Oklahoma 2025 Regular Session

Oklahoma Senate Bill SB1089 Compare Versions

Version 1 (Old)

Version 2 (New)

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3		-	SB1089 HFLR Page 1
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	3	+	ENGR. S. B. NO. 1089 Page 1 1
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28		-
29		-	HOUSE OF REPRESENTATIVES - FLOOR VERSION
30		-
31		-	STATE OF OKLAHOMA
32		-
33		-	1st Session of the 60th Legislature (2025)
34	27
35	28		ENGROSSED SENATE
36	29		BILL NO. 1089 By: Rosino of the Senate
37	30
38	31		and
39	32
40	33		Lawson of the House
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45	38		An Act relating to determination of competency;
46	39		amending 22 O.S. 2021, Sections 1175.1, as amended by
47	40		Section 1, Chapter 73, O.S.L. 2024, and 1175.6a (22
48	41		O.S. Supp. 2024, Section 1175.1), which relate to
49	42		definitions and persons capable of achieving
50	43		competence; modifying definition; directing court to
51	44		conduct competency proceedings for certain persons;
52	45		establishing procedures for court to conduct
53	46		competency proceedings for certain persons; requiring
54	47		criminal proceedings to resume upon certain
55	48		determination; requiring additional competency
56	49		restoration services upon certain determination;
57	50		requiring commencement of civil commitment
58	51		proceedings upon certain determination; t olling
59	52		statute of limitations under certain circumstances;
60	53		amending 43A O.S. 2021, Sections 1 -103, as last
61	54		amended by Section 1, Chapter 96, O.S.L. 2024, and 7 -
62	55		101 (43A O.S. Supp. 2024, Section 1 -103), which
63	56		relate to definitions and discharge or permissio n to
64	57		leave facility; modifying definition; establishing
65	58		requirements for certain civil comm itment upon
66	59		dismissal of certain criminal charges; requiring
67	60		certain reporting by Department of Mental Health and
68	61		Substance Abuse Services; requiring certain notice;
69	62		authorizing filing of certain objection; establishing
70	63		procedures for hearing on certain discharge;
71	64		requiring appointment of counsel under certain
72	65		circumstances; requiring court to make certain
73	66		determination; authorizing appeal of certain court
74	67		order; authorizing stay of certain order;
75	68		establishing standards for certain review; clarifying
	69	+	applicability of provisions; updating statutory
	70	+	references; updating statutory language; and
	71	+	providing an effective date .
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77		-	SB1089 HFLR Page 2
78		-	BOLD FACE denotes Committee Amendments. 1
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	75	+
	76	+	ENGR. S. B. NO. 1089 Page 2 1
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103		-	applicability of provisions; updating statutory
104		-	references; updating statutory language; and
105		-	providing an effective date .
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111	103		BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
112	104		SECTION 1. AMENDATORY 22 O.S. 2021, Section 1175.1, as
113	105		amended by Section 1, Chapter 73, O.S.L. 2024 (22 O.S. Supp. 2024,
114	106		Section 1175.1), is amended to read as follows:
115	107		Section 1175.1. As used in Sections 1175.1 throug h 1176 of this
116	108		title:
117	109		1. “Competent” or “competency” means the present ability of a
118	110		person arrested for or charged with a crime to understand the nature
119	111		of the charges and proceedings brought against him o r her and to
120	112		effectively and rationally assist in his or her defense;
121	113		2. “Criminal proceeding” means every stage of a criminal
122	114		prosecution after arrest and before judgment, including, but not
123	115		limited to, interrogation, lineup, preliminary hearing, motion
124	116		dockets, discovery, pretrial hearings and trial;
125	117		3. “Dangerous” means a person who is a person requiring
126	118		treatment as defined in Section 1 -103 of Title 43A of the Oklahoma
127	119		Statutes;
128	120		4. “Incompetent” or “incompetency” means the present inability
129	121		of a person arrested for or charged with a crime to underst and the
	122	+	nature of the charges and proceedings brought against him or her and
	123	+	to effectively and rationally assist in his or her defense;
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131		-	SB1089 HFLR Page 3
132		-	BOLD FACE denotes Committee Amendments. 1
	125	+	ENGR. S. B. NO. 1089 Page 3 1
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157		-	nature of the charges and proceedings brought against him or her and
158		-	to effectively and rationally assist in his or her defense;
159	150		5. “Public guardian” means the Office of Public Guardian as
160	151		established under the Oklahoma Public Guardianship Act in Section 6-
161	152		101 et seq. of Title 30 of the Oklahoma Statutes;
162	153		6. “Qualified forensic examiner ” means any:
163	154		a. psychiatrist with forensic training and experience,
164	155		b. psychologist with forensic training and exp erience, or
165	156		c. a licensed mental health profession al whose forensic
166	157		training and experience enable him or her to form
167	158		expert opinions regarding mental illness, competency
168	159		and dangerousness and who has been approved to render
169	160		such opinions by the court; provided, however, a
170	161		licensed mental health professio nal shall not be
171	162		qualified to issue expert opinions as to competency or
172	163		dangerousness in cases in which a person is alleged to
173	164		be incompetent due to intellectual disability; and
174	165		7. “Reasonable period of ti me” means a period not to exceed the
175	166		lesser of:
176	167		a. the maximum sentence specified for the most serious
177	168		offense with which the defendant is charged, or
178	169		b. a maximum period of two (2) years.
179	170		Any time period where the defendant refuses medication
180	171		prescribed or ordered that is designed to restore the defendan t to
	172	+	competency shall not be used in the calculation of a reasonable
	173	+	period of time.
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182		-	SB1089 HFLR Page 4
183		-	BOLD FACE denotes Committee Amendments. 1
	175	+	ENGR. S. B. NO. 1089 Page 4 1
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208		-	competency shall not be used in the calculation of a reasonable
209		-	period of time.
