1 | 1 | | By: Leach H.B. No. 3504 |
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2 | 2 | | |
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3 | 3 | | |
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4 | 4 | | A BILL TO BE ENTITLED |
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5 | 5 | | AN ACT |
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6 | 6 | | relating to an application for emergency detention, procedures |
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7 | 7 | | regarding court-ordered mental health services, and certain rights |
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8 | 8 | | of patients admitted to private mental hospitals and certain other |
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9 | 9 | | mental health facilities. |
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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 571.003, Health and Safety Code, is |
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12 | 12 | | amended by adding Subdivision (20-a) to read as follows: |
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13 | 13 | | (20-a) "Psychiatrist" means a physician who is: |
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14 | 14 | | (A) certified by the American Board of Psychiatry |
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15 | 15 | | and Neurology or the American Osteopathic Board of Neurology and |
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16 | 16 | | Psychiatry; |
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17 | 17 | | (B) eligible for board certification as a |
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18 | 18 | | psychiatrist; or |
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19 | 19 | | (C) enrolled in a graduate medical education |
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20 | 20 | | training program and is under the supervision of a psychiatrist who |
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21 | 21 | | is board certified or eligible for certification. |
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22 | 22 | | SECTION 2. Section 573.001(a), Health and Safety Code, is |
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23 | 23 | | amended to read as follows: |
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24 | 24 | | (a) A peace officer, without a warrant, may take a person |
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25 | 25 | | into custody, regardless of the age or location of the person, if |
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26 | 26 | | the officer: |
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27 | 27 | | (1) has reason to believe and does believe that: |
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28 | 28 | | (A) the person is a person with mental illness; |
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29 | 29 | | and |
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30 | 30 | | (B) because of that mental illness there is a |
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31 | 31 | | substantial risk of serious harm to the person or to others unless |
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32 | 32 | | the person is immediately restrained; and |
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33 | 33 | | (2) believes that there is not sufficient time to |
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34 | 34 | | obtain a warrant before taking the person into custody. |
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35 | 35 | | SECTION 3. Section 573.012, Health and Safety Code, is |
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36 | 36 | | amended by amending Subsection (a), (e), and (h) and adding |
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37 | 37 | | Subsection (h-2) to read as follows: |
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38 | 38 | | (a) Except as provided by Subsection (h), an applicant for |
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39 | 39 | | emergency detention must present the application personally to a |
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40 | 40 | | judge or magistrate. The judge or magistrate shall examine the |
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41 | 41 | | application and may interview the applicant. Except as provided by |
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42 | 42 | | Subsections [Subsection] (g) and (h), the judge of a court with |
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43 | 43 | | probate jurisdiction by administrative order may provide that the |
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44 | 44 | | application must be: |
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45 | 45 | | (1) presented personally to the court; or |
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46 | 46 | | (2) retained by court staff and presented to another |
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47 | 47 | | judge or magistrate as soon as is practicable if the judge of the |
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48 | 48 | | court is not available at the time the application is presented. |
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49 | 49 | | (e) A person apprehended under this section who is not |
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50 | 50 | | physically located in a mental health facility at the time the |
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51 | 51 | | warrant is issued under Subsection (h-1) shall be transported for a |
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52 | 52 | | preliminary examination in accordance with Section 573.021 to: |
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53 | 53 | | (1) the nearest appropriate inpatient mental health |
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54 | 54 | | facility; or |
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55 | 55 | | (2) a mental health facility deemed suitable by the |
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56 | 56 | | local mental health authority, if an appropriate inpatient mental |
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57 | 57 | | health facility is not available. |
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58 | 58 | | (h) A judge or magistrate shall [may] permit an applicant |
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59 | 59 | | who is a physician to present an application by: |
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60 | 60 | | (1) e-mail with the application attached as a secure |
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61 | 61 | | document in a portable document format (PDF); or |
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62 | 62 | | (2) another secure electronic means, including: |
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63 | 63 | | (A) satellite transmission; |
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64 | 64 | | (B) closed-circuit television transmission; or |
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65 | 65 | | (C) any other method of two-way electronic |
