82R10815 KEL-F By: Madden H.B. No. 2037 A BILL TO BE ENTITLED AN ACT relating to the court-ordered administration of psychoactive medication or other care or treatment with respect to certain criminal defendants determined to be incompetent to stand trial. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Article 46B.072(d), Code of Criminal Procedure, is amended to read as follows: (d) An order issued under this article may require the defendant to participate in: (1) as appropriate, an outpatient treatment program administered by a community center or an outpatient treatment program administered by any other entity that provides outpatient competency restoration services; and (2) an appropriate prescribed regimen of medical, psychiatric, or psychological care or treatment, including: (A) care or treatment involving the administration of psychoactive medication, including those required under Article 46B.086; and (B) if applicable, care or treatment administered in a correctional facility pending release to an outpatient treatment program described by Subdivision (1). SECTION 2. Section 574.104, Health and Safety Code, is amended by adding Subsections (a-1) and (a-2) to read as follows: (a-1) A physician who is treating a patient ordered to receive inpatient mental health services after having been determined to be incompetent to stand trial may: (1) proceed under Subsection (a); or (2) file, in the court in which the criminal matter is pending, an application for an order to authorize the administration of a psychoactive medication regardless of the patient's refusal if: (A) the physician believes that the patient lacks the capacity to make a decision regarding the administration of the psychoactive medication; (B) the physician determines that the medication is the proper course of treatment for the patient; and (C) the patient, verbally or by other indication, refuses to take the medication. (a-2) An application filed as described by Subsection (a-1)(2) is subject to the requirements and procedures provided by Article 46B.086, Code of Criminal Procedure. Subsections (b)(3), (c), (d), and (e) do not apply to the application. SECTION 3. Section 574.106(c), Health and Safety Code, is amended to read as follows: (c) Except as provided by Subsection (d), a [A] hearing under this subchapter shall be conducted on the record by the probate judge, a [or] judge with probate jurisdiction, or, if applicable, the judge of a criminal court who ordered the patient to receive inpatient mental health services in accordance with Chapter 46B, Code of Criminal Procedure [except as provided by Subsection (d)]. SECTION 4. This Act takes effect immediately if it receives a vote of two-thirds of all the members elected to each house, as provided by Section 39, Article III, Texas Constitution. If this Act does not receive the vote necessary for immediate effect, this Act takes effect September 1, 2011.