88R14766 EAS-F By: Jetton H.B. No. 2506 Substitute the following for H.B. No. 2506: By: Klick C.S.H.B. No. 2506 A BILL TO BE ENTITLED AN ACT relating to procedures applicable to the emergency detention of a person with mental illness at a mental health facility, including the detention, transportation, and transfer of the person and to certain best practices for courts with jurisdiction over emergency mental health matters. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Sections 571.003(9) and (12), Health and Safety Code, are amended to read as follows: (9) "Inpatient mental health facility" means a mental health facility that can provide 24-hour residential and psychiatric services and that is: (A) a facility operated by the department; (B) a private mental hospital licensed by the department; (C) a community center, facility operated by or under contract with a community center or other entity the department designates to provide mental health services; (D) a local mental health authority or a facility operated by or under contract with a local mental health authority; (E) a mental health or psychiatric unit of [an identifiable part of] a general hospital in which diagnosis, treatment, and care for persons with mental illness is provided and that is licensed by the department; or (F) a hospital operated by a federal agency. (12) "Mental health facility" means: (A) an inpatient or outpatient mental health facility operated by the department, a federal agency, a political subdivision, or any person; (B) a community center or a facility operated by a community center; (C) a mental health or psychiatric unit [that identifiable part] of a general hospital in which diagnosis, treatment, and care for persons with mental illness is provided; or (D) with respect to a reciprocal agreement entered into under Section 571.0081, any hospital or facility designated as a place of commitment by the department, a local mental health authority, and the contracting state or local authority. SECTION 2. Section 573.001, Health and Safety Code, is amended by amending Subsections (d) and (g) and adding Subsection (d-1) to read as follows: (d) Except as provided by Subsection (d-1), a [A] peace officer who takes a person into custody under Subsection (a) shall immediately: (1) transport the apprehended person to[: [(A)] the nearest appropriate inpatient mental health facility; or [(B) a mental health facility deemed suitable by the local mental health authority, if an appropriate inpatient mental health facility is not available; or] (2) transfer the apprehended person to emergency medical services personnel of an emergency medical services provider in accordance with a memorandum of understanding executed under Section 573.005 for transport to a facility described by Subdivision (1) [(1)(A) or (B)]. (d-1) Subsection (d) does not apply to a peace officer who takes into custody under Subsection (a) a person who requires stabilization due to an emergency medical condition. (g) A peace officer who takes a person into custody under Subsection (a) shall immediately inform the person orally in simple, nontechnical terms: (1) of the reason for the detention; [and] (2) of the warning described by Section 2(a), Article 38.22, Code of Criminal Procedure; and (3) that a staff member of the facility will inform the person of the person's rights at [within 24 hours after] the time the person is admitted to a facility and before questioning, assessing, or examining the person, as provided by Section 573.025(b). SECTION 3. Section 573.002, Health and Safety Code, is amended by adding Subsection (f) to read as follows: (f) If a person who has been detained under Section 573.001 and transported to a facility under this section subsequently is transported to a mental health facility as authorized by Section 573.022(d), a copy of the notification of detention form filed under Subsection (a) must accompany the detained person to the mental health facility. SECTION 4. Section 573.012, Health and Safety Code, is amended by adding Subsection (j) to read as follows: (j) A judge or magistrate is not prohibited from issuing a warrant under this section for a person for whom a previous warrant was issued under this section unless the person was detained pursuant to the previously issued warrant for a preliminary examination under Section 573.021 for a period that exceeded the maximum custodial period permitted under that section. SECTION 5. Subchapter B, Chapter 573, Health and Safety Code, is amended by adding Section 573.013 to read as follows: Sec. 573.013. JUDICIAL BEST PRACTICES AND PROCEDURES. The Office of Court Administration of the Texas Judicial System shall develop and provide to each court in the state with jurisdiction to hear emergency mental health matters under this chapter best practices and procedures for ensuring that a judge or magistrate is available 24 hours a day, seven days a week to respond to applications for emergency detention under Section 573.012(h). SECTION 6. Section 573.021, Health and Safety Code, is amended by amending Subsections (a), (b), and (d) and adding Subsection (a-1) to read as follows: (a) A mental health facility shall temporarily accept a person for whom an application for detention is filed or for whom a peace officer or emergency medical services personnel of an emergency medical services provider transporting the person in accordance with a memorandum of understanding executed under Section 573.005 files a notification of detention completed by the peace officer under Section 573.002(a). (a-1) A general hospital may temporarily accept and detain a person for whom a warrant under Section 573.012 is issued or for whom a peace officer or emergency medical services personnel of an emergency medical services provider transporting the person in accordance with a memorandum of understanding executed under Section 573.005 files a notification of detention completed by the peace officer under Section 573.002(a). (b) A person accepted for a preliminary examination may be detained in custody for not longer than 48 hours after the time the person is presented to the mental health facility unless a written order for protective custody is obtained. The 48-hour period allowed by this section includes any time the patient spends waiting in the mental health facility for medical care before the person receives the preliminary examination. If the 48-hour period ends on a Saturday, Sunday, legal holiday, or before 4 p.m. on the first succeeding business day, the person may be detained until 4 p.m. on the first succeeding business day. If the 48-hour period ends at a different time, the person may be detained only until 4 p.m. on the day the 48-hour period ends. If extremely hazardous weather conditions exist or a disaster occurs, the presiding judge or magistrate may, by written order made each day, extend by an additional 24 hours the period during which the person may be detained. The written order must declare that an emergency exists because of the weather or the occurrence of a disaster. (d) A mental health facility must comply with this section only to the extent that the commissioner determines that a mental health facility has sufficient resources to perform the necessary services under this section. SECTION 7. Section 573.022, Health and Safety Code, is amended by adding Subsection (d) to read as follows: (d) A local mental health authority that determines a person detained under Section 573.002 should be transported to an appropriate mental health facility before the expiration of the period for emergency detention described by Section 573.021(b) may submit a request for a peace officer to provide transportation. On a peace officer's receipt of notice of the request from the officer's supervisor, the peace officer immediately shall transport the detained person to the appropriate mental health facility. A copy of the notification of emergency detention for the detained person filed under Section 573.002(a) must accompany the detained person to the receiving facility. The receiving facility may not require any form other than the copy of the peace officer's notification of detention as a predicate to accepting a person for emergency detention. SECTION 8. Section 573.025(b), Health and Safety Code, is amended to read as follows: (b) A person apprehended, detained, or transported for emergency detention under this subtitle shall be informed of the rights provided by this section and this subtitle: (1) orally in simple, nontechnical terms, at [within 24 hours after] the time the person is admitted to a facility and before the person is questioned, assessed, or examined, and in writing in the person's primary language if possible; or (2) through the use of a means reasonably calculated to communicate with a hearing or visually impaired person, if applicable. SECTION 9. The changes in law made by this Act apply to an emergency detention under Chapter 573, Health and Safety Code, that begins on or after the effective date of this Act. An emergency detention under Chapter 573, Health and Safety Code, that begins before the effective date of this Act is governed by the law as it existed immediately before that date, and that law is continued in effect for that purpose. SECTION 10. As soon as practicable after the effective date of this Act, the Office of Court Administration of the Texas Judicial System shall develop the best practices and procedures as required by Section 573.013, Health and Safety Code, as added by this Act. SECTION 11. This Act takes effect September 1, 2023.