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66 | 66 | | communication that: |
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67 | 67 | | (i) is secure; |
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68 | 68 | | (ii) is available to the judge or |
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69 | 69 | | magistrate; and |
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70 | 70 | | (iii) provides for a simultaneous, |
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71 | 71 | | compressed full-motion video and interactive communication of |
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72 | 72 | | image and sound between the judge or magistrate and the applicant. |
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73 | 73 | | (h-2) A facility may detain a person who is physically |
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74 | 74 | | located in the facility to perform a preliminary examination in |
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75 | 75 | | accordance with Section 573.021 if: |
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76 | 76 | | (1) a judge or magistrate transmits a warrant to the |
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77 | 77 | | facility under Subsection (h-1) for the detention of the person; |
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78 | 78 | | and |
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79 | 79 | | (2) the person is not under an order under this chapter |
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80 | 80 | | or Chapter 574. |
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81 | 81 | | SECTION 4. Section 574.001, Health and Safety Code, is |
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82 | 82 | | amended by amending Subsection (b) and adding Subsections (g) and |
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83 | 83 | | (h) to read as follows: |
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84 | 84 | | (b) Except as provided by Subsection (f), the application |
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85 | 85 | | must be filed with the county clerk in the county in which the |
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86 | 86 | | proposed patient: |
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87 | 87 | | (1) resides; |
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88 | 88 | | (2) is located at the time the application is filed [is |
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89 | 89 | | found]; [or] |
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90 | 90 | | (3) was apprehended under Chapter 573; or |
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91 | 91 | | (4) is receiving mental health services by court order |
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92 | 92 | | or under Subchapter A, Chapter 573. |
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93 | 93 | | (g) A judge or magistrate shall review an application filed |
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94 | 94 | | at any time that the judge or magistrate is on duty, regardless of |
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95 | 95 | | whether the application is filed after 5:00 p.m. on a weekday, on a |
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96 | 96 | | Saturday or Sunday, or on a state or national holiday. |
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97 | 97 | | (h) A court shall allow an application to be filed under |
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98 | 98 | | this section in the same manner as any other document filed with the |
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99 | 99 | | court, including through the use of an electronic filing system |
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100 | 100 | | established under Section 72.031, Government Code, if applicable. |
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101 | 101 | | SECTION 5. Subchapter A, Chapter 574, Health and Safety |
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102 | 102 | | Code, is amended by adding Section 574.0121 to read as follows: |
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103 | 103 | | Sec. 574.0121. CONFLICTING RECOMMENDATIONS REGARDING |
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104 | 104 | | COMMITMENT. If the local mental health authority in the county in |
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105 | 105 | | which an application is filed does not recommend that a proposed |
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106 | 106 | | patient be committed, the authority, as part of the recommendation |
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107 | 107 | | required under Section 574.012, must: |
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108 | 108 | | (1) include the information required by Sections |
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109 | 109 | | 574.011(a) and (b); and |
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110 | 110 | | (2) identify the criteria for commitment that the |
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111 | 111 | | proposed patient does not satisfy and include the facts on which |
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112 | 112 | | that determination is based. |
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113 | 113 | | SECTION 6. Section 574.021, Health and Safety Code, is |
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114 | 114 | | amended by amending Subsection (d) and adding Subsections (d-1) and |
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115 | 115 | | (f) to read as follows: |
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116 | 116 | | (d) The motion must be accompanied by a certificate of |
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117 | 117 | | medical examination for mental illness prepared by a physician who |
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118 | 118 | | has examined the proposed patient not earlier than the third day |
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119 | 119 | | before the day the motion is filed. The motion is not required to |
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120 | 120 | | include a recommendation from a local mental health authority. |
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121 | 121 | | (d-1) A court may not consider a recommendation from a local |
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122 | 122 | | mental health authority if the authority's recommendation fails to |
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123 | 123 | | comply with the requirements of Section 574.012 and, to the extent |
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124 | 124 | | applicable, Section 574.0121. |
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125 | 125 | | (f) A court shall allow the motion to be filed under this |
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126 | 126 | | section in the same manner as any other document filed with the |
