ENGR. H. A. to ENGR. S. B. NO. 552 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 ENGROSSED HOUSE AMENDME NT TO ENGROSSED SENATE BILL NO . 552 By: Haste of the Senate and Worthen of the House An Act relating to determination of competence ; amending 22 O.S. 2021, Sections 1175.1, 1175.6, 1175.6a, and 1175.8, which relate to procedures for determinations of competency; modifying definition s; modifying requirement s for certain court order; requiring notification of court order of commit ment; requiring certain report within specified tim e period; establishing requirements fo r the provision of certain treatment, therapy, or training; requiring dismissal of criminal charges under certain circumstances; tolling statute of limitation s for criminal charges under certai n circumstances; requiring return of certain p ersons to jail; requiring submission of certain reports to the court; requiring certain hearings; requiring transport of defendant to certain jurisdiction; clarifying requirements for administration of certain medications; requiring criminal proceedings to be resumed within certain time period upon d etermination of competency; updating statutory language; and declaring an emergency. AUTHOR: Add the following House Coauthor: Munson AMENDMENT NO. 1. Strike the title, enacting clause, and entire bill and insert: "An Act relating to determination of competence; amending 22 O.S. 2021, Sections 1175.1, 1175.6a, and 1175.8, which relate to procedures for determinations ENGR. H. A. to ENGR. S. B. NO. 552 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 of competency; modifying and adding definitions; requiring notification of court order of commitment; requiring certain report within specified time period; establishing requirements for the provision of certain treatment, therapy, or training; requiring return of certain persons to jail; requiring submission of certain reports to the court; requiring certain hearings; requiring transport of defendant to certain jurisdiction; clarifying requirements for administration of certain medications; requiring criminal proceedings to be resumed within certain time period upon determination of competency; updating statutory language; authorizing Legislative Office of Fiscal Trans parency to conduct review; requiring report; providing for effect of conclusions on enacted provisions; providing for codification; and declaring an emergency. BE IT ENACTED BY THE PEOPLE OF TH E STATE OF OKLAHOMA: SECTION 1. AMENDATORY 22 O.S. 2021, Section 1175.1, is amended to read as follows: Section 1175.1 As used in Sections 1175.1 through 1176 of this title: 1. “Competent” or “competency” means the present abili ty of a person arrested for or charged with a crime to understand the nature of the charges and proceedings brought against him or her and to effectively and rationally assist in his or her defense; 2. “Criminal proceeding” means every stage of a criminal prosecution after arrest and before judgment, including, but not limited to, interrogation, lineup, preliminary hearing, motion dockets, discovery, competency hearing, pretrial hearings and trial; ENGR. H. A. to ENGR. S. B. NO. 552 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 3. “Dangerous” means a person who is a person requiring treatment as defined in Section 1 -103 of Title 43A of the Oklahoma Statutes; 4. “Incompetent” or “incompetency” means the present inability of a person arrested for or charged with a crime to understand th e nature of the charges and proceedings brought aga inst him or her and to effectively and rationally assist in his or her defense; 3. “Dangerous” means a person who is a person requiring treatment as defined in Section 1 -103 of Title 43A of the Oklahoma Statutes; 4. “Criminal proceeding” means every stag e of a criminal prosecution after arrest and before judgment, including, but not limited to, interrogation, lineup, preliminary hearing, motion dockets, discovery, pretrial hearings and trial; 5. “Public guardian” means the Office of Public Guardian as established under the Oklahoma Public Guardianship Act in Section 6 - 101 et seq. of Title 30 of the Oklahoma Statutes; 6. “Qualified forensic examiner” means any: a. psychiatrist with forensic training and e xperience, b. psychologist with forensic training a nd experience, or c. a licensed mental health professional whose forensic training and experience enable him or her to form expert opinions regarding mental illness, competency ENGR. H. A. to ENGR. S. B. NO. 552 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 and dangerousness and who ha s been approved to render such opinions by the cour t; and 6. 7. “Reasonable period of time” means a period during which a person is receiving treatment for the purpose of restoring competency as required by law not to exceed the lesser of: a. the maximum sentence specified for the most serious offense with which the defendant is charged, or b. a maximum period of two (2) years ; and 7. “Public guardian” means the Office of Public Guardian as established under the Oklahoma Public Guardianship Ac t in Section 6- 101 et seq. of Title 30 of the Oklahoma Statutes , or b. the maximum length of the sentence if such sentence is less than two (2) years . SECTION 2. AMENDATORY 22 O.S. 2021, Section 1175.6a, is amended to read as foll ows: Section 1175.6a A. 1. If the a person is found to be incompetent prior to conviction because he or she is a person requiring treatment as defined in Section 1 -103 of Title 43A of the Oklahoma Statutes, but capable of achieving