REFERENCE TITLE: psychiatric security
review board; hearings |
State of
Arizona House of
Representatives Fifty-fourth
Legislature Second Regular
Session 2020 |
HB 2320 |
|
Introduced by Representative Barto |
AN ACT
amending sections
11‑584, 13-502 and 13-2503, Arizona Revised Statutes; providing for
transferring and renumbering; amending title 13, chapter 38, article 14,
Arizona Revised Statutes, by adding new sections 13‑3991 and 13‑3992;
amending sections 13-3993 and 13‑3994, Arizona Revised Statutes; amending
sections 13-3995 and 13‑3996, Arizona Revised Statutes, as transferred
and renumbered; amending title 13, chapter 38, article 14, Arizona Revised
Statutes, by adding sections 13-3997, 13‑3998, 13‑3999, 13‑4000,
13‑4001, 13‑4002 and 13‑4003; amending sections 13-4416,
36-206, 36-209, 36-545.01, 41-3020.11 and 41‑3803, Arizona Revised
Statutes; relating to the psychiatric security review board.
(TEXT OF BILL BEGINS ON NEXT PAGE)
Be it enacted by the Legislature of the State of Arizona:
Section 1. Section 11-584,
Arizona Revised Statutes, is amended to read:
11-584. Public defender; duties; reimbursement
A. The public defender shall, on order of the court, shall defend, advise and counsel any person who is entitled to counsel as a matter of law and who is not financially able to employ counsel in the following proceedings and circumstances:
1. Offenses triable in the superior court or justice courts at all stages of the proceedings, including the preliminary examination.
2. Extradition hearings.
3. Mental disorder hearings only if appointed by the court under title 36, chapter 5.
4. Involuntary commitment hearings held pursuant to title 36, chapter 18, only if appointed by the court.
5. Involuntary commitment hearings held pursuant to title 36, chapter 37, if appointed by the court as provided in section 36‑3704, subsection C and the board of supervisors has advised the presiding judge of the county that the public defender is authorized to accept these appointments.
6. Juvenile delinquency and incorrigibility proceedings only if appointed by the court under section 8‑221.
7. Appeals to a higher court or courts.
8. All juvenile proceedings other than delinquency and incorrigibility proceedings under paragraph 6 of this subsection, including serving as a guardian ad litem, if appointed by the court pursuant to section 8‑221 and the board of supervisors has advised the presiding judge of the county that the public defender is authorized to accept these appointments.
9. All mental health hearings regarding release recommendations that are held before the psychiatric security review board pursuant to section 13‑3994, if appointed by the court as provided in section 31‑502 13‑3996, subsection A, paragraph 8 and the board of supervisors has advised the presiding judge of the superior court in the county that the public defender is authorized to accept these appointments.
10. As attorneys in any other proceeding or circumstance in which a party is entitled to counsel as a matter of law if the court appoints the public defender and the board of supervisors has advised the presiding judge of the county that the public defender is authorized to accept these appointments as specified.
B. The public defender shall perform the following duties:
1. Keep a record of all services rendered by the public defender in that capacity and file with the board of supervisors an annual report of those services.
2. By December 1 of each year, file with the presiding judge of the superior court, the chief probation officer and the board of supervisors an annual report on the average cost of defending a felony case.
C. Although the services of the public defender or court appointed counsel shall be without expense to the defendant, the juvenile, a parent or any other party, the court may make the following assessments:
1. Order an indigent administrative assessment of not more than twenty‑five dollars.
2. Order an administrative assessment fee of not more than twenty‑five dollars to be paid by the juvenile or the juvenile's parent or guardian.
3. Require that the defendant, including a defendant who is placed on probation, a juvenile, a parent or any other party who is appointed counsel under subsection A of this section repay to the county a reasonable amount to reimburse the county for the cost of the person's legal services. Reimbursement for legal services in a delinquency, dependency or termination proceeding shall be ordered pursuant to section 8‑221. Reimbursement for legal services in a guardianship or conservatorship proceeding shall be ordered pursuant to section 14-5414.
D. In determining the amount and method of payment the court shall take into account the financial resources of the defendant and the nature of the burden that the payment will impose.
E. Assessments collected pursuant to subsection C of this section shall be paid into the county general fund in the account designed for use solely by the public defender and court appointed counsel to defray the costs of public defenders and court appointed counsel. The assessments shall supplement, not supplant, funding provided by counties for public defense, legal defense and contract indigent defense counsel in each county.
Sec. 2. Section 13-502, Arizona Revised Statutes, is amended to read:
13-502. Insanity test; burden of proof; guilty except insane verdict
A. A person may be found guilty except insane if at the time of the commission of the criminal act the person was afflicted with a mental disease or defect of such severity that the person did not know the criminal act was wrong. A mental disease or defect constituting legal insanity is an affirmative defense. Mental disease or defect does not include disorders that result from acute voluntary intoxication or withdrawal from alcohol or drugs, character defects, psychosexual disorders or impulse control disorders. Conditions that do not constitute legal insanity include but are not limited to momentary, temporary conditions arising from the pressure of the circumstances, moral decadence, depravity or passion growing out of anger, jealousy, revenge, hatred or other motives in a person who does not suffer from a mental disease or defect or an abnormality that is manifested only by criminal conduct.
B. In a case involving the death or serious physical injury of or the threat of death or serious physical injury to another person, if a plea of insanity is made and the court determines that a reasonable basis exists to support the plea, the court may commit the defendant to a secure state mental health facility under the department of health services, a secure county mental health evaluation and treatment facility or another secure licensed mental health facility for up to thirty days for mental health evaluation and treatment. Experts at the mental health facility who are licensed pursuant to title 32, who are familiar with this state's insanity statutes, who are specialists in mental diseases and defects and who are knowledgeable concerning insanity shall observe and evaluate the defendant. The expert or experts who examine the defendant shall submit a written report of the evaluation to the court, the defendant's attorney and the prosecutor. The court shall order the defendant to pay the costs of the mental health facility to the clerk of the court. The clerk of the court shall transmit the reimbursements to the mental health facility for all of its costs. If the court finds the defendant is indigent or otherwise is unable to pay all or any of the costs, the court shall order the county to reimburse the mental health facility for the remainder of the costs. Notwithstanding section 36‑545.02, the mental health facility may maintain the reimbursements. If the court does not commit the defendant to a secure state mental health facility, a secure county mental health evaluation and treatment facility or another secure licensed mental health facility, the court shall appoint an independent expert who is licensed pursuant to title 32, who is familiar with this state's insanity statutes, who is a specialist in mental diseases and defects and who is knowledgeable concerning insanity to observe and evaluate the defendant. The expert who examines the defendant shall submit a written report of the evaluation to the court, the defendant's attorney and the prosecutor. The court shall order the defendant to pay the costs of the services of the independent expert to the clerk of the court. The clerk of the court shall transmit the reimbursements to the expert. If the court finds the defendant is indigent or otherwise unable to pay all or any of the costs, the court shall order the county to reimburse the expert for the remainder of the costs. This subsection does not prohibit the defendant or this state from obtaining additional psychiatric examinations by other mental health experts who are licensed pursuant to title 32, who are familiar with this state's insanity statutes, who are specialists in mental diseases and defects and who are knowledgeable concerning insanity.
C. The defendant shall prove the defendant's legal insanity by clear and convincing evidence.
D. If the finder of fact finds the defendant guilty except insane, the court shall determine the sentence the defendant could have received pursuant to section 13‑707 or section 13‑751, subsection A or the presumptive sentence the defendant could have received pursuant to section 13‑702, section 13‑703, section 13-704, section 13‑705, section 13-706, subsection A, section 13‑710 or section 13‑1406 if the defendant had not been found insane, and the judge shall suspend the sentence the defendant to a term of incarceration in the state department of corrections and shall order the defendant to be placed under the jurisdiction of the psychiatric security review board and committed to a secure state mental health facility under the department of health services pursuant to section 13‑3994 13‑3992 for that term. In making this determination the court shall not consider the sentence enhancements for prior convictions under section 13‑703 or 13‑704. The court shall expressly identify each act that the defendant committed and separately find whether each act involved the death or physical injury of or a substantial threat of death or physical injury to another person.
