S.B. No. 362

	AN ACT
	relating to court-ordered mental health services.
	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
	SECTION 1.  Section 137.008(a), Civil Practice and Remedies
	Code, is amended to read as follows:
	(a)  A physician or other health care provider may subject
	the principal to mental health treatment in a manner contrary to the
	principal's wishes as expressed in a declaration for mental health
	treatment only:
	(1)  if the principal is under an order for temporary or
	extended mental health services under Section 574.034, 574.0345,
	[or] 574.035, or 574.0355, Health and Safety Code, and treatment is
	authorized in compliance with Section 574.106, Health and Safety
	Code; or
	(2)  in case of an emergency when the principal's
	instructions have not been effective in reducing the severity of
	the behavior that has caused the emergency.
	SECTION 2.  Article 16.22, Code of Criminal Procedure, is
	amended by amending Subsection (c) and adding Subsections (c-1),
	(c-2), and (c-3) to read as follows:
	(c)  After the trial court receives the applicable expert's
	written assessment relating to the defendant under Subsection (b-1)
	or elects to use the results of a previous determination as
	described by Subsection (a)(2), the trial court may, as applicable:
	(1)  resume criminal proceedings against the
	defendant, including any appropriate proceedings related to the
	defendant's release on personal bond under Article 17.032 if the
	defendant is being held in custody;
	(2)  resume or initiate competency proceedings, if
	required, as provided by Chapter 46B [or other proceedings
	affecting the defendant's receipt of appropriate court-ordered
	mental health or intellectual disability services, including
	proceedings related to the defendant's receipt of outpatient mental
	health services under Section 574.034, Health and Safety Code];
	(3)  consider the written assessment during the
	punishment phase after a conviction of the offense for which the
	defendant was arrested, as part of a presentence investigation
	report, or in connection with the impositions of conditions
	following placement on community supervision, including deferred
	adjudication community supervision; [or]
	(4)  refer the defendant to an appropriate specialty
	court established or operated under Subtitle K, Title 2, Government
	Code; or
	(5)  if the offense charged does not involve an act,
	attempt, or threat of serious bodily injury to another person,
	release the defendant on bail while charges against the defendant
	remain pending and enter an order transferring the defendant to the
	appropriate court for court-ordered outpatient mental health
	services under Chapter 574, Health and Safety Code.
	(c-1)  If an order is entered under Subsection (c)(5), an
	attorney representing the state shall file the application for
	court-ordered outpatient services under Chapter 574, Health and
	Safety Code.
	(c-2)  On the motion of an attorney representing the state,
	if the court determines the defendant has complied with appropriate
	court-ordered outpatient treatment, the court may dismiss the
	charges pending against the defendant and discharge the defendant.
	(c-3)  On the motion of an attorney representing the state,
	if the court determines the defendant has failed to comply with
	appropriate court-ordered outpatient treatment, the court shall
	proceed under this chapter or with the trial of the offense.
	SECTION 3.  Section 55.13(d), Family Code, is amended to
	read as follows:
	(d)  After conducting a hearing on an application under this
	section, the juvenile court shall:
	(1)  if the criteria under Section 574.034 or 574.0345,
	Health and Safety Code, are satisfied, order temporary mental
	health services for the child; or
	(2)  if the criteria under Section 574.035 or 574.0355,
	Health and Safety Code, are satisfied, order extended mental health
	services for the child.
	SECTION 4.  Section 55.38(b), Family Code, is amended to
	read as follows:
	(b)  After conducting a hearing under Subsection (a)(2), the
	juvenile court shall:
	(1)  if the criteria under Section 574.034 or 574.0345,
	Health and Safety Code, are satisfied, order temporary mental
	health services; or
	(2)  if the criteria under Section 574.035 or 574.0355,
	Health and Safety Code, are satisfied, order extended mental health
	services.
	SECTION 5.  Section 55.57(b), Family Code, is amended to
	read as follows:
	(b)  After conducting a hearing under Subsection (a)(2), the
	juvenile court shall:
	(1)  if the criteria under Section 574.034 or 574.0345,
	Health and Safety Code, are satisfied, order temporary mental
	health services; or
	(2)  if the criteria under Section 574.035 or 574.0355,
	Health and Safety Code, are satisfied, order extended mental health
	services.