competence with treatment within a reasonable period of time as defined by Section 1175.1 of this title, the court shall suspend the criminal proceedings and order the Department of Mental Health and Substance Abuse Services to provide treatment, therapy or training which is calculated to allow the person to achieve competency. The ENGR. H. A. to ENGR. S. B. NO. 552 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 Department may designate a willing entity to provide such competency restoration services on behalf of the Department, provided the entity has qualified personnel. The court shall further order the Department to take custody of the individual as soon as a fore nsic bed becomes available, unless both the Department and the county jail where the person is being held determine that it is in the best interests of the person to remain in the county jail. Such competency restoration services shall begin within a reas onable period of time after the court has determined that the person is not competent to stand trial. The person shall remain in the custody of the county jail until such time as the Department has a bed available at the forensic facility unless competency restoration services are provided by a designee of the Department, in which case custody of the person shall be transferred to the Department. B. The Department of Mental Health and Substance Abuse Services or designee shall make periodic reports to the court as to the competency of the defendant The court shall notify the Department within seventy-two (72) hours of filing an order of commitment by providing a copy of the order to the Departme nt. 2. Within thirty (30) days after the notification of the o rder of commitment, the Department shall provide a report to the court on any recommended treatment for the defendant to attain competency to proceed. Such report shall include: ENGR. H. A. to ENGR. S. B. NO. 552 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 a. the mental illness causing the incompetence, b. the availability of accept able treatment and if such treatment is available in the community, c. the likelihood of the defendant’s attaining competence within a reasonable period of time as defined by Section 1175.1 of this title, and d. whether the person is a person requiring tre atment as defined by Section 1 -103 of Title 43A of the Oklahoma Statutes. 3. The treatment, therapy, or training for competency shall be provided in the jail or detention facility where the person is being held, unless the Department recommends and the co urt determines that the person can be safely treated in an outpatient community -based setting or the Department determines that the person should be transported to a facility designated by the Department to provide such treatment, therapy, or training. Th e Department may designate or contract with a willing entity to provide the competency restoration services in the jail or detention facility on behalf of the Department. Competency restoration services shall begin within a reasonable period of time after the court has determined that the person is not competent to stand trial. The Department sh all notify the court, district attorney, and defense counsel that treatment has begun and where such treatment is being provided within fourteen (14) days from the date treatment begins. The Department shall ENGR. H. A. to ENGR. S. B. NO. 552 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 assume liability to the fullest extent permitte d by law for any services provided by the Department, or a contracted or designated entity on behalf of the Department, for individuals receiving competency treatment, therapy or training while being held in a jail, public trust or detention facility. A legally recognized business entity under contract with city, county, or state entities that provides medical care to inmates or detainees in the custody or control of law enforcement agencies, including, but not limited to, competency restoration services , and any employee of the contracted legally recognized business entity, shall be an employee of the state pursuant to Section 152 of the Governmental Tort Claims Act. 4. If at any time while the person is being treated in an inpatient facility operat ed by the Department the court determines that he or she is no longer a person requiring treatment as defined in Section 1-103 of Title 43A of the Oklahoma Statut es, the court may order the immediate return of the person to jail and the Department shall file a report with the court. In the report, the Department can either recommend a less restrictive treatment alternative including but not limited to an outpatien t community- based setting or treatment in a community residential facility or jail or detention-based setting, or take the actions set forth in subsection B of this section. Within thirty (30) days of the return of the person to jail, the court shall hold a hearing to determine ENGR. H. A. to ENGR. S. B. NO. 552 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 whether competency restoration services should be continued in the outpatient setting or in the jail or detention -based setting. B. If at any time the Department determines that the defendant is unlikely to attain competency within a reasonable period of time as defined by Section 1175.1 of this title, the Department shall issue a report to the court. Within thirty (30) days of receipt of the report, the court shall hold a hearing to determine whether competency restoration treatme nt should continue. C. If