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A federal appeals court ruled that New Jersey’s medical aid-in-dying law applies only to state residents, rejecting efforts by out-of-state patients and physicians to challenge the restriction.

The Third U.S. Circuit Court of Appeals upheld the state’s residency requirement, finding that New Jersey is not required to make assisted suicide available to non-residents. In an opinion written by Judge Stephanos Bibas, the court acknowledged the difficult decisions facing terminally ill patients but said the option remains limited under state law.

“Death brings good things to an end, but rarely neatly,” U.S. Circuit Court Judge Stephanos Bibas wrote in the opinion issued last week. “Many terminally ill patients face a grim reality: imminent, painful

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