88R9765 MPF-D
 
  By: Johnson S.B. No. 1816
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to procedures regarding court-ordered mental health
  services.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 574.003, Health and Safety Code, is
  amended by adding Subsection (a-1) to read as follows:
         (a-1)  A judge may not decline to appoint an attorney to
  represent a proposed patient because the judge perceives or knows
  that the patient is not indigent.
         SECTION 2.  Subchapter A, Chapter 574, Health and Safety
  Code, is amended by adding Section 574.0121 to read as follows:
         Sec. 574.0121.  CONFLICTING RECOMMENDATIONS REGARDING
  COMMITMENT. If the local mental health authority in the county in
  which an application is filed does not recommend that a proposed
  patient be committed, the authority, as part of the recommendation
  required under Section 574.012, must:
               (1)  include the information required by Sections
  574.011(a) and (b); and 
               (2)  identify the criteria for commitment that the
  proposed patient does not satisfy and include the facts on which
  that determination is based.
         SECTION 3.  Section 574.021, Health and Safety Code, is
  amended by amending Subsection (d) and adding Subsection (d-1) to
  read as follows:
         (d)  The motion must be accompanied by a certificate of
  medical examination for mental illness prepared by a physician who
  has examined the proposed patient not earlier than the third day
  before the day the motion is filed. The motion is not required to
  include a recommendation from a local mental health authority. 
         (d-1)  A court may not consider a recommendation from a local
  mental health authority if the authority's recommendation fails to
  comply with the requirements of Section 574.012 and, to the extent
  applicable, Section 574.0121.
         SECTION 4.  Sections 574.022(a) and (d), Health and Safety
  Code, are amended to read as follows:
         (a)  The judge or designated magistrate shall [may] issue a
  protective custody order if the judge or magistrate determines:
               (1)  that a physician has stated the physician's
  opinion and the detailed reasons for the physician's opinion that
  the proposed patient is a person with mental illness; and
               (2)  the proposed patient presents a substantial risk
  of serious harm to the proposed patient or others if not immediately
  restrained pending the hearing.
         (d)  The judge or magistrate shall set a hearing date and
  [may] take additional evidence if a fair determination of the
  matter cannot be made from consideration of the application and
  certificate only.
         SECTION 5.  Section 574.023, Health and Safety Code, is
  amended by amending Subsection (a) and adding Subsection (a-1) to
  read as follows:
         (a)  A protective custody order shall direct a person
  authorized to transport patients under Section 574.045 to take the
  proposed patient into protective custody and transport the person
  immediately to a mental health facility deemed suitable by:
               (1)  the local mental health authority for the area; or
               (2)  a physician who completed a certificate of medical
  examination under Section 574.009.  
         (a-1)  On request of the local mental health authority, the
  judge may order that the proposed patient be detained in an
  inpatient mental health facility operated by the department.
         SECTION 6.  Section 574.025(d), Health and Safety Code, is
  amended to read as follows:
         (d)  The applicant, the proposed patient, and the proposed
  patient's attorney shall have an opportunity at the hearing to
  appear and present evidence on [to challenge] the allegation that
  the proposed patient presents a substantial risk of serious harm to
  the proposed patient [himself] or others.
         SECTION 7.  Section 574.028, Health and Safety Code, is
  amended by amending Subsections (a) and (c) and adding Subsection
  (d) to read as follows:
         (a)  [The magistrate or associate judge shall order the
  release of a person under a protective custody order if] If the
  magistrate or associate judge determines after the hearing under
  Section 574.025 that no probable cause exists to believe that the
  proposed patient presents a substantial risk of serious harm to the
  proposed patient [himself] or others, the magistrate or associate
  judge shall order the release of a person under a protective custody
  order. The order must include written findings of fact that no
  probable cause exists.
         (c)  A facility administrator shall discharge a person held
  under a protective custody order if:
               (1)  the facility administrator receives an order
  described by Subsection (a) from which no appeal has been filed
  [does not receive notice that the person's continued detention is
  authorized after a probable cause hearing held within 72 hours
  after the detention began, excluding Saturdays, Sundays, legal
  holidays, and the period prescribed by Section 574.025(b) for
  extreme emergencies];
               (2)  a final order for court-ordered mental health
  services has not been entered within the time prescribed by Section
  574.005; or
               (3)  the facility administrator or the administrator's
  designee determines that the person no longer meets the criteria
  for protective custody prescribed by Section 574.022.
         (d)  An order entered under Subsection (a) is immediately
  appealable under Section 574.070.
         SECTION 8.  Section 574.033, Health and Safety Code, is
  amended by amending Subsection (a) and adding Subsection (a-1) to
  read as follows:
         (a)  The court shall enter an order denying an application
  for court-ordered temporary or extended mental health services if
  after a hearing the court or jury fails to find, from clear and
  convincing evidence, that the proposed patient is a person with
  mental illness and meets the applicable criteria for court-ordered
  mental health services. The order must include written findings of
  fact on which the court's order is based. 
         (a-1)  An order entered under Subsection (a) is immediately
  appealable under Section 574.070.
         SECTION 9.  Sections 574.070(a) and (d), Health and Safety
  Code, are amended to read as follows:
         (a)  An appeal from an order requiring or denying
  court-ordered mental health services, or from a renewal or
  modification of an order, must be filed in the court of appeals for
  the county in which the order is entered.
         (d)  Pending the appeal and after entering findings of fact
  based on evidence presented at the hearing, the trial judge in whose
  court the cause is pending may:
               (1)  stay the order and release the patient from
  custody before the appeal if the judge is satisfied that the patient
  does not meet the criteria for protective custody under Section
  574.022; and
               (2)  if the proposed patient is at liberty, require an
  appearance bond in an amount set by the court.
         SECTION 10.  The changes in law made by this Act to Chapter
  574, Health and Safety Code, apply to a commitment proceeding under
  that chapter that occurs on or after the effective date of this Act,
  regardless of whether conduct of a proposed patient being evaluated
  for that purpose occurred before, on, or after the effective date of
  this Act.
         SECTION 11.  This Act takes effect September 1, 2023.