Req. No. 2060 Page 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 STATE OF OKLAHOMA 1st Session of the 59th Legislature (2023) COMMITTEE SUBSTITUTE FOR ENGROSSED HOUSE BILL 2864 By: Wallace of the House and Bullard of the Senate COMMITTEE SUBSTITUTE [ mental health - fund - expenditures - mental health services - transport - protective custody and detention - codification - effective date ] BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. NEW LAW A new secti on of law to be codified in the Oklahoma Statutes as Section 1-110.1 of Title 43A, unless there is created a duplication in numbering, reads as foll ows: There is hereby created in the Sta te Treasury a revolving fund for the Department of Mental Health and Substance Abuse Services to be designated the “Mental Health Transport Revolving Fun d”. The fund shall be a continuing fund, not subject to fiscal year limitations, and shall consist of all monies received by the Department from appropriations or other monies directed to the fund. All monies accruing to the credit of the fund are hereby Req. No. 2060 Page 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 appropriated and may be budgeted and ex pended by the Department to carry out the provisions of Section 1-110 of Title 43A of the Oklahoma Statutes. Expenditures from the fund shall be made upon warrants issued by the State Treasurer against claims filed as prescribed by law with the Director of the Office of Management and Enterprise Services for approval and payment. SECTION 2. AMENDATORY 43A O.S. 2021, Section 1-110, is amended to read as follows: Section 1-110. A. Sheriffs As an alternative to transport under subsection B of this section for the sole purpose of initial assessment of a person who the officer reasonably believes is a person requiring treatment, as defined in Section 1-103 of this title, sheriffs and peace officers may request an assessment at the point of initial contact by the Department of Mental Health and Substance Abuse Services . To conduct the assessment, the Department may utilize telemedicine: 1. Telemedicine, when such capability is available and is through a mobile computing device in the possession of the local law enforcement agency, to have a person whom the officer reasonably believes is a person requiri ng treatment, as define d in Section 1- 103 of this title, the person assessed by a licensed mental health professional employed by or under contrac t with a facility operated by, certified by or contracted with the Department of Mental Health and Substance Abuse Servic es; or Req. No. 2060 Page 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 2. An in-person assessment by a licensed mental health professional on a mobile crisis response team or who is employed by or under contract with a facility operated by, certified by or contracted with the Department . B. 1. To serve the mental health needs of perso ns of their jurisdiction, peace officers shall b e responsible for transporting individuals in need of: a. initial assessment, except when the individual has been assessed at the point of initial contact by the Department under subsection A of thi s section, or b. emergency detention or protective custody under Section 5-207 of this title, unless the officer has already transported the individual to the facility for initial assessment, from the initial point of initial contact to the nearest facility, as defined in Section 1-103 of this title, that is appropriate for initial assessment o r treatment of the individual within a thirty (30) mile thirty-mile radius of the peace officer’s operational headquarters. If there is not a facility within a thirty (30) mile radius of the peace officer’s operational headquar ters, transportation 2. Transportation to a the nearest appropriate facility shall be completed by either the Depa rtment of Mental Health and Substance Req. No. 2060 Page 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Abuse Services or an entity contracted by the Department for alternative transportation if: a. there is not an appropriate facility within a thirty- mile radius of the peace officer ’s operational headquarters, or b. the officer has already transported the individual to an appropriate facility for initial ass essment. 3. For purposes of this section, “initial contact” is defined as contact with an individual in need of assessment, emergency detention or protective custody made by a law enfo rcement officer. Initial contact in this section does not include an individual self- presenting at a facility as defined in Section 1-103 of this title. 4. When an individual self-presents at a facility as defined in Section 1-103 of this title or at a medical facility and is placed into protective custody under Section 5 -207 of this title due to a determination that the in dividual is a person requiring treatment as defined in Section 1 -103 of this title, and if transport to another facility is needed for initial assessment or treatment, the person shall be transported to th e nearest appropriate facility as provided by this subsection. 5. When an individual self-presents at a facility as defined in Section 1-103 of this title or at a medical facility and is not placed into protective cus tody under Section 5 -207 of this title, but consents to voluntary transport to a faci lity as defined in Req. No. 2060 Page 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Section 1-103 of this title for treatment, transport or the arrangement of transport shall be the responsibility of the facil ity receiving the individual, unless the individual chooses to arrange his or her own transportation. 6. The transportation requirements provided by this subsection, to the extent such requi rements are applicable to peace officers, shall be considered fulfilled once the person has been transported to the facility, the officer has made contact with the appropriate staff of the facility, and the staff of the facility ha ve determined that the patient does not present a clear or immediate threat to his or her own safety or to the safety of the staff of the facility. Once custody of the individual has been transferred to the appropriate facility staff, the peace officer shall not be required to remain at the facility with the individual pending initial assessment or treatment. B. C. A municipal law enforcement agency shall be responsible for transportation as provided in this act section for any individual found within such municipality’s jurisdiction. The county sheriff shall be responsible for transportation as provided in this act section for any individual found outside of a municipality’s jurisdiction, but within the count y. C. D. Once an individual has been presented to the an appropriate facility, as provided in subsection A B of this section, by a transporting law enforcement officer, the transporting law Req. No. 2060 Page 6 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 enforcement agency the Department of Mental Health and Substance Abuse Services or an entity contracted by the Department shall be responsible for any subs equent transportation of such individual pending completion of the initial assessmen t, emergency detention, protective custody or inpatient services within a thirty (30) mile radius of the peace officer’s operational headquarters. All transportation over thirty (30) miles must be completed by either the Department of Mental Health and Su bstance Abuse Services or an entity contracted by the Department for alternative transportation. D. E. Sheriffs and peace officers shall be entitled to reimbursement from the Department of Mental Health and