Utah House Bill HB0276 Substitute / Bill

                    02-03 12:06	1st Sub. (Buff) H.B. 276
Nelson T. Abbott proposes the following substitute bill:
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Commitment Revisions
2025 GENERAL SESSION
STATE OF UTAH
Chief Sponsor: Nelson T. Abbott
Senate Sponsor:
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LONG TITLE
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General Description:
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This bill addresses the commitment of individuals in relation to civil, criminal, and juvenile
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proceedings.
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Highlighted Provisions:
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This bill:
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▸ defines terms;
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▸ amends the definitions of "intellectual disability" and "intermediate care facility for
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people with an intellectual disability" as used in the Utah Code;
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▸ amends provisions relating to the rights and privileges to which an individual is entitled
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when under commitment to the custody or to the treatment services of a local mental
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health authority;
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▸ requires a designated examiner to conduct an examination of a proposed patient by
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telehealth except in certain circumstances;
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▸ requires a court to hold a hearing on an application for involuntary commitment remotely
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unless the court finds good cause not to hold the hearing remotely;
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▸ amends standards and processes related to the involuntary civil commitment of an
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individual with an intellectual disability or related condition;
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▸ provides that a court may only order the Department of Health and Human Services
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(department) to provide an initial evaluation and progress toward competency evaluation
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for a defendant if the defendant is located within the state;
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▸ requires a court to dismiss a petition for involuntary civil commitment if both designated
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examiners determine that the proposed patient does not meet the criteria for involuntary
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commitment;
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▸ provides that when there is a conflict in the opinions of forensic evaluators, if a party
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seeks an additional competency evaluation then the party is responsible for selecting the
1st Sub. H.B. 276 1st Sub. (Buff) H.B. 276	02-03 12:06
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evaluator and paying the cost of the evaluator;
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▸ amends provisions regarding the release of a defendant determined to be incompetent to
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proceed from a secured setting;
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▸ addresses when the department is required to provide an updated juvenile competency
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evaluation after an attainment period; and
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▸ makes technical and conforming changes.
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Money Appropriated in this Bill:
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None
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Other Special Clauses:
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None
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Utah Code Sections Affected:
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AMENDS:
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26B-2-121, as renumbered and amended by Laws of Utah 2023, Chapter 305
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26B-2-122, as last amended by Laws of Utah 2024, Chapter 240
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26B-5-301, as renumbered and amended by Laws of Utah 2023, Chapter 308
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26B-5-310, as renumbered and amended by Laws of Utah 2023, Chapter 308
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26B-5-322, as last amended by Laws of Utah 2023, Chapter 184 and renumbered and
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amended by Laws of Utah 2023, Chapter 308
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26B-5-332, as last amended by Laws of Utah 2024, Chapters 287, 299 and 314
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26B-5-362, as renumbered and amended by Laws of Utah 2023, Chapter 308
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26B-5-371, as last amended by Laws of Utah 2023, Chapter 184 and renumbered and
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amended by Laws of Utah 2023, Chapter 308
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26B-6-401, as last amended by Laws of Utah 2024, Chapter 240
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26B-6-606, as renumbered and amended by Laws of Utah 2023, Chapter 308
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26B-6-607, as last amended by Laws of Utah 2024, Chapter 299
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26B-6-608, as last amended by Laws of Utah 2024, Chapter 299
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26B-6-613, as renumbered and amended by Laws of Utah 2023, Chapter 308
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68-3-12.5, as last amended by Laws of Utah 2024, Chapter 438
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77-15-2, as last amended by Laws of Utah 2023, Chapter 171
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77-15-5, as last amended by Laws of Utah 2023, Chapters 171, 417 and last amended by
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Coordination Clause, Laws of Utah 2023, Chapter 417
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77-15-6, as last amended by Laws of Utah 2024, Chapter 174
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77-19-203, as enacted by Laws of Utah 2004, Chapter 137
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77-29-3, as enacted by Laws of Utah 1980, Chapter 15
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80-6-403, as last amended by Laws of Utah 2023, Chapter 330
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Be it enacted by the Legislature of the state of Utah:
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Section 1.  Section 26B-2-121 is amended to read:
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26B-2-121 . Access to abuse and neglect information.
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(1) As used in this section:
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(a) "Direct service worker" means the same as that term is defined in Section 26B-6-401.
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(b) "Personal care attendant" means the same as that term is defined in Section [
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26B-6-401] 26B-6-101.
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(2) With respect to a licensee, a direct service worker, or a personal care attendant, the
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department may access only the Licensing Information System of the Division of Child
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and Family Services created by Section 80-2-1002 and juvenile court records under
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Subsection 80-3-404(4), for the purpose of:
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(a)(i) determining whether a person associated with a licensee, with direct access to
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children:
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(A) is listed in the Licensing Information System; or
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(B) has a substantiated finding by a juvenile court of a severe type of child abuse
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or neglect under Subsections 80-3-404(1) and (2); and
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(ii) informing a licensee that a person associated with the licensee:
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(A) is listed in the Licensing Information System; or
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(B) has a substantiated finding by a juvenile court of a severe type of child abuse
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or neglect under Subsections 80-3-404(1) and (2);
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(b)(i) determining whether a direct service worker:
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(A) is listed in the Licensing Information System; or
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(B) has a substantiated finding by a juvenile court of a severe type of child abuse
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or neglect under Subsections 80-3-404(1) and (2); and
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(ii) informing a direct service worker or the direct service worker's employer that the
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direct service worker:
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(A) is listed in the Licensing Information System; or
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(B) has a substantiated finding by a juvenile court of a severe type of child abuse
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or neglect under Subsections 80-3-404(1) and (2); or
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(c)(i) determining whether a personal care attendant:
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(A) is listed in the Licensing Information System; or
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(B) has a substantiated finding by a juvenile court of a severe type of child abuse
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or neglect under Subsections 80-3-404(1) and (2); and
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(ii) informing a person described in Subsections 26B-6-101(9)(a)(i) through (iv) that
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a personal care attendant:
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(A) is listed in the Licensing Information System; or
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(B) has a substantiated finding by a juvenile court of a severe type of child abuse
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or neglect under Subsections 80-3-404(1) and (2).
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(3) Notwithstanding Subsection (2), the department may access the Division of Child and
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Family Services' Management Information System under Section 80-2-1001:
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(a) for the purpose of licensing and monitoring foster parents;
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(b) for the purposes described in Subsection 80-2-1001(5)(b)(iii); and
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(c) for the purpose described in Section 26B-1-211.
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(4) The department shall receive and process personal identifying information under
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Subsection 26B-2-120(1) for the purposes described in Subsection (2).
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(5) The department shall adopt rules under Title 63G, Chapter 3, Utah Administrative
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Rulemaking Act, consistent with this part, defining the circumstances under which a
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person may have direct access or provide services to children when:
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(a) the person is listed in the Licensing Information System of the Division of Child and
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Family Services created by Section 80-2-1002; or
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(b) juvenile court records show that a court made a substantiated finding under Section
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80-3-404, that the person committed a severe type of child abuse or neglect.
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Section 2.  Section 26B-2-122 is amended to read:
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26B-2-122 . Access to vulnerable adult abuse and neglect information.
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(1) For purposes of this section:
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(a) "Direct service worker" means the same as that term is defined in Section 26B-6-401.
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(b) "Personal care attendant" means the same as that term is defined in Section [
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26B-6-401] 26B-6-101.
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(2) With respect to a licensee, a direct service worker, or a personal care attendant, the
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department may access the database created by Section 26B-6-210 for the purpose of:
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(a)(i) determining whether a person associated with a licensee, with direct access to
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vulnerable adults, has a supported or substantiated finding of:
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(A) abuse;
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(B) neglect; or
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(C) exploitation; and
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(ii) informing a licensee that a person associated with the licensee has a supported or
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substantiated finding of:
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(A) abuse;
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(B) neglect; or
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(C) exploitation;
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(b)(i) determining whether a direct service worker has a supported or substantiated
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finding of:
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(A) abuse;
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(B) neglect; or
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(C) exploitation; and
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(ii) informing a direct service worker or the direct service worker's employer that the
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direct service worker has a supported or substantiated finding of:
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(A) abuse;
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(B) neglect; or
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(C) exploitation; or
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(c)(i) determining whether a personal care attendant has a supported or substantiated
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finding of:
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(A) abuse;
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(B) neglect; or
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(C) exploitation; and
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(ii) informing a person described in Subsections 26B-6-401(9)(a)(i) through (iv) that
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a personal care attendant has a supported or substantiated finding of:
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(A) abuse;
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(B) neglect; or
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(C) exploitation.
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(3) The department shall receive and process personal identifying information under
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Subsection 26B-2-120(2) for the purposes described in Subsection (2).
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(4) The department shall adopt rules under Title 63G, Chapter 3, Utah Administrative
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Rulemaking Act, consistent with this part and Chapter 6, Part 2, Abuse, Neglect, or
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Exploitation of a Vulnerable Adult, defining the circumstances under which a person
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may have direct access or provide services to vulnerable adults when the person is listed
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in the statewide database of the Division of Aging and Adult Services created by Section
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26B-6-210 as having a supported or substantiated finding of abuse, neglect, or
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exploitation.
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Section 3.  Section 26B-5-301 is amended to read:
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26B-5-301 . Definitions.
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      As used in this part, Part 4, Commitment of Persons Under Age 18, and Part 5, Essential
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Treatment and Intervention:
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(1) "Adult" means an individual 18 years old or older.
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(2) "Approved treatment facility or program" means a mental health or substance use
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treatment provider that meets the goals and measurements described in Subsection
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26B-5-102(2)(j).
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(3) "Assisted outpatient treatment" means involuntary outpatient mental health treatment
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ordered under Section 26B-5-351.
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(4) "Attending physician" means a physician licensed to practice medicine in this state who
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has primary responsibility for the care and treatment of the declarant.
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(5) "Attorney-in-fact" means an adult properly appointed under this part to make mental
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health treatment decisions for a declarant under a declaration for mental health treatment.
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(6) "Commitment to the custody of a local mental health authority" means that an adult is
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committed to the custody of the local mental health authority that governs the mental
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health catchment area where the adult resides or is found.
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(7) "Community mental health center" means an entity that provides treatment and services
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to a resident of a designated geographical area, that operates by or under contract with a
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local mental health authority, and that complies with state standards for community
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mental health centers.
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(8) "Designated examiner" means:
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(a) a licensed physician, preferably a psychiatrist, who is designated by the division as
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specially qualified by training or experience in the diagnosis of mental or related
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illness; or
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(b) a licensed mental health professional designated by the division as specially qualified
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by training and who has at least five years' continual experience in the treatment of
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mental illness.
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(9) "Designee" means a physician who has responsibility for medical functions including
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admission and discharge, an employee of a local mental health authority, or an employee
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of a person that has contracted with a local mental health authority to provide mental
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health services under Section 17-43-304.
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(10) "Essential treatment" and "essential treatment and intervention" mean court-ordered
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treatment at a local substance abuse authority or an approved treatment facility or
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program for the treatment of an adult's substance use disorder.
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(11) "Harmful sexual conduct" means the following conduct upon an individual without the
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individual's consent, including the nonconsensual circumstances described in
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Subsections 76-5-406(2)(a) through (l):
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(a) sexual intercourse;
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(b) penetration, however slight, of the genital or anal opening of the individual;
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(c) any sexual act involving the genitals or anus of the actor or the individual and the
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mouth or anus of either individual, regardless of the gender of either participant; or
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(d) any sexual act causing substantial emotional injury or bodily pain.
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(12) "Informed waiver" means the patient was informed of a right and, after being informed
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of that right and the patient's right to waive the right, expressly communicated his or her
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intention to waive that right.
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(13) "Incapable" means that, in the opinion of the court in a guardianship proceeding under
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Title 75, Utah Uniform Probate Code, or in the opinion of two physicians, a person's
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ability to receive and evaluate information effectively or communicate decisions is
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impaired to such an extent that the person currently lacks the capacity to make mental
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health treatment decisions.
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(14) "Institution" means a hospital or a health facility licensed under Section 26B-2-206.
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(15) "Lay person" means an individual identified and authorized by a patient to participate
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in activities related to the patient's commitment, including court appearances, discharge
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planning, and grievances, except that a patient may revoke a lay person's authorization at
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any time.
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(16) "Local substance abuse authority" means the same as that term is defined in Section
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26B-5-101 and described in Section 17-43-201.
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[(16)] (17) "Mental health facility" means the Utah State Hospital or other facility that
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provides mental health services under contract with the division, a local mental health
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authority, a person that contracts with a local mental health authority, or a person that
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provides acute inpatient psychiatric services to a patient.
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[(17)] (18) "Mental health officer" means an individual who is designated by a local mental
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health authority as qualified by training and experience in the recognition and
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identification of mental illness, to:
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(a) apply for and provide certification for a temporary commitment; or
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(b) assist in the arrangement of transportation to a designated mental health facility.
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[(18)] (19) "Mental illness" means:
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(a) a psychiatric disorder that substantially impairs an individual's mental, emotional,
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behavioral, or related functioning; or
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(b) the same as that term is defined in:
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(i) the current edition of the Diagnostic and Statistical Manual of Mental Disorders
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published by the American Psychiatric Association; or
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(ii) the current edition of the International Statistical Classification of Diseases and
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Related Health Problems.
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[(19)] (20) "Mental health treatment" means convulsive treatment, treatment with
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psychoactive medication, or admission to and retention in a facility for a period not to
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exceed 17 days.
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[(20)] (21) "Patient" means an individual who is:
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(a) under commitment to the custody or to the treatment services of a local mental health
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authority; or
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(b) undergoing essential treatment and intervention.
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[(21)] (22) "Physician" means an individual who is:
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(a) licensed as a physician under Title 58, Chapter 67, Utah Medical Practice Act; or
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(b) licensed as a physician under Title 58, Chapter 68, Utah Osteopathic Medical
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Practice Act.
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[(22)] (23) "Serious bodily injury" means bodily injury that involves a substantial risk of
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death, unconsciousness, extreme physical pain, protracted and obvious disfigurement, or
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protracted loss or impairment of the function of a bodily member, organ, or mental
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faculty.
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[(23)] (24) "State hospital" means the Utah State Hospital established in Section 26B-5-302.
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[(24)] (25) "Substantial danger" means that due to mental illness, an individual is at serious
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risk of:
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(a) suicide;
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(b) serious bodily self-injury;
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(c) serious bodily injury because the individual is incapable of providing the basic
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necessities of life, including food, clothing, or shelter;
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(d) causing or attempting to cause serious bodily injury to another individual;
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(e) engaging in harmful sexual conduct; or
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(f) if not treated, suffering severe and abnormal mental, emotional, or physical distress
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that:
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(i) is associated with significant impairment of judgment, reason, or behavior; and
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(ii) causes a substantial deterioration of the individual's previous ability to function
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independently.
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[(25)] (26) "Treatment" means psychotherapy, medication, including the administration of
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psychotropic medication, or other medical treatments that are generally accepted
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medical or psychosocial interventions for the purpose of restoring the patient to an
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optimal level of functioning in the least restrictive environment.
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Section 4.  Section 26B-5-310 is amended to read:
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26B-5-310 . Restrictions and limitations -- Rights and privileges.
