SB0624 100TH GENERAL ASSEMBLY

LRB100 05516 RLC 15528 b

100TH GENERAL ASSEMBLY
State of Illinois
2017 and 2018
SB0624

Introduced 1/25/2017, by Sen. Neil Anderson

SYNOPSIS AS INTRODUCED:

See Index

Creates the Out-of State Person Subject to Involuntary Admission on an Inpatient Basis Mental Health Treatment Act. Provides that on or before January 1, 2018, there is created a 2-year mental health pilot program for which a mental health facility located in Rock Island County, Illinois may accept the admission of an Iowa resident from the Eastern Iowa Mental Health Region who is a person subject to involuntary admission on an inpatient basis under an order issued by an Iowa court for treatment at a mental health facility in this State for which the Iowa court shall have jurisdiction over the recipient while committed to a mental health facility in this State. Provides that the pilot program shall also provide that a resident of Rock Island County, Illinois who is a person subject to involuntary admission on an inpatient basis under an order issued by a court of this State for treatment at a mental health facility in this State may receive inpatient treatment in an Iowa mental health facility. Provides that the Iowa or Illinois mental health facility shall provide mental health services to the recipient for the duration of the court order and shall return the recipient to his or her state of legal residence upon discharge. In the event a recipient has to enter a State-operated facility, the recipient must be returned to his or her state of legal residence. Defines "Eastern Iowa Mental Health Region", "person subject to involuntary admission on an inpatient basis", "mental health facility", "Pilot Project Area", "receiving agency", "receiving state", and "sending state". Provide that the Act is repealed on January 1, 2020. Effective July 1, 2017.

FISCAL NOTE ACT MAY APPLY

A BILL FOR

AN ACT concerning mental health.

Be it enacted by the People of the State of Illinois, represented in the General Assembly:

Section 1. Short title. This Act may be cited as the Out-of State Person Subject to Involuntary Admission on an Inpatient Basis Mental Health Treatment Act.

Section 5. Definitions. As used in this Act:

"Department" means the Department of Human Services.

"Eastern Iowa Mental Health Region" means the counties of Cedar, Clinton, Jackson, Muscatine, and Scott Iowa.

"Person subject to involuntary admission on an inpatient basis", "mental health facility", and "recipient" have the meanings ascribed to them in the Mental Health and Developmental Disabilities Code.

"Pilot project a rea" means the Eastern Iowa Mental Health Region and Rock Island, County Illinois.

"Receiving agency" means the agency which accepts and provides treatment to a person from a state other than the one in which the agency is located.

"Receiving state" means the state where the receiving agency is located.

"Sending state" means the state which sends a person to another state for treatment.

Section 10. Pilot project reciprocal agreement. On or before January 1, 2018, there is created a 2-year mental health pilot program for which a mental health facility located in Rock Island County, Illinois may accept the admission of an Iowa resident from the Eastern Iowa Mental Health Region who is a person subject to involuntary admission on an inpatient basis under an order issued by an Iowa court for treatment at a mental health facility in this State for which the Iowa court shall have jurisdiction over the recipient while committed to a mental health facility in this State as provided under Section 331.910 of the Iowa Code. The pilot program shall also provide that a resident of Rock Island County, Illinois who is a person subject to involuntary admission on an inpatient basis under an order issued by a court of this State for treatment at a mental health facility in this State may receive inpatient treatment in an Iowa mental health facility. The Iowa or Illinois mental health facility shall provide mental health services to the recipient for the duration of the court order and shall return the recipient to his or her state of legal residence upon discharge. In the event a recipient has to enter a State-operated facility, the recipient must be returned to his or her state of legal residence.

Section 15. Reciprocal agreement. For the purpose of this Pilot Program, the reciprocal agreement is limited to court orders issued by the courts in the Eastern Iowa Mental Health Region and in Rock Island County, Illinois. Court orders valid under the law of the sending state are granted recognition and reciprocity in the receiving state's respective pilot program area to the extent that the court orders relate to commitment for inpatient treatment of a mental illness. The court orders are not subject to legal challenge in the courts of the receiving state. Persons who are detained, committed or placed under the law of a sending state and who are transferred to a receiving state under this Section continue to be in the legal custody of the authority responsible for them under the law of the sending state. Specifically excluded from this pilot project are those persons who are involved in criminal proceedings. Except in emergencies, those persons may not be transferred, removed or furloughed from a facility of the receiving agency without the specific approval of the authority responsible for them under the law of the sending state. The receiving facility, whether public or private, must agree to the transfer from the sending state before a transfer takes place.

Section 20. Applicable laws. While in the receiving state, an individual shall be subject to all of the provisions of law and regulations applicable to persons detained, committed, or placed under the corresponding laws of the receiving state, except those laws and regulations of the receiving state relating to length of commitment, reexaminations, and extensions of commitment or recommitment and except as otherwise provided by this Act. Specifically, the laws of the receiving state on emergency use of psychotropic medication and the procedures for involuntary forced psychotropic medications shall apply to the person while in the receiving state. The laws and regulations of the sending state relating to length of commitment, reexaminations, and extensions of commitment or recommitment shall apply.

Section 25. Records. Treatment records shall be managed in accordance with the laws of the receiving state.

Section 30. Receiving agency responsibility.

(a) It is the responsibility of the receiving agency to secure a re-examination for an individual and for arranging any extension or recommitment of an individual's period of commitment. The receiving agency is also responsible for the arrangement of transportation of individuals from the receiving facility.

(b) If an individual receiving services under a contract under this Section escapes from the receiving agency and the individual at the time of the escape is subject to involuntary admission under the law of the sending state, the receiving agency shall use all reasonable means to recapture the escapee. The receiving agency shall immediately report the escape to the sending agency. The receiving state has the primary responsibility for, and the authority to direct, the pursuit, retaking, and any prosecution of escaped persons within its borders.

(c) It is the responsibility of the receiving agency to seek reimbursement from public or private insurance or from the county of residence or the sending state.

Section 35. Residence not established. No person establishes legal residence in the state where the receiving agency is located while the person is receiving services under this Act.

Section 40. Report to the General Assembly. The receiving agency shall submit to the Department demographic information on the number of persons served in this pilot program, lengths of stay, cost data, any specific problems or concerns that were raised during their stay. The agency shall also provide information about the number of Illinois residents who were served during the same period and whether any Illinois residents were denied services due to this pilot program. The receiving agency shall also notify other providers, hospitals, courts, law enforcement organizations, and advocacy organizations in the pilot project area on or before July 1, 2019 of the report to the General Assembly on the pilot program and ask them to supply any comments to the Department. The receiving agency shall provide the information on or before August 1, 2019. The Department shall submit a report to the General Assembly on or before October 31, 2019 that includes a review of the program, including a cost analysis to the State of Illinois during the pilot program, as well as recommendations on whether the program should be extended or become permanent. Mental health facilities in the pilot program area shall be responsible for supplying the Department with any necessary data in order to satisfy the report.

Section 45. Repeal. This Act is repealed on January 1, 2020.

Section 99. Effective date. This Act takes effect July 1, 2017.