E. A guilty except insane verdict is not a criminal conviction for sentencing enhancement purposes under section 13‑703 or 13‑704.
Sec. 3. Section 13-2503, Arizona Revised Statutes, is amended to read:
13-2503. Escape in the second degree; classification
A. A person commits escape in the second degree by knowingly:
1. Escaping or attempting to escape from a juvenile secure care facility, a juvenile detention facility or an adult correctional facility; or
2. Escaping or attempting to escape from custody imposed as a result of having been arrested for, charged with or found guilty of a felony; or
3. Escaping or attempting to escape from the Arizona state hospital if the person was committed to the hospital for treatment pursuant to section 8‑291.09, 13‑502, 13‑3994 13‑3992, 13‑4507, 13‑4512 or 31‑226 or rule 11 of the Arizona rules of criminal procedure; or
4. Escaping or attempting to escape from the Arizona state hospital if the person was committed to the hospital for treatment pursuant to title 36, chapter 37.
B. Escape in the second degree pursuant to subsection A, paragraph 1, 2 or 4 of this section is a class 5 felony, and the sentence imposed for a violation of this section shall run consecutively to any sentence of imprisonment for which the person was confined or to any term of community supervision for the sentence including probation, parole, work furlough or any other release. Escape in the second degree pursuant to subsection A, paragraph 3 of this section is a class 2 misdemeanor.
Sec. 4. Heading change
The article heading of title 13, chapter 38, article 14, Arizona Revised Statutes, is changed from "PROCEDURES ON ISSUE OF INSANITY OF DEFENDANT" to "PSYCHIATRIC SECURITY REVIEW BOARD".
Sec. 5. Transfer and renumber
Sections 13‑3991 and 13‑3992, Arizona Revised Statutes, are transferred and renumbered for placement in title 13, chapter 41, Arizona Revised Statutes, as sections 13‑4519 and 13‑4520, respectively.
Sec. 6. Title 13, chapter 38, article 14, Arizona Revised Statutes, is amended by adding new sections 13-3991 and 13‑3992, to read:
13-3991. Definitions
In this article, unless the context otherwise
requires:
1. "Board" means the
psychiatric security review board.
2. "Chairperson" means the
presiding officer of the psychiatric security review board.
3. "Clear and convincing
evidence" means evidence that makes the existence of a claim highly
probable and is more than a preponderance but less than beyond a reasonable
doubt.
4. "Conditional release"
means release from the secure mental health facility under the specified
written conditions.
5. "Dangerous" means a
danger of inflicting serious physical harm on oneself or others, including
attempted suicide or the serious threat of suicide, if the threat is such that,
when considered in the light of the threat's context and any previous acts, the
threat is substantially supportive of an expectation that it will be carried
out.
6. "Independent pass" means
a pass that allows a person to spend independent time in the community while
remaining a resident of a secure mental health facility.
7. "Mental disorder" means
a psychiatric or neurological disorder that is evidenced by behavior or
emotional symptoms, including congenital mental conditions, conditions
resulting from injury or disease and developmental disabilities as defined in
section 36-551.
8. "Mental health report"
means a report that is authorized by a treatment supervisor or other qualified
expert and that documents the condition of a person's mental
health. At a minimum, the report must include all of the following:
(a) The person's mental condition, symptoms and diagnosis on
admission to the secure mental health facility.
(b) The person's current mental condition, symptoms and
diagnosis.
(c) A description of the person's treatment regimen,
including any prescribed medications and the person’s compliance with the
prescribed medications.
(d) A description of the person's typical interactions with
staff and peers and any significant variation in typical interactions.
(e) If symptoms of mental disorder are in remission, how long
they have been in remission and what factors have contributed to the remission.
(f) Any recommendation for changes in conditional release
status and the clinical reasons for the recommendation.
9. "Pass supervisor" means
a person or agency representative who is approved by the board to accompany a
person on approved conditional release for pass privileges.
10. "Propensity to
reoffend" means the likelihood that a person will violently reoffend based
on the person's history of criminal behavior or involvement in the criminal
justice system.
11. "Qualified expert"
means a psychologist, psychiatrist or psychiatric nurse practitioner who:
(a) Is familiar
with inpatient and outpatient treatment services in this state.
(b) Is
qualified by education and experience to diagnose, evaluate and make clinical
recommendations for a person with a mental disease, defect or disorder.
(c) If
rendering an assessment of a person's safety in the community, has education
and training in and uses valid and reliable risk assessment tools.
12. "Risk assessment" means
a comprehensive assessment of a person's risk for violent behavior that is
conducted by a qualified expert and that includes all of the following:
(a) The
person's identifying information.
(b) The reason
for the risk assessment and a list of the records reviewed, the sources of the
information and any psychological tests or risk assessment tools administered.
(c) A thorough
history of the person's psychosocial development and criminal history,
including the index offense and any other history of violence.
(d) A clinical
assessment, including mental health, physical health and substance abuse
history, the course of treatment progress or regress, the person's
understanding of the committing offense, how the mental disease or defect
contributed to violent behavior, plans if granted conditional release and a
current mental status examination.
(e) The
person's progress and regress in treatment, including:
(i) Active
management in treatment.
(ii) Medication
compliance.
(iii) Meeting
or exceeding treatment goals.
(iv) A history
of rule violations.
(v) compliance
with conditions of release, if applicable.
(vi) Acceptance
of having a mental illness and the need for treatment.
(vii) The level
of reliance on as needed medications to treat symptoms of mental illness.
(f) An
assessment of the person's risk for violence.
(g) Case
formulation and recommendations, including the person's relative risk for
violence in the context of the proposed release conditions, the identification
of risk variables that require ongoing management, any treatment
recommendations, any recommended amendments to conditional release and an
opinion regarding when an updated risk assessment might be warranted.
13. "Secure mental health
facility" means a secure state mental health facility that is under the
department of health services.
14. "Stable remission"
means a clinical state in which there is an absence or marked attenuation in
the signs and symptoms of major mental illness.
15. "Sufficient cause"
means a reasonable belief that the circumstance is true or necessary and is
less than a preponderance.
16. "Treatment supervisor"
means a qualified expert who is a person's supervising and treating clinician.
13-3992. Commitment hearing in superior court; jurisdiction; census data collection
A. A person who is found guilty
except insane pursuant to section 13‑502 shall be committed to a secure
mental health facility under the department of health services for a period of
treatment.
B. If the person's act did not cause
the death or serious physical injury of or the threat of death or serious
physical injury to another person, the court shall set a hearing within seventy‑five
days after the person's commitment to determine if the person is entitled to
release from confinement or if the person meets the standards for civil
commitment pursuant to title 36, chapter 5. The court shall notify
the medical director of the secure mental health facility, the victim and the
parties of the date of the hearing.
Fourteen days before the hearing, the medical director of the secure
mental health facility shall submit a mental health report to the court and the
parties addressing whether the person meets the standard for and should be
subject to involuntary hospitalization pursuant to title 36, chapter 5.
C. At a hearing held pursuant to
subsection B of this section:
1. If the person proves by clear and
convincing evidence that the person no longer has a mental disorder or the
person still has a mental disorder and is not dangerous, the court shall order
the person's release and the person's commitment ordered pursuant to section 13‑502,
subsection D shall terminate.