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(1) Subject to the general rules of the division, and except to the extent that the director or [
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his] the director's designee determines that it is necessary for the welfare of the patient to
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impose restrictions, every patient is entitled to:
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(a)(i) communicate, by sealed mail or otherwise, with persons, including official
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agencies, inside or outside the [facility] responsible mental health authority, local
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substance abuse authority, or approved treatment facility or program;
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(ii) be provided with letter-writing materials, including postage; and
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(iii) have staff of the responsible mental health authority, local substance abuse
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authority, or approved treatment facility or program assist the patient if the patient
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is unable to write, prepare, or mail correspondence;
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(b) have frequent and consistent opportunities to receive visitors at reasonable times that
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do not interfere with clinical activities;[ and]
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(c) speak or visit with the patient's attorney or clergy member within a reasonable period
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of time;
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(d) exercise all civil rights, including the right to dispose of property, execute
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instruments, make purchases, enter contractual relationships, and vote, unless the
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patient has been adjudicated to be incompetent and has not been restored to legal
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capacity[.] ;
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(e) have access to adequate water and food, and to have the patient's nutritional needs
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met in a manner that is consistent with recognized dietary practices;
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(f) be treated fairly, with respect and recognition of the patient's dignity and
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individuality;
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(g) not be discriminated against on the basis of a characteristic identified in Subsection
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57-21-5(1);
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(h) within 72 business hours after the patient's request, see and receive the services of a
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patient representative, including a peer specialist or patient advocate, who is not
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involved in the direct clinical care of the patient;
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(i) have the patient's behavioral health orders for scope of treatment, declaration for
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mental health treatment, or other psychiatric advance directive reviewed and
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considered as the preferred treatment option for involuntary administration of
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medications by the responsible local mental health authority, local substance abuse
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authority, or approved treatment facility or program, unless by clear and convincing
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evidence the patient's directive does not qualify as effective participation in
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behavioral health decision-making;
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(j) with the patient's consent, have the patient's information or records disclosed to an
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adult family member, the patient's lay person, or, in accordance with state and federal
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law, to a protection and advocacy system designated pursuant to 42 U.S.C. Sec.
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10801 et seq.;
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(k)(i) access to a telephone to make and receive private calls, unless determined a
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clinical or safety risk; and
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(ii) staff assistance to be able to communicate with others, if the patient does not have
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a contact list;
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(l) wear the patient's own clothes, keep and use the patient's own possessions, and keep
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and be allowed to spend a reasonable amount of the patient's own money, unless
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deemed a clinical or safety risk; and
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(m) be told:
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(i) the reason for the patient's detainment and the limitation of the patient's
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detainment, including a description of the patient's right to refuse medication
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unless the patient requires emergency medications; and
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(ii) that the patient's commitment does not mean all treatment during commitment is
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mandatory.
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(2)(a) When any right of a patient is limited or denied, the nature, extent, and reason for
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that limitation or denial shall be entered in the patient's treatment record.
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(b) Information pertaining to a denial of any right of a patient shall be made available,
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upon request, to the patient, the patient's attorney, and the patient's lay person.
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(c) Any continuing denial or limitation of any right of a patient shall be reviewed every
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30 days and shall also be entered in [that] the patient's treatment record.
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(d) Notice of [that] a continuing denial of any right of a patient in excess of 30 days shall
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be sent to the division, the [appropriate] responsible local mental health authority, the
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appropriate local substance abuse authority, or an approved treatment facility or
334 
program[, whichever is most applicable to the patient].
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[(3) Notwithstanding any limitations authorized under this section on the right of
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communication, each patient is entitled to communicate by sealed mail with the
337 
appropriate local mental health authority, the appropriate local substance abuse
338 
authority, an approved treatment facility or program, the division, the patient's attorney,
339 
and the court, if any, that ordered the patient's commitment or essential treatment. In no
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case may the patient be denied a visit with the legal counsel or clergy of the patient's
341 
choice.]
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[(4)] (3) Local mental health authorities, local substance abuse authorities, and approved
343 
treatment facilities or programs shall provide reasonable means and arrangements for
344 
informing involuntary patients of their right to release as provided in this chapter, and
345 
for assisting them in making and presenting requests for release.
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[(5)] (4) [Mental] Local mental health facilities, local substance abuse authorities, and
347 
approved treatment facilities or programs shall post a statement, created by the division,
348 
describing a patient's rights under Utah law.
349 
[(6)] (5) A local mental health authority, local substance abuse authority, or approved
350 
treatment facility or program may not intentionally retaliate or discriminate against a
351 
detained patient or employee for contacting or providing information to any official or to
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an employee of any state protection and advocacy agency or for initiating, participating
353 
in, or testifying in a grievance procedure or in an action for any remedy authorized
354 
pursuant to this section.
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(6) Notwithstanding Section 53B-17-303, an individual committed under this chapter has
356 
the right to determine the final disposition of that individual's body after death.
357 
Section 5.  Section 26B-5-322 is amended to read:
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26B-5-322 . Criminal's escape -- Penalty.
359 
      Any person committed to the state hospital under the provisions of [Title 77, Chapter 15,
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Inquiry into Sanity of Defendant] Title 77, Chapter 15, Defendant's Competency to Proceed, or
361 
Chapter 16a, Commitment and Treatment of Individuals with a Mental Condition, who escapes
362 
or leaves the state hospital without proper legal authority is guilty of a class A misdemeanor.
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Section 6.  Section 26B-5-332 is amended to read:
364 
26B-5-332 . Involuntary commitment under court order -- Examination --
365 
Hearing -- Power of court -- Findings required -- Costs.
366 
(1) A responsible individual who has credible knowledge of an adult's mental illness and
367 
the condition or circumstances that have led to the adult's need to be involuntarily
368 
committed may initiate an involuntary commitment court proceeding by filing, in the
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court in the county where the proposed patient resides or is found, a written application
370 
that includes:
371 
(a) unless the court finds that the information is not reasonably available, the proposed
372 
patient's:
373 
(i) name;
374 
(ii) date of birth; and
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(iii) social security number;
376 
(b)(i) a certificate of a licensed physician or a designated examiner stating that within
377 
the seven-day period immediately preceding the certification, the physician or
378 
designated examiner examined the proposed patient and is of the opinion that the
379 
proposed patient has a mental illness and should be involuntarily committed; or
380 
(ii) a written statement by the applicant that:
381 
(A) the proposed patient has been requested to, but has refused to, submit to an
382 
examination of mental condition by a licensed physician or designated
383 
examiner;
384 
(B) is sworn to under oath; and
385 
(C) states the facts upon which the application is based; and
386 
(c) a statement whether the proposed patient has previously been under an assisted
387 
outpatient treatment order, if known by the applicant.
388 
(2) Before issuing a judicial order, the court:
389 
(a) shall require the applicant to consult with the appropriate local mental health
390 
authority at or before the hearing; and
391 
(b) may direct a mental health professional from the local mental health authority to
392 
interview the applicant and the proposed patient to determine the existing facts and
393 
report the existing facts to the court.
394 
(3) The court may issue an order, directed to a mental health officer or peace officer, to
395 
immediately place a proposed patient in the custody of a local mental health authority or
396 
in a temporary emergency facility, as described in Section 26B-5-334, to be detained for
397 
the purpose of examination if:
398 
(a) the court finds from the application, any other statements under oath, or any reports
399 
from a mental health professional that there is a reasonable basis to believe that the
400 
proposed patient has a mental illness that poses a danger to self or others and requires
401 
involuntary commitment pending examination and hearing; or
402 
(b) the proposed patient refuses to submit to an interview with a mental health
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professional as directed by the court or to go to a treatment facility voluntarily.
404 
(4)(a) The court shall provide notice of commencement of proceedings for involuntary
405 
commitment, setting forth the allegations of the application and any reported facts,
406 
together with a copy of any official order of detention, to a proposed patient before,
407 
or upon, placement of the proposed patient in the custody of a local mental health
408 
authority or, with respect to any proposed patient presently in the custody of a local
409 
mental health authority whose status is being changed from voluntary to involuntary,
410 
upon the filing of an application for that purpose with the court.
411 
(b) The place of detention shall maintain a copy of the order of detention.
412 
(5)(a) The court shall provide notice of commencement of proceedings for involuntary
413 
commitment as soon as practicable to the applicant, any legal guardian, any
414 
immediate adult family members, legal counsel for the parties involved, the local
415 
mental health authority or the local mental health authority's designee, and any other
416 
persons whom the proposed patient or the court designates.
417 
(b) Except as provided in Subsection (5)(c), the notice under Subsection (5)(a) shall
418 
advise the persons that a hearing may be held within the time provided by law.
419 
(c) If the proposed patient refuses to permit release of information necessary for
420 
provisions of notice under this subsection, the court shall determine the extent of
421 
notice.
422 
(6) Proceedings for commitment of an individual under 18 years old to a local mental health
423 
authority may be commenced in accordance with Part 4, Commitment of Persons Under
424 
Age 18.
425 
(7)(a) The court may, in the court's discretion, transfer the case to any other district court
426 
within this state, if the transfer will not be adverse to the interest of the proposed
427 
patient.
428 
(b) If a case is transferred under Subsection (7)(a), the parties to the case may be
429 
transferred and the local mental health authority may be substituted in accordance
430 
with Utah Rules of Civil Procedure, Rule 25.
431 
(8) Within 24 hours, excluding Saturdays, Sundays, and legal holidays, of the issuance of a
432 
judicial order, or after commitment of a proposed patient to a local mental health
433 
authority or the local mental health authority's designee under court order for detention
434 
or examination, the court shall appoint two designated examiners:
435 
(a) who did not sign the civil commitment application nor the civil commitment
436 
certification under Subsection (1);
- 13 - 1st Sub. (Buff) H.B. 276	02-03 12:06
437 
(b) one of whom is:
438 
(i) a licensed physician; or
439 
(ii) a psychiatric mental health nurse practitioner or a psychiatric mental health
440 
clinical nurse specialist who:
441 
(A) is nationally certified;
442 
(B) is doctorally trained; and
443 
(C) has at least two years of inpatient mental health experience, regardless of the
444 
license the individual held at the time of that experience; and
445 
(c) one of whom may be designated by the proposed patient or the proposed patient's
446 
counsel, if that designated examiner is reasonably available.
447 
(9) The court shall schedule a hearing to be held within 10 calendar days after the day on
448 
which the designated examiners are appointed.
449 
(10)(a) The designated examiners shall[:]
450 
[(i)]   conduct the examinations separately[;] .
451 
[(ii)] (b) [conduct the examinations at the home of the proposed patient, at a hospital or
452 
other medical facility, or at any other suitable place, including] The designated
453 
examiners shall conduct the examinations:
454 
(i) through telehealth[,] unless the designated examiner determines that:
455 
(A) a telehealth examination would not be sufficient to properly assess the
456 
proposed patient;
457 
(B) a telehealth examination would have a harmful effect on the proposed patient's
458 
health; or
459 
(C) an in-person examination can be conducted as effectively, conveniently, and
460 
timely as an examination through telehealth; and
461 
(ii) if the designated examiner determines, pursuant to Subsection (10)(b)(i), that the
462 
examination should be conducted in person, at the home of the proposed patient,
463 
at a hospital or other medical facility, or at any other suitable place that is not
464 
likely to have a harmful effect on the proposed patient's health[;] .
465 
[(iii)] (c) The designated examiners shall inform the proposed patient, if not represented
466 
by an attorney:
467 
[(A)] (i) that the proposed patient does not have to say anything;
468 
[(B)] (ii) of the nature and reasons for the examination;
469 
[(C)] (iii) that the examination was ordered by the court;
470 
[(D)] (iv) that any information volunteered could form part of the basis for the
- 14 - 02-03 12:06	1st Sub. (Buff) H.B. 276
471 
proposed patient's involuntary commitment;
472 
[(E)] (v) that findings resulting from the examination will be made available to the
473 
court; and
474 
[(F)] (vi) that the designated examiner may, under court order, obtain the proposed
475 
patient's mental health records[; and] .
476 
[(iv)] (d) [within] Within 24 hours of examining the proposed patient, a designated
477 
examiner shall report to the court, orally or in writing, whether the proposed patient
478 
is mentally ill, has agreed to voluntary commitment, as described in Section
479 
26B-5-360, or has acceptable programs available to the proposed patient without
480 
court proceedings.
481 
[(b)] (e) If a designated examiner reports orally under Subsection [(10)(a)] (10)(d), the
482 
designated examiner shall immediately send a written report to the clerk of the court.
483 
(11) If a designated examiner is unable to complete an examination on the first attempt
484 
because the proposed patient refuses to submit to the examination, the court shall fix a
485 
reasonable compensation to be paid to the examiner.
486 
(12) If the local mental health authority, the local mental health authority's designee, or a
487 
medical examiner determines before the court hearing that the conditions justifying the
488 
findings leading to a commitment hearing no longer exist, the local mental health
489 
authority, the local mental health authority's designee, or the medical examiner shall
490 
immediately report the determination to the court.
491 
(13)(a) The court shall terminate the proceedings and dismiss the application before the
492 
hearing if both designated examiners inform the court that the proposed patient does
493 
not meet the criteria in Subsection (16).
494 
(b) The court may terminate the proceedings and dismiss the application at any time,
495 
including before the hearing, if the designated examiners or the local mental health
496 
authority or the local mental health authority's designee informs the court that the
497 
proposed patient:
498 
[(a) does not meet the criteria in Subsection (16);]
499 
[(b)] (i) has agreed to voluntary commitment, as described in Section 26B-5-360;
500 
[(c)] (ii) has acceptable options for treatment programs that are available without
501 
court proceedings; or
502 
[(d)] (iii) meets the criteria for assisted outpatient treatment described in Section
503 
26B-5-351.
504 
(14)(a) Before the hearing, the court shall provide the proposed patient an opportunity to
- 15 - 1st Sub. (Buff) H.B. 276	02-03 12:06
505 
be represented by counsel, and if neither the proposed patient nor others provide
506 
counsel, the court shall appoint counsel and allow counsel sufficient time to consult
507 
with the proposed patient before the hearing.
508 
(b) In the case of an indigent proposed patient, the county in which the proposed patient
509 
resides or is found shall make payment of reasonable attorney fees for counsel, as
510 
determined by the court.
511 
(15)(a)(i) The court shall afford the proposed patient, the applicant, and any other
512 
person to whom notice is required to be given an opportunity to appear at the
513 
hearing, to testify, and to present and cross-examine witnesses.
514 
(ii) The court may, in the court's discretion, receive the testimony of any other person.
515 
(iii) The court may allow a waiver of the proposed patient's right to appear for good
516 
cause, which cause shall be set forth in the record, or an informed waiver by the
517 
patient, which shall be included in the record.
518 
(b) The court is authorized to exclude any person not necessary for the conduct of the
519 
proceedings and may, upon motion of counsel, require the testimony of each
520 
designated examiner to be given out of the presence of any other designated
521 
examiners.
522 
(c) The court shall:
523 
(i) conduct the hearing in as informal a manner as may be consistent with orderly
524 
procedure[, and] ; and
525 
(ii) while preserving the due process rights of the proposed patient:
526 
(A) conduct the hearing remotely, in accordance with Utah Rules of Civil
527 
Procedure, Rule 87, unless the court finds good cause under Rule 87 not to
528 
conduct the hearing remotely; or
529 
(B) if the court finds good cause under Rule 87 not to conduct the hearing
530 
remotely, conduct the hearing in a physical setting that is not likely to have a
531 
harmful effect on the mental health of the proposed patient[, while preserving
532 
the due process rights of the proposed patient].
533 
(d) The court shall consider any relevant historical and material information that is
534 
offered, subject to the rules of evidence, including reliable hearsay under Utah Rules
535 
of Evidence, Rule 1102.
536 
(e)(i) A local mental health authority or the local mental health authority's designee
537 
or the physician in charge of the proposed patient's care shall, at the time of the
538 
hearing, provide the court with the following information:
- 16 - 02-03 12:06	1st Sub. (Buff) H.B. 276
539 
(A) the detention order;
540 
(B) admission notes;
541 
(C) the diagnosis;
542 
(D) any doctors' orders;
543 
(E) progress notes;
544 
(F) nursing notes;
545 
(G) medication records pertaining to the current commitment; and
546 
(H) whether the proposed patient has previously been civilly committed or under
547 
an order for assisted outpatient treatment.
548 
(ii) The local mental health authority or the local mental health authority's designee
549 
or the physician in charge of the proposed patient's care shall also supply the
550 
information described in Subsection (15)(e)(i) [shall also be supplied ]to the
551 
proposed patient's counsel at the time of the hearing, and at any time prior to the
552 
hearing upon request by the proposed patient's counsel.
