It does not mandate the consulation, or force anyone to sign anything. It simply says that if you would like to discuss these things with your doctor, Medicare will pay him for his time.
http://thomas.loc.gov/cgi-bin/bdquery/z?d111:H.R.3200:5 SEC. 1233.
ADVANCE CARE PLANNING CONSULTATION.
6 (a) MEDICARE.— 7 (1) IN GENERAL.—Section 1861 of the Social
8 Security Act (42 U.S.C. 1395x) is amended—
9 (A) in subsection (s)(2)—
10 (i) by striking ‘‘and’’ at the end of
11 subparagraph (DD);
12 (ii) by adding ‘‘and’’ at the end of
13 subparagraph (EE); and
14 (iii) by adding at the end the fol
15 lowing new subparagraph:
16 ‘‘(FF) advance care planning consultation (as
17 defined in subsection (hhh)(1));’’; and
18 (B) by adding at the end the following new
19 subsection:
20 ‘‘Advance Care Planning Consultation
21 ‘‘(hhh)(1) Subject to paragraphs (3) and (4), the
22 term ‘advance care planning consultation’ means a con
23 sultation between the individual and a practitioner de
24 scribed in paragraph (2) regarding advance care planning,
25 if, subject to paragraph (3), the individual involved has
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1 not had such a consultation within the last 5 years. Such
2 consultation shall include the following:
3 ‘‘(A) An explanation by the practitioner of ad
4 vance care planning, including key questions and
5 considerations, important steps, and suggested peo
6 ple to talk to.
7 ‘‘(B) An explanation by the practitioner of ad
8 vance directives, including living wills and durable
9 powers of attorney, and their uses.
10 ‘‘(C) An explanation by the practitioner of the
11 role and responsibilities of a health care proxy.
12 ‘‘(D) The provision by the practitioner of a list
13 of national and State-specific resources to assist con
14 sumers and their families with advance care plan
15 ning, including the national toll-free hotline, the ad
16 vance care planning clearinghouses, and State legal
17 service organizations (including those funded
18 through the Older Americans Act of 1965).
19 ‘‘(E) An explanation by the practitioner of the
20 continuum of end-of-life services and supports avail
21 able, including palliative care and hospice, and bene
22 fits for such services and supports that are available
23 under this title.
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1 ‘‘(F)(i) Subject to clause (ii), an explanation of
2 orders regarding life sustaining treatment or similar
3 orders, which shall include—
4 ‘‘(I) the reasons why the development of
5 such an order is beneficial to the individual and
6 the individual’s family and the reasons why
7 such an order should be updated periodically as
8 the health of the individual changes;
9 ‘‘(II) the information needed for an indi
10 vidual or legal surrogate to make informed deci
11 sions regarding the completion of such an
12 order; and
13 ‘‘(III) the identification of resources that
14 an individual may use to determine the require
15 ments of the State in which such individual re
16 sides so that the treatment wishes of that indi
17 vidual will be carried out if the individual is un
18 able to communicate those wishes, including re
19 quirements regarding the designation of a sur
20 rogate decisionmaker (also known as a health
21 care proxy).