Substance Abuse Services for transportation servic es associated with minors or adults requiring initial assessment, emergency detention, protective custody and inpatient services. E. F. Any transportation provided by a sherif f or deputy sheriff or a peace officer on behalf of any county, city, town or municipality of this state, to or from any facility for the purpose of initial assessment, admission, interfacil ity transfer, medical treatment or court appearance shall be reimb ursed in accordance with the provisions of the State Travel Reimbursement Act. F. G. Nothing in this section shall prohibit a law enforcement agency or the Department of Mental Health and Subs tance Abuse Services from entering into a lawful agreement with an y other law enforcement agency to fulfill the requirements established by thi s Req. No. 2060 Page 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 section or from contracting with a third party to provide the services established by this section, provided the third party meets minimum standards as determined by the Departm ent. G. H. A law enforcement agency shall not be liable for the actions of a peace officer commissioned by the agency when such officer is providing services as a third party pursuant to subsection F G of this section outside his or her primary employment as a peace officer. SECTION 3. AMENDATORY 43A O.S. 2021, Section 5-207, as amended by Section 3, Chapter 297, O.S.L. 2022 (43A O.S. Supp. 2022, Section 5-207), is amended to read as follows: Section 5-207. A. Any person who appears to be or states that such person is mentally ill, alcohol-dependent, or drug-dependent to a degree that immediate emergency action is necessary may be ta ken into protective custody and detained as provided pursuant to the provisions of this section. Nothing in this section shall be construed as being in lieu of prosecution und er state or local statutes or ordinances relating to public intoxication offense s. B. 1. Any peace officer who reasonably believes that a person is a person requiring treatment as defined in Section 1-103 of this title shall take the person into protecti ve custody. The officer shall make every reasonable effort to take the person i nto custody in the least conspicuous manner. Req. No. 2060 Page 8 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 2. Upon taking the person into protectiv e custody, the officer may relinquish custody of the person believed to require treatment to a duly qualified reserve officer or deputy employed by the same agency to fulfill the officer’s duties as required by this title. C. The officer shall prepare a w ritten statement indicating the basis for the officer’s belief that the person is a person requiring treatment and the circumstances under which the officer took the person into protective custody. The officer shall give a copy of the statement to the per son or the person’s attorney upon the request of either. If the officer does not make the determination to take an individual into protective custody on the basis of the officer’s personal observation, the officer shall not be required to prepare a written statement. However, the person stating to be mentally ill, alcohol-dependent or drug-dependent or the person upon whose statement the officer relies shall sign a writt en statement indicating the basis for such person’s belief that the person is a person requiring treatment. Any false statement given to the officer by the person upon whose s tatement the officer relies shall be a misdemeanor and subject to the sanctions of Title 21 of the Oklahoma Statutes. D. If the person is medically stable, the offic er shall immediately transport the person to an urgent recovery clinic or to the nearest facility, as defined in Section 1-103 of this title, for an initial assessment wi thin a thirty (30) mile thirty-mile radius Req. No. 2060 Page 9 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 of the peace officer’s operational headquarters, or may use telemedicine with a licensed mental health professional employed or under contract with a facility operated by, certified by or contracted with request an assessment at the point of initial contact by the Department of Ment al Health and Substance Abuse Services to perform an initial assessment as provided by subsection A of Section 1-110 of this title. If, subsequent to an initial assessment, it is determ ined that emergency detention is warranted, the officer shall immediately transport the person shall immediately be transported to the nearest facility that is appropriate for treatment of the individual and has bed space available if the facility is within thirty (30) miles of the peace officer’s operational headquarters and the individual was has been determined to be a person requiring treatment . The Department of Mental Health and Substance Abuse Services may contract for the use of alternative transportation providers to transport individuals to facilities designated for emergency detention when the nearest facility with available bed space is more than thirty (30) miles from t he peace officer’s operational headquarters and the individual was determined to be a person requiring treatment. Transport shall be provided in accordance with subsection B of Section 1-110 of this title. E. For the purposes of this section, “urgent recovery clinics” means clinics that offer voluntary services aimed at the assessment and immediate stabilization of acute symptoms of mental illness, Req. No. 2060 Page 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 alcohol and other drug abuse and emotional distress; provided that, unless the person consents to a longer duration, no more than twenty-three (23) hours and fifty-nine (59) minutes of services are provided to a consumer during one episode of care . F. If it is determined by the facility director or designee that the person is not medically stable, the officer Department shall immediately transport the person to the nearest hospital or other appropriate treatment facility . E. If the person is medically unstable, the per son may be transported to an appropriate medical facility for medical treatment. A treating physician may authorize that the person be detained until the person becomes medi cally stable. The time limit on the emergency detention period stipulated under Section 5-208 of this title shall be tolled until the person who appears to be a person requiring treatment is medi cally stabilized. When the person becomes medically stable, if in the opinion of the treating or discharging physician, the patient is still a person requiring treatment as defined in Section 1-103 of this title, the physician shall authorize detention of the patient for transportation as provided in subsection D of this section. F. G. The parent, brother or sister who is eighteen (18) years of age or older, child who is eighteen (18) years of age or older, or guardian of the person, or a person who appea rs to be or states that such person is mentally ill, alcohol -dependent or drug- Req. No. 2060 Page 11 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 dependent to a degree that emergency action is necessary may request the administrator of a facility designated by the Commissioner as an appropriate facility for an initial ass essment to conduct an initial assessment to determine whether t he condition of the person is such that emergency detention is warranted and, if emergency detention is warranted, to detain the person as provided i n Sections 5-206 through 5-209 of this title. SECTION 4. This act shall become eff ective November 1, 2023. 59-1-2060 DC 4/12/2023 3:31:21 PM