1998 Legislation
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SENATE BILL NO. 1377 – Mentally ill, outpatient commitmnt

SENATE BILL NO. 1377

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S1377.................................................by HEALTH AND WELFARE
MENTAL ILLNESS - OUTPATIENT COMMITMENT - Amends and adds to existing law to
adopt a procedure governing outpatient commitment of certain persons with
mental illness to allow an individual to continue treatment for a mental
illness under close supervision, but outside a hospital setting. If
successful, it could prevent the need to rehospitalize persons who may
deteriorate when not following their prescribed course of treatment.

01/30    Senate intro - 1st rdg - to printing
02/02    Rpt prt - to Health/Wel
02/05    Rpt out - rec d/p - to 2nd rdg
02/06    2nd rdg - to 3rd rdg
02/12    3rd rdg - PASSED - 35-0-0
      AYES--Andreason, Boatright, Branch, Bunderson, Burtenshaw, Cameron,
      Crow, Danielson, Darrington, Deide, Dunklin, Frasure, Geddes, Hansen,
      Hawkins, Ingram, Ipsen, Keough, King, Lee, McLaughlin, Noh, Parry,
      Richardson, Riggs, Risch, Sandy, Schroeder, Sorensen, Stennett,
      Sweeney, Thorne, Twiggs, Wheeler, Whitworth
      NAYS--None
      Absent and excused--None
    Floor Sponsors - Wheeler, King, Keough, Whitworth
    Title apvd - to House
02/13    House intro - 1st rdg - to Health/Wel
03/09    Rpt out - rec d/p - to 2nd rdg
03/10    2nd rdg - to 3rd rdg
03/12    3rd rdg - PASSED - 63-0-7
      AYES -- Alltus, Barraclough, Barrett, Bell, Bieter, Black(15), Boe,
      Bruneel, Callister, Campbell, Chase, Clark, Crane, Cuddy, Deal,
      Denney, Ellsworth, Field(13), Field(20), Gagner, Geddes, Gould,
      Hadley, Hansen, Henbest, Hornbeck, Jaquet, Jones(22), Jones(20),
      Judd, Kellogg, Kempton, Kendell, Kjellander, Kunz, Lake, Linford,
      Loertscher, Mader, Marley, McKague, Meyer, Miller, Mortensen,
      Newcomb, Pomeroy, Reynolds, Richman, Ridinger, Robison, Sali,
      Schaefer, Stevenson, Stoicheff, Stone, Stubbs, Taylor, Tilman,
      Tippets, Trail, Watson, Wheeler, Zimmermann
      NAYS -- None
      Absent and excused -- Bivens, Black(23), Crow, Jones(9), Pischner,
      Wood, Mr Speaker
    Floor Sponsor - Reynolds
    Title apvd - to Senate
03/13    To enrol
03/16    Rpt enrol - Pres signed
03/16    Sp signed
03/17    To Governor
03/18    Governor signed
         Session Law Chapter 90
         Effective: 07/01/99

Bill Text


S1377


                                                                        
 ||||              LEGISLATURE OF THE STATE OF IDAHO             ||||
Fifty-fourth Legislature                 Second Regular Session - 1998
                                                                        

                                      IN THE SENATE

                                   SENATE BILL NO. 1377

                             BY HEALTH AND WELFARE COMMITTEE

 1                                        AN ACT
 2    RELATING TO TREATMENT OF PERSONS WITH MENTAL ILLNESS; AMENDING SECTION 66-317,
 3        IDAHO CODE, TO DEFINE OUTPATIENT COMMITMENT AND TO MAKE TECHNICAL  CORREC-
 4        TIONS;  AMENDING SECTION 66-338, IDAHO CODE, TO FURTHER DESCRIBE TERMS FOR
 5        CONDITIONAL RELEASE AND TO MAKE TECHNICAL  CORRECTIONS;  AMENDING  SECTION
 6        66-339,  IDAHO  CODE,  TO  SPECIFY  CONDITIONS  FOR  REHOSPITALIZATION  OF
 7        PATIENTS CONDITIONALLY RELEASED; AMENDING CHAPTER 3, TITLE 66, IDAHO CODE,
 8        BY THE ADDITION OF A NEW SECTION 66-339A, IDAHO CODE, TO DESCRIBE THE CON-
 9        DITIONS  FOR  OUTPATIENT  COMMITMENT;  AMENDING CHAPTER 3, TITLE 66, IDAHO
10        CODE, BY THE ADDITION OF A NEW SECTION 66-339B, IDAHO CODE, TO GOVERN  THE
11        CONDUCT  OF A HEARING FOR OUTPATIENT COMMITMENT; AMENDING CHAPTER 3, TITLE
12        66, IDAHO CODE, BY THE ADDITION OF A NEW SECTION 66-339C, IDAHO  CODE,  TO
13        SPECIFY  PROCEDURE WHEN THERE IS NONCOMPLIANCE WITH A COURT ORDER FOR OUT-
14        PATIENT COMMITMENT; AMENDING SECTION 18-211, IDAHO CODE, TO CORRECT  CITA-
15        TIONS;  AMENDING  SECTION  18-3302,  IDAHO CODE, TO CORRECT CITATIONS; AND
16        PROVIDING AN EFFECTIVE DATE.

