Printed on recycled paper 132nd MAINE LEGISLATURE FIRST SPECIAL SESSION-2025 Legislative Document No. 1416S.P. 562 In Senate, April 1, 2025 An Act to Require the Department of Health and Human Services to Immediately Take Custody of Persons Sentenced to Mental Health Facilities That May Not Include County or Regional Jails Reference to the Committee on Judiciary suggested and ordered printed. DAREK M. GRANT Secretary of the Senate Presented by Senator TALBOT ROSS of Cumberland. Cosponsored by Representative PERKINS of Dover-Foxcroft and Senators: BEEBE-CENTER of Knox, CYRWAY of Kennebec, HARRINGTON of York, MOORE of Washington, Representatives: ABDI of Lewiston, DAIGLE of Fort Kent, DEBRITO of Waterville, JAVNER of Chester. Page 1 - 132LR2388(01) 1 2 as amended by PL 2023, c. 38, §1, is further 3 amended to read: 4 B. Upon a determination by the State Forensic Service under paragraph A, a court 5 having jurisdiction in a criminal case may commit the defendant to the custody of the 6 Commissioner of Health and Human Services for immediate placement in an 7 appropriate institution for the care and treatment of people with mental illness or in an 8 appropriate residential program that provides care and treatment for persons who have 9 intellectual disabilities or autism for observation for a period not to exceed 60 days. If 10 the State Forensic Service requires additional time for observation, it shall 11 communicate its request and the reasons for that request to the court and to counsel for 12 the parties. The court shall accommodate a party's request to be heard on the issue of 13 whether an extension should be granted and may extend the commitment for up to an 14 additional 90 days. Unless the defendant objects, an order under this paragraph must 15 authorize the institution or residential program where the defendant is placed by the 16 Commissioner of Health and Human Services to provide treatment to the defendant. 17 When further observation of the defendant is determined no longer necessary by the 18 State Forensic Service, the Commissioner of Health and Human Services shall report 19 that determination to the court and the court shall terminate the commitment. If the 20 defendant is committed by the court to the custody of the Commissioner of Health and 21 Human Services for observation under this paragraph, the State Forensic Service may 22 release prior court-ordered evaluation reports pertaining to the pending charges, unless 23 otherwise impounded, to each institution or residential program into which the 24 Commissioner of Health and Human Services is considering placing the defendant and, 25 following placement, to the institution or residential program into which the defendant 26 is placed. If the defendant had been incarcerated prior to the commitment for 27 observation and if, during the period of observation, the defendant presents a 28 substantial risk of causing bodily injury to staff or others that cannot be managed in an 29 appropriate institution for the care and treatment of people with mental illness or in an 30 appropriate residential program that provides care and treatment for persons who have 31 intellectual disabilities or autism, the Commissioner of Health and Human Services 32 may return the defendant to the a state correctional facility but not to a county or 33 regional jail. The Commissioner of Health and Human Services shall report the risk 34 management issues to the court. Upon receiving the report, the court shall review the 35 report and may enter any order authorized by this section, including termination of the 36 commitment. For the purposes of this paragraph, "institution" and "residential 37 program" do not include a county or regional jail. 38 as amended by PL 2021, c. 306, §1, is 39 further amended to read: 40 A. Commit the defendant to the custody of the Commissioner of Health and Human 41 Services for immediate placement in an appropriate program for observation, care and 42 treatment of people with mental illness or persons with intellectual disabilities or 43 autism. An appropriate program may must be in an institution for the care and 44 treatment of people with mental illness, an intermediate care facility for persons who 45 have intellectual disabilities or autism, a crisis stabilization unit, a nursing home, a Page 2 - 132LR2388(01) 46 residential care facility, an assisted living facility, a hospice, a hospital, an intensive 47 outpatient treatment program or any program specifically approved by the court, which 48 may not include a county or regional jail. At the end of 30 days or sooner, and again 49 in the event of recommitment, at the end of 60 days and 180 days, the State Forensic 50 Service or other appropriate office of the Department of Health and Human Services 51 shall forward a report to the Commissioner of Health and Human Services relative to 52 the defendant's competence to stand trial and its reasons. The Commissioner of Health 53 and Human Services shall without delay file the report with the court having 54 jurisdiction of the case. The court shall hold a hearing on the question of the 55 defendant's competence to stand trial and receive all relevant testimony bearing on the 56 question. If the State Forensic Service's report or the report of another appropriate 57 office of the Department of Health and Human Services to the court states that the 58 defendant is either now competent or not restorable, the court shall within 30 days hold 59 a hearing. If the court determines that the defendant is not competent to stand trial, but 60 there does exist a substantial probability that the defendant will be competent to stand 61 trial in the foreseeable future, the court shall recommit the defendant to the custody of 62 the Commissioner of Health and Human Services for immediate placement in an 63 appropriate program for observation, care and treatment of people with mental illness 64 or persons with intellectual disabilities or autism. An appropriate program may must 65 be in an institution for the care and treatment of people with mental illness, an 66 intermediate care facility for persons who have intellectual disabilities or autism, a 67 crisis stabilization unit, a nursing home, a residential care facility, an assisted living 68 facility, a hospice, a hospital, an intensive outpatient treatment program or any program 69 specifically approved by the court, which may not include a county or regional jail. 70 When a person who has been evaluated on behalf of the court by the State Forensic 71 Service or other appropriate office of the Department of Health and Human Services is 72 committed into the custody of the Commissioner of Health and Human Services under 73 this paragraph, the court shall order that the State Forensic Service or other appropriate 74 office of the Department of Health and Human Services share any information that it 75 has collected or generated with respect to the person with the institution or residential 76 program in which the person is placed; or 32 as enacted by PL 2021, c. 757, §1, is amended 33 to read: 34 35 the Commissioner of Health and Human Services for placement in an appropriate 36 institution for the care and treatment of persons with mental illness or in an appropriate 37 residential program that provides care and treatment for persons who have intellectual 38 disabilities or autism as set forth in subsection 4 or 5, the transfer of the defendant must 39 take place within 30 days from the time the order is transmitted to the State Forensic 40 Service, unless an extraordinary circumstance causes a necessary delay. The Commissioner 41 of Health and Human Services shall notify the court of the extraordinary circumstance 42 causing a delay. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Page 3 - 132LR2388(01) 1 2 This bill requires that when a court commits a defendant to the Commissioner of Health 3 and Human Services for placement in an appropriate mental health institution, that 4 placement must be immediate and may not be in a county or regional jail. 2 3 4