S.B. No. 837
AN ACT
relating to the insanity defense.                                             
	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:                        
	SECTION 1.  Article 46.03, Code of Criminal Procedure, is 
repealed.          
	SECTION 2.  Title 1, Code of Criminal Procedure, is amended 
by adding Chapter 46C to read as follows:
CHAPTER 46C.  INSANITY DEFENSE
SUBCHAPTER A.  GENERAL PROVISIONS
	Art. 46C.001.  DEFINITIONS.  In this chapter:                           
		(1)  "Commissioner" means the commissioner of state 
health services. 
		(2)  "Department" means the Department of State Health 
Services.     
		(3)  "Mental illness" has the meaning assigned by 
Section 571.003, Health and Safety Code.
		(4)  "Mental retardation" has the meaning assigned by 
Section 591.003, Health and Safety Code.
		(5)  "Residential care facility" has the meaning 
assigned by Section 591.003, Health and Safety Code.
	Art. 46C.002.  MAXIMUM PERIOD OF COMMITMENT DETERMINED BY 
MAXIMUM TERM FOR OFFENSE.  (a)  A person acquitted by reason of 
insanity may not be committed to a mental hospital or other 
inpatient or residential care facility or ordered to receive 
outpatient or community-based treatment and supervision under 
Subchapter F for a cumulative period that exceeds the maximum term 
provided by law for the offense for which the acquitted person was 
tried.
	(b)  On expiration of that maximum term, the acquitted person 
may be further confined in a mental hospital or other inpatient or 
residential care facility or ordered to receive outpatient or 
community-based treatment and supervision only under civil 
commitment proceedings.
[Articles 46C.003-46C.050 reserved for expansion]
SUBCHAPTER B.  RAISING THE INSANITY DEFENSE
	Art. 46C.051.  NOTICE OF INTENT TO RAISE INSANITY DEFENSE.  
(a)  A defendant planning to offer evidence of the insanity defense 
must file with the court a notice of the defendant's intention to 
offer that evidence.
	(b)  The notice must:                                                   
		(1)  contain a certification that a copy of the notice 
has been served on the attorney representing the state; and
		(2)  be filed at least 20 days before the date the case 
is set for trial, except as described by Subsection (c).
	(c)  If before the 20-day period the court sets a pretrial 
hearing, the defendant shall give notice at the hearing.
	Art. 46C.052.  EFFECT OF FAILURE TO GIVE NOTICE.  Unless 
notice is timely filed under Article 46C.051, evidence on the 
insanity defense is not admissible unless the court finds that good 
cause exists for failure to give notice.
[Articles 46C.053-46C.100 reserved for expansion]
SUBCHAPTER C.  COURT-ORDERED EXAMINATION AND REPORT
	Art. 46C.101.  APPOINTMENT OF EXPERTS.  (a)  If notice of 
intention to raise the insanity defense is filed under Article 
46C.051, the court may, on its own motion or motion by the 
defendant, the defendant's counsel, or the attorney representing 
the state, appoint one or more disinterested experts to:
		(1)  examine the defendant with regard to the insanity 
defense; and  
		(2)  testify as to the issue of insanity at any trial or 
hearing involving that issue.
	(b)  The court shall advise an expert appointed under this 
article of the facts and circumstances of the offense with which the 
defendant is charged and the elements of the insanity defense.
	Art. 46C.102.  EXPERTS:  QUALIFICATIONS.  (a)  The court may 
appoint qualified psychiatrists or psychologists as experts under 
this chapter.  To qualify for appointment under this subchapter as 
an expert, a psychiatrist or psychologist must:
		(1)  as appropriate, be a physician licensed in this 
state or be a psychologist licensed in this state who has a doctoral 
degree in psychology; and
		(2)  have the following certification or experience or 
training:     
			(A)  as appropriate, certification by:                                
				(i)  the American Board of Psychiatry and 
Neurology with added or special qualifications in forensic 
psychiatry; or
				(ii)  the American Board of Professional 
Psychology in forensic psychology; or
			(B)  experience or training consisting of:                            
				(i)  at least 24 hours of specialized 
forensic training relating to incompetency or insanity 
evaluations;
				(ii)  at least five years of experience in 
performing criminal forensic evaluations for courts; and
				(iii)  eight or more hours of continuing 
education relating to forensic evaluations, completed in the 12 
months preceding the appointment and documented with the court.
	(b)  In addition to meeting qualifications required by 
Subsection (a), to be appointed as an expert a psychiatrist or 
psychologist must have completed six hours of required continuing 
education in courses in forensic psychiatry or psychology, as 
appropriate, in the 24 months preceding the appointment.
	(c)  A court may appoint as an expert a psychiatrist or 
psychologist who does not meet the requirements of Subsections (a) 
and (b) only if exigent circumstances require the court to base the 
appointment on professional training or experience of the expert 
that directly provides the expert with a specialized expertise to 
examine the defendant that would not ordinarily be possessed by a 
psychiatrist or psychologist who meets the requirements of 
Subsections (a) and (b).
	Art. 46C.103.  COMPETENCY TO STAND TRIAL:  CONCURRENT 
APPOINTMENT.  (a)  An expert appointed under this subchapter to 
examine the defendant with regard to the insanity defense also may 
be appointed by the court to examine the defendant with regard to 
the defendant's competency to stand trial under Chapter 46B, if the 
expert files with the court separate written reports concerning the 
defendant's competency to stand trial and the insanity defense.
