from being disclosed by the 
26 Personnel Record Review Act. 
 
 
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1        (r) Information prohibited from being disclosed by the 
2 Illinois School Student Records Act. 
3        (s) Information the disclosure of which is restricted 
4 under Section 5-108 of the Public Utilities Act. 
5        (t) (Blank). 
6        (u) Records and information provided to an independent 
7 team of experts under the Developmental Disability and 
8 Mental Health Safety Act (also known as Brian's Law). 
9        (v) Names and information of people who have applied 
10 for or received Firearm Owner's Identification Cards under 
11 the Firearm Owners Identification Card Act or applied for 
12 or received a concealed carry license under the Firearm 
13 Concealed Carry Act, unless otherwise authorized by the 
14 Firearm Concealed Carry Act; and databases under the 
15 Firearm Concealed Carry Act, records of the Concealed 
16 Carry Licensing Review Board under the Firearm Concealed 
17 Carry Act, and law enforcement agency objections under the 
18 Firearm Concealed Carry Act. 
19        (v-5) Records of the Firearm Owner's Identification 
20 Card Review Board that are exempted from disclosure under 
21 Section 10 of the Firearm Owners Identification Card Act.
22        (w) Personally identifiable information which is 
23 exempted from disclosure under subsection (g) of Section 
24 19.1 of the Toll Highway Act.
25        (x) Information which is exempted from disclosure 
26 under Section 5-1014.3 of the Counties Code or Section 
 
 
10400SB1950ham002- 38 -LRB104 10803 AAS 26718 a


1 8-11-21 of the Illinois Municipal Code. 
2        (y) Confidential information under the Adult 
3 Protective Services Act and its predecessor enabling 
4 statute, the Elder Abuse and Neglect Act, including 
5 information about the identity and administrative finding 
6 against any caregiver of a verified and substantiated 
7 decision of abuse, neglect, or financial exploitation of 
8 an eligible adult maintained in the Registry established 
9 under Section 7.5 of the Adult Protective Services Act. 
10        (z) Records and information provided to a fatality 
11 review team or the Illinois Fatality Review Team Advisory 
12 Council under Section 15 of the Adult Protective Services 
13 Act. 
14        (aa) Information which is exempted from disclosure 
15 under Section 2.37 of the Wildlife Code. 
16        (bb) Information which is or was prohibited from 
17 disclosure by the Juvenile Court Act of 1987. 
18        (cc) Recordings made under the Law Enforcement 
19 Officer-Worn Body Camera Act, except to the extent 
20 authorized under that Act.
21        (dd) Information that is prohibited from being 
22 disclosed under Section 45 of the Condominium and Common 
23 Interest Community Ombudsperson Act. 
24        (ee) Information that is exempted from disclosure 
25 under Section 30.1 of the Pharmacy Practice Act. 
26        (ff) Information that is exempted from disclosure 
 
 
10400SB1950ham002- 39 -LRB104 10803 AAS 26718 a


1 under the Revised Uniform Unclaimed Property Act. 
2        (gg) Information that is prohibited from being 
3 disclosed under Section 7-603.5 of the Illinois Vehicle 
4 Code. 
5        (hh) Records that are exempt from disclosure under 
6 Section 1A-16.7 of the Election Code. 
7        (ii) Information which is exempted from disclosure 
8 under Section 2505-800 of the Department of Revenue Law of 
9 the Civil Administrative Code of Illinois. 
10        (jj) Information and reports that are required to be 
11 submitted to the Department of Labor by registering day 
12 and temporary labor service agencies but are exempt from 
13 disclosure under subsection (a-1) of Section 45 of the Day 
14 and Temporary Labor Services Act. 
15        (kk) Information prohibited from disclosure under the 
16 Seizure and Forfeiture Reporting Act. 
17        (ll) Information the disclosure of which is restricted 
18 and exempted under Section 5-30.8 of the Illinois Public 
19 Aid Code. 
20        (mm) Records that are exempt from disclosure under 
21 Section 4.2 of the Crime Victims Compensation Act. 
22        (nn) Information that is exempt from disclosure under 
23 Section 70 of the Higher Education Student Assistance Act. 
24        (oo) Communications, notes, records, and reports 
25 arising out of a peer support counseling session 
26 prohibited from disclosure under the First Responders 
 
 
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1 Suicide Prevention Act. 
2        (pp) Names and all identifying information relating to 
3 an employee of an emergency services provider or law 
4 enforcement agency under the First Responders Suicide 
5 Prevention Act. 
6        (qq) Information and records held by the Department of 
7 Public Health and its authorized representatives collected 
8 under the Reproductive Health Act. 
9        (rr) Information that is exempt from disclosure under 
10 the Cannabis Regulation and Tax Act. 
11        (ss) Data reported by an employer to the Department of 
12 Human Rights pursuant to Section 2-108 of the Illinois 
13 Human Rights Act.
14        (tt) Recordings made under the Children's Advocacy 
15 Center Act, except to the extent authorized under that 
16 Act. 
17        (uu) Information that is exempt from disclosure under 
18 Section 50 of the Sexual Assault Evidence Submission Act. 
19        (vv) Information that is exempt from disclosure under 
20 subsections (f) and (j) of Section 5-36 of the Illinois 
21 Public Aid Code. 
22        (ww) Information that is exempt from disclosure under 
23 Section 16.8 of the State Treasurer Act. 
24        (xx) Information that is exempt from disclosure or 
25 information that shall not be made public under the 
26 Illinois Insurance Code. 
 
