In 1991,the U.S.Congress passed the Patient Self-Determination Act,which requires which of the following? Select all that apply.

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The Patient Self-Determination Act of 1991 mandates that all health-care facilities receiving federal funding (such as Medicare or Medicaid) must inform patients of their rights to make decisions concerning their medical care, including the right to refuse treatment and the right to formulate advance directives. This includes making advance directives available to patients upon admission and maintaining records of whether a patient has an advance directive or has designated a health-care proxy. The act does not require states to define the circumstances under which individuals can refuse life-sustaining interventions; this is more a matter of state law and medical ethics.