	(b)  Notwithstanding Subsection (a), an expert may not 
examine the defendant for purposes of determining the defendant's 
sanity and may not file a report regarding the defendant's sanity if 
in the opinion of the expert the defendant is incompetent to 
proceed.
	Art. 46C.104.  ORDER COMPELLING DEFENDANT TO SUBMIT TO 
EXAMINATION.  (a)  For the purposes described by this chapter, the 
court may order any defendant to submit to examination, including a 
defendant who is free on bail.  If the defendant fails or refuses to 
submit to examination, the court may order the defendant to custody 
for examination for a reasonable period not to exceed 21 days.  
Custody ordered by the court under this subsection may include 
custody at a facility operated by the department.
	(b)  If a defendant who has been ordered to a facility 
operated by the department for examination remains in the facility 
for a period that exceeds 21 days, the head of that facility shall 
cause the defendant to be immediately transported to the committing 
court and placed in the custody of the sheriff of the county in 
which the committing court is located.  That county shall reimburse 
the facility for the mileage and per diem expenses of the personnel 
required to transport the defendant, calculated in accordance with 
the state travel rules in effect at that time.
	(c)  The court may not order a defendant to a facility 
operated by the department for examination without the consent of 
the head of that facility.
	Art. 46C.105.  REPORTS SUBMITTED BY EXPERTS.  (a)  A written 
report of the examination shall be submitted to the court not later 
than the 30th day after the date of the order of examination.  The 
court shall provide copies of the report to the defense counsel and 
the attorney representing the state.
	(b)  The report must include a description of the procedures 
used in the examination and the examiner's observations and 
findings pertaining to the insanity defense.
	(c)  The examiner shall submit a separate report stating the 
examiner's observations and findings concerning:
		(1)  whether the defendant is presently a person with a 
mental illness and requires court-ordered mental health services 
under Subtitle C, Title 7, Health and Safety Code; or
		(2)  whether the defendant is presently a person with 
mental retardation.
	Art. 46C.106.  COMPENSATION OF EXPERTS.  (a)  The appointed 
experts shall be paid by the county in which the indictment was 
returned or information was filed.
	(b)  The county in which the indictment was returned or 
information was filed shall reimburse a facility operated by the 
department that accepts a defendant for examination under this 
subchapter for expenses incurred that are determined by the 
department to be reasonably necessary and incidental to the proper 
examination of the defendant.
	Art. 46C.107.  EXAMINATION BY EXPERT OF DEFENDANT'S CHOICE.  
If a defendant wishes to be examined by an expert of the defendant's 
own choice, the court on timely request shall provide the examiner 
with reasonable opportunity to examine the defendant.
[Articles 46C.108-46C.150 reserved for expansion]
SUBCHAPTER D.  DETERMINATION OF ISSUE OF DEFENDANT'S SANITY
	Art. 46C.151.  DETERMINATION OF SANITY ISSUE BY JURY.  
(a)  In a case tried to a jury, the issue of the defendant's sanity 
shall be submitted to the jury only if the issue is supported by 
competent evidence.  The jury shall determine the issue.
	(b)  If the issue of the defendant's sanity is submitted to 
the jury, the jury shall determine and specify in the verdict 
whether the defendant is guilty, not guilty, or not guilty by reason 
of insanity.
	Art. 46C.152.  DETERMINATION OF SANITY ISSUE BY JUDGE.  
(a)  If a jury trial is waived and if the issue is supported by 
competent evidence, the judge as trier of fact shall determine the 
issue of the defendant's sanity.
	(b)  The parties may, with the consent of the judge, agree to 
have the judge determine the issue of the defendant's sanity on the 
basis of introduced or stipulated competent evidence, or both.
	(c)  If the judge determines the issue of the defendant's 
sanity, the judge shall enter a finding of guilty, not guilty, or 
not guilty by reason of insanity.
	Art. 46C.153.  GENERAL PROVISIONS RELATING TO DETERMINATION 
OF SANITY ISSUE BY JUDGE OR JURY.  (a)  The judge or jury shall 
determine that a defendant is not guilty by reason of insanity if:
		(1)  the prosecution has established beyond a 
reasonable doubt that the alleged conduct constituting the offense 
was committed; and
		(2)  the defense has established by a preponderance of 
the evidence that the defendant was insane at the time of the 
alleged conduct.
	(b)  The parties may, with the consent of the judge, agree to 
both:   
		(1)  dismissal of the indictment or information on the 
ground that the defendant was insane; and
		(2)  entry of a judgment of dismissal due to the 
defendant's insanity.
	(c)  An entry of judgment under Subsection (b)(2) has the 
same effect as a judgment stating that the defendant has been found 
not guilty by reason of insanity.
	Art. 46C.154.  INFORMING JURY REGARDING CONSEQUENCES OF 
ACQUITTAL.  The court, the attorney representing the state, or the 
attorney for the defendant may not inform a juror or a prospective 
juror of the consequences to the defendant if a verdict of not 
guilty by reason of insanity is returned.
	Art. 46C.155.  FINDING OF NOT GUILTY BY REASON OF INSANITY 
CONSIDERED ACQUITTAL.  (a)  Except as provided by Subsection (b), a 
defendant who is found not guilty by reason of insanity stands 
acquitted of the offense charged and may not be considered a person 
charged with an offense.
	(b)  A defendant who is found not guilty by reason of 
insanity is not considered to be acquitted for purposes of Chapter 
55.