2. If the court finds that the person
still has a mental disorder and may present a threat of danger to self or
others, has a grave, persistent or acute disability or has a propensity to
reoffend, it shall order the county attorney to institute civil commitment
proceedings pursuant to title 36 and the person's commitment ordered pursuant
to section 13‑502, subsection D shall terminate.
D. If the court finds that the
person's act caused the death or serious physical injury of or the threat of
death or serious physical injury to another person, the court shall place the
person under the jurisdiction of the board. The court shall state
the beginning date, length and ending date of the board's jurisdiction over the
person. The length of the board's jurisdiction over the person is
equal to the sentence the person could have received pursuant to section 13‑707
or section 13‑751, subsection A or the presumptive sentence the person
could have received pursuant to section 13‑702, subsection D, section 13‑703,
section 13‑704, section 13‑705, section 13-706, subsection A,
section 13‑710 or section 13‑1406.
In making this determination, the court may not consider the sentence
enhancements for prior convictions under section 13‑703 or 13‑704.
E. If a person is found guilty except
insane pursuant to section 13‑502, the department of health services
shall assume custody of the person within ten days after receiving the order
committing the person pursuant to subsection A of this section. The Arizona state hospital shall collect
census data for guilty except insane treatment programs to establish maximum
capacity and the allocation formula required pursuant to section 36‑206,
subsection D. If the Arizona state
hospital reaches its maximum funded capacity for forensic programs, the
department of health services may defer the admission of the person found
guilty except insane for up to an additional twenty days. The department of health services shall reimburse
the county for the actual costs of each day the admission is
deferred. If the department of health services is not able to admit
the person found guilty except insane at the conclusion of the twenty day
deferral period, the department of health services shall notify the sentencing
court, the prosecutor and the defense counsel of this fact. On receipt of this notification, the
prosecutor or the person's defense counsel may request a hearing to determine
the likely length of time admission will continue to be deferred and whether
any other action should be taken. On receipt of the request for
hearing, the court shall set a hearing within ten days.
F. The parties shall provide the
board and the secure mental health facility with a copy of the court's
commitment order and all documents considered by the court or admitted into
evidence, including all medical and mental health reports.
G. The court shall retain
jurisdiction of all matters that are not specifically delegated to the board
for the duration of the board's jurisdiction over the person.
Sec. 7. Section 13-3993, Arizona Revised Statutes, is amended to read:
13-3993. Examination of defendant pleading guilty except insane; privilege inapplicability; sealed reports
A. In any criminal prosecution in
which the defendant has declared the defendant's intent to invoke an insanity
defense, on a showing of unequal resources the state shall have the right to
nominate and have appointed for examination of the defendant to determine the
defendant's mental state the same number of medical doctors and licensed
psychologists that will testify on behalf of the defense.
A. On request of the court or any
party, with the consent of the defendant and after a determination that a
reasonable basis exists to support the guilty except insane defense, the court
shall appoint a qualified expert to evaluate the defendant and provide a
written report that includes:
1. The mental status of the defendant
at the time of the alleged offense.
2. If the expert determines that the
defendant suffered from a mental disorder at the time of the alleged offense,
the relationship of the mental disorder to the alleged offense.
B. Within ten days after appointment
of the qualified expert, the parties shall provide all available medical,
mental health and criminal history records to the qualified expert. on notice to the court, the qualified expert
may request additional records from the parties.
C. If the defendant provides a notice
of a guilty except insane defense, the defense attorney shall nominate its own
qualified expert to examine the defendant to determine the defendant's mental
status at the time of the alleged offense. The state may call the
same number of medical doctors and licensed psychologists who will testify on
behalf of the defense.
B. D. If a defendant in a criminal prosecution refuses to be examined by the state's mental health qualified experts, the court shall preclude the defendant from offering expert evidence of the defendant's mental state status at the time of the alleged crime offense.
C. E. The privilege of confidential communications between a medical doctor or licensed psychologist qualified expert and the defendant as it relates to the defendant's mental state status at the time of the alleged crime does not apply if any mental disability defense is raised.
D. F. If any mental disability defense is raised, both the state and the defendant shall receive prior to before the trial complete copies of any report by a medical doctor or licensed psychologist qualified expert who examines the defendant to determine the defendant's mental state at the time of the alleged crime or the defendant's competency.
G. After a plea of guilty or after
disposition of a matter where the defendant has pled guilty except insane, the
court shall order all of the reports submitted pursuant to this section
sealed. The court may order that the
reports be opened only as follows:
1. For use by the court or defendant,
or by the prosecutor if otherwise allowed by law, for further competency or
sanity evaluations or in a hearing to determine whether the defendant is
eligible for court‑ordered treatment pursuant to title 36, chapter 5 or
is a sexually violent person.
2. For statistical analysis.
3. When the records are deemed
necessary to assist in mental health treatment pursuant to section 13-502 or
13-4517.
4. For use by the probation
department or the state department of corrections if the defendant is in the
custody of or is scheduled to be transferred into the custody of the state
department of corrections to assess and supervise or monitor the defendant by
that department.
5. For use by a mental health treatment provider
that provides treatment to the defendant or that assesses the defendant for
treatment.
6. For data gathering.
7. For scientific study.
H. Any statement that is made by the defendant during an examination that is conducted pursuant to this chapter or any evidence resulting from that statement is not subject to disclosure pursuant to section 36-509.
Sec. 8. Section 13-3994, Arizona Revised Statutes, is amended to read:
13-3994. Persons under the jurisdiction of the psychiatric security review board; hearing; mental health report; risk assessment; conditional release; board notices and decisions
A. A person who is found guilty except
insane pursuant to section 13‑502 shall be committed to a secure state
mental health facility under the department of health services for a period of
treatment.
B. If the criminal act of the person
committed pursuant to subsection A of this section did not cause the death or
serious physical injury of or the threat of death or serious physical injury to
another person, the court shall set a hearing date within seventy‑five
days after the person's commitment to determine if the person is entitled to
release from confinement or if the person meets the standards for civil
commitment pursuant to title 36, chapter 5. The court shall notify
the medical director of the mental health facility, the attorney general, the
county attorney, the victim and the attorney representing the person, if any,
of the date of the hearing. Fourteen days before the hearing the director of
the mental health facility shall submit to the court a report addressing the
person's mental health and dangerousness.
C. At a hearing held pursuant to
subsection B of this section:
1. If the person proves by clear and
convincing evidence that the person no longer suffers from a mental disease or
defect and is not dangerous, the court shall order the person's release and the
person's commitment ordered pursuant to section 13‑502, subsection D
shall terminate. Before determining to release a person pursuant to
this paragraph, the court shall consider the entire criminal history of the
person and shall not order the person's release if the court determines that
the person has a propensity to reoffend.
2. If the court finds that the person
still suffers from a mental disease or defect, may present a threat of danger
to self or others, has a grave, persistent or acute disability or has a propensity
to reoffend, it shall order the county attorney to institute civil commitment
proceedings pursuant to title 36 and the person's commitment ordered pursuant
to section 13‑502, subsection D shall terminate.
D. If the court finds that the
criminal act of the person committed pursuant to subsection A of this section
caused the death or serious physical injury of or the threat of death or
serious physical injury to another person, the court shall place the person
under the jurisdiction of the psychiatric security review board. The
court shall state the beginning date, length and ending date of the board's
jurisdiction over the person. The length of the board's jurisdiction
over the person is equal to the sentence the person could have received
pursuant to section 13‑707 or section 13‑751, subsection A or the
presumptive sentence the defendant could have received pursuant to section 13‑702,
subsection D, section 13‑703, section 13‑704, section 13‑705,
section 13-706, subsection A, section 13‑710 or section 13‑1406. In making this determination the court shall
not consider the sentence enhancements for prior convictions under section 13‑703
or 13‑704. The court shall retain jurisdiction of all matters that are
not specifically delegated to the psychiatric security review board for the
duration of the presumptive sentence.