17    Be It Enacted by the Legislature of the State of Idaho:

18        SECTION 1.  That Section 66-317, Idaho Code, be, and the  same  is  hereby
19    amended to read as follows:

20        66-317.  DEFINITIONS.  As  used in this chapter, terms shall have the fol-
21    lowing meanings:
22        (a)  "Department director"   shall    mean  s    the
23    director of the state department of health and welfare.
24        (b)  "Voluntary patient"  shall  mean s  an individ-
25    ual  admitted to a facility for evaluation pursuant to section s 16-1814,
26    or  18-211 ,   or 20-520,  Idaho Code, or admitted
27    to a facility for treatment pursuant to section 66-318, Idaho Code.
28        (c)  "Involuntary patient"  shall  mean s  an  indi-
29    vidual  committed  pursuant to section s  18-212, 18-214, 66-329 or
30    66-1201, Idaho Code, or committed pursuant to section 16-1610 or  16-1814
31      20-520 , Idaho Code, and admitted to  a  facility  for  the
32    treatment of minors.
33        (d)  "Licensed  physician"   shall  mean s  an indi-
34    vidual licensed under the laws of this state to practice medicine or a medical
35    officer of the government of the United States while in this state in the per-
36    formance of his official duties.
37        (e)  "Designated examiner"  shall  mean s  any  per-
38    son  designated  by the department director as specially qualified by training
39    and experience in the diagnosis and treatment of mental  or  mentally  related
40    illnesses  or  conditions.  Such persons shall be psychiatrists, licensed psy-
41    chologists, licensed physicians, a holder of an earned masters level or higher
42    degree in social work from an accredited program, a registered nurse  with  an
43    earned  masters  level or higher degree in psychiatric nursing from an accred-


                                          2

 1    ited program, or a holder of an earned masters level or higher degree in  psy-
 2    chology from an accredited program.
 3        (f)  "Dispositioner"    shall   mean s  a designated
 4    examiner employed by or under contract with the department of health and  wel-
 5    fare  and  designated  by the department director to determine the appropriate
 6    location for care and treatment of involuntary patients.
 7        (g)  "Facility"  shall  mean s  any public  or  pri-
 8    vate  hospital, sanatorium, institution, mental health center or other organi-
 9    zation designated in accordance with  regulations        rules
10      adopted  by  the  board of health and welfare as equipped to initially
11    hold, evaluate, rehabilitate or to provide care or treatment, or both, for the
12    mentally ill.
13        (h)   "Emancipated minor" shall mean an individual  between  fourteen
14    (14)  and  eighteen  (18)  years  of age who has been married or whose circum-
15    stances indicate that the parent-child relationship has been renounced. 
16         (i)   "Lacks capacity to make informed decisions about  treat-
17    ment"  shall  mean s  the inability, by reason of mental
18    illness, to achieve a rudimentary understanding after conscientious efforts at
19    explanation  of  the purpose, nature, and possible significant risks and bene-
20    fits of treatment.
21        ( j  i )  "Inpatient treatment facility"  shall
22     mean s  a facility in which an individual  receives  medical
23    and  mental  treatment  for  not  less than a continuous twenty-four (24) hour
24    period.
25        ( k  j )  "Supervised  residential  facility"  
26    shall   mean s  a facility, other than the individual's home,
27    in which the individual lives and in which there lives, or  are  otherwise  on
28    duty  during the times that the individual's presence is expected, persons who
29    are employed to supervise, direct, treat or monitor the individual.
30        ( l  k )  "Likely to injure himself or others" 
31    shall  mean s  either:
32        (1)  A substantial risk that physical harm will be inflicted by  the  pro-
33        posed  patient upon his own person, as evidenced by threats or attempts to
34        commit suicide or inflict physical harm on himself; or
35        (2)  A substantial risk that physical harm will be inflicted by  the  pro-
36        posed  patient upon another as evidenced by behavior which has caused such
37        harm or which places another person or persons in reasonable fear of  sus-
38        taining such harm.
39        (   m    l  )  "Mentally  ill"    shall  
40    mean s  a person, who as a result  of  a  substantial  disorder  of
41    thought, mood, perception, orientation, or memory, which grossly impairs judg-
42    ment,  behavior, capacity to recognize and adapt to reality, requires care and
43    treatment at a facility.
44        ( n  m  )  "Gravely  disabled"    shall  
45    mean s  a person who, as the result of mental illness, is in danger
46    of  serious  physical  harm  due  to the person's inability to provide for his
47    essential needs.
48         (n)  "Outpatient commitment" means a court order directing a  person
49    to  comply  with specified mental health treatment requirements, not involving
50    the continuous supervision of a person in an inpatient setting, that are  rea-
51    sonably  designed  to alleviate or to reduce a person's illness or disability,
52    or to maintain or prevent deterioration of the person's  mental  or  emotional
53    functioning.  The  specified requirements may include, but need not be limited
54    to, taking prescribed medication, reporting to a facility to permit monitoring
55    of the person's condition, or participating in individual or group therapy  or


                                          3

 1    in  educational or vocational programs. Outpatient commitment may be up to one
 2    (1) year. 

 3        SECTION 2.  That Section 66-338, Idaho Code, be, and the  same  is  hereby
 4    amended to read as follows:

 5        66-338.  CONDITIONAL  RELEASE.  Except  for  patients confined pursuant to
 6    section s 16-1814,    16-1835,  18-211,  18-212,    or  
 7    18-214,    or  20-520,  Idaho Code, upon determining that a patient
 8    may be released without imminent risk or  harm  due  to  mental  illness,  the
 9    department  director  or  his  designated representative may release a patient
10    from an inpatient treatment facility on the condition that the patient receive
11    outpatient treatment  or on such other reasonable conditions  as  may  be
12        pursuant to a written treatment plan as  specified by the
13    department director or his designee  or as amended pursuant to this chap-
14    ter . For purposes of this chapter, "conditional release" shall refer to
15    the situation in which a patient is discharged  from  an  inpatient  treatment
16    facility  and  dispositioned  to an outpatient facility, but shall not include
17    absences, such as escape or other absences wherein the patient is expected  to
18    return  to  the  inpatient  facility  upon  a certain date or occurrence of an
19    event.