	SECTION 6.  Subchapter B, Chapter 22, Government Code, is
	amended by adding Section 22.1106 to read as follows:
	Sec. 22.1106.  JUDICIAL INSTRUCTION RELATED TO
	COURT-ORDERED OUTPATIENT MENTAL HEALTH SERVICES.  The court of
	criminal appeals shall ensure that judicial training related to
	court-ordered outpatient mental health services is provided at
	least once every year.  The instruction may be provided at the
	annual Judicial Education Conference.
	SECTION 7.  Section 501.057(b), Government Code, is amended
	to read as follows:
	(b)  Not later than the 30th day before the initial parole
	eligibility date of an inmate identified as mentally ill, an
	institutional division psychiatrist shall examine the inmate. The
	psychiatrist shall file a sworn application for court-ordered
	temporary mental health services under Chapter 574, Health and
	Safety Code, if the psychiatrist determines that the inmate is
	mentally ill and as a result of the illness the inmate meets at
	least one of the criteria listed in Section 574.034 or 574.0345,
	Health and Safety Code.
	SECTION 8.  Section 574.002(c), Health and Safety Code, is
	amended to read as follows:
	(c)  Any application must contain the following information
	according to the applicant's information and belief:
	(1)  the proposed patient's name and address;
	(2)  the proposed patient's county of residence in this
	state;
	(3)  a statement that the proposed patient is a person
	with mental illness and meets the criteria in Section 574.034,
	574.0345, [or] 574.035, or 574.0355 for court-ordered mental health
	services; and
	(4)  whether the proposed patient is charged with a
	criminal offense.
	SECTION 9.  Section 574.031, Health and Safety Code, is
	amended by adding Subsections (d-1) and (d-2) to read as follows:
	(d-1)  In a hearing for temporary inpatient or outpatient
	mental health services under Section 574.034 or 574.0345, the
	proposed patient or the proposed patient's attorney, by a written
	document filed with the court, may waive the right to cross-examine
	witnesses, and, if that right is waived, the court may admit, as
	evidence, the certificates of medical examination for mental
	illness.  The certificates admitted under this subsection
	constitute competent medical or psychiatric testimony, and the
	court may make its findings solely from the certificates.  If the
	proposed patient or the proposed patient's attorney does not waive
	in writing the right to cross-examine witnesses, the court shall
	proceed to hear testimony.  The testimony must include competent
	medical or psychiatric testimony.
	(d-2)  In a hearing for extended inpatient or outpatient
	mental health services under Section 574.035 or 574.0355, the court
	may not make its findings solely from the certificates of medical
	examination for mental illness but shall hear testimony.  The court
	may not enter an order for extended mental health services unless
	appropriate findings are made and are supported by testimony taken
	at the hearing. The testimony must include competent medical or
	psychiatric testimony.
	SECTION 10.  The heading to Section 574.034, Health and
	Safety Code, is amended to read as follows:
	Sec. 574.034.  ORDER FOR TEMPORARY INPATIENT MENTAL HEALTH
	SERVICES.
	SECTION 11.  Sections 574.034(g) and (h), Health and Safety
	Code, are amended to read as follows:
	(g)  An order for temporary inpatient [or outpatient] mental
	health services shall provide for a period of treatment not to
	exceed [state that treatment is authorized for not longer than] 45
	days, except that the order may specify a period not to exceed 90
	days if the judge finds that the longer period is necessary.
	(h)  A judge may not issue an order for temporary inpatient
	[or outpatient] mental health services for a proposed patient who
	is charged with a criminal offense that involves an act, attempt, or
	threat of serious bodily injury to another person.
	SECTION 12.  Subchapter C, Chapter 574, Health and Safety
	Code, is amended by adding Section 574.0345 to read as follows:
	Sec. 574.0345.  ORDER FOR TEMPORARY OUTPATIENT MENTAL HEALTH
	SERVICES. (a)  The judge may order a proposed patient to receive
	court-ordered temporary outpatient mental health services only if:
	(1)  the judge finds that appropriate mental health
	services are available to the proposed patient; and
	(2)  the judge or jury finds, from clear and convincing
	evidence, that:
	(A)  the proposed patient is a person with severe
	and persistent mental illness;
	(B)  as a result of the mental illness, the
	proposed patient will, if not treated, experience deterioration of
	the ability to function independently to the extent that the
	proposed patient will be unable to live safely in the community
	without court-ordered outpatient mental health services;
	(C)  outpatient mental health services are needed
	to prevent a relapse that would likely result in serious harm to the
	proposed patient or others; and
	(D)  the proposed patient has an inability to
	participate in outpatient treatment services effectively and
	voluntarily, demonstrated by:
	(i)  any of the proposed patient's actions
	occurring within the two-year period that immediately precedes the
	hearing; or
	(ii)  specific characteristics of the
	proposed patient's clinical condition that significantly impair
	the proposed patient's ability to make a rational and informed
	decision whether to submit to voluntary outpatient treatment.
