Maryland 2025 Regular Session

Maryland House Bill HB779 Compare Versions

Only one version of the bill is available at this time.
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33 EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW.
44 [Brackets] indicate matter deleted from existing law.
55 *hb0779*
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77 HOUSE BILL 779
88 E5 5lr0001
99 CF 5lr0002
1010 By: Chair, Judiciary Committee (By Request – Departmental – Public Safety and
1111 Correctional Services)
1212 Introduced and read first time: January 29, 2025
1313 Assigned to: Judiciary
1414
1515 A BILL ENTITLED
1616
1717 AN ACT concerning 1
1818
1919 Correctional Services – Medication Review Committee – Administration of 2
2020 Psychotropic Medication to an Incarcerated Individual 3
2121
2222 FOR the purpose of authorizing the establishment of a medication review committee within 4
2323 the Department of Public Safety and Correctional Services that convenes to 5
2424 determine whether to approve the administration of psychotropic medication to a 6
2525 certain incarcerated individual under certain circumstances; providing that 7
2626 psychotropic medication may not be administered to an incarcerated individual who 8
2727 refuses the medication except under certain circumstances; providing for the 9
2828 membership and operating procedures of a medication review comm ittee; 10
2929 establishing certain rights of an incarcerated individual in connection with the 11
3030 convening of a medication review committee; establishing procedures for a certain 12
3131 administrative review of the decision of a medication review committee; requiring a 13
3232 certain treating physician to document certain matters under certain circumstances; 14
3333 and generally relating to medication review committees. 15
3434
3535 BY adding to 16
3636 Article – Correctional Services 17
3737 Section 9–618 18
3838 Annotated Code of Maryland 19
3939 (2017 Replacement Volume and 2024 Supplement) 20
4040
4141 SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 21
4242 That the Laws of Maryland read as follows: 22
4343
4444 Article – Correctional Services 23
4545
4646 9–618. 24
4747 2 HOUSE BILL 779
4848
4949
5050 (A) (1) IN THIS SECTION THE F OLLOWING WORDS HAVE THE MEANINGS 1
5151 INDICATED. 2
5252
5353 (2) “CLINICAL SERVICES MANAGEMENT TEAM” MEANS A TEAM 3
5454 CONSISTING OF THE DIRECTOR OF MENTAL HEALTH, THE DEPUTY DIRECTOR OF 4
5555 MENTAL HEALTH, THE CHIEF MEDICAL OFFICER, THE DEPUTY CHIEF MEDICAL 5
5656 OFFICER, AND THE DIRECTOR OF NURSING OF THE DEPARTMENT . 6
5757
5858 (3) “COMMITTEE” MEANS A MEDICATION R EVIEW COMMITTEE 7
5959 ESTABLISHED IN ACCOR DANCE WITH THIS SECT ION THAT CONVENES TO DETERMINE 8
