Amended in Senate June 16, 2016

Amended in Senate April 27, 2016

Amended in Senate March 15, 2016

Amended in Assembly January 25, 2016

Amended in Assembly May 20, 2015

Amended in Assembly April 30, 2015

Amended in Assembly April 23, 2015

Amended in Assembly April 13, 2015

California Legislature—2015–16 Regular Session

Assembly BillNo. 1300


Introduced by Assembly Member Ridley-Thomas

February 27, 2015


An act to amend Sections 5008, 5113,begin delete 5150.1,end delete and 5270.50 of, to add Sections 5014, 5025, 5113.5, and 5150.3 to, and to add Article 1.1 (commencing with Section 5160) to Chapter 2 of Part 1 of Division 5 of, the Welfare and Institutions Code, relating to mental health.

LEGISLATIVE COUNSEL’S DIGEST

AB 1300, as amended, Ridley-Thomas. Mental health: involuntary commitment.

Under existing law, when a person, as a result of a mental disorder, is a danger to others, or to himself or herself, or gravely disabled, he or she may, upon probable cause, be taken into custody by a peace officer, member of the attending staff of an evaluation facility, designated members of a mobile crisis team, or other designated professional person, and placed in a facility designated by the county and approved by the State Department of Health Care Services as a facility for 72-hour treatment and evaluation.

This bill would specify, among other things, procedures for delivery of individuals to various facilities for mental health evaluation and treatment; procedures for probable cause determinations for detention and evaluation for treatment; terms and length of detention, when appropriate, in various types of facilities; and criteria for release from nondesignated hospitals, as defined. The bill would exempt specified providers of health services and peace officers from criminal or civil liability for the actions of a person after his or her release from detention, subject to specified exceptions. The bill would authorize certainbegin delete emergency transport providers andend delete providers of ambulance services to continue the detention of an individual for the purpose of transporting thebegin delete individual, as specified.end deletebegin insert individual to a designated facility.end insert The bill would require a designated facility to accept, within its clinical capability and capacity, all persons for whom it is designated, without regard to insurance or financial status. The bill would also make changes to the methods by which the county is notified of the release of a person detained for evaluation and treatment, including notification through the 24-hour toll-free telephone number established by the county’s mental health program.

Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no.

The people of the State of California do enact as follows:

P2    1

SECTION 1.  

Section 5008 of the Welfare and Institutions Code
2 is amended to read:

3

5008.  

Unless the context otherwise requires, the following
4definitions shall govern the construction of this part:

5(a) “Evaluation” consists of multidisciplinary professional
6analyses of a person’s medical, psychological, educational, social,
7financial, and legal conditions as may appear to constitute a
8problem. Persons providing evaluation services shall be properly
9qualified professionals and may be full-time employees of an
10agency providing face-to-face, which includes telehealth,
11evaluation services or may be part-time employees or may be
12employed on a contractual basis.

P3    1(b) “Court-ordered evaluation” means an evaluation ordered by
2a superior court pursuant to Article 2 (commencing with Section
35200) or by a superior court pursuant to Article 3 (commencing
4with Section 5225) of Chapter 2.

5(c) “Intensive treatment” consists of hospital and other services
6as may be indicated. Intensive treatment shall be provided by
7properly qualified professionals and carried out in facilities
8qualifying for reimbursement under the California Medical
9Assistance Program (Medi-Cal) set forth in Chapter 7 (commencing
10with Section 14000) of Part 3 of Division 9, or under Title XVIII
11of the federal Social Security Act and regulations thereunder.
12Intensive treatment may be provided in hospitals of the United
13States government by properly qualified professionals. Nothing
14in this part shall be construed to prohibit an intensive treatment
15facility from also providing 72-hour evaluation and treatment.

16(d) “Referral” is referral of persons by each agency or facility
17providing assessment, evaluation, crisis intervention, or treatment
18services to other agencies or individuals. The purpose of referral
19shall be to provide for continuity of care, and may include, but
20need not be limited to, informing the person of available services,
21making appointments on the person’s behalf, discussing the
22person’s problem with the agency or individual to which the person
23has been referred, appraising the outcome of referrals, and
24arranging for personal escort and transportation when necessary.
25Referral shall be considered complete when the agency or
26individual to whom the person has been referred accepts
27responsibility for providing the necessary services. All persons
28shall be advised of available precare services that prevent initial
29recourse to hospital treatment or aftercare services that support
30adjustment to community living following hospital treatment.
31These services may be provided through county or city mental
32health departments, state hospitals under the jurisdiction of the
33State Department of State Hospitals, regional centers under contract
34with the State Department of Developmental Services, or other
35public or private entities.

36Each agency or facility providing evaluation services shall
37maintain a current and comprehensive file of all community
38services, both public and private. These files shall contain current
39agreements with agencies or individuals accepting referrals, as
40well as appraisals of the results of past referrals.