	(b)  To be clear and convincing under Subsection (a)(2), the
	evidence must include expert testimony and evidence of a recent
	overt act or a continuing pattern of behavior that tends to confirm:
	(1)  the deterioration of ability to function
	independently to the extent that the proposed patient will be
	unable to live safely in the community;
	(2)  the need for outpatient mental health services to
	prevent a relapse that would likely result in serious harm to the
	proposed patient or others; and
	(3)  the proposed patient's inability to participate in
	outpatient treatment services effectively and voluntarily.
	(c)  An order for temporary outpatient mental health
	services shall state that treatment is authorized for not longer
	than 45 days, except that the order may specify a period not to
	exceed 90 days if the judge finds that the longer period is
	necessary.
	(d)  A judge may not issue an order for temporary outpatient
	mental health services for a proposed patient who is charged with a
	criminal offense that involves an act, attempt, or threat of
	serious bodily injury to another person.
	SECTION 13.  The heading to Section 574.035, Health and
	Safety Code, is amended to read as follows:
	Sec. 574.035.  ORDER FOR EXTENDED INPATIENT MENTAL HEALTH
	SERVICES.
	SECTION 14.  Sections 574.035(d), (h), and (i), Health and
	Safety Code, are amended to read as follows:
	(d)  The jury or judge is not required to make the finding
	under Subsection (a)(4) [or (b)(2)(F)] if the proposed patient has
	already been subject to an order for extended mental health
	services.
	(h)  An order for extended inpatient [or outpatient] mental
	health services must provide for a period of treatment not to exceed
	[shall state that treatment is authorized for not longer than] 12
	months.  [The order may not specify a shorter period.]
	(i)  A judge may not issue an order for extended inpatient
	[or outpatient] mental health services for a proposed patient who
	is charged with a criminal offense that involves an act, attempt, or
	threat of serious bodily injury to another person.
	SECTION 15.  Subchapter C, Chapter 574, Health and Safety
	Code, is amended by adding Section 574.0355 to read as follows:
	Sec. 574.0355.  ORDER FOR EXTENDED OUTPATIENT MENTAL HEALTH
	SERVICES. (a)  The judge may order a proposed patient to receive
	court-ordered extended outpatient mental health services only if:
	(1)  the judge finds that appropriate mental health
	services are available to the proposed patient; and
	(2)  the judge or jury finds, from clear and convincing
	evidence, that:
	(A)  the proposed patient is a person with severe
	and persistent mental illness;
	(B)  as a result of the mental illness, the
	proposed patient will, if not treated, experience deterioration of
	the ability to function independently to the extent that the
	proposed patient will be unable to live safely in the community
	without court-ordered outpatient mental health services;
	(C)  outpatient mental health services are needed
	to prevent a relapse that would likely result in serious harm to the
	proposed patient or others;
	(D)  the proposed patient has an inability to
	participate in outpatient treatment services effectively and
	voluntarily, demonstrated by:
	(i)  any of the proposed patient's actions
	occurring within the two-year period that immediately precedes the
	hearing; or
	(ii)  specific characteristics of the
	proposed patient's clinical condition that significantly impair
	the proposed patient's ability to make a rational and informed
	decision whether to submit to voluntary outpatient treatment;
	(E)  the proposed patient's condition is expected
	to continue for more than 90 days; and
	(F)  the proposed patient has received:
	(i)  court-ordered inpatient mental health
	services under this subtitle or under Subchapter D or E, Chapter
	46B, Code of Criminal Procedure, for a total of at least 60 days
	during the preceding 12 months; or
	(ii)  court-ordered outpatient mental
	health services under this subtitle or under Subchapter D or E,
	Chapter 46B, Code of Criminal Procedure, during the preceding 60
	days.
	(b)  The jury or judge is not required to make the finding
	under Subsection (a)(2)(F) if the proposed patient has already been
	subject to an order for extended mental health services.