	Art. 46C.156.  JUDGMENT.  (a)  In each case in which the 
insanity defense is raised, the judgment must reflect whether the 
defendant was found guilty, not guilty, or not guilty by reason of 
insanity.
	(b)  If the defendant was found not guilty by reason of 
insanity, the judgment must specify the offense of which the 
defendant was found not guilty.
	(c)  If the defendant was found not guilty by reason of 
insanity, the judgment must reflect the finding made under Article 
46C.157.
	Art. 46C.157.  DETERMINATION REGARDING DANGEROUS CONDUCT OF 
ACQUITTED PERSON.  If a defendant is found not guilty by reason of 
insanity, the court immediately shall determine whether the offense 
of which the person was acquitted involved conduct that:
		(1)  caused serious bodily injury to another person;                   
		(2)  placed another person in imminent danger of 
serious bodily injury; or
		(3)  consisted of a threat of serious bodily injury to 
another person through the use of a deadly weapon.
	Art. 46C.158.  CONTINUING JURISDICTION OF DANGEROUS 
ACQUITTED PERSON.  If the court finds that the offense of which the 
person was acquitted involved conduct that caused serious bodily 
injury to another person, placed another person in imminent danger 
of serious bodily injury, or consisted of a threat of serious bodily 
injury to another person through the use of a deadly weapon, the 
court retains jurisdiction over the acquitted person until either:
		(1)  the court discharges the person and terminates its 
jurisdiction under Article 46C.268; or
		(2)  the cumulative total period of 
institutionalization and outpatient or community-based treatment 
and supervision under the court's jurisdiction equals the maximum 
term provided by law for the offense of which the person was 
acquitted by reason of insanity and the court's jurisdiction is 
automatically terminated under Article 46C.269.
	Art. 46C.159.  PROCEEDINGS REGARDING NONDANGEROUS ACQUITTED 
PERSON.  If the court finds that the offense of which the person was 
acquitted did not involve conduct that caused serious bodily injury 
to another person, placed another person in imminent danger of 
serious bodily injury, or consisted of a threat of serious bodily 
injury to another person through the use of a deadly weapon, the 
court shall proceed under Subchapter E.
	Art. 46C.160.  DETENTION PENDING FURTHER PROCEEDINGS.  
(a)  On a determination by the judge or jury that the defendant is 
not guilty by reason of insanity, pending further proceedings under 
this chapter, the court may order the defendant detained in jail or 
any other suitable place for a period not to exceed 14 days.
	(b)  The court may order a defendant detained in a facility 
of the department or a facility of the Department of Aging and 
Disability Services under this article only with the consent of the 
head of the facility.
[Articles 46C.161-46C.200 reserved for expansion]
SUBCHAPTER E.  DISPOSITION FOLLOWING ACQUITTAL BY REASON OF 
INSANITY:  NO FINDING OF DANGEROUS CONDUCT
	Art. 46C.201.  DISPOSITION:  NONDANGEROUS CONDUCT.  (a)  If 
the court determines that the offense of which the person was 
acquitted did not involve conduct that caused serious bodily injury 
to another person, placed another person in imminent danger of 
serious bodily injury, or consisted of a threat of serious bodily 
injury to another person through the use of a deadly weapon, the 
court shall determine whether there is evidence to support a 
finding that the person is a person with a mental illness or with 
mental retardation.
	(b)  If the court determines that there is evidence to 
support a finding of mental illness or mental retardation, the 
court shall enter an order transferring the person to the 
appropriate court for civil commitment proceedings to determine 
whether the person should receive court-ordered mental health 
services under Subtitle C, Title 7, Health and Safety Code, or be 
committed to a residential care facility to receive mental 
retardation services under Subtitle D, Title 7, Health and Safety 
Code.  The court may also order the person:
		(1)  detained in jail or any other suitable place 
pending the prompt initiation and prosecution of appropriate civil 
proceedings by the attorney representing the state or other person 
designated by the court; or
		(2)  placed in the care of a responsible person on 
satisfactory security being given for the acquitted person's proper 
care and protection.
	Art. 46C.202.  DETENTION OR RELEASE.  (a)  Notwithstanding 
Article 46C.201(b), a person placed in a department facility or a 
facility of the Department of Aging and Disability Services pending 
civil hearing as described by that subsection may be detained only 
with the consent of the head of the facility and under an Order of 
Protective Custody issued under Subtitle C or D, Title 7, Health and 
Safety Code.
	(b)  If the court does not detain or place the person under 
Article 46C.201(b), the court shall release the person.
[Articles 46C.203-46C.250 reserved for expansion]
SUBCHAPTER F.  DISPOSITION FOLLOWING ACQUITTAL BY
REASON OF INSANITY:  FINDING OF DANGEROUS CONDUCT
	Art. 46C.251.  COMMITMENT FOR EVALUATION AND TREATMENT; 
REPORT.  (a)  The court shall order the acquitted person to be 
committed for evaluation of the person's present mental condition 
and for treatment to the maximum security unit of any facility 
designated by the department.  The period of commitment under this 
article may not exceed 30 days.
