1 | 1 | | 88R4522 EAS-F |
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2 | 2 | | By: Campos H.B. No. 1464 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | A BILL TO BE ENTITLED |
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6 | 6 | | AN ACT |
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7 | 7 | | relating to preliminary examination periods for mental health |
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8 | 8 | | protective custody and the criteria for and duration of certain |
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9 | 9 | | court-ordered mental health services. |
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10 | 10 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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11 | 11 | | SECTION 1. Section 573.021(b), Health and Safety Code, is |
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12 | 12 | | amended to read as follows: |
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13 | 13 | | (b) A person accepted for a preliminary examination may be |
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14 | 14 | | detained in custody for not longer than 72 [48] hours after the time |
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15 | 15 | | the person is presented to the facility unless a written order for |
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16 | 16 | | protective custody is obtained. The 72-hour [48-hour] period |
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17 | 17 | | allowed by this section includes any time the patient spends |
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18 | 18 | | waiting in the facility for medical care before the person receives |
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19 | 19 | | the preliminary examination. If the 72-hour [48-hour] period ends |
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20 | 20 | | on a Saturday, Sunday, legal holiday, or before 4 p.m. on the first |
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21 | 21 | | succeeding business day, the person may be detained until 4 p.m. on |
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22 | 22 | | the first succeeding business day. If the 72-hour [48-hour] period |
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23 | 23 | | ends at a different time, the person may be detained only until 4 |
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24 | 24 | | p.m. on the day the 72-hour [48-hour] period ends. If extremely |
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25 | 25 | | hazardous weather conditions exist or a disaster occurs, the |
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26 | 26 | | presiding judge or magistrate may, by written order made each day, |
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27 | 27 | | extend by an additional 24 hours the period during which the person |
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28 | 28 | | may be detained. The written order must declare that an emergency |
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29 | 29 | | exists because of the weather or the occurrence of a disaster. |
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30 | 30 | | SECTION 2. Sections 574.034(a) and (d), Health and Safety |
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31 | 31 | | Code, are amended to read as follows: |
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32 | 32 | | (a) The judge may order a proposed patient to receive |
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33 | 33 | | court-ordered temporary inpatient mental health services only if |
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34 | 34 | | the judge or jury finds, from clear and convincing evidence, that: |
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35 | 35 | | (1) the proposed patient is a person with mental |
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36 | 36 | | illness; and |
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37 | 37 | | (2) as a result of that mental illness the proposed |
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38 | 38 | | patient: |
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39 | 39 | | (A) poses a substantial risk of causing [is |
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40 | 40 | | likely to cause] serious harm to the proposed patient, as evidenced |
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41 | 41 | | by serious threats of attempting suicide, a suicide attempt, or |
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42 | 42 | | other significant self-inflicted bodily harm; |
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43 | 43 | | (B) poses a substantial risk of causing [is |
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44 | 44 | | likely to cause] serious harm to others, as evidenced by violent |
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45 | 45 | | behavior directed toward others; [or] |
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46 | 46 | | (C) is: |
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47 | 47 | | (i) suffering severe and abnormal mental, |
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48 | 48 | | emotional, or physical distress; |
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49 | 49 | | (ii) experiencing substantial mental or |
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50 | 50 | | physical deterioration of the proposed patient's ability to |
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51 | 51 | | function independently, which is exhibited by the proposed |
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52 | 52 | | patient's inability, except for reasons of indigence, to provide |
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53 | 53 | | for the proposed patient's basic needs, including food, clothing, |
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54 | 54 | | health, or safety; and |
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55 | 55 | | (iii) unable to make a rational and |
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56 | 56 | | informed decision as to whether or not to submit to treatment; or |
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57 | 57 | | (D) is experiencing severe mental or physical |
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58 | 58 | | deterioration that, without immediate intervention, poses a |
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59 | 59 | | substantial risk of severe impairment or injury to the proposed |
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60 | 60 | | patient. |
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61 | 61 | | (d) To be clear and convincing under Subsection (a), the |
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62 | 62 | | evidence must include expert testimony and, unless waived, evidence |
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63 | 63 | | of a recent overt act or a continuing pattern of behavior that tends |
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64 | 64 | | to confirm: |
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65 | 65 | | (1) the likelihood of serious harm to the proposed |
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66 | 66 | | patient or others; [or] |
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67 | 67 | | (2) the proposed patient's distress and the |
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68 | 68 | | deterioration of the proposed patient's ability to function; or |
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69 | 69 | | (3) the severe deterioration of the proposed patient |
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70 | 70 | | that poses a substantial risk of impairment or injury to the |
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71 | 71 | | proposed patient. |