6060 WHETHER TO APPROVE T HE ADMINISTRATION OF PSYCHOTROPIC MEDICAT ION ON 9
6161 A NONEMERGENCY BASIS TO AN INCARCERATED I NDIVIDUAL WHO REFUSE S TO 10
6262 ACCEPT PSYCHOTROPIC MEDICATI ON AS PRESCRIBED . 11
6363
6464 (4) “LAY ADVISOR ” MEANS AN INDIVIDUAL WITHIN THE 12
6565 DEPARTMENT WHO IS KNO WLEDGEABLE ABOUT MEN TAL HEALTH PRACTICE AND 13
6666 CAN ASSIST INCARCERA TED INDIVIDUALS WITH UNDERSTANDING THE PR OCESS 14
6767 OUTLINED IN THIS SEC TION. 15
6868
6969 (5) “LICENSED MENTAL HEALT H INFIRMARY” MEANS A DESIGNATED 16
7070 UNIT WITHIN A STATE CORRECTIONAL FA CILITY THAT IS LICEN SED BY THE 17
7171 MARYLAND DEPARTMENT OF HEALTH AS A MENTAL HE ALTH INFIRMARY . 18
7272
7373 (B) THIS SECTION APPLIES ONLY TO STATE CORRECTIONAL FA CILITIES. 19
7474
7575 (C) PSYCHOTROPIC MEDICATION M AY NOT BE ADMINISTER ED TO AN 20
7676 INCARCERATED INDIVID UAL WHO REFUSES THE MEDICATION, EXCEPT: 21
7777
7878 (1) IN AN EMERGENCY , ON THE ORDER OF A PR ACTITIONER WHEN 22
7979 THE INCARCERATED IND IVIDUAL PRESENTS A D ANGER TO THE LIFE OR SAFETY OF 23
8080 SELF OR OTHERS ; OR 24
8181
8282 (2) IN A NONEMERGENCY , IF THE TREATING PRAC TITIONER HAS 25
8383 RECOMMENDED THE INVO LUNTARY ADMINISTRATI ON OF PSYCHOTROPIC 26
8484 MEDICATION BECAUSE : 27
8585
8686 (I) THE INCARCERATED IND IVIDUAL IS SUFFERING FROM A 28
8787 MENTAL DISORDER RESU LTING IN BEHAVIOR TH AT CREATES A LIKELIHOOD OF 29
8888 SERIOUS HARM TO SELF OR OTHERS; 30
8989
9090 (II) THE INCARCERATED IND IVIDUAL HAS REFUSED TO GIVE 31
9191 INFORMED CONSENT TO THE ADMINISTRATION O F PSYCHOTROPIC MEDIC ATION; 32
9292 HOUSE BILL 779 3
9393
9494
9595 (III) OTHER TREATMENT MODA LITIES, INCLUDING 1
9696 ENCOURAGING VOLUNTAR Y MEDICATION COMPLIANCE , HAVE BEEN ATTEMPTED 2
9797 AND DOCUMENTED IN TH E MEDICAL RECORD ; 3
9898
9999 (IV) THE USE OF PSYCHOTRO PIC MEDICATION IS CL INICALLY 4
100100 INDICATED AS THE MOS T APPROPRIATE TREATM ENT FOR THE INCARCER ATED 5
101101 INDIVIDUAL’S CONDITION ACCORDIN G TO CURRENT PRACTIC E FOR RESTOR ING OR 6
102102 PREVENTING FURTHER D ETERIORATION OF THE INCARCERATED INDIVID UAL’S 7
103103 MENTAL OR PHYSICAL H EALTH; AND 8
104104
105105 (V) A COMMITTEE HAS DETE RMINED, IN ACCORDANCE WITH 9
106106 THE PROVISIONS OF TH IS SECTION, THAT PSYCHOTROPIC ME DICATION SHOULD BE 10
107107 ADMINISTERED OVER TH E OBJECTION OF THE INCARCE RATED INDIVIDUAL . 11
108108
109109 (D) (1) A COMMITTEE SHALL CONS IST OF THE FOLLOWING INDIVIDUALS 12
110110 APPOINTED BY THE DIRECTOR OF MENTAL HEALTH FOR THE DEPARTMENT OR THE 13
111111 DIRECTOR’S DESIGNEE: 14
112112
113113 (I) THE CHIEF PSYCHIATRI ST FOR THE REGION WH ERE THE 15
114114 LICENSED MENTAL HEALTH INFI RMARY IS LOCATED ; 16
115115
116116 (II) ANOTHER PSYCHIATRIST ; AND 17
117117
