4. A terminally ill patient may make a written request for medication that the patient may choose to self-administer pursuant to P.L.2019, c.59 (C. 26:16-1 et al.), if the patient:

a. is an adult resident of New Jersey as demonstrated pursuant to section 11 of P.L.2019, c.59 (C. 26:16-11);

b. is capable and has been determined by the patient’s attending physician and a consulting physician to be terminally ill; and

c. has voluntarily expressed a wish to receive a prescription for medication pursuant to P.L.2019, c.59 (C. 26:16-1 et al.).

L.2019, c.59, s.4.