E. A. A person who is placed under the jurisdiction of the psychiatric security review board pursuant to subsection D of this section is not eligible for discharge from the board's jurisdiction until the date that the board's jurisdiction over the person expires as set by the committing court or the person's case is transferred back to the superior court.
F. B. A person who is placed under the jurisdiction of the psychiatric security review board pursuant to subsection D of this section is not entitled to a hearing before the board earlier than one hundred twenty days after the person's initial commitment. A request for a subsequent release hearing may be made pursuant to subsection H of this section may request a hearing pursuant to section 13-3999. After the hearing, the board may take one of the following actions:
1. If the psychiatric security review board finds that the person still suffers from has a mental disease or defect disorder and is dangerous, the board shall order that the person remain committed at the secure state mental health facility.
2. If the person proves by clear and
convincing evidence board finds that the person no
longer suffers from needs ongoing treatment
for a mental disease or defect disorder,
and is not dangerous and does not have a
propensity to reoffend, the psychiatric security review
board shall order the person's release
transfer to the superior court pursuant to section 13-4002 for either a
judicial review or placement on supervised probation for the remainder of the
commitment term imposed pursuant to section 13‑502, subsection D, or
both. The person shall remain under the
jurisdiction of the board. Before determining to release a person
pursuant to this paragraph, the board shall consider the entire criminal
history of the person and shall not order the person's release if the board
determines that the person has a propensity to reoffend. The board's jurisdiction over the person terminates when the person is
transferred to the superior court.
3. If the psychiatric security review
board finds that the person still suffers from has a mental disease or defect disorder or that the mental disease or defect disorder is in stable remission but the person is no longer
dangerous, the board shall order the person's conditional release. The person
shall remain under the board's jurisdiction. The board
in conjunction with the state mental health facility and behavioral health
community providers shall specify the conditions of the person's release. The
board shall continue to monitor and supervise a person who is released
conditionally. Before the conditional
release of a person, a supervised treatment plan shall be in place, including
the necessary funding to implement the plan.
4. If the person is sentenced pursuant to section 13‑704, section 13‑710 or section 13‑751, subsection A and the psychiatric security review board finds that the person no longer needs ongoing treatment for has a mental disease disorder and the person is dangerous or has a propensity to reoffend, the board shall order the person to be transferred to the state department of corrections for the remainder of the sentence imposed pursuant to section 13‑502, subsection D superior court for the imposition of a sentence or a judicial review pursuant to section 13-4002, or both. The board shall consider the safety and protection of the public.
C. A person who is conditionally
released is subject to all of the following:
1. The board in conjunction with the
secure mental health facility and supervisors from behavioral health community
providers shall agree on and specify the conditions of the person's
release. The board shall monitor the person on conditional release.
2. Before the person is conditionally
released, a supervised treatment plan must be in place.
3. The board may implement the
person's Conditional release in incremental steps beginning with supervised
passes into the community for increasing lengths of time, continuing through
independent passes and ending with release to live in the community. Before implementing Each stage of conditional
release, the Board must find by clear and convincing evidence that the
community will be protected and the person will be safe under the proposed
supervised treatment plan.
4. If approved by the Board, pass
supervisors may include members of the inpatient or outpatient treatment team,
other mental health treatment providers or other responsible persons who are
willing to ensure that the person abides by the conditional release terms.
5. The secure mental health facility
shall implement the board's conditional release order or provide the Board and
the parties with the reasons why the secure mental health facility did not
implement the order.
G. Within twenty days after the
psychiatric security review board orders a person to be transferred to the
state department of corrections, the person may file a petition for a judicial
determination. The person shall serve a
copy of the request on the attorney general.
If the person files a petition for a judicial determination, the person
shall remain in a state mental health facility pending the result of the judicial
determination. The person requesting the
judicial determination has the burden of proving the issues by clear and
convincing evidence. The judicial
determination is limited to the following issues:
1. Whether the person no longer needs
ongoing treatment for a mental disease.
2. Whether the person is dangerous or
has a propensity to reoffend.
H. A person who is placed under the
jurisdiction of the psychiatric security review board pursuant to subsection D
of this section may not seek a new release hearing earlier than twenty months
after a prior release hearing, except that the medical director of the state
mental health facility may request a new release hearing for a person under the
jurisdiction of the psychiatric security review board at any
time. The person shall not be held in confinement for more than two
years without a hearing before the board to determine if the person should be
released or conditionally released.
I. D. At any board hearing for release or conditional release pursuant to this section:
1. Public safety and protection are primary.
2. The applicant party or treatment supervisor that is seeking a change in privileges or a change in hospitalization has the burden of proof by clear and convincing evidence.
J. At least fifteen days before a
hearing is scheduled to consider a person's release, or before the expiration
of the board's jurisdiction over the person, the state mental health facility
or supervising agency shall submit to the psychiatric security review board a report
on the person's mental health. The psychiatric security review board
shall determine whether to release the person or to order the county attorney
to institute civil commitment proceedings pursuant to title 36.
K. The procedures for civil commitment
govern the continued commitment of the person after the expiration of the
jurisdiction of the psychiatric security review board.
L. Before a person is released or
conditionally released, at least three of the five psychiatric security review
board members shall vote for the release or conditional release.
M. If at any time while the person
remains under the jurisdiction of the psychiatric security review board it
appears to the board, the chairman or vice‑chairman of the board or the
medical director of the state mental health facility that the person has failed
to comply with the terms of the person's conditional release or that the mental
health of the person has deteriorated, the board or the chairman or vice‑chairman
of the board for good cause or the medical director of the state mental health
facility may order that the person be returned to a secure state mental health
facility for evaluation or treatment. A written order of the board,
the chairman or vice‑chairman of the board or the medical director is
sufficient warrant for any law enforcement officer to take the person into
custody and to transport the person accordingly. Any sheriff or
other peace officer shall execute the order and shall immediately notify the
board of the person's return to the facility.
Within twenty days after the person's return to a secure state mental
health facility the board shall conduct a hearing and shall give notice within
five days before the hearing of the time and place of the hearing to the
person, the victim, the attorney representing the person, the county attorney
and the attorney general.
N. The director of a facility that is
providing treatment to a person on conditional release or any other person who
is responsible for the supervision of the person may take the person or request
that the person be taken into custody if there is reasonable cause to believe
that the person's mental health has deteriorated to the point that the person's
conditional release should be revoked and that the person is in need of
immediate care, custody or treatment or that deterioration is likely because of
noncompliance with a treatment program. A person who is taken into
custody pursuant to this subsection shall be transported immediately to a
secure state mental health facility and shall have the same rights as any
person appearing before the psychiatric security review board.
O. Before the initial hearing or any
other hearing before the psychiatric security review board on the release or
conditional release of the person, the person, the attorney who is representing
the person and the attorney general or county attorney who is representing the
state may choose a psychiatrist licensed pursuant to title 32, chapter 13 or 17
or a psychologist licensed pursuant to title 32, chapter 19.1 to examine the
person. All costs in connection with the
examination shall be approved and paid by the county of the sentencing
court. The written examination results shall be filed with the board
and shall include an opinion as to:
1. The mental condition of the person.
2. Whether the person is dangerous.
P. Notwithstanding subsection O of
this section, the board or the chairman of the board for good cause may order
an independent mental health evaluation by a psychiatrist licensed pursuant to
title 32, chapter 13 or 17 or a psychologist licensed pursuant to title 32,
chapter 19.1. The written examination
results shall be filed with the board pursuant to subsection O of this section.