553 
(16)(a) The court shall order commitment of an adult proposed patient to a local mental
554 
health authority if, upon completion of the hearing and consideration of the
555 
information presented, the court finds by clear and convincing evidence that:
556 
(i)(A) the proposed patient has a mental illness;
557 
(B) because of the proposed patient's mental illness the proposed patient poses a
558 
substantial danger to self or others;
559 
(C) the proposed patient lacks the ability to engage in a rational decision-making
560 
process regarding the acceptance of mental treatment as demonstrated by
561 
evidence of inability to weigh the possible risks of accepting or rejecting
562 
treatment;
563 
(D) there is no appropriate less-restrictive alternative to a court order of
564 
commitment; and
565 
(E) the local mental health authority can provide the proposed patient with
566 
treatment that is adequate and appropriate to the proposed patient's conditions
567 
and needs; or
568 
(ii)(A) the proposed patient has been charged with a criminal offense;
569 
(B) with respect to the charged offense, the proposed patient is found incompetent
570 
to proceed as a result of a mental illness;
571 
(C) the proposed patient has a mental illness;
572 
(D) the proposed patient has a persistent unawareness of their mental illness and
- 17 - 1st Sub. (Buff) H.B. 276	02-03 12:06
573 
the negative consequences of that illness, or within the preceding six months
574 
has been requested or ordered to undergo mental health treatment but has
575 
unreasonably refused to undergo that treatment;
576 
(E) there is no appropriate less-restrictive alternative to a court order of
577 
commitment; and
578 
(F) the local mental health authority can provide the proposed patient with
579 
treatment that is adequate and appropriate to the proposed patient's conditions
580 
and needs.
581 
(b)(i) If, at the hearing, the court determines that the proposed patient has a mental
582 
illness but does not meet the other criteria described in Subsection (16)(a), the
583 
court may consider whether the proposed patient meets the criteria for assisted
584 
outpatient treatment under Section 26B-5-351.
585 
(ii) The court may order the proposed patient to receive assisted outpatient treatment
586 
in accordance with Section 26B-5-351 if, at the hearing, the court finds the
587 
proposed patient meets the criteria for assisted outpatient treatment under Section
588 
26B-5-351.
589 
(iii) If the court determines that neither the criteria for commitment under Subsection
590 
(16)(a) nor the criteria for assisted outpatient treatment under Section 26B-5-351
591 
are met, the court shall dismiss the proceedings after the hearing.
592 
(17)(a)(i) The order of commitment shall designate the period for which the patient
593 
shall be treated.
594 
(ii) If the patient is not under an order of commitment at the time of the hearing, the
595 
patient's treatment period may not exceed six months without a review hearing.
596 
(iii) Upon a review hearing, to be commenced before the expiration of the previous
597 
order of commitment, an order for commitment may be for an indeterminate
598 
period, if the court finds by clear and convincing evidence that the criteria
599 
described in Subsection (16) will last for an indeterminate period.
600 
(b)(i) The court shall maintain a current list of all patients under the court's order of
601 
commitment and review the list to determine those patients who have been under
602 
an order of commitment for the court designated period.
603 
(ii) At least two weeks before the expiration of the designated period of any order of
604 
commitment still in effect, the court that entered the original order of commitment
605 
shall inform the appropriate local mental health authority or the local mental
606 
health authority's designee of the expiration.
- 18 - 02-03 12:06	1st Sub. (Buff) H.B. 276
607 
(iii) Upon receipt of the information described in Subsection (17)(b)(ii), the local
608 
mental health authority or the local mental health authority's designee shall
609 
immediately reexamine the reasons upon which the order of commitment was
610 
based.
611 
(iv) If, after reexamination under Subsection (17)(b)(iii), the local mental health
612 
authority or the local mental health authority's designee determines that the
613 
conditions justifying commitment no longer exist, the local mental health
614 
authority or the local mental health authority's designee shall discharge the patient
615 
from involuntary commitment and immediately report the discharge to the court.
616 
(v) If, after reexamination under Subsection (17)(b)(iii), the local mental health
617 
authority or the local mental health authority's designee determines that the
618 
conditions justifying commitment continue to exist, the court shall immediately
619 
appoint two designated examiners and proceed under Subsections (8) through (14).
620 
(c)(i) The local mental health authority or the local mental health authority's designee
621 
responsible for the care of a patient under an order of commitment for an
622 
indeterminate period shall, at six-month intervals, reexamine the reasons upon
623 
which the order of indeterminate commitment was based.
624 
(ii) If the local mental health authority or the local mental health authority's designee
625 
determines that the conditions justifying commitment no longer exist, the local
626 
mental health authority or the local mental health authority's designee shall
627 
discharge the patient from the local mental health authority's or the local mental
628 
health authority designee's custody and immediately report the discharge to the
629 
court.
630 
(iii) If the local mental health authority or the local mental health authority's designee
631 
determines that the conditions justifying commitment continue to exist, the local
632 
mental health authority or the local mental health authority's designee shall send a
633 
written report of the findings to the court.
634 
(iv) [A] The local mental health authority or the local mental health authority's
635 
designee shall notify the patient and the patient's counsel of record [shall be
636 
notified ]in writing that the involuntary commitment will be continued under
637 
Subsection (17)(c)(iii), the reasons for the decision to continue, and that the
638 
patient has the right to a review hearing by making a request to the court.
639 
(v) Upon receiving a request under Subsection (17)(c)(iv), the court shall
640 
immediately appoint two designated examiners and proceed under Subsections (8)
- 19 - 1st Sub. (Buff) H.B. 276	02-03 12:06
641 
through (14).
642 
(18)(a) Any patient committed as a result of an original hearing or a patient's legally
643 
designated representative who is aggrieved by the findings, conclusions, and order of
644 
the court entered in the original hearing has the right to a new hearing upon filing a
645 
petition [filed ]with the court within 30 days after the day on which the court entered
646 
the order[ is entered].
647 
(b) The petition shall allege error or mistake in the findings, in which case the court shall
648 
appoint three impartial designated examiners previously unrelated to the case to
649 
conduct an additional examination of the patient.
650 
(c) Except as provided in Subsection (18)(b), the court shall, in all other respects,
651 
conduct the new hearing in the manner otherwise permitted.
652 
(19) The county in which the proposed patient resides or is found shall pay the costs of all
653 
proceedings under this section.
654 
(20)(a) A local mental health authority shall provide discharge instructions to each
655 
individual committed under this section at or before the time the individual is
656 
discharged from the local mental health authority's custody, regardless of the
657 
circumstances under which the individual is discharged.
658 
(b) Discharge instructions provided under Subsection (20)(a) shall include:
659 
(i) a summary of why the individual was committed to the local mental health
660 
authority;
661 
(ii) detailed information about why the individual is being discharged from the local
662 
mental health authority's custody;
663 
(iii) a safety plan for the individual based on the individual's mental illness or mental
664 
or emotional state;
665 
(iv) notification to the individual's primary care provider, if applicable;
666 
(v) if the individual is discharged without food, housing, or economic security, a
667 
referral to appropriate services, if such services exist in the individual's
668 
community;
669 
(vi) the phone number to call or text for a crisis services hotline, and information
670 
about the availability of peer support services;
671 
(vii) a copy of any psychiatric advance directive presented to the local mental health
672 
authority, if applicable;
673 
(viii) information about how to establish a psychiatric advance directive if one was
674 
not presented to the local mental health authority;
- 20 - 02-03 12:06	1st Sub. (Buff) H.B. 276
675 
(ix) as applicable, information about medications that were changed or discontinued
676 
during the commitment;
677 
(x) a list of any screening or diagnostic tests conducted during the commitment;
678 
(xi) a summary of therapeutic treatments provided during the commitment;
679 
(xii) any laboratory work, including blood samples or imaging, that was completed or
680 
attempted during the commitment; and
681 
(xiii) information about how to contact the local mental health authority if needed.
682 
(c) If an individual's medications were changed, or if an individual was prescribed new
683 
medications while committed under this section, discharge instructions provided
684 
under Subsection (20)(a) shall include a clinically appropriate supply of medications,
685 
as determined by a licensed health care provider, to allow the individual time to
686 
access another health care provider or follow-up appointment.
687 
(d) If an individual refuses to accept discharge instructions, the local mental health
688 
authority shall document the refusal in the individual's medical record.
689 
(e) If an individual's discharge instructions include referrals to services under Subsection
690 
(20)(b)(v), the local mental health authority shall document those referrals in the
691 
individual's medical record.
692 
(f) The local mental health authority shall attempt to follow up with a discharged
693 
individual at least 48 hours after discharge, and may use peer support professionals
694 
when performing follow-up care or developing a continuing care plan.
695 
(21) If any provision of Subsection (16)(a)(ii) or the application of any provision of
696 
Subsection (16)(a)(ii) to any person or circumstance is held invalid by a court with
697 
jurisdiction, the remainder of Subsection (16)(a)(ii) shall be given effect without the
698 
invalid provision or application. The provisions of Subsection (16)(a)(ii) are severable.
699 
Section 7.  Section 26B-5-362 is amended to read:
700 
26B-5-362 . Commitment and care of criminally insane.
701 
      Nothing contained in this part may be construed to alter or change the method presently
702 
employed for the commitment and care of the criminally insane as provided in [Title 77,
703 
Chapter 15, Inquiry into Sanity of Defendant] Title 77, Chapter 15, Defendant's Competency to
704 
Proceed.
705 
Section 8.  Section 26B-5-371 is amended to read:
706 
26B-5-371 . Utah Forensic Mental Health Facility -- Design and operation --
707 
Security.
708 
(1) The forensic mental health facility is a secure treatment facility.
- 21 - 1st Sub. (Buff) H.B. 276	02-03 12:06
709 
(2)(a) The forensic mental health facility accommodates the following populations:
710 
(i) prison inmates displaying mental illness necessitating treatment in a secure mental
711 
health facility;
712 
(ii) criminally adjudicated persons found guilty with a mental illness or guilty with a
713 
mental condition at the time of the offense undergoing evaluation for a mental
714 
condition under Title 77, Chapter 16a, Commitment and Treatment of Individuals
715 
with a Mental Condition;
716 
(iii) criminally adjudicated persons undergoing evaluation for competency or found
717 
guilty with a mental condition or guilty with a mental condition at the time of the
718 
offense under Title 77, Chapter 16a, Commitment and Treatment of Individuals
719 
with a Mental Condition, who also have an intellectual disability;
720 
(iv) persons undergoing evaluation for competency or found by a court to be
721 
incompetent to proceed in accordance with [Title 77, Chapter 15, Inquiry into
722 
Sanity of Defendant] Title 77, Chapter 15, Defendant's Competency to Proceed, or
723 
not guilty by reason of insanity under Title 77, Chapter 14, Defenses;
724 
(v) persons who are civilly committed to the custody of a local mental health
725 
authority in accordance with this part, and who may not be properly supervised by
726 
the Utah State Hospital because of a lack of necessary security, as determined by
727 
the superintendent or the superintendent's designee; and
728 
(vi) persons ordered to commit themselves to the custody of the division for
729 
treatment at the Utah State Hospital as a condition of probation or stay of sentence
730 
pursuant to Title 77, Chapter 18, The Judgment.
731 
(b) Placement of an offender in the forensic mental health facility under any category
732 
described in Subsection (2)(a)(ii), (iii), (iv), or (vi) shall be made on the basis of the
733 
offender's status as established by the court at the time of adjudication.
734 
(c) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
735 
department shall make rules providing for the allocation of beds to the categories
736 
described in Subsection (2)(a).
737 
(3) The department shall:
738 
(a) own and operate the forensic mental health facility;
739 
(b) provide and supervise administrative and clinical staff; and
740 
(c) provide security staff who are trained as psychiatric technicians.
741 
(4) Pursuant to Subsection 26B-5-303(3) the executive director shall designate individuals
742 
to perform security functions for the state hospital.
- 22 - 02-03 12:06	1st Sub. (Buff) H.B. 276
743 
Section 9.  Section 26B-6-401 is amended to read:
744 
26B-6-401 . Definitions.
745 
      As used in this part:
746 
(1) "Approved provider" means a person approved by the division to provide home-and
747 
community-based services.
748 
(2) "Board" means the Utah State Developmental Center Board created under Section
749 
26B-1-429.
750 
(3)(a) "Brain injury" means an acquired injury to the brain that is neurological in nature,
751 
including a cerebral vascular accident.
752 
(b) "Brain injury" does not include a deteriorating disease.
753 
(4) "Designated intellectual disability professional" means:
754 
(a) a psychologist licensed under Title 58, Chapter 61, Psychologist Licensing Act, who:
755 
(i)(A) has at least one year of specialized training in working with persons with an
756 
intellectual disability; or
757 
(B) has at least one year of clinical experience with persons with an intellectual
758 
disability; and
759 
(ii) is designated by the division as specially qualified, by training and experience, in
760 
the treatment of an intellectual disability; or
761 
(b) a clinical social worker, certified social worker, marriage and family therapist, or
762 
professional counselor, licensed under Title 58, Chapter 60, Mental Health
763 
Professional Practice Act, who:
764 
(i) has at least two years of clinical experience with persons with an intellectual
765 
disability; and
766 
(ii) is designated by the division as specially qualified, by training and experience, in
767 
the treatment of an intellectual disability.
768 
(5) "Deteriorating disease" includes:
769 
(a) multiple sclerosis;
770 
(b) muscular dystrophy;
771 
(c) Huntington's chorea;
772 
(d) Alzheimer's disease;
773 
(e) ataxia; or
774 
(f) cancer.
775 
(6) "Developmental center" means the Utah State Developmental Center, established in
776 
accordance with Part 5, Utah State Developmental Center.
- 23 - 1st Sub. (Buff) H.B. 276	02-03 12:06
777 
(7) "Director" means the director of the Division of Services for People with Disabilities.
778 
(8) "Direct service worker" means a person who provides services to a person with a
779 
disability:
780 
(a) when the services are rendered in:
781 
(i) the physical presence of the person with a disability; or
782 
(ii) a location where the person rendering the services has access to the physical
783 
presence of the person with a disability; and
784 
(b)(i) under a contract with the division;
785 
(ii) under a grant agreement with the division; or
786 
(iii) as an employee of the division.
787 
(9)(a) "Disability" means a severe, chronic disability that:
788 
(i) is attributable to:
789 
(A) an intellectual disability;
790 
(B) a condition that qualifies a person as a person with a related condition, as
791 
defined in 42 C.F.R. Sec. 435.1010;
792 
(C) a physical disability; or
793 
(D) a brain injury;
794 
(ii) is likely to continue indefinitely;
795 
(iii)(A) for a condition described in Subsection (9)(a)(i)(A), (B), or (C), results in
796 
a substantial functional limitation in three or more of the following areas of
797 
major life activity:
798 
(I) self-care;
799 
(II) receptive and expressive language;
800 
(III) learning;
801 
(IV) mobility;
802 
(V) self-direction;
803 
(VI) capacity for independent living; or
804 
(VII) economic self-sufficiency; or
805 
(B) for a condition described in Subsection (9)(a)(i)(D), results in a substantial
806 
limitation in three or more of the following areas:
807 
(I) memory or cognition;
808 
(II) activities of daily life;
809 
(III) judgment and self-protection;
810 
(IV) control of emotions;
- 24 - 02-03 12:06	1st Sub. (Buff) H.B. 276
811 
(V) communication;
812 
(VI) physical health; or
813 
(VII) employment; and
814 
(iv) requires a combination or sequence of special interdisciplinary or generic care,
815 
treatment, or other services that:
816 
(A) may continue throughout life; and
817 
(B) must be individually planned and coordinated.
818 
(b) "Disability" does not include a condition due solely to:
819 
(i) mental illness;
820 
(ii) personality disorder;
821 
(iii) deafness or being hard of hearing;
822 
(iv) visual impairment;
823 
(v) learning disability;
824 
(vi) behavior disorder;
825 
(vii) substance abuse; or
826 
(viii) the aging process.
827 
(10) "Division" means the Division of Services for People with Disabilities.
828 
(11) "Eligible to receive division services" or "eligibility" means qualification, based on
829 
criteria established by the division, to receive services that are administered by the
830 
division.
831 
(12) "Endorsed program" means a facility or program that:
832 
(a) is operated:
833 
(i) by the division; or
834 
(ii) under contract with the division; or
835 
(b) provides services to a person committed to the division under Part 6, Admission to
836 
an Intermediate Care Facility for People with an Intellectual Disability.
