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S1318................................................by JUDICIARY AND RULES DEFENDANTS - Amends existing law to provide for a court determination of a defendant's capacity to make informed decisions about treatment; and to provide for involuntary treatment under certain conditions. 01/27 Senate intro - 1st rdg - to printing 01/28 Rpt prt - to Jud 02/10 Rpt out - rec d/p - to 2nd rdg 02/11 2nd rdg - to 3rd rdg 02/15 3rd rdg - PASSED - 31-0-4 AYES--Andreason, Boatright, Bunderson, Burtenshaw, Cameron, Crow, Danielson, Darrington, Davis, Deide, Dunklin, Frasure, Geddes, Hawkins, Ingram, Keough, King-Barrutia, McLaughlin, Noh, Parry, Richardson, Riggs, Risch, Sandy, Schroeder, Stegner, Stennett, Thorne, Wheeler, Whitworth, Williams NAYS--None Absent and excused--Branch, Ipsen, Lee, Sorensen Floor Sponsor - Dunklin Title apvd - to House 02/16 House intro - 1st rdg - to Jud 03/24 Rpt out - rec d/p - to 2nd rdg 03/27 2nd rdg - to 3rd rdg 04/03 3rd rdg - PASSED - 63-0-7 AYES -- Alltus, Barraclough(Barraclough), Barrett, Bieter, Black, Boe, Bruneel, Callister, Campbell, Chase, Cheirrett, Cuddy, Deal, Denney, Ellsworth, Field(13), Field(20), Gagner, Geddes, Gould, Hadley, Hammond, Hansen(23), Hansen(29), Henbest, Hornbeck, Jaquet, Jones, Judd, Kellogg, Kendell, Kunz, Lake, Linford, Loertscher(Loertscher), Mader, Marley, McKague, Meyer, Montgomery, Mortensen, Moss, Moyle, Pearce, Pischner, Pomeroy, Reynolds, Ringo, Robison, Sali, Schaefer, Sellman, Shepherd, Smith, Smylie, Stevenson, Stoicheff, Stone, Taylor, Tilman, Trail, Wood, Zimmermann NAYS -- None Absent and excused -- Bell, Clark, Crow, Kempton, Ridinger, Wheeler, Mr Speaker Floor Sponsor - Sali Title apvd - to Senate 04/04 To enrol - rpt enrol - Pres signed 04/05 Sp signed 04/06 To Governor 04/12 Governor signed Session Law Chapter 234 Effective: 07/01/00
S1318|||| LEGISLATURE OF THE STATE OF IDAHO |||| Fifty-fifth Legislature Second Regular Session - 2000IN THE SENATE SENATE BILL NO. 1318 BY JUDICIARY AND RULES COMMITTEE 1 AN ACT 2 RELATING TO THE EXAMINATION OF A DEFENDANT REGARDING FITNESS TO PROCEED; 3 AMENDING SECTION 18-211, IDAHO CODE, TO PROVIDE FOR EVALUATION OF WHETHER 4 THE DEFENDANT CAN MAKE INFORMED DECISIONS ABOUT TREATMENT; AMENDING SEC- 5 TION 18-212, IDAHO CODE, TO PROVIDE FOR DETERMINATION OF THE DEFENDANT'S 6 CAPACITY TO MAKE INFORMED DECISIONS ABOUT TREATMENT, TO PROVIDE A TIME 7 LIMIT FOR THE COMMITMENT TO CUSTODY AND TO PROVIDE FOR A HEARING REGARDING 8 INVOLUNTARY TREATMENT; AMENDING SECTION 66-337, IDAHO CODE, TO PROVIDE 9 CORRECT CITATIONS; AND PROVIDING AN EFFECTIVE DATE. 10 Be It Enacted by the Legislature of the State of Idaho: 11 SECTION 1. That Section 18-211, Idaho Code, be, and the same is hereby 12 amended to read as follows: 13 18-211. EXAMINATION OF DEFENDANT -- APPOINTMENT OF PSYCHIATRISTS AND 14 LICENSED PSYCHOLOGISTS -- HOSPITALIZATION -- REPORT. (1) Whenever there is 15 reason to doubt the defendant's fitness to proceed as set forth in section 16 18-210, Idaho Code, the court shall appoint at least one (1) qualified psychi- 17 atrist or licensed psychologist or shall request the director of the depart- 18 ment of health and welfare to designate at least one (1) qualified psychia- 19 trist or licensed psychologist to examine and report upon the mental condition 20 of the defendant to assist counsel with defense or understand the proceedings. 21 The appointed examiner shall also evaluate whether the defendant lacks capac- 22 ity to make informed decisions about treatment. The costs of examination shall 23 be paid by the defendant if he is financially able. The determination of abil- 24 ity to pay shall be made in accordance with chapter 8, title 19, Idaho Code. 25 (2) Within three (3) days, excluding Saturdays, Sundays and legal holi- 26 days, of the appointment or designation, the examiner shall determine the best 27 location for the examination. If practical, the examination shall be conducted 28 locally on an outpatient basis. 29 (3) If the examiner determines that confinement is necessary for purposes 30 of the examination, the court may order the defendant to be confined to a 31 jail, a hospital, or other suitable facility for that purpose for a period not 32 exceeding thirty (30) days. The order of confinement shall require the county 33 sheriff to transport the defendant to and from the facility and shall notify 34 the facility of any known medical, behavioral, or security requirements of the 35 defendant. The court, upon request, may make available to the examiner any 36 court records relating to the defendant. 