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Importance of Medical Power of Attorney in Texas

Written by Sloan Docs | Dec 10, 2024 9:41:50 PM

In the Lone Star State, a medical power of attorney (MPOA) is an important legal document that empowers Texans to maintain control over their healthcare decisions, even when circumstances make it impossible for them to communicate their wishes. 

“A medical power of attorney gives someone else the right to make decisions about their medical care on their behalf,” says the Texas State Law Library.

This powerful tool ensures that your medical preferences are respected and followed, providing a framework for your healthcare decisions in the event of incapacitation, unconsciousness, coma and other circumstances where you are unable to make medical decisions for yourself.

“Medical powers of attorney are important parts of long-term financial, medical and estate planning,” explains SmartAsset

What is a Medical Power of Attorney?

A Medical Power of Attorney, also known as a healthcare power of attorney, is a legal document that designates an agent to make healthcare decisions on your behalf when you're incapacitated.

“In the event that you cannot make decisions about your own medical care, this document would allow someone you trust to make those decisions for you. It is a common part of later-life planning and legal preparations for people with disabilities,” says the Texas Law Library

This document allows you to choose someone who understands your values, beliefs, and medical preferences to act as your advocate in medical matters.

“A medical power of attorney makes it clear to healthcare professionals whom you wish to make healthcare decisions for you. It is not the same as a general power of attorney in that the medical power of attorney speaks to healthcare decisions,” says TexasLawHelp.org.

When Does It Become Effective?

A medical power of attorney in Texas goes into effect once your primary healthcare provider determines you no longer can make your own healthcare decisions.

Your primary healthcare provider must document this determination in writing before your medical power of attorney agent can begin making decisions on your behalf.

TexasLawHelp.org says that the medical power of attorney begins “when your doctor says in writing that you cannot make medical decision for yourself” and lasts until:

  • You can make your own medical decisions
  • You revoke (cancel) it
  • Complete a new medical power of attorney by picking a new agent, or
  • Its expiration date (if there is one) arrives

“If the power of attorney expires when you are incompetent, it will stay in effect until you are competent or until you revoke it,” says TexasLawHelp.org

Key Benefits of Having a Medical Power of Attorney

There are some clear benefits to having a medical power of attorney in place.

“Medical powers of attorney enable Texans to pre-select trusted advocates to speak for them if illness or injury prevents their own medical decision-making,” says SmartAsset.

Benefits include:

  • Honoring Your Healthcare Wishes: By choosing a trusted agent, you can dictate specific medical preferences, such as resuscitation, end-of-life care, and treatment options. Communicating your healthcare wishes in advance to your medical power of attorney agent helps maintain your autonomy in medical decisions in difficult times.
  • Reducing Stress and Family Conflict: The guidance provided in the MPOA can help avoid treatment disputes among loved ones. The appointed agent serves as the lone voice, making sure your wishes are followed without family strife.
  • Legal Protection: A properly executed MPOA provides legal protection for your healthcare choices. It ensures that your agent has the authority to make decisions on your behalf, preventing potential legal implications or delays in critical medical situations.

The Texas Law Library notes that a medical power of attorney differs from a “living will,” which allows you to state what medical procedure you do and do not want performed.

“For example, a living will would allow you to tell doctors that you do not want to receive a blood transfusion. A medical power of attorney does not discuss specific procedures but instead gives someone else the authority to make decisions about those procedures for you,” explains the Texas Law Library.

Creating a Medical Power of Attorney in Texas

Creating an MPOA in Texas is a straightforward process. You can obtain a medical power of attorney form from a trusted source such as Sloan Docs.

It's important to sign the document in front of a notary or have it witnessed by two qualified individuals.

Both witnesses must be at least 18 years of age, according to TexasLawHelp.org, and one of the witnesses cannot be:

  • Your agent
  • Your primary doctor or an employee of your primary doctor
  • Your residential care provider or an employee of your residential care provider
  • Your spouse or any relative
  • A person entitled to any part of your estate
  • Any person who has a claim against your estate

“You also have to read a disclosure statement that explains what a medical power of attorney does, and you have to sign a statement saying that you read and understand the disclosure statement,” says TexasLawHelp.org. “As noted, the medical power of attorney can be signed before a notary public without needing witnesses.”

Choosing the Right Agent

Selecting the right agent for your medical power of attorney is crucial.

