Second Regular Session Seventy-third General Assembly STATE OF COLORADO REREVISED This Version Includes All Amendments Adopted in the Second House LLS NO. 22-1024.01 Michael Dohr x4347 HOUSE BILL 22-1386 House Committees Senate Committees Judiciary Judiciary Appropriations Appropriations A BILL FOR AN ACT C ONCERNING MEASURES RELATED TO COMPETENCY TO PROCEED, AND,101 IN CONNECTION THEREWITH , MAKING AN APPROPRIATION .102 Bill Summary (Note: This summary applies to this bill as introduced and does not reflect any amendments that may be subsequently adopted. If this bill passes third reading in the house of introduction, a bill summary that applies to the reengrossed version of this bill will be available at http://leg.colorado.gov .) Under current law in a dispute over a defendant's competency, a party may request a second evaluation of the defendant. The bill requires that if a second evaluation is completed and restoration is ordered, the court shall make the second evaluation available to the department of human services (department). The bill permits a defendant to be placed in the department's SENATE 3rd Reading Unamended May 6, 2022 SENATE 2nd Reading Unamended May 5, 2022 HOUSE 3rd Reading Unamended April 29, 2022 HOUSE Amended 2nd Reading April 28, 2022 HOUSE SPONSORSHIP Amabile and Soper, Bacon, Bernett, Bird, Bockenfeld, Boesenecker, Cutter, Esgar, Gonzales-Gutierrez, Herod, Hooton, Jodeh, Kipp, Lindsay, Lontine, McCluskie, McCormick, Michaelson Jenet, Ricks, Weissman, Young SENATE SPONSORSHIP Hansen and Gardner, Fenberg, Gonzales, Lee, Moreno, Pettersen, Rankin Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment. Capital letters or bold & italic numbers indicate new material to be added to existing statute. Dashes through the words indicate deletions from existing statute. custody for an inpatient competency evaluation if the court finds the competency report provided by the department does not meet statutory requirements. For a defendant whose highest charge is a misdemeanor, with some exceptions, the bill requires the court to order outpatient restoration services and grant the defendant a personal recognizance bond unless the defendant meets certification criteria or the court finds by clear and convincing evidence that extraordinary circumstances exist that make release inappropriate and that inpatient restoration services are appropriate. If the defendant is in custody and the recommendation is that inpatient restoration services are not clinically appropriate to restore the defendant to competency, the bill directs the court to consider releasing the defendant on bond. The bill limits outpatient restoration services to a defendant or juvenile who is a resident of Colorado and requires the services be provided in Colorado. The bill eliminates the requirement to opine on whether there is a substantial probability that the defendant will be restored to competency and remain competent with the use of medication or not remain competent without the use of forced medication. After the court has conducted at least 4 competency reviews, the bill requires the court to conduct a competency review every 91 days. The bill requires the court to dismiss the defendant's case if there is not a substantial probability that the defendant will be restored to competency in the reasonably foreseeable future. Under current law when a court determines that an adult defendant is incompetent to proceed and orders the defendant to undergo restoration treatment, any claim of privilege or confidentiality by the defendant is deemed waived. The bill creates the same waiver for a juvenile defendant who is determined to be incompetent to proceed and is ordered to undergo restoration treatment. A court may order a restoration progress review hearing for a juvenile defendant at any time on the motion of any party or the court. The bill requires that when a court orders a restoration to competency evaluation for a juvenile that the evaluation be completed by the department. Be it enacted by the General Assembly of the State of Colorado:1 SECTION 1. In Colorado Revised Statutes, 16-8.5-103, amend2 (4) as follows:3 16-8.5-103. Determination of competency to proceed. (4) If a4 party requests a second evaluation, any pending requests for a hearing5 1386-2- must be continued until the receipt of the second evaluation report. The1 