37 (4) In such examination any method may be employed which is accepted by 38 the examiner's profession for the examination of those alleged not to be com- 39 petent to assist counsel in their defense. 40 (5) Upon completion of the examination a report shall be submitted to the 41 court and shall include the following: 42 (a) a description of the nature of the examination; 43 (b) a diagnosis or evaluation of the mental condition of the defendant; 2 1 (c) an opinion as to the defendant's capacity to understand the proceed- 2 ings against him and to assist in his own defense; 3 (d) an opinion whether the defendant lacks the capacity to make informed 4 decisions about treatment. "Lack of capacity to make informed decisions 5 about treatment" means the defendant's inability, by reason of his mental 6 condition, to achieve a rudimentary understanding of the purpose, nature, 7 and possible significant risks and benefits of treatment, after conscien- 8 tious efforts at explanation. 9 (6) If the examination cannot be conducted by reason of the unwillingness 10 of the defendant to participate therein, the report shall so state and shall 11 include, if possible, an opinion as to whether such unwillingness of the 12 defendant was the result of mental disease or defect. 13 (7) The report of the examination shall be filed in triplicate with the 14 clerk of the court, who shall cause copies to be delivered to the prosecuting 15 attorney and to counsel for the defendant. 16 (8) When the defendant wishes to be examined by an expert of his own 17 choice, such examiner shall be permitted to have reasonable access to the 18 defendant for the purpose of examination. 19 (9) In addition to the psychiatrist or licensed psychologist, the court 20 may appoint additional experts to examine the defendant. In the event a 21 defendant is suspected of being developmentally disabled, the examination 22 shall proceed with those experts set out in subsection (7) of section 66-402, 23 Idaho Code. 24 (10) If the defendant lacks capacity to make informed decisions about 25 treatment, as defined in section 66-317, Idaho Code, the court may authorize 26 consent to be given pursuant to section 66-322, Idaho Code. If the defendant 27 lacks capacity to make informed decisions as defined in subsection (9) of sec- 28 tion 66-402, Idaho Code, the court may authorize consent to be given pursuant 29 to sections 66-404 and 66-405, Idaho Code. 30 (11) If the defendant was confined solely for the purpose of examination, 31 he shall be released from the facility within three (3) days, excluding Satur- 32 days, Sundays and legal holidays following notification of completion of the 33 examination. 34 SECTION 2. That Section 18-212, Idaho Code, be, and the same is hereby 35 amended to read as follows: 36 18-212. DETERMINATION OF FITNESS OF DEFENDANT TO PROCEED -- SUSPENSION OF 37 PROCEEDING AND COMMITMENT OF DEFENDANT -- POSTCOMMITMENT HEARING. (1) When the 38 defendant's fitness to proceed is drawn in question, the issue shall be deter- 39 mined by the court. The court shall also determine, based on the examiner's 40 findings, whether the defendant lacks capacity to make informed decisions 41 about treatment. If neither the prosecuting attorney nor counsel for the 42 defendant contests the finding of the report filed pursuant to section 18-211, 43 Idaho Code, the court may make the determination on the basis of such report. 44 If the finding is contested, the court shall hold a hearing on the issue. If 45 the report is received in evidence upon such hearing, the party who contests 46 the finding thereof shall have the right to summon and to cross-examine the 47 psychiatrist or licensed psychologist who submitted the report and to offer 48 evidence upon the issue. 49 (2) If the court determines that the defendant lacks fitness to proceed, 50 the proceeding against him shall be suspended, except as provided in subsec- 51 tions (45) and (56) of this section, and the court shall commit him to the 52 custody of the director of the department of health and welfare, for a period 53 not exceeding ninety (90) days, for care and treatment at an appropriate 3 1 facility of the department of health and welfare or if the defendant is found 2 to be dangerously mentally ill as defined in section 66-1305, Idaho Code, to 3 the department of correction for a period not exceeding ninety (90) days. The 4 order of commitment shall include the finding by the court whether the defend- 5 ant lacks capacity to make informed decisions about treatment. For purposes of 6 this section "facility" shall mean