2021 Utah Code
Title 75 - Utah Uniform Probate Code
Chapter 2a - Advance Health Care Directive Act
Section 108 - Default surrogates.

Universal Citation: UT Code § 75-2a-108 (2021)
75-2a-108. Default surrogates.
  • (1)
    • (a) Any member of the class described in Subsection (1)(b) may act as an adult's surrogate if:
      • (i)
        • (A) the adult has not appointed an agent;
        • (B) an appointed agent is not reasonably available; or
        • (C) a guardian has not been appointed; and
      • (ii) the member of the class described in Subsection (1)(b) is:
        • (A) over 18 years of age;
        • (B) has health care decision making capacity;
        • (C) is reasonably available; and
        • (D) has not been disqualified by the adult or a court.
    • (b) Except as provided in Subsection (1)(a), and subject to Subsection (1)(c), the following classes of the adult's family, in descending order of priority, may act as the adult's surrogate:
      • (i) the adult's spouse, unless the adult is divorced or legally separated; or
      • (ii) the following family members:
        • (A) a child;
        • (B) a parent;
        • (C) a sibling;
        • (D) a grandchild; or
        • (E) a grandparent.
    • (c) A person described in Subsection (1)(b), may not direct an adult's care if a person of a higher priority class is able and willing to act as a surrogate for the adult.
    • (d) A court may disqualify a person described in Subsection (1)(b) from acting as a surrogate if the court finds that the person has acted in a manner that is inconsistent with the position of trust in which a surrogate is placed.
  • (2) If the family members designated in Subsection (1)(b) are not reasonably available to act as a surrogate, a person who is 18 years of age or older, other than those designated in Subsection (1) may act as a surrogate if the person:
    • (a) has health care decision making capacity;
    • (b) has exhibited special care and concern for the patient;
    • (c) knows the patient and the patient's personal values; and
    • (d) is reasonably available to act as a surrogate.
  • (3) The surrogate shall communicate the surrogate's assumption of authority as promptly as practicable to the members of a class who:
    • (a) have an equal or higher priority and are not acting as surrogate; and
    • (b) can be readily contacted.
  • (4) A health care provider shall comply with the decision of a majority of the members of the highest priority class who have communicated their views to the provider if:
    • (a) more than one member of the highest priority class assumes authority to act as default surrogate;
    • (b) the members of the class do not agree on a health care decision; and
    • (c) the health care provider is informed of the disagreement among the members of the class.
  • (5)
    • (a) An adult may at any time disqualify a default surrogate, including a member of the adult's family, from acting as the adult's surrogate by:
      • (i) a signed writing;
      • (ii) personally informing a witness of the disqualification; or
      • (iii) informing the surrogate of the disqualification.
    • (b) Disqualification of a surrogate is effective even if the adult has been found to lack health care decision making capacity.
  • (6) If reasonable doubt exists regarding the status of an adult claiming the right to act as a default surrogate, the health care provider may:
    • (a) require the person to provide a sworn statement giving facts and circumstances reasonably sufficient to establish the claimed authority; or
    • (b) seek a ruling from the court under Section 75-2a-120.
  • (7) A health care provider may seek a ruling from a court pursuant to Section 75-2a-120 if the health care provider has evidence that a surrogate is making decisions that are inconsistent with an adult patient's wishes or preferences.


Amended by Chapter 107, 2008 General Session
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