Bill Text: IA HF722 | 2019-2020 | 88th General Assembly | Introduced


Bill Title: A bill for an act relating to the voluntary or involuntary commitment or hospitalization of a person with a serious mental impairment or a substance-related disorder. (Formerly HF 619.)

Spectrum: Committee Bill

Status: (Introduced - Dead) 2019-04-04 - Referred to Human Resources. H.J. 755. [HF722 Detail]

Download: Iowa-2019-HF722-Introduced.html
House File 722 - Introduced HOUSE FILE 722 BY COMMITTEE ON HUMAN RESOURCES (SUCCESSOR TO HF 619) A BILL FOR An Act relating to the voluntary or involuntary commitment or 1 hospitalization of a person with a serious mental impairment 2 or a substance-related disorder. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 4 TLSB 2690HV (1) 88 hb/rh
H.F. 722 Section 1. Section 125.33, Code 2019, is amended by adding 1 the following new subsection: 2 NEW SUBSECTION . 5A. If a patient leaves a facility, 3 with or against the advice of the administrator in charge of 4 the facility, the facility shall provide the patient with 5 a discharge report which shall include the patient’s name 6 and address, all postdischarge appointments scheduled for 7 the patient, and all information necessary for the patient’s 8 postdischarge care. 9 Sec. 2. Section 125.74, Code 2019, is amended to read as 10 follows: 11 125.74 Preapplication screening assessment —— program. 12 Prior to filing an application pursuant to section 125.75 , 13 the clerk of the district court or the clerk’s designee shall 14 inform the interested person referred to in section 125.75 15 about the option of requesting a preapplication screening 16 assessment through a preapplication screening assessment 17 program, which may include a preapplication screening 18 assessment delivered through telehealth, if available. The 19 state court administrator shall prescribe practices and 20 procedures for implementation of the preapplication screening 21 assessment program. 22 Sec. 3. Section 125.85, Code 2019, is amended by adding the 23 following new subsection: 24 NEW SUBSECTION . 3A. Prior to a respondent’s discharge from 25 a facility or from treatment, the administrator of the facility 26 shall provide a discharge report to the respondent which shall 27 include the respondent’s name and address, all postdischarge 28 appointments scheduled for the respondent, and all information 29 necessary for the respondent’s postdischarge care. 30 Sec. 4. Section 125.89, subsection 1, Code 2019, is amended 31 to read as follows: 32 1. If a court orders a respondent placed at a facility 33 for evaluation and treatment under section 125.83 at a time 34 when the respondent has been convicted of a public offense, 35 -1- LSB 2690HV (1) 88 hb/rh 1/ 12
H.F. 722 or when there is pending against the respondent an unresolved 1 formal charge of a public offense, and the respondent’s liberty 2 has therefore been restricted in any manner, the findings of 3 fact required by section 125.83 shall clearly so inform the 4 administrator of the facility where the respondent is placed. 5 The court may order the facility to notify the appropriate law 6 enforcement agency prior to the discharge or transfer of the 7 respondent from the facility. 8 Sec. 5. Section 125.91, subsection 2, paragraphs a and b, 9 Code 2019, are amended to read as follows: 10 a. A peace officer who has reasonable grounds to believe 11 that the circumstances described in subsection 1 are applicable 12 may, without a warrant, take or cause that person to be taken 13 to the nearest available facility referred to in section 14 125.81, subsection 2 , paragraph “b” or “c” . Such a person 15 with a substance-related disorder due to intoxication or 16 substance-induced incapacitation who also demonstrates a 17 significant degree of distress or dysfunction may also be 18 delivered to a facility by someone other than a peace officer 19 upon a showing of reasonable grounds. Upon delivery of 20 the person to a facility under this section , the attending 21 physician and surgeon or osteopathic physician and surgeon 22 may order treatment of the person, but only to the extent 23 necessary to preserve the person’s life or to appropriately 24 control the person’s behavior if the behavior is likely to 25 result in physical injury to the person or others if allowed to 26 continue. The peace officer or other person who delivered the 27 person to the facility shall describe the circumstances of the 28 matter to the attending physician and surgeon or osteopathic 29 physician and surgeon. If the person is a peace officer, 30 the peace officer may do so either in person or by written 31 report. If the attending physician and surgeon or osteopathic 32 physician and surgeon has reasonable grounds to believe that 33 the circumstances in subsection 1 are applicable, the attending 34 physician shall at once communicate with the nearest available 35 -2- LSB 2690HV (1) 88 hb/rh 2/ 12
