LEGISLATIVE BUDGET BOARD

Austin, Texas

FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION

April 20, 2009

TO:	Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health
FROM:	John S. O'Brien, Director, Legislative Budget Board
IN RE:	HB1233 by Menendez (Relating to the court-ordered administration of psychoactive medication to certain criminal defendants.), As Introduced

No fiscal implication to the State is anticipated.

The bill would amend Section 574.106 of the Health and Safety Code to authorize a court to issue an order authorizing the administration of one or more classes of psychoactive medications to a patient who is under a court order to receive outpatient mental health services if the patient has been either released on bail after being found to be incompetent to stand trial or is in custody awaiting trial in a criminal proceeding and is ordered to receive outpatient mental health services.

The bill would amend Section 574.107 of the Health and Safety Code to include in required costs to be paid by the county in which applicable criminal charges are pending or were adjudicated, the costs of a competency hearing held to evaluate the court-ordered administration of psychoactive medication to a patient ordered to receive mental health services, whether inpatient or not. Under current statute, the requirement applies only to inpatient mental health services.

The bill would amend Article 46B.086, Code of Criminal Procedure, to authorize actions for obtaining a court-order to require a person to take psychoactive medications if the person has been determined incompetent to stand trial and is confined in a correctional facility while awaiting transfer to an inpatient mental health facility or a residential care facility, or who has been released on bail to an outpatient treatment program, and a continuity of care plan for that person requires they take psychoactive medications.

Although the Department of State Health Services (DSHS) assumes the provisions of the bill could decrease the number of "incompetent to stand trial" patients who are returned to DSHS mental health facilities, the agency does not anticipate a direct fiscal impact.

Local Government Impact

No fiscal implications to units of local government are anticipated unless a local government entity would be responsible for costs of the required court-ordered outpatient mental health services.

Source Agencies:

537 State Health Services, Department of

LBB Staff:

JOB, CL, DB