20        SECTION 3.  That Section 66-339, Idaho Code, be, and the  same  is  hereby
21    amended to read as follows:

22        66-339.  REHOSPITALIZATION  OF  PATIENTS CONDITIONALLY RELEASED FROM INPA-
23    TIENT  TREATMENT  FACILITIES   --   PROCEDURE.   (a)   Proceedings   for   the
24    rehospitalization of a patient conditionally released from an inpatient treat-
25    ment  facility  may be commenced by the filing of a written application with a
26    court of competent jurisdiction by a prosecuting attorney,  judge,  designated
27    examiner or other person interested in the patient's welfare.
28        (b)  The  application  shall  state  the  patient's  name  and  last known
29    address; the name and address of either the patient's spouse,  guardian,  next
30    of  kin  or  friend,  if  any; and a simple and precise statement of the facts
31    showing that either the patient has violated a condition of the release or  is
32      in  need of outpatient commitment, or is  again in need of place-
33    ment in an inpatient treatment facility.
34        (c)  Upon receipt of an application, the court shall issue notice  of  the
35    time  and  place  of hearing not more than five (5) days, excluding Saturdays,
36    Sundays and holidays, from the filing of  the  application,  ensure  that  the
37    notice  and copy of the application are served on the patient, ensure that the
38    patient is represented by counsel and is advised of his or her right to  chal-
39    lenge  the allegations of the application, ensure that the patient is examined
40    by two (2) designated examiners; and enter such supplemental orders as may  be
41    necessary to protect the patient pending the hearing.
42        (d)  The  court  shall authorize  an outpatient commitment as set out
43    in section 66-339A, Idaho Code, or authorize  a dispositioner to enter a
44    change in disposition to an inpatient treatment facility if, at  the  hearing,
45    conducted  substantially  as  a  hearing under section 66-329, Idaho Code, the
46    court finds by clear and convincing evidence that the patient:
47        (1)   Is mentally ill   Has a mental illness ;
48        (2)  Either (i) has violated a condition of the release or (ii)  is  again
49        in need of placement in an inpatient treatment facility; and
50        (3)  Either  (i)  is  likely  to injure himself or others; (ii) is gravely
51        disabled; or (iii) that the course of the patient's particular mental dis-


                                          4

 1        order is such that the patient is likely to injure himself or others 
 2        or become gravely disabled  in the foreseeable future if the patient
 3        is not placed in an inpatient treatment facility.
 4        (e)  Within  twenty-four  (24)  hours  of  the  court's  authorization,  a
 5    dispositioner shall determine the least restrictive available inpatient treat-
 6    ment facility consistent with the needs of the patient to  be  rehospitalized.
 7    Within seventy-two (72) hours of the court's authorization, the sheriff of the
 8    county  in  which  the  patient  is present shall transport the patient to the
 9    facility designated by the dispositioner. The department of health and welfare
10    shall assume responsibility for the usual and customary  treatment  costs,  as
11    defined   in   section   66-327(b),   Idaho   Code,   after   the  patient  is
12    dispositioned ,   and  transported to  and admitted
13    by  a state facility.

14        SECTION 4.  That Chapter 3, Title 66, Idaho Code,  be,  and  the  same  is
15    hereby  amended  by  the addition thereto of a  NEW SECTION , to be
16    known and designated as Section 66-339A, Idaho Code, and to read as follows:

17        66-339A.  OUTPATIENT COMMITMENT. A person may be committed  to  outpatient
18    treatment  for  a  period of up to one (1) year if, after a court hearing con-
19    ducted substantially similar to the one  outlined  in  section  66-329,  Idaho
20    Code,  the  court  determines,  on  the basis of clear and convincing evidence
21    that:
22        (1)  The person is diagnosed as having a mental illness; and
23        (2)  The person, without the requested treatment:
24        (a)  Is likely to cause harm to himself or to suffer substantial mental or
25        emotional deterioration, or become gravely disabled, or
26        (b)  Is likely to cause harm to others; and
27        (3)  The person lacks capacity to make an informed decision concerning his
28    need for treatment; and
29        (4)  The person has previously been hospitalized for treatment  of  mental
30    illness  and  has by history substantially failed to comply on one (1) or more
31    occasions with the prescribed course of treatment outside the hospital; and
32        (5)  A treatment plan has been prepared which includes specific conditions
33    with which the patient is expected to comply, together with  a  detailed  plan
34    for  reviewing the patient's medical status and for monitoring his or her com-
35    pliance with the required conditions of treatment; and
36        (6)  There is a reasonable  prospect  that  the  patient's  disorder  will
37    respond  to  the treatment proposed in the treatment plan without having to be
38    involuntarily committed to an inpatient facility if the patient complies  with
39    the treatment requirements specified in the court's order; and
40        (7)  The  physician  or  treatment facility which is to be responsible for
41    the patient's treatment under the commitment order has agreed  to  accept  the
42    patient.

43        SECTION  5.  That  Chapter  3,  Title  66, Idaho Code, be, and the same is
44    hereby amended by the addition thereto of a  NEW SECTION  ,  to  be
45    known and designated as Section 66-339B, Idaho Code, and to read as follows:

46        66-339B.  OUTPATIENT  COMMITMENT HEARING. (1) Proceedings for the involun-
47    tary care and treatment of a person with a mental  illness  in  an  outpatient
48    setting by the department may be commenced by the filing of a written applica-
49    tion  with  a court of competent jurisdiction by a friend, relative, spouse or
50    guardian of the proposed patient, or  by  a  licensed  physician,  prosecuting
51    attorney,  or  other public official of a municipality, county or of the state