837 
(13) "Licensed physician" means:
838 
(a) an individual licensed to practice medicine under:
839 
(i) Title 58, Chapter 67, Utah Medical Practice Act; or
840 
(ii) Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; or
841 
(b) a medical officer of the United States Government while in this state in the
842 
performance of official duties.
843 
(14) "Limited support services" means services that are administered by the division to
844 
individuals with a disability:
- 25 - 1st Sub. (Buff) H.B. 276	02-03 12:06
845 
(a) under a waiver authorized under 42 U.S.C. Sec. 1396n(c) by the Centers for
846 
Medicare and Medicaid Services that permits the division to limit services to an
847 
individual who is eligible to receive division services; and
848 
(b) through a program that:
849 
(i) was not operated by the division on or before January 1, 2020; and
850 
(ii)(A) limits the kinds of services that an individual may receive; or
851 
(B) sets a maximum total dollar amount for program services provided to each
852 
individual.
853 
(15) "Physical disability" means a medically determinable physical impairment that has
854 
resulted in the functional loss of two or more of a person's limbs.
855 
(16) "Public funds" means state or federal funds that are disbursed by the division.
856 
(17)(a) "Related condition" means a severe, chronic condition that:
857 
(i) manifests before the day on which an individual turns 22 years old;
858 
(ii) is likely to continue indefinitely;
859 
(iii) results in substantial functional limitations;
860 
(iv) is closely related to an intellectual disability because the condition results in the
861 
impairment of:
862 
(A) general intellectual functioning, similar to that of an individual with an
863 
intellectual disability; or
864 
(B) adaptive behavior, similar to that of an individual with an intellectual
865 
disability; and
866 
(v) requires treatment or services similar to the treatment or services required for an
867 
individual with an intellectual disability.
868 
(b) "Related condition" does not include mental illness, as that term is defined in Section
869 
26B-5-301.
870 
[(17)] (18) "Resident" means an individual under observation, care, or treatment in an
871 
intermediate care facility for people with an intellectual disability.
872 
(19) "Substantial danger" means that because of an intellectual disability or related
873 
condition, an individual is at risk of:
874 
(a) suicide;
875 
(b) serious bodily self-injury;
876 
(c) serious bodily injury because the individual lacks capacity to provide the basic
877 
necessities of life, such as food, clothing, or shelter;
878 
(d) causing or attempting to cause serious bodily injury or serious emotional harm to
- 26 - 02-03 12:06	1st Sub. (Buff) H.B. 276
879 
another individual;
880 
(e) engaging in deviant sexual conduct; or
881 
(f) suffering serious physical harm or serious emotional harm as a result of being
882 
exploited, abused, or neglected.
883 
[(18)] (20) "Sustainability fund" means the Utah State Developmental Center Long-Term
884 
Sustainability Fund created in Section 26B-1-331.
885 
Section 10.  Section 26B-6-606 is amended to read:
886 
26B-6-606 . Involuntary commitment.
887 
      An individual with an intellectual disability or related condition may not be involuntarily
888 
committed to [an intermediate care facility for people with an intellectual disability] the division
889 
except in accordance with Sections 26B-6-607 and 26B-6-608.
890 
Section 11.  Section 26B-6-607 is amended to read:
891 
26B-6-607 . Temporary emergency commitment -- Observation and evaluation.
892 
(1) [The director of the division or his designee may temporarily commit an individual to
893 
the division and therefore, as a matter of course, to an intermediate care facility for
894 
people with an intellectual disability for observation and evaluation] An individual with
895 
an intellectual disability or related condition may be committed to the division on an
896 
emergency basis upon[:]
897 
[(a) written application by a responsible person who has reason to know that the
898 
individual is in need of commitment, stating:]
899 
[(i) a belief that the individual has an intellectual disability and is likely to cause
900 
serious injury to self or others if not immediately committed;]
901 
[(ii) personal knowledge of the individual's condition; and]
902 
[(iii) the circumstances supporting that belief; or]
903 
[(b)]   certification by a [licensed physician or ]designated intellectual disability
904 
professional stating that the [physician or ]designated intellectual disability
905 
professional:
906 
[(i)] (a) has examined the individual within a three-day period, excluding Saturdays,
907 
Sundays, and state holidays, immediately preceding the certification; and
908 
[(ii)] (b) is of the opinion that the individual has an intellectual disability or related
909 
condition, and that because of the individual's intellectual disability [is likely to injure] 
910 
or related condition is a substantial danger to self or others[ if not immediately
911 
committed].
912 
(2) If the individual in need of commitment is not placed in the custody of the director or
- 27 - 1st Sub. (Buff) H.B. 276	02-03 12:06
913 
the director's designee by the person submitting the [application, the director's] 
914 
certification, the director or the director's designee may certify, either in writing or orally
915 
that the individual is in need of immediate commitment to prevent [injury] posing
916 
substantial danger to self or others.
917 
(3) Upon receipt of the [application] certification required by Subsection [(1)(a) and the
918 
certifications required by Subsections (1)(b) and (2)] (2), a peace officer [may take the
919 
individual named in the application and certificates into custody, and ]may transport the
920 
individual to a [designated intermediate care facility for people with an intellectual
921 
disability] placement designated by the division.
922 
(4)(a) An individual committed under this section may be held for a maximum of [72
923 
hours, excluding Saturdays, Sundays, and legal holidays. At the expiration of that
924 
time,] 10 days, after which the individual shall be released unless proceedings for
925 
involuntary commitment have been commenced under Section 26B-6-608.
926 
(b) [After] If proceedings for involuntary commitment have been commenced[ the
927 
individual shall be released unless an order of detention is issued in accordance with
928 
Section 26B-6-608] , an emergency order under this section remains in effect until:
929 
(i) the division determines that the conditions justifying commitment no longer exist;
930 
or
931 
(ii) a court order is issued pursuant to Section 26B-6-608.
932 
(5)(a) If an individual is committed to the division under this section[ on the application
933 
of any person other than the individual's legal guardian, spouse, parent, or next of kin],
934 
the director or [his] the director's designee shall immediately give notice of the
935 
commitment to the individual's legal guardian[, spouse, parent, or next of kin], if
936 
known.
937 
(b)(i) Immediately after an individual is committed to the division under this section,
938 
the division shall inform the individual, orally and in writing, of the individual's
939 
right to communicate with an attorney.
940 
(ii) If the individual desires to communicate with an attorney, the division shall take
941 
immediate steps to assist the individual in contacting and communicating with an
942 
attorney.
943 
(6)(a) The division or an intermediate care facility shall provide discharge instructions to
944 
each individual committed under this section at or before the time the individual is
945 
discharged from the custody of the division or intermediate care facility, regardless of
946 
whether the individual is discharged by being released or under other circumstances.
- 28 - 02-03 12:06	1st Sub. (Buff) H.B. 276
947 
(b) Discharge instructions provided under Subsection (6)(a) shall include:
948 
(i) a summary of why the individual was committed;
949 
(ii) detailed information about why the individual is being discharged;
950 
(iii) a safety plan for the individual based on the individual's intellectual disability
951 
and condition;
952 
(iv) notification to the individual's primary care provider, if applicable;
953 
(v) if the individual is discharged without food, housing, or economic security, a
954 
referral to appropriate services, if such services exist in the individual's
955 
community;
956 
(vi) the phone number to call or text for a crisis services hotline, and information
957 
about the availability of peer support services;
958 
(vii) a copy of any advance directive presented to the local mental health authority, if
959 
applicable;
960 
(viii) information about how to establish an advance directive if one was not
961 
presented to the division or intermediate care facility;
962 
(ix) as applicable, information about medications that were changed or discontinued
963 
during the commitment;
964 
(x) a list of any screening or diagnostic tests conducted during the commitment;
965 
(xi) a summary of therapeutic treatments provided during the commitment;
966 
(xii) any laboratory work, including blood samples or imaging, that was completed or
967 
attempted during the commitment; and
968 
(xiii) information about how to contact the division or intermediate care facility if
969 
needed.
970 
(c) If an individual's medications were changed, or if an individual was prescribed new
971 
medications while committed under this section, discharge instructions provided
972 
under Subsection (6)(a) shall include a clinically appropriate supply of medications,
973 
as determined by a licensed health care provider, to allow the individual time to
974 
access another health care provider or follow-up appointment.
975 
(d) If an individual refuses to accept discharge instructions, the division or intermediate
976 
care facility shall document the refusal in the individual's medical record.
977 
(e) If an individual's discharge instructions include referrals to services under Subsection
978 
(6)(b)(v), the division or intermediate care facility shall document those referrals in
979 
the individual's medical record.
980 
(f) The division shall attempt to follow up with a discharged individual at least 48 hours
- 29 - 1st Sub. (Buff) H.B. 276	02-03 12:06
981 
after discharge, and may use peer support professionals when performing follow-up
982 
care or developing a continuing care plan.
983 
Section 12.  Section 26B-6-608 is amended to read:
984 
26B-6-608 . Involuntary commitment -- Procedures -- Necessary findings --
985 
Periodic review.
986 
[(1) Any responsible person who has reason to know that an individual is in need of
987 
commitment, who has a belief that the individual has an intellectual disability, and who
988 
has personal knowledge of the conditions and circumstances supporting that belief, may
989 
commence proceedings for involuntary commitment by filing a written petition with the
990 
district court, or if the subject of the petition is less than 18 years old with the juvenile
991 
court, of the county in which the individual to be committed is physically located at the
992 
time the petition is filed. The application shall be accompanied by:]
993 
[(a) a certificate of a licensed physician or a designated intellectual disability
994 
professional, stating that within a seven-day period immediately preceding the
995 
certification, the physician or designated intellectual disability professional examined
996 
the individual and believes that the individual has an intellectual disability and is in
997 
need of involuntary commitment; or]
998 
[(b) a written statement by the petitioner that:]
999 
[(i) states that the individual was requested to, but refused to, submit to an
1000 
examination for an intellectual disability by a licensed physician or designated
1001 
intellectual disability professional, and that the individual refuses to voluntarily go
1002 
to the division or an intermediate care facility for people with an intellectual
1003 
disability recommended by the division for treatment;]
1004 
[(ii) is under oath; and]
1005 
[(iii) sets forth the facts on which the statement is based.]
1006 
[(2) Before issuing a detention order, the court may require the petitioner to consult with
1007 
personnel at the division or at an intermediate care facility for people with an intellectual
1008 
disability and may direct a designated intellectual disability professional to interview the
1009 
petitioner and the individual to be committed, to determine the existing facts, and to
1010 
report them to the court.]
1011 
[(3) The court may issue a detention order and may direct a peace officer to immediately
1012 
take the individual to an intermediate care facility for people with an intellectual
1013 
disability to be detained for purposes of an examination if the court finds from the
1014 
petition, from other statements under oath, or from reports of physicians or designated
- 30 - 02-03 12:06	1st Sub. (Buff) H.B. 276
1015 
intellectual disability professionals that there is a reasonable basis to believe that the
1016 
individual to be committed:]
1017 
[(a) poses an immediate danger of physical injury to  self or others;]
1018 
[(b) requires involuntary commitment pending examination and hearing;]
1019 
[(c) the individual was requested but refused to submit to an examination by a licensed
1020 
physician or designated intellectual disability professional; or]
1021 
[(d) the individual refused to voluntarily go to the division or to an intermediate care
1022 
facility for people with an intellectual disability recommended by the division.]
1023 
[(4)(a) If the court issues a detention order based on an application that did not include
1024 
a certification by a designated intellectual disability professional or physician in
1025 
accordance with Subsection (1)(a), the director or his designee shall within 24 hours
1026 
after issuance of the detention order, excluding Saturdays, Sundays, and legal
1027 
holidays, examine the individual, report the results of the examination to the court
1028 
and inform the court:]
1029 
[(i) whether the director or his designee believes that the individual has an intellectual
1030 
disability; and]
1031 
[(ii) whether appropriate treatment programs are available and will be used by the
1032 
individual without court proceedings.]
1033 
[(b) If the report of the director or his designee is based on an oral report of the
1034 
examiner, the examiner shall immediately send the results of the examination in
1035 
writing to the clerk of the court.]
1036 
[(5) Immediately after an individual is involuntarily committed under a detention order or
1037 
under Section 26B-6-607, the director or his designee shall inform the individual, orally
1038 
and in writing, of his right to communicate with an attorney. If an individual desires to
1039 
communicate with an attorney, the director or his designee shall take immediate steps to
1040 
assist the individual in contacting and communicating with an attorney.]
1041 
(1)(a) Any responsible person who has reason to know that an individual is in need of
1042 
commitment, who has a belief that the individual has an intellectual disability or
1043 
related condition, and who has personal knowledge of the conditions and
1044 
circumstances supporting that belief, may make a referral to the division to conduct
1045 
an assessment to determine if the individual meets the criteria for involuntary
1046 
commitment under this section.
1047 
(b)(i) To conduct an assessment of an individual who may be in need of commitment
1048 
under this section, the division shall have two designated intellectual disability
- 31 - 1st Sub. (Buff) H.B. 276	02-03 12:06
1049 
professionals examine the individual.
1050 
(ii) The examinations described in Subsection (1)(b)(i) shall be conducted separately
1051 
and at a suitable location not likely to have a harmful effect on the individual
1052 
being examined.
1053 
(c) If the designated intellectual disability professionals who conduct the examinations
1054 
described in Subsection (1)(b)(i) both believe the examined individual meets the
1055 
criteria for involuntary commitment under this section, the division may file a written
1056 
petition to commence involuntary commitment proceedings with the district court, or
1057 
with the juvenile court if the subject of the petition is less than 18 years old, of the
1058 
county in which the subject of the petition is physically located at the time the
1059 
petition is filed.
1060 
(d)(i) The division shall include with a petition described in Subsection (1)(c) a
1061 
certification from each of the designated intellectual disability professionals who
1062 
examined the subject of the petition.
1063 
(ii) A designated intellectual disability professional's certification shall state that:
1064 
(A) within a seven-day period immediately preceding the filing of the petition, the
1065 
designated intellectual disability professional examined the subject of the
1066 
petition separate from the other designated intellectual disability professional;
1067 
and
1068 
(B) it is the designated intellectual disability professional's belief that the subject
1069 
of the petition has an intellectual disability or related condition and meets the
1070 
criteria for involuntary commitment under this section.
1071 
(2)(a) If, pursuant to Title 77, Chapter 15, Defendant's Competency to Proceed, or Title
1072 
80, Chapter 6, Part 4, Competency, a prosecutor informs a court that commitment
1073 
proceedings will be initiated, the prosecutor shall make a referral to the division
1074 
pursuant to Subsection (1).
1075 
(b) If a prosecutor makes a referral to the division pursuant to Subsection (1), the
1076 
division shall complete an assessment as described in Subsection (1)(b) within seven
1077 
days after the day on which the prosecutor makes the referral unless the court
1078 
enlarges the time for good cause shown.
1079 
(c) Upon completion of the assessment described in Subsection (2)(b), if the designated
1080 
intellectual disability professionals who examine the individual who is the subject of
1081 
the referral both certify that they believe the individual meets the criteria for
1082 
involuntary commitment under this section, the division may file a petition to
- 32 - 02-03 12:06	1st Sub. (Buff) H.B. 276
1083 
commence involuntary commitment proceedings in accordance with Subsections
1084 
(1)(c) and (d).
1085 
[(6)] (3)(a) Immediately after [commencement of proceedings] the division files a petition
1086 
for involuntary commitment under this section, the court shall:
1087 
(i) schedule a hearing on the petition for no later than 10 days after the day on which
1088 
the division filed the petition; and
1089 
(ii) give notice of commencement of the proceedings to:
1090 
[(i)] (A) the individual to be committed;
1091 
[(ii)] (B) the [applicant] referent under Subsection (1)(a) or (2)(a), if applicable;
1092 
[(iii)] (C) any legal guardian of the individual;
1093 
[(iv)] (D) adult members of the individual's immediate family;
1094 
[(v)] (E) legal counsel of the individual to be committed, if any;
1095 
[(vi)] (F) the division; and
1096 
[(vii)] (G) any other person to whom the individual requests, or the court
1097 
designates, notice to be given.
