With all due respect, your post is essentially unreadable.
So, what IS being proposed, exactly?
Basically, each senior has to have an end-of=life discussion with a doctor or nurse practitioner every five years or when certain trigger events (terminal illness, admittance to a skilled nursing ward, etc.) occur. It mandates what issues are to be discussed and what form an advance directive has to take.
(I’m not sure yet if it’s every senior or just the ones on the governmant plan, which would be almost all of them anyway.)