AHA Patient’s Bill of Rights

The AHA Patient’s Bill of Rights is only a guideline for hospitals. Americans have few legal patient rights. 

From the American Hospital Association:

A Patient’s Bill of Rights was first adopted by the American Hospital Association in 1973.

This revision was approved by the AHA Board of Trustees on October 21, 1992.


Effective health care requires collaboration between patients and physicians and other health care professionals. Open and honest communication, respect for personal and professional values, and sensitivity to differences are integral to optimal patient care. As the setting for the provision of health services, hospitals must provide a foundation for understanding and respecting the rights and responsibilities of patients, their families, physicians, and other caregivers. Hospitals must ensure a health care ethic that respects the role of patients in decision-making about treatment choices and other aspects of their care. Hospitals must be sensitive to cultural, racial, linguistic, religious, age, gender, and other differences as well as the needs of persons with disabilities.

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The American Hospital Association presents A Patient’s Bill of Rights with the expectation that it will contribute to more effective patient care and be supported by the hospital on behalf of the institution, its medical staff, employees, and patients. The American Hospital Association encourages health care institutions to tailor this bill of rights to their patient community by translating and/or simplifying the language of this bill of rights as may be necessary to ensure that patients and their families understand their rights and responsibilities.

AHA Patient’s Bill of Rights

These rights can be exercised on the patient’s behalf by a designated surrogate or proxy decision-maker if the patient lacks decision-making capacity, is legally incompetent, or is a minor.

  1. The patient has the right to considerate and respectful care.
  2. The patient has the right to and is encouraged to obtain from physicians and other direct caregivers relevant, current, and understandable information concerning diagnosis, treatment, and prognosis.
  3. Except in emergencies when the patient lacks decision-making capacity and the need for treatment is urgent, the patient is entitled to the opportunity to discuss and request information related to the specific procedures and/or treatments, the risks involved, the possible length of recuperation, and the medically reasonable alternatives and their accompanying risks and benefits.
  4. Patients have the right to know the identity of physicians, nurses, and others involved in their care, as well as when those involved are students, residents, or other trainees.
  5. The patient also has the right to know the immediate and long-term financial implications of treatment choices, insofar as they are known.
  6. The patient has the right to make decisions about the plan of care prior to and during the course of treatment and to refuse a recommended treatment or plan of care to the extent permitted by law and hospital policy and to be informed of the medical consequences of this action. In case of such refusal, the patient is entitled to other appropriate care and services that the hospital provides or transfer to another hospital. The hospital should notify patients of any policy that might affect patient choices within the institution.
  7. The patient has the right to have an advance directive (such as a living will, health care proxy, or durable power of attorney for health care) concerning treatment or designating a surrogate decision-maker with the expectation that the hospital will honor the intent of that directive to the extent permitted by law and hospital policy. Health care institutions must advise patients of their rights under state law and hospital policy to make informed medical choices, ask if the patient has an advance directive, and include that information in patient records. The patient has the right to timely information about hospital policy that may limit its ability to implement fully a legally valid advance directive.
  8. The patient has the right to every consideration of privacy. Case discussion, consultation, examination, and treatment should be conducted so as to protect each patient’s privacy.
  9. The patient has the right to expect that all communications and records pertaining to his/her care will be treated as confidential by the hospital, except in cases such as suspected abuse and public health hazards when reporting is permitted or required by law. The patient has the right to expect that the hospital will emphasize the confidentiality of this information when it releases it to any other parties entitled to review information in these records.
  10. The patient has the right to review the records pertaining to his/her medical care and to have the information explained or interpreted as necessary, except when restricted by law.
  11. The patient has the right to expect that, within its capacity and policies, a hospital will make reasonable response to the request of a patient for appropriate and medically indicated care and services. The hospital must provide evaluation, service, and/or referral as indicated by the urgency of the case. When medically appropriate and legally permissible, or when a patient has so requested, a patient may be transferred to another facility. The institution to which the patient is to be transferred must first have accepted the patient for transfer. The patient must also have the benefit of complete information and explanation concerning the need for, risks, benefits, and alternatives to such a transfer.
  12. The patient has the right to ask and be informed of the existence of business relationships among the hospital, educational institutions, other health care providers, or payers that may influence the patient’s treatment and care.
  13. The patient has the right to consent to or decline to participate in proposed research studies or human experimentation affecting care and treatment or requiring direct patient involvement and to have those studies fully explained prior to consent. A patient who declines to participate in research or experimentation is entitled to the most effective care that the hospital can otherwise provide.
  14. The patient has the right to expect reasonable continuity of care when appropriate and to be informed by physicians and other caregivers of available and realistic patient care options when hospital care is no longer appropriate.
  15. The patient has the right to be informed of hospital policies and practices that relate to patient care, treatment, and responsibilities. The patient has the right to be informed of available resources for resolving disputes, grievances, and conflicts, such as ethics committees, patient representatives, or other mechanisms available in the institution. The patient has the right to be informed of the hospital’s charges for services and available payment methods.                      

