Only a child’s parent, legal custodian or the juvenile court may make medical decisions for a dependent child, the Superior Court has ruled in rejecting a decision to appoint a child welfare advocacy organization as a medical guardian.

Judge Christine L. Donohue wrote the 44-page opinion for a unanimous panel in In re J.A., a minor, issued Jan. 6. She said a juvenile court in Allegheny County lacked statutory authority, and could not, under procedural rules, name the agency KidsVoice to serve as a medical decision-maker for a dependent child.

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