Bill Text: NY A07724 | 2021-2022 | General Assembly | Introduced


Bill Title: Provides a mental hygiene legal service to certain patients or residents of residential health care facilities; requires the director of any department facility or the chief administrator of certain facilities to provide the mental hygiene legal service with the written service plan for patients who have a serious mental illness and who are about to be discharged.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2022-01-05 - referred to ways and means [A07724 Detail]

Download: New_York-2021-A07724-Introduced.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                          7724

                               2021-2022 Regular Sessions

                   IN ASSEMBLY

                                      May 20, 2021
                                       ___________

        Introduced  by  M.  of  A.  MEEKS  -- (at request of the Office of Court
          Administration) -- read once and referred to the Committee  on  Mental
          Health

        AN  ACT  to  amend  the mental hygiene law and the public health law, in
          relation to providing  a  mental  hygiene  legal  service  to  certain
          patients or residents of residential health care facilities

          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:

     1    Section 1. Subdivision (a) of section 47.01 of the mental hygiene law,
     2  as amended by chapter 658 of the laws of 2019, is  amended  to  read  as
     3  follows:
     4    (a) There shall be a mental hygiene legal service of the state in each
     5  judicial  department.  The service shall provide legal services, assist-
     6  ance and advocacy to patients or residents of a facility as  defined  in
     7  section  1.03  of  this  chapter,  patients  or residents of residential
     8  healthcare facilities licensed and operating pursuant to  article  twen-
     9  ty-eight of the public health law who have been admitted directly from a
    10  facility as defined in section 1.03 of this chapter and who have a seri-
    11  ous  mental  illness as defined in section 1.03 of this chapter [and are
    12  receiving services related to such  illness],  or  any  other  place  or
    13  facility  which is required to have an operating certificate pursuant to
    14  article sixteen or thirty-one of this chapter, and to persons alleged to
    15  be in need of care and treatment in such facilities or  places,  and  to
    16  persons  entitled to such legal assistance as provided by article ten of
    17  this chapter. The head of such service in each judicial  department  and
    18  such  assistants  and  such staff as may be necessary shall be appointed
    19  and may be removed by the presiding justice of the appellate division of
    20  the judicial department. Appointments and transfers to the service shall
    21  comply with the provisions of the civil service law. Standards for qual-
    22  ifications of the personnel in the service shall be established  by  the
    23  presiding  justice of the appellate division of the judicial department.

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD10268-01-1

        A. 7724                             2

     1  The presiding justice of the appellate division of the judicial  depart-
     2  ment  shall  promulgate such rules or regulations as may be necessary to
     3  effectuate the purposes of this article.
     4    §  2. Section 47.03 of the mental hygiene law, as added by chapter 789
     5  of the laws of 1985, subdivision (c) as amended by chapter  408  of  the
     6  laws of 1999, subdivisions (d) and (e) as amended and subdivision (f) as
     7  added by chapter 7 of the laws of 2007, is amended to read as follows:
     8  § 47.03 Functions, powers and duties of the service.
     9    The  mental  hygiene  legal service in each judicial department of the
    10  state shall perform the following duties:
    11    (a) To study and review the admission and retention of all patients or
    12  residents which shall include a review of the willingness of the patient
    13  or resident to remain in his or her status and the determination of  the
    14  facility  director  as to suitability of such status, as provided for by
    15  this chapter;
    16    (b) To inform patients or  residents  and,  in  proper  cases,  others
    17  interested  in  such  persons'  welfare  of procedures for admission and
    18  retention and of the patients' or  residents'  right  to  have  judicial
    19  hearing  and  review,  to  be  represented by legal counsel, and to seek
    20  independent medical opinion;
    21    (c) To provide  legal  services  [and],  assistance  and  advocacy  to
    22  patients  or  residents  and  their  families  related to the admission,
    23  retention, and care and treatment of  such  persons,  to  provide  legal
    24  services and assistance to subjects of a petition or patients subject to
    25  section 9.60 of this chapter, and to inform patients or residents, their
    26  families  and,  in  proper  cases, others interested in the patients' or
    27  residents' welfare of the availability of other  legal  resources  which
    28  may  be  of assistance in matters not directly related to the admission,
    29  retention, and care and treatment of such patients or residents;
    30    (d) To provide legal services, assistance and advocacy to patients  or
    31  residents  of  residential  health care facilities licensed or operating
    32  pursuant to article twenty-eight of the public health law who have  been
    33  admitted  directly  from  a  facility as defined in section 1.03 of this
    34  chapter and who have a serious mental illness as defined in section 1.03
    35  of this chapter;
    36    (e) To be granted access at any and all times to any facility or place
    37  or part thereof described in subdivision (a) of section  47.01  of  this
    38  article,  and  to  all  books,  records  and data pertaining to any such
    39  facility or place deemed  necessary  for  carrying  out  its  functions,
    40  powers and duties. The mental hygiene legal service may require from the
    41  officers  or  employees of such facility or place any information deemed
    42  necessary for the purpose  of  carrying  out  the  service's  functions,
    43  powers  and duties. Information, books, records or data which are confi-
    44  dential and any limitations on the release thereof imposed by  law  upon
    45  the party furnishing the information, books, records or data shall apply
    46  to   the   service.  Provided,  however,  whenever  federal  regulations
    47  restrict, or as a condition of  federal  aid  require  that  a  facility
    48  restrict  the release of information contained in the clinical record of
    49  a patient or client, or restrict disclosure of the identity of a patient
    50  or access to that patient, to a greater extent  than  is  allowed  under
    51  this  section,  the provisions of such federal law or federal regulation
    52  shall be controlling;
    53    [(e)] (f) To initiate and take any legal action  deemed  necessary  to
    54  safeguard  the right of any patient or resident of a facility as defined
    55  in section 1.03 of this chapter, or patients or residents of residential
    56  health care facilities licensed and operating pursuant to article  twen-