1098 
(b) If an individual cannot or refuses to disclose the identity of persons to be notified,
1099 
the extent of notice shall be determined by the court.
1100 
[(7)] (4) [That notice] The notice described in Subsection (3) shall:
1101 
(a) set forth the allegations of the petition and all supporting facts;
1102 
(b) be accompanied by a copy of [any detention] an emergency order issued under [
1103 
Subsection (3)] Section 26B-6-607, if applicable; and
1104 
(c) state that a hearing will be held within the time provided by law, and give the time
1105 
and place for that hearing.
1106 
[(8)] (5) The court may transfer the case and the custody of the individual to be committed
1107 
to any other district court within the state[, if:]  if the individual resides in another
1108 
jurisdiction within the state.
1109 
[(a) there are no appropriate facilities for persons with an intellectual disability within
1110 
the judicial district; and]
1111 
[(b) the transfer will not be adverse to the interests of the individual.]
1112 
[(9)(a) Within 24 hours, excluding Saturdays, Sundays, and legal holidays, after any
1113 
order or commitment under a detention order, the court shall appoint two designated
1114 
intellectual disability professionals to examine the individual. If requested by the
1115 
individual's counsel, the court shall appoint a reasonably available, qualified person
1116 
designated by counsel to be one of the examining designated intellectual disability
- 33 - 1st Sub. (Buff) H.B. 276	02-03 12:06
1117 
professionals. The examinations shall be conducted:]
1118 
[(i) separately;]
1119 
[(ii) at the home of the individual to be committed, a hospital, an intermediate care
1120 
facility for people with an intellectual disability, or any other suitable place not
1121 
likely to have a harmful effect on the individual; and]
1122 
[(iii) within a reasonable period of time after appointment of the examiners by the
1123 
court.]
1124 
[(b) The court shall set a time for a hearing to be held within 10 court days of the
1125 
appointment of the examiners. However, the court may immediately terminate the
1126 
proceedings and dismiss the application if, prior to the hearing date, the examiners,
1127 
the director, or his designee informs the court that:]
1128 
[(i) the individual does not have an intellectual disability; or]
1129 
[(ii) treatment programs are available and will be used by the individual without court
1130 
proceedings.]
1131 
[(10)] (6)(a)(i) Each individual has the right to be represented by counsel at the
1132 
commitment hearing and in all preliminary proceedings.
1133 
(ii) If neither the individual nor others provide counsel, [ ]the court shall appoint
1134 
counsel and allow sufficient time for counsel to consult with the individual prior
1135 
to any hearing.
1136 
(b) If the individual is indigent, the county in which the individual was physically
1137 
located when taken into custody shall pay reasonable attorney fees as determined by
1138 
the court.
1139 
[(11)] (7) [The division or a designated intellectual disability professional in charge of the
1140 
individual's care] Upon order of the court, the division or the division's designee shall
1141 
provide all [documented information on] relevant documentation on the individual to be
1142 
committed [and ]to the court [at the time of the hearing.  The] and the individual's
1143 
attorney[ shall have access to all documented information on the individual at the time
1144 
of and prior to the hearing].
1145 
[(12)] (8)(a) The court shall provide an opportunity to the individual, the petitioner, and
1146 
all other persons to whom notice is required to be given to appear at the hearing, to
1147 
testify, and to present and cross-examine witnesses.
1148 
(b) The court may, in its discretion:
1149 
(i) receive the testimony of any other person;
1150 
(ii) allow a waiver of the right to appear only for good cause shown;
- 34 - 02-03 12:06	1st Sub. (Buff) H.B. 276
1151 
(iii) exclude from the hearing all persons not necessary to conduct the proceedings;
1152 
and
1153 
(iv) upon motion of counsel, require the testimony of each examiner to be given out
1154 
of the presence of any other examiner.
1155 
(c)(i) The hearing shall be conducted in as informal a manner as may be consistent
1156 
with orderly procedure, and in a physical setting that is not likely to have a
1157 
harmful effect on the individual.
1158 
(ii) The Utah Rules of Evidence apply, and the hearing shall be a matter of court
1159 
record.
1160 
(iii) A verbatim record of the proceedings shall be maintained.
1161 
[(13)] (9) The court may order commitment if, upon completion of the hearing and
1162 
consideration of the record, [it] the court finds by clear and convincing evidence that all
1163 
of the following conditions are met:
1164 
(a) the individual to be committed has an intellectual disability or a related condition;
1165 
(b) because of the individual's intellectual disability or related condition, one or more of
1166 
the following conditions exist:
1167 
(i) the individual poses [an immediate danger of physical injury] substantial danger to
1168 
self or others;
1169 
(ii) the individual lacks the capacity to provide the basic necessities of life, such as
1170 
food, clothing, or shelter;[ or]
1171 
(iii) the individual is in immediate need of habilitation, rehabilitation, care, or
1172 
treatment to minimize the effects of the condition which poses a [threat of serious
1173 
physical or psychological injury] risk of substantial danger to [the individual, and] 
1174 
self or others; or
1175 
(iv) the individual lacks the capacity to engage in a rational decision-making process
1176 
concerning the need for habilitation, rehabilitation, care, or treatment, as
1177 
evidenced by an inability to weigh the possible costs and benefits of the care or
1178 
treatment and the alternatives to it;
1179 
(c) there is no appropriate, less restrictive alternative reasonably available; and
1180 
(d) the division [or the intermediate care facility for people with an intellectual disability
1181 
recommended by the division in which the individual is to be committed ]can provide
1182 
the individual with treatment, care, habilitation, or rehabilitation that is adequate and
1183 
appropriate to the individual's condition and needs.
1184 
[(14)] (10) In the absence of any of the required findings by the court, described in
- 35 - 1st Sub. (Buff) H.B. 276	02-03 12:06
1185 
Subsection [(13)] (9), the court shall dismiss the proceedings.
1186 
[(15)] (11)(a) The order of commitment shall designate the period for which the
1187 
individual will be committed.
1188 
(b) An initial commitment may not exceed six months.[ Before the end of the initial
1189 
commitment period, the administrator of the intermediate care facility for people with
1190 
an intellectual disability shall commence a review hearing on behalf of the individual.]
1191 
[(b) At the conclusion of the review hearing, the court may issue an order of
1192 
commitment for up to a one-year period.]
1193 
[(16)] (12)(a) An individual committed under this part has the right to a rehearing[, upon
1194 
filing a petition with the court within 30 days after entry of the court's order. If the
1195 
petition for rehearing alleges error or mistake in the court's findings, the]  if, within 15
1196 
days after the court enters the order of commitment, the individual files a petition
1197 
with the court alleging error or mistake in the court's findings.
1198 
(b) Upon a request for rehearing filed in accordance with Subsection (12)(a), the court
1199 
shall:
1200 
(i) appoint[ one impartial licensed physician and] two impartial designated
1201 
intellectual disability professionals who have not previously been involved in the
1202 
case to examine the individual[.  ] ; and
1203 
(ii) schedule a rehearing to be held within 30 days after the court entered the order of
1204 
commitment.
1205 
(c) [The] In all other respects, the rehearing shall[, in all other respects,] be conducted in
1206 
accordance with this part.
1207 
[(17)] (13)(a)(i) The court shall maintain a current list of all individuals under its
1208 
orders of commitment.
1209 
(ii) [That list shall be reviewed in order] The court shall review the list described in
1210 
Subsection (13)(a)(i) to determine those patients who have been under an order of
1211 
commitment for the designated period.
1212 
(b) At least two weeks prior to the expiration of the designated period of any
1213 
commitment order still in effect, the court that entered the original order shall [inform
1214 
the director of the division of the impending expiration of the designated
1215 
commitment period] commence and send notice to all parties of a review hearing for
1216 
the committed individual.
1217 
(c) Prior to the review hearing, a division-designated intellectual disability professional
1218 
shall reexamine the basis for the order of commitment and provide a report of that
- 36 - 02-03 12:06	1st Sub. (Buff) H.B. 276
1219 
reexamination to the court.
1220 
(d) At the conclusion of a review hearing, the court may:
1221 
(i) issue an order of commitment for up to a one-year period; or
1222 
(ii) discharge the individual from involuntary commitment if the conditions justifying
1223 
commitment no longer exist.
1224 
[(c) The staff of the division shall immediately:]
1225 
[(i) reexamine the reasons upon which the order of commitment was based and report
1226 
the results of the examination to the court;]
1227 
[(ii) discharge the resident from involuntary commitment if the conditions justifying
1228 
commitment no longer exist; and]
1229 
[(iii) immediately inform the court of any discharge.]
1230 
[(d)] (e) [If the director of the division reports to the court that the conditions justifying
1231 
commitment no longer exist, and the administrator of the intermediate care facility
1232 
for people with an intellectual disability does not discharge the individual at the end
1233 
of the designated period, the court shall order the immediate discharge of the
1234 
individual, unless involuntary commitment proceedings are again commenced in
1235 
accordance with this section] If at any time during the commitment period the director
1236 
or the director's designee determines that the conditions justifying commitment no
1237 
longer exist, the division shall immediately discharge the individual from the
1238 
commitment and notify the court.
1239 
(f) If the division does not discharge an individual at the end of the designated period of
1240 
a commitment order, the court shall order the immediate discharge of the individual
1241 
unless involuntary commitment proceedings are commenced again in accordance
1242 
with this section.
1243 
[(e) If the director of the division, or the director's designee reports to the court that the
1244 
conditions designated in Subsection (13) still exist, the court may extend the
1245 
commitment order for up to one year. At the end of any extension, the individual
1246 
must be reexamined in accordance with this section, or discharged.]
1247 
[(18)] (14) When a resident is discharged under this [subsection] section, the division shall [
1248 
provide any further support services available and] continue to provide division services
1249 
for which the individual is eligible and as required to meet the resident's needs.
1250 
[(19)] (15)(a) The division or an intermediate care facility shall provide discharge
1251 
instructions to each individual committed under this section at or before the time the
1252 
individual is discharged from the custody of the division or intermediate care facility,
- 37 - 1st Sub. (Buff) H.B. 276	02-03 12:06
1253 
regardless of whether the individual is discharged by being released or under other
1254 
circumstances.
1255 
(b) Discharge instructions provided under Subsection [(19)(a)] (15)(a) shall include:
1256 
(i) a summary of why the individual was committed;
1257 
(ii) detailed information about why the individual is being discharged;
1258 
(iii) a safety plan for the individual based on the individual's intellectual disability
1259 
and condition;
1260 
(iv) notification to the individual's primary care provider, if applicable;
1261 
(v) if the individual is discharged without food, housing, or economic security, a
1262 
referral to appropriate services, if such services exist in the individual's
1263 
community;
1264 
(vi) the phone number to call or text for a crisis services hotline, and information
1265 
about the availability of peer support services;
1266 
(vii) a copy of any advance directive presented to the local mental health authority, if
1267 
applicable;
1268 
(viii) information about how to establish an advance directive if one was not
1269 
presented to the division or intermediate care facility;
1270 
(ix) as applicable, information about medications that were changed or discontinued
1271 
during the commitment;
1272 
(x) a list of any screening or diagnostic tests conducted during the commitment;
1273 
(xi) a summary of therapeutic treatments provided during the commitment;
1274 
(xii) any laboratory work, including blood samples or imaging, that was completed or
1275 
attempted during the commitment; and
1276 
(xiii) information about how to contact the division or intermediate care facility if
1277 
needed.
1278 
(c) If an individual's medications were changed, or if an individual was prescribed new
1279 
medications while committed under this section, discharge instructions provided
1280 
under Subsection [(19)(a)] (15)(a) shall include a clinically appropriate supply of
1281 
medications, as determined by a licensed health care provider, to allow the individual
1282 
time to access another health care provider or follow-up appointment.
1283 
(d) If an individual refuses to accept discharge instructions, the division or intermediate
1284 
care facility shall document the refusal in the individual's medical record.
1285 
(e) If an individual's discharge instructions include referrals to services under Subsection [
1286 
(19)(b)(v)] (15)(b)(v), the division or intermediate care facility shall document those
- 38 - 02-03 12:06	1st Sub. (Buff) H.B. 276
1287 
referrals in the individual's medical record.
1288 
(f) The division shall attempt to follow up with a discharged individual at least 48 hours
1289 
after discharge, and may use peer support professionals when performing follow-up
1290 
care or developing a continuing care plan.
1291 
Section 13.  Section 26B-6-613 is amended to read:
1292 
26B-6-613 . Involuntary treatment with medication -- Committee -- Findings.
1293 
(1) If, after commitment, a resident elects to refuse treatment with medication, the director,
1294 
the administrator of the intermediate care facility for people with an intellectual
1295 
disability, or a designee, shall submit documentation regarding the resident's proposed
1296 
treatment to a committee composed of:
1297 
(a) a licensed physician experienced in treating persons with an intellectual disability,
1298 
who is not directly involved in the resident's treatment or diagnosis, and who is not
1299 
biased toward any one facility;
1300 
(b) a psychologist who is a designated intellectual disability professional who is not
1301 
directly involved in the resident's treatment or diagnosis; and
1302 
(c) another designated intellectual disability professional of the facility for persons with
1303 
an intellectual disability, or a designee.
1304 
(2) Based upon the court's finding, under Subsection [26B-6-608(13)] 26B-6-608(9), that
1305 
the resident lacks the ability to engage in a rational decision-making process regarding
1306 
the need for habilitation, rehabilitation, care, or treatment, as demonstrated by evidence
1307 
of inability to weigh the possible costs and benefits of treatment, the committee may
1308 
authorize involuntary treatment with medication if it determines that:
1309 
(a) the proposed treatment is in the medical best interest of the resident, taking into
1310 
account the possible side effects as well as the potential benefits of the medication;
1311 
and
1312 
(b) the proposed treatment is in accordance with prevailing standards of accepted
1313 
medical practice.
1314 
(3) In making the determination described in Subsection (2), the committee shall consider
1315 
the resident's general history and present condition, the specific need for medication and
1316 
its possible side effects, and any previous reaction to the same or comparable medication.
1317 
(4) Any authorization of involuntary treatment under this section shall be periodically
1318 
reviewed in accordance with rules promulgated by the division.
1319 
Section 14.  Section 68-3-12.5 is amended to read:
1320 
68-3-12.5 . Definitions for Utah Code.
- 39 - 1st Sub. (Buff) H.B. 276	02-03 12:06
1321 
(1) The definitions listed in this section apply to the Utah Code, unless:
1322 
(a) the definition is inconsistent with the manifest intent of the Legislature or repugnant
1323 
to the context of the statute; or
1324 
(b) a different definition is expressly provided for the respective title, chapter, part,
1325 
section, or subsection.
1326 
(2) "Adjudicative proceeding" means:
1327 
(a) an action by a board, commission, department, officer, or other administrative unit of
1328 
the state that determines the legal rights, duties, privileges, immunities, or other legal
1329 
interests of one or more identifiable persons, including an action to grant, deny,
1330 
revoke, suspend, modify, annul, withdraw, or amend an authority, right, or license;
1331 
and
1332 
(b) judicial review of an action described in Subsection (2)(a).
1333 
(3) "Administrator" includes "executor" when the subject matter justifies the use.
1334 
(4) "Advisory board," "advisory commission," and "advisory council" mean a board,
1335 
commission, committee, or council that:
1336 
(a) is created by, and whose duties are provided by, statute or executive order;
1337 
(b) performs its duties only under the supervision of another person as provided by
1338 
statute; and
1339 
(c) provides advice and makes recommendations to another person that makes policy for
1340 
the benefit of the general public.
1341 
(5) "Armed forces" means the United States Army, Navy, Air Force, Marine Corps, Space
1342 
Force, and Coast Guard.
1343 
(6) "County executive" means:
1344 
(a) the county commission, in the county commission or expanded county commission
1345 
form of government established under Title 17, Chapter 52a, Changing Forms of
1346 
County Government;
1347 
(b) the county executive, in the county executive-council optional form of government
1348 
authorized by Section 17-52a-203; or
1349 
(c) the county manager, in the council-manager optional form of government authorized
1350 
by Section 17-52a-204.