Q. If a person is found guilty except
insane pursuant to section 13‑502, the department of health services
shall assume custody of the person within ten days after receiving the order
committing the person pursuant to subsection A of this section. The Arizona state hospital shall collect
census data for guilty except insane treatment programs to establish maximum
capacity and the allocation formula required pursuant to section 36‑206,
subsection D. If the Arizona state
hospital reaches its funded capacity for forensic programs, the department of
health services may defer the admission of the person found guilty except
insane for up to an additional twenty days. The department of health services
shall reimburse the county for the actual costs of each day the admission is
deferred. If the department of health
services is not able to admit the person found guilty except insane at the
conclusion of the twenty day deferral period, the department of health services
shall notify the sentencing court, the prosecutor and the defense counsel of
this fact. On receipt of this
notification, the prosecutor or the person's defense counsel may request a
hearing to determine the likely length of time admission will continue to be
deferred and whether any other action should be taken. On receipt of
the request for hearing, the court shall set a hearing within ten days.
R. For the purposes of this section, "state mental health facility" means a secure state mental health facility under the department of health services.
E. Unless otherwise provided in this
article, all hearings conducted by the board are subject to title 41, chapter
6, article 10.
F. Unless otherwise provided in this
section or on a showing of sufficient cause, a party or treatment supervisor
shall submit a request for a hearing to the board at least forty‑five days
before the requested hearing date and shall include the reasons for the
request. the requesting party shall provide the board, the treatment
supervisor, if the request is not made by the treatment supervisor, and all
other parties with a copy of the hearing request.
G. The board shall provide written
notice of the hearing or a denied request for a hearing to all parties and the
person's treatment supervisor within seven days after receiving a request for
the hearing. The board may include with the notice a request for an order
for a mental health report, an updated risk assessment report and specific
records from the person's chart or from a specific member of the person's
treatment team and may include a request for a specific person to appear and provide
testimony at the hearing. This
subsection does not prohibit the board from issuing a SUBPOENA pursuant to
section 41‑1092.07.
H. The board may only consider
evidence, reports, documents, statements and materials that are submitted to
the board, the treatment supervisor and the parties at least fourteen days
before the date of the hearing. The
board may grant a request to continue a hearing in order to comply with this
subsection.
I. The board's decision is effective
on oral pronouncement. The Board shall
issue a written decision to all parties, any victim and the committing court
within seven days after the conclusion of the hearing. The written decision shall contain a summary
of the evidence that the Board found to be credible and any evidence that the
Board found unpersuasive, specific separately stated findings of fact and
conclusions of law and information on the person's right to appeal pursuant to
Title 12, chapter 7, article 6. The
findings of fact shall include a concise and explicit statement of the
underlying facts that support the findings.
Any portion of the Board's order that contains private identifying
information about the patient, treatment supervisor or pass supervisor shall be
maintained in a separate confidential section and may not be disclosed to the
public or to a victim. For the purposes
of this subsection, "private identifying information" includes a
person's date of birth, social security number, phone number and address and
employer information.
Sec. 9. Section 31‑501, Arizona Revised Statutes, is transferred and renumbered for placement in title 13, chapter 38, article 14, Arizona Revised Statutes, as section 13-3995 and, as so renumbered, is amended to read:
13‑3995. Psychiatric security review board; members; terms; compensation; executive director
A. The psychiatric security review board is established consisting of the following members who are appointed by the governor pursuant to this section and section 38‑211 except no member may be a county attorney, the attorney general or a public defender:
1. One psychiatrist who is licensed pursuant to title 32, chapter 13 or 17, who is experienced in the criminal justice system and who is not otherwise contracted to or employed by this state.
2. One psychologist who is licensed pursuant to title 32, chapter 19.1, who is experienced in the criminal justice system and who is not otherwise contracted to or employed by this state.
3. One person who is experienced in parole, community supervision or probation procedures and who does not qualify for membership on the board under paragraph 1 or 2.
4. One person who is from the general public and who does not qualify for membership on the board under paragraph 1, 2 or 3.
5. One person who is either a psychologist licensed pursuant to title 32, chapter 19.1 or a psychiatrist licensed pursuant to title 32, chapter 13 or 17, who is experienced in the criminal justice system and who is not otherwise contracted to or employed by this state.
B. Board members shall serve staggered terms of four years. The governor may remove any member for cause. The governor shall appoint a member for the unexpired portion of a term to fill a vacancy resulting other than from expiration of term. A member may be reappointed.
C. The psychiatric security review board shall select one of its members to serve as the chairman chairperson for a one year one-year term and one of its members to serve as vice‑chairman vice chairperson for a one year one-year term.
D. The psychiatric security review board shall meet at least twice once each month, unless the chairman chairperson determines that there is not sufficient business before the board to warrant a meeting at the scheduled time additional meetings. The board shall also meet at the call of the chairman chairperson or a majority of the board members.
E. Members
of the psychiatric
security review board are eligible to receive compensation pursuant to section 38‑611
and for reimbursement of expenses pursuant to title 38, chapter 4, article 2. A member shall
receive $250 for attending a board meeting and $250 for board meeting
preparation. the chairperson and cochairperson
shall receive $50 for each day that the chairperson or cochairperson is engaged
in an activity that is substantially related to board duties and that is
outside of a board meeting and preparing for a board meeting.
F. The
board shall employ an executive director.
The executive director:
1. Serves
at the pleasure of the board.
2. performs
all administrative, operational and financial functions for the board.
3. May
not engage in ex parte communication, offer legal advice, question a witness or
participate in board deliberations.
4. is
eligible to receive compensation pursuant to section 38‑611.
5. Subject
to title 41, chapter 4, article 4, May employ additional administrative
personnel.
G. The
presence of three members of the board constitutes a quorum for the transaction
of business.
Sec. 10. Section 31-502, Arizona Revised Statutes, is transferred and renumbered for placement in title 13, chapter 38, article 14, Arizona Revised Statutes, as section 13-3996 and, as so renumbered, is amended to read:
13-3996. Psychiatric security review board; powers and duties
A. The psychiatric security review board shall:
1. Maintain jurisdiction over persons who are committed to a secure state mental health facility pursuant to section 13‑3994 13‑3992.
2. Hold hearings pursuant to section 13‑3994 to determine if a person committed to a secure state mental health facility is eligible for release or conditional release or transfer back to superior court.
3. In conjunction with the secure state mental health facility and other appropriate community agencies or persons, devise a plan for the conditional release of a person pursuant to section 13‑3994.
4. Unless otherwise provided by law, confidentially maintain all medical, social and criminal history records of persons who are committed to its jurisdiction.
5. On notice from the board or an application by a person or agency that is responsible pursuant to an order for the supervision or treatment of treatment supervisor or a person on conditional release, hold a hearing to determine if the conditions of conditional release should be granted, continued, modified, suspended or terminated. Each application for a hearing shall be accompanied by a report setting forth the facts supporting the application. Termination of conditional release requires a vote of three of the four board members.
6. Keep a record of all hearings before the board except board deliberations.
7. Give written notice of any hearing before the board to the attorney representing the person, the attorney general or other attorney representing the state, the victim, the parties and the court that committed the person to the board's jurisdiction.
8. Determine if the person about whom the hearing is being held is indigent and, if so, request the committing court to appoint an attorney to represent the person. The court of the county of prosecution shall bear the cost of the court appointed attorney.
9. Before a hearing, disclose to the treatment supervisor, the person about whom the hearing is being held, and the person's attorney, the attorney general and any attorney representing the state any parties information, documents or reports that the board will be considering.
10. Within fifteen seven days after the conclusion of a hearing, give
to provide a written decision and, if conditional release
was granted or modified, the terms of conditional release To the treatment
supervisor, the person, the attorney representing the
person parties, the victim, the
attorney general and any attorney representing the state and the court
that committed the person to the board's jurisdiction notice of
the board's decision. The terms of conditional release must be signed by the chairperson or
vice chairperson and the person who is under the board's jurisdiction. The terms must contain a notice that the
board or the outpatient treatment supervisor may order the person's return to
hospitalization if the board or outpatient treatment supervisor has a
reasonable belief that the person has violated the terms of conditional release
or the person's mental health has deteriorated.