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127 | 127 | | court, including through the use of an electronic filing system |
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128 | 128 | | established under Section 72.031, Government Code, if applicable. |
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129 | 129 | | SECTION 7. Section 574.022, Health and Safety Code, is |
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130 | 130 | | amended by amending Subsections (a) and (d) and adding Subsection |
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131 | 131 | | (f) to read as follows: |
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132 | 132 | | (a) The judge or designated magistrate shall [may] issue a |
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133 | 133 | | protective custody order if the judge or magistrate determines: |
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134 | 134 | | (1) that a physician has stated the physician's |
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135 | 135 | | opinion and the detailed reasons for the physician's opinion that |
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136 | 136 | | the proposed patient is a person with mental illness; and |
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137 | 137 | | (2) the proposed patient presents a substantial risk |
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138 | 138 | | of serious harm to the proposed patient or others if not immediately |
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139 | 139 | | restrained pending the hearing. |
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140 | 140 | | (d) The judge or magistrate shall set a hearing date and |
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141 | 141 | | [may] take additional evidence if a fair determination of the |
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142 | 142 | | matter cannot be made from consideration of the application and |
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143 | 143 | | certificate only. |
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144 | 144 | | (f) The judge or magistrate may not deny a motion for a |
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145 | 145 | | protective custody order solely on the basis that the proposed |
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146 | 146 | | patient was not emergency detained under Chapter 573 at the time |
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147 | 147 | | that an application for court-ordered mental health services under |
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148 | 148 | | this chapter was filed. |
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149 | 149 | | SECTION 8. Section 574.023, Health and Safety Code, is |
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150 | 150 | | amended by amending Subsection (a) and adding Subsection (a-1) to |
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151 | 151 | | read as follows: |
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152 | 152 | | (a) A protective custody order shall direct a person |
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153 | 153 | | authorized to transport patients under Section 574.045 to take the |
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154 | 154 | | proposed patient into protective custody and transport the person |
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155 | 155 | | immediately to a mental health facility deemed suitable by: |
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156 | 156 | | (1) the local mental health authority for the area; or |
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157 | 157 | | (2) a physician who completed a certificate of medical |
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158 | 158 | | examination under Section 574.009. |
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159 | 159 | | (a-1) On request of the local mental health authority, the |
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160 | 160 | | judge may order that the proposed patient be detained in an |
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161 | 161 | | inpatient mental health facility operated by the department. |
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162 | 162 | | SECTION 9. Section 574.025(d), Health and Safety Code, is |
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163 | 163 | | amended to read as follows: |
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164 | 164 | | (d) The applicant, the proposed patient, and the proposed |
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165 | 165 | | patient's attorney shall have an opportunity at the hearing to |
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166 | 166 | | appear and present evidence to support or challenge the allegation |
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167 | 167 | | that the proposed patient presents a substantial risk of serious |
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168 | 168 | | harm to the proposed patient [himself] or others. |
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169 | 169 | | SECTION 10. Section 574.028, Health and Safety Code, is |
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170 | 170 | | amended by amending Subsection (a) and adding Subsection (a-1) to |
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171 | 171 | | read as follows: |
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172 | 172 | | (a) If [The magistrate or associate judge shall order the |
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173 | 173 | | release of a person under a protective custody order if] the |
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174 | 174 | | magistrate or associate judge determines after the hearing under |
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175 | 175 | | Section 574.025 that no probable cause exists to believe that the |
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176 | 176 | | proposed patient presents a substantial risk of serious harm to the |
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177 | 177 | | proposed patient [himself] or others, the magistrate or associate |
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178 | 178 | | judge shall order the release of a person under a protective custody |
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179 | 179 | | order. The order must include written findings stating the |
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180 | 180 | | specific facts forming the basis for the determination by the |
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181 | 181 | | magistrate or associate judge that no probable cause exists. |
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182 | 182 | | (a-1) If the magistrate or associate judge after the hearing |
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183 | 183 | | under Section 574.025 denies the motion for protective custody on |
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184 | 184 | | any fact or conclusion of law other than a finding that no probable |
