What We Do

The Surrogate Decision-Making Committee (SDMC) program provides an alternative to the court system for making important medical and end-of-life decisions for individuals who are unable to make these decisions themselves and have no legally authorized surrogate available. Through trained volunteer panels and a supportive, community-oriented process, SDMC ensures respectful, timely, and cost-free decision-making that protects autonomy and individual dignity.

The SDMC program considers non-emergency major medical treatment and end-of-life care decisions on behalf of qualifying individuals who have a developmental, intellectual, or other disability that prevents them from providing informed consent and who do not have a willing or available surrogate decision-maker. SDMC panels consist of volunteers from the community who work together to make decisions grounded in respect, dignity, and the person’s best interests.

The SDMC Process

A referral is made via the NYS Justice Center.

Trained volunteers with diverse backgrounds review the case information.

The panel considers the individual’s needs and circumstances and makes a decision that reflects the person’s best interest.

Outcomes and next steps are communicated clearly to all involved.

This process provides a respectful, community-based alternative to court proceedings.

Who We Serve

This program is available for people who:

  • Cannot make informed medical decisions due to cognitive or developmental limitations,
  • Have no family member, legal guardian, or other surrogate available or willing to make decisions, and
  • Qualify through referral by the NYS Justice Center for the Protection of People with Special Needs.

SDMC panels ensure every eligible person can receive necessary medical care decisions without prolonged court processes.

What Decisions We Can Make

SDMC panels may consider important health care decisions, including:

  • Major medical treatments and procedures,
  • Surgical and diagnostic care requiring anesthesia or significant recovery,
  • Chemotherapy and hospice care,
  • End-of-life care options.

These decisions are made through a structured panel process designed to be impartial, inclusive, and supportive.

We Need Your Support Today!

Your support helps us continue providing accessible, empowering services to those in need. From volunteering to donating, every contribution makes a difference.