88R13945 EAS-D
 
  By: Reynolds H.B. No. 4009
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to procedures applicable to the emergency detention of a
  person with mental illness at a mental health facility, including
  the detention, transportation, and transfer of the person and to
  certain best practices for courts with jurisdiction over emergency
  mental health matters.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 573.001(d), Health and Safety Code, is
  amended to read as follows:
         (d)  A peace officer who takes a person into custody under
  Subsection (a) shall immediately[:
               [(1)]  transport the apprehended person to:
               (1) [(A)]  the nearest appropriate inpatient mental
  health facility located within 100 miles from where the person was
  apprehended; or
               (2)  the nearest hospital emergency department, if the
  person is in need of emergency medical care [(B)  a mental health
  facility deemed suitable by the local mental health authority, if
  an appropriate inpatient mental health facility is not available;
  or
               [(2)  transfer the apprehended person to emergency
  medical services personnel of an emergency medical services
  provider in accordance with a memorandum of understanding executed
  under Section 573.005 for transport to a facility described by
  Subdivision (1)(A) or (B)].
         SECTION 2.  Subchapter B, Chapter 573, Health and Safety
  Code, is amended by adding Section 573.013 to read as follows:
         Sec. 573.013.  JUDICIAL BEST PRACTICES AND PROCEDURES. The
  Office of Court Administration of the Texas Judicial System shall
  develop and provide to each court in the state with jurisdiction to
  hear emergency mental health matters under this chapter best
  practices and procedures for ensuring that a judge or magistrate is
  available 24 hours a day, seven days a week to respond to
  applications for emergency detention under Section 573.012(h).
         SECTION 3.  Sections 573.021(a), (b), and (d), Health and
  Safety Code, are amended to read as follows:
         (a)  A mental health facility shall temporarily accept a
  person for whom an application for detention is filed or for whom a
  peace officer or emergency medical services personnel of an
  emergency medical services provider transporting the person in
  accordance with a memorandum of understanding executed under
  Section 573.005 files a notification of detention completed by the
  peace officer under Section 573.002(a).
         (b)  A person accepted for a preliminary examination may be
  detained in custody for not longer than 48 hours after the time the
  person is presented to the mental health facility unless a written
  order for protective custody is obtained.  The 48-hour period
  allowed by this section includes any time the patient spends
  waiting in the mental health facility for medical care before the
  person receives the preliminary examination.  If the 48-hour
  period ends on a Saturday, Sunday, legal holiday, or before 4 p.m.
  on the first succeeding business day, the person may be detained
  until 4 p.m. on the first succeeding business day. If the 48-hour
  period ends at a different time, the person may be detained only
  until 4 p.m. on the day the 48-hour period ends.  If extremely
  hazardous weather conditions exist or a disaster occurs, the
  presiding judge or magistrate may, by written order made each day,
  extend by an additional 24 hours the period during which the person
  may be detained.  The written order must declare that an emergency
  exists because of the weather or the occurrence of a disaster.
         (d)  A mental health facility must comply with this section
  only to the extent that the commissioner determines that a mental
  health facility has sufficient resources to perform the necessary
  services under this section.
         SECTION 4.  Section 573.022, Health and Safety Code, is
  amended by amending Subsection (c) and adding Subsections (d) and
  (e) to read as follows:
         (c)  A facility that has admitted a person for emergency
  detention under Subsection (a) or to which a person has been
  transported under Subsection (b) may transfer the person to an
  appropriate mental hospital with the written consent of the
  treating physician or hospital administrator.
         (d)  A peace officer may transport a person approved for
  transfer under Subsection (c) without a court order if the person is
  still subject to an unexpired notification of detention filed under
  Section 573.002.  A copy of the notification must accompany the
  person to the receiving facility.  This subsection applies only in a
  county with a population of 550,000 or more that is adjacent to a
  county with a population of 3.3 million or more.
         (e)  A treating physician or hospital administrator who
  recommends the transfer of a person under Subsection (c) to a more
  appropriate mental hospital is immune from civil liability if the
  recommendation was made based on a reasonable and prudent medical
  decision to ensure care for the person.
         SECTION 5.  The changes in law made by this Act apply to an
  emergency detention under Chapter 573, Health and Safety Code, that
  begins on or after the effective date of this Act.  An emergency
  detention under Chapter 573, Health and Safety Code, that begins
  before the effective date of this Act is governed by the law as it
  existed immediately before that date, and that law is continued in
  effect for that purpose.
         SECTION 6.  As soon as practicable after the effective date
  of this Act, the Office of Court Administration of the Texas
  Judicial System shall develop the best practices and procedures as
  required by Section 573.013, Health and Safety Code, as added by
  this Act.
         SECTION 7.  This Act takes effect September 1, 2023.