H.F. 722 magistrate as defined in section 801.4, subsection 10 . The 1 magistrate shall, based upon the circumstances described by 2 the attending physician and surgeon or osteopathic physician 3 and surgeon, give the attending physician and surgeon or 4 osteopathic physician and surgeon oral instructions either 5 directing that the person be released forthwith, or authorizing 6 the person’s detention in an appropriate facility. A peace 7 officer from the law enforcement agency that took the person 8 into custody, if available, during the communication with the 9 magistrate, may inform the magistrate that an arrest warrant 10 has been issued for or charges are pending against the person 11 and request that any oral or written order issued under this 12 subsection require the facility to notify the law enforcement 13 agency about the discharge or transfer of the person prior to 14 the discharge or transfer. The magistrate may also give oral 15 instructions and order that the detained person be transported 16 to an appropriate facility. 17 b. If the magistrate orders that the person be detained, the 18 magistrate shall, by the close of business on the next working 19 day, file a written order with the clerk in the county where it 20 is anticipated that an application may be filed under section 21 125.75 . The order may be filed by facsimile if necessary. A 22 peace officer from the law enforcement agency that took the 23 person into custody, if no request was made under paragraph 24 “a” , may inform the magistrate that an arrest warrant has 25 been issued for or charges are pending against the person and 26 request that any written order issued under this paragraph 27 require the facility to notify the law enforcement agency 28 about the discharge or transfer of the person prior to the 29 discharge or transfer. The order shall state the circumstances 30 under which the person was taken into custody or otherwise 31 brought to a facility and the grounds supporting the finding 32 of probable cause to believe that the person is a person with a 33 substance-related disorder likely to result in physical injury 34 to the person or others if not detained. The order shall also 35 -3- LSB 2690HV (1) 88 hb/rh 3/ 12
H.F. 722 include any law enforcement agency notification requirements if 1 applicable. The order shall confirm the oral order authorizing 2 the person’s detention including any order given to transport 3 the person to an appropriate facility. A peace officer from 4 the law enforcement agency that took the person into custody 5 may also request an order, separate from the written order, 6 requiring the facility to notify the law enforcement agency 7 about the discharge or transfer of the person prior to the 8 discharge or transfer. The clerk shall provide a copy of that 9 order to the attending physician and surgeon or osteopathic 10 physician and surgeon at the facility to which the person was 11 originally taken, any subsequent facility to which the person 12 was transported, and to any law enforcement department or 13 ambulance service that transported the person pursuant to the 14 magistrate’s order. 15 Sec. 6. Section 125.91, subsection 3, Code 2019, is amended 16 to read as follows: 17 3. The attending physician and surgeon or osteopathic 18 physician and surgeon shall examine and may detain the person 19 pursuant to the magistrate’s order for a period not to exceed 20 forty-eight seventy-two hours from the time the order is dated, 21 excluding Saturdays, Sundays, and holidays, unless the order is 22 dismissed by a magistrate. The facility may provide treatment 23 which is necessary to preserve the person’s life or to 24 appropriately control the person’s behavior if the behavior is 25 likely to result in physical injury to the person or others if 26 allowed to continue or is otherwise deemed medically necessary 27 by the attending physician and surgeon or osteopathic physician 28 and surgeon or mental health professional, but shall not 29 otherwise provide treatment to the person without the person’s 30 consent. The person shall be discharged from the facility and 31 released from detention no later than the expiration of the 32 forty-eight-hour seventy-two-hour period, unless an application 33 for involuntary commitment is filed with the clerk pursuant to 34 section 125.75 . The detention of a person by the procedure 35 -4- LSB 2690HV (1) 88 hb/rh 4/ 12
H.F. 722 in this section , and not in excess of the period of time 1 prescribed by this section , shall not render the peace officer, 2 attending physician and surgeon or osteopathic physician and 3 surgeon, or facility detaining the person liable in a criminal 4 or civil action for false arrest or false imprisonment if the 5 peace officer, attending physician and surgeon or osteopathic 6 physician and surgeon, mental health professional, or facility 7 had reasonable grounds to believe that the circumstances 8 described in subsection 1 were applicable. 9 Sec. 7. Section 229.3, Code 2019, is amended to read as 10 follows: 11 229.3 Discharge of voluntary patients. 