                                          5

 1    of Idaho, regional mental health authority (RMHA)  treating  professional,  or
 2    the director of any facility in which such patient may be.
 3        (2)  The  application shall state: (i)  the name and last known address of
 4    the proposed patient; (ii)  the name and address of either the spouse,  guard-
 5    ian,  next of kin or friend of the proposed patient; (iii)  that more restric-
 6    tive treatment would be necessary or required if  the  illness  progressed  as
 7    prior  history indicated; (iv)  if the proposed patient is, at the time of the
 8    application, a voluntary patient; (v)  a simple and precise statement  showing
 9    that the proposed patient has previously been diagnosed with a mental illness,
10    that  the proposed patient has previously refused to accept treatment outlined
11    in a treatment plan, and is now refusing such treatment; (vi)    the  observa-
12    tions  indicating  the  current  progression of the illness, that the expected
13    progression would more than likely result in a condition  where  the  proposed
14    patient  is likely to injure himself or others or suffer substantial mental or
15    emotional  deterioration,  or  likely  to   become   gravely   disabled;   and
16    (vii)  whether or not there is a less restrictive alternative.
17        (3)  Any  such petition shall be accompanied by the report of a designated
18    examiner stating that he has personally examined the proposed  patient  within
19    the  last  fourteen  (14) days and is of the opinion that the proposed patient
20    (i) has a history of mental illness; (ii) that as a result of the  progression
21    of  this  illness  the  proposed patient without treatment is likely to injure
22    himself or others or suffer substantial mental or emotional deterioration,  or
23    become  gravely disabled; (iii) that the proposed patient has a treatment plan
24    that can be satisfied by outpatient services; (iv) that the  proposed  patient
25    has  failed to comply on one (1) or more occasions with a prescribed course of
26    treatment; and (v) that the proposed patient now refuses or lacks the capacity
27    to make informed decisions about the necessity  for  continued  treatment,  or
28    (vi)  a  written  statement  by  the  applicant  that the proposed patient has
29    refused to submit to examination  by  a  designated  examiner. The  designated
30    examiner  shall report his findings as to the mental condition of the proposed
31    patient and the appropriateness of the patient receiving treatment in an  out-
32    patient commitment setting or in an inpatient facility to the court within the
33    forty-eight  (48) hours. The report shall be in the form of a written certifi-
34    cate which shall be filed with the court.
35        (a)  If the designated examiner's certificate states  a  belief  that  the
36        proposed  patient meets the above established criteria for outpatient com-
37        mitment the judge of such court  shall  issue  an  order  authorizing  any
38        regional mental health authority, health officer, peace officer, or direc-
39        tor  of  a facility to take the proposed patient to an outpatient facility
40        in the community in which the proposed patient is residing or to the near-
41        est place of treatment as designated by the RMHA. In addition,  the  court
42        shall  authorize  treatment as described in the treatment plan. The condi-
43        tions of the treatment plan shall be specified, and a copy of that  treat-
44        ment  plan  shall  be provided to the patient as soon as practicable after
45        the hearing. Under no circumstances shall the proposed patient be detained
46        in a nonmedical unit used for the detention of individuals charged with or
47        convicted of penal offenses.
48        (b)  If the designated examiner's certificate states  a  belief  that  the
49        proposed  patient  does not meet the above established criteria for outpa-
50        tient commitment, the court may terminate the proceedings and dismiss  the
51        application without taking any further action.
52        (4)  An  opportunity  to  be  represented  by counsel shall be afforded to
53    every patient proposed for an outpatient commitment, and if neither  the  pro-
54    posed  patient  nor others provide counsel, the court shall appoint counsel in
55    accordance with chapter 8, title 19, Idaho Code, no later than  the  time  the


                                          6

 1    petition  is  received  by the court. Notice of the petition shall be given to
 2    the RMHA by the clerk of the court by mailing to an  address  the  RMHA  shall
 3    provide.  In  addition  to the right to counsel, the proposed patient shall be
 4    afforded an opportunity to appear at the hearing, to testify, and  to  present
 5    and  cross-examine  witnesses.  The  proposed  patient shall be required to be
 6    present at the hearing unless the court determines that the mental or physical
 7    state of  the proposed patient is such that his presence at the hearing  would
 8    be  detrimental  to  the proposed patient's health or would unduly disrupt the
 9    proceedings.
10        (5)  The hearing shall be held at a facility, at the home of the  proposed
11    patient, or at any other suitable place not likely to have a harmful effect on
12    the  proposed patient's physical or mental health. Venue for the hearing shall
13    be in the county of residence of the  proposed  patient,  unless  the  patient
14    waives  the  right  to have venue fixed there. The court on its own motion may
15    find that venue in the county where the proposed patient is found  is  proper,
16    if  it  is  in the best interest of the proposed patient. A record of the pro-
17    ceedings shall be made as for other civil hearings. The hearing shall be  con-
18    ducted  in  as  informal  a manner as may be consistent with the rules of evi-
19    dence.
20        (6)  In all proceedings under this section, any existing provision of  the
21    law prohibiting the disclosure of confidential communications between the des-
22    ignated examiner and proposed patient shall not apply and any designated exam-
23    iner who shall have examined the proposed patient shall be a competent witness
24    to testify as to the proposed patient's condition.
25        (7)  If,  upon  completion of the hearing and consideration of the record,
26    the court finds by clear and convincing evidence that the proposed patient:
27        (a)  Has a mental illness; and
28        (b)  Has a prescribed course of treatment for this mental illness; and
29        (c)  Has failed to comply with a prescribed course of treatment on one (1)
30        or more occasions outside an inpatient facility; and
31        (d)  Because of a deterioration resulting from the failure to comply  with
32        the  prescribed course of treatment is likely to suffer substantial mental
33        or emotional deterioration or be likely to injure himself  or  others,  or
34        become gravely disabled due to mental illness;
35    the  court  shall  order the proposed patient committed to the department only
36    for the purposes of outpatient commitment for an indeterminate period of  time
37    not to exceed one (1) year.
38        The  conditions  of  the  treatment plan shall be specified, and a copy of
39    that treatment plan shall be provided to the patient as  soon  as  practicable
40    after the hearing. The RMHA, through its dispositioner, shall determine within
41    twenty-four  (24)  hours  the  least restrictive available outpatient facility
42    consistent with the needs of the patient and the treatment plan.
43        The order of outpatient commitment shall state: (i)  whether the  proposed
44    patient  lacks  capacity  to make informed decisions about treatment; and (ii)
45    the name and address of the patient's attorney; and (iii) either the patient's
46    spouse, guardian, adult next of kin, or friend; and (iv) whether  or  not  the
47    patient may be involuntarily medicated with medication described in the treat-
48    ment plan.
49        (8)  If at any time during the one (1) year (or any subsequent) outpatient
50    commitment  a patient substantially fails or refuses to comply with the treat-
51    ment plan, as it may be amended from time to time by the treating facility  or
52    physician,  the  physician or place of treatment to whose care the patient was
53    dispositioned shall proceed in accordance with section 66-339C, Idaho Code.
54        (9)  Notwithstanding other provisions of these statutes,  and  subject  to
55    the provisions of federal law, staff of a facility in which patients are being


