1 | 1 | | By: Ortega H.B. No. 3904 |
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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 emergency detention by a physician of certain persons |
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7 | 7 | | with mental illness for preliminary examination at a facility. |
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8 | 8 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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9 | 9 | | SECTION 1. Subchapter A, Chapter 573, Health and Safety |
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10 | 10 | | Code, is amended by adding Sections 573.006 and 573.007 to read as |
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11 | 11 | | follows: |
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12 | 12 | | Sec. 573.006. DETENTION FOR PRELIMINARY EXAMINATION BY |
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13 | 13 | | PHYSICIAN. (a) A physician may detain a person for preliminary |
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14 | 14 | | examination at a mental health facility if the physician: |
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15 | 15 | | (1) has reason to believe and does believe that: |
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16 | 16 | | (A) the person is a person with mental illness; |
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17 | 17 | | and |
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18 | 18 | | (B) because of that mental illness there is a |
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19 | 19 | | substantial risk of serious harm to the person or others unless the |
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20 | 20 | | person is immediately restrained; and |
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21 | 21 | | (2) believes that there is not sufficient time to |
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22 | 22 | | obtain a warrant or for a peace officer to take the person into |
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23 | 23 | | custody. |
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24 | 24 | | (b) A substantial risk of serious harm to the person or |
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25 | 25 | | others under Subsection (a)(1)(B) may be demonstrated by: |
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26 | 26 | | (1) the person's behavior; or |
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27 | 27 | | (2) evidence of severe emotional distress and |
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28 | 28 | | deterioration in the person's mental condition to the extent that |
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29 | 29 | | the person cannot remain at liberty. |
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30 | 30 | | (c) The physician may form the belief that the person meets |
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31 | 31 | | the criteria for detention under this section based on: |
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32 | 32 | | (1) a representation made by a credible person; or |
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33 | 33 | | (2) the conduct of the detained person or the |
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34 | 34 | | circumstances under which the person is detained. |
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35 | 35 | | (d) A physician who detains a person at a mental health |
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36 | 36 | | facility under Subsection (a) shall immediately inform the person |
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37 | 37 | | orally in simple, nontechnical terms: |
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38 | 38 | | (1) of the reason for the detention; and |
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39 | 39 | | (2) that a staff member of the facility will inform the |
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40 | 40 | | person of the person's rights within 24 hours after the time the |
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41 | 41 | | person is admitted to the facility, as provided by Section |
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42 | 42 | | 573.025(b). |
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43 | 43 | | Sec. 573.007. PHYSICIAN'S NOTIFICATION OF DETENTION. (a) |
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44 | 44 | | A mental health facility at which a person is detained by a |
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45 | 45 | | physician under Section 573.006 shall provide to the person and |
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46 | 46 | | maintain in the facility's records a physician's notification of |
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47 | 47 | | detention in the manner provided under this section. |
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48 | 48 | | (b) The physician's notification of detention must contain: |
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49 | 49 | | (1) a statement that the physician has reason to |
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50 | 50 | | believe and does believe that the person evidences mental illness; |
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51 | 51 | | (2) a statement that the physician has reason to |
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52 | 52 | | believe and does believe that the person evidences a substantial |
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53 | 53 | | risk of serious harm to the person or others; |
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54 | 54 | | (3) a specific description of the risk of harm; |
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55 | 55 | | (4) a statement that the physician has reason to |
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56 | 56 | | believe and does believe that the risk of harm is imminent unless |
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57 | 57 | | the person is immediately restrained; |
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58 | 58 | | (5) a statement that the physician's beliefs are |
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59 | 59 | | derived from specific recent behavior, overt acts, attempts, or |
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60 | 60 | | threats that were observed by or reliably reported to the |
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61 | 61 | | physician; |
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62 | 62 | | (6) a detailed description of the specific behavior, |
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63 | 63 | | acts, attempts, or threats; and |
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64 | 64 | | (7) the name and relationship to the detained person |
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65 | 65 | | of any person who reported or observed the behavior, acts, |
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66 | 66 | | attempts, or threats. |
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67 | 67 | | (c) A physician's notification of detention must be |
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68 | 68 | | provided to the person who is being detained within 12 hours of the |
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69 | 69 | | commencement of the person's detention. |
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70 | 70 | | (d) A physician's notification of detention is considered |
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71 | 71 | | to be made under oath and must be provided on the following form: |
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72 | 72 | | NOTIFICATION OF EMERGENCY DETENTION |
