Arkansas 2025 Regular Session

Arkansas Senate Bill SB313 Latest Draft

Bill / Chaptered Version Filed 04/21/2025

                            Stricken language would be deleted from and underlined language would be added to present law. 
Act 733 of the Regular Session 
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State of Arkansas As Engrossed:  S3/6/25 H4/9/25   1 
95th General Assembly A Bill     2 
Regular Session, 2025  	SENATE BILL 313 3 
 4 
By: Senators Irvin, B. Davis, J. English 5 
By: Representatives K. Moore, Vaught, Barker, Bentley, A. Brown, K. Brown, R. Burkes, Cavenaugh, 6 
Crawford, Dalby, Duke, Henley, Lundstrum, J. Mayberry, McAlindon 7 
 8 
For An Act To Be Entitled 9 
AN ACT CONCERNING FORENSIC MENTAL HEALTH EVALUATIONS 10 
AND TREATMENT; TO PROMOTE AND IMPROVE EFFICIENCIES 11 
AND QUALITY IN THE DEPARTMENT OF HUMAN SERVICES; AND 12 
FOR OTHER PURPOSES. 13 
 14 
 15 
Subtitle 16 
CONCERNING FORENSIC MENTAL HEALTH 17 
EVALUATIONS AND TREATMENT; AND TO 18 
PROMOTE AND IMPROVE EFFICIENCIES AND 19 
QUALITY IN THE DEPARTMENT OF HUMAN 20 
SERVICES. 21 
 22 
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS: 23 
 24 
 SECTION 1.  Arkansas Code § 5 -2-301(3), concerning the definition of 25 
"designated receiving facility or program" regarding mental disease or 26 
defect, is amended to read as follows: 27 
 (3)  “Designated receiving facility or program” means an 28 
inpatient or outpatient treatment facility or program that is designated 29 
within each geographic area of the state by the Director of the Division of 30 
Aging, Adult, and Behavioral Health Services of the Department of Human 31 
Services to accept the responsibility for the care, custody, and treatment of 32 
a person involuntarily admitted committed to the state mental health system 33 
for mental health treatment ; 34 
 35 
 SECTION 2.  Arkansas Code § 5 -2-301(5), concerning the definition of 36  As Engrossed:  S3/6/25 H4/9/25 	SB313 
 
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"frivolous" regarding mental disease or defect, is amended to read as 1 
follows: 2 
 (5)  “Frivolous” means clearly lacking any a reasonable basis in 3 
fact or law; 4 
 5 
 SECTION 3.  Arkansas Code § 5 -2-301, concerning the definitions used 6 
regarding mental disease or defect, is amended to add an additional 7 
subdivision to read as follows: 8 
 (14)(A)  "Jail-based restoration services" means clinical and 9 
educational services provided in a county jail to a defendant to assist in 10 
the restoration of the defendant's fitness to proceed. 11 
 (B)  "Jail-based restoration services" includes without 12 
limitation mental health treatment, medical treatment, and substance abuse 13 
treatment. 14 
 15 
 SECTION 4.  Arkansas Code § 5 -2-304 is amended to read as follows: 16 
 5-2-304. Notice requirement. 17 
 (a)  When a defendant intends to raise lack of criminal responsibility 18 
as a an affirmative defense in a prosecution or put in issue his or her 19 
fitness to proceed, the defendant shall notify the prosecutor and the court 20 
at the earliest practicable time. 21 
 (b)(1) Failure to notify the prosecutor within a reasonable time 22 
before the trial date entitles the prosecutor to a continuance that for 23 
limitation purposes is deemed an excluded period granted on application of 24 
the defendant. 25 
 (2)  Alternatively, in lieu of suspending any further proceedings 26 
under § 5-2-328, the court may order the immediate examination of the 27 
defendant at a designated receiving facility or program by an expert. 28 
 (c)  When the court or a party in a criminal proceeding has reason to 29 
believe that a defendant is not fit to proceed, the court or a party shall 30 
raise the question of the defendant’s fitness in the following manner: 31 
 (1)  On its own motion, the court shall suspend the proceedings 32 
and order an examination of the defendant pursuant to this subchapter; or 33 
 (2)(A)  By written motion of the prosecutor or defense counsel 34 
stating that the request is made in good faith and not for the purpose of 35 
delay, and containing the facts and observations in support of the request. 36  As Engrossed:  S3/6/25 H4/9/25 	SB313 
 
