An Act relative to end of life options
HOUSE DOCKET, NO. 2540 FILED ON: 1/16/2025
An Act relative to end of life options
REQUEST FOR MEDICAL AID IN DYING MEDICATION PURSUANT TO THE MASSACHUSETTS END OF LIFE OPTIONS ACT
I,. . . . . . . . . . . . . . . , am an adult of sound mind and a resident of the State of Massachusetts. I am suffering from . . . . . . . . . . . . . . , which my attending physician has determined is a terminal illness or condition which can reasonably be expected to cause death within 6 months. This diagnosis has been medically confirmed as required by law.
HEALTHCARE AND HUMAN SERVICES bullet 23
p/17/28
Securing broad and compassionate options for the end of life.
Name District/Address
James J. O'Day 14th Worcester
Lindsay N. Sabadosa 1st Hampshire
Mindy Domb 3rd Hampshire
John Barrett, III 1st Berkshire
Mark D. Sylvia 10th Bristol
Alice Hanlon Peisch 14th Norfolk
Vanna Howard 17th Middlesex
Natalie M. Blais 1st Franklin
Christopher Hendricks 11th Bristol
Hadley Luddy 4th Barnstable
Christopher Richard Flanagan 1st Barnstable
Susannah M. Whipps 2nd Franklin
Kip A. Diggs 2nd Barnstable
Natalie M. Higgins 4th Worcester
Brian M. Ashe 2nd Hampden
Joanne M. Comerford Hampshire, Franklin and Worcester
James B. Eldridge Middlesex and Worcester
Danillo A. Sena 37th Middlesex
Rebecca L. Rausch Norfolk, Worcester and Middlesex
Christine P. Barber 34th Middlesex
Carmine Lawrence Gentile 13th Middlesex
Michelle L. Badger 1st Plymouth
Rodney M. Elliott 16th Middlesex
Samantha Montaño 15th Suffolk
Danielle W. Gregoire 4th Middlesex
Jacob R. Oliveira Hampden, Hampshire and Worcester
Manny Cruz 7th Essex
Jennifer Balinsky Armini 8th Essex
James C. Arena-DeRosa 8th Middlesex
Jessica Ann Giannino 16th Suffolk
Margaret R. Scarsdale 1st Middlesex
Marjorie C. Decker 25th Middlesex
Homar Gómez 2nd Hampshire
Kenneth I. Gordon 21st Middlesex
Thomas M. Stanley 9th Middlesex
James Arciero 2nd Middlesex
Antonio F. D. Cabral 13th Bristol
William C. Galvin 6th Norfolk
John Francis Moran 9th Suffolk
Patricia A. Duffy 5th Hampden
Shirley B. Arriaga 8th Hampden
Thomas W. Moakley Barnstable, Dukes and Nantucket
Sean Garballey 23rd Middlesex
Adrian C. Madaro 1st Suffolk
Daniel M. Donahue 16th Worcester
Steven Ultrino 33rd Middlesex
Aaron L. Saunders 7th Hampden
Jay D. Livingstone 8th Suffolk
Adam J. Scanlon 14th Bristol
Leigh Davis 3rd Berkshire
Sally P. Kerans 13th Essex
Paul R. Feeney Bristol and Norfolk
Michael P. Kushmerek 3rd Worcester
Michelle M. DuBois 10th Plymouth
Priscila S. Sousa 6th Middlesex
Tara T. Hong 18th Middlesex
David M. Rogers 24th Middlesex
David Paul Linsky 5th Middlesex
Tommy Vitolo 15th Norfolk
Jack Patrick Lewis 7th Middlesex
Joshua Tarsky 13th Norfolk
Dawne Shand 1st Essex
Steven Owens 29th Middlesex