12 1. Any voluntary patient who has recovered, or whose 13 hospitalization the chief medical officer of the hospital 14 determines is no longer advisable, shall be discharged. Any 15 voluntary patient may be discharged if to do so would in the 16 judgment of the chief medical officer contribute to the most 17 effective use of the hospital in the care and treatment of that 18 patient and of other persons with mental illness. 19 2. If the chief medical officer of the hospital is informed 20 that an arrest warrant has been issued for or charges are 21 pending against a voluntary patient of the hospital, the chief 22 medical officer may notify the appropriate law enforcement 23 agency about the discharge of the patient prior to the 24 patient’s discharge. 25 Sec. 8. Section 229.5A, Code 2019, is amended to read as 26 follows: 27 229.5A Preapplication screening assessment —— program. 28 Prior to filing an application pursuant to section 229.6 , 29 the clerk of the district court or the clerk’s designee shall 30 inform the interested person referred to in section 229.6, 31 subsection 1 , about the option of requesting a preapplication 32 screening assessment through a preapplication screening 33 assessment program, which may include a preapplication 34 screening assessment delivered through telehealth, if 35 -5- LSB 2690HV (1) 88 hb/rh 5/ 12
H.F. 722 available. 1 Sec. 9. Section 229.16, Code 2019, is amended to read as 2 follows: 3 229.16 Discharge and termination of proceeding. 4 1. When the condition of a patient who is hospitalized 5 pursuant to a report issued under section 229.14, subsection 1 , 6 paragraph “b” , or is receiving treatment pursuant to a report 7 issued under section 229.14, subsection 1 , paragraph “c” , or is 8 in full-time care and custody pursuant to a report issued under 9 section 229.14, subsection 1 , paragraph “d” , is such that in 10 the opinion of the chief medical officer the patient no longer 11 requires treatment or care for serious mental impairment, the 12 chief medical officer shall tentatively discharge the patient 13 and immediately report that fact to the court which ordered the 14 patient’s hospitalization or care and custody. Upon receiving 15 the report, the court shall issue an order confirming the 16 patient’s discharge from the hospital or from care and custody, 17 as the case may be, and shall terminate the proceedings 18 pursuant to which the order was issued. Copies of the order 19 shall be sent by regular mail to the hospital, the patient, 20 and the applicant if the applicant has filed a written waiver 21 signed by the patient. 22 2. When a patient who is hospitalized pursuant to a report 23 issued under section 229.14, subsection 1, paragraph “b” , is 24 receiving treatment pursuant to a report issued under section 25 229.14, subsection 1, paragraph “c” , or is in full-time care 26 and custody pursuant to a report issued under section 229.14, 27 subsection 1, paragraph “d” , is discharged from the hospital 28 or from care and custody, the patient shall be provided a 29 discharge report which shall include the patient’s name and 30 address, all postdischarge appointments scheduled for the 31 patient, and all information necessary for the patient’s 32 postdischarge care. 33 Sec. 10. Section 229.22, subsection 2, paragraph b, Code 34 2019, is amended to read as follows: 35 -6- LSB 2690HV (1) 88 hb/rh 6/ 12
H.F. 722 b. If the magistrate orders that the person be detained, 1 the magistrate shall, by the close of business on the next 2 working day, file a written order with the clerk in the county 3 where it is anticipated that an application may be filed 4 under section 229.6 . The order may be filed by facsimile if 5 necessary. A peace officer from the law enforcement agency 6 that took the person into custody, if no request was made 7 under paragraph “a” , may inform the magistrate that an arrest 8 warrant has been issued for or charges are pending against 9 the person and request that any written order issued under 10 this paragraph require the facility or hospital to notify the 11 law enforcement agency about the discharge or transfer of the 12 person prior to discharge or transfer . The order shall state 13 the circumstances under which the person was taken into custody 14 or otherwise brought to a facility or hospital, and the grounds 15 supporting the finding of probable cause to believe that the 16 person is seriously mentally impaired and likely to injure the 17 person’s self or others if not immediately detained. The order 18 shall also include any law enforcement agency notification 19 requirements if applicable. The order shall confirm the oral 20 order authorizing the person’s detention including any order 21 given to transport the person to an appropriate facility or 22 hospital. A peace officer from the law enforcement agency 23 that took the person into custody may also request an order, 24 separate from the written order, requiring the facility 25 or hospital to notify the law enforcement agency about the 26 discharge or transfer of the person prior to discharge or 27 transfer . The clerk shall provide a copy of the written order 28 or any separate order to the chief medical officer of the 29 facility or hospital to which the person was originally taken, 30 to any subsequent facility to which the person was transported, 31 and to any law enforcement department, ambulance service, or 32 transportation service under contract with a mental health 33 and disability services region that transported the person 34 pursuant to the magistrate’s order. A transportation service 35 -7- LSB 2690HV (1) 88 hb/rh 7/ 12