210	200		SECTION 2. AMENDATORY 22 O.S. 2021, Section 1175.6a, is
211	201		amended to read as follows:
212	202		Section 1175.6a. A. If the person is found to be incompeten t
213	203		prior to conviction because he or she is a person requiring
214	204		treatment as defined in Section 1 -103 of Title 43A of the Oklahoma
215	205		Statutes, but capable of achieving competence with treatment within
216	206		a reasonable period of time as defined by Section 1175.1 of this
217	207		title, the court shall suspend the criminal proceedings and order
218	208		the Department of Mental Health and Substance Abuse Services to
219	209		provide treatment, therapy or training which is calculated to allow
220	210		the person to achieve competency. The Department ma y designate a
221	211		willing entity to provide such competency restoration services on
222	212		behalf of the Department, provided the entity has qualified
223	213		personnel. The court shall further order the Department to take
224	214		custody of the individual as soon as a forensic bed becomes
225	215		available, unless both the Department and the county jail where the
226	216		person is being held determine that it is in the best interests of
227	217		the person to remain in the county jail. Such competency
228	218		restoration services shall begin within a reasonable p eriod of time
229	219		after the court has determined that the person is not competent to
230	220		stand trial.
	221	+	The person shall remain in the custody of the county jail until
	222	+	such time as the Department has a bed available at the forensic
	223	+	facility unless competency restora tion services are provided by a
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232		-	SB1089 HFLR Page 5
233		-	BOLD FACE denotes Committee Amendments. 1
	225	+	ENGR. S. B. NO. 1089 Page 5 1
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258		-	The person shall remain in the custody of the county jail until
259		-	such time as the Department has a bed available at the forensic
260		-	facility unless competency restora tion services are provided by a
261	250		designee of the Department, in which case custody of the person
262	251		shall be transferred to the Department.
263	252		B. The Department of Mental Health and Substance Abuse Services
264	253		or designee shall make periodic reports to the court as to the
265	254		competency of the defendant.
266	255		C. If the person is determined by the Department of Mental
267	256		Health and Substance Abuse Services or designee to have regained
268	257		competency, or is no longer incompetent because the person is a
269	258		person requiring treatment as defined by Section 1-103 of Title 43A
270	259		of the Oklahoma Statutes, a hearing shall be scheduled within twenty
271	260		(20) days:
272	261		1. If found competent by the court or a jury after such
273	262		rehearing, criminal proceedings shall be resumed;
274	263		2. If the person is found to c ontinue to be incompetent because
275	264		the person is a person requiring treatment as defined in Section 1-
276	265		103 of Title 43A of the Oklahoma Statutes, the person shall be
277	266		returned to the custody of the Department of Mental Health and
278	267		Substance Abuse Services or d esignee;
279	268		3. If the person is found to be incompetent because the person
280	269		is intellectually disabled an individual with intellectual
281	270		disability as defined by Section 1408 of Title 10 of the Oklahoma
	271	+	Statutes, the court shall issue the appropriate order as s et forth
	272	+	in Section 1175.6b of this title;
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283		-	SB1089 HFLR Page 6
284		-	BOLD FACE denotes Committee Amendments. 1
	274	+	ENGR. S. B. NO. 1089 Page 6 1
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309		-	Statutes, the court shall issue the appropriate order as set forth
310		-	in Section 1175.6b of this title;
311	299		4. If the person is found to be incompetent for reasons other
312	300		than the person is a person requiring treatment as defined by
313	301		Section 1-103 of Title 43A of the Oklahoma Statutes, and other than
314	302		the person is intellectually disabled an individual with
315	303		intellectual disability as defined in Section 1408 of Title 10 of
316	304		the Oklahoma Statutes, and is also found to be not dangerous as
317	305		defined by Section 1175.1 of this title , the court shall issue the
318	306		appropriate order as s et forth in Section 1175.6b of this title; or
319	307		5. If the person is found to be incompetent for reasons other
320	308		than the person is a person requiring treatment as defined by
321	309		Section 1-103 of Title 43A of the Oklahoma Statutes, and other than
322	310		the person is intellectually disabled an individual with
323	311		intellectual disability as defined in Section 1408 of Title 10 of
324	312		the Oklahoma Statutes, but is also found to be dangerous as defined
325	313		by Section 1175.1 of this title, the court shall issue the
326	314		appropriate order as se t forth in Section 1175.6c of this title.
327	315		D. If the person is found to be incompetent because the person
328	316		is a person requiring treatment as defined by Section 1 -103 of Title
329	317		43A of the Oklahoma Statutes, but not capable of achieving
330	318		competence with treatm ent within a reasonable period of time as
331	319		defined by Section 1175.1 of this title, the court shall commence
332	320		civil commitment proceedings pursuant to Title 43A of the Oklahoma
	321	+	Statutes and shall dismiss with out prejudice the criminal
	322	+	proceeding. If the per son is subsequently committed to the
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334		-	SB1089 HFLR Page 7
335		-	BOLD FACE denotes Committee Amendments. 1
	324	+	ENGR. S. B. NO. 1089 Page 7 1
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360		-	Statutes and shall dismiss without prejudice the criminal
361		-	proceeding. If the person is subsequently committed to the
362	349		Department of Mental Health and Substance Abuse Services pursuant to
363	350		Title 43A of the Oklahoma Statutes , the statute of limitations for
364	351		the criminal charges which were dismissed by the court shall be
365	352		tolled until the person is discharged from the Department of Mental
366	353		Health and Substance Abuse Services pursuant to Section 7 -101 of
367	354		Title 43A of the Oklahoma Statutes.
368	355		E. For a person undergoing competency restoration servi ces,
369	356		within thirty (30) days after the expiration of the reasonable
370	357		period of time as defined by Section 1175.1 of this title, the court
371	358		shall hold a hearing to determine whether the person has been
372	359		restored to competency .
373	360		1. No less than fifteen (15) days prior to the hearing the
374	361		Department of Mental He alth and Substance Abuse Services shall
375	362		submit a report to the court, the person ’s attorney, and the
376	363		prosecuting agency detailing the person ’s status and progress in
377	364		being restored to competency including t he person’s historical and
378	365		current compliance with medication and treatment and a plan for
379	366		competency restoration if additional competency restoration services
380	367		are ordered by the court .
381	368		2. If the court determines that the person has been restored to
382	369		competency, the criminal proceedings shall resume .
