Governor Kathy Hochul will sign the Medical Aid in Dying Act, allowing terminally ill residents to request life-ending medication under strict safeguards, including confirmation by physicians and a mandatory waiting period.

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New York: New York is on the verge of becoming the latest US state to permit medically assisted suicide for terminally ill patients. Governor Kathy Hochul announced on Wednesday that she will sign the Medical Aid in Dying Act, following an agreement with state legislative leaders to include a series of safety measures, or "guardrails," in the legislation.
Hochul, a practicing Catholic, said her decision was influenced by conversations with residents enduring extreme pain and their families, while balancing the views of faith communities who oppose intentionally ending life. She explained that compassion must guide policies for those facing the final months of life.
Under the new law, only terminally ill individuals expected to die within six months can request life-ending medication. Patients must submit a written request signed by two witnesses to ensure they are not coerced. Approval from the attending physician and a consulting physician is mandatory before the prescription can be dispensed.
The legislation includes additional safeguards, such as confirmation from a medical doctor regarding the patient’s prognosis, and evaluation by a psychologist or psychiatrist to ensure the patient can make a free and informed choice. A mandatory five-day waiting period, along with a written and recorded oral request, further ensures voluntary participation.
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Outpatient facilities associated with religious hospitals will be allowed to opt out of providing the medication, and the law will apply only to New York residents, following recent federal court precedent from New Jersey.
The bill, first introduced in 2016, faced years of delays due to strong opposition from the New York State Catholic Conference and other faith-based organizations. Critics argued that legalising assisted suicide would undermine the value of human life and the traditional role of doctors as healers.
In response to Hochul’s announcement, Cardinal Timothy Dolan and New York bishops expressed deep concern, stating that the move sends a message that suicide is acceptable for vulnerable citizens. They said the decision could endanger people who are sick or disabled, framing the law as a departure from moral responsibility.
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Supporters of the legislation, however, argue that it provides a merciful option for those suffering unbearably and allows individuals to retain control over their final days. Lawmakers approved the measure earlier this year during the state’s legislative session, emphasizing that terminally ill residents deserve the choice to die with dignity under stringent safeguards.
Hochul said she plans to sign the bill into law next year, and it will come into effect six months after being signed, giving medical facilities and regulatory bodies time to implement necessary procedures. Advocates hope the law will relieve pain and provide peace of mind for families facing terminal illness.