1351 
(7) "County legislative body" means:
1352 
(a) the county commission, in the county commission or expanded county commission
1353 
form of government established under Title 17, Chapter 52a, Changing Forms of
1354 
County Government;
- 40 - 02-03 12:06	1st Sub. (Buff) H.B. 276
1355 
(b) the county council, in the county executive-council optional form of government
1356 
authorized by Section 17-52a-203; and
1357 
(c) the county council, in the council-manager optional form of government authorized
1358 
by Section 17-52a-204.
1359 
(8) "Depose" means to make a written statement made under oath or affirmation.
1360 
(9)(a) "Equal" means, with respect to biological sex, of the same value.
1361 
(b) "Equal" does not mean, with respect to biological sex:
1362 
(i) a characteristic of being the same or identical; or
1363 
(ii) a requirement that biological sexes be ignored or co-mingled in every
1364 
circumstance.
1365 
(10) "Executor" includes "administrator" when the subject matter justifies the use.
1366 
(11) "Father" means a parent who is of the male sex.
1367 
(12) "Female" means the characteristic of an individual whose biological reproductive
1368 
system is of the general type that functions in a way that could produce ova.
1369 
(13) "Guardian" includes a person who:
1370 
(a) qualifies as a guardian of a minor or incapacitated person pursuant to testamentary or
1371 
court appointment; or
1372 
(b) is appointed by a court to manage the estate of a minor or incapacitated person.
1373 
(14) "Highway" includes:
1374 
(a) a public bridge;
1375 
(b) a county way;
1376 
(c) a county road;
1377 
(d) a common road; and
1378 
(e) a state road.
1379 
(15) "Intellectual disability" [means a significant, subaverage general intellectual
1380 
functioning that:] means the same as that term is defined in the most recent edition of the
1381 
Diagnostic and Statistical Manual of Mental Disorders published by the American
1382 
Psychiatric Association.
1383 
[(a) exists concurrently with deficits in adaptive behavior; and]
1384 
[(b) is manifested during the developmental period as defined in the current edition of
1385 
the Diagnostic and Statistical Manual of Mental Disorders, published by the
1386 
American Psychiatric Association.]
1387 
(16) "Intermediate care facility for people with an intellectual disability" means an [
1388 
intermediate care facility for the mentally retarded, as defined in Title XIX of the Social
- 41 - 1st Sub. (Buff) H.B. 276	02-03 12:06
1389 
Security Act] institution or distinct part thereof for people with an intellectual disability
1390 
or related conditions, if the institution or distinct part thereof meets the requirements
1391 
described in 42 U.S.C. Secs. 1396d(d)(1) through (3).
1392 
(17) "Land" includes:
1393 
(a) land;
1394 
(b) a tenement;
1395 
(c) a hereditament;
1396 
(d) a water right;
1397 
(e) a possessory right; and
1398 
(f) a claim.
1399 
(18) "Male" means the characteristic of an individual whose biological reproductive system
1400 
is of the general type that functions to fertilize the ova of a female.
1401 
(19) "Man" means an adult human male.
1402 
(20) "Month" means a calendar month, unless otherwise expressed.
1403 
(21) "Mother" means a parent who is of the female sex.
1404 
(22) "Oath" includes "affirmation."
1405 
(23) "Person" means:
1406 
(a) an individual;
1407 
(b) an association;
1408 
(c) an institution;
1409 
(d) a corporation;
1410 
(e) a company;
1411 
(f) a trust;
1412 
(g) a limited liability company;
1413 
(h) a partnership;
1414 
(i) a political subdivision;
1415 
(j) a government office, department, division, bureau, or other body of government; and
1416 
(k) any other organization or entity.
1417 
(24) "Personal property" includes:
1418 
(a) money;
1419 
(b) goods;
1420 
(c) chattels;
1421 
(d) effects;
1422 
(e) evidences of a right in action;
- 42 - 02-03 12:06	1st Sub. (Buff) H.B. 276
1423 
(f) a written instrument by which a pecuniary obligation, right, or title to property is
1424 
created, acknowledged, transferred, increased, defeated, discharged, or diminished;
1425 
and
1426 
(g) a right or interest in an item described in Subsections (24)(a) through (f).
1427 
(25) "Personal representative," "executor," and "administrator" include:
1428 
(a) an executor;
1429 
(b) an administrator;
1430 
(c) a successor personal representative;
1431 
(d) a special administrator; and
1432 
(e) a person who performs substantially the same function as a person described in
1433 
Subsections (25)(a) through (d) under the law governing the person's status.
1434 
(26) "Policy board," "policy commission," or "policy council" means a board, commission,
1435 
or council that:
1436 
(a) is authorized to make policy for the benefit of the general public;
1437 
(b) is created by, and whose duties are provided by, the constitution or statute; and
1438 
(c) performs its duties according to its own rules without supervision other than under
1439 
the general control of another person as provided by statute.
1440 
(27) "Population" is shown by the most recent state or national census, unless expressly
1441 
provided otherwise.
1442 
(28) "Process" means a writ or summons issued in the course of a judicial proceeding.
1443 
(29) "Property" includes both real and personal property.
1444 
(30) "Real estate" or "real property" includes:
1445 
(a) land;
1446 
(b) a tenement;
1447 
(c) a hereditament;
1448 
(d) a water right;
1449 
(e) a possessory right; and
1450 
(f) a claim.
1451 
(31) "Review board," "review commission," and "review council" mean a board,
1452 
commission, committee, or council that:
1453 
(a) is authorized to approve policy made for the benefit of the general public by another
1454 
body or person;
1455 
(b) is created by, and whose duties are provided by, statute; and
1456 
(c) performs its duties according to its own rules without supervision other than under
- 43 - 1st Sub. (Buff) H.B. 276	02-03 12:06
1457 
the general control of another person as provided by statute.
1458 
(32) "Road" includes:
1459 
(a) a public bridge;
1460 
(b) a county way;
1461 
(c) a county road;
1462 
(d) a common road; and
1463 
(e) a state road.
1464 
(33) "Sex" means, in relation to an individual, the individual's biological sex, either male or
1465 
female, at birth, according to distinct reproductive roles as manifested by:
1466 
(a) sex and reproductive organ anatomy;
1467 
(b) chromosomal makeup; and
1468 
(c) endogenous hormone profiles.
1469 
(34) "Signature" includes a name, mark, or sign written with the intent to authenticate an
1470 
instrument or writing.
1471 
(35) "State," when applied to the different parts of the United States, includes a state,
1472 
district, or territory of the United States.
1473 
(36) "Swear" includes "affirm."
1474 
(37) "Testify" means to make an oral statement under oath or affirmation.
1475 
(38) "Uniformed services" means:
1476 
(a) the armed forces;
1477 
(b) the commissioned corps of the National Oceanic and Atmospheric Administration;
1478 
and
1479 
(c) the commissioned corps of the United States Public Health Service.
1480 
(39) "United States" includes each state, district, and territory of the United States of
1481 
America.
1482 
(40) "Utah Code" means the 1953 recodification of the Utah Code, as amended, unless the
1483 
text expressly references a portion of the 1953 recodification of the Utah Code as it
1484 
existed:
1485 
(a) on the day on which the 1953 recodification of the Utah Code was enacted; or
1486 
(b)(i) after the day described in Subsection (40)(a); and
1487 
(ii) before the most recent amendment to the referenced portion of the 1953
1488 
recodification of the Utah Code.
1489 
(41) "Vessel," when used with reference to shipping, includes a steamboat, canal boat, and
1490 
every structure adapted to be navigated from place to place.
- 44 - 02-03 12:06	1st Sub. (Buff) H.B. 276
1491 
(42)(a) "Veteran" means an individual who:
1492 
(i) has served in the United States Armed Forces for at least 180 days:
1493 
(A) on active duty; or
1494 
(B) in a reserve component, to include the National Guard; or
1495 
(ii) has incurred an actual service-related injury or disability while in the United
1496 
States Armed Forces regardless of whether the individual completed 180 days; and
1497 
(iii) was separated or retired under conditions characterized as honorable or general.
1498 
(b) This definition is not intended to confer eligibility for benefits.
1499 
(43) "Will" includes a codicil.
1500 
(44) "Woman" means an adult human female.
1501 
(45) "Writ" means an order or precept in writing, issued in the name of:
1502 
(a) the state;
1503 
(b) a court; or
1504 
(c) a judicial officer.
1505 
(46) "Writing" includes:
1506 
(a) printing;
1507 
(b) handwriting; and
1508 
(c) information stored in an electronic or other medium if the information is retrievable
1509 
in a perceivable format.
1510 
Section 15.  Section 77-15-2 is amended to read:
1511 
77-15-2 . Definitions.
1512 
      As used in this chapter:
1513 
(1) "Competency evaluation" means an evaluation conducted by a forensic evaluator to
1514 
determine if an individual is competent to stand trial.
1515 
(2) "Competent to stand trial" means that a defendant has:
1516 
(a) a rational and factual understanding of the criminal proceedings against the
1517 
defendant and of the punishment specified for the offense charged; and
1518 
(b) the ability to consult with the defendant's legal counsel with a reasonable degree of
1519 
rational understanding in order to assist in the defense.
1520 
(3) "Department" means the Department of Health and Human Services.
1521 
(4) "Forensic evaluator" means a licensed mental health professional who:
1522 
(a) is not involved in the defendant's treatment;
1523 
(b) is trained and qualified by the department to conduct a competency evaluation, a
1524 
restoration screening, and a progress toward competency evaluation, based on
- 45 - 1st Sub. (Buff) H.B. 276	02-03 12:06
1525 
knowledge, experience, or education relating to:
1526 
(i) intellectual functioning or psychopathology; and
1527 
(ii) the legal system and the rights of a defendant in a criminal trial; and
1528 
(c) if under contract with the department, demonstrates ongoing education and training
1529 
relating to forensic mental health in accordance with rules established by the
1530 
department in accordance with Title 63G, Chapter 3, Utah Administrative
1531 
Rulemaking Act.
1532 
(5) "Incompetent to proceed" means that a defendant is not competent to stand trial as a
1533 
result of:
1534 
(a) mental illness; or
1535 
(b) intellectual disability.
1536 
[(6) "Intellectual disability" means an intellectual disability as defined in the current edition
1537 
of the Diagnostic and Statistical Manual of Mental Disorders published by the American
1538 
Psychiatric Association.]
1539 
[(7)] (6) "Mental illness" means the same as that term is defined in Section 26B-5-301.
1540 
[(8)] (7) "Petition" means a petition to request a court to determine whether a defendant is
1541 
competent to stand trial.
1542 
[(9)] (8) "Progress toward competency evaluation" means an evaluation to determine
1543 
whether an individual who is receiving restoration treatment is:
1544 
(a) competent to stand trial;
1545 
(b) incompetent to proceed but has a substantial probability of becoming competent to
1546 
stand trial in the foreseeable future; or
1547 
(c) incompetent to proceed and does not have a substantial probability of becoming
1548 
competent to stand trial in the foreseeable future.
1549 
[(10)] (9) "Restoration treatment" means training and treatment that is:
1550 
(a) provided to an individual who is incompetent to proceed;
1551 
(b) tailored to the individual's particular impairment to competency; and
1552 
(c) limited to the purpose of restoring the individual to competency.
1553 
Section 16.  Section 77-15-5 is amended to read:
1554 
 
CHAPTER 15. DEFENDANT'S COMPETENCY TO PROCEED
1555 
77-15-5 . Order for hearing -- Stay of other proceedings -- Examinations of
1556 
defendant -- Scope of examination and report.
1557 
(1) A court in which criminal proceedings are pending shall stay all criminal proceedings, if:
1558 
(a) a petition is filed under Section 77-15-3 or 77-15-3.5; or
- 46 - 02-03 12:06	1st Sub. (Buff) H.B. 276
1559 
(b) the court raises the issue of the defendant's competency under Section 77-15-4.
1560 
(2) The court in which the petition described in Subsection (1)(a) is filed:
1561 
(a) shall inform the court in which criminal proceedings are pending of the petition, if
1562 
the petition is not filed in the court in which criminal proceedings are pending;
1563 
(b) shall review the allegations of incompetency;
1564 
(c) may hold a limited hearing solely for the purpose of determining the sufficiency of
1565 
the petition, if the court finds the petition is not clearly sufficient on its face;
1566 
(d) shall hold a hearing, if the petition is opposed by either party; and
1567 
(e) may not order an examination of the defendant or order a hearing on the mental
1568 
condition of the defendant unless the court finds that the allegations in the petition
1569 
raise a bona fide doubt as to the defendant's competency to stand trial.
1570 
(3)(a) If the court finds that there is a bona fide doubt as to the defendant's competency
1571 
to stand trial, the court shall order the department to have one or two forensic
1572 
evaluators complete a competency evaluation for the defendant in accordance with
1573 
Subsection (3)(b) and provide a report to the court regarding the competency of the
1574 
defendant to stand trial.
1575 
(b) The court shall order the department to have the defendant evaluated by one forensic
1576 
evaluator unless:
1577 
(i) the defendant is charged with a capital felony; or
1578 
(ii) the defendant is charged with a felony that is not a capital felony, and the court
1579 
determines, based on the allegations in the petition, that good cause exists to order
1580 
two competency evaluations.
1581 
(c)(i) This section does not prohibit a party from seeking an additional forensic
1582 
evaluator to conduct a competency evaluation of the defendant.
1583 
(ii) If a party seeks an additional competency evaluation under this Subsection (3)(c),
1584 
the party shall:
1585 
(A) select the additional forensic evaluator; and
1586 
(B) pay the costs of the additional forensic evaluator.
1587 
(d) The stipulation by parties to a bona fide doubt as to the defendant's competency to
1588 
stand trial alone may not take the place of a competency evaluation ordered under
1589 
this Subsection (3).
1590 
(e) In accordance with state licensing laws, the court may only order the department to
1591 
provide an initial evaluation and progress toward competency evaluation for a
1592 
defendant who is located within the state.
- 47 - 1st Sub. (Buff) H.B. 276	02-03 12:06
1593 
(4)(a) If the petition or other information sufficiently raises concerns that the defendant
1594 
may have an intellectual disability, at least one forensic evaluator who is experienced
1595 
in assessments of intellectual disabilities shall conduct a competency evaluation.
1596 
(b) The petitioner or other party, as directed by the court or requested by the department,
1597 
shall provide to the forensic evaluator nonmedical information and materials relevant
1598 
to a determination of the defendant's competency, including the charging document,
1599 
arrest or incident reports pertaining to the charged offense, known criminal history
1600 
information, and known prior mental health evaluations and treatments.
1601 
(c) For purposes of a competency evaluation, a custodian of mental health records
1602 
pertaining to the defendant, including the defendant's prior mental health evaluations
1603 
or records relating to the defendant's substance use disorder, may provide the records
1604 
to:
1605 
(i) with the defendant's consent, a forensic evaluator or the department on the
1606 
department's request; or
1607 
(ii) a forensic evaluator by court order.
1608 
(d) A court order under Subsection (4)(c) shall include a protective order that expires
1609 
180 days after the day on which:
1610 
(i) the defendant is found guilty;
1611 
(ii) the defendant enters a guilty plea;
1612 
(iii) the court sentences the defendant; or
1613 
(iv) if the case is appealed, the day on which the final appeal is resolved.
1614 
(e)(i) Except as otherwise provided by law and in Subsections (4)(e)(ii) and (4)(f),
1615 
the court shall order the forensic evaluator to destroy all records subject to the
1616 
protective order within the 180 day period described in Subsection (4)(d).
1617 
(ii) A forensic evaluator is not required to destroy the records subject to the
1618 
protective order if destroying the records is a violation of ethical standards to
1619 
which the forensic evaluator is subject for occupational licensing.