	370	+	3. If the court determines that the person has not been
	371	+	restored to competency, the court shall determine whether additional
	372	+	competency restoration services are likely to be beneficial in
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384		-	SB1089 HFLR Page 8
385		-	BOLD FACE denotes Committee Amendments. 1
	374	+	ENGR. S. B. NO. 1089 Page 8 1
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410		-	3. If the court determines that the person has not been
411		-	restored to competency, the court shall determine whether additional
412		-	competency restoration servic es are likely to be beneficial in
413	399		restoring the person to competency. If the court finds by a
414	400		preponderance of the evidence that additional competency restoration
415	401		services are:
416	402		a. likely to be beneficial in restoring the person to
417	403		competency, the court shall order the person to remain
418	404		in or be transferred to the custody of the Department
419	405		which shall continue to provide treatment, therapy, or
420	406		training calculated to restore the person to
421	407		competency for a period of time not to exceed the
422	408		lesser of an additional two (2) years or the maximum
423	409		sentence specified for the most serious offense with
424	410		which the defendant is charged, or
425	411		b. not likely to be beneficial in restoring the person to
426	412		competency, the court shall commence civil commitment
427	413		proceedings pursuant to Title 43A of the Oklahoma
428	414		Statutes and shall dismiss without prejudice the
429	415		criminal proceeding. If the p erson is subsequently
430	416		committed to the Department pursuant to Title 43A of
431	417		the Oklahoma Statutes, the statute of limitations for
432	418		the criminal charges which were dismissed by the court
433	419		shall be tolled until the person is discharged from
	420	+	the Department pursu ant to Section 7-101 of Title 43A
	421	+	of the Oklahoma Statutes.
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435		-	SB1089 HFLR Page 9
436		-	BOLD FACE denotes Committee Amendments. 1
	423	+	ENGR. S. B. NO. 1089 Page 9 1
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461		-	the Department pursuant to Section 7-101 of Title 43A
462		-	of the Oklahoma Statutes.
463	448		SECTION 3. AMENDATORY 43A O.S. 2021, Section 1 -103, as
464	449		last amended by Section 1, Chapter 96, O.S.L. 2024 (43A O.S. Supp.
465	450		2024, Section 1-103), is amended to read as foll ows:
466	451		Section 1-103. When used in this title, unless otherwise
467	452		expressly stated, or unless the context or subject matter otherwise
468	453		requires:
469	454		1. “Department” means the Department of Mental Health and
470	455		Substance Abuse Services;
471	456		2. “Chair” means the chair of the Board of Mental Health and
472	457		Substance Abuse Services;
473	458		3. “Mental illness” means a substantial disorder of thought,
474	459		mood, perception, psychological orientation or memory that
475	460		significantly impairs judgment, behavior, capacity to recognize
476	461		reality or ability to meet the ordinary demands of life;
477	462		4. “Board” means the Board of Mental Health and Substance Abuse
478	463		Services as established by the Mental Health Law;
479	464		5. “Commissioner” means the Commissioner of Me ntal Health and
480	465		Substance Abuse Services;
481	466		6. “Indigent person” means a person who does not have
482	467		sufficient assets or resources to support the person and to support
483	468		members of the family of the person lawfully dependent on the person
484	469		for support;
	470	+	7. “Facility” means any hospital, school, building, house or
	471	+	retreat, authorized by law to have the care, treatment or custody of
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486		-	SB1089 HFLR Page 10
487		-	BOLD FACE denotes Committee Amendments. 1
	473	+	ENGR. S. B. NO. 1089 Page 10 1
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512		-	7. “Facility” means any hospital, school, building, house or
513		-	retreat, authorized by law to have the care, treatment or custody of
514	498		an individual with mental illness, drug or alcohol dependency,
515	499		gambling addiction, or an eating disorder including, but not limited
516	500		to, public or private hospitals, community mental he alth centers,
517	501		clinics, satellites, and community -based structured crisis centers;
518	502		provided, that facility shall not mean a child guidance center
519	503		operated by the State Department of Health;
520	504		8. “Consumer” means a person under care or treatment in a
521	505		facility pursuant to the Mental Health Law, or in an outpatient
522	506		status;
523	507		9. “Care and treatment” means medical care and behavioral
524	508		health services, as well as food, clothing and maintenance,
525	509		furnished to a person;
526	510		10. Whenever in this law or in any other law, or in any rule or
527	511		order made or promulgated pursuant to this law or to any other law,
528	512		or in the printed forms prepared for the admission of consumers or
529	513		for statistical reports, the words “insane”, “insanity”, “lunacy”,
530	514		“mentally sick”, “mental disease” or “mental disorder” are used,
531	515		such terms shall have equal significance to the words “mental
532	516		illness”;
533	517		11. “Licensed mental health professional ” means:
534	518		a. a psychiatrist who is a diplomate of the American
535	519		Board of Psychiatry and Neurology,
	520	+	b. a psychiatrist who is a diplomate of the American
	521	+	Osteopathic Board of Neurology and Psychiatry,
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537		-	SB1089 HFLR Page 11
538		-	BOLD FACE denotes Committee Amendments. 1
	523	+	ENGR. S. B. NO. 1089 Page 11 1
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563		-	b. a psychiatrist who is a diplomate of the American
564		-	Osteopathic Board of Neurology and Psychiatry,
565	548		c. a physician licensed pursuant to the Oklahoma
566	549		Allopathic Medical and Surgical Licensure and
567	550		Supervision Act or the Oklahoma Osteopathic Medicine
568	551		Act,
569	552		d. a clinical psycholog ist who is duly licensed to
570	553		practice by the State Board of Examiners of
571	554		Psychologists,
572	555		e. a professional counselor licensed pursuant to the
573	556		Licensed Professional Counselors Act,
574	557		f. a person licensed as a cl inical social worker pursuant
575	558		to the provisions of the Social Worker’s Licensing
576	559		Act,
