SSB 5452 -
By Committee on Public Safety & Emergency Preparedness
ADOPTED 04/07/2011
Strike everything after the enacting clause and insert the following:
"NEW SECTION. Sec. 1 The legislature finds that effective
collaboration and communication between mental health and chemical
dependency treatment providers and service delivery systems and law
enforcement and criminal justice agencies is important to both the care
of persons with mental disorders and chemical dependency and public
safety. The legislature also finds that many state and local efforts
in recent years have worked to address improved treatment of persons
with mental disorders, chemical dependency disorders, or co-occurring
mental and substance abuse disorders who are confined in a correctional
institution and to improve communication and collaboration among the
agencies, institutions, and professionals who are responsible for the
care or custody of those persons. While numerous laws have been
enacted to clarify the appropriate sharing of information between those
agencies, institutions, and professionals, the legislature finds
further clarification will continue to aide and improve the care of
those persons and augment public safety.
NEW SECTION. Sec. 2 A new section is added to chapter 74.09 RCW
to read as follows:
It is permissible to provide to a correctional institution, as
defined in RCW 9.94.049, with the fact, place, and date of an
involuntary commitment and the fact and date of discharge or release of
a person who has been involuntarily committed under chapter 71.05 or
71.34 RCW, without a person's consent, in the course of the
implementation and use of the department's postinstitutional medical
assistance system supporting the expedited medical determinations and
medical suspensions as provided in RCW 74.09.555. Disclosure under
this section is mandatory for the purposes of the health insurance
portability and accountability act.
Sec. 3 RCW 71.05.190 and 1997 c 112 s 13 are each amended to read
as follows:
If the person is not approved for admission by a facility providing
seventy-two hour evaluation and treatment, and the individual has not
been arrested, the facility shall furnish transportation, if not
otherwise available, for the person to his or her place of residence or
other appropriate place. If the individual has been arrested, the
evaluation and treatment facility shall detain the individual for not
more than eight hours at the request of the peace officer. The
facility shall make reasonable attempts to contact the requesting peace
officer during this time to inform the peace officer that the person is
not approved for admission in order to enable a peace officer to return
to the facility and take the individual back into custody.
Sec. 4 RCW 71.05.390 and 2009 c 320 s 3 and 2009 c 217 s 6 are
each reenacted and amended to read as follows:
Except as provided in this section, RCW 71.05.445, 71.05.630,
70.96A.150, 71.05.385, section 2 of this act, or pursuant to a valid
release under RCW 70.02.030, 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 person, or his or her personal representative or
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 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 services to the operator of
a facility in which the patient resides or will reside.
(3)(a) 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.
(b) A public or private agency shall release to a person's next of
kin, attorney, personal representative, guardian, or conservator, if
any:
(i) The information that the person is presently a patient in the
facility or that the person is seriously physically ill;
(ii) A statement evaluating the mental and physical condition of
the patient, and a statement of the probable duration of the patient's
confinement, if such information is requested by the next of kin,
attorney, personal representative, guardian, or conservator; and
(iii) Such other information requested by the next of kin or
attorney as may be necessary to decide whether or not proceedings
should be instituted to appoint a guardian or conservator.
(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)(a) 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/ . . . . . . . . . . . . " |
Sec. 5 RCW 71.05.425 and 2009 c 521 s 158 are each amended to
read as follows:
(1)(a) Except as provided in subsection (2) of this section, at the
earliest possible date, and in no event later than thirty days before
conditional release, final release, authorized leave under RCW
71.05.325(2), or transfer to a facility other than a state mental
hospital, the superintendent shall send written notice of conditional
release, release, authorized leave, or transfer of a person committed
under RCW 71.05.280(3) or 71.05.320(3)(c) following dismissal of a sex,
violent, or felony harassment offense pursuant to RCW 10.77.086(4) to
the following:
(i) The chief of police of the city, if any, in which the person
will reside; and
(ii) The sheriff of the county in which the person will reside.
(b) The same notice as required by (a) of this subsection shall be
sent to the following, if such notice has been requested in writing
about a specific person committed under RCW 71.05.280(3) or
71.05.320(3)(c) following dismissal of a sex, violent, or felony
harassment offense pursuant to RCW 10.77.086(4):
(i) The victim of the sex, violent, or felony harassment offense
that was dismissed pursuant to RCW 10.77.086(4) preceding commitment
under RCW 71.05.280(3) or 71.05.320(3)(c) or the victim's next of kin
if the crime was a homicide;
(ii) Any witnesses who testified against the person in any court
proceedings; ((and))
(iii) Any person specified in writing by the prosecuting attorney.
Information regarding victims, next of kin, or witnesses requesting the
notice, information regarding any other person specified in writing by
the prosecuting attorney to receive the notice, and the notice are
confidential and shall not be available to the person committed under
this chapter; and
(iv) The chief of police of the city, if any, and the sheriff of
the county, if any, which had jurisdiction of the person on the date of
the applicable offense.