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 (B)  If the motion is denied, defense counsel may request 1 
an ex parte or in camera filing and hearing if an ex parte or in camera 2 
filing and hearing are necessary because the motion is based in whole or in 3 
part on information protected by the attorney -client privilege. 4 
 (d)  For good cause shown, a request for an evaluation may be made by 5 
oral motion in court if the request: 6 
 (1)  Is made in good faith and not for the purpose of delay; and 7 
 (2)  Contains sufficient facts and observations in support of the 8 
request for the court to consider the request.  9 
(e) When the defendant intends to raise the lack of criminal responsibility 10 
as an affirmative defense, the defendant shall file a notice of intent and 11 
the circuit court shall suspend all further proceedings. 12 
 (f) Upon filing of an order for an examination of criminal 13 
responsibility or fitness to proceed with a circuit clerk: 14 
 (1)  The moving party shall immediately submit a copy of the 15 
order to the Department of Human Services; 16 
 (2)  The prosecutor shall submit a copy of the defendant’s case 17 
file to the department; 18 
 (3)  The attorney for the defendant shall submit to the 19 
department either: 20 
 (A)  A release of protected health information, signed by 21 
the defendant, with a list of all known previous healthcare providers; or  22 
 (B)  If the defendant cannot provide consent, a court order 23 
for the production of records; and 24 
 (4)  The attorney for the defendant shall make all reasonable 25 
efforts to provide any medical, psychiatric, or treatment records that may be 26 
relevant to the examination to the department. 27 
 28 
 SECTION 5.  Arkansas Code § 5 -2-310 is amended to read as follows: 29 
 5-2-310. Lack of fitness to proceed — Procedures subsequent to finding. 30 
 (a)(1)(A)  If the court determines that a defendant lacks fitness to 31 
proceed, the proceeding against him or her shall be suspended and the court 32 
may commit the defendant to the custody of the Department of Human Services 33 
for detention, care, and treatment until restoration of fitness to proceed. 34 
 (B)  If the court determines that a defendant lacks fitness 35 
to proceed because of a mental disease or defect that precludes the 36  As Engrossed:  S3/6/25 H4/9/25 	SB313 
 
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possibility of restoration, the court shall direct the defendant to available 1 
services and supports as recommended by the department.   2 
 (C) However, if If the court is satisfied that the 3 
defendant may be released without danger to himself or herself or to the 4 
person or property of another, the court may order the defendant's release 5 
and the release shall continue at the discretion of the court on conditions 6 
the court determines necessary. 7 
 (D)  If the court finds that the defendant lacks fitness to 8 
proceed or that the defendant is fit to proceed but that the defendant’s 9 
fitness to proceed depends on the continuation of appropriate treatment for a 10 
mental disease or defect, the court shall consider issues relating to 11 
treatment necessary to restore or maintain the defendant’s fitness to 12 
proceed.  13 
 (E)  If the court finds that the defendant may be treated 14 
in the community, the court may make receipt of reasonable medical treatment 15 
a condition of his or her release. 16 
 (F)  The court may order the administration of medication 17 
to maintain the fitness to proceed of an incarcerated defendant if the 18 
defendant is a danger to himself or herself or others and refuses to take the 19 
medication required to maintain his or her fitness to proceed.   20 
 (G)  The court may order the administration of medication 21 
to maintain the fitness to proceed of an incarcerated defendant if the 22 
defendant is not a danger to himself or herself or others and refuses to take 23 
the medication required to maintain his or her fitness to proceed if the 24 
court finds that: 25 
 (i)  The treatment is medically appropriate; 26 
 (ii)  All less intrusive alternatives have been 27 
considered; 28 
 (iii)  The treatment is substantially unlikely to 29 
produce a side effect that may undermine the fairness of the trial; and 30 
 (iv)  There is a substantial government interest in 31 
the prosecution of the defendant. 32 
 (H)  Days spent in the physical custody of the department 33 
under this subsection are considered days spent in custody for determining 34 
credit for time served.  35 
(2)  A copy of the report filed under § 5 -2-327 shall be attached to the 36  As Engrossed:  S3/6/25 H4/9/25 	SB313 
 