Your agent should be someone you trust implicitly and who understands your medical wishes and values. It's important to have open and honest conversations with your agent about your healthcare preferences to ensure they are fully informed when making decisions on your behalf.

In Texas, your agent cannot be:

  • Your physician
  • An employee of your physician
  • Your residential healthcare provider
  • An employee of your residential healthcare provider

“You designate an agent to make these decisions for you. People often name spouses, children or parents, but there are no restrictions on who can be your agent,” says SmartAsset.

Powers and Limitations of a Medical Power of Attorney

Unless specified otherwise in the document, your agent has the power to make most medical decisions for you. However, there are some limitations:

  • Your agent cannot agree to hospitalize you for mental health services.
  • Your agent cannot agree to convulsive treatment or psychosurgery.
  • Your agent cannot agree to an abortion.
  • Your agent cannot consent to assisted suicide.
  • Your agent cannot refuse care that will keep you comfortable.
  • A court-appointed guardian’s decisions take precedence over the agent’s.
  • Family members may challenge an agent’s authority, leading to legal complications and delays in critical medical decisions.
  • The agent cannot make changes to the terms of the nominating documents, the principal’s last will, or other estate planning documents.
  • The agent cannot transfer the MPOA responsibility to a new agent without the principal’s consent.

Difference Between Medical Power of Attorney and Durable Power of Attorney

While a medical power of attorney focuses solely on healthcare decisions, a durable power of attorney encompasses broader financial decision-making powers.

It's important to have both documents in place to ensure comprehensive coverage of your healthcare and financial needs. Some of the key differences between a MPOA and a durable power of attorney (DPOA) are:

Scope of authority:

  • MPOA: Limited to healthcare decisions.
  • DPOA: Covers financial, legal, and business matters.

Activation:

  • MPOA: Becomes effective only when a physician certifies in writing that the principal is incompetent.
  • DPOA: Can take effect immediately or upon incapacity, depending on the document's language.

Decision-making areas:

  • MPOA: Healthcare-related choices, such as medical treatments, hospitalization, and end-of-life care.
  • DPOA: Financial decisions, including managing bank accounts, paying bills, and property transactions.

Agent's powers:

  • MPOA: Agent can access medical records and consult with doctors to make informed medical decisions.
  • DPOA: Agent has broader powers in financial and personal matters, acting as a fiduciary.

Duration:

  • MPOA: Remains in effect indefinitely unless revoked or an expiration date is specified.
  • DPOA: Continues even if the principal becomes incapacitated, provided it contains specific language.

Legal requirements:

  • Both documents must be in writing and signed by the principal in front of two witnesses in Texas.
  • Both must be notarized.

Validity in Other States

A medical power of attorney executed in Texas may or may not be valid in other states.

If you're planning to move, it's advisable to consult with a lawyer or research the laws of that state to determine if your MPOA needs to be updated.

TexasLawHelp.org also notes that a medical power of attorney (or similar document) that was validly executed in another state is valid Texas, but only to the extent the document, agent, or treatment is allowed under Texas law.

Revoking a Medical Power of Attorney

You have the right to revoke or cancel your Medical Power of Attorney at any time.

If your spouse is your agent, the Medical Power of Attorney automatically ends if you get divorced.

TexasLawHelp.org says to revoke or cancel your medical power of attorney you can:

  • Tell the agent, in person or in writing
  • Tell your doctor or residential care provider, in person or in writing
  • Do something that shows you intend to revoke the power
  • Sign a new Medical Power of Attorney

Sloan Docs Can Help You Take Control of Your Medical Future

A medical power of attorney is an essential component of comprehensive healthcare planning in Texas.

It ensures that your medical wishes are respected, reduces family stress during difficult times, and provides legal protection for your healthcare choices.

By carefully selecting an agent and clearly communicating your preferences, you can have peace of mind knowing that your healthcare decisions will be honored, even if you're unable to make them yourself.

Take control of your medical future today by creating a medical power of attorney. With Sloan Docs, you can easily create this crucial document along with other essential estate planning tools.

Our user-friendly templates, powered by Rally Legal, allow you to complete your medical power of attorney quickly and affordably. Protect your healthcare rights and give your loved ones peace of mind — visit Sloan Docs today to get started on your medical power of attorney.