25 | 23 | | First Regular Session of the 123rd General Assembly (2023) |
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26 | 24 | | PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana |
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27 | 25 | | Constitution) is being amended, the text of the existing provision will appear in this style type, |
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28 | 26 | | additions will appear in this style type, and deletions will appear in this style type. |
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29 | 27 | | Additions: Whenever a new statutory provision is being enacted (or a new constitutional |
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30 | 28 | | provision adopted), the text of the new provision will appear in this style type. Also, the |
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31 | 29 | | word NEW will appear in that style type in the introductory clause of each SECTION that adds |
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32 | 30 | | a new provision to the Indiana Code or the Indiana Constitution. |
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33 | 31 | | Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts |
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34 | 32 | | between statutes enacted by the 2022 Regular Session of the General Assembly. |
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35 | 33 | | HOUSE BILL No. 1194 |
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36 | 34 | | A BILL FOR AN ACT to amend the Indiana Code concerning |
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37 | 35 | | human services. |
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38 | 36 | | Be it enacted by the General Assembly of the State of Indiana: |
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39 | 37 | | 1 SECTION 1. IC 12-23-19-2, AS AMENDED BY P.L.114-2022, |
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40 | 38 | | 2 SECTION 21, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
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41 | 39 | | 3 JULY 1, 2023]: Sec. 2. (a) An individual is eligible for mental health |
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42 | 40 | | 4 and addiction forensic treatment services if: |
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43 | 41 | | 5 (1) subject to subsection (d), the individual: |
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44 | 42 | | 6 (A) is a member of a household with an annual income that |
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45 | 43 | | 7 does not exceed two hundred percent (200%) of the federal |
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46 | 44 | | 8 income poverty level; |
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47 | 45 | | 9 (B) is a resident of Indiana; |
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48 | 46 | | 10 (C) is: |
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49 | 47 | | 11 (i) at least eighteen (18) years of age; or |
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50 | 48 | | 12 (ii) subject to the approval of the Indiana commission to |
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51 | 49 | | 13 combat substance use disorder, less than eighteen (18) years |
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52 | 50 | | 14 of age and the individual is a defendant whose case is either |
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53 | 51 | | 15 waived from juvenile court to adult court or directly filed in |
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54 | 52 | | 16 adult court; and |
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55 | 53 | | 17 (D) has entered the criminal justice system as a felon or with |
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56 | 54 | | HB 1194—LS 7095/DI 149 2 |
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57 | 55 | | 1 a prior felony conviction or is ordered to be committed for |
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58 | 56 | | 2 competency restoration services as described in |
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59 | 57 | | 3 IC 35-36-3-1(b); IC 35-36-3-1(f); and |
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60 | 58 | | 4 (2) subject to subsection (b), reimbursement for the service is not |
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61 | 59 | | 5 available to the individual through any of the following: |
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62 | 60 | | 6 (A) A policy of accident and sickness insurance (IC 27-8-5). |
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63 | 61 | | 7 (B) A health maintenance organization contract (IC 27-13). |
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64 | 62 | | 8 (C) The Medicaid program (IC 12-15), excluding the Medicaid |
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65 | 63 | | 9 rehabilitation program and the Behavioral and Primary Health |
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66 | 64 | | 10 Coordination Program under Section 1915(i) of the Social |
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67 | 65 | | 11 Security Act. |
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68 | 66 | | 12 (D) The federal Medicare program or any other federal |
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69 | 67 | | 13 assistance program. |
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70 | 68 | | 14 (b) If an individual is not entitled to reimbursement from the sources |
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71 | 69 | | 15 described in subsection (a)(2) of the full amount of the cost of the |
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72 | 70 | | 16 mental health and addiction forensic treatment services, grants and |
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73 | 71 | | 17 vouchers under this chapter may be used to provide those services to |
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74 | 72 | | 18 the extent that the costs of those services exceed the reimbursement the |
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75 | 73 | | 19 individual is entitled to receive from the sources described in |
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76 | 74 | | 20 subsection (a)(2), excluding any copayment or deductible that the |
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77 | 75 | | 21 individual is required to pay. |
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78 | 76 | | 22 (c) The division shall determine the extent to which an individual |
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79 | 77 | | 23 who is provided mental health and addiction forensic treatment |
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80 | 78 | | 24 services under this chapter is entitled to receive reimbursement from |
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81 | 79 | | 25 the sources described in subsection (a)(2). |
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82 | 80 | | 26 (d) Notwithstanding subsection (a)(1)(D), subject to available |
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83 | 81 | | 27 funding and on the recommendation of the justice reinvestment |
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84 | 82 | | 28 advisory council (established by IC 33-38-9.5-2), the division may |
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85 | 83 | | 29 operate a pilot program applying the eligibility criteria in this section |
