Passed by the Senate March 9, 2004 YEAS 41   ________________________________________ President of the Senate Passed by the House March 4, 2004 YEAS 94   ________________________________________ Speaker of the House of Representatives | I, Milton H. Doumit, Jr., Secretary of the Senate of the State of Washington, do hereby certify that the attached is ENGROSSED SECOND SUBSTITUTE SENATE BILL 6358 as passed by the Senate and the House of Representatives on the dates hereon set forth. ________________________________________ Secretary | |
Approved ________________________________________ Governor of the State of Washington | Secretary of State State of Washington |
State of Washington | 58th Legislature | 2004 Regular Session |
READ FIRST TIME 02/10/04.
AN ACT Relating to improved collaboration regarding offenders with treatment orders; amending RCW 71.05.040, 71.05.445, 72.09.585, 71.34.225, and 70.02.030; reenacting and amending RCW 71.05.390; adding a new section to chapter 10.77 RCW; adding new sections to chapter 9.94A RCW; adding a new section to chapter 9.95 RCW; adding new sections to chapter 71.05 RCW; adding new sections to chapter 70.96A RCW; adding a new section to chapter 70.48 RCW; adding a new section to chapter 72.09 RCW; adding a new section to chapter 4.24 RCW; creating new sections; providing an effective date; and declaring an emergency.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:
NEW SECTION. Sec. 1 The legislature makes the following
findings:
(1) In some cases, there is confusion over whether the cause of a
person's mental disorder can make that person ineligible for
involuntary treatment;
(2) Some offenders under supervision in the community are
concurrently subject to court-ordered mental health or chemical
dependency treatment;
(3) Some offenders under supervision in the community are subject
to department of corrections-ordered mental health or substance abuse
treatment;
(4) The department of corrections frequently does not know that an
offender is subject to court-ordered treatment;
(5) Treatment providers frequently do not know that a client is
subject to department of corrections supervision;
(6) There is confusion about the extent to which information about
an offender subject to both treatment orders and supervision by the
department of corrections may be shared;
(7) When information is not shared, the lack of information creates
gaps in enforcement both of the court order and the offender's
conditions of supervision; and
(8) When there are gaps in enforcement, there is an increased risk
to public safety.
Consequently, the legislature intends to clarify the standards for
commitment and improve the coordination between the department of
corrections and mental health and chemical dependency treatment
providers to enhance public safety by improving compliance with
treatment and supervision orders and by providing both treatment
providers and the department of corrections with more current, complete
information about the offender's status.
Sec. 2 RCW 71.05.040 and 1997 c 112 s 4 are each amended to read
as follows:
Persons who are developmentally disabled, impaired by chronic
alcoholism or drug abuse, or suffering from dementia shall not be
detained for evaluation and treatment or judicially committed solely by
reason of that condition unless such condition causes a person to be
gravely disabled or as a result of a mental disorder such condition
exists that constitutes a likelihood of serious harm: Provided
however, That persons who are developmentally disabled, impaired by
chronic alcoholism or drug abuse, or suffering from dementia and who
otherwise meet the criteria for detention or judicial commitment are
not ineligible for detention or commitment based on this condition
alone.
NEW SECTION. Sec. 3 A new section is added to chapter 10.77 RCW
to read as follows:
When a county designated mental health professional or a
professional person has determined that a person has a mental disorder,
and is otherwise committable, the cause of the person's mental disorder
shall not make the person ineligible for commitment under chapter 71.05
RCW.
Sec. 4 RCW 71.05.445 and 2002 c 39 s 2 are each amended to read
as follows:
(1) The definitions in this subsection apply throughout this
section unless the context clearly requires otherwise.
(a) "Information related to mental health services" means all
information and records compiled, obtained, or maintained in the course
of providing services to either voluntary or involuntary recipients of
services by a mental health service provider. This may include
documents of legal proceedings under this chapter or chapter 71.34 or
10.77 RCW, or somatic health care information.
(b) "Mental health service provider" means a public or private
agency that provides services to persons with mental disorders as
defined under RCW 71.05.020 and receives funding from public sources.
