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VA RIN: 2900-AN88 Publication ID: Spring 2011 
Title: ●Disclosure of Medical Information to the Surrogate of a Patient Who Lacks Decision-Making Capacity 
Abstract: The Department of Veterans Affairs (VA) is amending its regulations to reflect changes made by section 504 of the Caregivers and Veterans Omnibus Health Services Act of 2010, Public Law 111-163. Section 504 authorizes a VA practitioner, when the practitioner deems it necessary to ensure an informed medical decision, to share certain, otherwise protected medical information with the representative of a patient who lacks decision-making capacity. This rulemaking makes technical amendments to our regulations to clearly reflect and implement this new authority. 
Agency: Department of Veterans Affairs(VA)  Priority: Substantive, Nonsignificant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Completed Actions 
Major: No  Unfunded Mandates: No 
CFR Citation: 38 CFR 1.440    38 CFR 1.484   
Legal Authority: 38 USC 7332(b)(2)    PL 111-163, sec 504   
Legal Deadline:  None
Timetable:
Action Date FR Cite
Final Action  02/08/2011  76 FR 6694   
Final Action Effective  02/08/2011    
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: No  Federalism: No 
Included in the Regulatory Plan: No 
Public Comment URL: www.regulations.gov  
RIN Data Printed in the FR: No 
Agency Contact:
Ethan Kalett
Director, VHA Regulations
Department of Veterans Affairs
810 Vermont Avenue NW., Room 675Q,
Washington, DC 20420
Phone:202 461-7633
Email: ethan.kalett@va.gov