	(b)  The court shall order that:                                        
		(1)  a transcript of all medical testimony received in 
the criminal proceeding be prepared as soon as possible by the court 
reporter and the transcript be forwarded to the facility to which 
the acquitted person is committed; and
		(2)  the following information be forwarded to the 
facility and, as applicable, to the department or the Department of 
Aging and Disability Services:
			(A)  the complete name, race, and gender of the 
person;             
			(B)  any known identifying number of the person, 
including social security number, driver's license number, or state 
identification number;
			(C)  the person's date of birth; and                                  
			(D)  the offense of which the person was found not 
guilty by reason of insanity and a statement of the facts and 
circumstances surrounding the alleged offense.
	(c)  The court shall order that a report be filed with the 
court under Article 46C.252.
	(d)  To determine the proper disposition of the acquitted 
person, the court shall hold a hearing on disposition not later than 
the 30th day after the date of acquittal.
	Art. 46C.252.  REPORT AFTER EVALUATION.  (a)  The report 
ordered under Article 46C.251 must be filed with the court as soon 
as practicable before the hearing on disposition but not later than 
the fourth day before that hearing.
	(b)  The report in general terms must describe and explain 
the procedure, techniques, and tests used in the examination of the 
person.
	(c)  The report must address:                                           
		(1)  whether the acquitted person has a mental illness 
or mental retardation and, if so, whether the mental illness or 
mental retardation is severe;
		(2)  whether as a result of any severe mental illness or 
mental retardation the acquitted person is likely to cause serious 
harm to another;
		(3)  whether as a result of any impairment the 
acquitted person is subject to commitment under Subtitle C or D, 
Title 7, Health and Safety Code;
		(4)  prospective treatment and supervision options, if 
any, appropriate for the acquitted person; and
		(5)  whether any required treatment and supervision can 
be safely and effectively provided as outpatient or community-based 
treatment and supervision.
	Art. 46C.253.  HEARING ON DISPOSITION.  (a)  The hearing on 
disposition shall be conducted in the same manner as a hearing on an 
application for involuntary commitment under Subtitle C or D, Title 
7, Health and Safety Code, except that the use of a jury is governed 
by Article 46C.255.
	(b)  At the hearing, the court shall address:                           
		(1)  whether the person acquitted by reason of insanity 
has a severe mental illness or mental retardation;
		(2)  whether as a result of any mental illness or mental 
retardation the person is likely to cause serious harm to another; 
and
		(3)  whether appropriate treatment and supervision for 
any mental illness or mental retardation rendering the person 
dangerous to another can be safely and effectively provided as 
outpatient or community-based treatment and supervision.
	(c)  The court shall order the acquitted person committed for 
inpatient treatment or residential care under Article 46C.256 if 
the grounds required for that order are established.
	(d)  The court shall order the acquitted person to receive 
outpatient or community-based treatment and supervision under 
Article 46C.257 if the grounds required for that order are 
established.
	(e)  The court shall order the acquitted person transferred 
to an appropriate court for proceedings under Subtitle C or D, Title 
7, Health and Safety Code, if the state fails to establish the 
grounds required for an order under Article 46C.256 or 46C.257 but 
the evidence provides a reasonable basis for believing the 
acquitted person is a proper subject for those proceedings.
	(f)  The court shall order the acquitted person discharged 
and immediately released if the evidence fails to establish that 
disposition under Subsection (c), (d), or (e) is appropriate.
	Art. 46C.254.  EFFECT OF STABILIZATION ON TREATMENT REGIMEN.  
If an acquitted person is stabilized on a treatment regimen, 
including medication and other treatment modalities, rendering the 
person no longer likely to cause serious harm to another, inpatient 
treatment or residential care may be found necessary to protect the 
safety of others only if:
		(1)  the person would become likely to cause serious 
harm to another if the person fails to follow the treatment regimen 
on an Order to Receive Outpatient or Community-Based Treatment and 
Supervision; and
		(2)  under an Order to Receive Outpatient or 
Community-Based Treatment and Supervision either:
			(A)  the person is likely to fail to comply with an 
available regimen of outpatient or community-based treatment, as 
determined by the person's insight into the need for medication, 
the number, severity, and controllability of side effects, the 
availability of support and treatment programs for the person from 
community members, and other appropriate considerations; or
			(B)  a regimen of outpatient or community-based 
treatment will not be available to the person.
	Art. 46C.255.  TRIAL BY JURY.  (a)  The following 
proceedings under this chapter must be before the court, and the 
underlying matter determined by the court, unless the acquitted 
person or the state requests a jury trial or the court on its own 
motion sets the matter for jury trial:
		(1)  a hearing under Article 46C.253;                                  
		(2)  a proceeding for renewal of an order under Article 
46C.261;     
		(3)  a proceeding on a request for modification or 
revocation of an order under Article 46C.266; and
		(4)  a proceeding seeking discharge of an acquitted 
person under Article 46C.268.
	(b)  The following proceedings may not be held before a jury:           
		(1)  a proceeding to determine outpatient or 
community-based treatment and supervision under Article 46C.262; 
or
		(2)  a proceeding to determine modification or 
revocation of outpatient or community-based treatment and 
supervision under Article 46C.267.
	(c)  If a hearing is held before a jury and the jury 
determines that the person has a mental illness or mental 
retardation and is likely to cause serious harm to another, the 
court shall determine whether inpatient treatment or residential 
care is necessary to protect the safety of others.
