There is a POLST initiative in Michigan......
http://goo.gl/Hc5eDcThere is increasing interest around the country in documenting patient preferences for life sustaining treatment, with the hope that patients may receive care in line with their goals and values during an emergency. Many states in the US do this through Physician Order for Life Sustaining Treatment (POLST) programs, which are active or developing in all but five states [1]. California has had a law in place since 2008 that mandates honoring a POLST, and on October 1st, 2014, the state will roll out a new version, the first revision since 2011. The changes are subtle, but there are definite shifts in language and emphasis that reflect larger themes.