577	560		g. a licensed marital and family therapist as defined in
578	561		the Marital and Family Therapist Licensure Act,
579	562		h. a licensed behavioral practitioner as defined in the
580	563		Licensed Behavioral Practitioner Act ,
581	564		i. an advanced practice nurse as defined in the Oklahoma
582	565		Nursing Practice Act,
583	566		j. a physician’s assistant who is licensed in good
584	567		standing in this state, or
	568	+	k. a licensed alcohol and drug counselor/mental health
	569	+	(LADC/MH) as defined in the Licensed Alcohol and Drug
	570	+	Counselors Act;
585	571
586		-	SB1089 HFLR Page 12
587		-	BOLD FACE denotes Committee Amendments. 1
	572	+	ENGR. S. B. NO. 1089 Page 12 1
588	573		2
589	574		3
590	575		4
591	576		5
592	577		6
593	578		7
594	579		8
595	580		9
596	581		10
597	582		11
598	583		12
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600	585		14
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602	587		16
603	588		17
604	589		18
605	590		19
606	591		20
607	592		21
608	593		22
609	594		23
610	595		24
611	596
612		-	k. a licensed alcohol and drug counselor/mental health
613		-	(LADC/MH) as defined in the Licensed Alcohol and Drug
614		-	Counselors Act;
615	597		12. “Mentally incompetent person ” means any person who has been
616	598		adjudicated mentally or legally incompetent by an appropriate
617	599		district court;
618	600		13. a. “Person requiring treatment ” means a person who
619	601		because of his or her mental illness or drug or
620	602		alcohol dependency meets at least one of the
621	603		following:
622	604		(1) poses a substantial risk of immediate physical
623	605		harm to self as manifested by evidence or serious
624	606		threats of or attempts at suicide or other
625	607		significant self-inflicted bodily harm,
626	608		(2) poses a substantial risk of immediate physical
627	609		harm to another person or persons as manifested
628	610		by evidence of violent behavior directed toward
629	611		another person or persons,
630	612		(3) has placed another person or persons in a
631	613		reasonable fear of violent behavior directed
632	614		towards such person or persons or serious
633	615		physical harm to them as manifested by serious
634	616		and immediate threats,
	617	+	(4) is in a condition of severe deterioration that is
	618	+	continuing, as has been observed within the
	619	+	previous seventy-two (72) hour seventy-two-hour
	620	+	period such that, without immediate intervention,
635	621
636		-	SB1089 HFLR Page 13
637		-	BOLD FACE denotes Committee Amendments. 1
	622	+	ENGR. S. B. NO. 1089 Page 13 1
638	623		2
639	624		3
640	625		4
641	626		5
642	627		6
643	628		7
644	629		8
645	630		9
646	631		10
647	632		11
648	633		12
649	634		13
650	635		14
651	636		15
652	637		16
653	638		17
654	639		18
655	640		19
656	641		20
657	642		21
658	643		22
659	644		23
660	645		24
661	646
662		-	(4) is in a condition of severe deterioration that is
663		-	continuing, as has been observed within the
664		-	previous seventy-two (72) hour seventy-two-hour
665		-	period such that, without immediate intervention,
666	647		there exists a substantial risk that severe
667	648		impairment or injury will result to the person,
668	649		or
669	650		(5) poses a substantial risk of immediate serious
670	651		physical injury to self or death as manifested by
671	652		evidence that the per son is unable to provide for
672	653		and is not providing for his or her basic
673	654		physical needs.
674	655		b. To the extent it is reasonably available, the relevant
675	656		mental health or substance abuse history of the person
676	657		shall be considered and may be proffered as part of
677	658		the evidence to determine whether the person is a
678	659		person requiring treatment or an assisted outpatient.
679	660		The mental health or substance abuse history of the
680	661		person shall not be the sole basis for this
681	662		determination.
682	663		c. In determining whether the person is a pe rson
683	664		requiring treatment, the following shall also be
684	665		considered along with any other relevant information:
	666	+	(1) the person’s history of violence or criminal acts
	667	+	including unadjudicated criminal acts if evi dence
	668	+	of the person’s culpability is evident or
	669	+	established,
685	670
686		-	SB1089 HFLR Page 14
687		-	BOLD FACE denotes Committee Amendments. 1
	671	+	ENGR. S. B. NO. 1089 Page 14 1
688	672		2
689	673		3
690	674		4
691	675		5
692	676		6
693	677		7
694	678		8
695	679		9
696	680		10
697	681		11
698	682		12
699	683		13
700	684		14
701	685		15
702	686		16
703	687		17
704	688		18
705	689		19
706	690		20
707	691		21
708	692		22
709	693		23
710	694		24
711	695
712		-	(1) the person’s history of violence or cri minal acts
713		-	including unadjudicated criminal acts if evidence
714		-	of the person’s culpability is evident or
715		-	established,
716	696		(2) the person’s history of compliance with mental
717	697		and behavioral health medication and treatment,
718	698		(3) the probability and result of the person ’s
719	699		noncompliance with medication and treatment if
720	700		not committed,
721	701		(4) the consumer’s history of using w eapons in an
722	702		illegal or unsafe manner, and
723	703		(5) any previous instances of harm, attempted harm,
724	704		or threatened harm to self or others.
725	705		d. Unless a person also meets the criteria established in
726	706		subparagraph a or, b, or c of this paragraph, “person
727	707		requiring treatment” or an “assisted outpatient” shall
728	708		not mean:
729	709		(1) a person whose mental processes have been
730	710		weakened or impaired by reason of advanced years,
731	711		dementia, or Alzheimer ’s disease,
732	712		(2) a person who is an individual with intellectual
733	713		disability or developmental disability as defined
734	714		in Section 1408 of Title 10 of the Oklahoma
735	715		Statutes,
	716	+	(3) a person with seizure disorder,
	717	+	(4) a person with a traumatic brain injury, or
	718	+	(5) a person who is homeless.
736	719
737		-	SB1089 HFLR Page 15
738		-	BOLD FACE denotes Committee Amendments. 1
	720	+	ENGR. S. B. NO. 1089 Page 15 1
739	721		2
740	722		3
741	723		4
742	724		5
743	725		6
744	726		7
745	727		8
746	728		9
747	729		10
748	730		11
749	731		12
750	732		13
751	733		14
752	734		15
753	735		16
754	736		17
755	737		18
756	738		19
757	739		20
758	740		21
759	741		22
760	742		23
761	743		24
762	744
763		-	(3) a person with seizure disorder,
764		-	(4) a person with a traumatic b rain injury, or
765		-	(5) a person who is homeless.