the person is determined by the Department of Mental Health and Substance Abuse Services or designee to have regained competency, or is no longer incompetent because the person is a person requiring treatment as defined by Title 43A of the Oklahoma Statutes, a competency hearing shall be scheduled within twenty (20) days: 1. After the court receives notification that the defendant is competent to proceed or no longer meets the criteria for continued commitment, the defendant shal l be transported to the jurisdiction of the court that entered the order for commitment for t he competency hearing. If the defendant is receiving psychotropic medication at a mental health facility at the time he or she is discharged and transferred to th e jail, the administration of the medication shall continue unless the jail physician documen ts the need to change or discontinue it. The physicians of the jail and the Department shall collaborate to ensure that any change in ENGR. H. A. to ENGR. S. B. NO. 552 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 medication does not adversel y affect the defendant’s mental health status or his or her ability to continue with court pr oceedings; provided, however, the jail physician has final authority regarding the administration of medication to an inmate in jail; 2. If found competent by the court or a jury after such rehearing, criminal proceedings shall be resumed; 2. 3. If the person is found to continue to be incompetent because the person is a person requiring treatment as defined in Title 43A of the Oklahoma Statutes, the person shall be returned to the custody of the Department of Mental Health and Substance Abuse Services or designee for continued treatment, therapy, or training for competency as provided in paragraph 3 of subsection A of this section; 3. 4. If the person is found to be incompetent because the person is intellectually disabled as defined by Title 10 of the Oklahoma Statutes, the court shall issue the appropriate order as set forth in Section 1175.6b of this title; 4. 5. If the person is found to be incompetent for re asons other than the person is a person requiring treatment as defined by Title 43A of the Oklahoma Statutes, and other than the person is intellectually disabled as defined in Title 10 of the Oklahoma Statutes, and is also found to be not dangerous as def ined by Section 1175.1 of this title, the court shall issue the appropriate order as set forth in Section 1175.6b of this title; or ENGR. H. A. to ENGR. S. B. NO. 552 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 5. 6. If the person is found to be incompetent for reasons other than the person is a person requiring treatment as defined by Title 43A of the Oklahoma Statutes, and other than the person is intellectually disabled as defined in Title 10 of the Oklahoma Statutes, but is also found to be dangerous as defined by Section 1175.1 of this title, the court shall issue the appropriat e order as set forth in Section 1175.6c of this title. D. If the person is found to be incompetent because the person is a person requiring treatment as defined by Section 1 -103 of Title 43A of the Oklahoma Statutes, but not capable of achieving competence with treatment within a reasonable period of time as defined by Section 1175.1 of this title, the court shall commence civil commitment proceedings pursuant to Title 43A and shall dismiss without prejudice the criminal proceeding. If the person is subsequently committed to the Department of Mental Health and Substance Abuse Services pursuant to Title 43A, the statute of limitations for the criminal charges which were dismissed by the court shall be tolled until the person is discharge d from the Department of Mental Health and Substance Abuse Services pursuant to Section 7-101 of Title 43A of the Oklahoma Statutes. SECTION 3. AMENDATORY 22 O.S. 2021, Section 1175.8, is amended to read as follows: Section 1175.8 If the medical supervisor reports that the person appears to have achieved competency after a finding of ENGR. H. A. to ENGR. S. B. NO. 552 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 incompetency, the court shall hold another competency hearing to determine if the person has achieved competency. If competency has been achieved, the criminal proceedi ngs shall be immediately resumed by setting a competency hearing within twenty (20) business days . SECTION 4. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 1175.9 of Title 22, un less there is created a duplication in numbering, reads as follows: The Legislative Office of Fiscal Transparency may conduct an in - depth review every year for the next five (5) years on the successes, and any opportunities for improvement including but no t limited to the cost savings for the jails, the expedited restoration of competency, the use of jail -based and outpatient competency restoration, and the effects on capacity of forensic bed treatment services. A copy of the report will be sent to the Spe aker of the Oklahoma House of Representatives and President Pro Tempore of the Oklahoma State Senate for review and to provide recommendations. If within the five-year review no significant progress has been made , including delays in treatment and over capacity of jails due to volume of competency cases, the amendments made through this legislation to Title 22 of the Oklahoma Statutes may be revisited by the recommended stakeholder task force to include the Oklahoma Sheriffs' Association, the District Atto rney’s Council, the Oklahoma Department of Mental