82R4044 KEL-F
 
  By: Hartnett H.B. No. 2725
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the determination of incompetency in criminal cases.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Article 46B.001, Code of Criminal Procedure, is
  amended by adding Subdivision (1-a) to read as follows:
               (1-a) "Developmental disability" has the meaning
  assigned by Section 112.001, Human Resources Code.
         SECTION 2.  Article 46B.0095, Code of Criminal Procedure, is
  amended to read as follows:
         Art. 46B.0095.  MAXIMUM PERIOD OF [FACILITY] COMMITMENT OR
  OUTPATIENT TREATMENT PROGRAM PARTICIPATION DETERMINED BY MAXIMUM
  TERM FOR OFFENSE. (a) A defendant may not, under Subchapter D or E
  or any other provision of this chapter, be committed to a mental
  hospital or other inpatient or residential facility, ordered to
  participate in an outpatient treatment program, or subjected to
  both inpatient and outpatient treatment for a cumulative period
  that exceeds the maximum term provided by law for the offense for
  which the defendant was to be tried, except that if the defendant is
  charged with a misdemeanor and has been ordered only to participate
  in an outpatient treatment program under Subchapter D or E, the
  maximum period of restoration is two years [beginning on the date of
  the initial order for outpatient treatment program participation
  was entered].
         (b)  On expiration of the maximum restoration period under
  Subsection (a), the defendant may be confined for an additional
  period in a mental hospital or other inpatient or residential
  facility or ordered to participate for an additional period in an
  outpatient treatment program, as appropriate, only pursuant to
  civil [commitment] proceedings under Subtitle C or D, Title 7,
  Health and Safety Code.
         (c)  The cumulative period described by Subsection (a):
               (1)  begins on the date the initial order of commitment
  or initial order for outpatient treatment program participation is
  entered under this chapter; and
               (2)  includes any time that, following the entry of an
  order described by Subdivision (1), the defendant is confined in a
  correctional facility, as defined by Section 1.07, Penal Code,
  while awaiting:
                     (A)  transfer to a mental hospital or other
  inpatient or residential facility;
                     (B)  release on bail to participate in an
  outpatient treatment program; or
                     (C)  a criminal trial following any temporary
  restoration of the defendant's competency to stand trial.
         SECTION 3.  Article 46B.022(a), Code of Criminal Procedure,
  is amended to read as follows:
         (a)  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)     for an appointment made before
  January 1, 2005, at least five years of experience before January 1,
  2004, in performing criminal forensic evaluations for courts; or
                           [(iii)     for an appointment made on or after
  January 1, 2005, at least five years of experience before January 1,
  2004, in performing criminal forensic evaluations for courts and
  eight or more hours of continuing education relating to forensic
  evaluations, completed in the 12 months preceding the appointment
  and documented with the court].
         SECTION 4.  Article 46B.024, Code of Criminal Procedure, is
  amended to read as follows:
         Art. 46B.024.  FACTORS CONSIDERED IN EXAMINATION. During an
  examination under this subchapter and in any report based on that
  examination, an expert shall consider, in addition to other issues
  determined relevant by the expert, the following:
               (1)  the capacity of the defendant during criminal
  proceedings to:
                     (A)  rationally understand the charges against
  the defendant and the potential consequences of the pending
  criminal proceedings;
                     (B)  disclose to counsel pertinent facts, events,
  and states of mind;
                     (C)  engage in a reasoned choice of legal
  strategies and options;
                     (D)  understand the adversarial nature of
  criminal proceedings;
                     (E)  exhibit appropriate courtroom behavior; and
                     (F)  testify;
               (2)  as supported by current indications or the
  defendant's personal history, whether the defendant:
                     (A)  has a [diagnosable] mental illness;
                     (B)  [or] is a person with mental retardation or
  other developmental disability; or
                     (C)  has any other medical condition that
  significantly limits the defendant's cognitive functioning;
               (3)  whether the identified condition has lasted or is
  expected to last continuously for at least one year;
               (4)  the degree of impairment resulting from [impact
  of] the mental illness, [or] mental retardation or other
  developmental disability, or other cognitive impairment, if
  existent, and the specific impact on the defendant's capacity to
  engage with counsel in a reasonable and rational manner; and
               (5) [(4)]  if the defendant is taking psychoactive or
  other medication:
                     (A)  whether the medication is necessary to
  maintain the defendant's competency; and
                     (B)  the effect, if any, of the medication on the
  defendant's appearance, demeanor, or ability to participate in the
  proceedings.