766	745		d. e. (1) A person who meets the criteria established
767	746		in this paragraph but who is medically unstable
768	747		may be discharged and transported in accordance
769	748		with Section 1-110 of this title. Alternatively,
770	749		if the facility holding the person is able to
771	750		treat the additional medical conditions of that
772	751		person, the facility may treat the additional
773	752		medical conditions in an effort to medically
774	753		stabilize the patient.
775	754		(2) If the facility holding the person is unable to
776	755		treat the additional medical conditions of a
777	756		person who meets the criteria established in this
778	757		paragraph, the patient shall be discharged and
779	758		transported in accordance with Section 1 -110 of
780	759		this title.
781	760		(3) All time elapsed during medical stabilization
782	761		tolls the twelve (12) hour twelve-hour time for
783	762		an initial assessment pursuant to paragraph 1 of
784	763		subsection A of Section 5-208 of this title, and
785	764		the one-hundred-twenty-hour emergency detention
	765	+	time pursuant to paragraph 3 of subsection A of
	766	+	Section 5-208 of this title;
786	767
787		-	SB1089 HFLR Page 16
788		-	BOLD FACE denotes Committee Amendments. 1
	768	+	ENGR. S. B. NO. 1089 Page 16 1
789	769		2
790	770		3
791	771		4
792	772		5
793	773		6
794	774		7
795	775		8
796	776		9
797	777		10
798	778		11
799	779		12
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802	782		15
803	783		16
804	784		17
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807	787		20
808	788		21
809	789		22
810	790		23
811	791		24
812	792
813		-	time pursuant to paragraph 3 of subsection A of
814		-	Section 5-208 of this title;
815	793		14. “Petitioner” means a person who files a petit ion alleging
816	794		that an individual is a person requir ing treatment or an assisted
817	795		outpatient;
818	796		15. “Executive director” means the person in charge of a
819	797		facility as defined in this section;
820	798		16. “Private hospital or facility ” means any general hospital
821	799		maintaining a neuro-psychiatric unit or ward, or any priv ate
822	800		hospital or facility for care and treatment of a person having a
823	801		mental illness, which is not supported by the state or federal
824	802		government. The term “private hospital” or “facility” shall not
825	803		include nursing homes or other facilities maintained primar ily for
826	804		the care of elderly and disabled persons;
827	805		17. “Individualized treatment plan ” means a proposal developed
828	806		during the stay of an individual in a facility, under the provisions
829	807		of this title, which is specifically tailored to the treatment needs
830	808		of the individual. Each plan shall clearly include the following:
831	809		a. a statement of treatment goals or objectives, based
832	810		upon and related to a clinical evaluation, which can
833	811		be reasonably achieved within a des ignated time
834	812		interval,
835	813		b. treatment methods and pr ocedures to be used to obtain
836	814		these goals, which methods and procedures are related
	815	+	to each of these goals and which include specific
	816	+	prognosis for achieving each of these goals,
837	817
838		-	SB1089 HFLR Page 17
839		-	BOLD FACE denotes Committee Amendments. 1
	818	+	ENGR. S. B. NO. 1089 Page 17 1
840	819		2
841	820		3
842	821		4
843	822		5
844	823		6
845	824		7
846	825		8
847	826		9
848	827		10
849	828		11
850	829		12
851	830		13
852	831		14
853	832		15
854	833		16
855	834		17
856	835		18
857	836		19
858	837		20
859	838		21
860	839		22
861	840		23
862	841		24
863	842
864		-	to each of these goals and which include specific
865		-	prognosis for achieving each of these goals,
866	843		c. identification of the types of professional personnel
867	844		who will carry out t he treatment procedures including
868	845		appropriate medical or other professional involvement
869	846		by a physician or other health professional properly
870	847		qualified to fulfill legal requirements mandated under
871	848		state and federal law,
872	849		d. documentation of involvement by th e individual
873	850		receiving treatment and, if applicable, the accordance
874	851		of the individual with the treatment plan, and
875	852		e. a statement attesting that the executive director of
876	853		the facility or clinical director has made a
877	854		reasonable effort to meet the plan ’s individualized
878	855		treatment goals in the least restrictive environment
879	856		possible closest to the home community of the
880	857		individual;
881	858		18. “Telemedicine” means technology-enabled health and care
882	859		management and deliver y systems that extend capacity and access,
883	860		which includes:
884	861		a. synchronous mechanisms, which may include live
885	862		audiovisual interaction between a patient and a health
886	863		care professional or real -time provider to provider
	864	+	consultation through live interactive audiovisual
	865	+	means,
887	866
888		-	SB1089 HFLR Page 18
889		-	BOLD FACE denotes Committee Amendments. 1
	867	+	ENGR. S. B. NO. 1089 Page 18 1
890	868		2
891	869		3
892	870		4
893	871		5
894	872		6
895	873		7
896	874		8
897	875		9
898	876		10
899	877		11
900	878		12
901	879		13
902	880		14
903	881		15
904	882		16
905	883		17
906	884		18
907	885		19
908	886		20
909	887		21
910	888		22
911	889		23
912	890		24
913	891
914		-	consultation through live interactive audiovisual
915		-	means,
916	892		b. asynchronous mechanisms, which include store and
917	893		forward transfers, online exchange of health
918	894		information between a patient and a health care
919	895		professional and online exchange of health information
920	896		between health care professionals, but shall not
921	897		include the use of automated text messag es or
922	898		automated mobile applications that serve as the sole
923	899		interaction between a patient and a health care
924	900		professional,
925	901		c. remote patient monitoring, and
926	902		d. other electronic means that support clinical health
927	903		care, professional consultation, patient and
928	904		professional health-related education, public health
929	905		and health administration;
930	906		19. “Recovery and recovery support ” means nonclinical services
931	907		that assist individuals and families to recover from alcohol or drug
932	908		problems. They include social support, link age to and coordination
933	909		among allied service providers including but not limited to
934	910		transportation to and from treatment or employment, employment
935	911		services and job training, case management and individual services