11. Require at least three members
voting in the affirmative to deny, grant, modify, continue, suspend or
terminate a person's conditional release based on clear and convincing
evidence.
B. The psychiatric security review board may:
1. Adopt rules to carry out the purposes of this chapter and title 13, chapter 38, article 14.
2. Monitor all persons under its
jurisdiction.
3. 2. As a condition of release, require a person to receive treatment from a board designated licensed or certified state or local mental health facility or agency or person.
4. Modify or terminate the terms of a
person's conditional release.
5. 3. Issue subpoenas requiring the attendance and testimony of witnesses at any hearing before the board pursuant to title 41, chapter 6, article 10. Subpoenaed witnesses shall be paid the same fees and mileage allowance paid witnesses in civil actions. If a person fails to comply with a subpoena that is issued pursuant to this paragraph, the board may request a superior court judge to issue a contempt order.
C. For the purposes of this section, "secure state mental health facility" means a secure state mental health facility under the department of health services.
4. Request in the notice of hearing
that a specific witness who is from the person's treatment team attend a
hearing. If a witness is requested in the notice of hearing, the
person's treatment supervisor is responsible for notifying the witness.
5. Continue a hearing if the board
determines that the standard of clear and convincing evidence has not been met.
6. Receive witness testimony and
deliberate in a hearing that is closed to the public.
Sec. 11. Title 13, chapter 38, article 14, Arizona Revised Statutes, is amended by adding sections 13-3997, 13‑3998, 13‑3999, 13‑4000, 13‑4001, 13‑4002 and 13‑4003, to read:
13-3997. Hearing on motion of the psychiatric security review board; expedited hearing; return to hospitalization
a. the psychiatric security review
Board, on the board's own motion, may set a hearing to monitor a person's
progress after giving at least sixty days' notice to the parties and the
treatment supervisor. The Board may
order the person's treatment supervisor to provide a mental health report to
the Board and the parties within thirty days after providing the notice of the
hearing.
B. If sufficient cause exists, the
Board may set an expedited hearing to monitor a person's progress or mental
health. The board must include in the
notice of hearing the specific reasons for the expedited hearing and attach all
documents and evidence that support the need for the hearing, including any of
the board's concerns that need to be addressed by the parties or the treatment
supervisor. The Board may order an
expedited mental health report from the person's treatment supervisor.
C. If a person is conditionally
released to the community and the Board receives a reliable report that the
person has violated the board's conditional release order or that the person's
mental health has deteriorated, the Chairperson or Vice Chairperson may order
the person's return to hospitalization. Before ordering a person's
return to hospitalization, the Chairperson or Vice chairperson shall consult
with the treatment supervisor or the supervisor's designee to determine if
rehospitalization is necessary to protect the safety of the public or the person. WIth sufficient cause, the chairperson or
vice chairperson may waive the requirement to consult with the treatment
supervisor or the supervisor's designee and may issue the return order
immediately. If the return order is
issued before a consultation occurs, the Chairperson or Vice chairperson shall
consult with the treatment supervisor or the treatment supervisor's designee as
soon as possible after the order is issued.
The board must set a hearing pursuant to section 13‑4000.
D. Whether on the board's motion or
on motion of the person or treatment supervisor, the board must hold a hearing
for each person under the board's jurisdiction at least once every twenty-four
months.
13-3998. Hearing on request of the treatment supervisor; requirements; release terms
a. the psychiatric security review
Board shall grant a hearing that is requested by a treatment supervisor. The treatment supervisor shall submit the
request to the Board and the parties simultaneously and include a mental health
report that specifies the reasons for the request.
B. If the treatment supervisor's
recommendation to the Board includes a request for the addition of or changes
to conditional release status, a proposed form of order must accompany the
recommendation.
C. If a treatment supervisor believes
that the person has violated a conditional release term or that the person's
mental health has deteriorated, the Board shall grant the treatment
supervisor's request for a hearing and:
1. If the person is residing in the
secure mental health facility, the treatment supervisor may suspend the
person's conditional release pending the hearing and a determination by the Board. The treatment supervisor shall submit a
written mental health report, including the circumstances and the reasons for
any proposed change, to the Board and the parties within seven days after the
request for a hearing.
2. If the person is conditionally
released to the community, the Chairperson or Vice chairperson may order the
person's return to hospitalization and set a hearing pursuant to section 13‑4000. If the person is returned to hospitalization,
the outpatient treatment supervisor shall submit A mental health report to the
Board and the parties Within three days after a request is made pursuant to
this subsection. The report must provide
all of the information that was considered before granting the return order.
3. If the safety of the community or
the person is not at risk, the Chairperson or Vice Chairperson, pending the
hearing and the board's determination, may allow the person to remain in the
community subject to the person's conditional release terms. If the
person remains in the community, the outpatient treatment supervisor shall
submit A mental health report to the Board and the parties Within seven days
after the request is made pursuant to this subsection.
D. If the person is conditionally
released to the community and the treatment supervisor has sufficient cause to
believe that the person's mental health has deteriorated such that immediate
rehospitalization is necessary to protect the safety of the public or the
person, the treatment supervisor may sign an order directing the person's
return to the secure mental health facility and the person shall be immediately
readmitted. The treatment supervisor
shall inform the Board and the parties within twenty‑four hours after the
person's return. The Board shall set a
hearing pursuant to section 13‑4000.
The outpatient treatment supervisor shall submit a written mental health
report to the Board and the parties within three days after the person's return
and must include all of the information that was considered before ordering the
person's return.
13-3999. Hearing on motion of a person under the jurisdiction of the psychiatric security review board
a. A person who is under the
jurisdiction of the board may request and the Board shall grant a hearing not
sooner than one hundred twenty days after the person is committed and placed
under the board's jurisdiction. After
the initial hearing or any subsequent hearing, a person may request and the
Board shall grant a hearing not sooner than twenty months after the previous
hearing.
B. the Board, with sufficient cause,
may grant a motion for a hearing by the person who is under the jurisdiction of
the board at any time.
C. If the person who is under the
jurisdiction of the board is requesting a change in conditional release status,
the request must include a proposed form of order and may be accompanied by a
mental health report.
D. If the person who is under the
jurisdiction of the board is conditionally released to the community and
believes that rehospitalization is necessary to protect the person's safety or
the safety of the public, the person may present himself to the outpatient
treatment supervisor and request that the outpatient treatment supervisor sign
an order for immediate readmission to the secure mental health facility. The Board shall set a hearing pursuant to
section 13‑4000. The inpatient and outpatient treatment
supervisors shall submit a mental health report to the Board within seven days
after the person is readmitted.
13-4000. Return of person under board's jurisdiction to secure mental health facility; procedures
a. A written order of the
Chairperson, Vice Chairperson or treatment supervisor is sufficient for a law
enforcement officer to take a person into custody and to transport the person
to a secure mental health facility. A copy of the return order must be
immediately provided to the parties, the board and the treatment
supervisor. The sheriff or other peace
officer shall execute the order and immediately notify the Board of the
person's return to the secure mental health facility.
B. Within twenty‑four hours
after a return order is issued, the entity that ordered the return shall
provide to the parties, the board and the treatment supervisor all information
and evidence that was considered when ordering the person's return.
C. Within seven days after returning
the person to the secure mental health facility pursuant to section 13‑3997,
13‑3998 or 13‑3999, the Board shall hold a hearing to determine if
the return was supported by sufficient cause.