118118 (III) A MENTAL HEALTH PROF ESSIONAL WHO IS NOT A 18
119119 PHYSICIAN. 19
120120
121121 (2) THE DIRECTOR OF MENTAL HEALTH OR THE DIRECTOR’S 20
122122 DESIGNEE SHALL APPOI NT A CHAIR OF THE CO MMITTEE FROM AMONG I TS 21
123123 MEMBERSHIP. 22
124124
125125 (3) AN INDIVIDUAL WHO IS DIRECTLY RESPONSIBLE FOR 23
126126 IMPLEMENTING THE TRE ATMENT PLAN FOR THE INCARCERATED INDIVID UAL 24
127127 UNDER REVIEW MAY NOT SERVE AS A MEMBER OF THE COMMITTEE . 25
128128
129129 (E) THE DIRECTOR OF MENTAL HEALTH OR THE DIRECTOR’S DESIGNEE 26
130130 SHALL ASS IGN AN IMPARTIAL LAY ADVISOR TO ASSIST TH E INCARCERATED 27
131131 INDIVIDUAL WITH THE PROCESS SET FORTH IN THIS SECTION. 28
132132
133133 (F) THE DIRECTOR OF MENTAL HEALTH OR THE DIRECTOR’S DESIGNEE 29
134134 SHALL GIVE THE INCAR CERATED INDIVIDUAL A ND THE LAY ADVISOR W RITTEN 30
135135 NOTICE AT LEAST 5 BUSINESS DAYS BEFORE CONVENING THE COMMIT TEE THAT 31
136136 SHALL INCLUDE THE FO LLOWING INFORMATION : 32
137137 4 HOUSE BILL 779
138138
139139
140140 (1) THE DATE, TIME, AND LOCATION OF THE SCHEDULED COMMITTEE 1
141141 MEETING; 2
142142
143143 (2) THE PURPOSE OF THE C OMMITTEE; AND 3
144144
145145 (3) A COMPLETE DESCRIPTI ON OF THE RIGHTS OF AN INCARCERATED 4
146146 INDIVIDUAL UNDER SUB SECTION (G) OF THIS SECTION. 5
147147
148148 (G) IN CONNECTION WITH TH E CONVENING OF A COM MITTEE, AN 6
149149 INCARCERATED INDIVID UAL HAS THE RIGHT TO : 7
150150
151151 (1) ATTEND THE COMMITTEE MEETING, EXCEPT FOR THE DISCU SSION 8
152152 CONDUCTED TO ARRIVE AT A DECISION; 9
153153
154154 (2) PRESENT INFORMATION , INCLUDING WITNESSES ; 10
155155
156156 (3) ASK QUESTIONS OF ANY PERSON PRESENTING IN FORMATION TO 11
157157 THE COMMITTEE ; 12
158158
159159 (4) REQUEST ASSISTANCE F ROM A LAY ADVISOR ; AND 13
160160
161161 (5) BE INFORMED OF : 14
162162
163163 (I) THE IDENTITY OF THE ASSIGNED LAY ADVISOR ; 15
164164
165165 (II) THE INCARCERATED IND IVIDUAL’S DIAGNOSIS; AND 16
166166
167167 (III) THE CLINICAL NEED FO R THE PSYCHOTROPIC M EDICATION, 17
168168 INCLUDING POTENTIAL SIDE EFFECTS AND MAT ERIAL RISKS AND BENE FITS OF 18
169169 TAKING OR REFUSING T HE MEDICATION . 19
170170
171171 (H) THE CHAIR OF A COMMIT TEE MAY: 20
172172
173173 (1) POSTPONE OR CONTINUE THE COMMITTEE FOR GO OD CAUSE, FOR 21
174174 UP TO 7 DAYS; AND 22
175175
176176 (2) TAKE APPROPRIATE MEA SURES NECESSARY TO C ONDUCT THE 23
177177 COMMITTEE IN AN ORDE RLY MANNER . 24
178178
179179 (I) (1) BEFORE A COMMITTEE ME ETS, THE TREATING PSYCHIA TRIC 25
180180 PROVIDER SHALL PROVI DE A DETAILED REPORT OF T HE INCARCERATED 26
181181 INDIVIDUAL’S MEDICAL RECORD TO INCLUDE: 27
182182 HOUSE BILL 779 5
183183
184184
185185 (I) THE BASIS FOR THE RE QUEST TO ADMINISTER 1