H.F. 722 that contracts with a mental health and disability services 1 region for purposes of this paragraph shall provide a secure 2 transportation vehicle and shall employ staff that has received 3 or is receiving mental health training. 4 Sec. 11. Section 229.22, subsection 2, paragraph c, Code 5 2019, is amended by adding the following new subparagraphs: 6 NEW SUBPARAGRAPH . (3) Notify the law enforcement agency 7 that employs the peace officer by telephone prior to the 8 transfer of the person from the facility or hospital. 9 NEW SUBPARAGRAPH . (4) Notify the law enforcement agency 10 that employs the peace officer by electronic mail prior to the 11 transfer of the person from the facility or hospital. 12 Sec. 12. Section 229.22, subsection 3, Code 2019, is amended 13 to read as follows: 14 3. The chief medical officer of the facility or hospital 15 shall examine and may detain and care for the person taken 16 into custody under the magistrate’s order for a period not 17 to exceed forty-eight seventy-two hours from the time such 18 order is dated, excluding Saturdays, Sundays and holidays, 19 unless the order is sooner dismissed by a magistrate. The 20 facility or hospital may provide treatment which is necessary 21 to preserve the person’s life, or to appropriately control 22 behavior by the person which is likely to result in physical 23 injury to the person’s self or others if allowed to continue, 24 but may not otherwise provide treatment to the person without 25 the person’s consent. The person shall be discharged from 26 the facility or hospital and released from custody not later 27 than the expiration of that period, unless an application is 28 sooner filed with the clerk pursuant to section 229.6 . Prior 29 to such discharge the facility or hospital shall, if required 30 by this section , notify the law enforcement agency requesting 31 such notification about the discharge of the person. The law 32 enforcement agency shall retrieve the person no later than 33 six hours after notification from the facility or hospital 34 but in no circumstances shall the detention of the person 35 -8- LSB 2690HV (1) 88 hb/rh 8/ 12
H.F. 722 exceed the period of time prescribed for detention by this 1 subsection . The detention of any person by the procedure 2 and not in excess of the period of time prescribed by this 3 section shall not render the peace officer, physician, mental 4 health professional, facility, or hospital so detaining that 5 person liable in a criminal or civil action for false arrest 6 or false imprisonment if the peace officer, physician, mental 7 health professional, facility, or hospital had reasonable 8 grounds to believe the person so detained was mentally ill and 9 likely to physically injure the person’s self or others if 10 not immediately detained, or if the facility or hospital was 11 required to notify a law enforcement agency by this section , 12 and the law enforcement agency requesting notification prior to 13 discharge retrieved the person no later than six hours after 14 the notification, and the detention prior to the retrieval of 15 the person did not exceed the period of time prescribed for 16 detention by this subsection . 17 Sec. 13. DEPARTMENTS OF HUMAN SERVICES AND PUBLIC HEALTH 18 —— COMMITMENT PROCESS REVIEW. The department of human 19 services and the department of public health shall review the 20 commitment processes under chapters 125 and 229 and shall 21 make recommendations for combining the commitment processes 22 into a single chapter. The departments shall consider the 23 recommendations from the report submitted by the commitment 24 process review work group to the general assembly on December 25 31, 2018, when reviewing the commitment processes. The 26 departments shall submit recommendations including proposed 27 legislation to the governor and the general assembly by 28 November 15, 2019. 29 Sec. 14. SUPREME COURT TRAINING —— INVOLUNTARY COMMITMENTS 30 AND HOSPITALIZATIONS OF PERSONS WITH SERIOUS MENTAL IMPAIRMENTS 31 OR SUBSTANCE-RELATED DISORDERS. The supreme court shall 32 establish educational training for judges, clerks of court, 33 and attorneys related to the involuntary commitment of a 34 person with a serious mental impairment or a substance-related 35 -9- LSB 2690HV (1) 88 hb/rh 9/ 12
