Uniform Anatomical Gift Act (UAGA) & Uniform Determination of Death Act (UDDA)
At a glance
Revocation of FPA after death
No
68-30-108 (a)
UAGA good faith immunity
Yes
68-30-115
Coroner / ME role in UAGA
No (in separate law)
OPO must obtain ME release
No
38-7-108
Nurse DCD pronouncement
Yes
UDDA good faith immunity
Unknown
Anatomical Gift Act
When does FPA take effect?
After death.
(The type of death is not specified, as it is determined under the UDDA)
68-30-102 (3)
Is revocation of FPA after death allowed?
No
68-30-108 (a)
Does the UAGA include a good faith immunity clause?
Yes
68-30-115
Does the UAGA give instructions for the coroner / Medical Examiner role?
No (in separate law)
Must the OPO obtain release from the coroner / Medical Examiner?
No
38-7-108
Determination of Death
Types of death referenced in the UDDA
Death by Respiratory & Circulatory Criteria
Death by Neurological Criteria (Brain Death)
Deaths which must be pronounced by a physician
No specific roles are specified for pronouncement of either type of death.
How many brain death declarations are required?
One brain death declaration is needed.
Could nurse pronouncement in DCD be possible?
Yes
Does the UDDA include a good faith immunity clause?
Unknown
Pediatric Nuances & Insights
An emancipated minor or a minor who is at least 15 years old and authorized to apply for a driver’s license may make an anatomical gifts. A parent may make a gift on behalf of an unemancipated minor (Section 68-30-104)
Healthcare is managed state by state. Each state has its own version of the Uniform Anatomical Gift Act (UAGA), which outlines the rules around the gift of organs, eyes and tissues, as well as its own version of the Uniform Determination (or Declaration) of Death Act (UDDA).
In general, the majority of states have adopted the Revised UAGA, which emphasizes the legally binding nature of First Person Authorization (FPA) for donation. In most states FPA takes effect after death, at which point the decision cannot be revoked or amended. One must then review how that state determines a person to be dead under its UDDA. The exception is minors, where in most instances a parent can change the minor’s decision.
There can be nuances within state laws that differ from state to state. An effort has been made to highlight some of them here, however this reference is not all inclusive. It is highly advised to read each state’s UAGA and UDDA thoroughly for clarity.
This legislative reference guide is not intended to serve as legal advice. For further detailed questions, please contact your local OPO. For any inaccuracies or corrections, please contact The Alliance at info@organdonationalliance.org.
Other Comments
Only other official link found is to a state of TN Medical Examiner jurisdiction, cause and manner of death and death certificate, in which section 68-3-501 can be found: https://www.tn.gov/content/dam/tn/health/documents/officeofthestatechiefmedicalexaminersoffice/Basic%20Principles%20of%20Death%20Certification.pdf