	(c)  To be clear and convincing under Subsection (a)(2), the
	evidence must include expert testimony and evidence of a recent
	overt act or a continuing pattern of behavior that tends to confirm:
	(1)  the deterioration of the ability to function
	independently to the extent that the proposed patient will be
	unable to live safely in the community;
	(2)  the need for outpatient mental health services to
	prevent a relapse that would likely result in serious harm to the
	proposed patient or others; and
	(3)  the proposed patient's inability to participate in
	outpatient treatment services effectively and voluntarily.
	(d)  An order for extended outpatient mental health services
	must provide for a period of treatment not to exceed 12 months.
	(e)  A judge may not issue an order for extended outpatient
	mental health services for a proposed patient who is charged with a
	criminal offense that involves an act, attempt, or threat of
	serious bodily injury to another person.
	SECTION 16.  Section 574.036(e), Health and Safety Code, is
	amended to read as follows:
	(e)  The judge may enter an order:
	(1)  committing the person to a mental health facility
	for inpatient care if the trier of fact finds that the person meets
	the commitment criteria prescribed by Section 574.034(a) or
	574.035(a); or
	(2)  committing the person to outpatient mental health
	services if the trier of fact finds that the person meets the
	commitment criteria prescribed by Section 574.0345(a) [574.034(b)]
	or 574.0355(a) [574.035(b)].
	SECTION 17.  Sections 574.037(a), (b-2), and (c-2), Health
	and Safety Code, are amended to read as follows:
	(a)  The court, in an order that directs a patient to
	participate in outpatient mental health services, shall designate
	the person identified under Section 574.0125 as responsible for
	those services or may designate a different person if necessary.
	The person designated must be the facility administrator or an
	individual involved in providing court-ordered outpatient
	services.  A person may not be designated as responsible for the
	ordered services without the person's consent unless the person is
	the facility administrator of a department facility or the facility
	administrator of a community center that provides mental health
	services:
	(1)  in the region in which the committing court is
	located; or
	(2)  in a county where a patient has previously
	received mental health services.
	(b-2)  The person responsible for the services shall submit
	the program to the court before the hearing under Section 574.0345
	or 574.0355 [574.034 or 574.035] or before the court modifies an
	order under Section 574.061, as appropriate.
	(c-2)  A court may[, on its own motion,] set a status
	conference in accordance with Section 574.0665 [with the person
	responsible for the services, the patient, and the patient's
	attorney].
	SECTION 18.  Sections 574.061(a), (b), (c), (d), (e), and
	(h), Health and Safety Code, are amended to read as follows:
	(a)  The facility administrator of a facility to which a
	patient is committed for inpatient mental health services, not
	later than the 30th day after the date the patient is committed to
	the facility, shall assess the appropriateness of transferring the
	patient to outpatient mental health services.  The facility
	administrator may recommend that [may request] the court that
	entered the commitment order [to] modify the order to require the
	patient to participate in outpatient mental health services.
	(b)  A [The] facility administrator's recommendation under
	Subsection (a) [request] must explain in detail the reason for the
	recommendation [request]. The recommendation [request] must be
	accompanied by a supporting certificate of medical examination for
	mental illness signed by a physician who examined the patient
	during the seven days preceding the recommendation [request].
	(c)  The patient shall be given notice of a facility
	administrator's recommendation under Subsection (a) [the request].
	(d)  On request of the patient or any other interested
	person, the court shall hold a hearing on a facility
	administrator's recommendation that the court modify the
	commitment order [the request]. The court shall appoint an
	attorney to represent the patient at the hearing and shall consult
	with the local mental health authority before issuing a decision.
	The hearing shall be held before the court without a jury and as
	prescribed by Section 574.031.  The patient shall be represented by
	an attorney and receive proper notice.
	(e)  If a hearing is not requested, the court may make a [the]
	decision regarding a facility administrator's recommendation based
	on:
	(1)  [solely from] the recommendation;
	(2)  [request and] the supporting certificate; and
	(3)  consultation with the local mental health
	authority concerning available resources to treat the patient.
	(h)  A modified order may [not] extend beyond the term of the
	original order, but may not exceed the term of the original order by
	more than 60 days.
	SECTION 19.  Subchapter E, Chapter 574, Health and Safety
	Code, is amended by adding Section 574.0665 to read as follows:
	Sec. 574.0665.  STATUS CONFERENCE. A court on its own motion
	may set a status conference with the patient, the patient's
	attorney, and the person designated to be responsible for the
	patient's court-ordered outpatient services under Section 574.037.
