Bill Text: FL S0270 | 2018 | Regular Session | Comm Sub
Bill Title: Involuntary Examination and Involuntary Admission of Minors
Spectrum: Bipartisan Bill
Status: (Failed) 2018-03-10 - Died in Rules [S0270 Detail]
Download: Florida-2018-S0270-Comm_Sub.html
Florida Senate - 2018 CS for SB 270 By the Committee on Children, Families, and Elder Affairs; and Senator Steube 586-03440-18 2018270c1 1 A bill to be entitled 2 An act relating to involuntary examination and 3 involuntary admission of minors; amending s. 394.462, 4 F.S.; authorizing a designated law enforcement agency 5 to decline to transport a minor 14 years of age or 6 younger to a receiving facility for mental health or 7 substance abuse evaluation if the parent or guardian 8 of the minor agrees to transport the minor to the 9 receiving facility; amending s. 394.463, F.S.; 10 providing circumstances under which a minor 14 years 11 of age or younger may be taken to a receiving facility 12 for involuntary examination; requiring an assessment 13 by a service provider of a minor 14 years of age or 14 younger to be initiated within 8 hours after the 15 patient’s arrival at the receiving facility; requiring 16 a receiving facility to release a minor 14 years of 17 age or younger to the minor’s parent or guardian; 18 providing exceptions; amending ss. 394.4599 and 19 790.065, F.S.; conforming cross-references; providing 20 an effective date. 21 22 Be It Enacted by the Legislature of the State of Florida: 23 24 Section 1. Paragraph (b) of subsection (1) of section 25 394.462, Florida Statutes, is amended to read: 26 394.462 Transportation.—A transportation plan shall be 27 developed and implemented by each county by July 1, 2017, in 28 collaboration with the managing entity in accordance with this 29 section. A county may enter into a memorandum of understanding 30 with the governing boards of nearby counties to establish a 31 shared transportation plan. When multiple counties enter into a 32 memorandum of understanding for this purpose, the counties shall 33 notify the managing entity and provide it with a copy of the 34 agreement. The transportation plan shall describe methods of 35 transport to a facility within the designated receiving system 36 for individuals subject to involuntary examination under s. 37 394.463 or involuntary admission under s. 397.6772, s. 397.679, 38 s. 397.6798, or s. 397.6811, and may identify responsibility for 39 other transportation to a participating facility when necessary 40 and agreed to by the facility. The plan may rely on emergency 41 medical transport services or private transport companies, as 42 appropriate. The plan shall comply with the transportation 43 provisions of this section and ss. 397.6772, 397.6795, 397.6822, 44 and 397.697. 45 (1) TRANSPORTATION TO A RECEIVING FACILITY.— 46 (b)1. The designated law enforcement agency may decline to 47 transport the person to a receiving facility only if: 48 a. The jurisdiction designated by the county has contracted 49 on an annual basis with an emergency medical transport service 50 or private transport company for transportation of persons to 51 receiving facilities pursuant to this section at the sole cost 52 of the county;and53 b. The law enforcement agency and the emergency medical 54 transport service or private transport company agree that the 55 continued presence of law enforcement personnel is not necessary 56 for the safety of the person or others; and.57 c. With respect to a minor 14 years of age or younger, the 58 parent or guardian of the minor agrees to transport the minor to 59 the receiving facility. 60 2. The entity providing transportation may seek 61 reimbursement for transportation expenses. The party responsible 62 for payment for such transportation is the person receiving the 63 transportation. The county shall seek reimbursement from the 64 following sources in the following order: 65 a. From a private or public third-party payor, if the 66 person receiving the transportation has applicable coverage. 67 b. From the person receiving the transportation. 68 c. From a financial settlement for medical care, treatment, 69 hospitalization, or transportation payable or accruing to the 70 injured party. 71 Section 2. Subsection (1) and paragraph (g) of subsection 72 (2) of section 394.463, Florida Statutes, are amended to read: 73 394.463 Involuntary examination.— 74 (1) CRITERIA.