Health and Substance Abuse Services and the Administrative Director of the Courts. ENGR. H. A. to ENGR. S. B. NO. 552 Page 12 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 5. It being immediately necessary for the preservation of the public peace, health or safety, an e mergency is hereby declared to exist, by reason whereof this act shall take effect and be in full force from and after its passage and approval. " Passed the House of Representatives the 26th day of April, 2023. Presiding Officer of the House of Representatives Passed the Senate the ____ day of _______ ___, 2023. Presiding Officer of the Senate ENGR. S. B. NO. 552 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 ENGROSSED SENATE BILL NO. 552 By: Haste of the Senate and Worthen of the House An Act relating to determination of competence ; amending 22 O.S. 2021, Sections 1175.1, 1175.6, 1175.6a, and 1175.8, which relate to procedures for determinations of competency; modifying definition s; modifying requirement s for certain court order; requiring notification of court order of commit ment; requiring certain report within specified time period; establishing requirements fo r the provision of certain treatment, therapy, or training; requiring dismissal of criminal charges under certain circumstances; tolling statute of limitation s for criminal charges under certai n circumstances; requiring return of certain p ersons to jail; requiring submission of certain reports to the court; requiring certain hearings; requiring transport of defendant to certain jurisdiction; clarifying requirements for administration of certain medications; requiring criminal proceedings to be resumed within certain time period upon d etermination of competency; updating statutory language; and declaring an emergency. BE IT ENACTED BY THE PEOPLE OF THE STAT E OF OKLAHOMA: SECTION 6. AMENDATORY 22 O.S. 2021, Section 1175.1, is amended to read as follows: Section 1175.1. As used in Sections 1175.1 thr ough 1176 of this title: 1. “Competent” or “competency” means the present ability of a person arrested for or char ged with a crime to unders tand the nature ENGR. S. B. NO. 552 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 of the charges and proce edings brought against him or her and to effectively and rationally assist in his or her defense; 2. “Criminal proceeding” means every stage of a criminal prosecution after arrest and befor e judgment, including, but not limited to, interrogation, lineup, preliminary hearing, motion dockets, discovery, competency hearing, pretrial hearings and trial ; 3. “Dangerous” means a person who is a person requiring treatment as defined in Section 1 -103 of Title 43A of the Oklahoma Statutes; 4. “Incompetent” or “incompetency” means the present inability of a person arrested for or charged with a crime to unde rstand the nature of the charges and proceedings brought against him or her and to effectively and rationally assist in his o r her defense; 3. “Dangerous” means a person who is a p erson requiring treatment as defined in Section 1 -103 of Title 43A of the O klahoma Statutes; 4. “Criminal proceeding” means every stage of a criminal prosecution after arrest and before judgment, inc luding, but not limited to, interrogation, lineup, preli minary hearing, motion dockets, discovery, pretrial hearings and trial; 5. “Public guardian” means the Office of Public Guardian as established under the Oklahoma Public Guardianship Act in Section 6 - 101 et seq. of Title 30 of the Oklahoma Statutes; 6. “Qualified forensic examiner” means any: ENGR. S. B. NO. 552 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 a. psychiatrist with forensic train ing and experience, b. psychologist with forensic training and experience, or c. a licensed mental health professional whose forensic training and experience enable him or her to fo rm expert opinions regarding mental illness, competenc y and dangerousness and who has been approved to rend er such opinions by the court; and 6. 7. “Reasonable period of time” means a period during which a person is receiving tr eatment for the purpose of resto ring competency as required by law not to exceed the lesser of: a. the maximum sentence specified for the most serious offense with which the defendant is charged, or b. a maximum period of two ( 2) years; and 7. “Public guardian” means the Office of Public Guardian as established under the Oklahoma Public Guardianship Act in Section 6 - 101 et seq. of Title 30 of the Oklahoma Statutes, or b. the maximum length of the sentence if such sentence is less than two (2) years. SECTION 7. AMENDATORY 22 O.S. 2021, Section 1175.6, is amended to read as follows: Section 1175.6. Upon the finding by the jury or the court as provided by Section 1175.5 of th is title, the court shall issu e the appropriate order regarding the person as follows: ENGR. S. B. NO. 552 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 1. If the person is found to be competent, the criminal proceedings shall be resumed; 2. If the person is charged with a felony and found to be incompetent because the person is a person requiring treatment as defined in Title 43A of the Oklahoma Statutes, t he court shall issue the appropriate order as set forth in Section 1175.6a of this ti tle; 3. If the person is found to be incompetent because the person is intellectually disabled as defined in Section 1408 of Title 10 of the Oklahoma Statutes, the court shall issue the appropriate order as set forth in Section 1175.6b of this title; and 4. If the person is found