	SECTION 20.  Section 574.069(e), Health and Safety Code, is
	amended to read as follows:
	(e)  The court shall dismiss the request if the court finds
	from clear and convincing evidence that the patient continues to
	meet the criteria for court-ordered extended mental health services
	prescribed by Section 574.035 or 574.0355.
	SECTION 21.  Section 574.081, Health and Safety Code, is
	amended by amending Subsections (b) and (c) and adding Subsections
	(a-1), (c-1), and (c-2) to read as follows:
	(a-1)  Subject to available resources, Subsections (a), (b),
	(c), (c-1), and (c-2) apply to a patient scheduled to be furloughed
	or discharged from:
	(1)  a state hospital; or
	(2)  any psychiatric inpatient bed funded under a
	contract with the Health and Human Services Commission or operated
	by or funded under a contract with a local mental health authority
	or a behavioral mental health authority.
	(b)  The physician shall prepare the plan as prescribed by
	Health and Human Services Commission [department] rules and shall
	consult the patient and the local mental health authority in the
	area in which the patient will reside before preparing the plan.
	The local mental health authority shall be informed of and must
	participate in planning the discharge of a patient [is not required
	to participate in preparing a plan for a patient furloughed or
	discharged from a private mental health facility].
	(c)  The plan must address the patient's mental health and
	physical needs, including, if appropriate:
	(1)  the need for outpatient mental health services
	following furlough or discharge; and
	(2)  the need for sufficient psychoactive medication on
	furlough or discharge to last until the patient can see a
	physician[; and
	[(2)     the person or entity that is responsible for
	providing and paying for the medication].
	(c-1)  Except as otherwise specified in the plan and subject
	to available funding provided to the Health and Human Services
	Commission and paid to a private mental health facility for this
	purpose, a private mental health facility is responsible for
	providing or paying for psychoactive medication and any other
	medication prescribed to the patient to counteract adverse side
	effects of psychoactive medication on furlough or discharge
	sufficient to last until the patient can see a physician.
	(c-2)  The Health and Human Services Commission shall adopt
	rules to determine the quantity and manner of providing
	psychoactive medication, as required by this section. The
	executive commissioner may not adopt rules requiring a mental
	health facility to provide or pay for psychoactive medication for
	more than seven days after furlough or discharge.
	SECTION 22.  Sections 574.104(a), (b), and (d), Health and
	Safety Code, are amended to read as follows:
	(a)  A physician who is treating a patient may, on behalf of
	the state, file an application in a probate court or a court with
	probate jurisdiction for an order to authorize the administration
	of a psychoactive medication regardless of the patient's refusal
	if:
	(1)  the physician believes that the patient lacks the
	capacity to make a decision regarding the administration of the
	psychoactive medication;
	(2)  the physician determines that the medication is
	the proper course of treatment for the patient;
	(3)  the patient is under an order for inpatient mental
	health services under this chapter or other law or an application
	for court-ordered mental health services under Section 574.034,
	574.0345, [or] 574.035, or 574.0355 has been filed for the patient;
	and
	(4)  the patient, verbally or by other indication,
	refuses to take the medication voluntarily.
	(b)  An application filed under this section must state:
	(1)  that the physician believes that the patient lacks
	the capacity to make a decision regarding administration of the
	psychoactive medication and the reasons for that belief;
	(2)  each medication the physician wants the court to
	compel the patient to take;
	(3)  whether an application for court-ordered mental
	health services under Section 574.034, 574.0345, [or] 574.035, or
	574.0355 has been filed;
	(4)  whether a court order for inpatient mental health
	services for the patient has been issued and, if so, under what
	authority it was issued;
	(5)  the physician's diagnosis of the patient; and
	(6)  the proposed method for administering the
	medication and, if the method is not customary, an explanation
	justifying the departure from the customary methods.
	(d)  The hearing on the application may be held on the date of
	a hearing on an application for court-ordered mental health
	services under Section 574.034, 574.0345, [or] 574.035, or 574.0355
	but shall be held not later than 30 days after the filing of the
	application for the order to authorize psychoactive medication. If
	the hearing is not held on the same day as the application for
	court-ordered mental health services under those sections [Section
	574.034 or 574.035] and the patient is transferred to a mental
	health facility in another county, the court may transfer the
	application for an order to authorize psychoactive medication to
	the county where the patient has been transferred.
