2023 -- H 6067 | |
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LC002216 | |
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STATE OF RHODE ISLAND | |
IN GENERAL ASSEMBLY | |
JANUARY SESSION, A.D. 2023 | |
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A N A C T | |
RELATING TO PROBATE PRACTICE AND PROCEDURE -- LIMITED GUARDIANSHIP | |
AND GUARDIANSHIP OF ADULTS | |
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Introduced By: Representatives Cortvriend, Spears, Dawson, Carson, Shallcross Smith, | |
Date Introduced: March 03, 2023 | |
Referred To: House Judiciary | |
It is enacted by the General Assembly as follows: | |
1 | SECTION 1. Section 33-15-47 of the General Laws in Chapter 33-15 entitled "Limited |
2 | Guardianship and Guardianship of Adults" is hereby amended to read as follows: |
3 | 33-15-47. Forms. |
4 | The following forms shall be used for the purposes of this chapter: |
5 | STATE OF RHODE ISLAND PROBATE COURT OF THE |
6 | COUNTY OF _______________ ______________________ |
7 | No. _________________ |
8 | ESTATE OF ____________________________ |
9 | PERSONAL ESTATE ESTIMATED AT $________ CITY/TOWN OF |
10 | ________________ |
11 | 20 ____________ |
12 | PETITION FOR LIMITED GUARDIANSHIP |
13 | OR GUARDIANSHIP |
14 | ______________________hereby petitions the Probate Court of the city/town of ______________ |
15 | Petitioner |
16 | to appoint a limited guardian/guardian for ______________ who currently resides at |
17 | ________________________, in the city/town of __________________, and whose date of birth |
18 | Address |
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1 | is __________________. |
2 | Based upon an assessment conducted by ________________ on ______________, which |
3 | Date |
4 | functional assessment reflects the current level of functioning of ______________, it has been |
5 | Respondent |
6 | determined that _____________ lacks decision-making ability in one or more of the following |
7 | Respondent |
8 | areas as indicated: |
9 | ____ health care |
10 | ____ financial matters |
11 | ____ residence |
12 | ____ association |
13 | ____ other |
14 | Regarding each area indicated, please describe the specific assistance needed: |
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20 | Indicate which of the following less restrictive alternatives to guardianship have been explored |
21 | and deemed inappropriate as indicated: |
22 | ____ Durable Power of Attorney for Health Care |
23 | ____ Living Will |
24 | ____ Power of Attorney |
25 | ____ Durable Power of Attorney |
26 | ____ Trusts |
27 | ____ Joint Property Arrangements |
28 | ____ Representative Payee |
29 | ____ Money Management |
30 | ____ Single Court Transactions |
31 | ____ Government Benefit and Social Service Programs |
32 | ____ Housing Options |
33 | ____ Supported Decision-Making, see chapter 66.13 of title 42 |
34 | ____ Other |
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1 | Please describe the basis for the determination that the alternative will not meet the needs of the |
2 | respondent for each alternative explored and deemed inappropriate: |
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18 | The following individual/agency is willing to serve as guardian: |
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22 | Upon information and belief the above individual/agency has: |
23 | □ No conflict of interest that would interfere with guardianship duties. |
24 | □ No criminal background that would interfere with guardianship duties. |
25 | □ The capacity to manage financial resources involved. |
26 | □ The ability to meet requirements of law and unique needs of individual. |
27 | □ Demonstrated willingness to undergo training. |
28 | The Respondent has the following heirs at law: |
29 | NAME: RESIDENCE: |
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1 | ___________________________________ |
2 | Signature |
3 | ___________________________________ |
4 | Name |
5 | ___________________________________ |
6 | Address |
7 | __________________________________ |
8 | Telephone |
9 | Subscribed and sworn to before me this as to the truth of the above facts by ________ in ________ |
10 | on the ________day of ________, 20____. |
11 | __________________________________ |
12 | Notary Public |
13 | __________________________________ |
14 | Print Name |
15 | DECREE |
16 | __________________ __________________ |
17 | Dated PROBATE JUDGE |
18 | This notice should be served at once and returned to the clerk of the court. |
19 | NOTICE |
20 | STATE OF RHODE ISLAND |
21 | BY THE PROBATE COURT OF THE __________ OF ____________ |
22 | BY THE COUNTY OF ______________ AND STATE AFORESAID |
23 | To ________________________ |
24 | Estate or ______________ |
25 | Docket No. _____________ |