This includes evaluation and treatment facilities as defined in RCW
71.05.020, community mental health service delivery systems, or
community mental health programs as defined in RCW 71.24.025, and
facilities conducting competency evaluations and restoration under
chapter 10.77 RCW.
(2)(a) Information related to mental health services delivered to
a person subject to chapter 9.94A or 9.95 RCW shall be released, upon
request, by a mental health service provider to department of
corrections personnel for whom the information is necessary to carry
out the responsibilities of their office. The information must be
provided only for the purposes of completing presentence investigations
or risk assessment reports, supervision of an incarcerated ((person))
offender or offender under supervision in the community, planning for
and provision of supervision of ((a person)) an offender, or assessment
of ((a person's)) an offender's risk to the community. The request
shall be in writing and shall not require the consent of the subject of
the records.
(b) If an offender subject to chapter 9.94A or 9.95 RCW has failed
to report for department of corrections supervision or in the event of
an emergent situation that poses a significant risk to the public or
the offender, information related to mental health services delivered
to the offender and, if known, information regarding where the offender
is likely to be found shall be released by the mental health services
provider to the department of corrections upon request. The initial
request may be written or oral. All oral requests must be subsequently
confirmed in writing. Information released in response to an oral
request is limited to a statement as to whether the offender is or is
not being treated by the mental health services provider and the
address or information about the location or whereabouts of the
offender. Information released in response to a written request may
include information identified by rule as provided in subsections (4)
and (5) of this section. For purposes of this subsection a written
request includes requests made by e-mail or facsimile so long as the
requesting person at the department of corrections is clearly
identified. The request must specify the information being requested.
Disclosure of the information requested does not require the consent of
the subject of the records unless the offender has received relief from
disclosure under section 11, 12, or 13 of this act.
(3)(a) When a mental health service provider conducts its initial
assessment for a person receiving court-ordered treatment, the service
provider shall inquire and shall be told by the offender whether he or
she is subject to supervision by the department of corrections.
(b) When a person receiving court-ordered treatment or treatment
ordered by the department of corrections discloses to his or her mental
health service provider that he or she is subject to supervision by the
department of corrections, the mental health services provider shall
notify the department of corrections that he or she is treating the
offender and shall notify the offender that his or her community
corrections officer will be notified of the treatment, provided that if
the offender has received relief from disclosure pursuant to section
11, 12, or 13 of this act and the offender has provided the mental
health services provider with a copy of the order granting relief from
disclosure pursuant to section 11, 12, or 13 of this act, the mental
health services provider is not required to notify the department of
corrections that the mental health services provider is treating the
offender. The notification may be written or oral and shall not
require the consent of the offender. If an oral notification is made,
it must be confirmed by a written notification. For purposes of this
section, a written notification includes notification by e-mail or
facsimile, so long as the notifying mental health service provider is
clearly identified.
(4) The information to be released to the department of corrections
shall include all relevant records and reports, as defined by rule,
necessary for the department of corrections to carry out its duties,
including those records and reports identified in subsection (2) of
this section.
(((4))) (5) The department and the department of corrections, in
consultation with regional support networks, mental health service
providers as defined in subsection (1) of this section, mental health
consumers, and advocates for persons with mental illness, shall adopt
rules to implement the provisions of this section related to the type
and scope of information to be released. These rules shall:
(a) Enhance and facilitate the ability of the department of
corrections to carry out its responsibility of planning and ensuring
community protection with respect to persons subject to sentencing
under chapter 9.94A or 9.95 RCW, including accessing and releasing or
disclosing information of persons who received mental health services
as a minor; and
(b) Establish requirements for the notification of persons under
the supervision of the department of corrections regarding the
provisions of this section.
