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5 key decisions your health care surrogate can make in Kentucky

On Behalf of | Apr 13, 2026 | Estate Planning

A sudden accident or serious illness can leave you unable to speak for yourself. When that happens, someone must still make urgent medical decisions on your behalf. In Kentucky, the law recognizes that person as a health care surrogate. Hence, knowing what decisions your surrogate can make helps protect your wishes and spares your loved ones from the painful burden of decision guilt. To fully appreciate why this matters, it helps to first understand who a health care surrogate is and how you can choose one.

What is a health care surrogate?

A health care surrogate is someone you legally authorize to make medical decisions when you cannot. You can name this person through an advanced medical health care directive, a legal document that forms an important part of your estate plan. This document outlines your medical preferences and puts your surrogate in a position to act quickly and confidently. Choosing your surrogate ahead of time puts full control in your hands. Once you name the right person, the next important step is understanding the full scope of decisions they can make on your behalf.

Five critical decisions your surrogate can make

Once you name a surrogate, their authority becomes real. Thus, understanding the scope of that authority helps you plan with confidence. Here are five critical decisions your surrogate can make on your behalf:

  • Life-prolonging treatments: Your surrogate can start, continue or stop treatments like ventilators or dialysis, sparing your family from making that painful call alone.
  • Artificial nutrition and hydration: In Kentucky, you must specifically authorize your surrogate to decide on tube feeding and intravenous (IV) fluids, so without that written permission, your family cannot step in.
  • Choice of medical facility: Your surrogate can choose which hospital, nursing home or hospice center cares for you, ensuring the facility meets your comfort and insurance needs.
  • Routine medical interventions: Your surrogate can consent to surgeries, medications and diagnostic tests, so your care continues without costly delays.
  • Organ and tissue donation: If you have not registered as a donor, your surrogate can honor your values by making this final decision on your behalf.

Each of these decisions carries real weight for you and your family. The good news is that putting the right plan in place today removes the guesswork entirely and that peace of mind is closer than you think.

Secure your medical future today

No one wants to think about a medical crisis before it happens. But the people who love you will be grateful you did. Taking the time to name a surrogate and document your wishes clearly is one of the most thoughtful things you can do for your family. The right guidance can make that process simple, straightforward and deeply personal so when the time comes, your surrogate carries your voice forward, even when you cannot speak.