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order of commitment or order of conditional release. 1 
 (3)(A)  At any time after the issue of a defendant's fitness to 2 
proceed has been raised, the court may, on a motion of the state, dismiss all 3 
charges pending against the defendant. 4 
 (B)  If the court dismisses the charges pending against a 5 
defendant, the proceedings shall discontinue, and the defendant shall be 6 
discharged. 7 
 (b)(1)  Within a reasonable period of time , but in any case within ten 8 
(10) not to exceed six (6) months of a commitment pursuant to subsection (a) 9 
of this section, the department shall file with the committing court a 10 
written report indicating whether the defendant is fit to proceed, or if not, 11 
whether: 12 
 (A)  The defendant's mental disease or defect is of a 13 
nature precluding restoration of fitness to proceed or it does not appear 14 
that the defendant will become fit to proceed within the reasonably 15 
foreseeable future; and 16 
 (B)  The defendant presents a danger to himself or herself 17 
or to the person or property of another. 18 
 (2)(A)  The court shall make a determination within one (1) year 19 
eight (8) months of a commitment pursuant to subsection (a) of this section. 20 
 (B)  Pursuant to the report of the department or as a 21 
result of a hearing on the report, if the court determines that the defendant 22 
is fit to proceed, prosecution in ordinary course may commence. 23 
 (C)  If the defendant lacks fitness to proceed but does not 24 
present a danger to himself or herself or to the person or property of 25 
another, the court may release the defendant on conditions the court 26 
determines to be proper. 27 
 (D)  If the defendant lacks fitness to proceed and presents 28 
a danger to himself or herself or the person or property of another, the 29 
court shall order the department to petition for an involuntary admission 30 
commitment. 31 
 (E)  Upon filing of an order finding that the defendant 32 
lacks fitness to proceed issued under subdivision (b)(2)(A) of this section 33 
with a circuit clerk or a probate clerk, the circuit clerk or the probate 34 
clerk shall submit a copy of the order to the Arkansas Crime Information 35 
Center. 36  As Engrossed:  S3/6/25 H4/9/25 	SB313 
 
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 (c)(1)  On the court's own motion or upon application of the 1 
department, the prosecuting attorney, or the defendant, and after a hearing 2 
if a hearing is requested, if the court determines that the defendant has 3 
regained fitness to proceed, the criminal proceeding shall be resumed. 4 
 (2)  If the defendant has been receiving and responding well to 5 
treatment, including medication, the court may make appropriate orders for 6 
the continued treatment or administration of medication, or both to maintain 7 
the fitness of the defendant throughout the remainder of the proceedings. 8 
 (3) However, if the court is of the view that so much time has 9 
elapsed since the alleged commission of the offense in question that it would 10 
be unjust to resume the criminal proceeding, the court may dismiss the charge 11 
regardless of whether the defendant has regained fitness to proceed . 12 
 (4)(A)  On either the motion of the court or the state, a hearing 13 
shall be held to determine whether the charges against a defendant who lacks 14 
fitness to proceed due to mental disease or defect may be dismissed if the 15 
defendant remains without fitness to proceed for five (5) continuous years 16 
from the date of determination of lack of fitness. 17 
 (B)  If the charges are dismissed, the dismissal shall be 18 
without prejudice to the state. 19 
 (C)  If the court moves for a hearing, the state shall have 20 
notice of at least sixty (60) days before the hearing date unless the state 21 
consents to another date. 22 
 (d)(1)  Persons authorized by this section to administer treatment or 23 
medication shall not be criminally liable for administering treatment or 24 
medication pursuant to this subchapter if done in good faith. 25 
 (2)  Persons authorized to administer treatment or medication 26 
shall not be civilly liable for such activities when the persons acted in a 27 
reasonable manner and according to generally accepted medical and other 28 
professional practices. 29 
 (e)(1)  A law enforcement officer or a corrections officer may employ 30 
reasonable force in cases where an individual refuses administration of 31 
court-ordered treatment or medication. 32 
 (2)  A law enforcement officer or a corrections officer shall not 33 
be criminally or civilly liable for the use of reasonable force under 34 
subdivision (e)(1) of this section. 35 
 36  As Engrossed:  S3/6/25 H4/9/25 	SB313 
 