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86 | 84 | | 30 to individuals who are charged with a misdemeanor. If the division |
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87 | 85 | | 31 operates a pilot program under this subsection, the division shall issue |
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88 | 86 | | 32 annual reports to the justice reinvestment advisory council. |
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89 | 87 | | 33 SECTION 2. IC 35-36-3-1, AS AMENDED BY P.L.74-2022, |
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90 | 88 | | 34 SECTION 16, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
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91 | 89 | | 35 JULY 1, 2023]: Sec. 1. (a) If at any time before the final submission of |
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92 | 90 | | 36 any criminal case to the court or the jury trying the case, the court has |
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93 | 91 | | 37 reasonable grounds for believing that the defendant lacks the ability to |
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94 | 92 | | 38 understand the proceedings and assist in the preparation of a defense, |
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95 | 93 | | 39 the court shall immediately fix a time for a hearing to determine |
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96 | 94 | | 40 whether the defendant has that ability. |
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97 | 95 | | 41 (b) When a court sets a hearing under subsection (a), the court |
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98 | 96 | | 42 shall appoint two (2) or three (3) individuals who: |
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99 | 97 | | HB 1194—LS 7095/DI 149 3 |
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100 | 98 | | 1 (1) are competent and disinterested; |
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101 | 99 | | 2 (2) have expertise in determining competency; and |
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102 | 100 | | 3 (3) are licensed in any of the following professions: |
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103 | 101 | | 4 (1) (A) psychiatrists; Psychiatrist. |
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104 | 102 | | 5 (2) (B) psychologists Psychologist endorsed by the Indiana |
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105 | 103 | | 6 state board of examiners in psychology as health service |
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106 | 104 | | 7 providers in psychology. or |
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107 | 105 | | 8 (3) (C) physicians; Physician. |
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108 | 106 | | 9 who have expertise in determining competency. |
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109 | 107 | | 10 (c) Beginning July 1, 2024, when a court sets a hearing under |
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110 | 108 | | 11 subsection (a), the court shall appoint two (2) or three (3) |
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111 | 109 | | 12 individuals who: |
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112 | 110 | | 13 (1) meet the criteria of subsection (b); or |
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113 | 111 | | 14 (2) are competent, are disinterested, have expertise in |
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114 | 112 | | 15 determining competency, and are: |
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115 | 113 | | 16 (A) licensed: |
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116 | 114 | | 17 (i) under IC 25-23 as an advanced practice registered |
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117 | 115 | | 18 nurse (APRN) with a certification as a psychiatric |
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118 | 116 | | 19 mental health nurse practitioner; or |
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119 | 117 | | 20 (ii) under IC 25-27.5 as a physician assistant specialized |
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120 | 118 | | 21 in psychiatry and mental health; and |
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121 | 119 | | 22 (B) certified by the division of mental health and addiction |
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122 | 120 | | 23 as a competency evaluator. |
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123 | 121 | | 24 (d) If both parties agree, only one (1) evaluation is required. |
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124 | 122 | | 25 However, either party may reserve the right to one (1) or more |
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125 | 123 | | 26 additional evaluations in further court proceedings. |
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126 | 124 | | 27 (e) At least one (1) of the individuals appointed under this |
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127 | 125 | | 28 subsection (b) or (c) must be a licensed psychiatrist or psychologist. |
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128 | 126 | | 29 However, none may be an employee or a contractor of a state |
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129 | 127 | | 30 institution (as defined in IC 12-7-2-184). The individuals who are |
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130 | 128 | | 31 appointed shall examine the defendant and testify at the hearing as to |
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131 | 129 | | 32 whether the defendant can understand the proceedings and assist in the |
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132 | 130 | | 33 preparation of the defendant's defense. |
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133 | 131 | | 34 (b) (f) At the hearing, other evidence relevant to whether the |
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134 | 132 | | 35 defendant has the ability to understand the proceedings and assist in the |
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135 | 133 | | 36 preparation of the defendant's defense may be introduced. If the court |
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136 | 134 | | 37 finds that the defendant has the ability to understand the proceedings |
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137 | 135 | | 38 and assist in the preparation of the defendant's defense, the trial shall |
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138 | 136 | | 39 proceed. If the court finds that the defendant lacks this ability, it shall |
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139 | 137 | | 40 delay or continue the trial and order the defendant committed to the |
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140 | 138 | | 41 division of mental health and addiction. The division of mental health |
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141 | 139 | | 42 and addiction shall provide competency restoration services or enter |
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142 | 140 | | HB 1194—LS 7095/DI 149 4 |
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143 | 141 | | 1 into a contract for the provision of competency restoration services by |
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144 | 142 | | 2 a third party in the: |
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145 | 143 | | 3 (1) location where the defendant currently resides; or |
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146 | 144 | | 4 (2) least restrictive setting appropriate to the needs of the |