(((5))) (6) The information received by the department of
corrections under this section shall remain confidential and subject to
the limitations on disclosure outlined in chapter 71.05 RCW, except as
provided in RCW 72.09.585.
(((6))) (7) No mental health service provider or individual
employed by a mental health service provider shall be held responsible
for information released to or used by the department of corrections
under the provisions of this section or rules adopted under this
section except under RCW 71.05.670 and 71.05.440.
(((7))) (8) Whenever federal law or federal regulations restrict
the release of information contained in the treatment records of any
patient who receives treatment for alcoholism or drug dependency, the
release of the information may be restricted as necessary to comply
with federal law and regulations.
(((8))) (9) This section does not modify the terms and conditions
of disclosure of information related to sexually transmitted diseases
under chapter 70.24 RCW.
(10) The department shall, subject to available resources,
electronically, or by the most cost-effective means available, provide
the department of corrections with the names, last dates of services,
and addresses of specific regional support networks and mental health
service providers that delivered mental health services to a person
subject to chapter 9.94A or 9.95 RCW pursuant to an agreement between
the departments.
Sec. 5 RCW 72.09.585 and 2000 c 75 s 4 are each amended to read
as follows:
(1) When the department is determining an offender's risk
management level, the department shall inquire of the offender and
shall be told whether the offender is subject to court-ordered
treatment for mental health services or chemical dependency services.
The department shall request and the offender shall provide an
authorization to release information form that meets applicable state
and federal requirements and shall provide the offender with written
notice that the department will request the offender's mental health
and substance abuse treatment information. An offender's failure to
inform the department of court-ordered treatment is a violation of the
conditions of supervision if the offender is in the community and an
infraction if the offender is in confinement, and the violation or
infraction is subject to sanctions.
(2) When an offender discloses that he or she is subject to court-ordered mental health services or chemical dependency treatment, the
department shall provide the mental health services provider or
chemical dependency treatment provider with a written request for
information and any necessary authorization to release information
forms. The written request shall comply with rules adopted by the
department of social and health services or protocols developed jointly
by the department and the department of social and health services. A
single request shall be valid for the duration of the offender's
supervision in the community. Disclosures of information related to
mental health services made pursuant to a department request shall not
require consent of the offender.
(3) The information received by the department under RCW 71.05.445
or 71.34.225 may be released to the indeterminate sentence review board
as relevant to carry out its responsibility of planning and ensuring
community protection with respect to persons under its jurisdiction.
Further disclosure by the indeterminate sentence review board is
subject to the limitations set forth in subsections (((3))) (5) and
(((4))) (6) of this section and must be consistent with the written
policy of the indeterminate sentence review board. The decision to
disclose or not shall not result in civil liability for the
indeterminate sentence review board or its employees provided that the
decision was reached in good faith and without gross negligence.
(((2))) (4) The information received by the department under RCW
71.05.445 or 71.34.225 may be used to meet the statutory duties of the
department to provide evidence or report to the court. Disclosure to
the public of information provided to the court by the department
related to mental health services shall be limited in accordance with
RCW 9.94A.500 or this section.
(((3))) (5) The information received by the department under RCW
71.05.445 or 71.34.225 may be disclosed by the department to other
state and local agencies as relevant to plan for and provide offenders
transition, treatment, and supervision services, or as relevant and
necessary to protect the public and counteract the danger created by a
particular offender, and in a manner consistent with the written policy
established by the secretary. The decision to disclose or not shall
not result in civil liability for the department or its employees so
long as the decision was reached in good faith and without gross
negligence. The information received by a state or local agency from
the department shall remain confidential and subject to the limitations
on disclosure set forth in chapters 70.02, 71.05, and 71.34 RCW and,
subject to these limitations, may be released only as relevant and
necessary to counteract the danger created by a particular offender.
