PMWJ H.B. 2951 75(R)BILL ANALYSIS JUDICIAL AFFAIRS H.B. 2951 By: Thompson 4-17-97 Committee Report (Amended) BACKGROUND A duly appointed guardian of an incapacitated person may not voluntarily admit that person to a public or private inpatient psychiatric facility or to a residential facility for care and treatment should the person become ill. In order to have the person admitted for treatment under current law, the guardian must apply for court-ordered mental health services. If the court finds that the person meets the criteria for court-ordered mental health services, the court may issue an order for mental health services which allows for the person to be involuntarily admitted to a psychiatric hospital for care and treatment. For the guardian's ward, this process can be stressful, time consuming and expensive, resulting in a delay of needed treatment. PURPOSE This bill establishes a procedure permitting the guardian of an incapacitated person who is ill enough to require hospitalized treatment, but who does not meet the criteria for court-ordered mental health services, to apply to the court for authority to voluntarily admit the person to a public or private inpatient psychiatric facility for care and treatment. The court, following a hearing, may authorize the guardian to voluntarily admit the person to an inpatient psychiatric facility if the court finds that the admission would be in the person's best interest and the person does not object to the hospital admission. This court procedure provides an avenue of obtaining needed hospital-based treatment for persons who have guardians but who do not meet the criteria for involuntary mental health services. RULEMAKING AUTHORITY It is the committee's opinion that this bill does not expressly grant any additional rulemaking authority to a state officer, department, agency or institution. SECTION BY SECTION ANALYSIS SECTION 1 amends Section 770(b) of the Texas Probate Code and adds a new Subsection (e) to Section 770 of the Texas Probate Code. Subsec. (b) is amended to list an additional exception (new Subsection (e)) to the rule that a guardian may not voluntarily admit an incapacitated person to a psychiatric facility. New Subsec. (e) authorizes a guardian of an incapacitated person, who does not meet the criteria for court-ordered mental health services, to apply for authority to voluntarily admit the incapacitated person to a public or private psychiatric facility for care and treatment. Following appointment of an attorney ad litem for the incapacitated person and a hearing, the court may issue an order approving or denying the application within 72 hours of the time the application is filed. The court shall grant the application and authorize the guardian to voluntarily admit the incapacitated person to an inpatient psychiatric facility for care and treatment if the court finds that the admission would be in the person's best interest and the person does not object to the hospital admission. SECTION 2. Effective date. SECTION 3. Emergency clause. EXPLANATION OF AMENDMENTS Committee Amendment No. 1 requires that the guardian of the incapacitated person be a permanent guardian and requires proof that the admission is medically necessary as evidenced by the testimony of a psychiatrist.