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 SECTION 6.  Arkansas Code Title 5, Chapter 2, Subchapter 3, is amended 1 
to add an additional section to read as follows: 2 
 5-2-318. Restoration in county jails. 3 
 (a)  Jail-based restoration services shall be permitted through 4 
telehealth. 5 
 (b)  Jail-based restoration services that involve procedures other than 6 
or in addition to telehealth services may be provided upon the consent of the 7 
county sheriff or the keeper, superintendent, or administrator of the county 8 
jail. 9 
 10 
 SECTION 7.  Arkansas Code § 5-2-327 is amended to read as follows: 11 
 5-2-327. Examination of defendant — Fitness to proceed. 12 
 	(a)(1)(A) Any party, by written motion, or the court, on 13 
the court's own motion, may raise the issue of the defendant's fitness to 14 
proceed. 15 
 	(B)  A written motion by the prosecuting attorney or 16 
defense counsel shall: 17 
 (i)  State that the motion for examination of the 18 
defendant is made in good faith and not for the purpose of delay; and 19 
 (ii)  Include facts and observations to support the 20 
motion for examination of the defendant. 21 
 (C)  If the motion is denied, defense counsel may request 22 
an ex parte or in camera filing and hearing if an ex parte or in camera 23 
filing and hearing are necessary because the motion is based in whole or in 24 
part on information protected by the attorney -client privilege. 25 
 (D)  For good cause shown, a request for an evaluation may 26 
be made by oral motion in court if the request: 27 
 (i)  Is made in good faith and not for the purpose of 28 
delay; and  29 
 (ii)  Contains sufficient facts and observations in 30 
support of the request for the court to consider the request. 31 
 (2)  The court shall order an examination under this section if 32 
it finds there is a reasonable suspicion that a defendant is not fit to 33 
proceed. 34 
 (3)  The court may dismiss a motion for examination under this 35 
section if the court determines that the motion: 36  As Engrossed:  S3/6/25 H4/9/25 	SB313 
 
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 (A)  Is frivolous; or 1 
 (B)  Has stated no facts to support the request for 2 
examination. 3 
 (3)(4)(A)  Subject to §§ 5 -2-304 and 5-2-311, the court shall 4 
immediately suspend further proceedings in a prosecution if it has ordered an 5 
examination under this section. 6 
 (B)(i)  If a jury has been impaneled and the court suspends 7 
proceedings under subdivision (a)(3)(A) (a)(4)(A) of this section, the court 8 
may retain the jury or declare a mistrial and discharge the jury. 9 
 (ii)  A discharge of the jury is not a bar to further 10 
prosecution. 11 
 (4)(5)(A) If a court suspends further proceedings in the 12 
prosecution under subdivision (a)(3)(A) (a)(4)(A) of this section, the court 13 
shall enter an order : 14 
 (A)  Appointing one (1) or more experts who do not practice 15 
in the Arkansas State Hospital to examine the defendant and report on the 16 
defendant's mental condition; or 17 
 (B)(i)  Directing directing the Director of the Division of 18 
Aging, Adult, and Behavioral Health Services of the Department of Human 19 
Services to provide an expert who will examine and report upon the 20 
defendant's mental condition. 21 
 (ii)(B) The director or his or her designee shall 22 
determine the location of the examination required under subdivision 23 
(a)(4)(B)(i) (a)(5)(A) of this section. 24 
 (b)  An examination ordered under this section shall be for a period 25 
not exceeding sixty (60) days unless the director or his or her designee 26 
determines a longer period of examination is necessary for the purpose of the 27 
examination. 28 
 (c)  The department shall provide for or arrange the fitness to proceed 29 
examination of the defendant at a jail, prison, community setting, or 30 
psychiatric hospital. 31 
 (d)(1)  A uniform order to be used by a court ordering an examination 32 
of a defendant's fitness to proceed under this section shall be developed by 33 
the Administrative Office of the Courts in conjunction with the following 34 
organizations: 35 
 (A)  The Arkansas Prosecuting Attorneys Association; 36  As Engrossed:  S3/6/25 H4/9/25 	SB313 
 