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147 | 145 | | 5 defendant and the safety of the defendant and others. |
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148 | 146 | | 6 However, if the defendant is serving an unrelated executed sentence in |
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149 | 147 | | 7 the department of correction at the time the defendant is committed to |
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150 | 148 | | 8 the division of mental health and addiction under this section, the |
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151 | 149 | | 9 division of mental health and addiction shall provide competency |
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152 | 150 | | 10 restoration services or enter into a contract for the provision of |
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153 | 151 | | 11 competency restoration services by a third party at a department of |
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154 | 152 | | 12 correction facility agreed upon by the division of mental health and |
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155 | 153 | | 13 addiction or the third party contractor and the department of correction. |
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156 | 154 | | 14 A contract entered into with a third party under this subsection may |
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157 | 155 | | 15 confer to the third party all authority the division would have in |
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158 | 156 | | 16 providing competency restoration services to the defendant at a state |
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159 | 157 | | 17 institution (as defined in IC 12-7-2-184). |
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160 | 158 | | 18 (c) (g) If the court makes a finding under subsection (b), (f), the |
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161 | 159 | | 19 court shall transmit any information required by the office of judicial |
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162 | 160 | | 20 administration to the office of judicial administration for transmission |
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163 | 161 | | 21 to the NICS (as defined in IC 35-47-2.5-2.5) in accordance with |
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164 | 162 | | 22 IC 33-24-6-3. |
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165 | 163 | | 23 SECTION 3. IC 35-36-3-3 IS AMENDED TO READ AS |
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166 | 164 | | 24 FOLLOWS [EFFECTIVE JULY 1, 2023]: Sec. 3. (a) Within ninety |
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167 | 165 | | 25 (90) days after: |
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168 | 166 | | 26 (1) a defendant's admission to a state institution (as defined in |
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169 | 167 | | 27 IC 12-7-2-184); or |
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170 | 168 | | 28 (2) the initiation of competency restoration services to a defendant |
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171 | 169 | | 29 by a third party contractor; |
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172 | 170 | | 30 the superintendent of the state institution (as defined in IC 12-7-2-184) |
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173 | 171 | | 31 or the director or medical director of the third party contractor, if the |
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174 | 172 | | 32 division of mental health and addiction has entered into a contract for |
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175 | 173 | | 33 the provision of competency restoration services by a third party, shall |
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176 | 174 | | 34 certify to the proper court whether the defendant has a substantial |
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177 | 175 | | 35 probability of attaining the ability to understand the proceedings and |
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178 | 176 | | 36 assist in the preparation of the defendant's defense within the |
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179 | 177 | | 37 foreseeable future. |
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180 | 178 | | 38 (b) If: |
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181 | 179 | | 39 (1) a substantial probability does not exist under subsection |
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182 | 180 | | 40 (a); or |
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183 | 181 | | 41 (2) the defendant has received competency restoration |
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184 | 182 | | 42 services for more than six (6) months and has not been |
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185 | 183 | | HB 1194—LS 7095/DI 149 5 |
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186 | 184 | | 1 restored to competency; |
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187 | 185 | | 2 then either party may file a motion to dismiss the charges without |
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188 | 186 | | 3 prejudice. |
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189 | 187 | | 4 (c) If a motion to dismiss is filed under subsection (b), the court |
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190 | 188 | | 5 may grant the motion and dismiss the charges against the |
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191 | 189 | | 6 defendant without prejudice if: |
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192 | 190 | | 7 (1) the defendant has been diagnosed with: |
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193 | 191 | | 8 (A) dementia; |
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194 | 192 | | 9 (B) Alzheimer's disease; |
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195 | 193 | | 10 (C) a traumatic brain injury; or |
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196 | 194 | | 11 (D) an intellectual or developmental disability; |
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197 | 195 | | 12 (2) the defendant's diagnosis substantially impacts the |
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198 | 196 | | 13 defendant's ability to understand the proceedings and assist |
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199 | 197 | | 14 in the preparation of the defendant's defense within the |
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200 | 198 | | 15 foreseeable future; and |
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201 | 199 | | 16 (3) the defendant is charged with a misdemeanor or a Level 6 |
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202 | 200 | | 17 felony. |
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203 | 201 | | 18 (b) (d) If a defendant's charges are not dismissed under |
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204 | 202 | | 19 subsection (c) and a substantial probability does not exist, the state |
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205 | 203 | | 20 institution (as defined in IC 12-7-2-184) or the third party contractor |
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206 | 204 | | 21 shall initiate regular commitment proceedings under IC 12-26. If a |
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207 | 205 | | 22 substantial probability does exist, the state institution (as defined in |
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208 | 206 | | 23 IC 12-7-2-184) or third party contractor shall retain the defendant: |
