Oklahoma 2025 2025 Regular Session

Oklahoma Senate Bill SB1089 Amended / Bill

Filed 04/21/2025

                     
 
SB1089 HFLR 	Page 1 
BOLD FACE denotes Committee Amendments.  1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 
22 
23 
24 
  
HOUSE OF REPRESENTATIVES - FLOOR VERSION 
 
STATE OF OKLAHOMA 
 
1st Session of the 60th Legislature (2025) 
 
ENGROSSED SENATE 
BILL NO. 1089 	By: Rosino of the Senate 
 
  and 
 
  Lawson of the House 
 
 
 
 
An Act relating to determination of competency; 
amending 22 O.S. 2021, Sections 1175.1, as amended by 
Section 1, Chapter 73, O.S.L. 2024, and 1175.6a (22 
O.S. Supp. 2024, Section 1175.1), which relate to 
definitions and persons capable of achieving 
competence; modifying definition; directing court to 
conduct competency proceedings for certain persons; 
establishing procedures for court to conduct 
competency proceedings for certain persons; requiring 
criminal proceedings to resume upon certain 
determination; requiring additional competency 
restoration services upon ce rtain determination; 
requiring commencement of civil commitment 
proceedings upon certain determination; tolling 
statute of limitations under certain circumstances; 
amending 43A O.S. 2021, Sections 1 -103, as last 
amended by Section 1, Chapter 96, O.S.L. 202 4, and 7-
101 (43A O.S. Supp. 2024, Section 1 -103), which 
relate to definitions and discharge or permissio n to 
leave facility; modifying definition; establishing 
requirements for certain civil commitment upon 
dismissal of certain criminal charges; requiring 
certain reporting by Department of Mental Health and 
Substance Abuse Services; requiring certain notice; 
authorizing filing of certain objection; establishing 
procedures for hearing on certain discharge; 
requiring appointment of counsel under certain 
circumstances; requiring court to make certain 
determination; authorizing appeal of certain court 
order; authorizing stay of certain order; 
establishing standards for certain review; clarifying   
 
SB1089 HFLR 	Page 2 
BOLD FACE denotes Committee Amendments.  1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 
22 
23 
24 
  
applicability of provisions; updating statutory 
references; updating statutory language; and 
providing an effective date . 
 
 
 
 
 
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: 
SECTION 1.     AMENDATORY     22 O.S. 2021, Section 1175.1, as 
amended by Section 1, Chapter 73, O.S.L. 2024 (22 O.S. Supp. 2024, 
Section 1175.1), is amended to read as follows: 
Section 1175.1. As used in Sections 1175.1 throug h 1176 of this 
title: 
1.  “Competent” or “competency” means the present ability of a 
person arrested for or charged with a crime to understand the natu re 
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, 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 understand the   
 
SB1089 HFLR 	Page 3 
BOLD FACE denotes Committee Amendments.  1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 
22 
23 
24 
  
nature of the charges and proceedings brought against him or her and 
to effectively and rationally assist in his or her defense; 
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 exp erience, 
b. psychologist with forensic training and 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 
and dangerousness and who has been approved to render 
such opinions by the court; provided, however, a 
licensed mental health professio nal shall not be 
qualified to issue expert opinions as to competency or 
dangerousness in cases in which a person is alleged to 
be incompetent due to in tellectual disability; and 
7.  “Reasonable period of time ” means a period 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. 
Any time period where the defendant refuses medication 
prescribed or ordered that is designed to restore the defendan t to   
 
SB1089 HFLR 	Page 4 
BOLD FACE denotes Committee Amendments.  1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 
22 
23 
24 
  
competency shall not be used in the calculation of a reasonable 
period of time. 
SECTION 2.     AMENDATORY     22 O.S. 2021, Sect ion 1175.6a, is 
amended to read as follows: 
Section 1175.6a. A.  If the 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 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 that the person is not competent to 
stand trial.   
 