— 75 (a) A person older than 14 years of age may be taken to a 76 receiving facility for involuntary examination if there is 77 reason to believe that the person has a mental illness and 78 because of his or her mental illness: 79(a)1.a. The person has refused voluntary examination after 80 conscientious explanation and disclosure of the purpose of the 81 examination; or 82 b.2.The person is unable to determine for himself or 83 herself whether examination is necessary; and 84 2.a.(b)1.Without care or treatment, the person is likely 85 to suffer from neglect or refuse to care for himself or herself; 86 such neglect or refusal poses a real and present threat of 87 substantial harm to his or her well-being; and it is not 88 apparent that such harm may be avoided through the help of 89 willing family members or friends or the provision of other 90 services; or 91 b.2.There is a substantial likelihood that, without care 92 or treatment, the person will cause serious bodily harm to 93 himself or herself or others in the near future, as evidenced by 94 recent behavior. 95 (b)1. A minor 14 years of age or younger may be taken to a 96 receiving facility for involuntary examination with the consent 97 of the parent or guardian of the minor if there is reason to 98 believe that the minor has a mental illness and because of his 99 or her mental illness: 100 a. Without care or treatment, the minor is likely to suffer 101 from neglect or refuse to care for himself or herself; such 102 neglect or refusal poses a real and present threat of 103 substantial harm to his or her well-being; and it is not 104 apparent that such harm may be avoided through the help of 105 willing family members or friends or the provision of other 106 services; or 107 b. There is a substantial likelihood that, without care or 108 treatment, the minor will cause serious bodily harm to himself 109 or herself or others in the near future, as evidenced by recent 110 behavior. 111 2. The consent of a parent or guardian of the minor is not 112 required if the person who initiates the examination details in 113 writing that at least one of the following events has occurred: 114 a. Reasonable attempts have been made to contact the 115 parents or guardians of the minor, and the parents or guardians 116 could not be contacted or could not take custody of the minor 117 within a reasonable amount of time. 118 b. The minor was considered for an involuntary examination 119 because he or she caused or attempted to cause serious bodily 120 harm to himself or herself or others or possessed an item such 121 as a weapon, a knife, a razor, a pill, or poison for the purpose 122 of conducting such harm. 123 c. The minor is in the custody of the department. 124 d. The person who initiated the involuntary examination or 125 the person who reported the minor’s suspected mental illness to 126 the person authorized to initiate an involuntary examination 127 made a report to the central abuse hotline, pursuant to s. 128 39.201, based upon knowledge or suspicion of abuse, abandonment, 129 or neglect. 130 (2) INVOLUNTARY EXAMINATION.— 131 (g)1. The examination period must be for up to 72 hours. 132 For a minor older than 14 years of age, the examination shall be 133 initiated within 12 hours after the patient’s arrival at the 134 facility. For a minor 14 years of age or younger, an assessment 135 by a service provider shall be initiated within 8 hours after 136 the patient’s arrival at the facility. Within the examination 137 period or, if the examination period ends on a weekend or 138 holiday, no later than the next working day thereafter, one of 139 the following actions must be taken, based on the individual 140 needs of the patient: 141 a.1.The patient shall be released, unless he or she is 142 charged with a crime, in which case the patient shall be 143 returned to the custody of a law enforcement officer; 144 b.2.The patient shall be released, subject to subparagraph 145 1., for voluntary outpatient treatment; 146 c.3.The patient, unless he or she is charged with a crime, 147 shall be asked to give express and informed consent to placement 148 as a voluntary patient and, if such consent is given, the 149 patient shall be admitted as a voluntary patient; or 150 d.4.A petition for involuntary services shall be filed in 151 the circuit court if inpatient treatment is deemed necessary or 152 with the criminal county court, as defined in s. 394.4655(1), as 153 applicable. When inpatient treatment is deemed necessary, the 154 least restrictive treatment consistent with the optimum 155 improvement of the patient’s condition shall be made available. 