a state hospital, institution, mental 7 health center, or those facilities enumerated in subsection (8) of section 8 66-402, Idaho Code, equipped to evaluate or rehabilitate such defendants. The 9 order of commitment shall require the county sheriff to transport the defend- 10 ant to and from the facility and require an evaluation of the defendant's men- 11 tal condition at the time of admission to the facility, and a progress report 12 on the defendant's mental condition. The progress report shall include an 13 opinion whether the defendant is fit to proceed, or if not, whether there is a 14 substantial probability the defendant will be fit to proceed within the fore- 15 seeable future. If the report concludes that there is a substantial probabil- 16 ity that the defendant will be fit to proceed in the foreseeable future, the 17 court may order the continued commitment of the defendant for an additional 18 one hundred eighty (180) days. If at any time the director of the facility to 19 which the defendant is committed determines that the defendant is fit to pro- 20 ceed, such determination shall be reported to the court. 21 (3) If during a commitment under this section a defendant who has the 22 capacity to make informed decisions about treatment refuses any and all treat- 23 ment, or the only treatment available to restore competency for trial, the 24 court shall, within seven (7) days, excluding weekends and holidays, of 25 receiving notice of the defendant's refusal from the facility, conduct a hear- 26 ing on whether to order involuntary treatment or order such other terms and 27 conditions as may be determined appropriate. The burden shall be on the state 28 to demonstrate grounds for involuntary treatment including, but not limited 29 to: the prescribed treatment is essential to restore the defendant's compe- 30 tency, the medical necessity and appropriateness of the prescribed treatment, 31 no less intrusive treatment alternative exists to render the defendant compe- 32 tent for trial, and other relevant information. If each of these findings is 33 made by the court, treatment shall be ordered consistent with the findings. 34 (4) Each report shall be filed in triplicate with the clerk of the court, 35 who shall cause copies to be delivered to the prosecuting attorney and to 36 counsel for the defendant. Upon receipt of a report, the court shall deter- 37 mine, after a hearing if a hearing is requested, the disposition of the 38 defendant and the proceedings against him. If the court determines that the 39 defendant is fit to proceed, the proceeding shall be resumed. If at the end of 40 the initial ninety (90) days the court determines that the defendant is unfit 41 and there is not a substantial probability the defendant will be fit to pro- 42 ceed within the foreseeable future or if the defendant is not fit to proceed 43 after the expiration of the additional one hundred eighty (180) days, involun- 44 tary commitment proceedings shall be instituted pursuant to either section 45 66-329 or 66-406, Idaho Code, in the court in which the criminal charge is 46 pending. 47 (45) In its review of commitments pursuant to section 66-337, Idaho Code, 48 the department of health and welfare shall determine whether the defendant is 49 fit to proceed with trial. The department of health and welfare shall review 50 its commitments pursuant to chapter 4, title 66, Idaho Code, and may recommend 51 that the defendant is fit to proceed with trial. If the district court which 52 committed the defendant pursuant to section 66-406, Idaho Code, agrees with 53 the department's recommendation and finds the conditions which justified the 54 order pursuant to section 66-406, Idaho Code, do not continue to exist, crimi- 55 nal proceedings may resume. If the defendant is fit to proceed, the court in 4 1 which the criminal charge is pending shall be notified and the criminal pro- 2 ceedings may resume. If, however, the court is of the view that so much time 3 has elapsed, excluding any time spent free from custody by reason of the 4 escape of the defendant, since the commitment of the defendant that it would 5 be unjust to resume the criminal proceeding, the court may dismiss the 6 charge. 