186186 PSYCHOTROPIC MEDICAT IONS ON A NONEMERGEN CY BASIS; 2
187187
188188 (II) THE INCARCERATED IND IVIDUAL’S DIAGNOSIS, DISTURBED 3
189189 BEHAVIORS OBSERVED , AND CURRENT MENTAL STA TUS; 4
190190
191191 (III) A DESCRIPTION OF DAI LY FUNCTIONING ; 5
192192
193193 (IV) RECOMMENDED PSYCHOTR OPIC MEDICATION ; 6
194194
195195 (V) METHODS USED TO ENCO URAGE VOLUNTARY MEDI CATION 7
196196 ADHERENCE ; 8
197197
198198 (VI) VOLUNTARY AND INVOLU NTARY MEDICATION HIS TORY; 9
199199 AND 10
200200
201201 (VII) A DESCRIPTION OF THE LES S INTRUSIVE TREATMEN T 11
202202 ALTERNATIVES CONSIDE RED OR ATTEMPTED . 12
203203
204204 (2) THE REPORT SHALL BE D ISTRIBUTED TO THE CO MMITTEE 13
205205 MEMBERS NOT LESS THA N 72 HOURS BEFORE THE COM MITTEE IS TO MEET . 14
206206
207207 (J) BEFORE DETERMINING WH ETHER TO APPROVE THE ADMINISTRATION 15
208208 OF PSYCHOTROPIC MEDI CATION, THE COMMITTEE SHALL : 16
209209
210210 (1) REVIEW THE REPORT GE NERATED BY THE TREAT ING 17
211211 PSYCHIATRIC PROVIDER UNDER SUBSECTION (I) OF THIS SECTION; AND 18
212212
213213 (2) MEET FOR THE PURPOSE OF RECEIVING INFORMA TION AND 19
214214 CLINICALLY ASSESSING THE INCARCERATED INDIVIDUAL ’S NEED FOR MEDICATIO N 20
215215 BY: 21
216216
217217 (I) CONSULTING WITH THE INCARCERATED INDIVID UAL 22
218218 REGARDING THE REASON FOR REFUSING THE PSY CHOTROPIC MEDICATION 23
219219 PRESCRIBED AND THE I NCARCERATED INDIVIDU AL’S WILLINGNESS TO ACC EPT 24
220220 ALTERNATIVE TREATMEN T, INCLUDING OTHER MEDI CATION; 25
221221
222222 (II) CONSULTING WITH THE TREATING CLINICIANS WHO ARE 26
223223 RESPONSIBLE FOR INIT IATING AND IMPLEMENT ING THE INCARCERATED 27
224224 INDIVIDUAL’S TREATMENT PLAN ABO UT THE CURRENT TREAT MENT PLAN AND 28
225225 ALTERNATIVE MODES OF TREATMENT , INCLUDING MEDICATIONS , THAT HAVE BEEN 29
226226 CONSIDERED ; 30
227227 6 HOUSE BILL 779
228228
229229
230230 (III) RECEIVING INFORMATIO N PRESENTED BY THE 1
231231 INCARCERATED INDIVID UAL AND OTHER INDIVI DUALS PARTICIPATING IN THE 2
232232 COMMITTEE ; 3
233233
234234 (IV) PROVIDING THE INCARC ERATED INDIVIDUAL WI TH AN 4
235235 OPPORTUNITY TO ASK Q UESTIONS OF AN YONE PRESENTING INFO RMATION TO THE 5
236236 COMMITTEE ; AND 6
237237
238238 (V) REVIEWING THE CONSEQ UENCES OF REQUIRING THE 7
239239 ADMINISTRATION OF PS YCHOTROPIC MEDICATIO N AND THE CONSEQUENC ES OF 8
240240 CONTINUED REFUSAL OF PSYCHOTROPIC MEDICAT ION. 9
241241
242242 (K) THE COMMITTEE MAY APP ROVE THE ADMINI STRATION OF 10
243243 PSYCHOTROPIC MEDICAT ION AND MAY RECOMMEN D AND APPROVE ALTERN ATIVE 11
244244 MEDICATIONS , IF THE COMMITTEE DET ERMINES THAT : 12
245245
246246 (1) THE MEDICATION IS PR ESCRIBED BY A PSYCHI ATRIC PROVIDER 13
247247 FOR THE PURPOSE OF T REATING THE INCARCER ATED INDIVIDUAL ’S MENTAL 14
248248 DISORDER; 15