(((4))) (6) The information received by the department under RCW
71.05.445 or 71.34.225 may be disclosed by the department to
individuals only with respect to offenders who have been determined by
the department to have a high risk of reoffending by a risk assessment,
as defined in RCW 9.94A.030, only as relevant and necessary for those
individuals to take reasonable steps for the purpose of self-protection, or as provided in RCW 72.09.370(2). The information may
not be disclosed for the purpose of engaging the public in a system of
supervision, monitoring, and reporting offender behavior to the
department. The department must limit the disclosure of information
related to mental health services to the public to descriptions of an
offender's behavior, risk he or she may present to the community, and
need for mental health treatment, including medications, and shall not
disclose or release to the public copies of treatment documents or
records, except as otherwise provided by law. All disclosure of
information to the public must be done in a manner consistent with the
written policy established by the secretary. The decision to disclose
or not shall not result in civil liability for the department or its
employees so long as the decision was reached in good faith and without
gross negligence. Nothing in this subsection prevents any person from
reporting to law enforcement or the department behavior that he or she
believes creates a public safety risk.
Sec. 6 RCW 71.05.390 and 2000 c 94 s 9, 2000 c 75 s 6, and 2000
c 74 s 7 are each reenacted and amended to read as follows:
Except as provided in this section, the fact of admission and all
information and records compiled, obtained, or maintained in the course
of providing services to either voluntary or involuntary recipients of
services at public or private agencies shall be confidential.
Information and records may be disclosed only:
(1) In communications between qualified professional persons to
meet the requirements of this chapter, in the provision of services or
appropriate referrals, or in the course of guardianship proceedings.
The consent of the patient, or his or her guardian, shall be obtained
before information or records may be disclosed by a professional person
employed by a facility unless provided to a professional person:
(a) Employed by the facility;
(b) Who has medical responsibility for the patient's care;
(c) Who is a county designated mental health professional;
(d) Who is providing services under chapter 71.24 RCW;
(e) Who is employed by a state or local correctional facility where
the person is confined or supervised; or
(f) Who is providing evaluation, treatment, or follow-up services
under chapter 10.77 RCW.
(2) When the communications regard the special needs of a patient
and the necessary circumstances giving rise to such needs and the
disclosure is made by a facility providing outpatient services to the
operator of a care facility in which the patient resides.
(3) When the person receiving services, or his or her guardian,
designates persons to whom information or records may be released, or
if the person is a minor, when his or her parents make such
designation.
(4) To the extent necessary for a recipient to make a claim, or for
a claim to be made on behalf of a recipient for aid, insurance, or
medical assistance to which he or she may be entitled.
(5) For either program evaluation or research, or both: PROVIDED,
That the secretary adopts rules for the conduct of the evaluation or
research, or both. Such rules shall include, but need not be limited
to, the requirement that all evaluators and researchers must sign an
oath of confidentiality substantially as follows:
"As a condition of conducting evaluation or research concerning
persons who have received services from (fill in the facility, agency,
or person) I, . . . . . . . . ., agree not to divulge, publish, or
otherwise make known to unauthorized persons or the public any
information obtained in the course of such evaluation or research
regarding persons who have received services such that the person who
received such services is identifiable.
I recognize that unauthorized release of confidential information
may subject me to civil liability under the provisions of state law.
/s/ . . . . . . . . . . . . " |
NEW SECTION. Sec. 7 A new section is added to chapter 9.94A RCW
to read as follows:
An offender's failure to inform the department of court-ordered
treatment upon request by the department is a violation of the
conditions of supervision if the offender is in the community and an
infraction if the offender is in confinement, and the violation or
infraction is subject to sanctions.
Sec. 8 RCW 71.34.225 and 2002 c 39 s 1 are each amended to read
as follows:
(1) The definitions in this subsection apply throughout this
section unless the context clearly requires otherwise.