	SECTION 23.  Section 574.151, Health and Safety Code, is
	amended to read as follows:
	Sec. 574.151.  APPLICABILITY. This subchapter applies only
	to a person for whom a motion for court-ordered mental health
	services is filed under Section 574.001, for whom a final order on
	that motion has not been entered under Section 574.034, 574.0345,
	[or] 574.035, or 574.0355 and who requests voluntary admission to
	an inpatient mental health facility:
	(1)  while the person is receiving at that facility
	involuntary inpatient services under Subchapter B or under Chapter
	573; or
	(2)  before the 31st day after the date the person was
	released from that facility under Section 573.023 or 574.028.
	SECTION 24.  Section 152.00164(b), Human Resources Code, is
	amended to read as follows:
	(b)  Before a child who is identified as having a mental
	illness is discharged from the custody of the juvenile board or
	local juvenile probation department under Section 152.00163(b),
	the juvenile board or local juvenile probation department shall
	arrange for a psychiatrist to examine the child. The juvenile board
	or local juvenile probation department shall refer a child
	requiring outpatient psychiatric treatment to the appropriate
	mental health authority. For a child requiring inpatient
	psychiatric treatment, the juvenile board or local juvenile
	probation department shall file a sworn application for
	court-ordered mental health services, as provided in Subchapter C,
	Chapter 574, Health and Safety Code, if:
	(1)  the child is not receiving court-ordered mental
	health services; and
	(2)  the psychiatrist who examined the child determines
	that the child has a mental illness and the child meets at least one
	of the criteria listed in Section 574.034 or 574.0345, Health and
	Safety Code.
	SECTION 25.  Section 244.012(b), Human Resources Code, is
	amended to read as follows:
	(b)  Before a child who is identified as mentally ill is
	discharged from the department's custody under Section 244.011(b),
	a department psychiatrist shall examine the child. The department
	shall refer a child requiring outpatient psychiatric treatment to
	the appropriate mental health authority. For a child requiring
	inpatient psychiatric treatment, the department shall file a sworn
	application for court-ordered mental health services, as provided
	in Subchapter C, Chapter 574, Health and Safety Code, if:
	(1)  the child is not receiving court-ordered mental
	health services; and
	(2)  the psychiatrist who examined the child determines
	that the child is mentally ill and the child meets at least one of
	the criteria listed in Section 574.034 or 574.0345, Health and
	Safety Code.
	SECTION 26.  The Supreme Court shall:
	(1)  adopt rules to streamline and promote the
	efficiency of court processes under Chapter 573, Health and Safety
	Code; and
	(2)  adopt rules or implement other measures to create
	consistency and increase access to the judicial branch for mental
	health issues.
	SECTION 27.  The following provisions of the Health and
	Safety Code are repealed:
	(1)  Sections 574.034(b), (e), and (f); and
	(2)  Sections 574.035(b), (f), and (g).
	SECTION 28.  The Health and Human Services Commission is
	required to implement a provision of this Act only if the
	legislature appropriates money specifically for that purpose. If
	the legislature does not appropriate money specifically for that
	purpose, the Health and Human Services Commission may, but is not
	required to, implement a provision of this Act using other
	appropriations available for that purpose.
	SECTION 29.  The changes in law made by this Act to Chapter
	574, Health and Safety Code, apply to a commitment proceeding under
	that chapter that occurs on or after the effective date of this Act,
	regardless of whether conduct of a proposed patient being evaluated
	for that purpose occurred before, on, or after the effective date of
	this Act.
	SECTION 30.  The changes in law made by this Act to Article
	16.22, Code of Criminal Procedure, and Chapter 574, Health and
	Safety Code, apply to a proceeding for court-ordered mental health
	services that occurs on or after the effective date of this Act,
	regardless of when an offense with which the defendant is charged
	was committed.
	SECTION 31.  This Act takes effect September 1, 2019.
	______________________________	______________________________
	President of the Senate	Speaker of the House
	I hereby certify that S.B. No. 362 passed the Senate on
	April 11, 2019, by the following vote: Yeas 31, Nays 0; and that
	the Senate concurred in House amendment on May 21, 2019, by the
	following vote: Yeas 31, Nays 0.
	______________________________
	Secretary of the Senate
	I hereby certify that S.B. No. 362 passed the House, with
	amendment, on May 15, 2019, by the following vote: Yeas 141,
	Nays 4, three present not voting.
	______________________________
	Chief Clerk of the House
	Approved:
	______________________________
	Date
	______________________________
	Governor