2008 Legislation
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HOUSE BILL NO. 508<br /> – Substance abuse preventn/treatmnt

HOUSE BILL NO. 508

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Bill Status



H0508.................................................by HEALTH AND WELFARE
SUBSTANCE ABUSE TREATMENT - Amends existing law to revise elements for the
comprehensive program for treatment of alcohol and drug abusers; to revise
elements for Board of Health and Welfare rules for treatment programs for
alcohol and drug abusers; and to revise elements of voluntary treatment
programs for alcohol and drug abusers.

02/11    House intro - 1st rdg - to printing
02/12    Rpt prt - to Health/Wel
02/15    Rpt out - rec d/p - to 2nd rdg
02/18    2nd rdg - to 3rd rdg
02/20    3rd rdg - PASSED - 62-0-8
      AYES -- Anderson, Andrus, Barrett, Bayer, Bell, Bilbao, Black, Block,
      Bock, Boe, Bolz, Bowers, Bradford, Chadderdon, Chavez, Chew, Clark,
      Collins, Crane, Durst, Eskridge, Hagedorn, Hart, Harwood,
      Henbest(Burgoyne), Henderson, Jaquet, Killen, King, Kren, LeFavour,
      Loertscher, Luker, Marriott, Mathews, McGeachin, Mortimer, Moyle,
      Nielsen, Nonini, Pasley-Stuart, Pence, Raybould, Ringo, Ruchti,
      Rusche, Sayler, Schaefer, Shepherd(02), Shepherd(08), Shirley,
      Shively, Smith(24), Smith(30)(Stanek), Stevenson, Thayn, Thomas,
      Vander Woude, Wills, Wood(27), Wood(35), Mr. Speaker
      NAYS -- None
      Absent and excused -- Bedke, Brackett, Labrador, Lake, Patrick,
      Roberts, Snodgrass, Trail
    Floor Sponsor - Block
    Title apvd - to Senate
02/21    Senate intro - 1st rdg - to Health/Wel
02/26    Rpt out - rec d/p - to 2nd rdg
02/27    2nd rdg - to 3rd rdg
03/04    3rd rdg - PASSED - 33-0-2
      AYES -- Andreason, Bair, Bastian, Bilyeu, Broadsword, Burkett,
      Cameron, Coiner, Corder, Darrington, Davis, Fulcher, Geddes, Goedde,
      Hammond, Heinrich, Hill, Kelly, Keough, Langhorst, Little, Lodge,
      Malepeai(Sagness), McGee, McKague, McKenzie, Pearce, Richardson,
      Schroeder, Siddoway, Stegner, Stennett, Werk
      NAYS -- None
      Absent and excused -- Gannon, Jorgenson
    Floor Sponsor - Lodge
    Title apvd - to House
03/05    To enrol
03/06    Rpt enrol - Sp signed
03/07    Pres signed
03/10    To Governor
03/14    Governor signed
         Session Law Chapter 94
         Effective: 07/01/08

Bill Text




                                                                       
  ]]]]              LEGISLATURE OF THE STATE OF IDAHO             ]]]]
 Fifty-ninth Legislature                   Second Regular Session - 2008

                                                                       

                              IN THE HOUSE OF REPRESENTATIVES

                                     HOUSE BILL NO. 508

                              BY HEALTH AND WELFARE COMMITTEE

  1                                        AN ACT
  2    RELATING TO SUBSTANCE ABUSE; AMENDING SECTION 39-302, IDAHO CODE,  TO  FURTHER
  3        DEFINE  TERMS  AND  TO  ALPHABETIZE  DEFINITIONS; AMENDING SECTION 39-304,
  4        IDAHO CODE, TO REVISE ELEMENTS FOR THE COMPREHENSIVE  PROGRAM  FOR  TREAT-
  5        MENT; AMENDING SECTION 39-306, IDAHO CODE, TO REVISE ELEMENTS FOR BOARD OF
  6        HEALTH  AND  WELFARE  RULES  FOR  TREATMENT PROGRAMS; AND AMENDING SECTION
  7        39-307, IDAHO CODE, TO REVISE ELEMENTS OF VOLUNTARY TREATMENT PROGRAMS AND
  8        TO MAKE A TECHNICAL CORRECTION.

