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Washington, D.C. Newsroom, Sep 19, 2025 / 14:31 pm (CNA).

This week the Patients Rights Action Fund, which works to “end the dangerous and discriminatory public policy of assisted suicide,” provided an update on current assisted suicide legislation in the United States, revealing the deadly practice’s ongoing expansion throughout the country.

In a Sept. 18 webinar, group coalitions director Jessica Rodgers explained that most states that allow assisted suicide follow the “Oregon model,” based on Oregan’s assisted suicide criteria. 

The model requires “the patient to be 18 years of age or older, have a terminal illness with six months or less to live, make two or more separate requests with a 15-day waiting period in between, and have two witnesses, which can include heirs to the estate or friends of heirs,” Rodgers said. 

“The drugs must be self-administered and all states do require the falsification of the death certificate,” Rodgers said, meaning the states list the underlying condition that qualifies the patient as the cause of death rather than the prescribed drug that ends his or her life.

States attempting expansions to assisted suicide laws

In 2025, new legislation was proposed in a number of states where assisted suicide is legal to advance its polices and limit some of the “safeguards” in place.

A New Jersey bill was proposed that would remove the 15-day waiting period and the second request if the prescriber thinks death will occur within the time period. The bill is still in play and has not been passed yet. 

In Maine, a 15-day waiting period was reduced to seven days in cases when it is “in the best interests of the patient” according to the judgment of the prescriber. The legislation was passed and signed by the governor after the original version was amended that would have allowed the whole waiting period to be waived.

A Delaware bill passed that allows for advanced practice nurses to prescribe the medication that kills the patients. The bill has no requirements for an in-person exam or a mental health evaluation. 

California proposed a major change that reduced the 15-day waiting period for assisted suicide to only 48 hours. The bill also removes the sunset date, which will keep the End of Life Option Act from expiring. The bill passed last week and is awaiting a signature by the governor.

Some states proposed expansions, but the legislation did not advance. In Washington, D.C., there was a public hearing on a bill that would remove the waiting period in certain cases, but no action was taken.

An Oregon bill was also not advanced that proposed nurse practitioners and physician assistants could prescribe to patients seeking assisted suicide. It also pushed for the waiting period to be reduced from 15 days to 48 hours and would waive the period completely if death is “expected imminently.”

Proposed legislation to legalize assisted suicide 

Assisted suicide is legal in 10 states and D.C., but a number of other states have active legislation to legalize it. 

In New York a bill to legalize assisted suicide was approved and is awaiting signature by the governor, which she must sign by the end of the year. The bill does not require the patient to be a resident of the state, has no waiting period, and does not require an in-person exam or a mental health evaluation.

In Rhode Island assisting a suicide is a felony, but there is proposed legislation to legalize assisted suicide that would require an in-person evaluation. The bill requires a 15-day waiting period between requests and an additional 48-hour waiting period that begins after the patient submits his or her signed request for the medication. 

Nevada does not authorize assisted suicide, but legislation pushing for it proposed advanced practice nurses to be allowed to prescribe the drugs, no in-person exam requirement, only one witness necessarily, and no requirement for the patient to be a resident of the state. 

The Nevada legislation does detail that the prescribed drugs would be the cause of death on the certificate rather than the underlying condition.

Legislation in Maryland would not require a mental health evaluation and has a broad meaning for “terminal illness” that can include treatable conditions. The bill has provisions that allow a patient to communicate through someone else “familiar with the individual’s manner of communicating.” 

Proposed legislation in Massachusetts also has a broad definition for “terminal illness” that can include treatable conditions. There was a public hearing in Massachusetts in the state Joint Public Health Committee, which then moved the bill to a second committee on the state House side where it is still active. 

In New Hampshire, a bill is pushing for no residency requirement, no in-person examination requirement, a broad “terminal illness” definition, and no mental health evaluation. The legislation also proposed a 48-hour waiting period and would allow for advanced practice nurses and physician assistants to prescribe the drugs. 

A Tennessee House bill pushing the legalization of assisted suicide primarily follows the Oregon model. It does have a broad meaning for “terminal illness” that can include treatable conditions. On March 4, the first committee hearing was held on the matter, but it was rejected.

In Illinois, a 2025 bill to legalize assisted suicide in the state stalled and will cross over to the 2026 session. The bill had a five-day waiting period, no requirement for mental health evaluation, and broad terminal diagnosis language.

As legislation continues to be proposed and advances in assisted suicide expand, Patients Rights Action Fund highlighted the lack of mental health evaluations across states and noted that waiting periods are being quickly reduced after the initial passing of legislation.

“Ultimately, assisted suicide laws are inherently discriminatory,” Rodgers said on Sept. 18. 

“They take a segment of our neighbors and say: ‘You get a lower standard of care than everybody else,’” she said. “The patients that qualify for assisted suicide are already inherently in a more vulnerable state because of their diagnosis and because of the financial costs that they’re facing with health care and the cost of treatment.”