156 When a petition is to be filed for involuntary outpatient 157 placement, it shall be filed by one of the petitioners specified 158 in s. 394.4655(4)(a). A petition for involuntary inpatient 159 placement shall be filed by the facility administrator. 160 2. A receiving facility must release a minor 14 years of 161 age or younger without delay to the minor’s parent or guardian 162 upon request unless consent was not necessary to conduct the 163 examination under subparagraph (1)(b)2., the facility made a 164 report with the central abuse hotline, pursuant to s. 39.201, 165 based upon knowledge or suspicion of abuse, abandonment, or 166 neglect, or the facility filed a petition for involuntary 167 services. 168 Section 3. Paragraph (c) of subsection (2) of section 169 394.4599, Florida Statutes, is amended to read: 170 394.4599 Notice.— 171 (2) INVOLUNTARY ADMISSION.— 172 (c)1. A receiving facility shall give notice of the 173 whereabouts of a minor who is being involuntarily held for 174 examination pursuant to s. 394.463 to the minor’s parent, 175 guardian, caregiver, or guardian advocate, in person or by 176 telephone or other form of electronic communication, immediately 177 after the minor’s arrival at the facility. The facility may 178 delay notification for no more than 24 hours after the minor’s 179 arrival if the facility has submitted a report to the central 180 abuse hotline, pursuant to s. 39.201, based upon knowledge or 181 suspicion of abuse, abandonment, or neglect and if the facility 182 deems a delay in notification to be in the minor’s best 183 interest. 184 2. The receiving facility shall attempt to notify the 185 minor’s parent, guardian, caregiver, or guardian advocate until 186 the receiving facility receives confirmation from the parent, 187 guardian, caregiver, or guardian advocate, verbally, by 188 telephone or other form of electronic communication, or by 189 recorded message, that notification has been received. Attempts 190 to notify the parent, guardian, caregiver, or guardian advocate 191 must be repeated at least once every hour during the first 12 192 hours after the minor’s arrival and once every 24 hours 193 thereafter and must continue until such confirmation is 194 received, unless the minor is released at the end of the 72-hour 195 examination period, or until a petition for involuntary services 196 is filed with the court pursuant to s. 394.463(2)(g)1.d.s.197394.463(2)(g). The receiving facility may seek assistance from a 198 law enforcement agency to notify the minor’s parent, guardian, 199 caregiver, or guardian advocate if the facility has not received 200 within the first 24 hours after the minor’s arrival a 201 confirmation by the parent, guardian, caregiver, or guardian 202 advocate that notification has been received. The receiving 203 facility must document notification attempts in the minor’s 204 clinical record. 205 Section 4. Paragraph (a) of subsection (2) of section 206 790.065, Florida Statutes, is amended to read: 207 790.065 Sale and delivery of firearms.— 208 (2) Upon receipt of a request for a criminal history record 209 check, the Department of Law Enforcement shall, during the 210 licensee’s call or by return call, forthwith: 211 (a) Review any records available to determine if the 212 potential buyer or transferee: 213 1. Has been convicted of a felony and is prohibited from 214 receipt or possession of a firearm pursuant to s. 790.23; 215 2. Has been convicted of a misdemeanor crime of domestic 216 violence, and therefore is prohibited from purchasing a firearm; 217 3. Has had adjudication of guilt withheld or imposition of 218 sentence suspended on any felony or misdemeanor crime of 219 domestic violence unless 3 years have elapsed since probation or 220 any other conditions set by the court have been fulfilled or 221 expunction has occurred; or 222 4. Has been adjudicated mentally defective or has been 223 committed to a mental institution by a court or as provided in 224 sub-sub-subparagraph b.(II), and as a result is prohibited by 225 state or federal law from purchasing a firearm. 226 a. As used in this subparagraph, “adjudicated mentally 227 defective” means a determination by a court that a person, as a 228 result of marked subnormal intelligence, or mental illness, 229 incompetency, condition, or disease, is a danger to himself or 230 herself or to others or lacks the mental capacity to contract or 231 manage his or her own affairs. The phrase includes a judicial 232 finding of incapacity under s. 744.331(6)(a), an acquittal by 233 reason of insanity of a person charged with a criminal offense, 234 and a judicial finding that a criminal defendant is not 235 competent to stand trial. 