report of the expert conducting the second evaluation must be completed2 and filed with the court within thirty-five days after the court order3 allowing the second evaluation, unless the time period is extended by the4 court for good cause. I F A SECOND EVALUATION IS COMPLETED AND5 RESTORATION IS ULTIMATELY ORDERED , THEN THE COURT SHALL MAKE6 THE SECOND EVALUATION AVAILABLE TO THE DEPARTMENT . If the second7 evaluation is requested by the court, it must be paid for by the court.8 SECTION 2. In Colorado Revised Statutes, 16-8.5-105, amend9 (1)(b)(II) as follows:10 16-8.5-105. Evaluations, locations, time frames, and report.11 (1) (b) Notwithstanding the provisions of subsection (1)(a) of this12 section, the court may order the defendant placed in the department's13 custody for the time necessary to conduct the inpatient competency14 evaluation if:15 (II) The court finds that an inadequate THE competency evaluation16 and report has been completed PROVIDED BY THE DEPARTMENT IS17 INSUFFICIENT BECAUSE IT DOES NOT MEET STATUTORY REQUIREMENTS18 PURSUANT TO SUBSECTION (5) OF THIS SECTION or that two or more19 conflicting competency evaluations and reports have been completed; and20 the court finds that an inpatient evaluation is necessary; or21 SECTION 3. In Colorado Revised Statutes, 16-8.5-111, amend22 (2)(b)(II)(C), (2)(d), (2)(f)(I), (2)(f)(II)(A), and (2)(h)(I)(B); and add23 (2)(i) as follows:24 16-8.5-111. Procedure after determination of competency or25 incompetency. (2) If the final determination made pursuant to section26 16-8.5-103 is that the defendant is incompetent to proceed, the court has27 1386 -3- the following options:1 2 (b) (II) (C) When the defendant is in custody on a misdemeanor,3 petty offense, or traffic offense, the court, within seven days of the4 defendant being found incompetent to proceed, shall set a hearing on5 bond. At the bond hearing there is a presumption that the court shall order6 a personal recognizance bond AND OUTPATIENT RESTORATION SERVICES.7 If the court does not order a personal recognizance bond and the8 defendant is committed for inpatient restoration, the court must SHALL9 make findings of fact that extraordinary circumstances exist to overcome10 the presumption of a release and the clinical recommendation for11 outpatient treatment by clear and convincing evidence. IF THE COURT12 DENIES A PERSONAL RECOGNIZANCE BOND, THE COURT SHALL NOTIFY THE13 DEPARTMENT OF THE SPECIFIC FACTS AND FINDINGS WHICH IT RELIED UPON14 IN THE ORDER FOR RESTORATION TREATMENT .15 (d) If the court has ordered outpatient restoration services and the16 department determines that it is unable, within a reasonable time, to17 provide restoration services on an outpatient basis, the department shall18 notify the court within fourteen days after its determination, at which19 point the court shall review the case and determine what interim mental20 health services can be provided within the community by the department21 or other community provider. I F A COURT LIAISON IS APPOINTED, the22 department shall report to the court liaison every ten TWENTY-EIGHT days23 thereafter concerning the availability of restoration services on an24 outpatient basis.25 (f) (I) If the court has ordered inpatient restoration services, the26 department shall provide restoration services at an appropriate inpatient27 1386 -4- restoration services program. On and after July 1, 2019, the department1 shall offer tier 1 defendants admission for restoration services within2 seven days after receipt of the court order and collateral materials. On and3 after July 1, 2021, the department shall offer admission to tier 24 defendants within twenty-eight days after receipt of the court order and5 collateral materials. For tier 2 defendants, the department shall advise the6 court and, IF A COURT LIAISON IS APPOINTED, the court liaison every ten 7 TWENTY-EIGHT days after the initial twenty-eight day period regarding the8 availability of a bed and when admission will be offered.9 (II) If the defendant is not offered admission and transported to10 the inpatient restoration services program within the time frames provided11 or in accordance with other court orders, the court may:12 (A) Review the case for consideration of outpatient restoration13 services and appropriate and necessary case management services14 coordinated with the