In 2003, the Legislature passed a bill offering immunity to providers who are donating care to needy patients through a charitable organization. In order for volunteers to receive immunity, patients must sign an agreement acknowledging that they are waiving their legal rights to sue in return for receiving free care. HAP requires all patients to sign an agreement upon enrollment. However, it is recommended that providers also have patients sign an agreement in their office and keep a copy in the patients’ medical record.

A Sample Agreement is available in Adobe Acrobat format.
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Questions and Answers on Charitable Immunity

Below are answers to frequently asked questions about charitable immunity developed by the Utah Medical Association.

What is charitable immunity?
How does charitable immunity differ from the Good Samaritan law?
Can any uncompensated care qualify for charitable immunity?
Can I provide free care at my office and still qualify for charitable immunity?
Does free mean free?
Do I have to do anything in particular to qualify for charitable immunity?
Does a patient have to sign a new agreement every time you see them?
If a patient signs an agreement, does this mean that he can’t sue you?
If I’m sued, will my malpractice carrier defend me?
Where can I get an agreement?
Are there any services that are not covered by charitable immunity?

 

What is charitable immunity?
Charitable immunity is immunity from civil suit for free care given in accordance with the requirements of state law.
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How does charitable immunity differ from the Good Samaritan law?
The Good Samaritan law applies to free care given in an emergency situation. Charitable immunity applies to free care that does not necessarily involve an emergency.
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Can any uncompensated care qualify for charitable immunity?
No, free care can only qualify for charitable immunity if it is done on behalf of a charitable organization--like the Health Access Project--whose primary mission is to provide uncompensated care to the poor.
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Can I provide free care at my office and still qualify for charitable immunity?
Yes, SB 138 allows you to do this as long as the care is coordinated through a charitable health care organization.
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Does free mean free?
Yes, you may not receive any fee of any kind for medical treatment. You may, however, use supplies or drugs in treating a patient that were given to you by the charitable health care organization.
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Do I have to do anything in particular to qualify for charitable immunity?
Yes, the law requires that a patient sign an agreement acknowledging that he is waiving his legal rights to sue you in return for free care. It is highly advisable that you take this responsibility upon yourself for each patient that you see on behalf of a charitable health care organization.
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Does a patient have to sign a new agreement every time you see them?
No, as long as your agreement makes it clear that it applies to future visits as well. Even so, it would not hurt to remind the patient at each visit that free care is being given in return for immunity from suit and to note that this reminder in the patient’s chart.
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If a patient signs an agreement, does this mean that he can’t sue you?
No, a patient can still sue you but you have a very strong defense to dismiss the lawsuit at the outset as long as you have followed the statutory requirements and have not engaged in “gross negligence”—which is akin to intentional misconduct or gross incompetence.
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If I’m sued, will my malpractice carrier defend me?
You would need to double-check your policy, but it is highly unlikely that providing free care to the poor would be excluded from your policy.
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Where can I get an agreement?
The Health Access Project has an agreement you can use. You can contact them at 412-3980. It is my understanding that they will have agreements in Spanish as well. You can also create your own agreement by following the requirements of Utah Code Ann. § 58-13-3.
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Are there any services that are not covered by charitable immunity?
Yes, it doesn’t apply to general anesthesia or any care that would require an overnight stay in a hospital. Still, it is highly advisable that you have all patients sign an agreement for administrative and other reasons, even if a court ultimately sets the agreement aside.
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