SB1089 HFLR 	Page 5 
BOLD FACE denotes Committee Amendments.  1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 
22 
23 
24 
  
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 restora tion 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. 
C.  If the person is determined by the Department of Mental 
Health and Substance Abuse Services or designee to hav e regained 
competency, or is no longer incompetent because the person is a 
person requiring treatment as defined by Section 1-103 of Title 43A 
of the Oklahoma Statutes, a hearing shall be scheduled within twenty 
(20) days: 
1.  If found competent by the cou rt or a jury after such 
rehearing, criminal proceedings shall be resumed; 
2.  If the person is found to continue to be incompetent because 
the person is a person requiring treatment as defined in Section 1-
103 of Title 43A of the Oklahoma Statutes, the per son shall be 
returned to the custody of the Department of Mental Health and 
Substance Abuse Services or d esignee; 
3.  If the person is found to be incompetent because the person 
is intellectually disabled an individual with intellectual 
disability as defined by Section 1408 of Title 10 of the Oklahoma   
 
SB1089 HFLR 	Page 6 
BOLD FACE denotes Committee Amendments.  1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 
22 
23 
24 
  
Statutes, the court shall issue the appropriate order as set forth 
in Section 1175.6b of this title; 
4.  If the person is found to be incompetent for reasons other 
than the person is a person requiring treatme nt as defined by 
Section 1-103 of Title 43A of the Oklahoma Statutes, and other than 
the person is intellectually disabled an individual with 
intellectual disability as defined in Section 1408 of Title 10 of 
the Oklahoma Statutes, and is also found to be n ot dangerous as 
defined 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 
5.  If the person is found to be incompetent for reasons other 
than the person is a person requiring trea tment as defined by 
Section 1-103 of Title 43A of the Oklahoma Statutes, and other than 
the person is intellectually disabled an individual with 
intellectual disability as defined in Section 1408 of Title 10 of 
the Oklahoma Statutes, but is also found to b e dangerous as defined 
by Section 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 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 treatm ent within a reasonable period of time as 
defined by Section 1175.1 of this title, the court shall commence 
civil commitment proceedings pursuant to Ti tle 43A of the Oklahoma   
 
SB1089 HFLR 	Page 7 
BOLD FACE denotes Committee Amendments.  1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 
22 
23 
24 
  
Statutes 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 of the Oklahoma Statutes , the statute of limitations for 
the criminal charges which were dismissed by the court shall be 
tolled until the person is discharged from the Department of Mental 
Health and Substance Abuse Services pursuant to Section 7 -101 of 
Title 43A of the Oklahoma Statutes. 
E.  For a person undergoing competency restoration services, 
within thirty (30) days after the expiration of the reasonable 
period of time as defined by Section 1175.1 of this title, the court 
shall hold a hearing to determine whether the person has been 
restored to competency . 
1.  No less than fifteen (15) days prior to the hearing the 
Department of Mental He alth and Substance Abuse Services shall 
submit a report to the court, the person ’s attorney, and the 
prosecuting agency detailing the person ’s status and progress in 
being restored to competency including the person ’s historical and 
current compliance with medication and treatment and a plan for 
competency restoration if additional competency restoration services 
are ordered by the court . 
2.  If the court determines that the person has been restored to 
competency, the criminal proceedings shall resume .   
 
SB1089 HFLR 	Page 8 
BOLD FACE denotes Committee Amendments.  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.  If the court determines that the person has not been 
restored to competency, the court shall determine whether additional 
competency restoration servic es are likely to be beneficial in 
restoring the person to competency.  If the court finds by a 
preponderance of the evidence that additional competency restoration 
services are: 
a. likely to be beneficial in restoring the person to 
competency, the court sh all order the person to remain 
in or be transferred to the custody of the Department 
which shall continue to provide treatment, therapy, or 
training calculated to restore the person to 
competency for a period of time not to exceed the 
lesser of an addition al two (2) years or the maximum 
sentence specified for the most serious offense with 
which the defendant is charged , or 
b. not likely to be beneficial in restoring the person to 
competency, the court shall commence civil commitment 
proceedings pursuant to Title 43A of the Oklahoma 
Statutes and shall dismiss without prejudice the 
criminal proceeding.  If the p erson is subsequently 
committed to the Department pursuant to Title 43A of 
the Oklahoma Statutes, the statute of limitations for 
the criminal charges w hich were dismissed by the court 
shall be tolled until the person is discharged from   
 