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 (B)  The Department of Human Services; and 1 
 (C)  The Arkansas Public Defender Commission. 2 
 (2)  The uniform order developed under this subsection shall 3 
contain the following information: 4 
 (A)  The defendant's name, age, gender, and race; 5 
 (B)  The criminal charges pending against the defendant; 6 
 (C)  The defendant's attorney's name and address; 7 
 (D)  The defendant's custody status; 8 
 (E)  The case number for which the examination was ordered; 9 
 (F)  A unique identifying number on the incident reporting 10 
form as required by the Arkansas Crime Information Center; and 11 
 (G)  The name of the requesting attorney, if applicable ; 12 
and 13 
 (H)  An authorization to release and receive protected 14 
health information. 15 
 (3)  An examination under this section shall not be conducted 16 
without using the uniform order required under this subsection. 17 
 (4)  The uniform order shall require the prosecuting attorney to 18 
provide to the examiner any information relevant to the examination, 19 
including without limitation: 20 
 (A)  The name and address of any attorney involved in the 21 
matter; and 22 
 (B)  Information about the alleged offense. 23 
 (5)  The court may shall require the attorney for the defendant 24 
to make all reasonable efforts to provide to the examiner any available 25 
information relevant to the examination, including without limitation: 26 
 (A)  Psychiatric records; 27 
 (B)  Medical records; or 28 
 (C)  Records pertaining to treatment of the defendant for 29 
substance or alcohol abuse. 30 
 (d)(e)(1)  An examination report ordered under this section shall be 31 
filed with the clerk of the court ordering the examination and is a public 32 
record. 33 
 (2)  The court clerk shall provide copies of the examination 34 
report to the defendant's attorney and the prosecuting attorney. 35 
 (e)(f)(1)  An examination report prepared by an examiner ordered under 36  As Engrossed:  S3/6/25 H4/9/25 	SB313 
 
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this section shall: 1 
 (A)  Contain an opinion as to whether or not the defendant 2 
is fit to proceed and the basis for the opinion; 3 
 (B)  Contain an opinion as to whether the defendant has a 4 
mental disease or defect; 5 
 (C)  Contain a substantiated diagnosis in the terminology 6 
of the American Psychiatric Association's most current edition of the 7 
Diagnostic and Statistical Manual of Mental Disorders; 8 
 (D)  Document that the examiner explained to the defendant: 9 
 (i)  The purpose of the examination; 10 
 (ii)  The persons to whom the examination report is 11 
provided; and 12 
 (iii)  The limits on rules of confidentiality 13 
applying to the relationship between the examiner and the defendant; 	and 14 
 (E)  Describe, in specific terms: 15 
 (i)  The procedures, techniques, and tests used in 16 
the examination; 17 
 (ii)  The purpose of each procedure, technique, or 18 
test; and 19 
 (iii)  The conclusions reached ; and 20 
 (F)  An opinion as to whether the defendant: 21 
 (i)  Presents a substantial danger to himself or 22 
herself, others, or property; and 23 
 (ii)  Presents a substantial risk to public safety 24 
without a prescribed regimen of medical, psychiatric, or psychological care 25 
or treatment. 26 
 (2)  An examiner's opinion on the defendant's fitness to proceed 27 
or lack of fitness to proceed may not be based solely on the defendant's 28 
refusal to communicate during the examination. 29 
 (3)(A)  During an examination to determine a defendant's fitness 30 
to proceed and in any examination report based on that examination, an 31 
examiner shall consider: 32 
 (i)  The capacity of the defendant during criminal 33 
proceedings to: 34 
 (a)  Rationally understand the charges against 35 
him or her and the potential consequences of the pending criminal 36  As Engrossed:  S3/6/25 H4/9/25 	SB313 
 
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proceedings; 1 
 (b)  Disclose to the defendant's attorney 2 
pertinent facts, events, and states of mind; 3 
 (c)  Engage in a reasoned choice of legal 4 
strategies and options; 5 
 (d)  Understand the adversarial nature of 6 
criminal proceedings; 7 
 (e)  Exhibit appropriate courtroom behavior; 8 
and 9 
 (f)  Testify; 10 
 (ii)  As supported by current indications and the 11 
defendant's personal history, whether the defendant is a person with: 12 
 (a)  A mental disease or defect; or 13 
 (b)  An intellectual disability; and 14 
 (iii)  The degree of impairment resulting from the 15 
mental disease or defect or intellectual disability, if existent, and the 16 
specific impact on the defendant's capacity to engage with the defendant's 17 
attorney in an effective manner. 18 
 (B)  The information or lack of information contained in 19 
the examiner's report is not intended to limit the introduction of evidence 20 
regarding the defendant's fitness to proceed. 21 
 (4)  If the examiner concludes that the defendant lacks fitness 22 
to proceed, the report shall contain: 23 
 (A)  An opinion of the condition causing the lack of 24 
fitness to proceed; 25 
 (B)  An opinion of the treatment necessary for the 26 
defendant to obtain fitness to proceed; and 27 
 (C)  An opinion on the likelihood of the defendant 28 
attaining fitness to proceed under treatment. 29 
 (f)(g) This subchapter does not preclude the defendant from having an 30 
examination conducted by an expert of the defendant's own choosing to 31 
determine the defendant's fitness to proceed, and the court shall provide the 32 
defendant's expert with a reasonable opportunity to examine the defendant 33 
upon a timely request. 34 
 (g)(h) When the defendant has previously been found fit to proceed, 35 
the court may order a second or subsequent examination to determine a 36  As Engrossed:  S3/6/25 H4/9/25 	SB313 
 
