DWD-Information.org | October 2026

Medical Aid in Dying Laws Across the United States

Explore by State or Jurisdiction

Several states currently have free learning programs. See the states below to sign up. Additional state programs are being developed.

California

Authorized · 2016; permanent as of Oct. 3, 2025

Residency
Required
Prognosis
6 months or less
Capacity
Required
Self-administration
Required
Request process
Two oral requests at least 48 hours apart, plus a written request.
Provider review
Attending + consulting physicians.
California reduced the interval between oral requests to 48 hours in 2022.

Colorado

Authorized · 2016; updated 2024

Residency
Required
Prognosis
6 months or less
Capacity
Required
Self-administration
Required
Request process
Two oral requests at least 7 days apart, plus a written request. The interval may be shortened if death is expected within 48 hours.
Provider review
Attending + consulting providers; physicians or APRNs may serve in these roles.
Colorado expanded eligible providers and shortened the oral-request interval in 2024.

Delaware

Authorized · Jan. 1, 2026

Residency
Required
Prognosis
6 months or less
Capacity
Required
Self-administration
Required
Request process
Two oral requests at least 15 days apart, plus a written request. The written request must be submitted at least 48 hours before medication can be dispensed.
Provider review
Attending + consulting physician or APRN.
Delaware’s law became effective January 1, 2026.
Full Learning Program — Coming Soon Official / primary source ↗

District of Columbia

Authorized · 2017

Residency
Required
Prognosis
6 months or less
Capacity
Required
Self-administration
Required
Request process
Two oral requests at least 15 days apart, plus a written request before the second oral request and at least 48 hours before medication may be prescribed or dispensed.
Provider review
Attending + consulting physicians.
The District uses a traditional two-oral-request process.
Full Learning Program — Coming Soon Official / primary source ↗

Hawai‘i

Authorized · Jan. 1, 2019

Residency
Required
Prognosis
6 months or less
Capacity
Required
Self-administration
Required
Request process
Two oral requests at least 5 days apart, plus a written request after eligibility is confirmed.
Provider review
Three-provider review: attending + consulting provider + mental-health provider. Physicians and qualified APRNs may serve as attending or consulting providers.
Hawai‘i requires a mental-health capacity evaluation for every participant.

Illinois

Enacted — not yet effective · Sept. 12, 2026

Residency
Required
Prognosis
6 months or less
Capacity
Required
Self-administration
Required
Request process
Initial oral request, written request, then a second oral request at least 5 days after the first. The interval may be shortened if death is expected within 5 days.
Provider review
Attending + consulting physicians.
As of August 26, 2026, the law is enacted but does not take effect until September 12, 2026.
Full Learning Program — Coming Soon Official / primary source ↗

Maine

Authorized · 2019; waiting-period rules updated 2025

Residency
Required
Prognosis
6 months or less
Capacity
Required
Self-administration
Required
Request process
Two oral requests at least 15 days apart, plus a written request no earlier than 15 days after the first oral request; at least 48 hours from written request to prescription. Portions may be waived, but the total wait cannot be less than 7 days.
Provider review
Attending + consulting physicians.
Maine revised its waiting-period provisions in 2025.

Montana

Court-authorized · Baxter v. State, 2009

Residency
No statutory MAID residency rule
Prognosis
Terminally ill*
Capacity
Mentally competent
Self-administration
Required under the Baxter framework
Request process
No detailed statutory request or waiting-period schedule. Montana’s framework comes from the state Supreme Court decision in Baxter v. State.
Provider review
Physician; the court decision provides a legal defense rather than a step-by-step statutory program.
*Unlike the statutory programs, Baxter does not establish a detailed six-month MAID eligibility rule. Montana deserves especially careful legal review.

New Jersey

Authorized · Aug. 1, 2019

Residency
Required
Prognosis
6 months or less
Capacity
Required
Self-administration
Required
Request process
Two oral requests at least 15 days apart, plus a written request; at least 48 hours from the written request to the prescription.
Provider review
Attending + consulting physicians.
New Jersey follows the traditional two-oral-request model.
Full Learning Program — Coming Soon Official / primary source ↗

New Mexico

Authorized · 2021

Residency
Required
Prognosis
6 months or less
Capacity
Required
Self-administration
Required
Request process
A voluntary request is evaluated by the prescribing provider. There is generally a 48-hour wait after the prescription is written before it may be filled; the wait may be waived if the patient is unlikely to survive it.
Provider review
MD, DO, APRN, or PA may be a prescribing provider; medical confirmation requirements vary, and in most cases two clinicians are involved with at least one MD or DO.
New Mexico does not use the same multi-oral-request structure found in many other states.
Full Learning Program — Coming Soon Official / primary source ↗

New York

Authorized · Aug. 5, 2026

Residency
Required
Prognosis
Less than 6 months
Capacity
Required + mandatory mental-health evaluation
Self-administration
Required
Request process
One oral request recorded by audio or video, plus a signed written request with two witnesses. Medication cannot be filled until 5 days after the prescription is written.
Provider review
Attending + consulting physicians, plus mandatory capacity evaluation by a psychologist or psychiatrist.
New York’s law took effect August 5, 2026 and differs substantially from the older Oregon-style model.
Full Learning Program — Coming Soon Official / primary source ↗

Oregon

Authorized · 1997; residency removed 2023

Residency
Not required
Prognosis
6 months or less
Capacity
Required
Self-administration
Required
Request process
Two oral requests at least 15 days apart, plus a written request; normally at least 48 hours from written request to prescription. Waiting periods may be waived when they exceed the patient’s life expectancy.
Provider review
Attending + consulting physicians.
Oregon removed its residency requirement in 2023.

Vermont

Authorized · 2013; residency removed May 2, 2023

Residency
Not required
Prognosis
6 months or less
Capacity
Required
Self-administration
Required
Request process
Two oral requests at least 15 days apart, plus a written request.
Provider review
Prescribing physician + second physician for confirmation.
Vermont eliminated its residency requirement in 2023.
Full Learning Program — Coming Soon Official / primary source ↗

Washington

Authorized · 2009; updated 2023

Residency
Required
Prognosis
6 months or less
Capacity
Required
Self-administration
Required
Request process
Two oral requests at least 7 days apart, plus a written request; at least 7 days from the first oral request to the prescription.
Provider review
Attending + consulting qualified medical providers; physicians, physician assistants, and ARNPs may qualify.
Washington shortened its waiting period and expanded eligible provider types in 2023.
Full Learning Program — Coming Soon Official / primary source ↗
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