Texas 2023 - 88th Regular

Texas House Bill HB3504 Compare Versions

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11 By: Leach H.B. No. 3504
22
33
44 A BILL TO BE ENTITLED
55 AN ACT
66 relating to an application for emergency detention, procedures
77 regarding court-ordered mental health services, and certain rights
88 of patients admitted to private mental hospitals and certain other
99 mental health facilities.
1010 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1111 SECTION 1. Section 571.003, Health and Safety Code, is
1212 amended by adding Subdivision (20-a) to read as follows:
1313 (20-a) "Psychiatrist" means a physician who is:
1414 (A) certified by the American Board of Psychiatry
1515 and Neurology or the American Osteopathic Board of Neurology and
1616 Psychiatry;
1717 (B) eligible for board certification as a
1818 psychiatrist; or
1919 (C) enrolled in a graduate medical education
2020 training program and is under the supervision of a psychiatrist who
2121 is board certified or eligible for certification.
2222 SECTION 2. Section 573.001(a), Health and Safety Code, is
2323 amended to read as follows:
2424 (a) A peace officer, without a warrant, may take a person
2525 into custody, regardless of the age or location of the person, if
2626 the officer:
2727 (1) has reason to believe and does believe that:
2828 (A) the person is a person with mental illness;
2929 and
3030 (B) because of that mental illness there is a
3131 substantial risk of serious harm to the person or to others unless
3232 the person is immediately restrained; and
3333 (2) believes that there is not sufficient time to
3434 obtain a warrant before taking the person into custody.
3535 SECTION 3. Section 573.012, Health and Safety Code, is
3636 amended by amending Subsection (a), (e), and (h) and adding
3737 Subsection (h-2) to read as follows:
3838 (a) Except as provided by Subsection (h), an applicant for
3939 emergency detention must present the application personally to a
4040 judge or magistrate. The judge or magistrate shall examine the
4141 application and may interview the applicant. Except as provided by
4242 Subsections [Subsection] (g) and (h), the judge of a court with
4343 probate jurisdiction by administrative order may provide that the
4444 application must be:
4545 (1) presented personally to the court; or
4646 (2) retained by court staff and presented to another
4747 judge or magistrate as soon as is practicable if the judge of the
4848 court is not available at the time the application is presented.
4949 (e) A person apprehended under this section who is not
5050 physically located in a mental health facility at the time the
5151 warrant is issued under Subsection (h-1) shall be transported for a
5252 preliminary examination in accordance with Section 573.021 to:
5353 (1) the nearest appropriate inpatient mental health
5454 facility; or
5555 (2) a mental health facility deemed suitable by the
5656 local mental health authority, if an appropriate inpatient mental
5757 health facility is not available.
5858 (h) A judge or magistrate shall [may] permit an applicant
5959 who is a physician to present an application by:
6060 (1) e-mail with the application attached as a secure
6161 document in a portable document format (PDF); or
6262 (2) another secure electronic means, including:
6363 (A) satellite transmission;
6464 (B) closed-circuit television transmission; or
6565 (C) any other method of two-way electronic
6666 communication that:
6767 (i) is secure;
6868 (ii) is available to the judge or
6969 magistrate; and
7070 (iii) provides for a simultaneous,
7171 compressed full-motion video and interactive communication of
7272 image and sound between the judge or magistrate and the applicant.
7373 (h-2) A facility may detain a person who is physically
7474 located in the facility to perform a preliminary examination in
7575 accordance with Section 573.021 if:
7676 (1) a judge or magistrate transmits a warrant to the
7777 facility under Subsection (h-1) for the detention of the person;
7878 and
7979 (2) the person is not under an order under this chapter
8080 or Chapter 574.
8181 SECTION 4. Section 574.001, Health and Safety Code, is
8282 amended by amending Subsection (b) and adding Subsections (g) and
8383 (h) to read as follows:
8484 (b) Except as provided by Subsection (f), the application
8585 must be filed with the county clerk in the county in which the
8686 proposed patient:
8787 (1) resides;
8888 (2) is located at the time the application is filed [is
8989 found]; [or]
9090 (3) was apprehended under Chapter 573; or
9191 (4) is receiving mental health services by court order
9292 or under Subchapter A, Chapter 573.