         SECTION 5.  Articles 46B.025(a) and (b), Code of Criminal
  Procedure, are amended to read as follows:
         (a)  An expert's report to the court must state an opinion on
  a defendant's competency or incompetency to stand trial or explain
  why the expert is unable to state such an opinion and must also:
               (1)  identify and address specific issues referred to
  the expert for evaluation;
               (2)  document that the expert explained to the
  defendant the purpose of the evaluation, the persons to whom a
  report on the evaluation is provided, and the limits on rules of
  confidentiality applying to the relationship between the expert and
  the defendant;
               (3)  in specific [general] terms, describe procedures,
  techniques, and tests used in the examination, [and] the purpose of
  each procedure, technique, or test, and the conclusions reached;
  and
               (4)  state the expert's clinical observations,
  findings, and opinions on each specific issue referred to the
  expert by the court, state the specific criteria supporting the
  expert's diagnosis, and state specifically any issues on which the
  expert could not provide an opinion.
         (b)  If in the opinion of an expert appointed under Article
  46B.021 the defendant is incompetent to proceed, the expert shall
  state in the report:
               (1)  the symptoms, exact nature, severity, and expected
  duration of the deficits resulting from the defendant's mental
  illness, [or] mental retardation or other developmental
  disability, or other cognitive impairment, if any, and the [that]
  impact of the identified condition on the factors listed in Article
  46B.024[, contributing to the defendant's incompetency]; [and]
               (2)  an estimate of the period needed to restore the
  defendant's competency, including whether the defendant is likely
  to be restored to competency in the foreseeable future; and
               (3)  prospective treatment options and the least
  restrictive setting in which treatment may be delivered, as [, if
  any,] appropriate for the defendant.
         SECTION 6.  Article 46B.071, Code of Criminal Procedure, is
  amended to read as follows:
         Art. 46B.071.  OPTIONS ON DETERMINATION OF INCOMPETENCY.
  (a) Except as provided by Subsection (b), on [On] a determination
  that a defendant is incompetent to stand trial, the court shall:
               (1)  commit the defendant to a facility under Article
  46B.073; or
               (2)  release the defendant on bail under Article
  46B.072.
         (b)  On a determination that a defendant is incompetent to
  stand trial and is unlikely to be restored to competency in the
  foreseeable future, the court shall:
               (1)  proceed under Subchapter E or F; or
               (2)  take other action authorized by law.
         SECTION 7.  Article 46B.072, Code of Criminal Procedure, is
  amended by amending Subsections (a), (b), and (c) and adding
  Subsection (a-1) to read as follows:
         (a)  This article applies only to a defendant who is subject
  to an initial restoration period based on Article 46B.071.
         (a-1)  Subject to conditions reasonably related to assuring
  public safety and the effectiveness of the defendant's treatment,
  if the court determines that a defendant found incompetent to stand
  trial is not a danger to others and may be safely treated on an
  outpatient basis with the specific objective of attaining
  competency to stand trial and if an appropriate outpatient
  treatment program is available for the defendant, the court:
               (1)  may release on bail a defendant found incompetent
  to stand trial with respect to a felony or may continue the
  defendant's release on bail; and
               (2)  shall release on bail a defendant found
  incompetent to stand trial with respect to a misdemeanor or shall
  continue the defendant's release on bail.
         (b)  The court shall order a defendant released on bail under
  Subsection (a-1) [(a)] to participate in an outpatient treatment
  program for a period not to exceed 60 [120] days.
         (c)  Notwithstanding Subsection (a-1) [(a)], the court may
  order a defendant to participate in an outpatient treatment program
  under this article only if:
               (1)  the court receives and approves a comprehensive
  plan that:
                     (A)  provides for the treatment of the defendant
  for purposes of competency restoration; and
                     (B)  identifies the person who will be responsible
  for providing that treatment to the defendant; and
               (2)  the court finds that the treatment proposed by the
  plan will be available to and will be provided to the defendant.
         SECTION 8.  Articles 46B.073(a) and (b), Code of Criminal
  Procedure, are amended to read as follows:
         (a)  This article applies only to a defendant not released on
  bail who is subject to an initial restoration period based on
  Article 46B.071.
         (b)  The court shall commit a defendant described by
  Subsection (a) to a mental health facility or residential care
  facility for a period not to exceed 60 [120] days for further
  examination and treatment toward the specific objective of
  attaining competency to stand trial.