	Art. 46C.256.  ORDER OF COMMITMENT TO INPATIENT TREATMENT OR 
RESIDENTIAL CARE.  (a)  The court shall order the acquitted person 
committed to a mental hospital or other appropriate facility for 
inpatient treatment or residential care if the state establishes by 
clear and convincing evidence that:
		(1)  the person has a severe mental illness or mental 
retardation;   
		(2)  the person, as a result of that mental illness or 
mental retardation, is likely to cause serious bodily injury to 
another if the person is not provided with treatment and 
supervision; and
		(3)  inpatient treatment or residential care is 
necessary to protect the safety of others.
	(b)  In determining whether inpatient treatment or 
residential care has been proved necessary, the court shall 
consider whether the evidence shows both that:
		(1)  an adequate regimen of outpatient or 
community-based treatment will be available to the person; and
		(2)  the person will follow that regimen.                              
	(c)  The order of commitment to inpatient treatment or 
residential care expires on the 181st day following the date the 
order is issued but is subject to renewal as provided by Article 
46C.261.
	Art. 46C.257.  ORDER TO RECEIVE OUTPATIENT OR 
COMMUNITY-BASED TREATMENT AND SUPERVISION.  (a)  The court shall 
order the acquitted person to receive outpatient or community-based 
treatment and supervision if:
		(1)  the state establishes by clear and convincing 
evidence that the person:
			(A)  has a severe mental illness or mental 
retardation; and         
			(B)  as a result of that mental illness or mental 
retardation is likely to cause serious bodily injury to another if 
the person is not provided with treatment and supervision; and
		(2)  the state fails to establish by clear and 
convincing evidence that inpatient treatment or residential care is 
necessary to protect the safety of others.
	(b)  The order of commitment to outpatient or 
community-based treatment and supervision expires on the first 
anniversary of the date the order is issued but is subject to 
renewal as provided by Article 46C.261.
	Art. 46C.258.  RESPONSIBILITY OF INPATIENT OR RESIDENTIAL 
CARE FACILITY.  (a)  The head of the facility to which an acquitted 
person is committed has, during the commitment period, a continuing 
responsibility to determine:
		(1)  whether the acquitted person continues to have a 
severe mental illness or mental retardation and is likely to cause 
serious harm to another because of any severe mental illness or 
mental retardation; and
		(2)  if so, whether treatment and supervision cannot be 
safely and effectively provided as outpatient or community-based 
treatment and supervision.
	(b)  The head of the facility must notify the committing 
court and seek modification of the order of commitment if the head 
of the facility determines that an acquitted person no longer has a 
severe mental illness or mental retardation, is no longer likely to 
cause serious harm to another, or that treatment and supervision 
can be safely and effectively provided as outpatient or 
community-based treatment and supervision.
	(c)  Not later than the 60th day before the date of 
expiration of the order, the head of the facility shall transmit to 
the committing court a psychological evaluation of the acquitted 
person, a certificate of medical examination of the person, and any 
recommendation for further treatment of the person.  The committing 
court shall make the documents available to the attorneys 
representing the state and the acquitted person.
	Art. 46C.259.  STATUS OF COMMITTED PERSON.  If an acquitted 
person is committed under this subchapter, the person's status as a 
patient or resident is governed by Subtitle C or D, Title 7, Health 
and Safety Code, except that:
		(1)  transfer to a nonsecure unit is governed by 
Article 46C.260;    
		(2)  modification of the order to direct outpatient or 
community-based treatment and supervision is governed by Article 
46C.262; and
		(3)  discharge is governed by Article 46C.268.                         
	Art. 46C.260.  TRANSFER OF COMMITTED PERSON TO NONSECURE 
FACILITY.  (a)  A person committed to a facility under this 
subchapter shall be committed to the maximum security unit of any 
facility designated by the department.
	(b)  A person committed under this subchapter shall be 
transferred to the maximum security unit immediately on the entry 
of the order of commitment.
	(c)  Unless the person is determined to be manifestly 
dangerous by a review board within the department, not later than 
the 60th day following the date of the person's arrival at the 
maximum security unit the person shall be transferred to a 
nonsecure unit of a facility designated by the department or the 
Department of Aging and Disability Services, as appropriate.
	(d)  The commissioner shall appoint a review board of five 
members, including one psychiatrist licensed to practice medicine 
in this state and two persons who work directly with persons with 
mental illnesses or with mental retardation, to determine whether 
the person is manifestly dangerous and, as a result of the danger 
the person presents, requires continued placement in a maximum 
security unit.
	(e)  If the head of the facility at which the maximum 
security unit is located disagrees with the determination, then the 
matter shall be referred to the commissioner.  The commissioner 
shall decide whether the person is manifestly dangerous.
	Art. 46C.261.  RENEWAL OF ORDERS FOR INPATIENT COMMITMENT OR 
OUTPATIENT OR COMMUNITY-BASED TREATMENT AND SUPERVISION.  (a)  A 
court that orders an acquitted person committed to inpatient 
treatment or orders outpatient or community-based treatment and 
supervision annually shall determine whether to renew the order.
	(b)  Not later than the 30th day before the date an order is 
scheduled to expire, the institution to which a person is 
committed, the person responsible for providing outpatient or 
community-based treatment and supervision, or the attorney 
representing the state may file a request that the order be renewed.  
The request must explain in detail the reasons why the person 
requests renewal under this article.  A request to renew an order 
committing the person to inpatient treatment must also explain in 
detail why outpatient or community-based treatment and supervision 
is not appropriate.
	(c)  The request for renewal must be accompanied by a 
certificate of medical examination for mental illness signed by a 
physician who examined the person during the 30-day period 
preceding the date on which the request is filed.