249249
250250 (2) THE ADMINISTRATION O F PSYCHOTROPIC MEDIC ATION 16
251251 REPRESENTS A REASONA BLE EXERCISE OF PROF ESSIONAL JUDGMENT ; AND 17
252252
253253 (3) WITHOUT THE MEDICATI ON, THE INCARCERATED IND IVIDUAL IS 18
254254 AT SUBSTANTIAL RISK OF CONTINUED SELF –HARM AND DANGEROUS B EHAVIORS 19
255255 RESULTING FROM THE INDIVI DUAL: 20
256256
257257 (I) REMAINING SERIOUSLY MENTALLY ILL WITH NO 21
258258 SIGNIFICANT RELIEF O F THE PSYCHIATRIC SY MPTOMS THAT : 22
259259
260260 1. CAUSE THE INCARCERAT ED INDIVIDUAL TO BE A 23
261261 DANGER TO SELF OR OT HERS WHILE IN THE LI CENSED MENTAL HEALTH INFIRMARY; 24
262262 OR 25
263263
264264 2. WOULD CAUSE THE INCA RCERATED INDIVIDUAL TO 26
265265 BE A CONTINUED DANGE R TO SELF AND OTHER INCARCERATED INDIVID UALS IF 27
266266 DISCHARGED FROM THE LICENSED MENTAL HEAL TH INFIRMARY; OR 28
267267
268268 (II) RELAPSING INTO A CON DITION IN WHICH THE 29
269269 INCARCERATED INDIVID UAL IS UNABLE TO PROVIDE FOR THE I NDIVIDUAL’S OWN 30
270270 ESSENTIAL HUMAN NEED S OF HEALTH AND SAFE TY. 31
271271 HOUSE BILL 779 7
272272
273273
274274 (L) (1) A COMMITTEE SHALL BASE ITS DECISION ON ITS CLINICAL 1
275275 ASSESSMENT OF THE IN FORMATION CONTAINED IN THE INCARCERATED 2
276276 INDIVIDUAL’S RECORD AND INFORMA TION PRESENTED TO TH E COMMITTEE. 3
277277
278278 (2) A COMMITTEE SHALL MEET PRIVATELY TO RENDER A DECISION. 4
279279
280280 (M) (1) THE COMMITTEE SHALL D OCUMENT ITS CONSIDER ATION OF THE 5
281281 ISSUES AND THE BASIS FOR ITS DECISION ON THE ADMINISTRATION O F 6
282282 PSYCHOTROPIC MEDICAT ION. 7
283283
284284 (2) THE COMMITTEE SHALL PROVIDE A WRITTEN DE CISION ON THE 8
285285 ADMINISTRATION OF PS YCHOTROPIC MEDICATIO N, WHICH SHALL BE PROVI DED TO 9
286286 THE INCARCERATED IND IVIDUAL, THE LAY ADVISOR , AND THE INCARCERATED 10
287287 INDIVIDUAL’S TREATMENT TEAM FOR INCLUSION IN THE MED ICAL RECORD. 11
288288
289289 (3) IF A COMMITTE E APPROVES THE ADMIN ISTRATION OF 12
290290 PSYCHOTROPIC MEDICAT ION, THE DECISION SHALL S PECIFY: 13
291291
292292 (I) THE PSYCHOTROPIC MED ICATION APPROVED AND THE 14
293293 DOSAGE AND FREQUENCY RANGE; 15
294294
295295 (II) THE DURATION OF THE APPROVAL, NOT TO EXCEED THE 16
296296 MAXIMUM TIME ALLOWED UNDER SUBSE CTION (P) OF THIS SECTION; AND 17
297297
298298 (III) THE REASON THAT ALTE RNATIVE TREATMENTS , INCLUDING 18
299299 OTHER MEDICATION , WERE REJECTED BY THE COMMITTEE. 19
300300
301301 (4) IF A COMMITTEE APPROV ES THE ADMINISTRATIO N OF 20
302302 PSYCHOTROPIC MEDICAT ION, THE DECISION SHALL C ONTAIN NOTICE OF THE RIGHT 21
303303 TO REQUEST AN ADMINI STRATIVE REVIEW UNDE R SUBSECTION (O) OF THIS 22
304304 SECTION. 23
305305
306306 (N) IF A COMMITTEE APPROV ES THE ADMINISTRATIO N OF PSYCHOTROPIC 24