to be incompetent for reasons other than the person is a person requiring treatm ent as defined by Section 1-103 of Title 43A of the Oklahoma Sta tutes, or for reasons other than the person is intellectually disabled as defined in Section 1408 of Title 10 of the Oklahoma Statutes, the court shall issue the appropriate order as set forth in Section 1175.6c of this title. SECTION 8. AMENDATORY 22 O.S. 2021, Section 1175.6a, is amended to read as follows: Section 1175.6a. A. 1. If the a person is found to be incompetent prior to conviction because he or she is a pe rson requiring treatment as defined in Section 1 -103 of Title 43A of the Oklahoma Statutes, but capable of achieving competence with treatment within a reasonable period of time as defined by Section ENGR. S. B. NO. 552 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 1175.1 of this title, the court shall suspend the crimin al proceedings and order the Department of Mental Health and Substance Abuse Services to provide treatm ent, therapy or training which is calculated to allow the person to achieve competency . The Department may designate a willing entity to provide such competency restoration services on behalf of the Department, provided the entity has qualified personnel. The court shall further order the Department to take custody of the individual as soon as a forensic bed becomes available, unless both the Department and the county jail where the person is being held determine that it is in the best interests of the person to remain in the county jail. Such competency restoration services shall begin within a reasonable period of time after the court has determined th at the person is not competent to stand trial . The person shall remain in the custody of the county jai l until such time as the Department has a b ed available at the forensic facility unless competency restoration services are provided by a designee of the Department, in which case custody of the per son shall be transferred to the Department. B. The Department of Mental Health and Substance Abuse S ervices or designee shall make periodic reports to the court as to the competency of the defendant The court shall notify the Department within seventy-two (72) hours of filing an order of commitment by providing a copy of the order to the Department. ENGR. S. B. NO. 552 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 2. Within thirty (30) days after the notification of the order of commitment, the Department shall provide a report to the court on any recommended treatment for the defendan t to attain competency to proceed. Such report shall include: a. the mental illness causing the incompetence, b. the availability of acceptable treatment and if such treatment is available in th e community, c. the likelihood of the defendant ’s attaining competence within a reasonable period of ti me as defined by Section 1175.1 of this title, and d. whether the person is a person requiring treatment as defined by Section 1-103 of Title 43A of the Oklahoma Statutes. 3. The treatment, therapy, or training fo r competency shall be provided in the jail or detention facility where the person is being held, unless the Department recommends and the court determines that the person can be safely treated in an outpatient community-based setting or the Department dete rmines that the person should be transported to a facility designated by the Depa rtment to provide such treatment, therapy, or training. The Department may des ignate or contract with a willing e ntity to provide the competency restoration services in the j ail or detention facility on behalf of the Department. Competency restoration se rvices shall begin within a reasonable period of time after the court has determined that the ENGR. S. B. NO. 552 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 person is not compet ent to stand trial. The Department shall notify the court, district attorney, and defense counsel that treatment has begun and where such tre atment is being provided within fourteen (14) days from the date treatment begins. All transportation pursuant to this section shall be conducted by the sheriff’s department of the county where the person is charged . 4. If a person charged with a misdemeanor is found to be incompetent because he or she is a person requiring treatment as defined in Section 1 -103 of Title 43A of the Oklahoma Statutes, the court shall commence c ivil commitment proceedings pursuant to Ti tle 43A of the Oklahoma Statutes and sh all dismiss the criminal proceeding without prejudice. If the person is subsequently committed to the Department for civil commitment, the statute of limitations for the criminal charge or charges that were dismissed by the court shall b e tolled until the person is discharged from the Department pursuant to Section 7-101 of Title 43A of the Oklahoma Statutes. 