SB1089 HFLR 	Page 9 
BOLD FACE denotes Committee Amendments.  1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 
22 
23 
24 
  
the Department pursuant to Section 7-101 of Title 43A 
of the Oklahoma Statutes. 
SECTION 3.     AMENDATORY     43A O.S. 2021, Section 1 -103, as 
last amended by Section 1, Chapter 96, O.S.L. 2024 (43A O.S. Supp. 
2024, Section 1-103), is amended to read as foll ows: 
Section 1-103. When used in this title, unless otherwise 
expressly stated, or unless the context or subject matter otherwise 
requires: 
1.  “Department” means the Department of Mental Health and 
Substance Abuse Services; 
2.  “Chair” means the chair of the Board of Mental Health and 
Substance Abuse Services; 
3.  “Mental illness” means a substantial disorder of thought, 
mood, perception, psychological orientation or memory that 
significantly impairs judgment, behavior, capacity to recognize 
reality or ability to meet the ordinary demands of life; 
4.  “Board” means the Board of Mental Health and Substance Abuse 
Services as established by the Mental Heal th Law; 
5.  “Commissioner” means the Commissioner of Mental Health and 
Substance Abuse Services; 
6.  “Indigent person” means a person who does not have 
sufficient assets or resources to support the person and to support 
members of the family of the person lawfully dependent on the person 
for support;   
 
SB1089 HFLR 	Page 10 
BOLD FACE denotes Committee Amendments.  1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 
22 
23 
24 
  
7.  “Facility” means any hospital, school, building, house or 
retreat, authorized by law to have the care, treatment or custody of 
an individual with mental illness, drug or alcohol dependency, 
gambling addiction, or an eating disorder including, but not limited 
to, public or private hospitals, community mental health centers, 
clinics, satellites, and community -based structured crisis centers; 
provided, that facility shall not mean a child guidance center 
operated by the State Department of Health; 
8.  “Consumer” means a person under care or treatment in a 
facility pursuant to the Mental Health Law, or in an outpatient 
status; 
9.  “Care and treatment” means medical care and behavioral 
health services, as well as food, clothing and maintenance, 
furnished to a person; 
10.  Whenever in this law or in any other law, or in any rule or 
order made or promulgated pursuant to this law or to any other law, 
or in the printed forms prepared for the admission of consumers or 
for statistical reports, the words “insane”, “insanity”, “lunacy”, 
“mentally sick”, “mental disease” or “mental disorder” are used, 
such terms shall have equal significance to the words “mental 
illness”; 
11.  “Licensed mental health professional ” means: 
a. a psychiatrist who is a diplomate of the American 
Board of Psychiatry and Neurology,   
 
SB1089 HFLR 	Page 11 
BOLD FACE denotes Committee Amendments.  1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 
22 
23 
24 
  
b. a psychiatrist who is a diplomate of the American 
Osteopathic Board of Neurology and Psychiatry, 
c. a physician licensed pursuant to the Oklahoma 
Allopathic Medical and Surgical Licensure and 
Supervision Act or the Oklahoma Osteopathic Medicine 
Act, 
d. a clinical psycholog ist who is duly licensed to 
practice by the State Board of Examiners of 
Psychologists, 
e. a professional counselor licensed pursuant to the 
Licensed Professional Counselors Act, 
f. a person licensed as a clinical social worker pursuant 
to the provisions of the Social Worker ’s Licensing 
Act, 
g. a licensed marital and family therapist as defined in 
the Marital and Family Therapist Licensure Act, 
h. a licensed behavioral practitioner as defined in the 
Licensed Behavioral Practitioner Act , 
i. an advanced practice nurse as defined in the Oklahoma 
Nursing Practice Act, 
j. a physician’s assistant who is licensed in good 
standing in this state, or   
 
SB1089 HFLR 	Page 12 
BOLD FACE denotes Committee Amendments.  1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 
22 
23 
24 
  
k. a licensed alcohol and drug counselor/mental health 
(LADC/MH) as defined in the Licensed Alcohol and Drug 
Counselors Act; 
12.  “Mentally incompetent person ” means any person who has been 
adjudicated mentally or legally incompetent by an appropriate 
district court; 
13. a. “Person requiring treatment ” means a person who 
because of his or her mental illness or drug or 
alcohol dependency meets at least one of the 
following: 
(1) poses a substantial risk of immediate physical 
harm to self as manifested by evidence or serious 
threats of or attempts at suicide or other 
significant self-inflicted bodily harm, 
(2) poses a substantial risk of immediate physical 
harm to another person or persons as manifested 
by evidence of violent behavior directed toward 
another person or persons , 
(3) has placed another person or persons in a 
reasonable fear of violent behavior directed 
towards such person or persons or serious 
physical harm to them as manifested by serious 
and immediate threats,   
 
SB1089 HFLR 	Page 13 
BOLD FACE denotes Committee Amendments.  1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 
22 
23 
24 
  