307307 MEDICATION, THE LAY ADVISOR PROM PTLY SHALL: 25
308308
309309 (1) INFORM THE INCARCERA TED INDIVIDUAL OF TH E RIGHT TO SEEK 26
310310 ADMINISTRATIVE REVIE W OF THE DECISION UN DER SUBSECTION (O) OF THIS 27
311311 SECTION; AND 28
312312
313313 (2) ADVISE THE INCARCERA TED INDIVIDUAL OF TH E PROVISION FOR 29
314314 RENEWAL OF AN APPROV AL UNDER SUBSECTION (P) OF THIS SECTION. 30
315315 8 HOUSE BILL 779
316316
317317
318318 (O) (1) AN INCARCERATED INDIV IDUAL MAY REQUEST AN 1
319319 ADMINISTRATIVE REVIE W BY THE CLINICAL SERVICES MANAGEMENT TEAM WITHIN 2
320320 2 BUSINESS DAYS AFTER RECEIPT OF THE DECIS ION OF THE COMMITTEE . 3
321321
322322 (2) WITHIN 1 BUSINESS DAY AFTER R ECEIPT OF A REQUEST FOR AN 4
323323 ADMINISTRATIVE REVIE W, THE LAY ADVISOR SHAL L FORWARD THE RE QUEST TO 5
324324 THE CLINICAL SERVICES MANAGEMENT TEAM. 6
325325
326326 (3) (I) AN INITIAL COMMITTEE DECISION AUTHORIZING THE 7
327327 ADMINISTRATION OF PS YCHOTROPIC MEDICATIO N SHALL BE STAYED FO R 2 8
328328 BUSINESS DAYS. 9
329329
330330 (II) IF A REQUEST FOR ADMI NISTRATIVE REVIEW IS FILED 10
331331 UNDER THIS SUBSECTION, THE STAY SHALL REMAI N IN EFFECT UNTIL TH E 11
332332 ISSUANCE OF THE ADMI NISTRATIVE DECISION . 12
333333
334334 (4) THE CLINICAL SERVICES MANAGEMENT TEAM SHALL ISSUE A 13
335335 DECISION WITHIN 7 CALENDAR DAYS AFTER THE DECISION BY THE COMMITTEE. 14
336336
337337 (5) THE TREATING CLINICAL TEAM SHALL IMPLEMENT IMME DIATELY 15
338338 ON RECEIPT THE DECIS ION OF THE CLINICAL SERVICES MANAGEMENT TEAM. 16
339339
340340 (P) (1) ADMINISTRATION OF PSY CHOTROPIC MEDICATION IN 17
341341 ACCORDANCE WITH THIS SECTION MAY NOT BE A PPROVED FOR LONGER T HAN 90 18
342342 DAYS. 19
343343
344344 (2) (I) BEFORE EXPIRATION OF AN APPROVAL PERIOD U NDER 20
345345 PARAGRAPH (1) OF THIS SUBSECTION , IF THE INCARCERATED INDIVIDUAL 21
346346 CONTINUES TO REFUSE PSYCHOTROPIC MEDICAT ION, A COMMITTEE MAY BE 22
347347 CONVENED TO DECIDE W HETHER RENEWAL IS WA RRANTED. 23
348348
349349 (II) IF A COMMITTEE APPROV ES THE RENEWAL OF TH E 24
350350 ADMINISTRATION OF PSY CHOTROPIC MEDICATION , THE ADMINISTRATION O F 25
351351 MEDICATION NEED NOT BE INTERRUPTED WHEN THE INCARCERATED IND IVIDUAL 26
352352 REQUESTS ADMINISTRAT IVE REVIEW OF THE RE NEWAL. 27
353353
354354 (Q) WHEN PSYCHOTROPIC MED ICATION IS ORDERED I N ACCORDANCE WITH 28
355355 THIS SECTION, NOT LESS FREQUENTLY THAN EVERY 15 DAYS, THE TREATING 29
356356 PHYSICIAN SHALL DOCU MENT ANY KNOWN BENEF ITS OF TAKING THE ME DICATION 30
357357 TO THE INCARCERATED INDIVIDUAL AND SIDE EFFECTS OF THE MEDIC ATION THAT 31
358358 AFFECT THE INCARCERA TED INDIVIDUAL . 32
359359
360360 SECTION 2. AND BE IT FU RTHER ENACTED, That this Act shall take effect 33
361361 October 1, 2025. 34