7 (56) If a defendant escapes from custody during his confinement, the 8 director shall immediately notify the court from which committed, the prose- 9 cuting attorney and the sheriff of the county from which committed. The court 10 shall forthwith issue an order authorizing any health officer, peace officer, 11 or the director of the institution from which the defendant escaped, to take 12 the defendant into custody and immediately return him to his place of confine- 13 ment. 14 SECTION 3. That Section 66-337, Idaho Code, be, and the same is hereby 15 amended to read as follows: 16 66-337. REVIEW, TERMINATION OF COMMITMENT AND DISCHARGE OF PATIENTS. (a) 17 The department director or his designee shall as frequently as practicable but 18 at least once at the end of the first ninety (90) days examine or cause to be 19 examined every patient committed to his custody or admitted to an inpatient 20 facility of the state of Idaho, and determine whether to conditionally 21 release, discharge or terminate the commitment of the patient. If the patient 22 has not been conditionally released, discharged, or had the commitment termi- 23 nated a similar review shall be conducted every one hundred twenty (120) days 24 thereafter. A report of each review and determination regarding an involuntary 25 patient shall be sent to the committing court, prosecuting attorney of the 26 county of commitment, if any, the patient's attorney, and either the patient's 27 spouse, guardian, next of kin or friend. 28 (b) The commitment of an involuntary patient shall be terminated if the 29 patient is no longer mentally ill or is no longer likely to injure himself or 30 others or is no longer gravely disabled; provided, that patients admitted 31 under section 18-214, Idaho Code, acquitted of criminal charges filed prior to 32 July 1, 1982, on grounds of mental disease or defect, or committed pursuant to 33 sections 18-212(34) and 66-329, Idaho Code, as unfit to proceed, may not be 34 released from an inpatient facility unless thirty (30) days before such 35 release, the department director or his designee shall notify the committing 36 court and prosecuting attorney of the contemplated release. 37 (c) Upon notification of intention to release from an inpatient facility 38 either a patient admitted under section 18-214, Idaho Code, acquitted of crim- 39 inal charges filed prior to July 1, 1982, on grounds of mental disease or 40 defect, or committed pursuant to sections 18-212(34) and 66-329, Idaho Code, 41 as unfit to proceed, and upon motion of an interested party or the court on 42 its own motion, the court shall determine whether the conditions justifying 43 such release exist. In making such determination, the court may order an inde- 44 pendent examination of the patient. The cost of such independent examination 45 must be borne by the party making the motion or, if indigent, the county hav- 46 ing jurisdiction of the case. If no motion is made, the patient may be 47 released according to the notice. 48 (d) Section 18-214, Idaho Code, shall remain in full force and effect for 49 every individual previously acquitted pursuant to section 18-213, Idaho Code. 50 Section 18-214, Idaho Code, as last amended by section 2, chapter 13, laws of 51 1977, which is placed here for reference only and is not a reenactment of sec- 52 tion 18-214, Idaho Code, and reads as follows: 53 18-214. Commitment of acquitted defendant -- Conditional release -- Revo- 5 1 cation of release within five years. (1) When a defendant is acquitted on the 2 ground of mental disease or defect excluding responsibility, the court shall 3 order him to be committed to the custody of the director of the department of 4 health and welfare to be placed in an appropriate institution for custody, 5 care and treatment. 6 (2) If the director of the department of health and welfare is of the 7 view that a person committed to his custody, pursuant to paragraph (1) of this 8 section, may be discharged or released on condition without danger to himself 9 or to others, he shall make application for the discharge or release of such 10 person in a report to the court by which such person was committed and shall 11 transmit a copy of such application and report to the prosecuting attorney of 12 the county from which the defendant was committed. The court shall thereupon 13 appoint at least two (2) qualified psychiatrists to examine such person and to 14 report within sixty (60) days, or such longer period as the court determines 15 to be necessary for the purpose, their opinion as to his mental condition. To 16 facilitate such examination and the proceedings thereon, the court may cause 17 such person to be confined in any institution located near the place where the 18 court sits, which may hereafter be designated by the director of the depart- 19 ment of health and welfare as suitable for the temporary detention of irre- 20 sponsible persons. 