By: Huffman  S.B. No. 1503
         (In the Senate - Filed March 10, 2011; March 22, 2011, read
  first time and referred to Committee on Criminal Justice;
  May 12, 2011, reported adversely, with favorable Committee
  Substitute by the following vote:  Yeas 7, Nays 0; May 12, 2011,
  sent to printer.)
 
  COMMITTEE SUBSTITUTE FOR S.B. No. 1503 By:  Huffman
 
 
A BILL TO BE ENTITLED
 
AN ACT
 
  relating to procedures regarding certain criminal defendants who
  are or may be persons with mental illness or mental retardation.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subsection (a), Article 46C.261, Code of
  Criminal Procedure, is amended to read as follows:
         (a)  A criminal 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 and has continuing jurisdiction over all
  renewals for the purposes of this chapter.
  SECTION 2.  Section 551.042, Health and Safety Code, is
  amended to read as follows:
         Sec. 551.042.  OUTPATIENT CLINICS AND TRANSITIONAL
  FACILITIES. (a)  If funds are available, the department may
  establish in locations the department considers necessary
  outpatient clinics and transitional facilities to treat persons
  with mental illness.
         (b)  As necessary to establish and operate the clinics and
  transitional facilities, the department may:
               (1)  acquire facilities;
               (2)  hire personnel;
               (3)  adopt rules; and
               (4)  contract with persons, corporations, and local,
  state, and federal agencies.
         SECTION 3.  Subsections (c) and (d), Section 572.004, Health
  and Safety Code, are amended to read as follows:
         (c)  The notified physician shall evaluate the patient to
  determine whether there is reasonable cause to believe that the
  patient might meet the criteria for court-ordered mental health
  services or emergency detention.  The notified physician shall
  discharge the patient on completion of the evaluation [before the
  end of the four-hour period] unless the physician finds [has]
  reasonable cause to believe that the patient might meet the
  criteria for court-ordered mental health services or emergency
  detention.
         (d)  A physician who finds [has] reasonable cause to believe
  that a patient might meet the criteria for court-ordered mental
  health services or emergency detention shall examine the patient as
  soon as possible within 24 hours after the time the request for
  discharge is filed. The physician shall discharge the patient on
  completion of the examination unless the physician determines that
  the person meets the criteria for court-ordered mental health
  services or emergency detention. If the physician makes a
  determination that the patient meets the criteria for court-ordered
  mental health services or emergency detention, the physician shall,
  not later than 4 p.m. on the next succeeding business day after the
  date on which the examination occurs, either discharge the patient
  or file an application for court-ordered mental health services or
  emergency detention and obtain a written order for further
  detention. The physician shall notify the patient if the physician
  intends to detain the patient under this subsection or intends to
  file an application for court-ordered mental health services or
  emergency detention. A decision to detain a patient under this
  subsection and the reasons for the decision shall be made a part of
  the patient's clinical record.
         SECTION 4.  Section 574.086, Health and Safety Code, is
  amended by adding Subsections (d) and (e) to read as follows:
         (d)  Notwithstanding Subsection (a), a discharge under this
  section is subject to judicial review and disapproval under Section
  574.090 if:
               (1)  one of the criteria that formed the basis for the
  decision to commit the patient was a finding that the patient was
  likely to cause serious harm to others;
               (2)  regardless of the criteria that formed the basis
  for the decision to commit, a treating physician now believes that
  the patient poses a substantial risk of causing harm to others; or
               (3)  the patient has a violent criminal history.
         (e)  For purposes of this section, a patient has a violent
  criminal history if the patient:
               (1)  has a prior conviction or has received community
  supervision for an offense listed in Article 17.032(a), Code of
  Criminal Procedure;
               (2)  is currently charged with an offense listed in
  Article 17.032(a), Code of Criminal Procedure;
               (3)  has been charged with an offense listed in Article
  17.032(a), Code of Criminal Procedure, in the five years preceding
  the date of the patient's current commitment; or
               (4)  has ever been found not guilty by reason of
  insanity of an offense listed in Article 17.032(a), Code of
  Criminal Procedure.
         SECTION 5.  Subchapter F, Chapter 574, Health and Safety
  Code, is amended by adding Section 574.090 to read as follows:
         Sec. 574.090.  JUDICIAL REVIEW OF DISCHARGE. (a)  A
  facility administrator who determines that a patient described by
  Section 574.086(d) does not meet the criteria for court-ordered
  inpatient mental health services shall prepare a discharge
  certificate as required by Section 574.087 and file it with the
  court that entered the order committing the patient to
  court-ordered inpatient mental health services.
         (b)  On the filing of a discharge certificate under
  Subsection (a), the court shall notify the attorney representing
  the state and the patient's last attorney of record and provide each
  attorney a copy of the discharge certificate.
         (c)  On the request of the attorney representing the state,
  the court must conduct a hearing to determine whether the patient no
  longer meets the criteria for court-ordered inpatient mental health
  services and should be discharged.  The court may hold the hearing
  on its own motion.
         (d)  The court may order further psychiatric or
  psychological testing the court considers necessary for
  determining whether the patient no longer meets the criteria for
  court-ordered inpatient mental health services and should be
  discharged.
         (e)  At the hearing conducted under this section, the court
  shall determine whether the person meets any criteria for
  court-ordered inpatient mental health services listed in Section
  574.035(a).  If the court finds by clear and convincing evidence
  that the patient meets one of the criteria for court-ordered
  inpatient mental health services, the court shall disapprove the
  patient's release and enter a new order committing the patient for
  court-ordered extended inpatient mental health services.  If the
  court does not find by clear and convincing evidence that the
  patient meets one of the criteria for court-ordered inpatient
  mental health services, the court shall approve the patient's
  discharge.
         SECTION 6.  The change in law made by this Act in amending
  Subsection (a), Article 46C.261, Code of Criminal Procedure,
  applies only to a defendant with respect to whom any proceeding
  under Chapter 46C, Code of Criminal Procedure, is conducted on or
  after the effective date of this Act.
         SECTION 7.  This Act takes effect September 1, 2011.
 
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