        A. 7724                             3

     1  ty-eight  of  the public health law who have been admitted to such resi-
     2  dential health care facility directly from  a  facility  as  defined  in
     3  section  1.03  of  this chapter and who have a serious mental illness as
     4  defined  in  section  1.03  of  this chapter to protection from abuse or
     5  mistreatment, which may include investigation into any such  allegations
     6  of abuse or mistreatment of any such patient or resident; and
     7    [(f)]  (g) To provide legal services and assistance in accordance with
     8  article ten of this chapter.
     9    § 3. Subdivision (c) of section 47.03 of the mental  hygiene  law,  as
    10  added by chapter 789 of the laws of 1985, is amended to read as follows:
    11    (c)  To  provide  legal  services  [and],  assistance  and advocacy to
    12  patients or residents and  their  families  related  to  the  admission,
    13  retention,  and  care  and  treatment  of  such  persons,  and to inform
    14  patients or residents, their  families  and,  in  proper  cases,  others
    15  interested in the patients' or residents' welfare of the availability of
    16  other legal resources which may be of assistance in matters not directly
    17  related  to  the  admission,  retention,  and care and treatment of such
    18  patients or residents;
    19    § 4. Section 29.13 of the mental hygiene law, as added by chapter  332
    20  of  the  laws  of 1976, subdivision (b) as amended by chapter 135 of the
    21  laws of 1993, is amended to read as follows:
    22  § 29.13 Treatment plans.
    23    (a) Subject to the regulations of the commissioner,  the  director  of
    24  each  departmental  facility  shall require the development of a written
    25  treatment plan to assure adequate care and treatment for each patient.
    26    (b) The written treatment plan shall include, but not be limited to, a
    27  statement of treatment goals; appropriate programs, treatment or  thera-
    28  pies  to  be undertaken to meet such goals; and a specific timetable for
    29  assessment of patient programs as well as for periodic mental and  phys-
    30  ical  reexaminations. In causing such a plan to be prepared or when such
    31  a plan is to be revised,  the  patient  shall  be  advised  of  whatever
    32  services may be available to him or her through the mental hygiene legal
    33  service, including advocacy services, and the following persons shall be
    34  interviewed  and provided an opportunity to actively participate in such
    35  preparation or revision: the patient; an  authorized  representative  of
    36  the patient, to include the mental hygiene legal service, and the parent
    37  or parents if the patient is a minor, unless such minor sixteen years of
    38  age  or  older objects to the participation of the parent or parents and
    39  there has been a clinical determination by a physician  indicating  that
    40  the  involvement  of the parent or parents is not clinically appropriate
    41  and such determination is documented in the record; upon the request  of
    42  the  patient  sixteen years of age or older, a significant individual to
    43  the patient including the mental hygiene legal service and any relative,
    44  close friend or individual otherwise concerned with the welfare  of  the
    45  patient, other than an employee of the facility.
    46    §  5.  Section  29.15 of the mental hygiene law is amended by adding a
    47  new subdivision (o) to read as follows:
    48    (o) It shall be the responsibility of the director of  any  department
    49  facility  or the chief administrator of any facility providing inpatient
    50  services subject to licensure by the office of mental health  to  notify
    51  the mental hygiene legal service when a patient who has a serious mental
    52  illness,  as  defined  in section 1.03 of this chapter, and is receiving
    53  services related to such illness is about to be discharged to a residen-
    54  tial health care facility licensed and  operating  pursuant  to  article
    55  twenty-eight  of the public health law and to provide the mental hygiene

        A. 7724                             4

     1  legal service with the written service plan developed for such person as
     2  required under subdivision (f) of this section.
     3    §  6.  Subdivision  3  of  section  2803-c of the public health law is
     4  amended by adding a new paragraph r to read as follows:
     5    r. In accordance with subdivision (a) of section 47.01 of  the  mental
     6  hygiene  law,  no facility shall restrict or prohibit the mental hygiene
     7  legal service operating pursuant to article forty-seven  of  the  mental
     8  hygiene  law  from  access  to  patients  or their records who have been
     9  admitted to the facility directly from a facility as defined by  section
    10  1.03  of  the  mental hygiene law and who have a serious mental illness.
    11  Disclosure of records to the mental hygiene legal service shall not give
    12  rise to any claims against the facility, its  staff,  or  the  patient's
    13  physician based solely on the fact of such disclosure pursuant to statu-
    14  tory authorization.
    15    §  7.  This act shall take effect immediately; provided, however, that
    16  the amendments to subdivision (c) of section 47.03 of the mental hygiene
    17  law made by section two of this act shall not affect the repeal of  such
    18  subdivision  pursuant  to section 18 of chapter 408 of the laws of 1999,
    19  as amended, when upon such date the provisions of section three of  this
    20  act  shall  take  effect. Effective immediately, the addition, amendment
    21  and/or repeal of any rule or regulation necessary for the implementation
    22  of this act on its effective date are authorized and directed to be made
    23  and completed on or before such effective date.
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