9393 (g) A judge or magistrate shall review an application filed
9494 at any time that the judge or magistrate is on duty, regardless of
9595 whether the application is filed after 5:00 p.m. on a weekday, on a
9696 Saturday or Sunday, or on a state or national holiday.
9797 (h) A court shall allow an application to be filed under
9898 this section in the same manner as any other document filed with the
9999 court, including through the use of an electronic filing system
100100 established under Section 72.031, Government Code, if applicable.
101101 SECTION 5. Subchapter A, Chapter 574, Health and Safety
102102 Code, is amended by adding Section 574.0121 to read as follows:
103103 Sec. 574.0121. CONFLICTING RECOMMENDATIONS REGARDING
104104 COMMITMENT. If the local mental health authority in the county in
105105 which an application is filed does not recommend that a proposed
106106 patient be committed, the authority, as part of the recommendation
107107 required under Section 574.012, must:
108108 (1) include the information required by Sections
109109 574.011(a) and (b); and
110110 (2) identify the criteria for commitment that the
111111 proposed patient does not satisfy and include the facts on which
112112 that determination is based.
113113 SECTION 6. Section 574.021, Health and Safety Code, is
114114 amended by amending Subsection (d) and adding Subsections (d-1) and
115115 (f) to read as follows:
116116 (d) The motion must be accompanied by a certificate of
117117 medical examination for mental illness prepared by a physician who
118118 has examined the proposed patient not earlier than the third day
119119 before the day the motion is filed. The motion is not required to
120120 include a recommendation from a local mental health authority.
121121 (d-1) A court may not consider a recommendation from a local
122122 mental health authority if the authority's recommendation fails to
123123 comply with the requirements of Section 574.012 and, to the extent
124124 applicable, Section 574.0121.
125125 (f) A court shall allow the motion to be filed under this
126126 section in the same manner as any other document filed with the
127127 court, including through the use of an electronic filing system
128128 established under Section 72.031, Government Code, if applicable.
129129 SECTION 7. Section 574.022, Health and Safety Code, is
130130 amended by amending Subsections (a) and (d) and adding Subsection
131131 (f) to read as follows:
132132 (a) The judge or designated magistrate shall [may] issue a
133133 protective custody order if the judge or magistrate determines:
134134 (1) that a physician has stated the physician's
135135 opinion and the detailed reasons for the physician's opinion that
136136 the proposed patient is a person with mental illness; and
137137 (2) the proposed patient presents a substantial risk
138138 of serious harm to the proposed patient or others if not immediately
139139 restrained pending the hearing.
140140 (d) The judge or magistrate shall set a hearing date and
141141 [may] take additional evidence if a fair determination of the
142142 matter cannot be made from consideration of the application and
143143 certificate only.
144144 (f) The judge or magistrate may not deny a motion for a
145145 protective custody order solely on the basis that the proposed
146146 patient was not emergency detained under Chapter 573 at the time
147147 that an application for court-ordered mental health services under
148148 this chapter was filed.
149149 SECTION 8. Section 574.023, Health and Safety Code, is
150150 amended by amending Subsection (a) and adding Subsection (a-1) to
151151 read as follows:
152152 (a) A protective custody order shall direct a person
153153 authorized to transport patients under Section 574.045 to take the
154154 proposed patient into protective custody and transport the person
155155 immediately to a mental health facility deemed suitable by:
156156 (1) the local mental health authority for the area; or
157157 (2) a physician who completed a certificate of medical
158158 examination under Section 574.009.
159159 (a-1) On request of the local mental health authority, the
160160 judge may order that the proposed patient be detained in an
161161 inpatient mental health facility operated by the department.
162162 SECTION 9. Section 574.025(d), Health and Safety Code, is
163163 amended to read as follows:
164164 (d) The applicant, the proposed patient, and the proposed
165165 patient's attorney shall have an opportunity at the hearing to
166166 appear and present evidence to support or challenge the allegation
167167 that the proposed patient presents a substantial risk of serious
168168 harm to the proposed patient [himself] or others.