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The collaborative nature of health care requires that patients, or their families/surrogates, participate in their care. The effectiveness of care and patient satisfaction with the course of treatment depends, in part, on the patient fulfilling certain responsibilities. Patients are responsible for providing information about past illnesses, hospitalizations, medications, and other matters related to health status. To participate effectively in decision-making, patients must be encouraged to take responsibility for requesting additional information or clarification about their health status or treatment when they do not fully understand information and instructions. Patients are also responsible for ensuring that the health care institution has a copy of their written advance directive if they have one. Patients are responsible for informing their physicians and other caregivers if they anticipate problems in following prescribed treatment.

Patients should also be aware of the hospital’s obligation to be reasonably efficient and equitable in providing care to other patients and the community. The hospital’s rules and regulations are designed to help the hospital meet this obligation. Patients and their families are responsible for making reasonable accommodations to the needs of the hospital, other patients, medical staff, and hospital employees. Patients are responsible for providing necessary information for insurance claims and for working with the hospital to make payment arrangements, when necessary.

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6 Comments on "AHA Patient’s Bill of Rights"

  1. Barbara do you have the source for Brad Dacus on the PCR test carcinogen? I have read Ethelene Oxide is used to sterilize the swabs. Testing is against medical rights if the test is EUA correct? Thanks

  2. Such craziness violating and trammeling on our rights in the efforts to take the jab! I just received an email from Sutter that anyone going in to see a doctor will have to be jabbed with the COVID19 so called vaccine. To me that’s a violation of the Patient’s bill of rights. Am I correct?

  3. I am a disabled Army Veteran. I am also a seven time cancer survivor. In 2018 I lost my voice box to cancer. I have what is called a stoma (a hole in my neck which I breathe through) I wear an HME with very thick sponge inside so I have to breathe harder in order to keep my lungs good and healthy. If my shirt accidentally covers my stoma I know it immediately because I can’t breathe. I do not breathe through my nose or mouth at all. I told you all that background information to say the VA Clinic/Hospital not only wants me to wear one mask but in fact two mask. I’m refused treatment with my Dr unless I agree. I do not agree so this affectively cuts off my ability to see a VA Dr which I’m entitled to. I wonder how many other Veterans are being denied treatment this way.

  4. Do these Rights apply to “us” as employees?? I Do NOT Consent to taking the “shot” nor Do I want to take the “test” I work for a well known Medical Establishment in Virginia and they are getting ready to require “surveillance” testing if you are nonvaccinated . However, for the past year and a half we have not been required to do anything short of a temp and “wellness” attestation. (Mask has been required! ((10-12 hours a day and same mask for a week)) but no test)! I and other teammates that are not vaccinated feel pressured and “bullied” and feel our jobs are in jeopardy. I am a nurse.

    • Corrie Brogle | June 21, 2021 at 4:49 pm |

      Very excellence question Catherine! I am a nurse too and would love to know what you’ve found out regarding this. This is such a battle defending our rights, I hope you and your colleagues are staying strong in the fight.

    • Barbara Thurman | September 6, 2021 at 5:52 pm |

      I would like to know the same thing??? I work for a local government agency. They are “threatening” to discipline if we do not comply with the jab (Not following orders). They are in negotiations right now regarding weekly testing. Brad Dacus at PJI.org has stated that the PCR test uses a carcinogen on the cotton swab. Not good if it is used weekly. So what happens with that??? I am my own best advocate for my bodies health. I do not feel that I should be pressured to be injected with something that surrounds my cells with a protein that and those cells travel to all the organs and all my T-cells attack. But the protein multiplies faster then my T-cells can cope.
      No I don’t think so. Any advice would be helpful.

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