Templates for Hospice Aid-in-Dying Policies

◊Comprehensive Participation
◊Selective Participation
◊Non-Participation

Developed by the Academy of Aid‑in‑Dying Medicine and End of Life Choices New York, in collaboration with the New York Implementation Hospice Subcommittee.

These templates are tools for hospices across the United States, helping navigate the compliance, ethical, and operational complexities of caring for patients who are considering or completing medical aid in dying. They outline models along a spectrum of participation—from Comprehensive to Selective to Non-Participation—so each hospice can align its policies with state laws, organizational values, and clearly-stated clinical staff practices.

Policies for Three Levels of Participation in Medical Aid in Dying

Comprehensive Participation

For broader participation in medical aid in dying, outlining physician, staff, and team roles while supporting coordinated care for patients and families.

Selective Participation

A middle path for hospices that provide information, education, and supportive care while referring patients to community physicians for the formal aid-in-dying process. Clarifies staff practices that are permitted, limited, or referred out.

Non-Participation

For hospices that decline participation in medical aid in dying, while affirming non abandonment, clear communication, and continued hospice care for patients who may consider or complete aid in dying through outside providers.