(a) "Information related to mental health services" means all
information and records compiled, obtained, or maintained in the course
of providing services to either voluntary or involuntary recipients of
services by a mental health service provider. This may include
documents of legal proceedings under this chapter or chapter 71.05 or
10.77 RCW, or somatic health care information.
(b) "Mental health service provider" means a public or private
agency that provides services to persons with mental disorders as
defined under RCW 71.34.020 and receives funding from public sources.
This includes evaluation and treatment facilities as defined in RCW
71.34.020, community mental health service delivery systems, or
community mental health programs, as defined in RCW 71.24.025, and
facilities conducting competency evaluations and restoration under
chapter 10.77 RCW.
(2) Information related to mental health services delivered to a
person subject to chapter 9.94A or 9.95 RCW shall be released, upon
request, by a mental health service provider to department of
corrections personnel for whom the information is necessary to carry
out the responsibilities of their office. The information must be
provided only for the purpose of completing presentence investigations,
supervision of an incarcerated person, planning for and provision of
supervision of a person, or assessment of a person's risk to the
community. The request shall be in writing and shall not require the
consent of the subject of the records.
(3) The information to be released to the department of corrections
shall include all relevant records and reports, as defined by rule,
necessary for the department of corrections to carry out its duties,
including those records and reports identified in subsection (2) of
this section.
(4) The department shall, subject to available resources,
electronically, or by the most cost-effective means available, provide
the department of corrections with the names, last dates of services,
and addresses of specific regional support networks and mental health
service providers that delivered mental health services to a person
subject to chapter 9.94A or 9.95 RCW pursuant to an agreement between
the departments.
(5) The department and the department of corrections, in
consultation with regional support networks, mental health service
providers as defined in subsection (1) of this section, mental health
consumers, and advocates for persons with mental illness, shall adopt
rules to implement the provisions of this section related to the type
and scope of information to be released. These rules shall:
(a) Enhance and facilitate the ability of the department of
corrections to carry out its responsibility of planning and ensuring
community protection with respect to persons subject to sentencing
under chapter 9.94A or 9.95 RCW, including accessing and releasing or
disclosing information of persons who received mental health services
as a minor; and
(b) Establish requirements for the notification of persons under
the supervision of the department of corrections regarding the
provisions of this section.
(((5))) (6) The information received by the department of
corrections under this section shall remain confidential and subject to
the limitations on disclosure outlined in RCW 71.34.200, except as
provided in RCW 72.09.585.
(((6))) (7) No mental health service provider or individual
employed by a mental health service provider shall be held responsible
for information released to or used by the department of corrections
under the provisions of this section or rules adopted under this
section.
(((7))) (8) Whenever federal law or federal regulations restrict
the release of information contained in the treatment records of any
patient who receives treatment for alcoholism or drug dependency, the
release of the information may be restricted as necessary to comply
with federal law and regulations.
(((8))) (9) This section does not modify the terms and conditions
of disclosure of information related to sexually transmitted diseases
under chapter 70.24 RCW.
NEW SECTION. Sec. 9 A new section is added to chapter 9.94A RCW
to read as follows:
When an offender receiving court-ordered mental health or chemical
dependency treatment or treatment ordered by the department of
corrections presents for treatment from a mental health or chemical
dependency treatment provider, the offender must disclose to the mental
health or chemical dependency treatment provider whether he or she is
subject to supervision by the department of corrections. If an
offender has received relief from disclosure pursuant to section 11,
12, or 13 of this act, the offender must provide the mental health or
chemical dependency treatment provider with a copy of the order
granting the relief.
NEW SECTION. Sec. 10 A new section is added to chapter 9.95 RCW
to read as follows:
When an offender receiving court-ordered mental health or chemical
dependency treatment or treatment ordered by the department of
corrections presents for treatment from a mental health or chemical
dependency treatment provider, the offender must disclose to the mental
health or chemical dependency treatment provider whether he or she is
subject to supervision by the department of corrections. If an
offender has received relief from disclosure pursuant to section 11,
12, or 13 of this act, the offender must provide the mental health or
chemical dependency treatment provider with a copy of the order
granting the relief.
