On April 11, 2025, the Pennsylvania Legislature introduced Senate Bill 570, a significant piece of legislation aimed at strengthening the integrity of patient health care decisions. The bill addresses the unauthorized alteration, forgery, concealment, or destruction of documents that reflect a patient's health care preferences, imposing serious legal consequences for such actions.

The primary provision of Senate Bill 570 establishes that any individual who willfully alters or destroys a health care directive or any related document with the intent to influence health care decisions will be committing a first-degree misdemeanor. This move is designed to protect patients' rights and ensure that their health care wishes are honored, particularly in critical situations where such documents are pivotal.

The introduction of this bill has sparked discussions among lawmakers and health care advocates. Proponents argue that it is essential to safeguard patient autonomy and prevent potential abuses that could arise from tampering with health care directives. Critics, however, have raised concerns about the implications for individuals who may inadvertently alter documents without malicious intent, suggesting that the penalties could be overly harsh.

The bill is expected to have broader implications for the health care system in Pennsylvania, particularly in how health care providers and legal representatives handle patient documents. By reinforcing the legal framework surrounding health care decisions, Senate Bill 570 aims to enhance trust in the health care system and ensure that patients' voices are respected.

If passed, the bill will take effect 120 days after its enactment, marking a significant step in legislative efforts to protect patient rights in Pennsylvania. As discussions continue, stakeholders are closely monitoring the bill's progress and potential amendments that may arise during the legislative process.