                                          7

 1    treated  may communicate with outpatient clinicians without patient consent in
 2    order to develop outpatient treatment plans.
 3        (10) Nothing in this chapter or in any rule adopted pursuant thereto shall
 4    be construed to authorize the detention or involuntary  outpatient  commitment
 5    of an individual who:
 6        (a)  Is  epileptic,  mentally  deficient,  mentally  retarded, impaired by
 7        chronic alcoholism or drug abuse, or aged, unless in addition to such con-
 8        dition, such person is mentally ill; or
 9        (b)  Is a patient  under  treatment  by  spiritual  means  alone,  through
10        prayer, in accordance with the tenets and practices of a recognized church
11        or  religious  denomination  by a duly accredited practitioner thereof and
12        who asserts to any authority attempting to detain him  that  he  is  under
13        such treatment and who gives the name of a practitioner so treating him to
14        such authority.
15        (11) The commitment shall continue for an indeterminate time not to exceed
16    one (1) year. It may be terminated sooner by the RMHA, the treating physician,
17    or  the  court.  It may be renewed  upon application under this section by the
18    RMHA, the treating  physician,  relative,  spouse,  guardian,  or  prosecuting
19    attorney,  upon  the failure of the patient to continue with a treatment plan.
20    It may be terminated sooner by the  RMHA,  the  treating  physician,  or  upon
21    application  of the patient if the patient is no longer mentally ill, or is no
22    longer in need of following a treatment plan.

23        SECTION 6.  That Chapter 3, Title 66, Idaho Code,  be,  and  the  same  is
24    hereby  amended  by  the addition thereto of a  NEW SECTION , to be
25    known and designated as Section 66-339C, Idaho Code, and to read as follows:

26        66-339C.  NONCOMPLIANCE WITH COURT ORDER. (1)  If a patient fails to  com-
27    ply  with  the  requirements specified in the outpatient commitment order, and
28    the RMHA, the physician or staff of the treatment facility believes that there
29    is a significant risk of deterioration in the patient's conditions, the direc-
30    tor of the facility, physician, or RMHA shall notify law enforcement.
31        (2)  The outpatient commitment order constitutes a  continuing  authoriza-
32    tion  for  law  enforcement,  upon  request  of the director of the outpatient
33    facility, the physician, or the RMHA, to transport the patient to  the  desig-
34    nated  outpatient treatment facility or the physician's office for the purpose
35    of making reasonable efforts  to  obtain  the  person's  compliance  with  the
36    requirements  of the outpatient commitment order. However, the patient may not
37    be detained at the facility or the physician's office for more  than  one  (1)
38    hour,  and may not be physically coerced to take prescribed medications unless
39    the court has entered on the outpatient commitment order an authorization  for
40    the  nonconsensual  delivery  of  prescribed medication. If a patient has been
41    involuntarily medicated, a report of such action shall be made within  twenty-
42    four  (24)  hours  to the court, the patient's guardian, or next of kin by the
43    treatment provider.
44        (3)  If a patient fails to comply with the requirement of the court order,
45    and the RMHA, the physician or staff of the treatment facility  believes  that
46    there  is  a  significant risk of deterioration, the RMHA, the director of the
47    facility or the physician shall notify the original petitioner for  outpatient
48    commitment  and  the  prosecuting  attorney of the county where the patient is
49    found and shall recommend an appropriate disposition.
50        Within seventy-two (72) hours of receiving the notice transmitted pursuant
51    to this section that a patient has  failed to comply with the requirements  of
52    the  outpatient  commitment order, the original petitioner for outpatient com-
53    mitment, the RMHA and the prosecuting attorney of the county where the patient


                                          8

 1    is found or resides may petition the court for a supplemental hearing, or  may
 2    proceed  under any other section of this chapter. If a petition for supplemen-
 3    tal hearing is filed, the court shall hold a supplemental  hearing  in  accor-
 4    dance with the procedures specified in section 66-329, Idaho Code, within for-
 5    ty-eight  (48)  hours. After hearing evidence concerning the patient's current
 6    condition and compliance with the court order, the court shall make  whichever
 7    of the following dispositions it deems appropriate:
 8        (a)  Upon finding that hospitalization is necessary to prevent the patient
 9        from  harming himself or others or to prevent substantial deterioration of
10        the patient's mental or emotional conditions, the court shall order a com-
11        mitment proceeding under section 66-329, Idaho Code, and  may  temporarily
12        commit  the patient to an inpatient facility pending hearing on a petition
13        or application for commitment to an inpatient facility.
14        (b)  Upon finding that the patient does not meet the  criteria  for  inpa-
15        tient commitment and continues to meet the criteria for outpatient commit-
16        ment  set forth in section 66-329B, Idaho Code, and that additional outpa-
17        tient treatment appears warranted, the court shall  renew  or  modify  the
18        order to outpatient commitment.
19        (c)  Upon  finding that neither condition in subparagraphs (a) nor (b) are
20        met, the court shall rescind the commitment order.
21        (d)  Nothing provided in this section shall limit the authority of any law
22        enforcement officer to detain a patient pursuant to the emergency  author-
23        ity conferred by section 66-326, Idaho Code.

24        SECTION  7.  That  Section  18-211, Idaho Code, be, and the same is hereby
25    amended to read as follows:

26        18-211.  EXAMINATION OF DEFENDANT  --  APPOINTMENT  OF  PSYCHIATRISTS  AND
27    LICENSED  PSYCHOLOGISTS  --  HOSPITALIZATION  -- REPORT. (1) Whenever there is
28    reason to doubt the defendant's fitness to proceed as  set  forth  in  section
29    18-210, Idaho Code, the court shall appoint at least one (1) qualified psychi-
30    atrist  or  licensed psychologist or shall request the director of the depart-
31    ment of health and welfare to designate at least one  (1)  qualified  psychia-
32    trist or licensed psychologist to examine and report upon the mental condition
33    of the defendant to assist counsel with defense or understand the proceedings.
34    The  costs  of examination shall be paid by the defendant if he is financially
35    able. The determination of ability to pay shall be  made  in  accordance  with
36    chapter 8, title 19, Idaho Code.
37        (2)  Within  three  (3) days, excluding Saturdays, Sundays and legal holi-
38    days, of the appointment or designation, the examiner shall determine the best
39    location for the examination. If practical, the examination shall be conducted
40    locally on an outpatient basis.
41        (3)  If the examiner determines that confinement is necessary for purposes
42    of the examination, the court may order the defendant  to  be  confined  to  a
43    jail, a hospital, or other suitable facility for that purpose for a period not
44    exceeding  thirty (30) days. The order of confinement shall require the county
45    sheriff to transport the defendant to and from the facility and  shall  notify
46    the facility of any known medical, behavioral, or security requirements of the
47    defendant.  The  court,  upon  request, may make available to the examiner any
48    court records relating to the defendant.
49        (4)  In such examination any method may be employed which is  accepted  by
50    the  examiner's profession for the examination of those alleged not to be com-
51    petent to assist counsel in their defense.
52        (5)  Upon completion of the examination a report shall be submitted to the
53    court and shall include the following:


                                          9

 1        (a)  a description of the nature of the examination;
 2        (b)  a diagnosis or evaluation of the mental condition of the defendant;
 3        (c)  an opinion as to the defendant's capacity to understand the  proceed-
 4        ings against him and to assist in his own defense.
 5        (6)  If the examination cannot be conducted by reason of the unwillingness
 6    of  the  defendant to participate therein, the report shall so state and shall
 7    include, if possible, an opinion as  to  whether  such  unwillingness  of  the
 8    defendant was the result of mental disease or defect.
 9        (7)  The  report  of the examination shall be filed in triplicate with the
10    clerk of the court, who shall cause copies to be delivered to the  prosecuting
11    attorney and to counsel for the defendant.
12        (8)  When  the  defendant  wishes  to  be examined by an expert of his own
13    choice, such examiner shall be permitted to  have  reasonable  access  to  the
14    defendant for the purpose of examination.
15        (9)  In  addition  to the psychiatrist or licensed psychologist, the court
16    may appoint additional experts to  examine  the  defendant.  In  the  event  a
17    defendant  is  suspected  of  being  developmentally disabled, the examination
18    shall proceed with those experts set out in subsection (6) of section  66-402,
19    Idaho Code.
20        (10) If  the  defendant  lacks  capacity  to make informed decisions about
21    treatment, as defined in section 66-317 (i) , Idaho Code, the court
22    may authorize consent to be given pursuant to section 66-322, Idaho  Code.  If
23    the  defendant lacks capacity to make informed decisions as defined in subsec-
24    tion (8) of section 66-402, Idaho Code, the court may authorize consent to  be
25    given pursuant to sections 66-404 and 66-405, Idaho Code.
26        (11) If  the defendant was confined solely for the purpose of examination,
27    he shall be released from the facility within three (3) days, excluding Satur-
28    days, Sundays and legal holidays following notification of completion  of  the
29    examination.

30        SECTION  8.  That  Section 18-3302, Idaho Code, be, and the same is hereby
31    amended to read as follows:

32        18-3302.  ISSUANCE OF LICENSES TO CARRY CONCEALED WEAPONS. (1) The sheriff
33    of a county shall, within ninety (90) days after the filing of an  application
34    by  any  person who is not disqualified from possessing or receiving a firearm
35    under state or federal law, issue a license to the person to  carry  a  weapon
36    concealed  on his person within this state for four (4) years from the date of
37    issue. The citizen's constitutional right to bear arms shall not be denied  to
38    him, unless he:
39        (a)  Is  ineligible  to own, possess or receive a firearm under the provi-
40        sions of state or federal law; or
41        (b)  Is formally charged with a crime punishable  by  imprisonment  for  a
42        term exceeding one (1) year; or
43        (c)  Has  been  adjudicated  guilty  in any court of a crime punishable by
44        imprisonment for a term exceeding one (1) year; or
45        (d)  Is a fugitive from justice; or
46        (e)  Is an unlawful user of, or addicted to, marijuana or any  depressant,
47        stimulant,  or narcotic drug, or any other controlled substance as defined
48        in 21 U.S.C. 802; or
49        (f)  Is currently suffering or has been adjudicated as follows,  based  on
50        substantial evidence:
51             (i)   Lacking  mental  capacity  as  defined in section 18-210, Idaho
52             Code; or
53             (ii)  Mentally ill as defined  in  section  66-317  (m)  ,


                                          10

 1             Idaho Code; or
 2             (iii) Gravely  disabled as defined in section 66-317 (n) ,
 3             Idaho Code; or
 4             (iv)  An incapacitated person  as  defined  in  section  15-5-101(a),
 5             Idaho Code; or
 6        (g)  Is  or  has  been discharged from the armed forces under dishonorable
 7        conditions; or
 8        (h)  Is or has been adjudicated guilty of or received a withheld  judgment
 9        or  suspended sentence for one (1) or more crimes of violence constituting
10        a misdemeanor, unless three (3) years has  elapsed  since  disposition  or
11        pardon  has occurred prior to the date on which the application is submit-
12        ted; or
13        (i)  Has had entry of a withheld judgment for  a  criminal  offense  which
14        would disqualify him from obtaining a concealed weapon license; or
15        (j)  Is an alien illegally in the United States; or
16        (k)  Is  a  person  who  having  been  a citizen of the United States, has
17        renounced his or her citizenship; or
18        (l)  Is under twenty-one (21) years of age; or
19        (m)  Is free on bond or personal recognizance  pending  trial,  appeal  or
20        sentencing  for  a  crime which would disqualify him from obtaining a con-
21        cealed weapon license; or
22        (n)  Is subject to a protection order issued under chapter 63,  title  39,
23        Idaho  Code, that restrains the person from harassing, stalking or threat-
24        ening an intimate partner of the person or child of the  intimate  partner
25        or person, or engaging in other conduct that would place an intimate part-
26        ner in reasonable fear of bodily injury to the partner or child.
27             The  license application shall be in triplicate, in a form to be pre-
28        scribed by the director of the department of law  enforcement,  and  shall
29        ask  the name, address, description and signature of the licensee, date of
30        birth, social security number, military status, and the  driver's  license
31        number  or  state  identification  card number of the licensee if used for
32        identification in applying for the license. The application shall indicate
33        that provision of the social security  number  is  optional.  The  license
34        application shall contain a warning substantially as follows:
35        CAUTION:  Federal  law and state law on the possession of weapons and
36        firearms differ. If you are prohibited by federal law from possessing
37        a weapon or a firearm, you may be  prosecuted  in  federal  court.  A
38        state permit is not a defense to a federal prosecution.
39             The  sheriff  shall  require  any person who is applying for original
40        issuance of a license to submit his fingerprints in addition to the  other
41        information  required  in this subsection.  Within five (5) days after the
42        filing of an application, the sheriff shall forward  the  application  and
43        fingerprints  to  the department of law enforcement for a records check of
44        state and national files.  The department of law enforcement shall conduct
45        a national fingerprint-based records check and return the results  to  the
46        sheriff  within  seventy-five  (75)  days.   The sheriff shall not issue a
47        license before receiving the results of the records check and must deny  a
48        license  if the applicant is disqualified under any of the criteria listed
49        in paragraphs (a) through (n) of subsection (1) of this section.
50             The license will be in a form substantially similar to  that  of  the
51        Idaho driver's license. It will bear the signature, name, address, date of
52        birth,  picture  of the licensee, expiration date and the driver's license
53        number or state identification card number of the  licensee  if  used  for
54        identification  in  applying for the license. Upon issuing a license under
55        the provisions of this section, the sheriff will notify the department  of