NEW SECTION. Sec. 11 A new section is added to chapter 9.94A RCW
to read as follows:
When any person is convicted in a superior court, the judgment and
sentence shall include a statement that if the offender is or becomes
subject to court-ordered mental health or chemical dependency
treatment, the offender must notify the department and the offender's
treatment information must be shared with the department of corrections
for the duration of the offender's incarceration and supervision. Upon
a petition by an offender who does not have a history of one or more
violent acts, as defined in RCW 71.05.020, the court may, for good
cause, find that public safety is not enhanced by the sharing of this
offender's information.
NEW SECTION. Sec. 12 A new section is added to chapter 71.05 RCW
to read as follows:
When any court orders a person to receive treatment under this
chapter, the order shall include a statement that if the person is, or
becomes, subject to supervision by the department of corrections, the
person must notify the treatment provider and the person's mental
health treatment information must be shared with the department of
corrections for the duration of the offender's incarceration and
supervision, under RCW 71.05.445. Upon a petition by a person who does
not have a history of one or more violent acts, the court may, for good
cause, find that public safety would not be enhanced by the sharing of
this person's information.
NEW SECTION. Sec. 13 A new section is added to chapter 70.96A
RCW to read as follows:
When any court orders a person to receive treatment under this
chapter, the order shall include a statement that if the person is, or
becomes, subject to supervision by the department of corrections, the
person must notify the treatment provider and the person's chemical
dependency treatment information must be shared with the department of
corrections for the duration of the offender's incarceration and
supervision. Upon a petition by a person who does not have a history
of one or more violent acts, as defined in RCW 71.05.020, the court
may, for good cause, find that public safety would not be enhanced by
the sharing of this person's information.
NEW SECTION. Sec. 14 A new section is added to chapter 70.48 RCW
to read as follows:
(1) A person having charge of a jail, or that person's designee,
shall notify the county designated mental health professional or the
designated chemical dependency specialist seventy-two hours prior to
the release to the community of an offender or defendant who was
subject to a discharge review under section 18 of this act. If the
person having charge of the jail does not receive seventy-two hours
notice of the release, the notification to the county designated mental
health professional or the designated chemical dependency specialist
shall be made as soon as reasonably possible, but not later than the
actual release to the community of the defendant or offender.
(2) When a person having charge of a jail, or that person's
designee, releases an offender or defendant who was the subject of a
discharge review under section 18 of this act, the person having charge
of a jail, or that person's designee, shall notify the state hospital
from which the offender or defendant was released.
NEW SECTION. Sec. 15 A new section is added to chapter 70.96A
RCW to read as follows:
(1) When a designated chemical dependency specialist is notified by
a jail that a defendant or offender who was subject to a discharge
review under section 18 of this act is to be released to the community,
the designated chemical dependency specialist shall evaluate the person
within seventy-two hours of release, if the person's treatment
information indicates that he or she may need chemical dependency
treatment.
(2) When an offender is under court-ordered treatment in the
community and the supervision of the department of corrections, and the
treatment provider becomes aware that the person is in violation of the
terms of the court order, the treatment provider shall notify the
designated chemical dependency specialist of the violation and request
an evaluation for purposes of revocation of the conditional release.
(3) When a designated chemical dependency specialist becomes aware
that an offender who is under court-ordered treatment in the community
and the supervision of the department of corrections is in violation of
a treatment order or a condition of supervision that relates to public
safety, or the designated chemical dependency specialist detains a
person under this chapter, the designated chemical dependency
specialist shall notify the person's treatment provider and the
department of corrections.
(4) When an offender who is confined in a state correctional
facility or is under supervision of the department of corrections in
the community is subject to a petition for involuntary treatment under
this chapter, the petitioner shall notify the department of corrections
and the department of corrections shall provide documentation of its
risk assessment or other concerns to the petitioner and the court if
the department of corrections classified the offender as a high risk or
high needs offender.