169169 SECTION 10. Section 574.028, Health and Safety Code, is
170170 amended by amending Subsection (a) and adding Subsection (a-1) to
171171 read as follows:
172172 (a) If [The magistrate or associate judge shall order the
173173 release of a person under a protective custody order if] the
174174 magistrate or associate judge determines after the hearing under
175175 Section 574.025 that no probable cause exists to believe that the
176176 proposed patient presents a substantial risk of serious harm to the
177177 proposed patient [himself] or others, the magistrate or associate
178178 judge shall order the release of a person under a protective custody
179179 order. The order must include written findings stating the
180180 specific facts forming the basis for the determination by the
181181 magistrate or associate judge that no probable cause exists.
182182 (a-1) If the magistrate or associate judge after the hearing
183183 under Section 574.025 denies the motion for protective custody on
184184 any fact or conclusion of law other than a finding that no probable
185185 cause exists to believe that the proposed patient presents a
186186 substantial risk of serious harm to the proposed patient or others,
187187 the order must include the findings of fact or conclusions of law on
188188 which the denial is based.
189189 SECTION 11. Section 574.031, Health and Safety Code, is
190190 amended by adding Subsection (d-3) to read as follows:
191191 (d-3) Notwithstanding Subchapter I and without regard to
192192 the proposed patient's physical presence at the hearing, the court
193193 shall allow the competent medical or psychiatric testimony under
194194 Subsection (d-1) to be provided by closed-circuit video
195195 teleconferencing if:
196196 (1) closed-circuit video teleconferencing is
197197 available to the court for that purpose;
198198 (2) the court has good cause to not conduct in-person
199199 testimony, including that conducting the testimony through
200200 closed-circuit video teleconferencing would minimize the
201201 disruption of care to the testifying person's other patients; and
202202 (3) the closed-circuit video teleconferencing system
203203 provides for a simultaneous, compressed full-motion video and
204204 interactive communication of image and sound between all persons
205205 involved in the proceedings.
206206 SECTION 12. Section 574.033(a), Health and Safety Code, is
207207 amended to read as follows:
208208 (a) The court shall enter an order denying an application
209209 for court-ordered temporary or extended mental health services if
210210 after a hearing the court or jury fails to find, from clear and
211211 convincing evidence, that the proposed patient is a person with
212212 mental illness and meets the applicable criteria for court-ordered
213213 mental health services. The order must include written findings of
214214 fact on which the court's order is based.
215215 SECTION 13. Section 577.010, Health and Safety Code, is
216216 amended by adding Subsections (b-1) and (b-2) to read as follows:
217217 (b-1) The rules must specify the rights of patients admitted
218218 for voluntary or involuntary commitment, including the rights
219219 provided by Chapters 572, 573, 574, and 576.
220220 (b-2) The rules must require each mental health facility
221221 licensed under this chapter to:
222222 (1) notify any patient admitted for voluntary or
223223 involuntary commitment of the patient's rights under this subtitle
224224 and under the rules; and
225225 (2) display a poster or other written document of the
226226 rights described by Subdivision (1).
227227 SECTION 14. The changes in law made by this Act to Chapter
228228 573, Health and Safety Code, apply to an emergency detention that
229229 begins on or after the effective date of this Act. An emergency
230230 detention that begins before the effective date of this Act is
231231 governed by the law as it existed immediately before that date, and
232232 that law is continued in effect for that purpose.
233233 SECTION 15. The change in law made by this Act to Section
234234 574.001, Health and Safety Code, applies only to an application for
235235 court-ordered mental health services submitted on or after the
236236 effective date of this Act.
237237 SECTION 16. The changes in law made by this Act to Chapter
238238 574, Health and Safety Code, apply only to a proceeding for
239239 court-ordered mental health services that occurs on or after the
240240 effective date of this Act, regardless of when an offense with which
241241 the defendant is charged was committed.
242242 SECTION 17. This Act takes effect September 1, 2023.