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17.09.2026

New legislation on health care proxies: time for a check-up

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Starting September 1, 2027, new rules will apply to health care powers of attorney. Do you already have one? If so, it’s worth reviewing it. Don’t have one yet? Then this is the perfect time to get one set up.

We’d be happy to tell you what you need to know regarding the changes to the law. For a more general explanation of how a healthcare proxy works, please refer to our article: The health care proxy: decide now for when things don't work out.

Sept. 1, 2027
New rules will take effect
2 categories
family and professional representatives
Register
Required for professional agents

Recap: What Is a Health Care Power of Attorney?

Suppose, due to an accident or illness, you are no longer able to make decisions about your assets or your business on your own. Who will handle your affairs? And how? With a power of attorney for healthcare You decide that yourself: not a court or a stranger, but someone you trust, within the boundaries you set.

A health care proxy is one of the tools available to you business continuity planning: something to think about today, so that you, your family, and your business are protected when the time comes. Don't have a health care proxy yet? Then we recommend that you seriously consider getting one.

Two Types of Agents

The person authorized to handle your affairs is called the ‘trustee‘. Until now, there has been little legal framework for agents appointed in a healthcare power of attorney. Effective September 1, 2027, every agent must fall into one of two categories: family-related or professional. The goal of the reform: to better protect vulnerable individuals from abuse.

1. The family representative

This is a wide circle of people who are close to you:

-your spouse, common-law partner, or de facto partner
-your parents, children, brothers, sisters, or other close relatives
-someone with whom you have a close bond, with whom you have a close, trusting relationship, or who is responsible for your daily care

Have you designated someone like that? If so, nothing will change.. There are no additional rules for this category.

2. The Professional Agent

Anyone who is not considered a family member (such as an accountant, lawyer, financial advisor, or notary) must stricter requirements meet the requirements. Note the nuance: if your son happens to be an accountant and you hire him, he remains a family member. An accountant with whom you have a long-standing relationship of trust can also be considered a family member in that context. The assessment is based on the relationship you really maintains with the agent, not solely on the basis of the profession.

In order to be authorized to act as a professional agent, a person must henceforth be registered with a official national registry. To do so, he must, among other things:

-enroll in an accredited program
-adhere to a code of ethics
-demonstrate that he is independent, competent, and financially sound

Without registration, a professional agent will be able to, after September 1, 2027 no longer act in a legally valid manner.

If your preferred advisor does not meet the requirements for a family member or professional representative, you can appoint him or her as advisor or confidant in the healthcare power of attorney. In that role supports and he advises your family representative without the registration requirements applying. This way, you benefit from his expertise without the formalities.

When do the new rules take effect?

The new law takes effect on September 1, 2027 and applies to all health care powers of attorney that take effect after that date. It is not the date you sign the health care power of attorney that matters, but the date your professional agent signs it used effectively — and only if that happens within the context of your incompetence. If your health care power of attorney is already in effect while you are still competent, these rules do not apply.

Specifically: If your professional representative goes to the notary on your behalf to sell a home after you have become legally incapacitated, the notary will first check whether that person is listed in the registry. If not, the representative cannot act on your behalf.

What does this mean for your existing health care power of attorney?

The new law is a good opportunity to existing health care power of attorney to take another look at it:

-Have you designated only family members as beneficiaries? If so, then no action required.

-

Have you (also) appointed a professional agent?
-Does that person meet the requirements, or will he or she meet them in a timely manner to be included in the registry? No action required.
-If that person does not meet the requirements—and is unlikely to do so in the future—then have your power of attorney thoroughly reviewed, because that person will definitely not be able to act as your agent.

Two points to note:

-A family representative may lose that status at a later time losses (for example, if couples break up and no longer maintain a close relationship after the breakup). From that point on, he must comply with the rules governing professional agents in order to practice.
-A professional agent must continue to meet the requirements: this is checked on a regular basis, and the registration must updated every two years Becoming.

Don't have a health care proxy yet? Get started

The legislative change has little impact on most existing health care powers of attorney, but it does remind us of something more important: just how valuable a health care power of attorney is for protecting yourself, your family, and your business.

Don't have one yet? Then you don't have to wait until 2027: today is always the best time to start.

Would you like to have your existing health care power of attorney reviewed, or would you like to draft one for the first time?
Please feel free to contact your regular contact person or advisor at Titeca.