department; IF A COURT LIAISON IS APPOINTED, the15 court liaison; and pretrial services, if available; or16 (h) (I) If the defendant is receiving inpatient restoration services17 and the executive director concludes that community-based restoration18 services would be more clinically appropriate, the department shall:19 (B) Provide to the court information regarding the appropriate20 outpatient restoration services, developed in conjunction with the court21 liaison, WHEN ASSIGNED, and the reasons why the defendant could be22 properly restored to competency on an outpatient basis.23 (i) FOR A DEFENDANT ALLOWED TO RESIDE OUT OF THE STATE OF24 COLORADO, THE DEPARTMENT MAY OFFER ASSISTANCE TO AN25 OUT-OF-STATE PROVIDER PROVIDING RESTORATION SERVICES TO THE26 DEFENDANT IN THE STATE WHERE THE DEFENDANT RESIDES .27 1386 -5- SECTION 4. In Colorado Revised Statutes, 16-8.5-116, amend1 (2)(a), (4), (5), (6) introductory portion, (8)(a)(I), and (10); and repeal2 (2)(b)(VI) as follows:3 16-8.5-116. Certification - reviews - termination of4 proceedings - rules. (2) (a) Within ninety-one days after the entry of the5 court's order of commitment OR ORDER TO RECEIVE OUTPATIENT6 RESTORATION, the court shall review the case of a defendant who has7 been determined to be incompetent to proceed with regard to the8 probability that the defendant will eventually be restored to competency9 WITHIN THE REASONABLY FORESEEABLE FUTURE and with regard to the10 justification for certification, or confinement, OR CONTINUED11 RESTORATION TREATMENT . The review may be held in conjunction with12 a restoration hearing held pursuant to section 16-8.5-113. However, if at13 the review hearing, there is a request by the defendant for a restoration14 hearing pursuant to section 16-8.5-113, the court shall set the restoration15 hearing within thirty-five days after the request pursuant to the provisions16 of section 16-8.5-113.17 (b) On and after July 1, 2020, at least ten days before each review,18 the individual or entity evaluating the defendant shall provide the court19 with a report describing:20 (VI) Whether there is a substantial probability that the defendant21 will be restored to competency and remain competent with the use of22 medications or will not remain competent without the use of forced23 medication;24 (4) After the fourth review, the court shall review the competency25 of the defendant every sixty-three NINETY-ONE days until the defendant26 is restored to competency or the court determines, based on available27 1386 -6- evidence, that there is not a substantial probability that the defendant will1 be restored to competency in the REASONABLY foreseeable future. and in 2 that case. IF THE COURT DETERMINES BASED ON AVAILABLE EVIDENCE3 THERE IS NOT A SUBSTANTIAL PROBABILITY THAT THE DEFENDANT WILL BE4 RESTORED TO COMPETENCY IN TH E REASONABLY FORESEEABLE FUTURE ,5 the court shall dismiss the case SUBJECT TO THE PROVISIONS OF6 SUBSECTION (10) OF THIS SECTION.7 (5) The court shall forward a copy of each report and summary8 received pursuant to subsections (2), (3), and (4) of this section to the9 county attorney or district attorney required to conduct proceedings10 pursuant to section 27-65-111 (6) for the county in which the case is11 pending and, WHEN A COURT LIAISON IS APPOINTED, to the court liaison.12 (6) Notwithstanding the time periods provided in subsections (7),13 (8), and (9) of this section and to ensure compliance with relevant14 constitutional principles, for any offense for which the defendant remains 15 confined as a result of a determination of incompetency to proceed IS16 ORDERED TO RECEIVE COMPETENCY RESTORATION SERVICES IN AN17 INPATIENT OR OUTPATIENT SETTING , if the court determines, based on18 available evidence, that there is not a substantial probability that the19 defendant will be restored to competency within the reasonably20 foreseeable future, the court may order the defendant's release from21 commitment pursuant to this article 8.5 through one or more of the22 following means:23 24 (8) At any review hearing held concerning the defendant's25 competency to proceed, the court shall dismiss the charges against the26 defendant and release the defendant from confinement, subject to the27 1386 -7- provisions of subsection (10) of this section, if:1 (a) The defendant:2 (I) Is charged with a class 5 or class 6 