936	912		coordination, life skills education, relap se prevention, housing
937	913		assistance, child care, and substance abuse education;
	914	+	20. “Assisted outpatient” means a person who:
938	915
939		-	SB1089 HFLR Page 19
940		-	BOLD FACE denotes Committee Amendments. 1
	916	+	ENGR. S. B. NO. 1089 Page 19 1
941	917		2
942	918		3
943	919		4
944	920		5
945	921		6
946	922		7
947	923		8
948	924		9
949	925		10
950	926		11
951	927		12
952	928		13
953	929		14
954	930		15
955	931		16
956	932		17
957	933		18
958	934		19
959	935		20
960	936		21
961	937		22
962	938		23
963	939		24
964	940
965		-	20. “Assisted outpatient” means a person who:
966	941		a. is either currently under the care of a facility
967	942		certified by the Department o f Mental Health and
968	943		Substance Abuse Services as a Community Mental Health
969	944		Center community mental health center , or is being
970	945		discharged from the custody of the Oklahoma Department
971	946		of Corrections, or is being discharged from a
972	947		residential placement by the Office of Juvenile
973	948		Affairs,
974	949		b. is suffering from a mental illness,
975	950		c. is unlikely to survive safely in the community without
976	951		supervision, based on a clinical determination,
977	952		d. has a history of lack of compliance with treatment for
978	953		mental illness that has:
979	954		(1) prior to the filing of a petition, at least twi ce
980	955		within the last thirty -six (36) months been a
981	956		significant factor in necessitating
982	957		hospitalization or treatment in a hospital or
983	958		residential facility including admission to a
984	959		community-based structured crisis center as
985	960		certified by the Oklahoma Department of Mental
986	961		Health and Substance Abuse Services, or receipt
987	962		of services in a forensic or other mental health
988	963		unit of a correctional facility, or a specialized
	964	+	treatment plan for treatment of mental illness in
989	965
990		-	SB1089 HFLR Page 20
991		-	BOLD FACE denotes Committee Amendments. 1
	966	+	ENGR. S. B. NO. 1089 Page 20 1
992	967		2
993	968		3
994	969		4
995	970		5
996	971		6
997	972		7
998	973		8
999	974		9
1000	975		10
1001	976		11
1002	977		12
1003	978		13
1004	979		14
1005	980		15
1006	981		16
1007	982		17
1008	983		18
1009	984		19
1010	985		20
1011	986		21
1012	987		22
1013	988		23
1014	989		24
1015	990
1016		-	treatment plan for treatment of mental illness in
1017	991		a secure juvenile facility or placement in a
1018	992		specialized residential program for juveniles, or
1019	993		(2) prior to the filing of the petition, resulted in
1020	994		one or more acts of serious violent behavior
1021	995		toward self or others or threats of, or attempts
1022	996		at, serious physical harm to self or others
1023	997		within the last twenty-four (24) months,
1024	998		e. is, as a result of his or her mental illness, unlikely
1025	999		to voluntarily participate in outpatient treatment
1026	1000		that would enable him or her to live safely in the
1027	1001		community,
1028	1002		f. in view of his or her treatment history and current
1029	1003		behavior, is in need of assisted outpatient treatment
1030	1004		in order to prevent a relapse or deterioration which
1031	1005		would be likely to result in serious harm to the
1032	1006		person or persons as defined in this section , and
1033	1007		g. is likely to benefit from assisted outpatient
1034	1008		treatment;
1035	1009		21. “Assisted outpatient treatment ” means outpatient services
1036	1010		which have been ordered by the court pursuant to a treatment plan
1037	1011		approved by the court to treat an assisted outpatient ’s mental
1038	1012		illness and to assist the person in living and functioning i n the
1039	1013		community, or to attempt to prevent a relapse or deterioration that
1040	1014
1041		-	SB1089 HFLR Page 21
1042		-	BOLD FACE denotes Committee Amendments. 1
	1015	+	ENGR. S. B. NO. 1089 Page 21 1
1043	1016		2
1044	1017		3
1045	1018		4
1046	1019		5
1047	1020		6
1048	1021		7
1049	1022		8
1050	1023		9
1051	1024		10
1052	1025		11
1053	1026		12
1054	1027		13
1055	1028		14
1056	1029		15
1057	1030		16
1058	1031		17
1059	1032		18
1060	1033		19
1061	1034		20
1062	1035		21
1063	1036		22
1064	1037		23
1065	1038		24
1066	1039
1067	1040		may reasonably be predicted to result in suicide or the need for
1068	1041		hospitalization; and
1069	1042		22. “Urgent recovery clinic ” means a clinic that offers
1070	1043		voluntary services aimed at the assessm ent and immediate
1071	1044		stabilization of acute symptoms of mental illness, alcohol and other
1072	1045		drug abuse, and emotional distress. Unless the person receiving
1073	1046		treatment consents to a longer duration or unless the person is
1074	1047		placed into emergency detention under Se ctions 5-206 through 5-209
1075	1048		of this title, no more than twenty -three (23) hours and fifty -nine
1076	1049		(59) minutes of services may be provided to a consumer during one
1077	1050		episode of care at an urgent recovery clinic.
1078	1051		SECTION 4. AMENDATORY 43 A O.S. 2021, Section 7 -101, is
1079	1052		amended to read as follows:
1080	1053		Section 7-101. A. The person in charge of a facility within
1081	1054		the Department of Mental Health and Substance Abuse Services shall
1082	1055		discharge a consumer or permit the consumer to leave the facility as
1083	1056		provided in this section.
1084	1057		B. The person in charge shall discharge a consumer:
1085	1058		1. Who is no longer a risk to self or others as defined in
1086	1059		provided by Section 1-103 of this title;
1087	1060		2. Who is capable of surviving safely in freedom alone or with
1088	1061		the help of other state agencies, private entities, or willing and
1089	1062		responsible family members or friends; provided, however, nothing in
1090	1063		this section or Section 7 -102 of this title shall be construed as
1091	1064
1092		-	SB1089 HFLR Page 22
1093		-	BOLD FACE denotes Committee Amendments. 1
	1065	+	ENGR. S. B. NO. 1089 Page 22 1
1094	1066		2
1095	1067		3
1096	1068		4
1097	1069		5
1098	1070		6
1099	1071		7
1100	1072		8
1101	1073		9
1102	1074		10
1103	1075		11
1104	1076		12
1105	1077		13
1106	1078		14
1107	1079		15
1108	1080		16
1109	1081		17
1110	1082		18
1111	1083		19
1112	1084		20
1113	1085		21
1114	1086		22
1115	1087		23
1116	1088		24
1117	1089
1118	1090		requiring any state agency or private entity to provide services
1119	1091		except as voluntarily agreed to by the agency and consumer; and
1120	1092		3. For whom a discharge plan has been developed pursuant to the
1121	1093		provisions of Section 7 -102 of this title.