 
10400SB1950ham002- 41 -LRB104 10803 AAS 26718 a


1        (yy) Information prohibited from being disclosed under 
2 the Illinois Educational Labor Relations Act.
3        (zz) Information prohibited from being disclosed under 
4 the Illinois Public Labor Relations Act. 
5        (aaa) Information prohibited from being disclosed 
6 under Section 1-167 of the Illinois Pension Code. 
7        (bbb) Information that is prohibited from disclosure 
8 by the Illinois Police Training Act and the Illinois State 
9 Police Act. 
10        (ccc) Records exempt from disclosure under Section 
11 2605-304 of the Illinois State Police Law of the Civil 
12 Administrative Code of Illinois. 
13        (ddd) Information prohibited from being disclosed 
14 under Section 35 of the Address Confidentiality for 
15 Victims of Domestic Violence, Sexual Assault, Human 
16 Trafficking, or Stalking Act. 
17        (eee) Information prohibited from being disclosed 
18 under subsection (b) of Section 75 of the Domestic 
19 Violence Fatality Review Act. 
20        (fff) Images from cameras under the Expressway Camera 
21 Act. This subsection (fff) is inoperative on and after 
22 July 1, 2025. 
23        (ggg) Information prohibited from disclosure under 
24 paragraph (3) of subsection (a) of Section 14 of the Nurse 
25 Agency Licensing Act. 
26        (hhh) Information submitted to the Illinois State 
 
 
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1 Police in an affidavit or application for an assault 
2 weapon endorsement, assault weapon attachment endorsement, 
3 .50 caliber rifle endorsement, or .50 caliber cartridge 
4 endorsement under the Firearm Owners Identification Card 
5 Act. 
6        (iii) Data exempt from disclosure under Section 50 of 
7 the School Safety Drill Act. 
8        (jjj) Information exempt from disclosure under Section 
9 30 of the Insurance Data Security Law. 
10        (kkk) Confidential business information prohibited 
11 from disclosure under Section 45 of the Paint Stewardship 
12 Act. 
13        (lll) Data exempt from disclosure under Section 
14 2-3.196 of the School Code. 
15        (mmm) Information prohibited from being disclosed 
16 under subsection (e) of Section 1-129 of the Illinois 
17 Power Agency Act. 
18        (nnn) Materials received by the Department of Commerce 
19 and Economic Opportunity that are confidential under the 
20 Music and Musicians Tax Credit and Jobs Act. 
21        (ooo) Data or information provided pursuant to Section 
22 20 of the Statewide Recycling Needs and Assessment Act. 
23        (ppp) Information that is exempt from disclosure under 
24 Section 28-11 of the Lawful Health Care Activity Act. 
25        (qqq) Information that is exempt from disclosure under 
26 Section 7-101 of the Illinois Human Rights Act. 
 
 
10400SB1950ham002- 43 -LRB104 10803 AAS 26718 a


1        (rrr) Information prohibited from being disclosed 
2 under Section 4-2 of the Uniform Money Transmission 
3 Modernization Act. 
4        (sss) Information exempt from disclosure under Section 
5 40 of the Student-Athlete Endorsement Rights Act.
6        (ttt) Audio recordings made under Section 30 of the 
7 Illinois State Police Act, except to the extent authorized 
8 under that Section. 
9        (uuu) Information exempt from disclosure under Section 
10 70 of the End-of-Life Options for Terminally Ill Patients 
11 Act.
12(Source: P.A. 102-36, eff. 6-25-21; 102-237, eff. 1-1-22; 
13102-292, eff. 1-1-22; 102-520, eff. 8-20-21; 102-559, eff. 
148-20-21; 102-813, eff. 5-13-22; 102-946, eff. 7-1-22; 
15102-1042, eff. 6-3-22; 102-1116, eff. 1-10-23; 103-8, eff. 
166-7-23; 103-34, eff. 6-9-23; 103-142, eff. 1-1-24; 103-372, 
17eff. 1-1-24; 103-472, eff. 8-1-24; 103-508, eff. 8-4-23; 
18103-580, eff. 12-8-23; 103-592, eff. 6-7-24; 103-605, eff. 
197-1-24; 103-636, eff. 7-1-24; 103-724, eff. 1-1-25; 103-786, 
20eff. 8-7-24; 103-859, eff. 8-9-24; 103-991, eff. 8-9-24; 
21103-1049, eff. 8-9-24; 103-1081, eff. 3-21-25.)

22    Section 999. Effective date. This Act takes effect 9 
23months after becoming law.".