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72 | 72 | | SECTION 3. Section 574.0345(c), Health and Safety Code, is |
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73 | 73 | | amended to read as follows: |
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74 | 74 | | (c) An order for temporary outpatient mental health |
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75 | 75 | | services shall state that treatment is authorized for not longer |
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76 | 76 | | than 90 [45] days, except that the order may specify a period not to |
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77 | 77 | | exceed 180 [90] days if the judge finds that the longer period is |
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78 | 78 | | necessary. |
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79 | 79 | | SECTION 4. Sections 574.035(a) and (e), Health and Safety |
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80 | 80 | | Code, are amended to read as follows: |
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81 | 81 | | (a) The judge may order a proposed patient to receive |
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82 | 82 | | court-ordered extended inpatient mental health services only if the |
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83 | 83 | | jury, or the judge if the right to a jury is waived, finds, from |
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84 | 84 | | clear and convincing evidence, that: |
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85 | 85 | | (1) the proposed patient is a person with mental |
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86 | 86 | | illness; |
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87 | 87 | | (2) as a result of that mental illness the proposed |
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88 | 88 | | patient: |
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89 | 89 | | (A) poses a substantial risk of causing [is |
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90 | 90 | | likely to cause] serious harm to the proposed patient, as evidenced |
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91 | 91 | | by serious threats of attempting suicide, a suicide attempt, or |
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92 | 92 | | other significant self-inflicted bodily harm; |
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93 | 93 | | (B) poses a substantial risk of causing [is |
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94 | 94 | | likely to cause] serious harm to others, as evidenced by violent |
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95 | 95 | | behavior directed toward others; [or] |
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96 | 96 | | (C) is: |
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97 | 97 | | (i) suffering severe and abnormal mental, |
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98 | 98 | | emotional, or physical distress; |
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99 | 99 | | (ii) experiencing substantial mental or |
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100 | 100 | | physical deterioration of the proposed patient's ability to |
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101 | 101 | | function independently, which is exhibited by the proposed |
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102 | 102 | | patient's inability, except for reasons of indigence, to provide |
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103 | 103 | | for the proposed patient's basic needs, including food, clothing, |
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104 | 104 | | health, or safety; and |
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105 | 105 | | (iii) unable to make a rational and |
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106 | 106 | | informed decision as to whether or not to submit to treatment; or |
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107 | 107 | | (D) is experiencing severe mental or physical |
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108 | 108 | | deterioration that, without immediate intervention, poses a |
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109 | 109 | | substantial risk of severe impairment or injury to the proposed |
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110 | 110 | | patient; |
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111 | 111 | | (3) the proposed patient's condition is expected to |
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112 | 112 | | continue for more than 90 days; and |
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113 | 113 | | (4) the proposed patient has received court-ordered |
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114 | 114 | | inpatient mental health services under this subtitle or under |
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115 | 115 | | Chapter 46B, Code of Criminal Procedure, for at least 60 |
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116 | 116 | | consecutive days during the preceding 12 months. |
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117 | 117 | | (e) To be clear and convincing under Subsection (a), the |
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118 | 118 | | evidence must include expert testimony and evidence of a recent |
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119 | 119 | | overt act or a continuing pattern of behavior that tends to confirm: |
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120 | 120 | | (1) the likelihood of serious harm to the proposed |
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121 | 121 | | patient or others; [or] |
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122 | 122 | | (2) the proposed patient's distress and the |
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123 | 123 | | deterioration of the proposed patient's ability to function; or |
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124 | 124 | | (3) the severe deterioration of the proposed patient |
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125 | 125 | | that poses a substantial risk of impairment or injury to the |
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126 | 126 | | proposed patient. |
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127 | 127 | | SECTION 5. The change in law made by this Act to Section |
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128 | 128 | | 573.021, Health and Safety Code, applies to an emergency detention |
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129 | 129 | | that begins on or after the effective date of this Act. An emergency |
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130 | 130 | | detention that begins before the effective date of this Act is |
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131 | 131 | | governed by the law as it existed immediately before that date, and |
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132 | 132 | | that law is continued in effect for that purpose. |
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133 | 133 | | SECTION 6. The changes in law made by this Act to Chapter |
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134 | 134 | | 574, Health and Safety Code, apply only to a proceeding for |
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135 | 135 | | court-ordered mental health services that occurs on or after the |
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136 | 136 | | effective date of this Act, regardless of when an offense with which |
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137 | 137 | | the defendant is charged was committed. |
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138 | 138 | | SECTION 7. This Act takes effect September 1, 2023. |
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