	(d)  On the filing of a request for renewal under this 
article, the court shall:
		(1)  set the matter for a hearing; and                                 
		(2)  appoint an attorney to represent the person.                      
	(e)  The court shall act on the request for renewal before 
the order expires.
	(f)  If a hearing is held, the person may be transferred from 
the facility to which the acquitted person was committed to a jail 
for purposes of participating in the hearing only if necessary but 
not earlier than 72 hours before the hearing begins.  If the order 
is renewed, the person shall be transferred back to the facility 
immediately on renewal of the order.
	(g)  If no objection is made, the court may admit into 
evidence the certificate of medical examination for mental illness.  
Admitted certificates constitute competent medical or psychiatric 
testimony, and the court may make its findings solely from the 
certificate and the detailed request for renewal.
	(h)  A court shall renew the order only if the court finds 
that the party who requested the renewal has established by clear 
and convincing evidence that continued mandatory supervision and 
treatment are appropriate.  A renewed order authorizes continued 
inpatient commitment or outpatient or community-based treatment 
and supervision for not more than one year.
	(i)  The court, on application for renewal of an order for 
inpatient or residential care services, may modify the order to 
provide for outpatient or community-based treatment and 
supervision if the court finds the acquitted person has established 
by a preponderance of the evidence that treatment and supervision 
can be safely and effectively provided as outpatient or 
community-based treatment and supervision.
	Art. 46C.262.  COURT-ORDERED OUTPATIENT OR COMMUNITY-BASED 
TREATMENT AND SUPERVISION AFTER INPATIENT COMMITMENT.  (a)  An 
acquitted person, the head of the facility to which the acquitted 
person is committed, or the attorney representing the state may 
request that the court modify an order for inpatient treatment or 
residential care to order outpatient or community-based treatment 
and supervision.
	(b)  The court shall hold a hearing on a request made by the 
head of the facility to which the acquitted person is committed.  A 
hearing under this subsection must be held not later than the 14th 
day after the date of the request.
	(c)  If a request is made by an acquitted person or the 
attorney representing the state, the court must act on the request 
not later than the 14th day after the date of the request.  A hearing 
under this subsection is at the discretion of the court, except that 
the court shall hold a hearing if the request and any accompanying 
material provide a basis for believing modification of the order 
may be appropriate.
	(d)  If a request is made by an acquitted person not later 
than the 90th day after the date of a hearing on a previous request, 
the court is not required to act on the request except on the 
expiration of the order or on the expiration of the 90-day period 
following the date of the hearing on the previous request.
	(e)  The court shall rule on the request during or as soon as 
practicable after any hearing on the request but not later than the 
14th day after the date of the request.
	(f)  The court shall modify the commitment order to direct 
outpatient or community-based treatment and supervision if at the 
hearing the acquitted person establishes by a preponderance of the 
evidence that treatment and supervision can be safely and 
effectively provided as outpatient or community-based treatment 
and supervision.
	Art. 46C.263.  COURT-ORDERED OUTPATIENT OR COMMUNITY-BASED 
TREATMENT AND SUPERVISION.  (a)  The court may order an acquitted 
person to participate in an outpatient or community-based regimen 
of treatment and supervision:
		(1)  as an initial matter under Article 46C.253;                       
		(2)  on renewal of an order of commitment under Article 
46C.261; or  
		(3)  after a period of inpatient treatment or 
residential care under Article 46C.262.
	(b)  An acquitted person may be ordered to participate in an 
outpatient or community-based regimen of treatment and supervision 
only if:
		(1)  the court receives and approves an outpatient or 
community-based treatment plan that comprehensively provides for 
the outpatient or community-based treatment and supervision; and
		(2)  the court finds that the outpatient or 
community-based treatment and supervision provided for by the plan 
will be available to and provided to the acquitted person.
	(c)  The order may require the person to participate in a 
prescribed regimen of medical, psychiatric, or psychological care 
or treatment, and the regimen may include treatment with 
psychoactive medication.
	(d)  The court may order that supervision of the acquitted 
person be provided by the appropriate community supervision and 
corrections department or the facility administrator of a community 
center that provides mental health or mental retardation services.
	(e)  The court may order the acquitted person to participate 
in a supervision program funded by the Texas Correctional Office on 
Offenders with Medical or Mental Impairments.
	(f)  An order under this article must identify the person 
responsible for administering an ordered regimen of outpatient or 
community-based treatment and supervision.
	(g)  In determining whether an acquitted person should be 
ordered to receive outpatient or community-based treatment and 
supervision rather than inpatient care or residential treatment, 
the court shall have as its primary concern the protection of 
society.
	Art. 46C.264.  LOCATION OF COURT-ORDERED OUTPATIENT OR 
COMMUNITY-BASED TREATMENT AND SUPERVISION.  (a)  The court may 
order the outpatient or community-based treatment and supervision 
to be provided in any appropriate county where the necessary 
resources are available.
	(b)  This article does not supersede any requirement under 
the other provisions of this subchapter to obtain the consent of a 
treatment and supervision provider to administer the court-ordered 
outpatient or community-based treatment and supervision.
	Art. 46C.265.  SUPERVISORY RESPONSIBILITY FOR OUTPATIENT OR 
COMMUNITY-BASED TREATMENT AND SUPERVISION.  (a)  The person 
responsible for administering a regimen of outpatient or 
community-based treatment and supervision shall:
		(1)  monitor the condition of the acquitted person; and                
		(2)  determine whether the acquitted person is 
complying with the regimen of treatment and supervision.