1620 
(f) The court may extend the protective order described in Subsection (4)(d) if:
1621 
(i) the court finds the defendant incompetent to proceed without a substantial
1622 
probability that the defendant will become competent in the foreseeable future;
1623 
(ii) the prosecutor or another individual indicates to the court that the prosecutor or
1624 
other individual will seek civil commitment of the defendant under Section
1625 
77-15-6; and
1626 
(iii) the court orders the records be maintained and used only for the purposes of
- 48 - 02-03 12:06	1st Sub. (Buff) H.B. 276
1627 
examining the defendant in connection with the petition for civil commitment.
1628 
(g) An order for a competency evaluation may not contain an order for any other inquiry
1629 
into the mental state of the defendant that is not described in this Subsection (4).
1630 
(5) Pending a competency evaluation, unless the court or the department directs otherwise,
1631 
the defendant shall be retained in the same custody or status that the defendant was in at
1632 
the time the examination was ordered.
1633 
(6) In the conduct of a competency evaluation and in a report to the court, a forensic
1634 
evaluator shall consider and address, in addition to any other factors determined to be
1635 
relevant by the forensic evaluator:
1636 
(a)[(i)] the impact of the defendant's mental illness or intellectual disability on the
1637 
defendant's present ability to:
1638 
[(A)] (i) rationally and factually understand the criminal proceedings against the
1639 
defendant; and
1640 
[(B)] (ii) consult with the defendant's legal counsel with a reasonable degree of
1641 
rational understanding in order to assist in the defense;
1642 
(b) in making the determinations described in Subsection (6)(a), the forensic evaluator
1643 
shall consider, as applicable[:]
1644 
[(i)]   the defendant's present ability to:
1645 
[(A)] (i) understand the charges or allegations against the defendant;
1646 
[(B)] (ii) communicate facts, events, and states of mind;
1647 
[(C)] (iii) understand the range of possible penalties associated with the charges or
1648 
allegations against the defendant;
1649 
[(D)] (iv) engage in reasoned choice of legal strategies and options;
1650 
[(E)] (v) understand the adversarial nature of the proceedings against the defendant;
1651 
[(F)] (vi) manifest behavior sufficient to allow the court to proceed; and
1652 
[(G)] (vii) testify relevantly, if applicable; and
1653 
(c) whether the defendant is exhibiting false or exaggerated physical or psychological
1654 
symptoms relevant to the defendant's capacity to stand trial.
1655 
(7) Upon a determination that the defendant is incompetent to proceed, the forensic
1656 
evaluator shall indicate in the report to the court:
1657 
(a) the factors that contribute to the defendant's incompetency, including the nature of
1658 
the defendant's mental illness or intellectual disability, if any, and its relationship to
1659 
the factors contributing to the defendant's incompetency;
1660 
(b) whether there is a substantial probability that:
- 49 - 1st Sub. (Buff) H.B. 276	02-03 12:06
1661 
(i) restoration treatment may bring the defendant to competency to stand trial in the
1662 
foreseeable future; or
1663 
(ii) the defendant cannot become competent to stand trial in the foreseeable future;
1664 
(c) whether the defendant would benefit from restoration treatment; and
1665 
(d) if the forensic evaluator makes the determination under Subsection (7)(b)(i) or (7)(c),
1666 
an explanation of the reason for the determination and a summary of the treatment
1667 
provided to the defendant in the past.
1668 
(8)(a) A forensic evaluator shall provide an initial report to the court and the prosecuting
1669 
and defense attorneys within 30 days of the receipt of the court's order.  The report
1670 
shall inform the court of the examiner's opinion concerning the competency of the
1671 
defendant to stand trial.
1672 
(b)(i) If the forensic evaluator is unable to complete the report in the time specified in
1673 
Subsection (8)(a), the forensic evaluator shall give written notice to the court.
1674 
(ii) A forensic evaluator who provides the notice described in Subsection (8)(b)(i)
1675 
shall receive a 15-day extension, giving the forensic evaluator a total of 45 days
1676 
after the day on which the forensic evaluator received the court's order to conduct
1677 
a competency evaluation and file a report.
1678 
(iii) The court may further extend the deadline for completion of the evaluation and
1679 
report if the court determines that there is good cause for the extension.
1680 
(iv) Upon receipt of an extension described in Subsection (8)(b)(iii), the forensic
1681 
evaluator shall file the report as soon as reasonably possible.
1682 
(9) Any written report submitted by a forensic evaluator shall:
1683 
(a) identify the case ordered for evaluation by the case number;
1684 
(b) describe the procedures, techniques, and tests used in the examination and the
1685 
purpose or purposes for each, the time spent by the forensic evaluator with the
1686 
defendant for purposes of the examination, and the compensation to be paid to the
1687 
evaluator for the report;
1688 
(c) state the forensic evaluator's clinical observations, findings, and opinions on each
1689 
factor described in Subsection (6); and
1690 
(d) identify the sources of information used by the forensic evaluator and present the
1691 
basis for the forensic evaluator's clinical findings and opinions.
1692 
(10)(a) Any statement made by the defendant in the course of any competency
1693 
examination, whether the examination is with or without the consent of the
1694 
defendant, any testimony by a forensic evaluator based upon the statement, and any
- 50 - 02-03 12:06	1st Sub. (Buff) H.B. 276
1695 
other fruits of the statement may not be admitted in evidence against the defendant in
1696 
any criminal proceeding except on an issue respecting mental condition on which the
1697 
defendant has introduced evidence, unless the evidence is relevant to a determination
1698 
of the defendant's competency.
1699 
(b) Before examining the defendant, the forensic evaluator shall specifically advise the
1700 
defendant of the limits of confidentiality as provided under Subsection (10)(a).
1701 
(11)(a) Upon receipt of the forensic evaluators' reports, the court shall set a date for a
1702 
competency hearing. The hearing shall be held not less than five and not more than
1703 
15 days after the day on which the court received the forensic evaluators' reports,
1704 
unless for good cause the court sets a later date.
1705 
(b) Any person directed by the department to conduct the competency evaluation may be
1706 
subpoenaed to testify at the hearing.
1707 
(c) The court may call any forensic evaluator to testify at the hearing who is not called
1708 
by the parties. [ ]If the court calls a forensic evaluator, counsel for the parties may
1709 
cross-examine the forensic evaluator.
1710 
(d)(i) If the forensic evaluators are in conflict as to the competency of the defendant,
1711 
all forensic evaluators should be called to testify at the hearing if reasonably
1712 
available.
1713 
(ii) A conflict in the opinions of the forensic evaluators does not require the
1714 
appointment of an additional forensic evaluator unless the court finds good cause
1715 
for the appointment.
1716 
(iii) If a party seeks an additional competency evaluation under this Subsection (11),
1717 
that party shall:
1718 
(A) select the additional forensic evaluator; and
1719 
(B) pay the costs of the additional forensic evaluator.
1720 
(12)(a)(i) A defendant shall be presumed competent to stand trial unless the court, by
1721 
a preponderance of the evidence, finds the defendant incompetent to proceed.
1722 
(ii) The burden of proof is upon the proponent of incompetency at the hearing.
1723 
(b) An adjudication of incompetent to proceed does not operate as an adjudication of
1724 
incompetency to give informed consent for medical treatment or for any other
1725 
purpose, unless specifically set forth in the court order.
1726 
(13) In determining the defendant's competency to stand trial, the court shall consider the
1727 
totality of the circumstances, including:
1728 
(a) the petition;
- 51 - 1st Sub. (Buff) H.B. 276	02-03 12:06
1729 
(b) the defendant's criminal and arrest history;
1730 
(c) prior mental health evaluations and treatments provided to the court by the defendant;
1731 
(d) subject to Subsection (15), whether the defendant was found incompetent to proceed
1732 
in a criminal action unrelated to the charged offense for which the petition is filed;
1733 
(e) the testimony of lay witnesses, if any;
1734 
(f) the forensic evaluator's testimony and report;
1735 
(g) the materials on which the forensic evaluator's report is based; and
1736 
(h) any other relevant evidence or consideration bearing on the competency of the
1737 
defendant.
1738 
(14) If the court finds the defendant incompetent to proceed:
1739 
(a) the court shall issue the order described in Subsection 77-15-6(1), which shall:
1740 
(i) include findings addressing each of the factors in Subsection (6)(a);
1741 
(ii) include a transportation order, if necessary;
1742 
(iii) be accompanied by the forensic evaluators' reports, any psychiatric,
1743 
psychological, or social work reports submitted to the court relative to the mental
1744 
condition of the defendant, and any other documents made available to the court
1745 
by either the defense or the prosecution, pertaining to the defendant's current or
1746 
past mental condition; and
1747 
(iv) be sent by the court to the department; and
1748 
(b) the prosecuting attorney shall provide to the department:
1749 
(i) the charging document and probable cause statement, if any;
1750 
(ii) arrest or incident reports prepared by law enforcement and pertaining to the
1751 
charged offense; and
1752 
(iii) additional supporting documents.
1753 
(15) The court may not find the defendant incompetent to proceed based solely on a court
1754 
having ordered the release of the defendant under Section 77-15-3.5 or Section 77-15-6
1755 
in an unrelated criminal action if the court in the unrelated criminal action ordered the
1756 
release more than one year before the day on which the petition described in Subsection
1757 
(13)(a) is filed.
1758 
(16) The court may make any reasonable order to ensure compliance with this section.
1759 
(17) Failure to comply with this section does not result in the dismissal of criminal charges.
1760 
Section 17.  Section 77-15-6 is amended to read:
1761 
77-15-6 . Commitment on finding of incompetency to stand trial -- Subsequent
1762 
hearings -- Notice to prosecuting attorneys.
- 52 - 02-03 12:06	1st Sub. (Buff) H.B. 276
1763 
(1)(a) Except as provided in Subsection (5), if after a hearing a court finds a defendant to
1764 
be incompetent to proceed, the court shall order the defendant committed to the
1765 
department for restoration treatment.
1766 
(b)(i) Except as provided in Subsection (1)(b)(ii), the court may recommend but may
1767 
not order placement of a defendant who is found incompetent to proceed.
1768 
(ii) The court may order that the defendant be placed in a secure setting rather than a
1769 
nonsecure setting.
1770 
(c) Following restoration screening, the department's designee shall designate and
1771 
inform the court of the specific placement and restoration treatment program for the
1772 
defendant.
1773 
(d) Restoration treatment shall be of sufficient scope and duration to:
1774 
(i) restore the defendant to competency; or
1775 
(ii) determine whether the defendant can be restored to competency in the foreseeable
1776 
future.
1777 
(e) A defendant who a court determines is incompetent to proceed may not be held for
1778 
restoration treatment longer than:
1779 
(i) the time reasonably necessary to determine that the defendant cannot become
1780 
competent to stand trial in the foreseeable future; and
1781 
(ii) the maximum period of incarceration that the defendant could receive if the
1782 
defendant were convicted of the most severe offense of the offenses charged.
1783 
(2)(a) A defendant who is receiving restoration treatment shall receive a progress toward
1784 
competency evaluation, by:
1785 
(i) a forensic evaluator, designated by the department; and
1786 
(ii) an additional forensic evaluator, if requested by a party and paid for by the
1787 
requesting party.
1788 
(b) A forensic evaluator shall complete a progress toward competency evaluation and
1789 
submit a report within 90 days after the day on which the forensic evaluator receives
1790 
the commitment order from the department.
1791 
(c) The report shall:
1792 
(i) assess whether the defendant is exhibiting false or exaggerated physical or
1793 
psychological symptoms;
1794 
(ii) describe any diagnostic instruments, methods, and observations used by the
1795 
evaluator to make the determination;
1796 
(iii) describe the defendant's current mental illness or intellectual disability, if any;
- 53 - 1st Sub. (Buff) H.B. 276	02-03 12:06
1797 
(iv) state the forensic evaluator's opinion as to the effect of any false or exaggerated
1798 
symptoms on the defendant's competency to stand trial;
1799 
(v) assess the facility's or program's capacity to provide appropriate restoration
1800 
treatment for the defendant;
1801 
(vi) assess the nature of restoration treatment provided to the defendant;
1802 
(vii) assess what progress the defendant has made toward competency restoration,
1803 
with respect to the factors identified by the court in its initial order;
1804 
(viii) assess whether the defendant can reasonably be restored to competency in the
1805 
foreseeable future given the restoration treatment currently being provided and the
1806 
facility's or program's capacity to provide appropriate restoration treatment for the
1807 
defendant;
1808 
(ix) assess the likelihood of restoration to competency, the amount of time estimated
1809 
to achieve competency, or the amount of time estimated to determine whether
1810 
restoration to competency may be achieved; and
1811 
(x) include a statement by the facility's treating physician regarding:
1812 
(A) whether the defendant is taking any antipsychotic medication as prescribed;
1813 
(B) whether ongoing administration of antipsychotic medication is necessary to
1814 
maintain the defendant's competency to stand trial;
1815 
(C) whether antipsychotic medication is substantially likely to maintain the
1816 
defendant's competency to stand trial;
1817 
(D) whether antipsychotic medication is substantially unlikely to produce side
1818 
effects which would significantly interfere with the defendant's ability to assist
1819 
in the defendant's defense;
1820 
(E) that no less intrusive means are available, and whether any of those means
1821 
have been attempted to render the defendant competent; and
1822 
(F) whether antipsychotic medication is medically appropriate and in the
1823 
defendant's best medical interest in light of the defendant's medical condition.
1824 
(3)(a) The court on its own motion or upon motion by either party or the department
1825 
may appoint an additional forensic evaluator to conduct a progress toward
1826 
competency evaluation.
1827 
(b) If the court appoints an additional forensic evaluator upon motion of a party, that
1828 
party shall pay the costs of the additional forensic evaluator.
1829 
(4)(a) Within 15 days after the day on which the court receives the forensic evaluator's
1830 
report of the progress toward competency evaluation, the court shall hold a hearing to
- 54 - 02-03 12:06	1st Sub. (Buff) H.B. 276
1831 
review the defendant's competency.
1832 
(b) At the hearing, the burden of proving that the defendant is competent to stand trial is
1833 
on the proponent of competency.
1834 
(c) Following the hearing, the court shall determine by a preponderance of evidence
1835 
whether the defendant:
1836 
(i) is competent to stand trial;
1837 
(ii) is competent, but requires the ongoing administration of antipsychotic medication
1838 
in order to maintain the defendant's competency to stand trial;
1839 
(iii) is incompetent to proceed, with a substantial probability that the defendant may
1840 
become competent in the foreseeable future; or
1841 
(iv) is incompetent to proceed, without a substantial probability that the defendant
1842 
may become competent in the foreseeable future.
1843 
(5)(a) If at any time the court determines that the defendant is competent to stand trial,
1844 
the court shall:
1845 
(i) proceed with the trial or other procedures as may be necessary to adjudicate the
1846 
charges;
1847 
(ii) order that the defendant be returned to the placement and status that the defendant
1848 
was in at the time when the petition for the adjudication of competency was filed
1849 
or raised by the court, unless the court determines that placement of the defendant
1850 
in a less restrictive environment is more appropriate;
1851 
(iii) order the ongoing administration of antipsychotic medication to the defendant for
1852 
the purpose of maintaining the defendant's competency to stand trial, if the court
1853 
finds that the administration of antipsychotic medication is necessary to maintain
1854 
the defendant's competency to stand trial under Subsection (4)(c)(ii); and
1855 
(iv) require the agency, jail, or prison with custody over the defendant to report to the
1856 
court any noncompliance with the court's orders under this Subsection (5) within
1857 
48 hours of the noncompliance.
1858 
(b) If the court determines that the defendant is incompetent to proceed with a
1859 
substantial probability that the defendant may become competent in the foreseeable
1860 
future, the court may order that the defendant remain committed to the department or
1861 
the department's designee for the purpose of restoration treatment.
1862 
(c)(i) If the court determines that the defendant is incompetent to proceed without a
1863 
substantial probability that the defendant may become competent in the
1864 
foreseeable future, the court shall order the defendant released from commitment
- 55 - 1st Sub. (Buff) H.B. 276	02-03 12:06
1865 
to the department, unless the prosecutor or another individual informs the court
1866 
that civil commitment proceedings pursuant to Title 26B, Chapter 5, Health Care -
1867 
Substance Use and Mental Health, or Title 26B, Chapter 6, Part 4, Division of
1868 
Services for People with Disabilities, will be initiated.
