# San Marino legislative developments

> Developing situation record from CLSTR: https://clstr.news/situations/san-marino-legislative-developments
> Updated: 2026-11-06T00:08:27.000Z. Sources: 4. Developments: 2.

The Grand and General Council of San Marino has addressed two distinct legislative matters. First, the Council began debating a popular initiative bill concerning end-of-life care and biological testaments. The proposed law focuses on patient self-determination, the right to refuse medical treatments, and the regulation of Advance Healthcare Directives. While the bill aims to strengthen palliative care, some opposition members expressed concerns regarding the protection of vulnerable individuals.

Subsequently, the Council ratified Delegated Decree no. 118/2026 to manage a critical shortage of burial spaces. This measure reorganizes cemetery concessions by introducing progressive expiration dates for existing plots. To recover space, the state plans to begin exhumation operations in early 2027, starting with unclaimed burials, following a notification process for families.

## Timeline

### 2026-11-06: San Marino implements new cemetery concession decree to address space emergency

San Marino has approved a decree to reorganize cemetery concessions and manage burial space shortages through progressive expiration dates and planned exhumations starting in 2027.

2 sources. https://clstr.news/cluster/san-marino-implements-new-cemetery-concession-decree-to-address-space-emergency

### 2026-11-05: San Marino Council debates end-of-life and biological testament law

San Marino's Grand and General Council is reviewing a law on end-of-life care and biological testaments, focusing on patient self-determination and advance healthcare directives.

3 sources. https://clstr.news/cluster/san-marino-council-debates-end-of-life-and-biological-testament-law

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Cite as: San Marino legislative developments. CLSTR, https://clstr.news/situations/san-marino-legislative-developments