21 (3) If the court is satisfied by the report filed pursuant to paragraph 22 (2) of this section and such testimony of the reporting psychiatrists as the 23 court deems necessary that the committed person may be discharged or released 24 on condition without danger to himself or others, the court shall order his 25 discharge or his release on such conditions as the court determines to be nec- 26 essary. If the court is not so satisfied, it shall promptly order a hearing to 27 determine whether such person may safely be discharged or released. Any such 28 hearing shall be deemed a civil proceeding and the burden shall be upon the 29 committed person to prove that he may safely be discharged or released. 30 According to the determination of the court upon the hearing, the committed 31 person shall thereupon be discharged or released on such conditions as the 32 court determines to be necessary, or shall be recommitted to the custody of 33 the director of the department of health and welfare, subject to discharge or 34 release only in accordance with the procedure prescribed above for a first 35 hearing. 36 (4) If, within five (5) years after the conditional release of a commit- 37 ted person, the court shall determine, after hearing evidence, that the condi- 38 tions of release have not been fulfilled and that for the safety of such per- 39 son or for the safety of others his conditional release should be revoked, the 40 court shall forthwith order him to be recommitted to the custody of the direc- 41 tor of the department of health and welfare subject to discharge or release 42 only in accordance with the procedure prescribed above for a first hearing. 43 (5) A committed person may make application for his discharge or release 44 to the court by which he was committed, and the procedure to be followed upon 45 such application shall be the same as that prescribed above in the case of an 46 application by the director of the department of health and welfare. However, 47 no such application by a committed person need be considered until he has been 48 confined for a period of not less than six (6) months from the date of the 49 order of commitment and if the determination of the court be adverse to the 50 application, such person shall not be permitted to file a further application 51 until one (1) year has elapsed from the date of any preceding hearing on an 52 application for his release or discharge. 53 (6) If a defendant escapes from custody during his confinement, the 54 director shall immediately notify the court from which committed, the prose- 55 cuting attorney and the sheriff of the county from which committed. The court 6 1 shall forthwith issue an order authorizing any health officer, peace officer, 2 or the director of the institution from which the defendant escaped, to take 3 the defendant into custody and immediately return him to his place of confine- 4 ment. 5 SECTION 4. This act shall be in full force and effect on and after July 6 1, 2000.
STATEMENT OF PURPOSE RS09334Cl The proposed amendments to sections 18-211 and 18-212, Idaho Code are to address an existingsituation that arises when criminal defendants present issues of their ability to stand trial and to understand the proceedings against them. Currently the court may commit these individuals tothe Department of Health and Welfare for care and treatment to rehabilitate them to stand trial. Current law does not address the issue of the defendant's ability to consent to treatment. Absentthis determination and direction from the court the defendant can refuse treatment in the institution and delay return to court and. also utilize resources that may be more productivelyused by others. This amendment provides for the designated examiner to address thedefendant's capacity to consent to treatment, provides a definition of that capacity and provides for the court to determine legal capacity of the individual and address the treatment issueinitially. If the defendant is determined to have the ability to consent to treatment and then refused such treatment to remediate his condition, the issue will be returned to the court forfurther direction by the judge. FISCAL IMPACT There is no anticipated fiscal impact. Potentially this change could better utilize scarce resourcesby expediting the treatment necessary to rehabilitate defendants and reduce the time in whichthey are required to be in the institutions. It also may reduce required court hearing necessary toaddress this issue. CONTACT Name: Roseanne Hardin Agency: Dept. of Health & Welfare; Div. of Family & Community Svcs. Phone: 334-5680 Statement of Purpose/Fiscal Impact S 1318