2001 Legislation
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SENATE BILL NO. 1210 – Mentally ill patient, restraints

SENATE BILL NO. 1210

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Daily Data Tracking History



S1210................................................by JUDICIARY AND RULES
PATIENTS - MENTALLY ILL - Amends existing law to provide conditions for the
use of seclusion or the use of physical restraints on a hospitalized
mentally ill patient; and to provide that the use of, an evaluation of and
the reasons for such restraint shall be made a part of the patient's
clinical records.
                                                                        
03/06    Senate intro - 1st rdg - to printing
03/07    Rpt prt - to Health/Wel
03/14    Rpt out - rec d/p - to 2nd rdg
03/15    2nd rdg - to 3rd rdg
03/16    3rd rdg - PASSED - 33-1-1
      AYES -- Andreason, Boatright, Branch(Bartlett), Brandt, Bunderson,
      Burtenshaw, Cameron, Danielson, Darrington, Davis, Deide, Dunklin,
      Frasure, Geddes, Goedde, Hawkins, Ingram, Ipsen, King-Barrutia, Lee,
      Lodge, Noh, Richardson, Risch, Sandy, Schroeder, Sims, Sorensen,
      Stegner, Stennett, Thorne, Wheeler, Whitworth
      NAYS -- Keough
      Absent and excused -- Williams
    Floor Sponsor -- Lodge
    Title apvd - to House
03/19    House intro - 1st rdg - to Health/Wel
03/23    Rpt out - rec d/p - to 2nd rdg
03/26    2nd rdg - to 3rd rdg
03/28    3rd rdg - PASSED - 65-0-5
      AYES -- Barraclough, Barrett, Bedke, Bell, Black, Boe, Bolz,
      Bradford, Bruneel, Callister, Campbell, Chase, Clark, Collins, Crow,
      Cuddy, Deal, Denney, Ellis, Ellsworth, Eskridge, Field(13),
      Field(20), Gagner, Gould, Hadley, Hammond, Hansen, Harwood,
      Henbest(Farley), Higgins, Hornbeck, Jaquet, Jones, Kellogg, Kendell,
      Kunz, Lake, Langford, Loertscher, Mader, Marley, McKague, Meyer,
      Montgomery, Mortensen, Moss, Moyle, Pearce, Pomeroy, Raybould,
      Ridinger, Roberts, Robison, Sali, Schaefer, Sellman, Shepherd, Smith,
      Smylie, Stevenson, Stone, Tilman, Trail, Young(Young)
      NAYS -- None
      Absent and excused -- Bieter, Pischner, Wheeler, Wood, Mr. Speaker
    Floor Sponsor -- Bradford
    Title apvd - to Senate
03/29    To enrol
    Rpt enrol - Pres signed
03/30    Sp signed - to Governor
04/04    Governor signed
         Session Law Chapter 339
         Effective: 07/01/01

Bill Text


                                                                        
                                                                        
  ||||              LEGISLATURE OF THE STATE OF IDAHO             ||||
 Fifty-sixth Legislature                  First Regular Session - 2001
                                                                        
                                                                        
                                       IN THE SENATE
                                                                        
                                    SENATE BILL NO. 1210
                                                                        
                              BY JUDICIARY AND RULES COMMITTEE
                                                                        
  1                                        AN ACT
  2    RELATING TO THE HOSPITALIZATION OF MENTALLY  ILL  PATIENTS;  AMENDING  SECTION
  3        66-345,  IDAHO  CODE, TO PROVIDE THAT RESTRAINTS SHALL NOT BE APPLIED TO A
  4        PATIENT NOR SHALL A PATIENT BE SECLUDED UNLESS IT IS DETERMINED THAT  SUCH
  5        RESTRAINT  OR  SECLUSION  IS NECESSARY FOR THE PATIENT'S SAFETY OR FOR THE
  6        SAFETY OF OTHERS, TO PROVIDE THAT EVERY INSTANCE OF A RESTRAINT OR  SECLU-
  7        SION  OF A PATIENT AND AN EVALUATION OF AND THE REASONS FOR SUCH RESTRAINT
  8        OR SECLUSION SHALL BE MADE A PART OF THE CLINICAL RECORD  OF  THE  PATIENT
  9        UNDER  THE  SIGNATURE  OF  A  LICENSED  PHYSICIAN  OR  OTHER PRACTITIONERS
 10        LICENSED TO PRACTICE INDEPENDENTLY AS DELEGATED.
                                                                        
 11    Be It Enacted by the Legislature of the State of Idaho:
                                                                        
 12        SECTION 1.  That Section 66-345, Idaho Code, be, and the  same  is  hereby
 13    amended to read as follows:
                                                                        
 14        66-345.  MECHANICAL RESTRAINTS AND SECLUSION. Mechanical rRestraints shall
 15    not be applied to a patient nor shall a patient be isolated secluded unless it
 16    is  determined  that  such  restraint  or  seclusion  is necessary for his the
 17    patient's safety or for the safety of others. Every use instance of a mechani-
 18    cal restraint or seclusion of a patient shall be documented  in  the  clinical
 19    record of the patient. In addition, every instance of a restraint or seclusion
 20    shall  be  evaluated and the evaluation and reasons therefor such restraint or
 21    seclusion shall be made a part of the clinical record of the patient under the
 22    signature of the director of the facility a licensed physician  or,  as  dele-
 23    gated  through  the  bylaws  of  the hospital's medical or professional staff,
 24    other practitioners licensed to practice independently.

Statement of Purpose / Fiscal Impact



	              STATEMENT OF PURPOSE
                          RS 11200C1

These amendments to the existing statute updates current 
language making it more consistent with best practice, 
changing terms from "mechanical restraints" to restraints 
and seclusion."

New federal rules imposed by the Health Care Financing 
Administration address safety factors and considerations 
for patients in psychiatric facilities reimbursed by 
Medicaid for care provided.  These rules would create a 
hardship in many communities in Idaho, including State 
Hospital South at Blackfoot, by the requirement of face to 
face evaluation of the patient who is or has been 
restrained by a physician or Licensed Independent 
Practitioner.  Many Idaho communities do not have 
sufficient numbers of these physicians or practitioners who 
are available to provide this evaluation for patients.  If 
physicians are available, the cost of these additional 
services will be prohibitive.
Patient safety can be ensured by the use of other licensed 
professionals in our state.  This change to the statute 
would allow for the use of the other listed professionals 
if consistent with the policy of the facility.	

                     FISCAL IMPACT
It is anticipated that this change in statute will save the 
state approximately $175,000 not currently appropriated 
from the cost at State Hospital South annually. If the 
legislation does not pass, these additional costs will be 
incurred.


Contact
Name: Joyce McRoberts, 334-5500
      Deputy Director 
      Barbara Hancock, 334-0646

STATEMENT OF PURPOSE/FISCAL NOTE	        S 1210