An Act ENROLLED SENATE BILL NO. 286 By: Howard of the Senate and Roe of the House An Act relating to mental health; amending 43A O.S. 2021, Section 1-110, which relates to transporting persons for mental health services; prohibiting use of mechanical restraints by the Department of Mental Health and Substance Abuse Services or contracted entity except under certain conditions; lim iting duration of mechanical restraint us e; requiring certain documentation; and declaring an emergency. SUBJECT: Mental health BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. AMENDATORY 43A O.S. 2021, Section 1 -110, is amended to read as follows: Section 1-110. A. Sheriffs and peace officers may utilize telemedicine, when suc h capability is available and is in the possession of the loca l law enforcement agency, to have a person whom the officer reasonably believes is a person requiring treatment, as defined in Se ction 1-103 of this title, assessed by a licensed mental health p rofessional employed by or under contract with a facility oper ated by, certified by or contracted with the Department of Mental Health and Substance Abuse Services. To serve the mental health needs of persons of their jurisdiction, peace officers shall be responsible for transporting individuals in need of initial assessment, emergency detention or protective custody from the initial point of contact to the nearest facility, as defined in Section 1-103 of this title, within a thirty (30) mile ENR. S. B. NO. 286 Page 2 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 headquarters, transportation to a facility shall be completed by either the Department of Ment al Health and Substance Abuse Services or an entity contracted by the Department for alternative transportation. For purposes of this section, “initial contact” is defined as contact with an individual in need of assessment, emergency detention or protect ive custody made by a law enforcement 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. B. A municipal law enforcemen t agency shall be responsible for transportation as provided in this act for any individual found within such municipality’s jurisdiction. The county sheriff shall be responsible for transportation as provided in this act for any individual found outside of a municipality’s jurisdiction, but within the county. C. Once an individual has been presented to the facility, as provided in subsection A of this section, by a transporting law enforcement officer, the transporting law enforcement agency shall be responsible for any subsequent transportation of such individual pending completion of the initial assessment, 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 mus t be completed by eit her the Department of Mental Health and Substance Abuse Services or an entity contracted by the Department for alternative transportation. D. Sheriffs and peace officers shall be entitled to reimbursement from the Department of Mental Health and Substance Abuse Services for transportation services associated with mino rs or adults requiring initial assessment, emergency detention, protective custody and inpatient services. E. Any transportation provided by a sheriff 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, interfacility transfer, medical treatment or court appe arance shall be reimbursed in accordance w ith the provisions of the State Travel Reimbursement Act. ENR. S. B. NO. 286 Page 3 F. Nothing in this section shall prohibit a law enforcement agency or the Department of Mental Health and Substance Abuse Services from entering into a law ful agreement with any other law enforcement agency to fulfill the requirements established by this section or from contracting with a third party to provide the services established by this section provided the third party meets minimum standards as deter mined by the Department. G. A law enforcement agency shall not be liable for the actions of a peace officer commissioned by th e agency when such officer is providing services as a third party pursuant to subsection F of this section outside his or her pri mary employment as a peace officer. H. 1. For purposes of transportation completed by the Department of Mental Health and Substance Abuse Services or an entity contracted by the Department as required by this section, the use of mechanical restraints sha ll not be applied to an individual being transported unless: a. the individual being transported physically assaults or attempts to physically assault the person lawfully conducting the transportation of the individual pursuant to the provisions of this section and the person lawfully conducting t he transportation believes such restraints are necessary for the safety of himself or herself or the protection of others , b. the individual being transported attempts or causes serious physical injury to self a nd the person lawfully conducting the tran sportation believes such restraints are necessary for the safety of the individual being transported , or c. the individual being transported has a propensity toward violence as indicated by past transports, criminal charges, or mental health history and as identified in the transport request form, and the person lawfully conducting the transportation believes such restraints are necessary for the safety of himself or herself, for the safety of the individual being transported, or for the protection of others. ENR. S. B. NO. 286 Page 4 2. The mechanical restraint sha ll be continued for no longer than is necessary under the circumstances described in paragraph 1 of this subsection. Every use of a mechanical restraint, the reasons, and the length of time, shall be made a part of the clinical record of the consumer unde r the signature of the individual responsible for the transportation as required by this section. SECTION 2. It being immediately necessary for the pr eservation of the public peace, health or safety, an emergency is he reby declared to exist, by reason whereof this act shall take effect and be in full force from and af ter its passage and approval. ENR. S. B. NO. 286 Page 5 Passed the Senate the 14th day of March, 2023. Presiding Officer of the Senate Passed the House of Representatives th e 20th day of April, 2023. Presiding Officer of the House of Representatives OFFICE OF THE GOVERNOR Received by the Office of the Governor this _______ _____________ day of _________________ __, 20_______, at _______ o'clock _______ M. By: _______________________________ __ Approved by the Governor of the State of Oklahoma this _____ ____ day of _________________ __, 20_______, at _______ o'clock _______ M. _________________________________ Governor of the State of Oklahoma OFFICE OF THE SECRETARY OF STATE Received by the Office of the Secretary of State this _______ ___ day of __________________, 20 _______, at _______ o'clock _______ M. By: _______________________________ __