	(b)  The person responsible for administering a regimen of 
outpatient or community-based treatment and supervision shall 
notify the court ordering that treatment and supervision and the 
attorney representing the state if the person:
		(1)  fails to comply with the regimen; and                             
		(2)  becomes likely to cause serious harm to another.                  
	Art. 46C.266.  MODIFICATION OR REVOCATION OF ORDER FOR 
OUTPATIENT OR COMMUNITY-BASED TREATMENT AND SUPERVISION.  (a)  The 
court, on its own motion or the motion of any interested person and 
after notice to the acquitted person and a hearing, may modify or 
revoke court-ordered outpatient or community-based treatment and 
supervision.
	(b)  At the hearing, the court without a jury shall determine 
whether the state has established clear and convincing evidence 
that:
		(1)  the acquitted person failed to comply with the 
regimen in a manner or under circumstances indicating the person 
will become likely to cause serious harm to another if the person is 
provided continued outpatient or community-based treatment and 
supervision; or
		(2)  the acquitted person has become likely to cause 
serious harm to another if provided continued outpatient or 
community-based treatment and supervision.
	(c)  On a determination under Subsection (b), the court may 
take any appropriate action, including:
		(1)  revoking court-ordered outpatient or 
community-based treatment and supervision and ordering the person 
committed for inpatient or residential care; or
		(2)  imposing additional or more stringent terms on 
continued outpatient or community-based treatment.
	(d)  An acquitted person who is the subject of a proceeding 
under this article is entitled to representation by counsel in the 
proceeding.
	(e)  The court shall set a date for a hearing under this 
article that is not later than the seventh day after the applicable 
motion was filed.  The court may grant one or more continuances of 
the hearing on the motion of a party or of the court and for good 
cause shown.
	Art. 46C.267.  DETENTION PENDING PROCEEDINGS TO MODIFY OR 
REVOKE ORDER FOR OUTPATIENT OR COMMUNITY-BASED TREATMENT AND 
SUPERVISION.  (a)  The state or the head of the facility or other 
person responsible for administering a regimen of outpatient or 
community-based treatment and supervision may file a sworn 
application with the court for the detention of an acquitted person 
receiving court-ordered outpatient or community-based treatment 
and supervision.  The application must state that the person meets 
the criteria of Article 46C.266 and provide a detailed explanation 
of that statement.
	(b)  If the court determines that the application 
establishes probable cause to believe the order for outpatient or 
community-based treatment and supervision should be revoked, the 
court shall issue an order to an on-duty peace officer authorizing 
the acquitted person to be taken into custody and brought before the 
court.
	(c)  An acquitted person taken into custody under an order of 
detention shall be brought before the court without unnecessary 
delay.
	(d)  When an acquitted person is brought before the court, 
the court shall determine whether there is probable cause to 
believe that the order for outpatient or community-based treatment 
and supervision should be revoked.  On a finding that probable cause 
for revocation exists, the court shall order the person held in 
protective custody pending a determination of whether the order 
should be revoked.
	(e)  An acquitted person may be detained under an order for 
protective custody for a period not to exceed 72 hours, excluding 
Saturdays, Sundays, legal holidays, and the period prescribed by 
Section 574.025(b), Health and Safety Code, for an extreme 
emergency.
	(f)  This subchapter does not affect the power of a peace 
officer to take an acquitted person into custody under Section 
573.001, Health and Safety Code.
	Art. 46C.268.  ADVANCE DISCHARGE OF ACQUITTED PERSON AND 
TERMINATION OF JURISDICTION.  (a)  An acquitted person, the head of 
the facility to which the acquitted person is committed, the person 
responsible for providing the outpatient or community-based 
treatment and supervision, or the state may request that the court 
discharge an acquitted person from inpatient commitment or 
outpatient or community-based treatment and supervision.
	(b)  Not later than the 14th day after the date of the 
request, the court shall hold a hearing on a request made by the 
head of the facility to which the acquitted person is committed or 
the person responsible for providing the outpatient or 
community-based treatment and supervision.
	(c)  If a request is made by an acquitted person, the court 
must act on the request not later than the 14th day after the date of 
the request.  A hearing under this subsection is at the discretion 
of the court, except that the court shall hold a hearing if the 
request and any accompanying material indicate that modification of 
the order may be appropriate.
	(d)  If a request is made by an acquitted person not later 
than the 90th day after the date of a hearing on a previous request, 
the court is not required to act on the request except on the 
expiration of the order or on the expiration of the 90-day period 
following the date of the hearing on the previous request.
	(e)  The court shall rule on the request during or shortly 
after any hearing that is held and in any case not later than the 
14th day after the date of the request.
	(f)  The court shall discharge the acquitted person from all 
court-ordered commitment and treatment and supervision and 
terminate the court's jurisdiction over the person if the court 
finds that the acquitted person has established by a preponderance 
of the evidence that:
		(1)  the acquitted person does not have a severe mental 
illness or mental retardation; or
		(2)  the acquitted person is not likely to cause 
serious harm to another because of any severe mental illness or 
mental retardation.
	Art. 46C.269.  TERMINATION OF COURT'S JURISDICTION.  
(a)  The jurisdiction of the court over a person covered by this 
subchapter automatically terminates on the date when the cumulative 
total period of institutionalization and outpatient or 
community-based treatment and supervision imposed under this 
subchapter equals the maximum term of imprisonment provided by law 
for the offense of which the person was acquitted by reason of 
insanity.