(4) is in a condition of severe deterioration that is 
continuing, as has been observed within the 
previous seventy-two (72) hour seventy-two-hour 
period such that, without immediate intervention, 
there exists a substantial risk that severe 
impairment or injury will result to the person, 
or 
(5) poses a substantial risk of immediate serious 
physical injury to self or death as manifested by 
evidence that the per son is unable to provide for 
and is not providing for his or her basic 
physical needs. 
b. To the extent it is reasonably available, the relevant 
mental health or substance abuse history of the person 
shall be considered and may be proffered as part of 
the evidence to determine whether the person is a 
person requiring treatment or an assisted outpatient.  
The mental health or substance abuse history of th e 
person shall not be the sole basis for this 
determination. 
c. In determining whether the person is a pe rson 
requiring treatment, the following shall also be 
considered along with any other relevant information:   
 
SB1089 HFLR 	Page 14 
BOLD FACE denotes Committee Amendments.  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) the person’s history of violence or cri minal acts 
including unadjudicated criminal acts if evidence 
of the person’s culpability is evident or 
established, 
(2) the person’s history of compliance with mental 
and behavioral health medication and treatment, 
(3) the probability and result of the per son’s 
noncompliance with medication and treatment if 
not committed, 
(4) the consumer’s history of using w eapons in an 
illegal or unsafe manner, and 
(5) any previous instances of harm, attempted harm, 
or threatened harm to self or others. 
d. Unless a person also meets the criteria established in 
subparagraph a or, b, or c of this paragraph, “person 
requiring treatment” or an “assisted outpatient” shall 
not mean: 
(1) a person whose mental processes have been 
weakened or impaired by reason of advanced years, 
dementia, or Alzheimer ’s disease, 
(2) a person who is an individual with intellectual 
disability or developmental disability as defined 
in Section 1408 of Title 10 of the Oklahoma 
Statutes,   
 
SB1089 HFLR 	Page 15 
BOLD FACE denotes Committee Amendments.  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) a person with seizure disorder, 
(4) a person with a traumatic b rain injury, or 
(5) a person who is homeless. 
d. e. (1) A person who meets the criteria established 
in this paragraph but who is medically unstable 
may be discharged and transported in accordance 
with Section 1-110 of this title.  Alternatively, 
if the facility holding the person is able to 
treat the additional medical conditions of that 
person, the facility may treat the additional 
medical conditions in an effort to medically 
stabilize the patient. 
(2) If the facility holding the person is unable to 
treat the additional medical conditions of a 
person who meets the criteria established in this 
paragraph, the patient shall be discharged and 
transported in accordance with Section 1 -110 of 
this title. 
(3) All time elapsed during medical stabilization 
tolls the twelve (12) hour twelve-hour time for 
an initial assessment pursuant to paragraph 1 of 
subsection A of Section 5-208 of this title, and 
the one-hundred-twenty-hour emergency detention   
 
SB1089 HFLR 	Page 16 
BOLD FACE denotes Committee Amendments.  1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 
22 
23 
24 
  
time pursuant to paragraph 3 of subsection A of 
Section 5-208 of this title; 
14.  “Petitioner” means a person who files a petition alleging 
that an individual is a person requiring treatment or an assisted 
outpatient; 
15.  “Executive director” means the person in charge of a 
facility as defined in this section; 
16.  “Private hospital or facility” means any general hospital 
maintaining a neuro-psychiatric unit or ward, or any priv ate 
hospital or facility for care and treatment of a person having a 
mental illness, which is not supported by the state or federal 
government.  The term “private hospital” or “facility” shall not 
include nursing homes or other facilities maintained primarily for 
the care of elderly and disabled persons; 
17.  “Individualized treatment plan ” means a proposal developed 
during the stay of an individual in a facility, under the provisions 
of this title, which is specifically tailored to the treatment needs 
of the individual.  Each plan shall clearly include the following: 
a. a statement of treatment goals or objectives, based 
upon and related to a clinical ev aluation, which can 
be reasonably achieved within a designated time 
interval, 
b. treatment methods and procedures to be used to obtain 
these goals, which methods and procedures are related   
 