                                          11

 1        law  enforcement  on  a  form or in a manner prescribed by the department.
 2        Information relating to an applicant or licensee  received  or  maintained
 3        pursuant  to  this section by the sheriff or department of law enforcement
 4        is confidential and exempt from  disclosure  under  section  9-338,  Idaho
 5        Code.
 6        (2)  The  fee  for  original  issuance of a four (4) year license shall be
 7    twenty dollars ($20.00) paid to the sheriff for the purpose of  enforcing  the
 8    provisions of this chapter. The sheriff may collect any additional fees neces-
 9    sary  to  cover  the  cost of processing fingerprints lawfully required by any
10    state or federal agency or department, and  the  cost  of  materials  for  the
11    license lawfully required by any state agency or department, which costs shall
12    be paid to the state.
13        (3)  The  fee for renewal of the license shall be twelve dollars ($12.00).
14    The sheriff may collect any additional fees necessary to cover the  processing
15    costs  lawfully required by any state or federal agency or department, and the
16    cost of materials for the license lawfully required by  any  state  agency  or
17    department, which costs shall be paid to the state. If a licensee applying for
18    renewal  has  not previously been required to submit fingerprints, the sheriff
19    shall require the licensee to do so and may collect any additional fees neces-
20    sary to cover the cost of processing fingerprints  lawfully  required  by  any
21    state or federal agency or department.
22        (4)  A licensee may renew a license if the licensee applies for renewal at
23    any  time  before  or within ninety (90) days after the expiration date of the
24    license. The sheriff shall require the licensee applying for renewal  to  com-
25    plete  an application. The sheriff shall submit the application to the depart-
26    ment of law enforcement for a records check of state and  national  databases.
27    The  department  of law enforcement shall conduct the records check and return
28    the results to the sheriff within thirty (30) days.   The  sheriff  shall  not
29    issue  a  renewal  before  receiving the results of the records check and must
30    deny a license if the applicant is disqualified  under  any  of  the  criteria
31    listed  in  subsection  (1),  paragraphs  (a)  through  (n) of this section. A
32    renewal license shall be valid for a period of four (4) years.  A  license  so
33    renewed  shall  take  effect  on  the  expiration date of the prior license. A
34    licensee renewing after the expiration date of the license shall  pay  a  late
35    renewal  penalty  of  ten dollars ($10.00) in addition to the renewal fee. The
36    fee shall be paid to the sheriff for the purpose of enforcing  the  provisions
37    of this chapter.
38        (5)  Notwithstanding  the requirements of this section, the sheriff of the
39    county of the applicant's residence may issue a  temporary  emergency  license
40    for good cause pending review under subsection (1) of this section.
41        (6)  A city, county or other political subdivision of this state shall not
42    modify  the  requirements of this section, nor may a political subdivision ask
43    the applicant to voluntarily submit any information not required in this  sec-
44    tion.  A  civil  action may be brought to enjoin a wrongful refusal to issue a
45    license or a wrongful modification of the requirements of  this  section.  The
46    civil action may be brought in the county in which the application was made or
47    in  Ada  county  at  the discretion of the petitioner. Any person who prevails
48    against a public agency in any action in the courts for a violation of subsec-
49    tions (1) through (5) of this section, shall be awarded costs, including  rea-
50    sonable attorney's fees incurred in connection with the legal action.
51        (7)  Except  in  the person's place of abode or fixed place of business, a
52    person shall not carry a concealed weapon without a license to  carry  a  con-
53    cealed  weapon. For the purposes of this section, a concealed weapon means any
54    dirk, dirk knife, bowie knife, dagger, pistol, revolver, or any  other  deadly
55    or  dangerous  weapon.  The  provisions of this section shall not apply to any


