The CT Department of Public Health (CTDPH) Medical Orders for Life-Sustaining Treatment (MOLST) pilot initiative was passed during the 2014 legislative session.  The legislation gave the authority to CTDPH to establish a pilot program in selected geographic regions of the state. The two regions initially selected for the pilot were the greater Windham and Hartford areas. During the 2016 legislative session the pilot was extended to October 1, 2017, and since its launch on April 16, 2016 at least one facility in each of Connecticut’s counties has chosen to participate in the program. 


A "CT medical order for life-sustaining treatment" is a written medical order by a physician, advanced practice registered nurse, or physician assistant that records a patient’s treatment preferences in writing on a bright green form approved by the CT DPH.  Patients approaching the end stage of a serious, life-limiting illness (such as terminal cancer) or who are in a condition of advanced, chronic, progressive frailty, complete the form with their health care provider. The completion of the form follows a focused end-of-life discussion that reflects the patient’s goals of care and choices for life prolonging medical treatment, limited medical treatment, or comfort care. This form accompanies the patient from one care setting to another, making it easier for providers at one care setting to know the wishes a patient previously documented in another care setting.

All patient participation in the pilot program is strictly voluntary, and healthcare providers who include patients in the program must have a patient’s written permission. Completing a MOLST form is an adjunctive advanced care planning tool; patients may have already completed a living will and may have both documents.

The goal of the MOLST pilot program hopes to not only encourage more clinicians to have conversations with their patients about end of life care and treatment options before a crisis occurs, but also to promote the value of having written statements that clarify treatment plans for patients and their health care providers.  The pilot also assesses the legislative safeguards, including: requiring the patient’s signature on the form along with a witness, providing information to patients in a language they understand, and requiring specific training in MOLST for those clinicians who are authorized to participate in the pilot, i.e. MDs, DOs, APRNs, PAs.  Data collected from the MOLST pilot will be analyzed and hopefully utilized to expand the use of a MOLST program throughout Connecticut.

If you have any questions about the MOLST pilot project please contact Suzanne Blancaflor at 860-509-7293 or

*Pending Legislation

MOLST Legislation and Policies and Procedures (pdf)
Information on Connecticut Advanced Directives (pdf)
 MOLST Resources (links)