(c) The thirty-day notice requirements contained in this subsection
shall not apply to emergency medical transfers.
(d) The existence of the notice requirements in this subsection
will not require any extension of the release date in the event the
release plan changes after notification.
(2) If a person committed under RCW 71.05.280(3) or 71.05.320(3)(c)
following dismissal of a sex, violent, or felony harassment offense
pursuant to RCW 10.77.086(4) escapes, the superintendent shall
immediately notify, by the most reasonable and expedient means
available, the chief of police of the city and the sheriff of the
county in which the person escaped and in which the person resided
immediately before the person's arrest. If previously requested, the
superintendent shall also notify the witnesses and the victim of the
sex, violent, or felony harassment offense that was dismissed pursuant
to RCW 10.77.086(4) preceding commitment under RCW 71.05.280(3) or
71.05.320(3) or the victim's next of kin if the crime was a homicide.
In addition, the secretary shall also notify appropriate parties
pursuant to RCW 71.05.390(18). If the person is recaptured, the
superintendent shall send notice to the persons designated in this
subsection as soon as possible but in no event later than two working
days after the department learns of such recapture.
(3) If the victim, the victim's next of kin, or any witness is
under the age of sixteen, the notice required by this section shall be
sent to the parent or legal guardian of the child.
(4) The superintendent shall send the notices required by this
chapter to the last address provided to the department by the
requesting party. The requesting party shall furnish the department
with a current address.
(5) For purposes of this section the following terms have the
following meanings:
(a) "Violent offense" means a violent offense under RCW 9.94A.030;
(b) "Sex offense" means a sex offense under RCW 9.94A.030;
(c) "Next of kin" means a person's spouse, state registered
domestic partner, parents, siblings, and children;
(d) "Felony harassment offense" means a crime of harassment as
defined in RCW 9A.46.060 that is a felony.
Sec. 6 RCW 10.77.165 and 2010 c 28 s 1 are each amended to read
as follows:
(1) In the event of an escape by a person committed under this
chapter from a state facility or the disappearance of such a person on
conditional release or other authorized absence, the superintendent
shall provide notification of the person's escape or disappearance for
the public's safety or to assist in the apprehension of the person.
(a) The superintendent shall notify:
(i) State and local law enforcement officers located in the city
and county where the person escaped and in the city and county which
had jurisdiction of the person on the date of the applicable offense;
(ii) Other appropriate governmental agencies; and
(iii) The person's relatives.
(b) The superintendent shall provide the same notification as
required by (a) of this subsection to the following, if such notice has
been requested in writing about a specific person committed under this
chapter:
(i) The victim of the crime for which the person was convicted or
the victim's next of kin if the crime was a homicide;
(ii) Any witnesses who testified against the person in any court
proceedings if the person was charged with a violent offense; and
(iii) Any other appropriate persons.
(2) Information regarding victims, next of kin, or witnesses
requesting the notice, information regarding any other person specified
in writing by the prosecuting attorney to receive the notice, and the
notice are confidential and shall not be available to the person
committed under this chapter.
(3) The notice provisions of this section are in addition to those
provided in RCW 10.77.205.
Sec. 7 RCW 10.31.110 and 2007 c 375 s 2 are each amended to read
as follows:
(1) When a police officer has reasonable cause to believe that the
individual has committed acts constituting a nonfelony crime that is
not a serious offense as identified in RCW 10.77.092 and the individual
is known by history or consultation with the regional support network
to suffer from a mental disorder, the arresting officer may:
(a) Take the individual to a crisis stabilization unit as defined
in RCW 71.05.020(6). Individuals delivered to a crisis stabilization
unit pursuant to this section may be held by the facility for a period
of up to twelve hours((: PROVIDED, that they are)). The individual
must be examined by a mental health professional within three hours of
((their)) arrival;
(b) Refer the individual to a mental health professional for
evaluation for initial detention and proceeding under chapter 71.05
RCW; or
(c) Release the individual upon agreement to voluntary
participation in outpatient treatment.
(2) If the individual is released to the community, the mental
health provider shall inform the arresting officer of the release
within a reasonable period of time after the release if the arresting
officer has specifically requested notification and provided contact
information to the provider.
(3) In deciding whether to refer the individual to treatment under
this section, the police officer shall be guided by standards mutually
agreed upon with the prosecuting authority, which address, at a
minimum, the length, seriousness, and recency of the known criminal
history of the individual, the mental health history of the individual,
where available, and the circumstances surrounding the commission of
the alleged offense.
(((3))) (4) Any agreement to participate in treatment shall not
require individuals to stipulate to any of the alleged facts regarding
the criminal activity as a prerequisite to participation in a mental
health treatment alternative. The agreement is inadmissible in any
criminal or civil proceeding. The agreement does not create immunity
from prosecution for the alleged criminal activity.