(5) Nothing in this section creates a duty on any treatment
provider or designated chemical dependency specialist to provide
offender supervision.
NEW SECTION. Sec. 16 A new section is added to chapter 71.05 RCW
to read as follows:
(1) When a county designated mental health professional is notified
by a jail that a defendant or offender who was subject to a discharge
review under section 18 of this act is to be released to the community,
the county designated mental health professional shall evaluate the
person within seventy-two hours of release.
(2) When an offender is under court-ordered treatment in the
community and the supervision of the department of corrections, and the
treatment provider becomes aware that the person is in violation of the
terms of the court order, the treatment provider shall notify the
county designated mental health professional of the violation and
request an evaluation for purposes of revocation of the less
restrictive alternative.
(3) When a county designated mental health professional becomes
aware that an offender who is under court-ordered treatment in the
community and the supervision of the department of corrections is in
violation of a treatment order or a condition of supervision, or the
county designated mental health professional detains a person under
this chapter, the county designated mental health professional shall
notify the person's treatment provider and the department of
corrections.
(4) When an offender who is confined in a state correctional
facility or is under supervision of the department of corrections in
the community is subject to a petition for involuntary treatment under
this chapter, the petitioner shall notify the department of corrections
and the department of corrections shall provide documentation of its
risk assessment or other concerns to the petitioner and the court if
the department of corrections classified the offender as a high risk or
high needs offender.
(5) Nothing in this section creates a duty on any treatment
provider or county designated mental health professional to provide
offender supervision.
NEW SECTION. Sec. 17 A new section is added to chapter 72.09 RCW
to read as follows:
(1) When an offender is under court-ordered mental health or
chemical dependency treatment in the community and the supervision of
the department of corrections, and the community corrections officer
becomes aware that the person is in violation of the terms of the
court's treatment order, the community corrections officer shall notify
the county designated mental health professional or the designated
chemical dependency specialist, as appropriate, of the violation and
request an evaluation for purposes of revocation of the less
restrictive alternative or conditional release.
(2) When a county designated mental health professional or the
designated chemical dependency specialist notifies the department that
an offender in a state correctional facility is the subject of a
petition for involuntary treatment under chapter 71.05 or 70.96A RCW,
the department shall provide documentation of its risk assessment or
other concerns to the petitioner and the court if the department
classified the offender as a high risk or high needs offender.
NEW SECTION. Sec. 18 A new section is added to chapter 71.05 RCW
to read as follows:
(1) When a state hospital admits a person for evaluation or
treatment under this chapter who has a history of one or more violent
acts and:
(a) Has been transferred from a correctional facility; or
(b) Is or has been under the authority of the department of
corrections or the indeterminate sentence review board,
the state hospital shall consult with the appropriate corrections and
chemical dependency personnel and the appropriate forensic staff at the
state hospital to conduct a discharge review to determine whether the
person presents a likelihood of serious harm and whether the person is
appropriate for release to a less restrictive alternative.
(2) When a state hospital returns a person who was reviewed under
subsection (1) of this section to a correctional facility, the hospital
shall notify the correctional facility that the person was subject to
a discharge review pursuant to this section.
Sec. 19 RCW 70.02.030 and 1994 sp.s. c 9 s 741 are each amended
to read as follows:
(1) A patient may authorize a health care provider to disclose the
patient's health care information. A health care provider shall honor
an authorization and, if requested, provide a copy of the recorded
health care information unless the health care provider denies the
patient access to health care information under RCW 70.02.090.
(2) A health care provider may charge a reasonable fee for
providing the health care information and is not required to honor an
authorization until the fee is paid.
