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Agent authorized to make health care decisions under an Advanced Directive may not bind patient to nursing facility’s arbitration agreement

March 27, 2026

Logan v. Country Oak Partners, LLC (Aug. 18, 2022, B312967) __ Cal.App.5th __ [2022 WL 3500353].

Plaintiff Charles Logan executed an Advanced Directive (Prob. Code, §§ 4600–4805) appointing his nephew, Mark Harrod, as his health care agent. Harrod had authority to make “health care decisions” for Logan if he could not make them himself. Logan was admitted to defendants’ skilled nursing facility, where Harrod executed an admissions agreement and a separate arbitration agreement on Logan’s behalf as his “Legal Representative/Agent.” Logan later sued the facility and its owners, alleging elder abuse, negligence, and violations of the Residents’ Bill of Rights. The defendants moved to compel arbitration, which the court denied. Defendants appealed.

The Court of Appeal affirmed, holding that an agent’s authority to make health care decisions does not include the authority to enter into arbitration agreements. Relying on Garrison v. Superior Court (2005) 132 Cal.App.4th 253, defendants argued Harrod could sign the arbitration agreement on Logan’s behalf because the Directive authorized him to choose an appropriate health care facility. The Court of Appeal disagreed, holding that—contrary to the reasoning in Garrison—the relevant statutes limit health care decisions to the treatment of “physical or mental conditions.” (Prob. Code, § 4615.) The decision to enter into an arbitration agreement is not a health care decision, “[r]ather it is a decision about how disputes over health care decisions will be resolved.” The court also rejected Garrison’s holding that an agent could enter into an arbitration agreement as part of the “necessary or proper” excise of an agent’s authority. Because the arbitration agreement was optional, its execution could not be necessary to Harrod’s agency. Finally, the court drew support from recent federal regulations prohibiting Medicare and Medicaid nursing facilities from requiring arbitration agreements for admission; “arbitration agreements are not executed as part of the health care decision making process, but rather are entered into only after the agent chooses a nursing facility based on the limited options available and other factors unrelated to arbitration.”

 

Prepared by H. Thomas Watson and Peder K. Batalden, Horvitz & Levy, LLP

California Society for Healthcare Attorneys

140 B Street Ste 5 #155

Davis, CA 95616

 

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Agent authorized to make health care decisions under an Advanced Directive may not bind patient to nursing facility’s arbitration agreement

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