26 | GREETING: |
27 | A petition for Limited Guardianship/Guardianship has been filed in the Probate Court of the |
28 | city/town of _______________________. |
29 | _______________________________ has requested that the Probate Court appoint a limited |
30 | Petitioner |
31 | guardian/guardian for you. |
32 | A hearing regarding this Petition shall be held |
33 | On: ______________ |
34 | date |
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1 | At: _______________ |
2 | time |
3 | at the Probate Court for the town of . |
4 | ______________________________________________________________________________ |
5 | Address |
6 | ______________________________________________________________________________ |
7 | The Petition requests that the Probate Court consider the qualification of the following |
8 | individual/agency to serve as your limited guardian/guardian: |
9 | ______________________________________________________________________________ |
10 | ______________________________________________________________________________ |
11 | A guardian ad litem will be appointed by the Probate Court to visit you, explain the |
12 | process and inform you of your rights. |
13 | You have the right to attend the hearing to contest the petition, to request that the powers |
14 | of the guardian be limited or to object to the appointment of particular individual/agency limited |
15 | guardian/ guardian. If you wish to contest the petition, you have the right to be represented by an |
16 | attorney, at state expense, if you are indigent. |
17 | If the Petition is granted and a limited guardian/guardian is appointed, the Probate Court |
18 | may give the limited guardian/guardian the power to make decisions about one or more of the |
19 | following: |
20 | Your health care; your money; where you live; and with whom you associate. |
21 | Copies of this Notice will be mailed to: |
22 | The administrator of any care or treatment facility where you live or receive primary |
23 | services; your spouse, and heirs at law; any individual or entity known to petitioner to be regularly |
24 | supplying protection services to you. |
25 | CERTIFICATION OF SERVICE |
26 | I certify that I hand-delivered and read this Notice to __________________ on the |
27 | ________ day of________, 20____. |
28 | ___________________________________ |
29 | Signature |
30 | ___________________________________ |
31 | Print Name |
32 | __________________________________ |
33 | Address |
34 | CERTIFICATION OF NOTICE |
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1 | I certify that, as required by Rhode Island General Laws § 33-15-17.1(e), I mailed a copy |
2 | of this Notice to the following persons, at the addresses listed, on the ________ day of ________, |
3 | 20____. |
4 | __________________________________ |
5 | Signature |
6 | ___________________________________ |
7 | Print Name |
8 | __________________________________ |
9 | Address |
10 | Subscribed and sworn to before me this ________ day of ________, 20____. |
11 | ___________________________________ |
12 | Notary Public |
13 | WITNESS |
14 | Judge of the Probate Court of the ________ of ________ this ________ day of ________, |
15 | 20____. |
16 | ___________________________________ |
17 | Clerk |
18 | DECISION-MAKING ASSESSMENT TOOL |
19 | Name of Individual being assessed: Current Address: |
20 | ______________________________ ______________________________ |
21 | ______________________________ |
22 | Date of Birth: Permanent Address (if different): |
23 | ________________________ _________________________ |
24 | _________________________ |
25 | Instructions for Completion |
26 | This document will be used by a Probate Court to determine whether to appoint a |
27 | guardian to assist this individual in some or all areas of decision-making. |
28 | This document has two parts. Please first complete the part which is right after these |
29 | instructions, titled Assessment. Then complete the second section, titled Summary. |
30 | To a physician completing this document: The individual's treating physician must |
31 | complete this document. If there is any information of which the treating physician completing |
32 | this document does not have direct knowledge, he or she is encouraged to make such inquiries of |
33 | such other persons as are necessary to complete the entire form. Those persons might include |
34 | other medical personnel such as nurses, or other persons such as family members or social service |
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1 | professionals who are acquainted with the individual. If the physician has received information |
2 | from others in completing the form, the names of those individuals must be listed on the |
3 | Summary. |
