By: Huffman S.B. No. 1503 (In the Senate - Filed March 10, 2011; March 22, 2011, read first time and referred to Committee on Criminal Justice; May 12, 2011, reported adversely, with favorable Committee Substitute by the following vote: Yeas 7, Nays 0; May 12, 2011, sent to printer.) COMMITTEE SUBSTITUTE FOR S.B. No. 1503 By: Huffman A BILL TO BE ENTITLED AN ACT relating to procedures regarding certain criminal defendants who are or may be persons with mental illness or mental retardation. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subsection (a), Article 46C.261, Code of Criminal Procedure, is amended to read as follows: (a) A criminal court that orders an acquitted person committed to inpatient treatment or orders outpatient or community-based treatment and supervision annually shall determine whether to renew the order and has continuing jurisdiction over all renewals for the purposes of this chapter. SECTION 2. Section 551.042, Health and Safety Code, is amended to read as follows: Sec. 551.042. OUTPATIENT CLINICS AND TRANSITIONAL FACILITIES. (a) If funds are available, the department may establish in locations the department considers necessary outpatient clinics and transitional facilities to treat persons with mental illness. (b) As necessary to establish and operate the clinics and transitional facilities, the department may: (1) acquire facilities; (2) hire personnel; (3) adopt rules; and (4) contract with persons, corporations, and local, state, and federal agencies. SECTION 3. Subsections (c) and (d), Section 572.004, Health and Safety Code, are amended to read as follows: (c) The notified physician shall evaluate the patient to determine whether there is reasonable cause to believe that the patient might meet the criteria for court-ordered mental health services or emergency detention. The notified physician shall discharge the patient on completion of the evaluation [before the end of the four-hour period] unless the physician finds [has] reasonable cause to believe that the patient might meet the criteria for court-ordered mental health services or emergency detention. (d) A physician who finds [has] reasonable cause to believe that a patient might meet the criteria for court-ordered mental health services or emergency detention shall examine the patient as soon as possible within 24 hours after the time the request for discharge is filed. The physician shall discharge the patient on completion of the examination unless the physician determines that the person meets the criteria for court-ordered mental health services or emergency detention. If the physician makes a determination that the patient meets the criteria for court-ordered mental health services or emergency detention, the physician shall, not later than 4 p.m. on the next succeeding business day after the date on which the examination occurs, either discharge the patient or file an application for court-ordered mental health services or emergency detention and obtain a written order for further detention. The physician shall notify the patient if the physician intends to detain the patient under this subsection or intends to file an application for court-ordered mental health services or emergency detention. A decision to detain a patient under this subsection and the reasons for the decision shall be made a part of the patient's clinical record. SECTION 4. Section 574.086, Health and Safety Code, is amended by adding Subsections (d) and (e) to read as follows: (d) Notwithstanding Subsection (a), a discharge under this section is subject to judicial review and disapproval under Section 574.090 if: (1) one of the criteria that formed the basis for the decision to commit the patient was a finding that the patient was likely to cause serious harm to others; (2) regardless of the criteria that formed the basis for the decision to commit, a treating physician now believes that the patient poses a substantial risk of causing harm to others; or (3) the patient has a violent criminal history. (e) For purposes of this section, a patient has a violent criminal history if the patient: (1) has a prior conviction or has received community supervision for an offense listed in Article 17.032(a), Code of Criminal Procedure; (2) is currently charged with an offense listed in Article 17.032(a), Code of Criminal Procedure; (3) has been charged with an offense listed in Article 17.032(a), Code of Criminal Procedure, in the five years preceding the date of the patient's current commitment; or (4) has ever been found not guilty by reason of insanity of an offense listed in Article 17.032(a), Code of Criminal Procedure. SECTION 5. Subchapter F, Chapter 574, Health and Safety Code, is amended by adding Section 574.090 to read as follows: Sec. 574.090. JUDICIAL REVIEW OF DISCHARGE. (a) A facility administrator who determines that a patient described by Section 574.086(d) does not meet the criteria for court-ordered inpatient mental health services shall prepare a discharge certificate as required by Section 574.087 and file it with the court that entered the order committing the patient to court-ordered inpatient mental health services. (b) On the filing of a discharge certificate under Subsection (a), the court shall notify the attorney representing the state and the patient's last attorney of record and provide each attorney a copy of the discharge certificate. (c) On the request of the attorney representing the state, the court must conduct a hearing to determine whether the patient no longer meets the criteria for court-ordered inpatient mental health services and should be discharged. The court may hold the hearing on its own motion. (d) The court may order further psychiatric or psychological testing the court considers necessary for determining whether the patient no longer meets the criteria for court-ordered inpatient mental health services and should be discharged. (e) At the hearing conducted under this section, the court shall determine whether the person meets any criteria for court-ordered inpatient mental health services listed in Section 574.035(a). If the court finds by clear and convincing evidence that the patient meets one of the criteria for court-ordered inpatient mental health services, the court shall disapprove the patient's release and enter a new order committing the patient for court-ordered extended inpatient mental health services. If the court does not find by clear and convincing evidence that the patient meets one of the criteria for court-ordered inpatient mental health services, the court shall approve the patient's discharge. SECTION 6. The change in law made by this Act in amending Subsection (a), Article 46C.261, Code of Criminal Procedure, applies only to a defendant with respect to whom any proceeding under Chapter 46C, Code of Criminal Procedure, is conducted on or after the effective date of this Act. SECTION 7. This Act takes effect September 1, 2011. * * * * *