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defendant's fitness to proceed only if the court: 1 
 (1)  Finds reasonable cause to believe that new or previously 2 
undiscovered evidence calls into question the factual, legal, or scientific 3 
basis of the opinion upon which the previous finding of fitness relied; 4 
 (2)  Finds reasonable cause to believe that the defendant's 5 
mental condition has changed; or 6 
 (3)  Sets forth in the order a factual or legal basis upon which 7 
to order another examination. 8 
 (h)(i) Upon completion of examination under this section, the court 9 
may enter an order providing for further examination of the defendant and may 10 
order the defendant into the custody of the director for further examination 11 
and observation if the court determines that commitment and further 12 
examination are is warranted. 13 
 14 
 SECTION 8.  Arkansas Code § 5 -2-328(a), concerning the procedure when a 15 
defendant intends to raise lack of criminal responsibility as an affirmative 16 
defense, is amended to add an additional subdivision to read as follows: 17 
 (4)  An examination under this section shall be conducted only 18 
after the circuit court has found the defendant fit to proceed. 19 
 20 
 SECTION 9.  Arkansas Code § 5 -2-328(b)(2), concerning the uniform order 21 
for examination of a defendant's lack of criminal responsibility, is amended 22 
to read as follows: 23 
 (2)  The uniform order developed under this subsection shall 24 
contain, without limitation, the following information: 25 
 (A)  The defendant's name, age, gender, and race; 26 
 (B)  The criminal charges pending against the defendant; 27 
 (C)  The defendant's attorney's name and address; 28 
 (D)  The defendant's custody status; 29 
 (E)  The case number for which the examination was ordered; 30 
 (F)  A unique identifying number on the incident reporting 31 
form as required by the Arkansas Crime Information Center; and 32 
 (G)  The name of the requesting attorney, if applicable ; 33 
and 34 
 (H)  An authorization to release and receive protected 35 
health information. 36  As Engrossed:  S3/6/25 H4/9/25 	SB313 
 
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 1 
 SECTION 10.  Arkansas Code § 5 -2-328(b)(4), concerning an order for 2 
examination of a defendant's lack of criminal responsibility, is amended to 3 
read as follows: 4 
 (4)  The circuit court may shall require the attorney for the 5 
defendant to provide to the examiner a signed release of information and any 6 
available information relevant to the examination, including without 7 
limitation: 8 
 (A)  Psychiatric records; 9 
 (B)  Medical records; or 10 
 (C)  Records pertaining to treatment of the defendant for 11 
substance or alcohol abuse. 12 
 13 
 SECTION 11.  Arkansas Code § 5 -2-328(c), concerning the report of an 14 
examination of a defendant's lack of criminal responsibility, is amended to 15 
read as follows: 16 
 (c)  An examination report prepared by an examiner ordered under this 17 
section shall contain: 18 
 (1)  A description of the nature of the examination; 19 
 (2)  An opinion as to whether as the result of a mental disease 20 
or defect the defendant at the time of the alleged offense lacked the 21 
capacity to appreciate the criminality of his or her conduct or to conform 22 
his or her conduct to the requirements of the law, an explanation of the 23 
examiner's opinion, and the basis of that opinion; 24 
 (3)  When directed by the circuit court, an opinion as to whether 25 
at the time of the alleged offense the defendant lacked the capacity to form 26 
a culpable mental state that is required to establish an element of the 27 
alleged offense, an explanation of the examiner's opinion, and the basis of 28 
that opinion; and 29 
 (4)  An opinion as to whether the defendant presents a 30 
substantial danger to himself, herself, or others or presents a substantial 31 
risk to public safety or to property without a prescribed regimen of medical, 32 
psychiatric, or psychological care or treatment; and 33 
 (5) If an examination cannot be conducted because of the 34 
unwillingness of the defendant to participate in the examination, an opinion 35 
as to whether the unwillingness of the defendant is the result of mental 36  As Engrossed:  S3/6/25 H4/9/25 	SB313 
 