1122	1094		C. The person in charge may grant a convalescent leave or
1123	1095		visiting status to a cons umer in accordance with policies prescribed
1124	1096		by the Commissioner of Mental Health and Substance Abuse Services .
1125	1097		The facility granting a convalescent leave or visiting status to a
1126	1098		consumer has no responsibil ity in returning the consumer to the
1127	1099		facility should such become necessary. A convalescent leave or
1128	1100		visiting status may be granted rather than a discharge when the
1129	1101		complete recovery of the consumer can be determined only by
1130	1102		permitting the consumer to leave the facility. The person in charge
1131	1103		shall discharge a consumer who has not returned to the facility
1132	1104		within twelve (12) months from the time a convalescent leave or
1133	1105		visiting status was granted. Any return from convalescent leave or
1134	1106		visiting status must b e on a voluntary basis.
1135	1107		D. In accordance with pol icies prescribed by the Commissioner, a
1136	1108		person in charge may transfer a consumer to an outpatient or other
1137	1109		nonhospital status when, in the opinion of the person in charge, such
1138	1110		transfer will not be detrimental to the public welfare or injurious
1139	1111		to the consumer and the necessary treatment may be continued on that
1140	1112		basis; provided, however, that before transferring the consumer, the
1141	1113		person in charge shall ensure that appropriate financial resources
1142	1114
1143		-	SB1089 HFLR Page 23
1144		-	BOLD FACE denotes Committee Amendments. 1
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1145	1116		2
1146	1117		3
1147	1118		4
1148	1119		5
1149	1120		6
1150	1121		7
1151	1122		8
1152	1123		9
1153	1124		10
1154	1125		11
1155	1126		12
1156	1127		13
1157	1128		14
1158	1129		15
1159	1130		16
1160	1131		17
1161	1132		18
1162	1133		19
1163	1134		20
1164	1135		21
1165	1136		22
1166	1137		23
1167	1138		24
1168	1139
1169	1140		and appropriate services are available to receive and care for such
1170	1141		consumer after such transfer.
1171	1142		E. The person in charge of the facility shall notify the court
1172	1143		that committed the consumer that the consumer has been discharged.
1173	1144		Such notification shall be within forty -eight (48) hours after the
1174	1145		actual discharge.
1175	1146		F. If the consumer was committed after the dismissal of criminal
1176	1147		charges pursuant to the provisions of Section 1175.6a of Title 22 of
1177	1148		the Oklahoma Statutes:
1178	1149		1. The Department shall continue all appropriate e fforts to
1179	1150		restore the consumer to competency as de fined by Section 1175.1 of
1180	1151		Title 22 of the Oklahoma Statutes during the consumer ’s commitment;
1181	1152		2. The Department shall evaluate the consumer for competency and
1182	1153		issue a written report detailing the consumer ’s progress in regaining
1183	1154		competency to the attorne y of the consumer, the district court that
1184	1155		dismissed the criminal action, and the district attorney or other
1185	1156		prosecuting agency that prosecuted the dismissed criminal action at
1186	1157		least once every year;
1187	1158		3. The Department shall notify the consumer, the attorn ey of the
1188	1159		consumer, the prosecuting agency that prosecuted the dismissed
1189	1160		criminal action, and the district court that committed the consumer
1190	1161		no less than sixty (60) days prior to any discharge, leave, granting
1191	1162		of visiting status, or transfer of the consume r. Contemporaneously
1192	1163		with the notice, the Department shall provide a written report
1193	1164
1194		-	SB1089 HFLR Page 24
1195		-	BOLD FACE denotes Committee Amendments. 1
	1165	+	ENGR. S. B. NO. 1089 Page 24 1
1196	1166		2
1197	1167		3
1198	1168		4
1199	1169		5
1200	1170		6
1201	1171		7
1202	1172		8
1203	1173		9
1204	1174		10
1205	1175		11
1206	1176		12
1207	1177		13
1208	1178		14
1209	1179		15
1210	1180		16
1211	1181		17
1212	1182		18
1213	1183		19
1214	1184		20
1215	1185		21
1216	1186		22
1217	1187		23
1218	1188		24
1219	1189
1220	1190		evaluating the consumer ’s risk to self and others if released, the
1221	1191		consumer’s status and progress in regaining competency , the
1222	1192		consumer’s current and historical compliance with medication and
1223	1193		treatment, and any discharge plan developed for the consumer;
1224	1194		4. The prosecuting agency that prosecuted the dismissed criminal
1225	1195		action may file with the district court that committed the consumer
1226	1196		an objection to the consumer ’s discharge, leave, granting of visiting
1227	1197		status, or transfer within thirty (30) days of recei pt of notice
1228	1198		pursuant to paragraph 3 of this subsection. The prosecuting agency
1229	1199		shall, regardless of whether an objection is filed, make reasonable
1230	1200		efforts to notify all al leged victims in the dismissed criminal
1231	1201		action, or if an alleged victim is deceased, his or her family, of
1232	1202		the Department’s planned discharge, leave, granting of visiting
1233	1203		status, or transfer of the consumer;
1234	1204		5. The court shall hold a hearing within thirty (30) days of the
1235	1205		filing of an objection by the prosecuting agency to determine whether
1236	1206		the consumer’s planned discharge, leave, granting of visiting status,
1237	1207		or transfer should occur. The consumer shall be entitled to counsel
1238	1208		at the hearing and in prepara tion for the hearing. If the consumer
1239	1209		does not have counsel, the court shall appoint an attorney to
1240	1210		represent the person at no cost if the person is indigent and cannot
1241	1211		afford an attorney. The hearing may be continued either by agreement
1242	1212		of the parties or upon good cause shown. The prosecuting agency
1243	1213		objecting to the consumer ’s discharge, leave, granting of visiting
1244	1214