         SECTION 9.  Article 46B.076(a), Code of Criminal Procedure,
  is amended to read as follows:
         (a)  If the defendant is found incompetent to stand trial,
  not later than the date of the order of commitment or of release on
  bail, as applicable, the court shall send a copy of the order to the
  facility of the department to which the defendant is committed or
  the outpatient treatment program to which the defendant is
  released.  The court shall also provide to the facility or
  outpatient treatment program copies of the following made available
  to the court during the incompetency trial:
               (1)  reports of each expert;
               (2)  psychiatric, psychological, or social work
  reports that relate to the medical [mental] condition of the
  defendant;
               (3)  documents provided by the attorney representing
  the state or the attorney representing the defendant that relate to
  the defendant's current or past medical [mental] condition;
               (4)  copies of the indictment or information and any
  supporting documents used to establish probable cause in the case;
               (5)  the defendant's criminal history record; and
               (6)  the addresses of the attorney representing the
  state and the attorney representing the defendant.
         SECTION 10.  Article 46B.077, Code of Criminal Procedure, is
  amended to read as follows:
         Art. 46B.077.  INDIVIDUAL TREATMENT PROGRAM. (a) The
  facility to which the defendant is committed or the outpatient
  treatment program to which the defendant is released on bail shall:
               (1)  develop an individual program of treatment;
               (2)  assess and evaluate whether the defendant is
  likely to be restored to [will obtain] competency in the
  foreseeable future; and
               (3)  report to the court and to the local mental health
  authority or to the local mental retardation authority on the
  defendant's progress toward achieving competency.
         (b)  If the defendant is committed to an inpatient mental
  health facility or to a residential care facility, the facility
  shall report to the court at least once during the commitment
  period. If the defendant is released to a treatment program not
  provided by an inpatient mental health facility or a residential
  care facility, the treatment program shall report to the court:
               (1)  not later than the 14th day after the date on which
  the defendant's treatment begins; and
               (2)  until the defendant is no longer released to the
  treatment program, at least once during each 15-day [30-day] period
  following the date of the report required by Subdivision (1).
         SECTION 11.  Article 46B.079, Code of Criminal Procedure, is
  amended to read as follows:
         Art. 46B.079.  NOTICE AND REPORT TO COURT. (a) The head of
  the facility or the provider of the outpatient treatment program,
  as appropriate, not later than the 15th day before the date on which
  the initial [a] restoration period is to expire, shall notify the
  applicable court that the [restoration] period is about to expire.
         (b)  The head of the facility or outpatient treatment program
  provider shall promptly notify the court when the head of the
  facility or outpatient treatment program provider believes that:
               (1)  the defendant has attained competency to stand
  trial; or
               (2)  the defendant is not likely to [will not] attain
  competency in the foreseeable future.
         (c)  When the head of the facility or outpatient treatment
  program provider gives notice to the court under Subsection (a) or
  (b), the head of the facility or outpatient treatment program
  provider also shall file a final report with the court stating the
  reason for the proposed discharge under this chapter and including
  a list of the types and dosages of medications with which the
  defendant was treated [for mental illness] while in the facility or
  participating in the outpatient treatment program.  To enable any
  objection to the findings of the report to be made in a timely
  manner under Article 46B.084(a), the court shall provide copies of
  the report to the attorney representing the defendant and the
  attorney representing the state.
         (d)  If the head of the facility or outpatient treatment
  program provider notifies the court that the initial restoration
  period is about to expire, the notice may contain a request for an
  extension of the period for an additional period of 30 [60] days and
  an explanation for the basis of the request.
         SECTION 12.  Articles 46B.080(a) and (b), Code of Criminal
  Procedure, are amended to read as follows:
         (a)  On its own motion or the motion of any party [a request
  of the head of a facility or a treatment program provider that is
  made under Article 46B.079(d)] and notwithstanding any other
  provision of this subchapter, the court may enter an order
  extending the initial restoration period for an additional period
  of 30 [60] days.
         (b)  The court may enter an order under Subsection (a) only
  if the court determines that[, on the basis of information provided
  by the head of the facility or the treatment program provider]:
               (1)  the defendant has not attained competency; and
               (2)  an extension of the initial restoration period
  will likely enable the facility or program to restore the defendant
  to competency within the period of the extension.
