Assigned to HHS FOR COMMITTEE ARIZONA STATE SENATE Fifty-Seventh Legislature, First Regular Session FACT SHEET FOR S.B. 1604 licensed secure facility; incompetent defendants Purpose Requires patients who are court ordered to involuntary treatment, after being found dangerous and incompetent to stand trial, to be placed in a licensed secure facility that is under the supervision of the Superintendent of the Arizona State Hospital (ASH), rather than a secure state mental health facility, and prohibits these patients from being treated at a Secure Behavioral Health Residential Facility (SBHRF) that treats patients who are civilly committed to treatment at the SBHRF. Background Beginning January 1, 2024, if, after a defendant is found incompetent to stand trial, a factfinder finds that the defendant is dangerous and should be involuntarily committed to treatment, the court must dismiss the charges against the defendant without prejudice and commit the defendant to a secure state mental health facility (Laws 2022, Ch. 352; A.R.S. § 13-4521). A court may approve a patient, who is unwilling or unable to accept voluntary treatment, for placement in an SBHRF if it finds by clear and convincing evidence that a proposed patient, as a result of mental disorder, is a danger to self or others or has a persistent, acute or grave disability and is in need of treatment (A.R.S. §§ 36-540 and 36-550.09). A secure state mental health facility is an SBHRF that is licensed by the Department of Health Services (DHS) to provide secure 24 hour on-site supportive treatment and supervision by staff with behavioral health training for persons who have been determined to be seriously mentally ill, chronically resistant to treatment for a mental disorder and who are placed in the SBHRF pursuant to court order (A.R.S. §§ 13-4501 and 36-425.06). There is no anticipated fiscal impact to the state General Fund associated with this legislation. Provisions 1. Requires the court to order defendants who are found incompetent to stand trial, dangerous and who should be involuntarily committed to treatment, to be committed to the custody of DHS for placement in a licensed secure facility under the supervision of the Superintendent of ASH, rather than committed to a secure state mental health facility. 2. Prohibits patients who are civilly placed in an SBHRF by court order from being treated at an SBHRF that treats patients who are committed to treatment after being found dangerous and incompetent to stand trial in a criminal proceeding. FACT SHEET S.B. 1604 Page 2 3. Makes conforming changes. 4. Becomes effective on the general effective date. Prepared by Senate Research February 17, 2025 MM/KS/slp