In May of 2014 the Connecticut State Legislature passed Public Act 14-231 Section 67 which amends Section 1 of Special Act 14-5. This act allows the Connecticut Department of Public Health to conduct a pilot to determine the feasibility of Medical Orders for Life Sustaining Treatment (MOLST).


MOLST is a document to improve the quality of care patients receive at the end of their lives. The document is used to translate a goals of care discussion and patient goals and preferences into medical orders. These medical orders must be followed by health care professionals as the patient crosses health care settings.


The MOLST form is for patients who have a terminal illness or chronic progressive frailty with a life expectancy of approximately 1 year.


The purpose of MOLST is to promote advance care planning conversations between patients, healthcare professionals and loved ones; to encourage shared decision making between a patient and his/her healthcare professional about the care the patient would like to receive at the end of his/her life; and to ensure patient wishes are honored.