                                          12

 1    lawfully possessed shotgun or rifle.
 2        (8)  A county sheriff, deputy sheriff, or county  employee  who  issues  a
 3    license  to  carry  a  concealed weapon under this section shall not incur any
 4    civil or criminal liability as the result of the  performance  of  his  duties
 5    under this section.
 6        (9)  While in any motor vehicle, inside the limits or confines of any city
 7    or  inside  any mining, lumbering, logging or railroad camp a person shall not
 8    carry a concealed weapon on or about his person without a license to  carry  a
 9    concealed  weapon.  This  shall not apply to any pistol or revolver located in
10    plain view whether it is loaded  or  unloaded.  A  firearm  may  be  concealed
11    legally in a motor vehicle so long as the weapon is disassembled or unloaded.
12        (10) In  implementing  the  provisions  of this section, the sheriff shall
13    make applications readily available at the office of the sheriff or  at  other
14    public offices in his jurisdiction.
15        (11) The  sheriff  of  a  county  may issue a license to carry a concealed
16    weapon to those individuals between the ages of eighteen (18)  and  twenty-one
17    (21)  years  who  in  the judgment of the sheriff warrants the issuance of the
18    license to carry a concealed weapon. Such issuance shall be subject to limita-
19    tions which the issuing authority deems appropriate. Licenses issued to  indi-
20    viduals  between the ages of eighteen (18) and twenty-one (21) shall be easily
21    distinguishable from regular licenses.
22        (12) The requirement to secure a license to carry a concealed weapon under
23    this section shall not apply to the following persons:
24        (a)  Officials of a county, city, state of Idaho, the United States, peace
25        officers, guards of any jail, court appointed attendants or any officer of
26        any express company on duty;
27        (b)  Employees of the adjutant general and military division of the  state
28        where military membership is a condition of employment when on duty;
29        (c)  Criminal  investigators  of  the  attorney general's office, criminal
30        investigators of a prosecuting attorney's office,  prosecutors  and  their
31        deputies;
32        (d)  Any  person outside the limits of or confines of any city, or outside
33        any mining, lumbering, logging or railroad camp, located outside any city,
34        while engaged in lawful hunting, fishing, trapping or other lawful outdoor
35        activity;
36        (e)  Any publicly elected Idaho official;
37        (f)  Retired peace officers with at least ten (10) years of  service  with
38        the  state or a political subdivision as a peace officer and who have been
39        certified by the peace officer standards and training council;
40        (g)  Any person who has a valid permit from a state or local law  enforce-
41        ment agency or court authorizing him to carry a concealed weapon. A permit
42        issued  in another state will only be considered valid if the permit is in
43        the licensee's physical possession.
44        (13) When issuing a license pursuant to  this  section,  the  sheriff  may
45    require  the applicant to demonstrate familiarity with a firearm by any of the
46    following, provided the applicant may select which one:
47        (a)  Completion of any hunter education or hunter safety  course  approved
48        by  the  department of fish and game or a similar agency of another state;
49        or
50        (b)  Completion of any  national  rifle  association  firearms  safety  or
51        training  course,  or  any  national  rifle  association  hunter education
52        course; or
53        (c)  Completion of any firearms safety or training course or class  avail-
54        able  to the general public offered by a law enforcement agency, community
55        college, college, university, or private or public institution or  organi-


                                          13

 1        zation or firearms training school, utilizing instructors certified by the
 2        national rifle association or the department of law enforcement; or
 3        (d)  Completion  of any law enforcement firearms safety or training course
 4        or class offered for security guards, investigators, special deputies,  or
 5        any  division  or  subdivision  of  a  law  enforcement agency or security
 6        enforcement agency; or
 7        (e)  Presents evidence or equivalent experience  with  a  firearm  through
 8        participation in organized shooting competition or military service; or
 9        (f)  Is  licensed or has been licensed to carry a firearm in this state or
10        a county or municipality, unless the license has been revoked  for  cause;
11        or
12        (g)  Completion  of  any firearms training or training or safety course or
13        class conducted by a state certified or national rifle association  certi-
14        fied firearms instructor.
15        (14) A  person  carrying a concealed weapon in violation of the provisions
16    of this section shall be guilty of a misdemeanor.
17        (15) The sheriff of the county where the license was issued or the sheriff
18    of the county where the person resides  shall  have  the  power  to  revoke  a
19    license  subsequent  to a hearing in accordance with the provisions of chapter
20    52, title 67, Idaho Code, for any of the following reasons:
21        (a)  Fraud or intentional misrepresentation in the obtaining of a license;
22        or
23        (b)  Misuse of a license, including lending or giving a license to another
24        person, or duplicating a license, or using a license with  the  intent  to
25        unlawfully cause harm to a person or property; or
26        (c)  The doing of an act or existence of a condition which would have been
27        grounds for the denial of the license by the sheriff; or
28        (d)  The violation of any of the terms of this section; or
29        (e)  The  applicant  is adjudicated guilty of or receives a withheld judg-
30        ment for a crime which would have disqualified him from initially  receiv-
31        ing a license.
32        (16) A  person  twenty-one  (21) years of age or older issued a license to
33    carry a concealed weapon or a license renewal on or after  July  1,  1995,  is
34    exempt from any requirement to undergo a records check at the time of purchase
35    or transfer of a firearm from a federally licensed firearms dealer. However, a
36    temporary  emergency license issued under subsection (5) of this section shall
37    not exempt the holder of the license from any records check requirement.  Tem-
38    porary  emergency  licenses  shall  be  easily  distinguishable  from  regular
39    licenses.
40        (17) The  provisions  of  this section are hereby declared to be severable
41    and if any provision of this section or the application of such  provision  to
42    any  person  or circumstance is declared invalid for any reason, such declara-
43    tion shall not affect the validity of remaining portions of this section.

44        SECTION 9.  This act shall be in full force and effect on and  after  July
45    1, 1999.

Statement of Purpose / Fiscal Impact


    





                           STATEMENT OF PURPOSE
    
                                RS 07591C1
    
    Outpatient commitment will be a new concept in the Idaho 
    mental health commitment process. It will allow for a person 
    who met criteria for commitment to be allowed to remain in 
    the community under certain conditions of treatment and 
    services. This is a provision that is in place successfully 
    in several states and is recommended by the American 
    Psychiatric Association Guidelines. It means a court order 
    directing a person who is mentally ill to comply with 
    specified treatment requirements that are reasonably 
    designed to alleviate or reduce the person's illness or 
    disability or to maintain or prevent deterioration of the 
    person's mental or emotional functioning. If the person does 
    not or cannot comply the individual can go back before the 
    court for consideration of impatient commitment provisions.
    
    This approach is advocated by consumers and family members 
    as well as professionals.
    
                               FISCAL NOTE
    
    It is anticipated that additional training of law 
    enforcement officers and additional time will be required 
    from them in certain individual cases. The legislation has 
    a delayed implementation to allow for this training. Over 
    time the cost to local law enforcement will potentially not 
    be an increase.
    
CONTACT: Rosanne Hardin Div. of Family & Community Svcs, 
    Dept. of Health & welfare 334-5680
    
    STATEMENT OF PURPOSE/ FISCAL NOTE
    
    Bill No S1377