236 b. As used in this subparagraph, “committed to a mental 237 institution” means: 238 (I) Involuntary commitment, commitment for mental 239 defectiveness or mental illness, and commitment for substance 240 abuse. The phrase includes involuntary inpatient placement as 241 defined in s. 394.467, involuntary outpatient placement as 242 defined in s. 394.4655, involuntary assessment and stabilization 243 under s. 397.6818, and involuntary substance abuse treatment 244 under s. 397.6957, but does not include a person in a mental 245 institution for observation or discharged from a mental 246 institution based upon the initial review by the physician or a 247 voluntary admission to a mental institution; or 248 (II) Notwithstanding sub-sub-subparagraph (I), voluntary 249 admission to a mental institution for outpatient or inpatient 250 treatment of a person who had an involuntary examination under 251 s. 394.463, where each of the following conditions have been 252 met: 253 (A) An examining physician found that the person is an 254 imminent danger to himself or herself or others. 255 (B) The examining physician certified that if the person 256 did not agree to voluntary treatment, a petition for involuntary 257 outpatient or inpatient treatment would have been filed under s. 258 394.463(2)(g)1.d.s. 394.463(2)(g)4., or the examining physician 259 certified that a petition was filed and the person subsequently 260 agreed to voluntary treatment prior to a court hearing on the 261 petition. 262 (C) Before agreeing to voluntary treatment, the person 263 received written notice of that finding and certification, and 264 written notice that as a result of such finding, he or she may 265 be prohibited from purchasing a firearm, and may not be eligible 266 to apply for or retain a concealed weapon or firearms license 267 under s. 790.06 and the person acknowledged such notice in 268 writing, in substantially the following form: 269 270 “I understand that the doctor who examined me believes I am a 271 danger to myself or to others. I understand that if I do not 272 agree to voluntary treatment, a petition will be filed in court 273 to require me to receive involuntary treatment. I understand 274 that if that petition is filed, I have the right to contest it. 275 In the event a petition has been filed, I understand that I can 276 subsequently agree to voluntary treatment prior to a court 277 hearing. I understand that by agreeing to voluntary treatment in 278 either of these situations, I may be prohibited from buying 279 firearms and from applying for or retaining a concealed weapons 280 or firearms license until I apply for and receive relief from 281 that restriction under Florida law.” 282 283 (D) A judge or a magistrate has, pursuant to sub-sub 284 subparagraph c.(II), reviewed the record of the finding, 285 certification, notice, and written acknowledgment classifying 286 the person as an imminent danger to himself or herself or 287 others, and ordered that such record be submitted to the 288 department. 289 c. In order to check for these conditions, the department 290 shall compile and maintain an automated database of persons who 291 are prohibited from purchasing a firearm based on court records 292 of adjudications of mental defectiveness or commitments to 293 mental institutions. 294 (I) Except as provided in sub-sub-subparagraph (II), clerks 295 of court shall submit these records to the department within 1 296 month after the rendition of the adjudication or commitment. 297 Reports shall be submitted in an automated format. The reports 298 must, at a minimum, include the name, along with any known alias 299 or former name, the sex, and the date of birth of the subject. 300 (II) For persons committed to a mental institution pursuant 301 to sub-sub-subparagraph b.(II), within 24 hours after the 302 person’s agreement to voluntary admission, a record of the 303 finding, certification, notice, and written acknowledgment must 304 be filed by the administrator of the receiving or treatment 305 facility, as defined in s. 394.455, with the clerk of the court 306 for the county in which the involuntary examination under s. 307 394.463 occurred. No fee shall be charged for the filing under 308 this sub-sub-subparagraph. The clerk must present the records to 309 a judge or magistrate within 24 hours after receipt of the 310 records. A judge or magistrate is required and has the lawful 311 authority to review the records ex parte and, if the judge or 312 magistrate determines that the record supports the classifying 313 of the person as an imminent danger to himself or herself or 314 others, to order that the record be submitted to the department. 