If the person's return was:
1. Not supported by sufficient cause,
the Board shall order the person's immediate release under the previously
imposed conditional release terms. The
Board, with sufficient cause, may amend the person's conditional release terms.
2. Supported by sufficient cause, the
Board may amend the conditional release terms and release the person if the
board finds by clear and convincing evidence that the safety of the community
and the person is protected by the original or the amended conditional release
terms.
3. Supported by sufficient cause and
the Board determines that the person is in need of further evaluation or
treatment, the Board may suspend the terms of conditional release and set
another hearing within ninety days. The inpatient
treatment supervisor shall consult with the outpatient treatment supervisor and
submit a mental health report to the Board by a date set by the
Board. The report must contain a recommendation to either terminate,
amend or reinstate the person's conditional release and include a proposed form
of order.
13-4001. Hearing on expiration of psychiatric security review board's jurisdiction
a. At least thirty days before the
expiration of the Board's jurisdiction over a person, the Board shall set an
expiration hearing and order the treatment supervisor to provide to the Board
and the parties a mental health report.
The report must include an evaluation of whether the person may be a danger
to self or others or persistently and acutely or gravely disabled and whether
the person meets the criteria for involuntary hospitalization pursuant to Title
36, Chapter 5.
B. At an expiration hearing and based
on the evidence presented, the Board may allow the board's jurisdiction to
expire without further action or may order the county attorney of the
committing county to begin proceedings for involuntary civil evaluation
pursuant to Title 36, chapter 5.
C. If the Board orders an involuntary
civil evaluation for a person who resides in the community, the order must
require the person's appearance at a specified time and location and
participation in the evaluation before the expiration of the board's
jurisdiction. The treatment supervisor shall assist the person with
securing transportation to the location of the evaluation.
D. If the Board orders involuntary civil evaluation for a person who resides in a secure mental health facility, the Board must order the sheriff of the committing county to transport the person at a specified time and location so that the person may participate in the evaluation before the expiration of the board's jurisdiction over the person.
13-4002. Transferring jurisdiction of a person from the psychiatric security review board to superior court; procedures
a. If the Board orders a person to be
transferred to the superior court pursuant to section 13‑3994, the person's
case shall be remanded to the committing court for suspension or imposition of
sentence and a judicial review of the transfer, or both.
B. Within twenty days after the Board
orders a person's transfer to superior court, the person may request a judicial
review. A petition for judicial review shall be filed with the committing court
and served on the Board, the secure mental health facility and the state.
C. At the judicial review hearing,
the treatment supervisor has the burden to prove by clear and convincing
evidence that the transfer is appropriate. The issues of the review
are limited to all of the following:
1. Whether the person needs ongoing
treatment for a mental disorder.
2. Whether the person is dangerous to
self or others or has a propensity to reoffend.
3. Whether the person's offense is
eligible for commitment to the state Department of Corrections.
D. If the court finds the transfer is
appropriate, the court shall suspend the person's sentence and place the person
on supervised probation for the remainder of the commitment term or impose the
sentence and order the person to be imprisoned in the state department of
corrections for the remainder of the commitment term.
E. All time spent under the board's
jurisdiction and any time spent incarcerated shall be credited against any
sentence imposed.
F. If the court finds the transfer is
not supported by the evidence, the court shall transfer jurisdiction over the
person back to the board pursuant to section 13‑3994.
G. At the time of sentencing or placement on probation, The court shall notify the person in writing of the person's appeal rights under Rule 31, Arizona rules of criminal procedure.
13-4003. Independent expert witness; opinion evidence
a. Before any hearing, either party
may retain an independent qualified expert to evaluate the person and make recommendations to the Board.
B. The county of the committing court
shall pay all costs associated with the evaluation if the person is
indigent.
C. If the person retains a qualified
expert, the qualified expert shall provide to the state's expert, on request,
all records considered or generated by the qualified expert.
D. If the person retains a qualified
expert, the person must submit to the state's evaluation, if requested, or is
precluded from presenting the person's own qualified expert opinion.
E. If providing testimony, an
independent qualified expert who is retained by either party must provide a
written report to the opposing party, the board and the treatment supervisor at
least fourteen days before a hearing. If
requested, the qualified expert must be available for an interview or deposition
by the opposing party.
F. Either party may request and the
Board, with sufficient cause, shall grant a continuance for a hearing to
accommodate a reasonable request to obtain a qualified expert evaluation. a Hearing that is requested pursuant to
section 13‑4000, subsection C may not be continued at the state's
request. A Hearing that is held at the expiration of the Board's
jurisdiction may not be continued.
G. The Board, with sufficient cause, may order a mental health evaluation by an independent qualified expert. An evaluation conducted pursuant to this subsection is at the board's expense. An expert who is appointed by the Board must provide a written report to the parties and the treatment supervisor at least fourteen days before a hearing. The expert must be available to testify and, if requested, be interviewed or deposed by either party.
Sec. 12. Section 13-4416, Arizona Revised Statutes, is amended to read:
13-4416. Notice of release, discharge or escape from a mental health treatment agency
A. If the victim has made a request for notice, a mental health treatment agency shall mail to the victim at least ten days before the release or discharge of the person accused or convicted of committing a criminal offense against the victim, notice of the release or discharge of the person who is placed by court order in a mental health treatment agency pursuant to section 13‑3994 13‑3992, 31‑226, 31‑226.01, 36‑540.01, 36‑541.01 or 36‑3707.
B. A mental health treatment agency shall mail to the victim immediately after the escape or subsequent readmission of the person accused or convicted of committing a criminal offense against the victim, notice of the escape or subsequent readmission of the person who is placed by court order in a mental health treatment agency pursuant to section 13‑3994 13‑3992, 31‑226, 31‑226.01, 36‑540.01, 36‑541.01 or 36‑3707.
Sec. 13. Heading repeal
A. The chapter heading of title 31, chapter 4, Arizona Revised Statutes, is repealed.
B. The article heading of title 31, chapter 4, article 1, Arizona Revised Statutes, is repealed.
Sec. 14. Section 36-206, Arizona Revised Statutes, is amended to read:
36-206. Duties of superintendent; clinical assessment
A. The director has charge of the state hospital and the superintendent shall supervise and direct its activities, subject to the provisions of law and approval of the director. The superintendent is directly responsible to the director for carrying out the purposes for which the hospital is maintained. Subject to the approval of the director, the superintendent may deputize any qualified officer of the state hospital to do or perform any act the superintendent is empowered to do or charged with the responsibility of doing by law.
B. The superintendent in December each year shall estimate the probable daily per capita cost of treatment and maintenance of each category of patients for the next ensuing year as determined in accordance with standard accounting practices. A statement of the estimate shall be provided to the director in January of the following year.
C. The superintendent, on request, shall provide to the director a clinical assessment of the state hospital's programs.
D. On or before August 1 of each year, the director shall establish maximum funded capacity and a percentage allocation formula for forensic and civil bed capacity at the Arizona state hospital based on census data collected pursuant to sections 13‑3994 13‑3992, 13‑4512, 36‑202.01 and 36‑503.03. By June 1 of each year, the director shall solicit and consider the recommendations of representatives of the county board of supervisors, the Arizona prosecuting attorneys' advisory council and the superior court when establishing this formula. In addition to establishing the formula, the director, the county board of supervisors, the Arizona prosecuting attorneys' advisory council and the superior court shall develop a contingency plan for the placement of patients subject to sections 13‑3994 13‑3992, 13‑4512, 36‑202.01 and 36‑503.03 in times of emergency and other unforeseen circumstances. The director shall notify the governor, the president of the senate, the speaker of the house of representatives and the chairman of each county board of supervisors of the funded capacity and allocation formula for the current fiscal year. Thirty days before the notification of the forensic and civil bed funded capacity formula, the director shall provide this information to the representatives of the county board of supervisors, the Arizona prosecuting attorneys' advisory council and the superior court for comment. The director shall include these comments when issuing the formula.