H.F. 722 disorder. The supreme court shall develop the training based 1 on recommendations from the report submitted by the commitment 2 process review work group to the general assembly on December 3 31, 2018. 4 EXPLANATION 5 The inclusion of this explanation does not constitute agreement with 6 the explanation’s substance by the members of the general assembly. 7 This bill relates to the commitment or hospitalization of a 8 person with a serious mental impairment or a substance-related 9 disorder. 10 POSTDISCHARGE REPORT. The bill provides that a person with 11 a serious mental impairment or a substance-related disorder who 12 is discharged from a voluntary or an involuntary commitment or 13 hospitalization under Code chapter 125 or 229 shall be provided 14 a discharge report which shall include the patient’s name and 15 address, all scheduled postdischarge appointments, and all 16 information relevant to the patient’s postdischarge care. 17 PREAPPLICATION SCREENING ASSESSMENT. Under current law, 18 prior to filing an application for involuntary hospitalization 19 under Code section 229.6 or involuntary commitment under Code 20 section 125.75, the clerk of the district court or the clerk’s 21 designee shall inform the person filing the application about 22 the option of requesting a preapplication screening assessment 23 through a preapplication screening assessment program. The 24 bill expands current law to provide a preapplication screening 25 assessment program may include a preapplication screening 26 assessment delivered through telehealth, if available. 27 EMERGENCY DETENTION AND HOSPITALIZATION —— LAW ENFORCEMENT 28 NOTIFICATION AND DETENTION PERIODS. Under Code sections 125.91 29 (emergency detention —— substance-related disorders) and 229.22 30 (emergency hospitalization —— serious mental impairment), when 31 it appears that a person should be immediately detained due to 32 a substance-related disorder or a serious mental impairment 33 but an involuntary application for hospitalization has not 34 been filed naming the person as the respondent and the person 35 -10- LSB 2690HV (1) 88 hb/rh 10/ 12
H.F. 722 cannot be ordered into immediate custody and detained, the 1 person may be immediately detained by a peace officer who 2 has reasonable grounds for the detention, and the peace 3 officer, without a warrant, may take or cause that person to 4 be taken to the nearest available facility or hospital. A 5 person who is not a peace officer may also bring a person 6 under similar circumstances to a facility or hospital. If 7 the appropriate examining health care practitioner finds that 8 there is reason to believe that the person suffers from a 9 substance-related disorder or is seriously mentally impaired 10 and is likely to physically injure the person’s self or others 11 if not immediately detained, the health care practitioner is 12 required to immediately communicate with the nearest available 13 magistrate. 14 The bill provides that if a magistrate authorizes a person 15 with a substance-related disorder, under the circumstances 16 described in Code section 125.91, to be detained in an 17 appropriate facility, a peace officer from the law enforcement 18 agency that took the person into custody may inform the 19 magistrate that an arrest warrant has been issued for or 20 charges are pending against the person and request that any 21 oral or written order issued require the facility or hospital 22 to notify the law enforcement agency about the discharge 23 or transfer of the person prior to the person’s discharge 24 or transfer. The bill amends the same law enforcement 25 notification provisions currently in Code section 229.22 to 26 allow such law enforcement notification when a person with a 27 serious mental impairment is transferred from a facility or 28 hospital. 29 Under current law, a hospital or facility may detain a 30 person with a substance-related disorder pursuant to Code 31 section 125.91 or a serious mental impairment pursuant to 32 Code section 229.22, under a magistrate’s order for a period 33 not to exceed 48 hours from the time such an order is dated, 34 excluding Saturdays, Sundays, and holidays, unless the order is 35 -11- LSB 2690HV (1) 88 hb/rh 11/ 12
H.F. 722 dismissed earlier by a magistrate. The bill extends the period 1 a hospital or facility may detain such persons to 72 hours 2 from the time such an order is dated, excluding Saturdays, 3 Sundays, and holidays, unless the order is dismissed earlier by 4 a magistrate. 5 DEPARTMENTS OF HUMAN SERVICES AND PUBLIC HEALTH —— 6 COMMITMENT PROCESS REVIEW. The bill directs the department of 7 human services and the department of public health to review 8 the commitment processes under Code chapters 125 and 229 and 9 make recommendations and propose legislation for combining 10 the Code chapters to the governor and the general assembly by 11 November 15, 2019. 12 SUPREME COURT —— EDUCATIONAL TRAINING. The bill directs 13 the supreme court to develop and provide educational training 14 relating to involuntary commitments and hospitalizations of 15 persons with serious mental impairments and substance-related 16 disorders for judges, clerks of court, and attorneys. The bill 17 provides that the supreme court shall develop the training 18 based upon recommendations from the December 30, 2018, report 19 submitted by the commitment process review work group. 20 -12- LSB 2690HV (1) 88 hb/rh 12/ 12
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