1245		-	SB1089 HFLR Page 25
1246		-	BOLD FACE denotes Committee Amendments. 1
	1215	+	ENGR. S. B. NO. 1089 Page 25 1
1247	1216		2
1248	1217		3
1249	1218		4
1250	1219		5
1251	1220		6
1252	1221		7
1253	1222		8
1254	1223		9
1255	1224		10
1256	1225		11
1257	1226		12
1258	1227		13
1259	1228		14
1260	1229		15
1261	1230		16
1262	1231		17
1263	1232		18
1264	1233		19
1265	1234		20
1266	1235		21
1267	1236		22
1268	1237		23
1269	1238		24
1270	1239
1271	1240		status, or transfer shall bear the burden of proof, by clear and
1272	1241		convincing evidence, that the planned discharge, leave, granting of
1273	1242		visiting status, or transfer should not be granted. In the event of
1274	1243		a planned discharge pursuant to subsection B of this section, the
1275	1244		court shall determine whether the criteria contained within
1276	1245		subsection B of this section has been met. In the event of a
1277	1246		convalescent leave, granting of visiting status, or transfer pursuant
1278	1247		to subsection C or D of this section, the court shall determine
1279	1248		whether the applicable criteria have been met and whether the leave,
1280	1249		granting of visiting status, or transfer is in the best int erest of
1281	1250		the consumer and in the best interest of public safety. The court
1282	1251		shall enter the appropriate order which shall include written
1283	1252		findings of fact and conclusions of law and specify its effective
1284	1253		date;
1285	1254		6. An order entered pursuant to this subsecti on may be appealed
1286	1255		by either the consumer or the prosecuting agency to the Supreme Court
1287	1256		in accordance with the rules of the Supreme Court. The district
1288	1257		court, the Supreme Court, or the Court of Civil Appe als, if assigned,
1289	1258		may stay an order granting disch arge, leave, visiting status, or
1290	1259		transfer pending appeal. On appeal, the district court ’s findings of
1291	1260		facts shall be reviewed for an abuse of discretion while the legal
1292	1261		conclusions of the district court shall be reviewed de novo. If the
1293	1262		prosecuting agency appeals an order granting the consumer ’s
1294	1263		discharge, leave, visiting status, or transfer and the order has been
1295	1264
1296		-	SB1089 HFLR Page 26
1297		-	BOLD FACE denotes Committee Amendments. 1
	1265	+	ENGR. S. B. NO. 1089 Page 26 1
1298	1266		2
1299	1267		3
1300	1268		4
1301	1269		5
1302	1270		6
1303	1271		7
1304	1272		8
1305	1273		9
1306	1274		10
1307	1275		11
1308	1276		12
1309	1277		13
1310	1278		14
1311	1279		15
1312	1280		16
1313	1281		17
1314	1282		18
1315	1283		19
1316	1284		20
1317	1285		21
1318	1286		22
1319	1287		23
1320	1288		24
1321	1289
1322	1290		stayed pending appeal, the appellate court shall resolve the appeal
1323	1291		in an expedited manner ; and
1324	1292		7. The provisions of this subsection shall app ly to all persons
1325	1293		subject to such terms regardless of whether the person ’s criminal
1326	1294		charge or commitment occurred before or after the effective date of
1327	1295		this act.
1328	1296		G. The expense of returning a consumer from convalescent leave,
1329	1297		outpatient status or visiting status shall be that of:
1330	1298		1. The party removing the consumer from the facility; or
1331	1299		2. The Department. When it becomes necessary for the consumer
1332	1300		to be returned from the county where the consumer happens to be, the
1333	1301		Department shall reimburse the county p ursuant to the provisions of
1334	1302		the State Travel Reimbursement Act.
1335	1303		G. H. In the event authorization is necessary to accomplish the
1336	1304		return of the consumer to the facility, such authority is hereby
1337	1305		vested in the judge of the district court in the county where the
1338	1306		consumer is located. Upon receipt of notice that the consumer needs
1339	1307		to be returned to the facility, the judge shall cause the consumer to
1340	1308		be brought before the court by issuance of a citation directed to the
1341	1309		consumer to appear and show cause why the consumer should not be
1342	1310		returned to the facility. The judge shall, if clear and convincing
1343	1311		evidence is presented by testimony under oath that the consumer
1344	1312		should be returned to the facility, enter an order returning the
1345	1313		consumer. If there is a lack of cle ar and convincing evidence
1346	1314
1347		-	SB1089 HFLR Page 27
1348		-	BOLD FACE denotes Committee Amendments. 1
	1315	+	ENGR. S. B. NO. 1089 Page 27 1
1349	1316		2
1350	1317		3
1351	1318		4
1352	1319		5
1353	1320		6
1354	1321		7
1355	1322		8
1356	1323		9
1357	1324		10
1358	1325		11
1359	1326		12
1360	1327		13
1361	1328		14
1362	1329		15
1363	1330		16
1364	1331		17
1365	1332		18
1366	1333		19
1367	1334		20
1368	1335		21
1369	1336		22
1370	1337		23
1371	1338		24
1372	1339
1373	1340		showing the necessity of such return, the consumer shall immediately
1374	1341		be released. Law enforcement officers are authorized to take into
1375	1342		custody, detain and transport a consumer pu rsuant to a citation or an
1376	1343		order of the judge of t he district court.
1377	1344		H. I. An attending physician of any consumer admitted to a
1378	1345		private facility may discharge a consumer or permit the consumer to
1379	1346		leave the facility subject to the same provisions applicable to the
1380	1347		discharge or release of a consumer by the person in charge of a state
1381	1348		facility.
1382	1349		SECTION 5. This act shall become effective November 1, 2025.
	1350	+	Passed the Senate the 12th day of March, 2025.
1383	1351
1384		-	COMMITTEE REPORT BY: COMMITTEE ON JUDICIARY AND PUBLIC SAFETY , dated
1385		-	04/17/2025 – DO PASS.
	1352	+
	1353	+
	1354	+	Presiding Officer of the Senate
	1355	+
	1356	+
	1357	+	Passed the House of Representatives the ____ day of _ _________,
	1358	+	2025.
	1359	+
	1360	+
	1361	+
	1362	+	Presiding Officer of the House
	1363	+	of Representatives
	1364	+