(((4))) (5) If an individual violates such agreement and the mental
health treatment alternative is no longer appropriate:
(a) The mental health provider shall inform the referring law
enforcement agency of the violation; and
(b) The original charges may be filed or referred to the
prosecutor, as appropriate, and the matter may proceed accordingly.
(((5))) (6) The police officer is immune from liability for any
good faith conduct under this section.
Sec. 8 RCW 71.05.153 and 2007 c 375 s 8 are each amended to read
as follows:
(1) When a designated mental health professional receives
information alleging that a person, as the result of a mental disorder,
presents an imminent likelihood of serious harm, or is in imminent
danger because of being gravely disabled, after investigation and
evaluation of the specific facts alleged and of the reliability and
credibility of the person or persons providing the information if any,
the designated mental health professional may take such person, or
cause by oral or written order such person to be taken into emergency
custody in an evaluation and treatment facility for not more than
seventy-two hours as described in RCW 71.05.180.
(2) A peace officer may take or cause such person to be taken into
custody and immediately delivered to a crisis stabilization unit, an
evaluation and treatment facility, or the emergency department of a
local hospital under the following circumstances:
(a) Pursuant to subsection (1) of this section; or
(b) When he or she has reasonable cause to believe that such person
is suffering from a mental disorder and presents an imminent likelihood
of serious harm or is in imminent danger because of being gravely
disabled.
(3) Persons delivered to a crisis stabilization unit, evaluation
and treatment facility, or the emergency department of a local hospital
by peace officers pursuant to subsection (2) of this section may be
held by the facility for a period of up to twelve hours: PROVIDED,
That they are examined by a mental health professional within three
hours of their arrival. Within twelve hours of their arrival, the
designated mental health professional must determine whether the
individual meets detention criteria. If the individual is detained,
the designated mental health professional shall file a petition for
detention or a supplemental petition as appropriate and commence
service on the designated attorney for the detained person. If the
individual is released to the community, the mental health provider
shall inform the peace officer of the release within a reasonable
period of time after the release if the peace officer has specifically
requested notification and provided contact information to the
provider.
Sec. 9 RCW 71.34.340 and 2005 c 453 s 6 are each amended to read
as follows:
The fact of admission and all information obtained through
treatment under this chapter is confidential. Confidential information
may be disclosed only:
(1) In communications between mental health professionals to meet
the requirements of this chapter, in the provision of services to the
minor, or in making appropriate referrals;
(2) In the course of guardianship or dependency proceedings;
(3) To persons with medical responsibility for the minor's care;
(4) To the minor, the minor's parent, and the minor's attorney,
subject to RCW 13.50.100;
(5) When the minor or the minor's parent designates in writing the
persons to whom information or records may be released;
(6) To the extent necessary to make a claim for financial aid,
insurance, or medical assistance to which the minor may be entitled or
for the collection of fees or costs due to providers for services
rendered under this chapter;
(7) To the courts as necessary to the administration of this
chapter;
(8) To law enforcement officers or public health officers as
necessary to carry out the responsibilities of their office. However,
only the fact and date of admission, and the date of discharge, the
name and address of the treatment provider, if any, and the last known
address shall be disclosed upon request;
(9) To law enforcement officers, public health officers, relatives,
and other governmental law enforcement agencies, if a minor has escaped
from custody, disappeared from an evaluation and treatment facility,
violated conditions of a less restrictive treatment order, or failed to
return from an authorized leave, and then only such information as may
be necessary to provide for public safety or to assist in the
apprehension of the minor. The officers are obligated to keep the
information confidential in accordance with this chapter;
(10) To the secretary for assistance in data collection and program
evaluation or research, provided that the secretary adopts rules for
the conduct of such evaluation and research. The rules shall include,
but need not be limited to, the requirement that all evaluators and
researchers 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 minors
who have received services in a manner such that the minor is
identifiable.
I recognize that unauthorized release of confidential information
may subject me to civil liability under state law.
/s/ . . . . . . . . . . . . " |
Sec. 10 RCW 70.02.900 and 2000 c 5 s 4 are each amended to read
as follows:
(1) This chapter does not restrict a health care provider, a third-party payor, or an insurer regulated under Title 48 RCW from complying
with obligations imposed by federal or state health care payment
programs or federal or state law.
(2) This chapter does not modify the terms and conditions of
disclosure under Title 51 RCW and chapters 13.50, 26.09, 70.24,
((70.39,)) 70.96A, 71.05, ((and)) 71.34, and 74.09 RCW and rules
adopted under these provisions."
Correct the title.
EFFECT: Removes permission for the Department of Social and
Health Services to provide a correctional institution with the fact,
place, and date of involuntary treatment for chemical dependency and
co-occurring disorders.
Removes the requirement that a mental health provider notify a
peace officer when a person with chemical dependency who presents an
imminent likelihood of serious harm is released to the community.