Stricken language would be deleted from and underlined language would be added to present law. Act 383 of the Regular Session *JMB048* 02-20-2025 11:57:35 JMB048 State of Arkansas As Engrossed: H1/30/25 H2/6/25 H2/20/25 1 95th General Assembly A Bill 2 Regular Session, 2025 HOUSE BILL 1169 3 4 By: Representative L. Johnson 5 By: Senator B. Davis 6 7 For An Act To Be Entitled 8 AN ACT TO CLARIFY THE ADMISSION CRITERIA FOR AN 9 INVOLUNTARY COMMITMENT TO INCLUDE A PERSON WHO IS IN 10 A MENTAL CONDITION AS A RESULT OF A MEDICAL 11 CONDITION; AND FOR OTHER PURPOSES. 12 13 14 Subtitle 15 TO CLARIFY THE ADMISSION CRITERIA FOR AN 16 INVOLUNTARY COMMITMENT TO INCLUDE A 17 PERSON WHO IS IN A MENTAL CONDITION AS A 18 RESULT OF A MEDICAL CONDITION. 19 20 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS: 21 22 SECTION 1. Arkansas Code § 20 -47-202, concerning definitions relating 23 to commitment and treatment for persons with mental illness, is amended to 24 add an additional subdivision to read as follows: 25 (22) “Behavioral health impairment” means a substantial 26 impairment of emotional processes, the ability to exercise conscious control 27 of one's actions, or the ability to perceive reality or to reason, when the 28 impairment is manifested by instances of extremely abnormal behavior or 29 extremely faulty perceptions that interfere with one (1) or more activities 30 of daily living. 31 32 SECTION 2. Arkansas Code § 20 -47-207(c)(1), concerning the admission 33 criteria into a healthcare facility for an involuntary commitment, is amended 34 to read as follows: 35 (c) Involuntary Admission Criteria. 36 As Engrossed: H1/30/25 H2/6/25 H2/20/25 HB1169 2 02-20-2025 11:57:35 JMB048 (1) A person shall be eligible for involuntary admission if he 1 or she is in such a mental condition as a result of mental: 2 (A) A mental illness, disease, or disorder that he or she 3 poses a clear and present danger to himself or herself or others ; or 4 (B) A medical condition that causes a behavioral health 5 impairment, including without limitation dementia, encephalitis, 6 or delirium, that he or she poses a clear and present danger to 7 himself or herself or others . 8 9 SECTION 3. Arkansas Code § 20 -47-207(c)(2)(D)(ii), concerning the 10 definition of "a clear and present danger to himself or herself" relating to 11 the admission criteria into a healthcare facility for an involuntary 12 commitment, is amended to read as follows: 13 (ii) The person needs mental health treatment on a 14 continuing basis to prevent a relapse or harmful deterioration of his or her 15 condition mental condition as a result of subdivision (c)(1)(A) or (c)(1)(B) 16 of this section; and 17 18 SECTION 4. Arkansas Code § 20 -47-210(c), concerning immediate 19 confinement by a healthcare facility for seventy -two (72) hours, is amended 20 to read as follows: 21 (c) If the person is transported to a hospital or to a receiving 22 facility or program or to the office of a licensed physician of the State of 23 Arkansas or of the United States Government, either salaried or self -24 employed, for purposes of initial evaluation and treatment, then the hospital 25 or receiving facility or program or physician may detain the person for 26 initial evaluation and treatment provided: 27 (1) The person is immediately advised of his or her rights as 28 provided in § 20-47-211 and informed that he or she maintains all fundamental 29 rights under § 20-47-220; 30 (2) The person is determined by the treatment staff of the 31 hospital or receiving facility or program or by the physician to be of danger 32 to himself or herself or others as defined in § 20 -47-207 or has a medical 33 condition that causes a behavioral health impairment, including without 34 limitation mental disability, dementia, or other permanent or temporary 35 behavioral health impairment, that he or she poses a clear and present danger 36 As Engrossed: H1/30/25 H2/6/25 H2/20/25 HB1169 3 02-20-2025 11:57:35 JMB048 under to himself or herself or others as defined under § 20 -47-207(c)(2); 1 (3) The person is provided a telephone number for the hospital 2 or receiving facility or program's department of patient relations, risk 3 management, or other similar department; 4 (4) The person is seen and evaluated by a physician or advanced 5 practice registered nurse every twenty -four (24) hours to confirm whether the 6 immediate confinement remains warranted; 7 (5) The limitations on treatment for a person under this section 8 shall be same as the limitations on treatment under § 20 -47-218; 9 (6) The authority of the sheriff of the county or law 10 enforcement of the city of the first class where the hospital or receiving 11 facility or program is located or the security officer of the hospital or 12 receiving facility or program shall be the same as the authority under § 20 -13 47-219(a); and 14 (3)(7) A hearing pursuant to § 20 -47-209(a)(1) is held within 15 the specified time period. 16 17 /s/L. Johnson 18 19 20 APPROVED: 3/20/25 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36