(3) To be valid, a disclosure authorization to a health care
provider shall:
(a) Be in writing, dated, and signed by the patient;
(b) Identify the nature of the information to be disclosed;
(c) Identify the name, address, and institutional affiliation of
the person to whom the information is to be disclosed;
(d) Except for third-party payors, identify the provider who is to
make the disclosure; and
(e) Identify the patient.
(4) Except as provided by this chapter, the signing of an
authorization by a patient is not a waiver of any rights a patient has
under other statutes, the rules of evidence, or common law.
(5) A health care provider shall retain each authorization or
revocation in conjunction with any health care information from which
disclosures are made. This requirement shall not apply to disclosures
to third-party payors.
(6) Except for authorizations given pursuant to an agreement with
a treatment or monitoring program or disciplinary authority under
chapter 18.71 or 18.130 RCW, when the patient is under the supervision
of the department of corrections, or to provide information to third-party payors, an authorization may not permit the release of health
care information relating to future health care that the patient
receives more than ninety days after the authorization was signed.
Patients shall be advised of the period of validity of their
authorization on the disclosure authorization form. If the
authorization does not contain an expiration date and the patient is
not under the supervision of the department of corrections, it expires
ninety days after it is signed.
(7) Where the patient is under the supervision of the department of
corrections, an authorization signed pursuant to this section for
health care information related to mental health or drug or alcohol
treatment expires at the end of the term of supervision, unless the
patient is part of a treatment program that requires the continued
exchange of information until the end of the period of treatment.
NEW SECTION. Sec. 20 (1) The department of social and health
services and the department of corrections shall develop a training
plan for department employees, contractors, and necessary mental health
service providers and chemical dependency treatment providers covering
the information sharing processes for offenders with treatment orders
and terms of supervision in the community.
(2) The department of corrections and the department of social and
health services, in consultation with prosecuting attorneys, the
Washington association of sheriffs and police chiefs, regional support
networks, county designated chemical dependency specialists, and other
experts that the departments deem appropriate, shall develop a model
for multidisciplinary case management and release planning of offenders
classified as having high resource needs in multiple service areas.
NEW SECTION. Sec. 21 A new section is added to chapter 4.24 RCW
to read as follows:
Information shared and actions taken without gross negligence and
in good faith compliance with RCW 71.05.445, 72.09.585, or sections 15
through 17 of this act are not a basis for any private civil cause of
action.
NEW SECTION. Sec. 22 The department of social and health
services, in consultation with the appropriate committees of the
legislature, shall assess the current and needed residential capacity
for crisis response and ongoing treatment services for persons in need
of treatment for mental disorders and chemical dependency. In addition
to considering the demand for persons with either a mental disorder or
chemical dependency, the assessment shall consider the demand for
services for mentally ill offenders, and persons with co-occurring
disorders, mental disorders caused by traumatic brain injury or
dementia, and drug induced psychosis. An initial report assessing the
types, number, and location of needed mental health crisis response and
emergency treatment beds, both in community hospital-based and in other
settings, shall be submitted to appropriate committees of the
legislature by November 1, 2004. A final report assessing the types,
number, and location of beds needed for mental health and chemical
dependency emergency, transitional, and ongoing treatment shall be
submitted to appropriate committees of the legislature by December 1,
2005. Both reports shall set forth the projected costs and benefits of
alternative strategies and timelines for addressing identified needs.
Legislative staff shall review and analyze the use of mental health
resources in other state programs for providing community based and
hospital based care for persons with mental illness, including
information available through the council of state governments and the
national conference of state legislatures.
NEW SECTION. Sec. 23 If any provision of this act or its
application to any person or circumstance is held invalid, the
remainder of the act or the application of the provision to other
persons or circumstances is not affected.
NEW SECTION. Sec. 24 This act takes effect July 1, 2004, except
for sections 6, 20, and 22 of this act, which are necessary for the
immediate preservation of the public peace, health, or safety, or
support of the state government and its existing public institutions,
and take effect immediately.