felony, except for those3 offenses enumerated in section 24-4.1-302 (1), OR with a level 3 or level4 4 drug felony; or with any misdemeanor offense that is not included in5 subsection (7) of this section;6 7 (10) Prior to the dismissal of charges pursuant to subsection (1),8 (4), (6), (7), (8), or (9) of this section, the court shall identify whether the9 defendant meets the requirements for certification pursuant to article 6510 of title 27, or for the provision of services pursuant to article 10.5 of title11 27, or whether the defendant will agree to a voluntary commitment. If the12 court finds the requirements for certification or provision of services are13 met or the defendant does not agree to a voluntary commitment, the court14 may stay the dismissal for twenty-one days and notify the department and15 county attorney or district attorney required to conduct proceedings16 pursuant to section 27-65-111 (6) in the relevant jurisdiction of the17 pending dismissal so as to provide the department and the county attorney18 or district attorney with the opportunity to pursue certification19 proceedings or the provision of necessary services.20 SECTION 5. In Colorado Revised Statutes, add 16-8.5-123 as21 follows:22 16-8.5-123. Competency services - inpatient beds - funding -23 repeal. (1) THE GENERAL ASSEMBLY SHALL APPROPRIATE TO THE24 DEPARTMENT TWENTY-EIGHT MILLION FIVE HUNDRED SIXTY-TWO25 THOUSAND EIGHT HUNDRED TWENTY -EIGHT DOLLARS FROM THE26 ECONOMIC RECOVERY AND RELIEF CASH FUND CREATED IN SECTION27 1386 -8- 24-75-228 (2)(a) TO CONTRACT FOR ADDITIONAL INPATIENT BEDS FOR1 COMPETENCY SERVICES PROVIDED PURSUANT TO SECTION 16-8.5-111 OR2 FOR ADDITIONAL INPATIENT BEDS FOR INDIVIDUALS RECEIVING MENTAL3 HEALTH CARE AND TREATMENT PURSUANT TO ARTICLE 65 OF TITLE 27. IF4 ANY UNEXPENDED OR UNENCUMBERED MONEY APPROPRIATED FOR A5 FISCAL YEAR REMAINS AT THE END OF THAT FISCAL YEAR , THE6 DEPARTMENT MAY EXPEND THE MONEY FOR THE SAME PURPOSES IN THE7 NEXT FISCAL YEAR WITHOUT FURTHER APPROPRIATION .8 (2) THE GENERAL ASSEMBLY SHALL APPROPRIATE TO THE9 DEPARTMENT EIGHT HUNDRED T HOUSAND DOLLARS FROM THE10 BEHAVIORAL AND MENTAL HEALTH CASH FUND CREATED IN SECTION11 24-75-230 (2)(a) TO CONTRACT FOR A FEASIBILITY STUDY OF RENOVATING12 AND STAFFING A FACILITY IN ADAMS COUNTY TO PROVIDE INPATIENT BEDS13 FOR COMPETENCY SERVICES PROVIDED PURSUANT TO SECTION 16-8.5-11114 AND INDIVIDUALS RECEIVING MENTAL HEALTH CARE AND TREATMENT15 PURSUANT TO ARTICLE 65 OF TITLE 27. THE DEPARTMENT MUST RECEIVE16 THE RESULTS FROM THE FEASIBILITY STUDY ON OR BEFORE SEPTEMBER 15,17 2022.18 (3) THIS SECTION IS REPEALED, EFFECTIVE DECEMBER 31, 2024.19 SECTION 6. Appropriation. (1) For the 2022-23 state fiscal20 year, $28,562,828 is appropriated to the department of human services for21 use by the office of behavioral health. This appropriation is from the22 economic recovery and relief cash fund created in section 24-75-22823 (2)(a), C.R.S., and is of money the state received from the federal24 coronavirus state fiscal recovery fund. To implement this act, the office25 may use this appropriation for purchased inpatient bed capacity. Any26 money appropriated in this section not expended prior to July 1, 2023, is27 1386 -9- further appropriated to the office from July 1, 2023, through December1 30, 2024, for the same purpose.2 (2) For the 2022-23 state fiscal year, $800,000 is appropriated to3 the department of human services for use by the office of behavioral4 health. This appropriation is from the behavioral and mental health cash5 fund created in section 24-75-230 (2)(a), C.R.S., and is of money the state6 received from the federal coronavirus state fiscal recovery fund. To7 implement this act, the office may use this appropriation to contract for8 a feasibility study of renovating a facility in Adams county to provide9 inpatient beds for competency services provided pursuant to section10 16-18.5-111, C.R.S. Any money appropriated in this section not expended11 prior to July 1, 2023, is further appropriated to the office from July 1,12 2023, through December 30, 2024, for the same purpose.13 SECTION 7. Effective date. This act takes effect July 1, 2022.14 SECTION 8. Safety clause. The general assembly hereby finds,15 determines, and declares that this act is necessary for the immediate16 preservation of the public peace, health, or safety.17 18 1386 -10-