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209 | 207 | | 24 (1) until the defendant attains the ability to understand the |
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210 | 208 | | 25 proceedings and assist in the preparation of the defendant's |
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211 | 209 | | 26 defense and is returned to the proper court for trial; or |
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212 | 210 | | 27 (2) for six (6) months from the date of the: |
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213 | 211 | | 28 (A) defendant's admission to a state institution (as defined in |
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214 | 212 | | 29 IC 12-7-2-184); or |
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215 | 213 | | 30 (B) initiation of competency restoration services by a third |
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216 | 214 | | 31 party contractor; |
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217 | 215 | | 32 whichever first occurs. |
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218 | 216 | | 33 SECTION 4. IC 35-36-3-4 IS AMENDED TO READ AS |
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219 | 217 | | 34 FOLLOWS [EFFECTIVE JULY 1, 2023]: Sec. 4. If a defendant who |
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220 | 218 | | 35 was found under section 3 of this chapter to have had a substantial |
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221 | 219 | | 36 probability of attaining the ability to understand the proceedings and |
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222 | 220 | | 37 assist in the preparation of the defendant's defense: |
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223 | 221 | | 38 (1) has not attained that ability within six (6) months after the date |
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224 | 222 | | 39 of the: |
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225 | 223 | | 40 (1) (A) defendant's admission to a state institution (as defined |
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226 | 224 | | 41 in IC 12-7-2-184); or |
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227 | 225 | | 42 (2) (B) initiation of competency restoration services by a third |
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228 | 226 | | HB 1194—LS 7095/DI 149 6 |
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229 | 227 | | 1 party contractor; or |
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230 | 228 | | 2 (2) has not had the criminal charges dismissed under section |
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231 | 229 | | 3 3(c) of this chapter; |
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232 | 230 | | 4 the state institution (as defined in IC 12-7-2-184) or the third party |
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233 | 231 | | 5 contractor, if the division of mental health and addiction has entered |
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234 | 232 | | 6 into a contract for the provision of competency restoration services by |
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235 | 233 | | 7 a third party, shall institute regular commitment proceedings under |
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236 | 234 | | 8 IC 12-26. |
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237 | 235 | | HB 1194—LS 7095/DI 149 7 |
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238 | 236 | | COMMITTEE REPORT |
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239 | 237 | | Mr. Speaker: Your Committee on Courts and Criminal Code, to |
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240 | 238 | | which was referred House Bill 1194, has had the same under |
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241 | 239 | | consideration and begs leave to report the same back to the House with |
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242 | 240 | | the recommendation that said bill be amended as follows: |
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243 | 241 | | Page 2, line 3, delete "IC 35-36-3-1(e);" and insert "IC |
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244 | 242 | | 35-36-3-1(f);". |
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245 | 243 | | Page 3, line 11, delete "appoint:" and insert "appoint". |
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246 | 244 | | Page 3, line 12, delete "(1)". |
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247 | 245 | | Page 3, line 12, delete "who meet the following" and insert "who:". |
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248 | 246 | | Page 3, run in lines 11 through 12. |
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249 | 247 | | Page 3, delete line 13. |
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250 | 248 | | Page 3, delete lines 14 through 23, begin a new line block indented |
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251 | 249 | | and insert: |
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252 | 250 | | "(1) meet the criteria of subsection (b); or |
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253 | 251 | | (2) are competent, are disinterested, have expertise in |
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254 | 252 | | determining competency, and are: |
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255 | 253 | | (A) licensed: |
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256 | 254 | | (i) under IC 25-23 as an advanced practice registered |
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257 | 255 | | nurse (APRN) with a certification as a psychiatric |
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258 | 256 | | mental health nurse practitioner; or |
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259 | 257 | | (ii) under IC 25-27.5 as a physician assistant specialized |
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260 | 258 | | in psychiatry and mental health; and |
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261 | 259 | | (B) certified by the division of mental health and addiction |
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262 | 260 | | as a competency evaluator. |
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263 | 261 | | (d) If both parties agree, only one (1) evaluation is required. |
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264 | 262 | | However, either party may reserve the right to one (1) or more |
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265 | 263 | | additional evaluations in further court proceedings.". |
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266 | 264 | | Page 3, line 24, delete "(d)" and insert "(e)". |
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267 | 265 | | Page 3, line 31, delete "(e)" and insert "(f)". |
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268 | 266 | | Page 4, line 15, delete "(f)" and insert "(g)". |
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269 | 267 | | Page 4, line 15, delete "(e)," and insert "(f),". |
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270 | 268 | | and when so amended that said bill do pass. |
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271 | 269 | | (Reference is to HB 1194 as introduced.) |
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272 | 270 | | MCNAMARA |
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273 | 271 | | Committee Vote: yeas 13, nays 0. |
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