4 | To a non-physician completing this document: Professionals or other persons acquainted |
5 | with the individual being assessed may also complete this document. If there is information of |
6 | which a non-physician completing this document does not have knowledge, such non-physician |
7 | may either leave portions of the document blank, or also make inquiries or do such investigation |
8 | as is necessary to complete the entire document. Again, the names of any individual from whom |
9 | information is derived should be listed on the Summary. |
10 | The document must be signed and dated by the person completing it. It does not need to be |
11 | notarized. |
12 | A. BIOLOGICAL ASSESSMENT |
13 | THE FOLLOWING IS BASED UPON A PHYSICAL EXAMINATION CONDUCTED BY ME |
14 | ON |
15 | __________________________ |
16 | (DATE) |
17 | 1. DIAGNOSIS and PROGNOSIS: |
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23 | 2. MEDICATION (PLEASE LIST): |
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29 | How do the above medications, if any, affect the individual's decision-making ability? Please |
30 | explain: |
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2 | 3. CURRENT NUTRITIONAL STATUS: |
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8 | B. PSYCHOLOGICAL ASSESSMENT |
9 | 1. MEMORY (CIRCLE ONE) |
10 | (A) Intact; (B) Mild Impairment; (C) Moderate Impairment; (D) Severe Impairment |
11 | 2. ATTENTION (CIRCLE ONE) |
12 | (A) Intact; (B) Mild Impairment; (C) Shifting/Wandering; (D) Delirium; (E) Unresponsive |
13 | 3. JUDGMENT (CIRCLE ONE) |
14 | (A) Intact; (B) Able to Make Most Decisions; (C) Impaired; (D) Gross Impairment |
15 | 4. LANGUAGE (CIRCLE ALL THAT APPLY) |
16 | (A) Intact (B) Sensory Deficits (Hearing/Speech/Sight) |
17 | (C) Impairment In Comprehension/Speech: Mild/Moderate/Severe |
18 | (D) Completely Unresponsive |
19 | 5. EMOTION (CIRCLE ALL THAT APPLY) |
20 | (A) ANXIETY/DEPRESSION: (1) None (2) History of Anxiety/Depression |
21 | (3) Moderate Symptoms of Anxiety/Depression |
22 | (4) Severe symptoms with sleep/appetite/energy disturbance |
23 | (5) Suicide/Homicidal |
24 | (B) OTHER: (1) Suspiciousness/Belligerence/Explosiveness |
25 | (2) Delusions/Hallucinations (3) Unresponsive |
26 | If you circled any of the above, other than (A) or (1) for any of the above categories, please |
27 | explain whether the situation is treatable or reversible, and if so, how: |
28 | C. SOCIAL ASSESSMENT |
29 | 1. MOBILITY (CIRCLE ALL THAT APPLY) |
30 | (A) Intact/Exercises (B) Drives Car Or Uses Public Transportation (C) Independent |
31 | Ambulation in Home Only; (D) Walker/Cane; (E) Requires Assistance |
32 | If you circled (C), (D), or (E), is situation treatable or reversible? If so, how? |
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4 | 2. SELF CARE (CIRCLE ALL THAT APPLY) |
5 | (A) No Assistance Needed; |
6 | (B) Requires Assistance with (1) Meals (2) Bathing (3) Dressing (4) Toileting/Feeding |
7 | If you circled any of (B), is individual aware that assistance is required? ___________________ |
8 | Is individual willing to accept assistance? _____________________________________________ |
9 | Is individual able to arrange for assistance? ____________________________________________ |
10 | 3. CARE PLAN MAINTENANCE (CIRCLE ALL THAT APPLY) |
11 | (A) No Active Problem; (B) Initiates Problem Identification; (C) Actively Cooperative; |
12 | (D) Passively Cooperative; (E) Passively Uncooperative; (F) Actively Uncooperative |
13 | 4. SOCIAL NETWORK RELATIONSHIPS |
14 | (CIRCLE ONE IN (A) AND IN ONE IN (B)) |
15 | SUPPORT: |
16 | (1) Very Good Supportive Network; (2) Some Support From Family And Friends; (3) No |
17 | Or Limited Support From Family/Friends; (4) Needs Community Support; (5) |
18 | Isolated/Homebound |
19 | (B) SOCIAL SKILLS: |
20 | (1) Very Good Social Skills; (2) Good Social Skills; (3) Interacts With Prompting; (4) |
21 | Isolated |
22 | D. SUMMARY |
23 | I hereby certify that I have reviewed sections A, B, & C attached hereto and based on such |
24 | assessments that the individual's decision-making ability is as follows: |
25 | (1) PLEASE DESCRIBE AS FULLY AS YOU CAN THE INDIVIDUAL'S DECISION- |
26 | MAKING ABILITY IN EACH OF THE FOLLOWING AREAS: |
27 | A. FINANCIAL MATTERS |
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33 | B. HEALTH CARE MATTERS |
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5 | C. RELATIONSHIPS |
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11 | D. RESIDENTIAL MATTERS |
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17 | (2) PLEASE INDICATE YOUR OPINION REGARDING WHETHER THE INDIVIDUAL |
18 | NEEDS A SUBSTITUTE DECISION-MAKER IN ANY OF THE FOLLOWING AREAS: |
19 | (Circle one for each category. If you circle "limited" for any category, please explain.) |
