By Shapiro                                              S.B. No. 22
         77R1213 JJT-D                           
                                A BILL TO BE ENTITLED
 1-1                                   AN ACT
 1-2     relating to the admission of minors to facilities for and to the
 1-3     consent of minors to the treatment and rehabilitation of chemical
 1-4     dependency.
 1-5           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-6           SECTION 1.  This Act may be known as "JoJo's Law."
 1-7           SECTION 2.  Section 462.009(a), Health and Safety Code, is
 1-8     amended to read as follows:
 1-9           (a)  A patient receiving treatment in a treatment facility is
1-10     entitled to refuse a medication, therapy, or treatment unless:
1-11                 (1)  the patient is younger than 18 [16] years of age,
1-12     the patient is admitted under Section 462.022(a)(3)(A), and the
1-13     patient's parent, managing conservator, or guardian consents to the
1-14     medication, therapy, or treatment on behalf of the patient;
1-15                 (2)  the patient has been adjudicated to be incompetent
1-16     to manage the patient's personal affairs or to make a decision to
1-17     refuse the medication, therapy, or treatment and the patient's
1-18     guardian of the person or another person legally authorized to
1-19     consent to medical treatment consents to the medication, therapy,
1-20     or treatment on behalf of the patient; or
1-21                 (3)  a physician treating the patient determines that
1-22     the medication is necessary to prevent imminent serious physical
1-23     harm to the patient or to another individual and the physician
1-24     issues a written order, or a verbal order if authenticated in
 2-1     writing by the physician within 24 hours, to administer the
 2-2     medication to the patient.
 2-3           SECTION 3.  Section 462.022, Health and Safety Code, is
 2-4     amended by amending Subsections (a) and (c) and adding Subsection
 2-5     (d) to read as follows:
 2-6           (a)  A facility may admit a minor for treatment and
 2-7     rehabilitation if:
 2-8                 (1)  the facility is:
 2-9                       (A)  a treatment facility licensed by the
2-10     commission to provide the necessary services to minors;
2-11                       (B)  a facility licensed by the Texas Department
2-12     of Mental Health and Mental Retardation; or
2-13                       (C)  a facility operated by the Texas Department
2-14     of Mental Health and Mental Retardation which has been designated
2-15     by the commission to provide chemical dependency treatment;
2-16                 (2)  the admission is appropriate under the facility's
2-17     admission policies; and
2-18                 (3)  the admission is requested by:
2-19                       (A)  a parent, managing conservator, or guardian
2-20     of [if] the minor [is younger than 16 years of age]; or
2-21                       (B)  the minor, without parental consent, if the
2-22     minor is 16 years of age or older.
2-23           (c)  A person or agency appointed as the guardian or a
2-24     managing conservator of a minor [younger than 16 years of age] and
2-25     acting as an employee or agent of the state or a political
2-26     subdivision of the state may request admission of the minor only
2-27     with the minor's consent.
 3-1           (d)  In this section, "minor" means an individual younger
 3-2     than 18 years of age for whom the disabilities of minority have not
 3-3     been removed.
 3-4           SECTION 4.  Section 462.023, Health and Safety Code, is
 3-5     amended to read as follows:
 3-6           Sec. 462.023.  DISCHARGE OR RELEASE.  (a)  Except as provided
 3-7     by Subsections (b) and (c) [Subsection (b)], a facility shall
 3-8     release a  voluntary patient within a reasonable time, not to
 3-9     exceed 96 hours, after the patient requests in writing to be
3-10     released.
3-11           (b)  A facility is not required to release the patient if
3-12     before the end of the 96-hour period:
3-13                 (1)  the patient files a written withdrawal of the
3-14     request;
3-15                 (2)  an application for court-ordered treatment or
3-16     emergency detention is filed and the patient is detained in
3-17     accordance with this chapter; or
3-18                 (3)  the patient is a minor admitted under Section
3-19     462.022(a)(3)(A) with the consent of a parent, guardian, or
3-20     conservator and that person, after consulting with facility
3-21     personnel, objects in writing to the release of the minor.
3-22           (c)  If the patient is a minor admitted under Section
3-23     462.022(a)(3)(A), a facility shall consult with the person
3-24     described by Subsection (b)(3) on receipt of the written request
3-25     for release.  If that person in writing objects to the release of
3-26     the patient, the facility shall continue treatment of the patient
3-27     as a voluntary patient.
 4-1           (d)  Subsection (a)  applies to a minor admitted under
 4-2     Section 462.022 if the request for release is made in writing to
 4-3     the facility by the person who requested the initial admission.
 4-4           (e) [(d)]  If extremely hazardous weather conditions exist or
 4-5     a disaster occurs, the facility administrator may request the judge
 4-6     of a court that has jurisdiction over proceedings brought under
 4-7     Subchapter D to extend the period during which the person may be
 4-8     detained.  The judge or a magistrate appointed by the judge may by
 4-9     written order made each day extend the period during which the
4-10     person may be detained until 4 p.m. on the first succeeding
4-11     business day.  The written order must declare that an emergency
4-12     exists because of the weather or the occurrence of a disaster.
4-13           SECTION 5.  This Act takes effect immediately if it receives
4-14     a vote of two-thirds of all the members elected to each house, as
4-15     provided by Section 39, Article III, Texas Constitution.  If this
4-16     Act does not receive the vote necessary for immediate effect, this
4-17     Act takes effect September 1, 2001.