SB1089 HFLR 	Page 17 
BOLD FACE denotes Committee Amendments.  1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 
22 
23 
24 
  
to each of these goals and which include specific 
prognosis for achieving each of these goals, 
c. identification of the types of professional personnel 
who will carry out t he treatment procedures including 
appropriate medical or other professional involvement 
by a physician or other health professional properly 
qualified to fulfill legal requirements mandated under 
state and federal law, 
d. documentation of involvement by the individual 
receiving treatment and, if applicable, the accordance 
of the individual with the treatment plan, and 
e. a statement attesting that the ex ecutive director of 
the facility or clinical director has made a 
reasonable effort to meet the plan ’s individualized 
treatment goals in the least restrictive environment 
possible closest to the home community of the 
individual; 
18.  “Telemedicine” means technology-enabled health and care 
management and delivery systems that extend capacity and access, 
which includes: 
a. synchronous mechanisms, which may include live 
audiovisual interaction between a patient and a health 
care professional or real -time provider to provider   
 
SB1089 HFLR 	Page 18 
BOLD FACE denotes Committee Amendments.  1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 
22 
23 
24 
  
consultation through live interactive audiovisual 
means, 
b. asynchronous mechanisms, which include store and 
forward transfers, online exchange of health 
information between a patient and a health care 
professional and online exchange of hea lth information 
between health care professionals, but shall not 
include the use of automated text messages or 
automated mobile applications that serve as the sole 
interaction between a patient and a health care 
professional, 
c. remote patient monitoring, and 
d. other electronic means that support clinical health 
care, professional consultation, patient and 
professional health-related education, public health 
and health administration; 
19.  “Recovery and recovery support ” means nonclinical services 
that assist individuals and families to recover from alcohol or drug 
problems.  They include social support, linkage to and coordination 
among allied service providers including but not limited to 
transportation to and from treatment or employment, employment 
services and job training, case management and individual services 
coordination, life skills education, relap se prevention, housing 
assistance, child care, and substance abuse education;   
 
SB1089 HFLR 	Page 19 
BOLD FACE denotes Committee Amendments.  1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 
22 
23 
24 
  
20.  “Assisted outpatient” means a person who: 
a. is either currently und er the care of a facility 
certified by the Department of Mental Health and 
Substance Abuse Services as a Community Mental Health 
Center community mental health center , or is being 
discharged from the custody of the Oklahoma Department 
of Corrections, or is being discharged from a 
residential placement by the Office of Juvenile 
Affairs, 
b. is suffering from a mental illness, 
c. is unlikely to survive safely in the community without 
supervision, based on a clinical determination, 
d. has a history of lack of c ompliance with treatment for 
mental illness that has: 
(1) prior to the filing of a petition, at least twice 
within the last thirty -six (36) months been a 
significant factor in necessitating 
hospitalization or treatment in a hospital or 
residential facility including admission to a 
community-based structured crisis center as 
certified by the Oklahoma Department of Mental 
Health and Substance Abuse Services, or receipt 
of services in a forensic or other mental health 
unit of a correctional facility, or a spec ialized   
 
SB1089 HFLR 	Page 20 
BOLD FACE denotes Committee Amendments.  1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 
22 
23 
24 
  
treatment plan for treatment of mental illness in 
a secure juvenile facility or placement in a 
specialized residential program for juveniles, or 
(2) prior to the filing of the petition, resulted in 
one or more acts of serious violent behavior 
toward self or others or threats of, or attempts 
at, serious physical harm to self or others 
within the last twenty-four (24) months, 
e. is, as a result of his or her mental illness, unlikely 
to voluntarily participate in outpatient treatment 
that would enable him or her to live safely in the 
community, 
f. in view of his or her treatment history and current 
behavior, is in need of assisted outpatient treatment 
in order to prevent a relapse or deterioration which 
would be likely to result in serious harm to the 
person or persons as defined in this section , and 
g. is likely to benefit from assisted outpatient 
treatment; 
21.  “Assisted outpatient treatment ” means outpatient services 
which have been ordered by the court pursuant to a treatment plan 
approved by the court to treat an assisted outpatient ’s mental 
illness and to assist the person in living and functioning in the 
community, or to attempt to prevent a relapse or deterioration that   
 