         SECTION 13.  Article 46B.080(c), Code of Criminal Procedure,
  is redesignated as Article 46B.0805, Code of Criminal Procedure,
  and amended to read as follows:
         Art. 46B.0805.  SECOND EXTENSION PERMITTED IN CERTAIN
  CIRCUMSTANCES. [(c)]  The court may grant a second [only one]
  extension with respect to [under this article for] a period of
  restoration ordered under this subchapter if medical evidence shows
  a reduction in the severity of the defendant's symptoms or
  functional impairment.
         SECTION 14.  Article 46B.084(a), Code of Criminal Procedure,
  is amended to read as follows:
         (a)  On the return of a defendant to the court, the court
  shall make a determination with regard to the defendant's
  competency to stand trial.  The court may make the determination
  based [solely] on the report filed under Article 46B.079(c) and on
  other medical information or personal history information relating
  to the defendant, unless any party objects in writing or in open
  court to the findings of the report not later than the 15th day
  after the date on which the court received notification under
  Article 46B.079.  The court shall make the determination not later
  than the 20th day after the date on which the court received
  notification under Article 46B.079, regardless of whether a party
  objects to the report as described by this subsection and the issue
  is set for hearing under Subsection (b).
         SECTION 15.  Article 46B.085, Code of Criminal Procedure, is
  amended to read as follows:
         Art. 46B.085.  SUBSEQUENT RESTORATION PERIODS AND
  EXTENSIONS OF THOSE PERIODS PROHIBITED. (a) The court may order
  only one initial period of restoration and two extensions [one
  extension] under this subchapter in connection with the same
  offense.
         (b)  After an initial restoration period and one or two
  extensions [an extension] are ordered as described by Subsection
  (a), any subsequent court orders for treatment must be issued under
  Subchapter E or F.
         SECTION 16.  Article 46B.086(a), Code of Criminal Procedure,
  is amended to read as follows:
         (a)  This article applies only to a defendant:
               (1)  who is determined under this chapter to be
  incompetent to stand trial;
               (2)  who either:
                     (A)  remains confined in a correctional facility,
  as defined by Section 1.07, Penal Code, for a period exceeding 72
  hours while awaiting transfer to an inpatient mental health
  facility, a residential care facility, or an outpatient treatment
  program;
                     (B)  is committed to an inpatient mental health
  facility or a residential care facility for the purpose of
  competency restoration;
                     (C)  is confined in a correctional facility while
  awaiting further criminal proceedings following competency
  restoration treatment; or
                     (D)  is subject to Article 46B.072, if the court
  has made the determinations required by Subsection (a-1) [(a)] of
  that article;
               (3)  for whom a correctional facility that employs or
  contracts with a licensed psychiatrist, an inpatient mental health
  facility, a residential care facility, or an outpatient treatment
  program provider has prepared a continuity of care plan that
  requires the defendant to take psychoactive medications; and
               (4)  who, after a hearing held under Section 574.106,
  Health and Safety Code, if applicable, has been found to not meet
  the criteria prescribed by Sections 574.106(a) and (a-1), Health
  and Safety Code, for court-ordered administration of psychoactive
  medications.
         SECTION 17.  Article 46B.101, Code of Criminal Procedure, is
  amended to read as follows:
         Art. 46B.101.  APPLICABILITY. This subchapter applies to a
  defendant against whom a court is required to proceed according to
  [under] Article 46B.084(e) or according to the court's appropriate
  determination under Article 46B.071.
         SECTION 18.  Article 46B.151(a), Code of Criminal Procedure,
  is amended to read as follows:
         (a)  If a court is required by Article 46B.084(f) or by its
  appropriate determination under Article 46B.071 to proceed under
  this subchapter, or if the court is permitted by Article 46B.004(e)
  to proceed under this subchapter, the court shall determine whether
  there is evidence to support a finding that the defendant is either
  a person with mental illness or a person with mental retardation.
         SECTION 19.  To increase community-based placement
  alternatives to incarceration, the Health and Human Services
  Commission shall apply for and actively pursue a waiver or other
  authorization to the state Medicaid plan from the federal Centers
  for Medicare and Medicaid Services or any other federal agency as
  necessary to provide Medicaid home and community-based services to
  persons with severe and persistent mental illness who have a
  history of more than one forensic commitment under Chapter 46B,
  Code of Criminal Procedure.
         SECTION 20.  The change in law made by this Act applies only
  to a defendant with respect to whom any proceeding under Chapter
  46B, Code of Criminal Procedure, is conducted on or after the
  effective date of this Act.
         SECTION 21.  This Act takes effect September 1, 2011.