1869 
(ii) The commitment proceedings must be initiated by a petition filed within seven
1870 
days after the day on which the court makes the determination described in
1871 
Subsection (4)(c)(iv), unless the court finds that there is good cause to delay the
1872 
initiation of the civil commitment proceedings.
1873 
(iii) The court may order the defendant to remain committed to the department until
1874 
the civil commitment proceedings conclude.
1875 
(iv) If the defendant is civilly committed and admitted to a secure setting, the
1876 
department shall provide notice to the court that adjudicated the defendant
1877 
incompetent to proceed and to the prosecution agency that prosecuted the case at
1878 
least [60] 15 days before any proposed release of the committed individual from
1879 
the secure setting.
1880 
(v) If the prosecution agency that prosecuted the case intends to refile charges against
1881 
the committed individual:
1882 
(A) the prosecution agency shall provide written notice of that intent to the
1883 
department within 15 days after the department provides the notice described
1884 
in Subsection (5)(c)(iv); and
1885 
(B) the department shall postpone release of the committed individual for at least
1886 
30 days after the day on which the department receives the written notice of
1887 
intent from the prosecution agency.
1888 
(vi) If the prosecution agency that prosecuted the case refiles charges against the
1889 
committed individual and the individual's competency is raised, the department
1890 
shall postpone release of the individual until the competency proceedings
1891 
conclude.
1892 
(6)(a) At any time following the court's order under Subsection (5)(a)(iii), the defendant,
1893 
the prosecuting attorney, the department, the treating physician, or the agency, jail, or
1894 
prison with custody over the defendant, may notify the court of the need to review
1895 
the medication order under Subsection (5)(a)(iii) for continued appropriateness and
1896 
feasibility.
1897 
(b) The court shall set the matter for a hearing if the notification under Subsection (6)(a)
1898 
establishes good cause to review the matter.
- 56 - 02-03 12:06	1st Sub. (Buff) H.B. 276
1899 
(7) If a court, under Subsection (5)(b), extends a defendant's commitment, the court shall
1900 
schedule a competency review hearing for the earlier of:
1901 
(a) the department's best estimate of when the defendant may be restored to competency;
1902 
or
1903 
(b) three months after the day on which the court determined under Subsection (5)(b) to
1904 
extend the defendant's commitment.
1905 
(8) Unless the defendant is charged with a crime listed in Subsection (9), if a defendant is
1906 
incompetent to proceed by the day of the competency review hearing that follows the
1907 
extension of a defendant's commitment, the court shall:
1908 
(a) order the defendant be:
1909 
(i) released or temporarily detained pending civil commitment proceedings as
1910 
described in Subsection (5)(c); and
1911 
(ii) terminate the defendant's commitment to the department for restoration treatment;
1912 
or
1913 
(b) if the forensic evaluator reports to the court that there is a substantial probability that
1914 
restoration treatment will bring the defendant to competency to stand trial in the
1915 
foreseeable future, extend the defendant's commitment for restoration treatment up to
1916 
45 additional days.
1917 
(9) If the defendant is charged with aggravated murder, murder, attempted murder,
1918 
manslaughter, or a first degree felony and the court determines that the defendant is
1919 
making reasonable progress towards restoration of competency at the time of the hearing
1920 
held pursuant to Subsection (7), the court may extend the commitment for a period not
1921 
to exceed nine months for the purpose of restoration treatment, with a mandatory review
1922 
hearing at the end of the nine-month period.
1923 
(10) Unless the defendant is charged with aggravated murder or murder, if, at the
1924 
nine-month review hearing described in Subsection (9), the court determines that the
1925 
defendant is incompetent to proceed, the court shall:
1926 
(a)(i) order the defendant be released or temporarily detained pending civil
1927 
commitment proceedings as provided in Subsection (5)(c); and
1928 
(ii) terminate the defendant's commitment to the department for restoration treatment;
1929 
or
1930 
(b) if the forensic evaluator reports to the court that there is a substantial probability that
1931 
restoration treatment will bring the defendant to competency to stand trial in the
1932 
foreseeable future, extend the defendant's commitment for restoration treatment for
- 57 - 1st Sub. (Buff) H.B. 276	02-03 12:06
1933 
up to 135 additional days.
1934 
(11) If the defendant is charged with aggravated murder or murder and the court determines
1935 
that the defendant is making reasonable progress towards restoration of competency at
1936 
the time of the nine-month review hearing described in Subsection (9), the court may
1937 
extend the commitment for a period not to exceed 24 months for the purpose of
1938 
restoration treatment.
1939 
(12) If the court extends the defendant's commitment term under Subsection (11), the court
1940 
shall hold a hearing no less frequently than at 12-month intervals following the
1941 
extension for the purpose of determining the defendant's competency status.
1942 
(13) If, at the end of the 24-month commitment period described in Subsection (11), the
1943 
court determines that the defendant is incompetent to proceed, the court shall:
1944 
(a)(i) order the defendant be released or temporarily detained pending civil
1945 
commitment proceedings as provided in Subsection (5)(c); and
1946 
(ii) terminate the defendant's commitment to the department for restoration treatment;
1947 
or
1948 
(b) if the forensic evaluator reports to the court that there is a substantial probability that
1949 
restoration treatment will bring the defendant to competency to stand trial in the
1950 
foreseeable future, extend the defendant's commitment for restoration treatment for
1951 
up to 12 additional months.
1952 
(14)(a) Neither release from a pretrial incompetency commitment under the provisions
1953 
of this section nor civil commitment requires dismissal of criminal charges.
1954 
(b) The court may retain jurisdiction over the criminal case and may order periodic
1955 
reviews.
1956 
(15) A defendant who is civilly committed pursuant to Title 26B, Chapter 5, Health Care -
1957 
Substance Use and Mental Health, or Title 26B, Chapter 6, Part 4, Division of Services
1958 
for People with Disabilities, may still be adjudicated competent to stand trial under this
1959 
chapter.
1960 
(16)(a) The remedy for a violation of the time periods specified in this section, other
1961 
than those specified in Subsection (5)(c), (8), (10), or (13), shall be a motion to
1962 
compel the hearing, or mandamus, but not release from detention or dismissal of the
1963 
criminal charges.
1964 
(b) The remedy for a violation of the time periods specified in Subsection (5)(c), (8), (9),
1965 
or (13), or is not dismissal of the criminal charges.
1966 
(17) In cases in which the treatment of the defendant is precluded by court order for a
- 58 - 02-03 12:06	1st Sub. (Buff) H.B. 276
1967 
period of time, that time period may not be considered in computing time limitations
1968 
under this section.
1969 
(18)(a) If, at any time, the defendant becomes competent to stand trial while the
1970 
defendant is committed to the department, the clinical director of the Utah State
1971 
Hospital, the department, or the department's designee shall certify that fact to the
1972 
court.
1973 
(b) The court shall conduct a competency review hearing:
1974 
(i) within 15 working days after the day on which the court receives the certification
1975 
described in Subsection (18)(a); or
1976 
(ii) within 30 working days after the day on which the court receives the certification
1977 
described in Subsection (18)(a), if the court determines that more than 15 working
1978 
days are necessary for good cause related to the defendant's competency.
1979 
(19) The court may order a hearing at any time on the court's own motion or upon
1980 
recommendations of the clinical director of the Utah State Hospital or other facility or
1981 
the department.
1982 
(20) Notice of a hearing on competency to stand trial shall be given to the prosecuting
1983 
attorney and all counsel of record.
1984 
Section 18.  Section 77-19-203 is amended to read:
1985 
77-19-203 . Petition for inquiry as to competency to be executed -- Filing --
1986 
Contents -- Successive petitions.
1987 
(1) If an inmate who has been sentenced to death is or becomes incompetent to be executed,
1988 
a petition under Subsection (2) may be filed in the district court of the county where the
1989 
inmate is confined.
1990 
(2) The petition shall:
1991 
(a) contain a certificate stating that it is filed in good faith and on reasonable grounds to
1992 
believe the inmate is incompetent to be executed; and
1993 
(b) contain a specific recital of the facts, observations, and conversations with the inmate
1994 
that form the basis for the petition.
1995 
(3) The petition may be based upon knowledge or information and belief and may be filed
1996 
by the inmate alleged to be incompetent, legal counsel for the inmate, or by an attorney
1997 
representing the state.
1998 
(4) Before ruling on a petition filed by an inmate or his counsel alleging that the inmate is
1999 
incompetent to be executed, the court shall give the state and the Department of
2000 
Corrections an opportunity to respond to the allegations of incompetency.
- 59 - 1st Sub. (Buff) H.B. 276	02-03 12:06
2001 
(5) If a petition is filed after an inmate has previously been found competent under either
2002 
this chapter or under [Title 77, Chapter 15, Inquiry into Sanity of Defendant] Chapter 15,
2003 
Defendant's Competency to Proceed, no further hearing on competency may be granted
2004 
unless the successive petition:
2005 
(a) alleges with specificity a substantial change of circumstances subsequent to the
2006 
previous determination of competency; and
2007 
(b) is sufficient to raise a significant question about the inmate's competency to be
2008 
executed.
2009 
Section 19.  Section 77-29-3 is amended to read:
2010 
77-29-3 . Chapter inapplicable to incompetent persons.
2011 
      The provisions of this chapter shall not apply to any person while adjudged to be
2012 
incompetent to proceed under [Chapter 15, Inquiry into Sanity of Defendant] Chapter 15,
2013 
Defendant's Competency to Proceed.
2014 
Section 20.  Section 80-6-403 is amended to read:
2015 
80-6-403 . Disposition on finding of not competent to proceed -- Subsequent
2016 
hearings -- Notice to prosecuting attorneys.
2017 
(1) If the juvenile court determines that the minor is not competent to proceed, and there is
2018 
a substantial likelihood that the minor may attain competency in the foreseeable future,
2019 
the juvenile court shall notify the department of the finding and allow the department 30
2020 
days to develop an attainment plan for the minor.
2021 
(2) The attainment plan shall include:
2022 
(a) any services or treatment the minor has been or is currently receiving that are
2023 
necessary to attain competency;
2024 
(b) any additional services or treatment the minor may require to attain competency;
2025 
(c) an assessment of the parent, custodian, or guardian's ability to access or provide any
2026 
recommended treatment or services;
2027 
(d) any special conditions or supervision that may be necessary for the safety of the
2028 
minor or others during the attainment period; and
2029 
(e) the likelihood that the minor will attain competency and the amount of time likely
2030 
required for the minor to attain competency.
2031 
(3) The department shall provide the attainment plan to the juvenile court, the prosecuting
2032 
attorney, the defense attorney, and the attorney guardian ad litem at least three days
2033 
before the competency disposition hearing.
2034 
(4)(a) During the attainment period, the minor shall remain in the least restrictive
- 60 - 02-03 12:06	1st Sub. (Buff) H.B. 276
2035 
appropriate setting.
2036 
(b) A finding of not competent to proceed does not grant authority for a juvenile court to
2037 
place a minor in the custody of a division of the department, or create eligibility for
2038 
services from the Division of Services for People With Disabilities.
2039 
(c) If the juvenile court orders the minor to be held in detention during the attainment
2040 
period, the juvenile court shall make the following findings on the record:
2041 
(i) the placement is the least restrictive appropriate setting;
2042 
(ii) the placement is in the best interest of the minor;
2043 
(iii) the minor will have access to the services and treatment required by the
2044 
attainment plan in the placement; and
2045 
(iv) the placement is necessary for the safety of the minor or others.
2046 
(d) A juvenile court shall terminate an order of detention related to the pending
2047 
proceeding for a minor who is not competent to proceed in that matter if:
2048 
(i) the most severe allegation against the minor if committed by an adult is a class B
2049 
misdemeanor;
2050 
(ii) more than 60 days have passed after the day on which the juvenile court
2051 
adjudicated the minor not competent to proceed; and
2052 
(iii) the minor has not attained competency.
2053 
(5)(a) At any time that the minor becomes competent to proceed during the attainment
2054 
period, the department shall notify the juvenile court, the prosecuting attorney, the
2055 
defense attorney, and the attorney guardian ad litem.
2056 
(b) The juvenile court shall hold a hearing with 15 business days of notice from the
2057 
department described in Subsection (5)(a).
2058 
(6)(a) If at any time during the attainment period the juvenile court finds that there is not
2059 
a substantial probability that the minor will attain competency in the foreseeable
2060 
future, the juvenile court shall terminate the competency proceeding, dismiss the
2061 
petition or information without prejudice, and release the minor from any custody
2062 
order related to the pending proceeding, unless the prosecuting attorney or any other
2063 
individual informs the juvenile court that commitment proceedings will be initiated in
2064 
accordance with:
2065 
(i) Title 26B, Chapter 6, Part 6, Admission to an Intermediate Care Facility for
2066 
People with an Intellectual Disability;
2067 
(ii) if the minor is 18 years old or older, Title 26B, Chapter 5, Part 3, Utah State
2068 
Hospital and Other Mental Health Facilities; or
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2069 
(iii) if the minor is a child, Title 26B, Chapter 5, Part 4, Commitment of Persons
2070 
Under Age 18.
2071 
(b) The prosecuting attorney shall initiate the proceedings described in Subsection (6)(a)
2072 
within seven days after the juvenile court's order, unless the juvenile court enlarges
2073 
the time for good cause shown.
2074 
(7) During the attainment period, the juvenile court may order a hearing or rehearing at
2075 
anytime on the juvenile court's own motion or upon recommendation of any interested
2076 
party or the department.
2077 
(8)(a) Within three months of the juvenile court's approval of the attainment plan, the
2078 
department shall provide a report on the minor's progress towards competence.
2079 
(b) The report described in Subsection (8)(a) shall address the minor's:
2080 
(i) compliance with the attainment plan;
2081 
(ii) progress towards competency based on the issues identified in the original
2082 
competency evaluation; and
2083 
(iii) current mental illness, intellectual disability or related condition, or
2084 
developmental immaturity, and need for treatment, if any, and whether there is
2085 
substantial likelihood of the minor attaining competency within six months.
2086 
(9)(a) Within 30 days of receipt of the report, the juvenile court shall hold a hearing to
2087 
determine the minor's current status.
2088 
(b) At the hearing, the burden of proving the minor is competent is on the proponent of
2089 
competency.
2090 
(c) The juvenile court shall determine by a preponderance of the evidence whether the
2091 
minor is competent to proceed.
2092 
(10) If the minor has not attained competency after the initial three month attainment period
2093 
but is showing reasonable progress towards attainment of competency, the juvenile court
2094 
may extend the attainment period up to an additional three months.
2095 
(11) The department shall provide an updated juvenile competency evaluation at the
2096 
conclusion of the [six month ]attainment period to advise the juvenile court on the
2097 
minor's current competency status.
2098 
(12) If the minor does not attain competency within six months after the juvenile court
2099 
initially finds the minor not competent to proceed, the court shall terminate the
2100 
competency proceedings and dismiss the petition or information filed without prejudice,
2101 
unless good cause is shown that there is a substantial likelihood the minor will attain
2102 
competency within one year from the initial finding of not competent to proceed.
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2103 
(13) In the event a minor has an unauthorized leave lasting more than 24 hours, the
2104 
attainment period shall toll until the minor returns.
2105 
(14)(a) Regardless of whether a minor consents to attainment, any statement made by
2106 
the minor in the course of attainment, any testimony by the forensic evaluator based
2107 
upon any statement made by the minor in the course of attainment, and any other
2108 
fruits of a statement made by the minor in the course of attainment:
2109 
(i) may not be admitted in evidence against the minor in a proceeding under this
2110 
chapter, except the statement may be admitted on an issue respecting the mental
2111 
condition on which the minor has introduced evidence; and
2112 
(ii) may be admitted where relevant to a determination of the minor's competency.
2113 
(b) Before evaluating the minor during the attainment period, a forensic evaluator shall
2114 
specifically advise the minor, and the minor's parent or guardian if reasonably
2115 
available, of the limits of confidentiality provided in Subsection (14)(a).
2116 
Section 21.  Effective Date.
2117 
This bill takes effect on May 7, 2025.
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