315 If a judge or magistrate orders the submittal of the record to 316 the department, the record must be submitted to the department 317 within 24 hours. 318 d. A person who has been adjudicated mentally defective or 319 committed to a mental institution, as those terms are defined in 320 this paragraph, may petition the court that made the 321 adjudication or commitment, or the court that ordered that the 322 record be submitted to the department pursuant to sub-sub 323 subparagraph c.(II), for relief from the firearm disabilities 324 imposed by such adjudication or commitment. A copy of the 325 petition shall be served on the state attorney for the county in 326 which the person was adjudicated or committed. The state 327 attorney may object to and present evidence relevant to the 328 relief sought by the petition. The hearing on the petition may 329 be open or closed as the petitioner may choose. The petitioner 330 may present evidence and subpoena witnesses to appear at the 331 hearing on the petition. The petitioner may confront and cross 332 examine witnesses called by the state attorney. A record of the 333 hearing shall be made by a certified court reporter or by court 334 approved electronic means. The court shall make written findings 335 of fact and conclusions of law on the issues before it and issue 336 a final order. The court shall grant the relief requested in the 337 petition if the court finds, based on the evidence presented 338 with respect to the petitioner’s reputation, the petitioner’s 339 mental health record and, if applicable, criminal history 340 record, the circumstances surrounding the firearm disability, 341 and any other evidence in the record, that the petitioner will 342 not be likely to act in a manner that is dangerous to public 343 safety and that granting the relief would not be contrary to the 344 public interest. If the final order denies relief, the 345 petitioner may not petition again for relief from firearm 346 disabilities until 1 year after the date of the final order. The 347 petitioner may seek judicial review of a final order denying 348 relief in the district court of appeal having jurisdiction over 349 the court that issued the order. The review shall be conducted 350 de novo. Relief from a firearm disability granted under this 351 sub-subparagraph has no effect on the loss of civil rights, 352 including firearm rights, for any reason other than the 353 particular adjudication of mental defectiveness or commitment to 354 a mental institution from which relief is granted. 355 e. Upon receipt of proper notice of relief from firearm 356 disabilities granted under sub-subparagraph d., the department 357 shall delete any mental health record of the person granted 358 relief from the automated database of persons who are prohibited 359 from purchasing a firearm based on court records of 360 adjudications of mental defectiveness or commitments to mental 361 institutions. 362 f. The department is authorized to disclose data collected 363 pursuant to this subparagraph to agencies of the Federal 364 Government and other states for use exclusively in determining 365 the lawfulness of a firearm sale or transfer. The department is 366 also authorized to disclose this data to the Department of 367 Agriculture and Consumer Services for purposes of determining 368 eligibility for issuance of a concealed weapons or concealed 369 firearms license and for determining whether a basis exists for 370 revoking or suspending a previously issued license pursuant to 371 s. 790.06(10). When a potential buyer or transferee appeals a 372 nonapproval based on these records, the clerks of court and 373 mental institutions shall, upon request by the department, 374 provide information to help determine whether the potential 375 buyer or transferee is the same person as the subject of the 376 record. Photographs and any other data that could confirm or 377 negate identity must be made available to the department for 378 such purposes, notwithstanding any other provision of state law 379 to the contrary. Any such information that is made confidential 380 or exempt from disclosure by law shall retain such confidential 381 or exempt status when transferred to the department. 382 Section 5. This act shall take effect July 1, 2018.