	(b)  On the termination of the court's jurisdiction under 
this article, the person must be discharged from any inpatient 
treatment or residential care or outpatient or community-based 
treatment and supervision ordered under this subchapter.
	(c)  An inpatient or residential care facility to which a 
person has been committed under this subchapter or a person 
responsible for administering a regimen of outpatient or 
community-based treatment and supervision under this subchapter 
must notify the court not later than the 30th day before the court's 
jurisdiction over the person ends under this article.
	(d)  This subchapter does not affect whether a person may be 
ordered to receive care or treatment under Subtitle C or D, Title 7, 
Health and Safety Code.
	Art. 46C.270.  APPEALS.  (a)  An acquitted person may appeal 
a judgment reflecting an acquittal by reason of insanity on the 
basis of the following:
		(1)  a finding that the acquitted person committed the 
offense; or   
		(2)  a finding that the offense on which the 
prosecution was based involved conduct that:
			(A)  caused serious bodily injury to another 
person;                
			(B)  placed another person in imminent danger of 
serious bodily injury; or
			(C)  consisted of a threat of serious bodily 
injury to another person through the use of a deadly weapon.
	(b)  Either the acquitted person or the state may appeal 
from:        
		(1)  an Order of Commitment to Inpatient Treatment or 
Residential Care entered under Article 46C.256;
		(2)  an Order to Receive Outpatient or Community-Based 
Treatment and Supervision entered under Article 46C.257 or 46C.262;
		(3)  an order renewing or refusing to renew an Order for 
Inpatient Commitment or Outpatient or Community-Based Treatment 
and Supervision entered under Article 46C.261;
		(4)  an order modifying or revoking an Order for 
Outpatient or Community-Based Treatment and Supervision entered 
under Article 46C.266 or refusing a request to modify or revoke that 
order; or
		(5)  an order discharging an acquitted person under 
Article 46C.268 or denying a request for discharge of an acquitted 
person.
	(c)  An appeal under this subchapter may not be considered 
moot solely due to the expiration of an order on which the appeal is 
based.
	SECTION 3.  Subchapter A, Chapter 533, Health and Safety 
Code, is amended by adding Section 533.0095 to read as follows:
	Sec. 533.0095.  COLLECTION AND MAINTENANCE OF INFORMATION 
REGARDING PERSONS FOUND NOT GUILTY BY REASON OF INSANITY.  (a)  The 
executive commissioner of the Health and Human Services Commission 
by rule shall require the department to collect information and 
maintain current records regarding a person found not guilty of an 
offense by reason of insanity under Chapter 46C, Code of Criminal 
Procedure, who is:
		(1)  ordered by a court to receive inpatient mental 
health services under Chapter 574 or under Chapter 46C, Code of 
Criminal Procedure;
		(2)  committed by a court for long-term placement in a 
residential care facility under Chapter 593 or under Chapter 46C, 
Code of Criminal Procedure; or
		(3)  ordered by a court to receive outpatient or 
community-based treatment and supervision.
	(b)  Information maintained by the department under this 
section must include the name and address of any facility to which 
the person is committed, the length of the person's commitment to 
the facility, and any post-release outcome.
	(c)  The department shall file annually with the presiding 
officer of each house of the legislature a written report 
containing the name of each person described by Subsection (a), the 
name and address of any facility to which the person is committed, 
the length of the person's commitment to the facility, and any 
post-release outcome.
	SECTION 4.  Subsection (a), Section 576.025, Health and 
Safety Code, is amended to read as follows:
	(a)  A person may not administer a psychoactive medication to 
a patient receiving voluntary or involuntary mental health services 
who refuses the administration unless:
		(1)  the patient is having a medication-related 
emergency;                  
		(2)  the patient is younger than 16 years of age and the 
patient's parent, managing conservator, or guardian consents to the 
administration on behalf of the patient;
		(3)  the refusing patient's representative authorized 
by law to consent on behalf of the patient has consented to the 
administration;
		(4)  the administration of the medication regardless of 
the patient's refusal is authorized by an order issued under 
Section 574.106; or
		(5)  the patient is receiving court-ordered mental 
health services authorized by an order issued under:
			(A)  Chapter 46B or 46C [Article 46.03], Code of 
Criminal Procedure; or
			(B)  Chapter 55, Family Code.                                                
	SECTION 5.  The change in law made by this Act applies only 
to an offense committed on or after the effective date of this Act.  
An offense committed before the effective date of this Act is 
covered by the law in effect when the offense was committed, and the 
former law is continued in effect for that purpose.  For purposes of 
this section, an offense was committed before the effective date of 
this Act if any element of the offense was committed before that 
date.
	SECTION 6.  This Act takes effect September 1, 2005.                           
                                                                              
______________________________    ______________________________
President of the Senate             Speaker of the House
	I hereby certify that S.B. No. 837 passed the Senate on 
May 5, 2005, by the following vote:  Yeas 29, Nays 0; and that the 
Senate concurred in House amendments on May 27, 2005, by the 
following vote:  Yeas 29, Nays 0.
______________________________ 
   Secretary of the Senate             
	I hereby certify that S.B. No. 837 passed the House, with 
amendments, on May 25, 2005, by a non-record vote.
______________________________ 
   Chief Clerk of the House            
Approved:
______________________________ 
            Date
______________________________ 
          Governor