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73 | 73 | | DATE: _______________ TIME: _______________ |
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74 | 74 | | APPLICANT'S NAME/TELEPHONE: ___________________________ |
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75 | 75 | | I, the above applicant, physician, make this application for the |
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76 | 76 | | emergency detention of: |
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77 | 77 | | ______________________________________, D.O.B. ____________, who |
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78 | 78 | | can be found at _____________________________. |
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79 | 79 | | EMERGENCY DETENTION IS SOUGHT FOR THE FOLLOWING REASONS: |
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80 | 80 | | 1. I have reason to believe and do believe that the person |
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81 | 81 | | evidences mental illness. |
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82 | 82 | | 2. I have reason to believe and do believe that the person presents |
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83 | 83 | | a substantial and imminent risk of harm to self or others unless the |
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84 | 84 | | person is immediately restrained. |
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85 | 85 | | 3. My above stated beliefs are based on the following specific |
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86 | 86 | | recent behavior, overt acts, attempts, or threats, or evidence of |
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87 | 87 | | severe emotional distress and deterioration in the person's mental |
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88 | 88 | | condition to the extent that the person cannot remain at liberty: |
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89 | 89 | | ________________________________________________________________ |
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90 | 90 | | ________________________________________________________________ |
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91 | 91 | | ________________________________________________________________ |
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92 | 92 | | ________________________________________________________________ |
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93 | 93 | | (please continue on separate sheet if necessary), |
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94 | 94 | | which were personally observed by me _____________ (PHYSICIAN |
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95 | 95 | | OBSERVER) or which were reliably reported to me by another |
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96 | 96 | | individual, ______________________ (REPORTER). |
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97 | 97 | | My relation to the detained is ____________. |
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98 | 98 | | If applicable, the relation to the detained of the individual |
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99 | 99 | | listed above as the reporter is ____________. |
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100 | 100 | | Executed under penalty of perjury at ________ a.m./p.m. on this |
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101 | 101 | | ______ day of ____________, 20__. |
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102 | 102 | | FOR FACILITY USE ONLY--A person accepted for a preliminary |
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103 | 103 | | examination may be detained in custody for not longer than 48 hours |
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104 | 104 | | after the time the person is presented to the facility unless a |
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105 | 105 | | written order for protective custody is obtained. A physician |
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106 | 106 | | shall examine the person as soon as possible within 12 hours after |
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107 | 107 | | the time the person is detained. |
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108 | 108 | | Accepted for Preliminary Examination for Emergency Detention |
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109 | 109 | | (i.e., time Patient arrived at this facility) on this _________ day |
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110 | 110 | | of ________________________, 20__, at ______ a.m./p.m. |
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111 | 111 | | ________________________________________ |
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112 | 112 | | SIGNATURE OF FACILITY EMPLOYEE |
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113 | 113 | | Completed Preliminary Examination for Emergency Detention on this |
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114 | 114 | | _______ day of ________________________ , 20__, at ______ a.m./p.m. |
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115 | 115 | | ________________________________________ |
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116 | 116 | | SIGNATURE OF FACILITY PHYSICIAN |
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117 | 117 | | SECTION 2. Section 573.021(a), Health and Safety Code, is |
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118 | 118 | | amended to read as follows: |
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119 | 119 | | (a) A facility shall temporarily accept and detain a person: |
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120 | 120 | | (1) for whom an application for detention is filed; |
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121 | 121 | | (2) [or] for whom a peace officer or emergency medical |
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122 | 122 | | services personnel of an emergency medical services provider |
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123 | 123 | | transporting the person in accordance with a memorandum of |
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124 | 124 | | understanding executed under Section 573.005 files a notification |
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125 | 125 | | of detention completed by the peace officer under Section |
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126 | 126 | | 573.002(a); or |
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127 | 127 | | (3) if a physician at the facility detains the person |
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128 | 128 | | under Section 573.006, regardless of whether the physician has |
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129 | 129 | | completed the physician's notification of detention required under |
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130 | 130 | | Section 573.007. |
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131 | 131 | | SECTION 3. The changes in law made by this Act apply only to |
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132 | 132 | | an emergency detention that begins on or after the effective date of |
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133 | 133 | | this Act. An emergency detention that begins before the effective |
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134 | 134 | | date of this Act is governed by the law as it existed immediately |
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135 | 135 | | before that date, and that law is continued in effect for that |
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136 | 136 | | purpose. |
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137 | 137 | | SECTION 4. This Act takes effect September 1, 2023. |
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