AN ACT
 1-1     relating to the transportation of certain persons requiring
 1-2     treatment for mental illness.
 1-3           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-4           SECTION 1.  Subsections (b) and (c), Section 571.018, Health
 1-5     and Safety Code, are amended to read as follows:
 1-6           (b)  The county responsible for the costs of a hearing or
 1-7     proceeding under Subsection (a) shall pay the costs of all
 1-8     subsequent hearings or proceedings for that person under this
 1-9     subtitle until the person is discharged from mental health
1-10     services.  The costs shall be billed by the clerk of the court
1-11     conducting the hearings.
1-12           (c)  Costs under this section include:
1-13                 (1)  attorney's fees;
1-14                 (2)  physician examination fees;
1-15                 (3)  compensation for court-appointed personnel listed
1-16     under Section 571.017;
1-17                 (4)  expenses of transportation to a [department]
1-18     mental health facility or to a federal agency not to exceed $50 if
1-19     transporting within the same county and not to exceed the
1-20     reasonable cost of transportation if transporting between counties;
1-21                 (5)  costs and salary supplements authorized under
1-22     Sections 574.031(i) and (j); and
1-23                 (6)  prosecutor's fees authorized under Section
1-24     574.031(k).
 2-1           SECTION 2.  Subsection (a), Section 573.025, Health and
 2-2     Safety Code, is amended to read as follows:
 2-3           (a)  A person apprehended or detained under this chapter has
 2-4     the right:
 2-5                 (1)  to be advised of the location of detention, the
 2-6     reasons for the detention, and the fact that the detention could
 2-7     result in a longer period of involuntary commitment;
 2-8                 (2)  to a reasonable opportunity to communicate with
 2-9     and retain an attorney;
2-10                 (3)  to be transported to a location as provided by
2-11     Section 573.024 if the person is not admitted for emergency
2-12     detention, unless the person is arrested or objects;
2-13                 (4)  to be released from a facility as provided by
2-14     Section 573.023; [and]
2-15                 (5)  to be advised that communications with a mental
2-16     health professional may be used in proceedings for further
2-17     detention; and
2-18                 (6)  to be transported in accordance with Sections
2-19     573.026 and 574.045, if the person is detained under Section
2-20     573.022 or transported under an order of protective custody under
2-21     Section 574.023.
2-22           SECTION 3.  Subchapter C, Chapter 573, Health and Safety
2-23     Code, is amended by adding Section 573.026 to read as follows:
2-24           Sec. 573.026.  TRANSPORTATION AFTER DETENTION.  A person
2-25     being transported after detention under Section 573.022 shall be
2-26     transported in accordance with Section 574.045.
 3-1           SECTION 4.  Subsection (a), Section 574.023, Health and
 3-2     Safety Code, is amended to read as follows:
 3-3           (a)  A protective custody order shall direct a person
 3-4     authorized to transport patients under Section 574.045 [peace
 3-5     officer or other designated person] to take the proposed patient
 3-6     into protective custody and transport the person immediately to:
 3-7                 (1)  a facility of the single portal authority for the
 3-8     area;
 3-9                 (2)  an appropriate inpatient mental health facility,
3-10     if no single portal authority serves the area; or
3-11                 (3)  a facility deemed suitable by the county's mental
3-12     health authority, if no single portal authority serves the area and
3-13     an appropriate inpatient mental health facility is not available.
3-14           SECTION 5.  Section 574.045, Health and Safety Code, is
3-15     amended to read as follows:
3-16           Sec. 574.045.  TRANSPORTATION OF PATIENT.  (a)  The court may
3-17     authorize the transportation of a committed patient or a patient
3-18     detained under Section 573.022 or 574.023 to the designated mental
3-19     health facility by:
3-20                 (1)  a relative or other responsible person who has a
3-21     proper interest in the patient's welfare and who receives no
3-22     remuneration, except for actual and necessary expenses;
3-23                 (2)  the facility administrator of the designated
3-24     mental health facility, if the administrator notifies the court
3-25     that facility personnel are available to transport the patient;
3-26                 (3)  a special officer for mental health assignment
 4-1     certified under Section 415.037, Government Code; [or]
 4-2                 (4)  a representative of the local mental health
 4-3     authority, who shall be reimbursed by the county; or
 4-4                 (5)  the sheriff or constable, if no person is
 4-5     available under Subdivision (1), (2), [or] (3), or (4).
 4-6           (b)  The court shall require appropriate medical personnel to
 4-7     accompany the person transporting the patient if there is
 4-8     reasonable cause to believe that the patient will require medical
 4-9     assistance or the administration of medication during the
4-10     transportation.  The payment of an expense incurred under this
4-11     subsection is governed by Section 571.018.