20 | (1) FINANCIAL MATTERS Yes No Limited |
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26 | (2) HEALTH CARE MATTERS Yes No Limited |
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32 | (3) RELATIONSHIPS Yes No Limited |
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4 | (4) RESIDENTIAL MATTERS Yes No Limited |
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10 | (5) OTHER: If there are any other areas in which you think the individual lacks decision-making |
11 | ability or has limited decision-making ability, please explain. |
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17 | __________________________________ |
18 | Signature |
19 | _______________________________ |
20 | Name (Print or Type) |
21 | ______________________________ |
22 | Title |
23 | ______________________________ |
24 | Date |
25 | ______________________________ |
26 | Names and titles of others who assisted in Preparation of This Assessment. |
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32 | STATE OF RHODE ISLAND PROBATE COURT OF THE |
33 | COUNTY OF ___________________ |
34 | Estate of ________________________ Docket No. ________________ |
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1 | ANNUAL STATUS REPORT |
2 | (1) The residence of the ward is |
3 | (2) The medical condition of the ward is: |
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7 | (3) I perceive the following changes in the decision making capacity of the ward: |
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11 | (4) The following is a summary of the actions I have taken and decisions I have made on behalf of |
12 | the ward during the last year: |
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16 | (If more space is needed, please attach a supplement). |
17 | __________________________ |
18 | Guardian |
19 | __________________________ |
20 | Date |
21 | STATE OF RHODE ISLAND PROBATE COURT OF |
22 | COUNTY OF _____________ THE _______________ |
23 | (Estate Name) |
24 | Probate Court No. ______ |
25 | REPORT OF THE GUARDIAN AD LITEM |
26 | Now comes (Name of Guardian Ad Litem) for (Name of Proposed Ward) and reports that |
27 | on (Date), I personally visited the proposed ward at (Address). I explained to (Name of Proposed |
28 | Ward) the following: |
29 | * The nature, purpose, and legal effect of the appointment of a guardian; |
30 | * The hearing procedure, including, but not limited to, the right to contest the petition, to |
31 | request limits on the guardian's powers, to object to a particular person being appointed guardian, |
32 | to be present at the hearing, and to be represented by legal counsel; |
33 | * The name of the person known to be seeking appointment as guardian: |
34 | Based on such visit and the respondent's reaction thereto, I make the following |
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1 | determination regarding the respondent's desire to be present at the hearing, to contest the |
2 | petition, to have limits placed on the guardian's powers and respondent's objection, if any, to a |
3 | particular person being appointed as guardian. |
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8 | Based on my review of the petition, the decision making assessment tool, my interview |
9 | with the prospective guardian, my visit with the respondent, and interviews and discussions with |
10 | other parties, I made the following additional determinations: |
11 | Regarding whether the respondent is in need of a guardian of the type prayed for in the |
12 | petition: |
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17 | Regarding whether the guardian ad litem has, in the course of fulfilling his or her duties, |
18 | discovered information concerning the suitability of the individual or entity to serve as such |
19 | guardian: |
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24 | Respectfully submitted, |
25 | Date: ________________________ _______________________ |
26 | (Name of Guardian Ad Litem) |
27 | SECTION 2. This act shall take effect upon passage. |
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LC002216 | |
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EXPLANATION | |
BY THE LEGISLATIVE COUNCIL | |
OF | |
A N A C T | |
RELATING TO PROBATE PRACTICE AND PROCEDURE -- LIMITED GUARDIANSHIP | |
AND GUARDIANSHIP OF ADULTS | |
*** | |
1 | This act would provide that supported decision-making pursuant to chapter 66.13 of title |
2 | 42 be added to the Limited Guardianship and Guardianship of Adults forms section as one of the |
3 | less restrictive alternatives to guardianship that have been explored. |
4 | This act would take effect upon passage. |
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LC002216 | |
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