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

 10        SECTION 1.  That Section 39-302, Idaho Code, be, and the  same  is  hereby
 11    amended to read as follows:

 12        39-302.  DEFINITIONS.  As  used in this chapter, the terms defined in this
 13    section shall have the following meanings, unless the  context  clearly  indi-
 14    cates another meaning:
 15        (1)  "Addiction" or "alcoholism" means a primary, chronic, neurobiological
 16    disease  with  genetic, psychosocial and environmental factors influencing its
 17    development and manifestations. It is characterized by behaviors that  include
 18    one  (1)  or more of the following: impaired control over drug or alcohol use,
 19    compulsive use, continued use despite harm, and craving.
 20        (2)  "Alcoholic" means a person who has the disease of  alcoholism,  which
 21    is  characterized  by behaviors that include one (1) or more of the following:
 22    impaired control over alcohol use, compulsive use, continued use despite harm,
 23    and craving.
 24        (3)  "Approved private treatment facility" means a private agency  meeting
 25    the  standards prescribed in section 39-305(1), Idaho Code, and approved under
 26    the provisions of section 39-305(3), Idaho Code, and rules promulgated by  the
 27    board of health and welfare pursuant to this chapter.
 28        (4)  "Approved public treatment facility" means a treatment agency operat-
 29    ing  under  the provisions of this chapter through a contract with the depart-
 30    ment of health and welfare pursuant to  section  39-304(7),  Idaho  Code,  and
 31    meeting  the  standards  prescribed  in  section  39-305(1),  Idaho  Code, and
 32    approved pursuant to section 39-305(3), Idaho Code, and rules  promulgated  by
 33    the board of health and welfare pursuant to this chapter.
 34        (5)  "Department" means the Idaho department of health and welfare.
 35        (6)  "Director"  means  the director of the Idaho department of health and
 36    welfare.
 37        (2)  "Department" means the Idaho department of health and welfare.
 38        (37)  "Drug addict" means a person who habitually lacks self-control  with
 39    respect  to  the use of addictive drugs, or uses addictive drugs to the extent
 40    that his health is substantially impaired or endangered, or his social or eco-
 41    nomic functions are substantially disrupted  has  the  disease  of  addiction,
 42    which  is  characterized by behaviors that include one (1) or more of the fol-
 43    lowing: impaired control over drug use, compulsive use, continued use  despite

                                       2

  1    harm, and craving.
  2        (8)  "Incapacitated  by alcohol or drugs" means that a person, as a result
  3    of the use of alcohol or drugs, is unconscious or has his  judgment  otherwise
  4    so  impaired  that he is incapable of realizing and making a rational decision
  5    with respect to his need for treatment.
  6        (9)  "Incompetent person" means a person who has been adjudged incompetent
  7    by an appropriate court within this state.
  8        (4)  "Alcoholic" means a person who  habitually  lacks  self-control  with
  9    respect  to the use of alcoholic beverages, or uses alcoholic beverages to the
 10    extent that his health is substantially impaired or endangered, or his  social
 11    or economic functions are substantially disrupted.
 12        (510) "Interagency committee" means the interagency committee on substance
 13    abuse prevention and treatment as provided for in section 39-303, Idaho Code.
 14        (611) "Intoxicated  person"  means a person whose mental or physical func-
 15    tioning is substantially impaired as a result of the use of drugs or alcohol.
 16        (7)  "Approved public treatment facility" means a treatment agency operat-
 17    ing under this chapter through a contract with the department  of  health  and
 18    welfare  pursuant  to section 39-304(6), Idaho Code, and meeting the standards
 19    prescribed in section 39-305(1), Idaho Code, and approved pursuant to  section
 20    39-305(3),  Idaho  Code, and rules promulgated by the board of health and wel-
 21    fare pursuant to this chapter.
 22        (8)  "Approved private treatment facility" means a private agency  meeting
 23    the  standards prescribed in section 39-305(1), Idaho Code, and approved under
 24    the provisions of section 39-305(3), Idaho Code, and rules promulgated by  the
 25    board of health and welfare pursuant to this chapter.
 26        (9)  "Incapacitated  by alcohol or drugs" means that a person, as a result
 27    of the use of alcohol or drugs, is unconscious or has his  judgment  otherwise
 28    so  impaired  that he is incapable of realizing and making a rational decision
 29    with respect to his need for treatment.
 30        (10) "Incompetent person" means a person who has been adjudged incompetent
 31    by an appropriate court within this state.
 32        (12) "Recovery support services" means those ancillary,  nonclinical  ser-
 33    vices  needed  for a client to maintain substance abuse or addiction recovery.
 34    These services may include transportation, childcare, drug testing,  safe  and
 35    sober housing and care management.
 36        (113) "Substance  abuse"  means  the misuse or excessive use of alcohol or
 37    other drugs or substances.
 38        (124) "Treatment" means the broad range of emergency, outpatient, interme-
 39    diate intensive outpatient, and inpatient services and care,  including  diag-
 40    nostic  evaluation,  medical,  psychiatric,  psychological, and social service
 41    care, vocational rehabilitation and career counseling, which may  be  extended
 42    to alcoholics and intoxicated persons and/or drug addicts.