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disease or defect. 1 
 2 
 SECTION 12.  Arkansas Code § 5 -2-331 is amended to read as follows: 3 
 5-2-331. Cost of mental health services, examination, and treatment of 4 
defendant. 5 
 (a)  A person or entity that provides treatment or other mental health 6 
services under this subchapter may impose a charge for the cost of the 7 
treatment or other mental health services rendered. 8 
 (b)  A charge for the cost of treatment or other mental health services 9 
under this section may not exceed the actual cost of the treatment or other 10 
mental health services provided. 11 
 (c)(1)  If the Department of Human Services cannot accept a defendant 12 
that has been ordered by a court to the custody of the department, the 13 
department shall be responsible for the cost of the psychotropic medication 14 
prescribed by the department's designated vendor as necessary to restore the 15 
defendant's fitness to proceed. 16 
 (2)  Responsibility for reimbursement under subdivision (c)(1) of 17 
this section shall begin on the date that the defendant is ordered to the 18 
custody of the department. 19 
 (d)(1)  No more than thirty (30) days after the end of each quarter, 20 
the county sheriff or his or her designee shall prepare a quarterly invoice 21 
to be sent to the department for reimbursement that lists: 22 
 (A)  Each defendant ordered to the custody of the 23 
department that has been detained in the county jail during the previous 24 
month; 25 
 (B)  The number of days each defendant ordered to the 26 
custody of the department was in the county jail in awaiting -bed-space 27 
status; and 28 
 (C)  An itemized list of medications prescribed to each 29 
defendant ordered to the custody of the department and the cost of the 30 
medications. 31 
 (2)  The county sheriff or his or her designee shall provide 32 
supporting documentation to certify the costs to be reimbursed by the 33 
department.  34 
 (3)  Quarters shall end September 30, December 31, March 31, and 35 
June 30 of each year. 36  As Engrossed:  S3/6/25 H4/9/25 	SB313 
 
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 (4)  The certified invoices shall then be returned to the county 1 
sheriff or his or her designee with the department keeping a duplicate copy. 2 
 (5)  Payment shall be made within ten (10) business days upon 3 
return of the certified invoices returned to each county. 4 
 (e)(1)  The county sheriff shall maintain a quarterly invoice for three 5 
(3) calendar years. 6 
 (2)  The quarterly invoice maintained by the county sheriff is 7 
subject to review by Arkansas Legislative Audit. 8 
 (3)  A quarterly invoice under subsection (d) of this section 9 
shall be sent electronically. 10 
 (4)  The department shall not issue any reimbursements under this 11 
subsection until the department receives a certified quarterly invoice with 12 
supporting documentation requesting reimbursement. 13 
 (f)(1) The Division of Aging, Adult, and Behavioral Health Services of 14 
the Department of Human Services shall promulgate rules establishing 15 
reasonable charges for the cost of treatment or other mental health services 16 
under this section. 17 
 (2)  Rules establishing reasonable charges for the cost of 18 
treatment or other mental health services under this section shall provide 19 
for waiving or postponing the collection of the charges based on: 20 
 (A)  Clinical considerations; 21 
 (B)  The defendant's inability to pay; or 22 
 (C)  A court determination that the defendant is wholly or 23 
partly indigent and qualifies for the appointment of an attorney under § 16	-24 
87-213. 25 
 26 
 SECTION 13.  Arkansas Code § 5 -4-102(c), concerning presentence 27 
investigations is amended to read as follows: 28 
 (c)(1)  Before imposing sentence, the court may order the defendant to 29 
submit to psychiatric examination and evaluation for a period not to exceed 30 
thirty (30) days. 31 
 (2)  The defendant may be remanded for psychiatric examination 32 
and evaluation to the Arkansas State Hospital, or the court may appoint a 33 
qualified psychiatrist to make the psychiatric examination and evaluation 34 
court may direct the Department of Human Services to provide a qualified 35 
psychiatrist or qualified psychologist to make the examination and 36  As Engrossed:  S3/6/25 H4/9/25 	SB313 
 
 	16 	04-09-2025 11:46:37 CEB126 
 
 
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/s/Irvin 3 
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