HLS 22RS-591 ENGROSSED 2022 Regular Session HOUSE BILL NO. 335 BY REPRESENTATIVE DUPLESSIS MENTAL HEALTH: Provides relative to behavioral health 1 AN ACT 2To amend and reenact R.S. 28:2(13) and 69(B)(2), to enact R.S. 28:2(40), and to repeal R.S. 3 28:68(C), relative to behavioral health; to provide for a definition of the term 4 "psychiatric deterioration"; to amend the definition of "gravely disabled"; to provide 5 for certain regulations regarding a Physician's Report to Court or an affidavit from 6 certain mental health professionals; and to provide for related matters. 7Be it enacted by the Legislature of Louisiana: 8 Section 1. R.S. 28:2(13) and 69(B)(2) are hereby amended and reenacted and R.S. 928:2(40) is hereby enacted to read as follows: 10 §2. Definitions 11 Whenever used in this Title, the masculine shall include the feminine, the 12 singular shall include the plural, and the following definitions shall apply: 13 * * * 14 (13) "Gravely disabled" means the condition of a person who is unable to 15 provide for his own basic physical needs, such as essential food, clothing, medical 16 care, and or shelter, as a result of serious mental illness or a substance-related or 17 addictive disorder and is unable to survive safely in freedom or protect himself from 18 serious physical harm or significant psychiatric deterioration. The term also includes 19 incapacitation by alcohol, which means the condition of a person who, as a result of Page 1 of 3 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 22RS-591 ENGROSSED HB NO. 335 1 the use of alcohol, is unconscious or whose judgment is otherwise so impaired that 2 he is incapable of realizing and making a rational decision with respect to his need 3 for treatment. 4 * * * 5 (40) "Psychiatric deterioration" means a decline in mental functioning, which 6 diminishes the person's capacity to reason, exercise judgment, or control his 7 behavior. 8 * * * 9 §69. Procedure 10 * * * 11 B. 12 * * * 13 (2) If the court determines that probable cause exists, the court shall appoint 14 a physician, psychiatric mental health nurse practitioner, or psychologist to examine 15 the respondent and to provide a written Physician's Report to Court and testify at the 16 hearing. The Physician's Report to Court shall be completed on the form provided 17 by the office of behavioral health of the Louisiana Department of Health and 18 provided to the court, the respondent's counsel, and the petitioner's counsel at least 19 three days before the hearing. Nothing in this Paragraph shall prevent the court from 20 appointing a willing and available physician, psychiatric mental health nurse 21 practitioner, or psychologist who has been put forth by the petitioner or from 22 accepting a Physician's Report to Court that has been completed pursuant to an 23 examination of the respondent conducted within ten days prior to the filing of the 24 petition. 25 * * * 26 Section 2. R.S. 28:68(C) is hereby repealed in its entirety. Page 2 of 3 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 22RS-591 ENGROSSED HB NO. 335 DIGEST The digest printed below was prepared by House Legislative Services. It constitutes no part of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)] HB 335 Engrossed 2022 Regular Session Duplessis Abstract: Identifies a person who is unable to protect himself from serious physical harm or significant psychiatric deterioration as gravely disabled, defines psychiatric deterioration, and provides information regarding Physician's reports and affidavits from certain medical health professionals. Present law defines "gravely disabled" as the condition of a person who is unable to provide for his own basic physical needs as a result of serious mental illness or a substance-related or addictive disorder and is unable to survive safely in freedom or protect himself from serious harm. Proposed law expands the definition of "gravely disabled" to include a person who is unable to protect himself from serious physical harm or significant psychiatric deterioration. Proposed law defines "psychiatric deterioration" as a decline in mental functioning, which diminishes the person's capacity to reason, exercise judgment, or control his behavior. Proposed law removes content requirements for a Physician's Report to Court or an affidavit from a medical health professional when the Physician's Report to Court or affidavit accompanies a petition from present law. Proposed law allows the court to appoint a physician, psychiatric mental health nurse practitioner, or psychologist who has been put forth by the petitioner. Proposed law allows the court to accept a Physician's Report to Court that has been completed pursuant to an examination of the respondent within 10 days of the petition. (Amends R.S. 28:2(13) and 69(B)(2); Adds R.S. 28:2(40); Repeals R.S. 28:68(C)) Summary of Amendments Adopted by House The Committee Amendments Proposed by House Committee on Health and Welfare to the original bill: 1. Allow the court to appoint a physician, psychiatric mental health nurse practitioner, or psychologist who has been put forth by the petitioner. 2. Allow the court to accept a Physician's Report to Court that has been completed pursuant to an examination of the respondent within 10 days of the petition. 3. Remove content requirements for a Physician's Report to Court or an affidavit when the Physician's report or affidavit accompanies a petition. 4. Make technical corrections. Page 3 of 3 CODING: Words in struck through type are deletions from existing law; words underscored are additions.