 43        SECTION  2.  That  Section  39-304, Idaho Code, be, and the same is hereby
 44    amended to read as follows:

 45        39-304.  COMPREHENSIVE PROGRAM FOR  TREATMENT.  The  Idaho  department  of
 46    health  and  welfare is hereby designated as the state substance abuse author-
 47    ity.
 48        (1) The department shall establish a comprehensive and coordinated program
 49    for the treatment of alcoholics, intoxicated persons  and  drug  addicts.  The
 50    interagency  committee shall direct the department in the establishment and in
 51    the content of this program.
 52        (2)  The program shall include:
 53        (a)  Emergency detoxification treatment  and  medical  treatment  directly

                                       3

  1        related thereto provided by a facility affiliated with or part of the med-
  2        ical service of a general hospital;
  3        (b)  Inpatient treatment;
  4        (c)  Intermediate Intensive outpatient treatment;
  5        (d)  Outpatient and follow-up treatment; and
  6        (e)  Community detoxification provided by an approved facility; and
  7        (f)  Recovery support services.
  8        (3)  The  department  shall provide for adequate and appropriate treatment
  9    for persons admitted pursuant to section 39-307, Idaho Code.  Treatment  shall
 10    not be provided at a correctional institution except for inmates.
 11        (4)  The  department shall maintain, supervise, and control all facilities
 12    operated by it. The administrator of each such facility shall make  an  annual
 13    report  of  its activities to the director in the form and manner the director
 14    specifies.
 15        (5)  All appropriate public and private  resources  shall  be  coordinated
 16    with and utilized in the program whenever possible.
 17        (6)  The  department shall prepare, publish and distribute annually a list
 18    of all approved public and private treatment facilities.
 19        (7)  The department may contract  for  the  use  of  any  facility  as  an
 20    approved  public  treatment  facility  if the director considers this to be an
 21    effective and economical course to follow.
 22        (8)  The program shall include an individualized treatment  plan  prepared
 23    and maintained for each client.

 24        SECTION  3.  That  Section  39-306, Idaho Code, be, and the same is hereby
 25    amended to read as follows:

 26        39-306.  ACCEPTANCE FOR TREATMENT -- RULES. The board of health  and  wel-
 27    fare  shall  adopt rules for the acceptance of persons into the treatment pro-
 28    gram, considering available treatment resources and facilities, for  the  pur-
 29    pose  of  early and effective treatment of alcoholics, intoxicated persons and
 30    drug addicts. In establishing the rules the board shall be guided by the  fol-
 31    lowing standards:
 32        (1)  If  possible a patient shall be treated on a voluntary rather than an
 33    involuntary basis.
 34        (2)  A patient shall be initially assigned or transferred to outpatient or
 35    intermediate intensive outpatient treatment, unless he  is  found  to  require
 36    inpatient treatment.
 37        (3)  A  person  shall  not be denied treatment solely because he has with-
 38    drawn from treatment against medical advice on a prior occasion or because  he
 39    has relapsed after earlier treatment.
 40        (4)  An  individualized treatment plan shall be prepared and maintained on
 41    a current basis for each patient.
 42        (5)  Provision shall be made for a continuum of coordinated treatment ser-
 43    vices, so that a person who leaves a facility or a form of treatment will have
 44    available and utilize other appropriate treatment.

 45        SECTION 4.  That Section 39-307, Idaho Code, be, and the  same  is  hereby
 46    amended to read as follows:

 47        39-307.  VOLUNTARY  TREATMENT OF ALCOHOLICS AND DRUG ADDICTS. (1) An alco-
 48    holic or an drug addict may apply for  voluntary  treatment  directly  to  any
 49    approved  public  treatment facility. If the proposed patient is a minor or an
 50    incompetent person, he, a parent, legal guardian, or other  legal  representa-
 51    tive shall make the application.

                                       4

  1        (2)  Subject  to  rules  adopted  by  the board of health and welfare, the
  2    director or his designee may determine who shall be admitted  to  an  approved
  3    public treatment facility.
  4        (3)  If  a  patient  receiving  inpatient  care  leaves an approved public
  5    treatment facility, he shall be encouraged to consent  to  appropriate  outpa-
  6    tient or intermediate intensive outpatient treatment, and the department shall
  7    assist in obtaining supportive services and residential facilities.
  8        (4)  If  a  patient leaves an approved public treatment facility, upon the
  9    recommendation of departmental staff, the  department  shall  make  reasonable
 10    provisions  for  his  transportation to another facility or to his home. If he
 11    has no home, he shall be assisted in obtaining shelter. If the  patient  is  a
 12    minor  or  an  incompetent person, the request for discharge from an inpatient
 13    facility shall be made by a parent, legal guardian, or other legal representa-
 14    tive or by the minor or incompetent if he were was the original applicant.

Statement of Purpose / Fiscal Impact


                    STATEMENT OF PURPOSE

                         RS 17748C1

  This proposed legislation seeks to add or amend language
  within Idaho Code Title 39, Chapter 3 to update definitions
  and procedures for treatment of substance abuse.
  
  
                        FISCAL NOTE


  Legislation incurs no additional fiscal impact.
  



  
  
  
  Contacts:
  Name: Rep. Sharon Block
  Phone: (208) 332-1000
  Rep. JoA Wood
  (208) 332-1000
  
  
  
  
  STATEMENT OF PURPOSE/FISCAL NOTE                      H 508