MI HB4418

Establishes a framework allowing surrogate decision makers to make health care decisions for incapacitated adults or emancipated minors who lack a patient advocate, guardian, or available designated representative

Creates a priority hierarchy for surrogates: guardian, attorney-in-fact, spouse, adult child, domestic partner (12+ months cohabitation), parent, adult sibling, long-term resident (12+ months), or other adult familiar with patient's values

Prohibits surrogates from making decisions to withhold or withdraw treatment that would result in death, receiving compensation, binding patients to arbitration agreements, or moving patients out of state without court order

Requires surrogates to sign an acceptance of authority, act as fiduciaries in the patient's best interest, and notify family members within 7 days if continuing to serve

Disqualifies individuals subject to protection orders against the patient, those with pending criminal charges for abuse/exploitation/domestic violence, or those a court finds pose danger to the patient