This bill, known as the Medicare Advance Planning for Care Act or MAP for Care Act, aims to encourage Medicare beneficiaries to voluntarily adopt and maintain advance directives guiding their medical care. It mandates the Secretary of Health and Human Services to establish an Advance Directive Certification Program within five years of enactment. This program will facilitate the use of certified advance directives , which are electronically stored, state-recognized instructions outlining medical treatments and care preferences, and may include the identification of a healthcare proxy. The Secretary must consider best practices for existing advance directive registry technologies, including web-based systems that use time/date stamps, video, and secure messaging to ensure authenticity, quality, and interoperability. The program also emphasizes educating beneficiaries on how to communicate their wishes and access their directives, including via mobile devices. Importantly, the bill specifies that its provisions will not preempt any existing state or local laws governing advance directives. Under the program, the Secretary will notify eligible beneficiaries annually about the program and ensure that all enrollment and registration systems comply with federal privacy and security regulations, such as HIPAA. Access to a participant's registration record will be strictly limited to the participant, authorized individuals, and their healthcare providers. A key component is the accreditation of advance directive vendors and other entities by the Secretary, or a contracted organization, based on specific criteria. Accreditation criteria require vendors to offer certified advance directives and establish procedures for beneficiaries to enroll, disenroll, and update their directives online in a timely and secure manner. Vendors must undergo annual quality reviews and allow participants to access and use statutory and alternative advance directive forms. They must also provide near real-time online access to directives for participants, their family members, legal representatives, and providers, while ensuring strict privacy protections and robust security testing for data management and transfer. The bill also requires the Secretary to conduct education and outreach, including providing information about the benefits of electronic advance directives in Medicare notices and on the Centers for Medicare & Medicaid Services website. This website will feature links to statutory and alternative advance directive forms, indexed by state, to assist beneficiaries. Furthermore, after the program's implementation, Medicare enrollment forms will include a link to resources for completing an advance directive, promoting broader awareness and adoption.