SB 380 END OF LIFE  - An act to amend Sections 443.1, 443.3, 443.4, 443.5, 443.11, 443.14, 443.15, and 443.17 of, and to repeal Section 443.215 of, the Health and Safety Code, relating to end of life.
WHAT THE BILL DOES. The bill would amend portions of the existing law that authorizes resident California adults, age 18 or older to request an aid-in-dying drug that they self-administer to end their life. Following legal challenges after the bill was signed into law October 2015, it went into effect June 2016 and is valid through January 1st 2026.  Among a number of language changes, the major issues address: 
1.    extending the operation of the act indefinitely;                                                                                                          
2.    reducing the timing of two required oral requests for aid-in-dying drugs from a minimum 15 days to 48 hours apart; and
3.    eliminating the requirement for a final attestation by those prescribed the drugs. 
CONVERSATION STARTERS WITH YOUR FRIENDS AND NEIGHBORS
Why would the legislature extend the law indefinitely just half-way through its 10 year span?
•    This was a controversial issue in 2015. Allowing it to expire or passing another law would likely be just as controversial. Since the COVID pandemic caused Californians to focus on many issues, this may be a way to slip a major change through the system unnoticed. 

Do you know how many Californians have requested and followed through with aid-in-dying drugs? From required documentation, the Department of Public Health prepares and posts reports on their website by 1 July each year.
•    From 2016 through 2020, 2,858 prescriptions were written and 1,816 died following their ingestion. Over the 4½ years 63.5% followed through to the end. About 36% did not.  
What do you think would happen if the time between the two required oral requests was reduced from a minimum of 15 days to 48 hours, and if the final attestation requirement was eliminated?
•    The Department of Public Health does not address the 36% not following through with the drugs, but it is reasonable to presume many changed their mind over a period of time.  
•    With just 48 hours between two oral requests and no required final attestation, two important safeguards against rushing into a life-ending decision would be eliminated.  
•    Decisions based on the immediate circumstances of pain, and emotional stresses etc. can change rapidly and dramatically, and impair rational decision making.
•    Eliminating the safeguards would likely see a reduction in the average 36% not following through due to insufficient time for introspection, rational consideration, and evaluation of all medical options.

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