SB1089 HFLR 	Page 21 
BOLD FACE denotes Committee Amendments.  1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 
22 
23 
24 
  
may reasonably be predicted to result in suicide or the need for 
hospitalization; and 
22.  “Urgent recovery clinic ” means a clinic that offers 
voluntary services aimed at the assessm ent and immediate 
stabilization of acute symptoms of mental illness, alcohol and other 
drug abuse, and emotional distress.  Unless the person receiving 
treatment consents to a longer duration or unless the person is 
placed into emergency detention under Sections 5 -206 through 5-209 
of this title, no more than twenty -three (23) hours and fifty -nine 
(59) minutes of services may be provided to a consumer du ring one 
episode of care at an urgent recovery clinic. 
SECTION 4.     AMENDATORY     43 A O.S. 2021, Section 7 -101, is 
amended to read as follows: 
Section 7-101. A.  The person in charge of a facility within 
the Department of Mental Healt h and Substance Abuse Services shall 
discharge a consumer or permit the consumer to leave the facility as 
provided in this section. 
B.  The person in charge shall discharge a consumer: 
1.  Who is no longer a risk to self or others as defined in 
provided by Section 1-103 of this title; 
2.  Who is capable of surviving safely in freedom alone or with 
the help of other state agencies, private entities, or willing and 
responsible family members or friends; provided, however, nothing in 
this section or Section 7 -102 of this title shall be construed as   
 
SB1089 HFLR 	Page 22 
BOLD FACE denotes Committee Amendments.  1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 
22 
23 
24 
  
requiring any state agency or private entity to provide services 
except as voluntarily agreed to by the agency and consumer; and 
3.  For whom a discharge plan has been developed pursuant to the 
provisions of Section 7-102 of this title. 
C.  The person in charge may grant a convalescent leave or 
visiting status to a cons umer in accordance with policies prescribed 
by the Commissioner of Mental Health and Substance Abuse Services .  
The facility granting a convalescent le ave or visiting status to a 
consumer has no responsibility in returning the consumer to the 
facility should such become necessary.  A convalescent leave or 
visiting status may be granted rather than a discharge when the 
complete recovery of the consumer ca n be determined only by 
permitting the consumer to leave the facility.  The person in charge 
shall discharge a consumer who has not returned to the facility 
within twelve (12) months from the time a convalescent leave or 
visiting status was granted.  Any r eturn from convalescent leave or 
visiting status must be on a voluntary basis. 
D.  In accordance with policies prescribed by the Commissioner, a 
person in charge may transfer a consumer to an outpatient or other 
nonhospital status when, in the opinion of t he person in charge, such 
transfer will not be detrimental to the public welfare or injurious 
to the consumer and the necessary treatment may be continued on that 
basis; provided, however, that before transferring the consumer, the 
person in charge shall e nsure that appropriate financial resources   
 
SB1089 HFLR 	Page 23 
BOLD FACE denotes Committee Amendments.  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 appropriate services are available to receive and care for such 
consumer after such transfer. 
E.  The person in charge of the facility shall notify the court 
that committed the consumer that the consumer has b een discharged.  
Such notification shall be within forty -eight (48) hours after the 
actual discharge. 
F.  If the consumer was committed after the dismissal of criminal 
charges pursuant to the provisions of Section 1175.6a of Title 22 of 
the Oklahoma Statutes: 
1.  The Department shall continue all appropriate efforts to 
restore the consumer to competency as defined by Section 1175.1 of 
Title 22 of the Oklahoma Statutes during the consumer ’s commitment; 
2.  The Department shall evaluate the consumer for compe tency and 
issue a written report detailing the consumer ’s progress in regaining 
competency to the attorne y of the consumer, the district court that 
dismissed the criminal action, and the district attorney or other 
prosecuting agency that prosecuted the dis missed criminal action at 
least once every year; 
3.  The Department shall notify the consumer, the attorney of the 
consumer, the prosecuting agency that prosecuted the dismissed 
criminal action, and the district court that committed the consumer 
no less than sixty (60) days prior to any discharge, leave, granting 
of visiting status, or transfer of the consume r.  Contemporaneously 
with the notice, the Department shall provide a written report   
 
