The updated guideline interpretation states, “A blanket statement of refusal by the ASC to comply with any patient advance directive is not permissible. However, if and to the extent permitted under state law, the ASC may decline to implement elements of an advanced directive on the basis of conscience or any other reason permitted under state law if it includes the information concerning its advance directive policies a clear and precise statement of limitation.”
ASCs are still allowed to refuse to honor advance directives, according to the report.
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