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185 | 185 | | cause exists to believe that the proposed patient presents a |
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186 | 186 | | substantial risk of serious harm to the proposed patient or others, |
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187 | 187 | | the order must include the findings of fact or conclusions of law on |
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188 | 188 | | which the denial is based. |
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189 | 189 | | SECTION 11. Section 574.031, Health and Safety Code, is |
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190 | 190 | | amended by adding Subsection (d-3) to read as follows: |
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191 | 191 | | (d-3) Notwithstanding Subchapter I and without regard to |
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192 | 192 | | the proposed patient's physical presence at the hearing, the court |
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193 | 193 | | shall allow the competent medical or psychiatric testimony under |
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194 | 194 | | Subsection (d-1) to be provided by closed-circuit video |
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195 | 195 | | teleconferencing if: |
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196 | 196 | | (1) closed-circuit video teleconferencing is |
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197 | 197 | | available to the court for that purpose; |
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198 | 198 | | (2) the court has good cause to not conduct in-person |
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199 | 199 | | testimony, including that conducting the testimony through |
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200 | 200 | | closed-circuit video teleconferencing would minimize the |
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201 | 201 | | disruption of care to the testifying person's other patients; and |
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202 | 202 | | (3) the closed-circuit video teleconferencing system |
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203 | 203 | | provides for a simultaneous, compressed full-motion video and |
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204 | 204 | | interactive communication of image and sound between all persons |
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205 | 205 | | involved in the proceedings. |
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206 | 206 | | SECTION 12. Section 574.033(a), Health and Safety Code, is |
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207 | 207 | | amended to read as follows: |
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208 | 208 | | (a) The court shall enter an order denying an application |
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209 | 209 | | for court-ordered temporary or extended mental health services if |
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210 | 210 | | after a hearing the court or jury fails to find, from clear and |
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211 | 211 | | convincing evidence, that the proposed patient is a person with |
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212 | 212 | | mental illness and meets the applicable criteria for court-ordered |
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213 | 213 | | mental health services. The order must include written findings of |
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214 | 214 | | fact on which the court's order is based. |
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215 | 215 | | SECTION 13. Section 577.010, Health and Safety Code, is |
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216 | 216 | | amended by adding Subsections (b-1) and (b-2) to read as follows: |
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217 | 217 | | (b-1) The rules must specify the rights of patients admitted |
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218 | 218 | | for voluntary or involuntary commitment, including the rights |
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219 | 219 | | provided by Chapters 572, 573, 574, and 576. |
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220 | 220 | | (b-2) The rules must require each mental health facility |
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221 | 221 | | licensed under this chapter to: |
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222 | 222 | | (1) notify any patient admitted for voluntary or |
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223 | 223 | | involuntary commitment of the patient's rights under this subtitle |
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224 | 224 | | and under the rules; and |
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225 | 225 | | (2) display a poster or other written document of the |
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226 | 226 | | rights described by Subdivision (1). |
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227 | 227 | | SECTION 14. The changes in law made by this Act to Chapter |
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228 | 228 | | 573, Health and Safety Code, apply to an emergency detention that |
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229 | 229 | | begins on or after the effective date of this Act. An emergency |
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230 | 230 | | detention that begins before the effective date of this Act is |
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231 | 231 | | governed by the law as it existed immediately before that date, and |
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232 | 232 | | that law is continued in effect for that purpose. |
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233 | 233 | | SECTION 15. The change in law made by this Act to Section |
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234 | 234 | | 574.001, Health and Safety Code, applies only to an application for |
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235 | 235 | | court-ordered mental health services submitted on or after the |
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236 | 236 | | effective date of this Act. |
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237 | 237 | | SECTION 16. The changes in law made by this Act to Chapter |
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238 | 238 | | 574, Health and Safety Code, apply only to a proceeding for |
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239 | 239 | | court-ordered mental health services that occurs on or after the |
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240 | 240 | | effective date of this Act, regardless of when an offense with which |
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241 | 241 | | the defendant is charged was committed. |
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242 | 242 | | SECTION 17. This Act takes effect September 1, 2023. |
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