SB1089 HFLR 	Page 24 
BOLD FACE denotes Committee Amendments.  1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 
22 
23 
24 
  
evaluating the consumer ’s risk to self and others if released, the 
consumer’s status and progress in regaining competency, the 
consumer’s current and historical compliance with medication and 
treatment, and any discharge plan developed for the consumer; 
4.  The prosecuting agency that prosecuted the dismissed criminal 
action may file with the district court that committed the consumer 
an objection to the consumer ’s discharge, leave, granting of visiting 
status, or transfer within thirty (30) days of recei pt of notice 
pursuant to paragraph 3 of this subsection.  The prosecuting agency 
shall, regardless of whether an objection is filed, make reasonable 
efforts to notify all alleged victims in the dismissed criminal 
action, or if an alleged victim is deceased, his or her family, of 
the Department’s planned discharge, leave, g ranting of visiting 
status, or transfer of the consumer; 
5. The court shall hold a hearing within thirty (30) days of the 
filing of an objection by the prosecuting agency to determine whether 
the consumer’s planned discharge, leave, granting of visiting s tatus, 
or transfer should occur. The consumer shall be entitled to counsel 
at the hearing and in preparation for the hearing. If the consumer 
does not have counsel, the court shall appoint an attorney to 
represent the person at no cost if the person is i ndigent and cannot 
afford an attorney. The hearing may be continued either by agreement 
of the parties or upon good cause shown. The prosecuting agency 
objecting to the consumer ’s discharge, leave, granting of visiting   
 
SB1089 HFLR 	Page 25 
BOLD FACE denotes Committee Amendments.  1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 
22 
23 
24 
  
status, or transfer shall bear the burden of proof, by clear and 
convincing evidence, that the planned discharge, leave, granting of 
visiting status, or transfer should not be granted. In the event of 
a planned discharge pursuant to subsection B of this section, the 
court shall determine w hether the criteria contained within 
subsection B of this section has been met. In the event of a 
convalescent leave, granting of visiting status, or transfer pursuant 
to subsection C or D of this section, the court shall determine 
whether the applicable criteria have been met and whether the leave, 
granting of visiting status, or transfer is in the best interest of 
the consumer and in the best interest of public safety. The court 
shall enter the appropriate order which shall include written 
findings of fact and conclusions of law and specify its effective 
date; 
6. An order entered pursuant to this subsecti on may be appealed 
by either the consumer or the prosecuting agency to the Supreme Court 
in accordance with the rules of the Supreme Court.  The district 
court, the Supreme Court, or the Court of Civil Appeals, if assigned, 
may stay an order granting discharge, leave, visiting status, or 
transfer pending appeal.  On appeal, the district court ’s findings of 
facts shall be reviewed for an abuse of discreti on while the legal 
conclusions of the district court shall be reviewed de novo. If the 
prosecuting agency appeals an order granting the consumer ’s 
discharge, leave, visiting status, or transfer and the order has been   
 
SB1089 HFLR 	Page 26 
BOLD FACE denotes Committee Amendments.  1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 
22 
23 
24 
  
stayed pending appeal, the appellate c ourt shall resolve the appeal 
in an expedited manner ; and 
7.  The provisions of this subsection shall apply to all persons 
subject to such terms regardless of whether the person ’s criminal 
charge or commitment occurred before or after the effective date of 
this act. 
G. The expense of returning a consumer from convalescent leave, 
outpatient status or visiting status shall be that of: 
1.  The party removing the consumer from the facility; or 
2.  The Department.  When it becomes necessary for the consumer 
to be returned from the county where the consumer happens to be, the 
Department shall reimburse the county pursuant to the provisions of 
the State Travel Reimbursement Act. 
G. H. In the event authorization is necessary to accomplish the 
return of the consume r to the facility, such authority is hereby 
vested in the judge of the district court in the county where the 
consumer is located.  Upon receipt of notice that the consumer needs 
to be returned to the facility, the judge shall cause the consumer to 
be brought before the court by issuance of a citation directed to the 
consumer to appear and show cause why the consumer should not be 
returned to the facility.  The judge shall, if clear and convincing 
evidence is presented by testimony under oath that the consu mer 
should be returned to the facility, enter an order returning the 
consumer.  If there is a lack of cle ar and convincing evidence   
 
SB1089 HFLR 	Page 27 
BOLD FACE denotes Committee Amendments.  1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 
22 
23 
24 
  
showing the necessity of such return, the consumer shall immediately 
be released.  Law enforcement officers are authorized t o take into 
custody, detain and transport a consumer pursuant to a citation or an 
order of the judge of the district court. 
H. I. An attending physician of any consumer admitted to a 
private facility may discharge a consumer or permit the consumer to 
leave the facility subject to the same provisions applicable to the 
discharge or release of a consumer by the person in charge of a state 
facility. 
SECTION 5.  This act shall become effective November 1, 2025. 
 
COMMITTEE REPORT BY: COMMITTEE ON JUDICIARY AND PUBLIC SAFETY , dated 
04/17/2025 – DO PASS.