Sec. 15. Section 36-209, Arizona Revised Statutes, is amended to read:
36-209. Reports by superintendent and director
A. At such time as the director designates, the superintendent shall submit to the director a report of the activities of the state hospital during the preceding fiscal year, including:
1. The number of patients received, conditionally discharged and discharged and voluntary patients treated.
2. Methods of treatment used and the results.
3. The total number, including the number of such persons who were committed on a voluntary and involuntary basis, of seriously mentally ill patients as defined in section 36‑550 and the place to which each person was discharged.
4. Census data for treatment programs pursuant to sections 13‑3994 13‑3992, 13‑4512, 36‑202.01 and 36‑503.03.
5. A complete employment and personnel record.
6. The condition of existing equipment.
7. Recommendations for improvement of the institution.
8. Other matters required by the director or deemed advisable by the superintendent to present a complete description of the condition and activities of the hospital.
B. Not later than the fifteenth day of each month, the director shall prepare in duplicate a financial statement of the affairs of the state hospital, including:
1. The amounts appropriated for the current fiscal year for operation, maintenance and improvement.
2. The amount expended during the preceding calendar month.
3. The balance on hand.
4. The estimated expenditures for the current month.
5. An inventory report.
C. The original report and statements required by this section shall be filed with and retained as records of the director and duplicates filed with the director of the department of administration.
D. At such time as the director designates, the superintendent shall submit to the director a financial statement of the affairs of the state hospital during the preceding fiscal year in a form prescribed by the director of the department of administration.
E. By October 1 of each year, the director shall submit to the governor a comprehensive report of the activities of the state hospital during the preceding fiscal year, which shall include the annual reports of the superintendent, and shall contain:
1. An account of the work done.
2. Recommendations for improvements.
3. Financial statements that clearly reflect the origin and disposition of all monies that have come into the hands of the director or an employee through appropriations or otherwise.
F. The director shall make such supplemental reports as the governor or the legislature requests.
G. The annual report prescribed by subsection E of this section shall be published for the information of the public and five copies shall be delivered to the chief clerk of the house of representatives and the secretary of the senate, respectively, who shall keep them on file for the use of the members of each house.
Sec. 16. Section 36-545.01, Arizona Revised Statutes, is amended to read:
36-545.01. Payment of costs and expenses; ability to pay; power and duty of court; acceptance of other benefits; per capita cost limitation; guardians; parental liability; lien; duty of county attorney
A. When a patient is admitted to the state hospital for court‑ordered treatment pursuant to article 5 of this chapter or pursuant to section 13‑3994 13‑3992, the business manager of the state hospital shall inquire into the ability of the patient to pay the costs of examination, maintenance and treatment. The business manager shall file with the clerk of the court a written report of the manager's findings and the basis of those findings.
B. If the patient is able to pay all or any portion of the charges, the court shall order the payment of the amount the patient can afford of the per capita cost for examination, treatment and maintenance as estimated by the superintendent. The court, on petition of an interested person and at a hearing of which all concerned parties have received notice, may increase or decrease the maintenance charge payable by the patient or the patient's estate.
C. Notwithstanding subsection B of this section, any federal, state, public or private medical benefits that are payable to the state hospital where the patient is receiving care and treatment or that are payable to the patient may be accepted by the state hospital without a court order, except that the state hospital shall not accept any such benefits that alone or in addition to any amounts payable pursuant to subsection B of this section exceed the per capita cost for the patient.
D. The court, if necessary, may appoint a conservator of the patient to carry out this section. If a conservator is appointed, the clerk of the court shall file a certificate so stating. All proceedings relating to that conservatorship shall be had as provided by law for conservators of estates. The conservator shall pay the amount ordered by the court pursuant to subsection B of this section.
E. If the patient is a minor, the business manager of the state hospital shall inquire into the ability of the minor's parents to bear charges pursuant to this section. All obligations, charges and liens that may be imposed on a patient pursuant to this section shall be imposed on the minor's parents if it is determined that the parents have the ability to pay.
F. The charges fixed by the court as provided by this section and ordered paid by the patient or the patient's estate, on filing with the county recorder, become a lien on the property of the patient or the patient's estate.
G. The county attorney of each county, on an order of a judge of the superior court, shall enforce the lien and collect the charges from the person ordered to pay if the charges become delinquent.
H. Costs of examination, treatment and maintenance shall not be charged to any patient found by a court of competent jurisdiction to be unlawfully detained.
I. Notwithstanding section 36‑545.02, the department shall deposit, pursuant to sections 35‑146 and 35‑147, monies collected through contracts entered into pursuant to section 36‑3410 in the Arizona state hospital fund established by section 36‑545.08. The department shall use these monies for the treatment of patients at the state hospital or for the placement of clients in the community.
Sec. 17. Section 41-3020.11, Arizona Revised Statutes, is amended to read:
41-3020.11. Psychiatric security review board; termination July 1, 2020
A. The psychiatric security review board terminates on July 1, 2020.
B. Title 31 13, chapter 4 is 38, article 14 and this section are repealed on January 1, 2021.
Sec. 18. Section 41-3803, Arizona Revised Statutes, is amended to read:
41-3803. Independent oversight committee on the mentally ill; training plan; report posting
A. The independent oversight committee on the mentally ill is established in the department of administration to promote the rights of persons who receive behavioral health services pursuant to:
1. Section 13‑3992 or 13‑3994.
2. Title 36, chapters 5 and 34.
B. Each region of this state covered by a regional behavioral health authority shall have at least one independent oversight committee with the authority and responsibilities as prescribed by the department of administration pursuant to rules adopted by the department relating to behavioral health services.
C. The director of the department may establish additional committees to serve persons who receive behavioral health services or to oversee the activities of any service provider.
D. Each independent oversight committee shall consist of at least seven and not more than fifteen members appointed by the director of the department with expertise in at least one of the following areas:
1. Psychology.
2. Law.
3. Medicine.
4. Education.
5. Special education.
6. Social work.
7. Mental health.
8. Housing for the mentally ill.
9. Criminal justice.
10. Public safety.
E. Each independent oversight committee, if appropriate, shall include at least two parents of children who receive behavioral health services pursuant to title 36, chapter 34.
F. Each independent oversight committee shall include at least one member who is a current or former client of the behavioral health system.
G. Current or former providers or employees of providers that have contracted with a regional behavioral health authority may serve on an independent oversight committee but may not hold more than two positions on the committee.
H. Each independent oversight committee may hold one or more community forums annually to receive comments regarding the experiences of individuals living with serious mental illness, and their family members and caregivers, across the care continuum.
I. The department shall ensure that each regional behavioral health authority and its providers develop and implement a human rights training plan to ensure that providers are trained regarding clients' human rights and the duties of the independent oversight committees.
J. The independent oversight committee at the Arizona state hospital shall have oversight of patients who have been determined to have a serious mental illness and who are hospitalized and receiving behavioral health services at the civil and forensic hospital pursuant to subsection A of this section. The Arizona state hospital shall provide to the committee, subject to state and federal law, information regarding the following:
1. Seclusion of and the use of restraints on patients.
2. Incident accident reports.
3. Allegations of illegal, dangerous or inhumane treatment of patients.
4. Provisions of services to patients in need of special assistance.
5. Allegations of neglect and abuse.
6. Allegations of denial of rights afforded to patients with serious mental illness except where a right may be restricted for the safety of a patient, the state hospital or the public.
K. Each committee shall be organized pursuant to this section and the requirements of section 41‑3804.
Sec. 19. Conforming legislation
The legislative council staff shall prepare proposed
legislation conforming the Arizona Revised Statutes to the provisions of this
act for consideration in the fifty‑fifth legislature, first regular
session.