5. If at any time while the person is being treated in an inpatient facility operated by the Department, the Department determines that he or she is no longer a person requiring treatment as defined in Section 1 -103 of Title 43A of the Oklahoma Statutes, the person shall be immediately returned to the jail and the Department shall file a report with the court. In the report, the Department can either recommend a less restrictive treatment ENGR. S. B. NO. 552 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 alternative including but not limited to an outpatient community- based setting or treatment in a community residential facility or jail or detention-based setting, or take the actions set forth in subsection B of this section. Within thirty (30) days of receipt of the report, the court shall hold a hearing to determine whether competency restoration services should be continued in the outpatient setting or in the jail or detention-based setting. B. If at any time the Department determin es that the defendant is unlikely to attain comp etency within a reasonable period of time as defined by Section 1175.1 of this title, the Department shall issue a report to the court. Within thirty (30) days o f receipt of the report, the court shall hold a hearing to determine whether competency restoration treatment should continue. C. If the person is determined by the Department of Mental Health and Substance Abuse Services or designee to have regained competency, or is no longer incompetent because th e person is a person requiring treatment as defi ned by Title 43A of the Oklahoma Statutes, a competency hearing shall be scheduled within twenty (20) days: 1. After the court receives notification that the defendant is competent to proceed or no longer me ets the criteria for continued commitment, the defendant shall be transported to the jurisdiction of the court that entered the order for commit ment for the competency hearing. If the defendant is receiving psychotropic ENGR. S. B. NO. 552 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 medication at a mental health facil ity at the time he or she is discharged and transferred to the jail, the administration of the medication shall continue unless the jail physici an documents the need to change or discontinue it. The physicians of the jail and the Department shall collaborate to ensure that any change in medication does not adversely affect the defendant ’s mental health status or his or her ability to continue with court pr oceedings; provided, however, the jail physician has final authority regarding the administration of medication to an inmate in jai l; 2. If found competent by the court or a jury after such rehearing, criminal proceedings shall be resumed; 2. 3. If the person is found to continue to be incompetent because the person is a person requiring tr eatment as defined in Title 43A of the Oklahoma Statutes, the person shall be returned to the custody of the Department of Mental Health and Substance Abuse Services or designee for continued treatment, therapy, or training for competency as provided in paragraph 3 of s ubsection A of this section; 3. 4. If the person is found to b e incompetent because the person is intellectually disabled as defined by Title 10 of the Oklahoma Statutes, the court shall issue the appropriate order as set forth in Section 1175.6b of this title; 4. 5. If the person is found to be incompetent for reas ons other than the person is a person requiring treatment as defined by ENGR. S. B. NO. 552 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 Title 43A of the Oklahoma Statutes, and other than the person is intellectually disabled as defined in Title 10 of the Oklahoma Statutes, and is also found to be not dangerous as defin ed by Section 1175.1 of this t itle, the court shall issue the appropriate order as set forth in Section 1175.6b of this title; or 5. 6. If the person is found to be incompetent for reasons other than the person is a pers on requiring treatment as defined b y Title 43A of the Oklahoma Statutes, and other than the person is intellectually disabled as defined in Title 10 of the Oklahoma Statutes, but is also fou nd to be dangerous as defined by Secti on 1175.1 of this title, the court shall issue the appropriate order as set forth in Section 1175.6c of this title. D. If the person is found to be incom petent because the person is a person requiring treatment as def ined by Section 1-103 of Title 43A of the Oklahoma Statutes, but n ot capable of achieving competence with treatment within a reasonable period of time as defined by Section 1175.1 of this titl e, the court shall commence civil commitment proceedings pursuan t to Title 43A and shall dismiss without prejudice the criminal pr oceeding. If the person is subsequently committed to the Department of Mental Health a nd Substance Abuse Services pursuant to Title 43A, the statute of limitations for the criminal charges which were dismissed by the court shall be tolled until the person is discharged from the ENGR. S. B. NO. 552 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 Department of Mental Health and Substance Abuse Services pursua nt to Section 7-101 of Title 43A of the Oklahoma Statutes. SECTION 9. AMENDATORY 22 O.S. 2021, Section 1175.8, is amended to read as follows: Section 1175.8. If the medical supervisor reports that the person appears to have achieved competency after a finding of incompetency, the court shall hold another competency hearing to determine if the person has achieved competency. If competency has been achieved, the crimi nal proceedings shall be immediately resumed by setting a competency hearing within twenty (20) business days. SECTION 10. It being immediately necessary for the preservation of the public peace, health or safety, an emergency is hereby declared to exist, by reason whereof this act shall take effect and be in full force from and after its pas sage and approval. Passed the Senate the 20th day of March, 2023. Presiding Officer of the Senate Passed the House of Representatives the ____ day of __________, 2023. Presiding Officer of the House of Representatives ENGR. S. B. NO. 552 Page 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24