4-12           (c)  The patient's friends and relatives may accompany the
4-13     patient at their own expense.
4-14           (d) [(c)]  A female patient must be accompanied by a female
4-15     attendant unless the patient is accompanied by her father, husband,
4-16     or adult brother or son.
4-17           (e) [(d)]  The patient may not be transported in a marked
4-18     police or sheriff's car or accompanied by a uniformed officer
4-19     unless other means are not available.
4-20           (f) [(e)]  The patient may not be transported with a state
4-21     prisoner.
4-22           (g) [(f)]  The patient may not be physically restrained
4-23     unless necessary to protect the health and safety of the patient or
4-24     of a person traveling with the patient.  If the treating physician
4-25     or the person transporting a patient determines that physical
4-26     restraint of the patient is necessary, that person shall document
 5-1     the reasons for that determination and the duration for which the
 5-2     restraints are needed.  The person transporting the patient shall
 5-3     deliver the document to the facility at the time the patient is
 5-4     delivered.  The facility shall include the document in the
 5-5     patient's clinical record.
 5-6           (h)  The patient must be transported directly to the facility
 5-7     within a reasonable amount of time and without undue delay.
 5-8           (i)  All vehicles used to transport patients under this
 5-9     section must be adequately heated in cold weather and adequately
5-10     ventilated in warm weather.
5-11           (j)  Special diets or other medical precautions recommended
5-12     by the patient's physician must be followed.
5-13           (k) [(g)]  The person transporting the patient shall give the
5-14     patient reasonable opportunities to get food and water and to use a
5-15     bathroom.
5-16           SECTION 6.  Chapter 46, Code of Criminal Procedure, is
5-17     amended by adding Article 46.04 to read as follows:
5-18           Art. 46.04.  TRANSPORTATION TO A MENTAL HEALTH FACILITY OR
5-19     RESIDENTIAL CARE FACILITY
5-20           Sec. 1.  PERSONS ACCOMPANYING TRANSPORT.  (a)  A patient
5-21     transported from a jail or detention facility to a mental health
5-22     facility or a residential care facility shall be transported by a
5-23     special officer for mental health assignment certified under
5-24     Section 415.037, Government Code, or by a sheriff or constable.
5-25           (b)  The court ordering the transport shall require
5-26     appropriate medical personnel to accompany the person transporting
 6-1     the patient, at the expense of the county from which the patient is
 6-2     transported, if there is reasonable cause to believe the patient
 6-3     will require medical assistance or will require the administration
 6-4     of medication during the transportation.
 6-5           (c)  A female patient must be accompanied by a female
 6-6     attendant.
 6-7           Sec. 2.  REQUIREMENTS FOR TRANSPORT.  The transportation of a
 6-8     patient from a jail or detention facility to a mental health
 6-9     facility or residential care facility must meet the following
6-10     requirements:
6-11                 (1)  the patient must be transported directly to the
6-12     facility within a reasonable amount of time and without undue
6-13     delay;
6-14                 (2)  a vehicle used to transport the patient must be
6-15     adequately heated in cold weather and adequately ventilated in warm
6-16     weather;
6-17                 (3)  a special diet or other medical precautions
6-18     recommended by the patient's physician must be followed;
6-19                 (4)  the person transporting the patient shall give the
6-20     patient reasonable opportunities to get food and water and to use a
6-21     bathroom; and
6-22                 (5)  the patient may not be transported with a state
6-23     prisoner.
6-24           SECTION 7.  This Act takes effect September 1, 1999.
6-25           SECTION 8.  The importance of this legislation and the
6-26     crowded condition of the calendars in both houses create an
 7-1     emergency and an imperative public necessity that the
 7-2     constitutional rule requiring bills to be read on three several
 7-3     days in each house be suspended, and this rule is hereby suspended.
         _______________________________     _______________________________
             President of the Senate              Speaker of the House
               I hereby certify that S.B. No. 539 passed the Senate on
         April 22, 1999, by the following vote:  Yeas 30, Nays 0; and that
         the Senate concurred in House amendment on May 28, 1999, by a
         viva-voce vote.
                                             _______________________________
                                                 Secretary of the Senate
               I hereby certify that S.B. No. 539 passed the House, with
         amendment, on May 25, 1999, by a non-record vote.
                                             _______________________________
                                                 Chief Clerk of the House
         Approved:
         _______________________________
                     Date
         _______________________________
                   Governor