P4    1(e) “Crisis intervention” consists of an interview or series of
2interviews within a brief period of time, conducted by qualified
3professionals, and designed to alleviate personal or family
4situations which present a serious and imminent threat to the health
5or stability of the person or the family. The interview or interviews
6may be conducted in the home of the person or family, or on an
7inpatient or outpatient basis with such therapy, or other services,
8as may be appropriate. The interview or interviews may include
9family members, significant support persons, providers, or other
10entities or individuals, as appropriate and as authorized by law.
11Crisis intervention may, as appropriate, include suicide prevention,
12psychiatric, welfare, psychological, legal, or other social services.

13(f) “Prepetition screening” is a screening of all petitions for
14court-ordered evaluation as provided in Article 2 (commencing
15with Section 5200) of Chapter 2, consisting of a professional
16review of all petitions; an interview with the petitioner and,
17whenever possible, the person alleged, as a result of a mental health
18disorder, to be a danger to others, or to himself or herself, or to be
19gravely disabled, to assess the problem and explain the petition;
20when indicated, efforts to persuade the person to receive, on a
21voluntary basis, comprehensive evaluation, crisis intervention,
22 referral, and other services specified in this part.

23(g) “Conservatorship investigation” means investigation by an
24agency appointed or designated by the governing body of cases in
25which conservatorship is recommended pursuant to Chapter 3
26(commencing with Section 5350).

27(h) (1) For purposes of Article 1 (commencing with Section
285150), Article 2 (commencing with Section 5200), and Article 4
29(commencing with Section 5250) of Chapter 2, and for the purposes
30of Chapter 3 (commencing with Section 5350), “gravely disabled”
31means either of the following:

32(A) A condition in which a person, as a result of a mental health
33disorder, is unable to provide for his or her basic personal needs
34for food, clothing, or shelter.

35(B) A condition in which a person has been found mentally
36incompetent under Section 1370 of the Penal Code and all of the
37following facts exist:

38(i) The indictment or information pending against the person at
39the time of commitment charges a felony involving death, great
P5    1bodily harm, or a serious threat to the physical well-being of
2another person.

3(ii) The indictment or information has not been dismissed.

4(iii) As a result of a mental health disorder, the person is unable
5to understand the nature and purpose of the proceedings taken
6against him or her and to assist counsel in the conduct of his or
7her defense in a rational manner.

8(2) For purposes of Article 3 (commencing with Section 5225)
9and Article 4 (commencing with Section 5250), of Chapter 2, and
10for the purposes of Chapter 3 (commencing with Section 5350),
11“gravely disabled” means a condition in which a person, as a result
12of impairment by chronic alcoholism, is unable to provide for his
13or her basic personal needs for food, clothing, or shelter.

14(3) The term “gravely disabled” does not include persons with
15intellectual disabilities by reason of that disability alone.

16(i) “Peace officer” means a duly sworn peace officer as that
17term is defined in Chapter 4.5 (commencing with Section 830) of
18Title 3 of Part 2 of the Penal Code who has completed the basic
19training course established by the Commission on Peace Officer
20Standards and Training, or any parole officer or probation officer
21specified in Section 830.5 of the Penal Code when acting in relation
22to cases for which he or she has a legally mandated responsibility.

23(j) “Postcertification treatment” means an additional period of
24treatment pursuant to Article 6 (commencing with Section 5300)
25of Chapter 2.

26(k) “Court,” unless otherwise specified, means a court of record.

27(l) “Antipsychotic medication” means any medication
28customarily prescribed for the treatment of symptoms of psychoses
29and other severe mental and emotional disorders.

30(m) “Emergency” means a situation in which action to impose
31treatment over the person’s objection is immediately necessary
32for the preservation of life or the prevention of serious bodily harm
33to the patient or others, and it is impracticable to first gain consent.
34It is not necessary for harm to take place or become unavoidable
35prior to treatment.

36(n) “Designated facility” or “facility designated by the county
37for evaluation and treatment” means a facility that is licensed or
38certified as a mental health treatment facility or a hospital, as
39defined in subdivision (a) or (b) of Section 1250 of the Health and
40Safety Code, by the State Department of Public Health, and may
P6    1include, but is not limited to, a licensed psychiatric hospital, a
2licensed psychiatric health facility, and a certified crisis
3stabilization unit.

4(o) “Authorized professional” means any of the following:

5(1) A mental health professional or category of mental health
6professionals, excluding peace officers, who are authorized in
7writing by a county to provide services described in Article 1
8(commencing with Section 5150) of Chapter 2. An authorized
9professional shall have appropriate training in mental health
10disorders and determination of probable cause, and shall have
11relevant experience in providing services to persons with mental
12health disorders.

13(2) An authorized professional as described in paragraph (1)
14who is a member of the staff of a designated facility and who is
15authorized by the facility to provide services described in this part.

16(3) A member of a mobile crisis team who is authorized in
17writing by a county to provide services described in Article 1
18(commencing with Section 5150) of Chapter 2.

begin delete

19(p) “Emergency transport provider” means a provider of
20ambulance services licensed by the Department of the California
21Highway Patrol or operated by a public safety agency and includes
22the authorized personnel of an emergency transport provider who
23are certified or licensed under Section 1797.56, 1797.80, 1797.82,
24or 1797.84 of the Health and Safety Code.

end delete
25

SEC. 2.  

Section 5014 is added to the Welfare and Institutions
26Code
, to read:

27

5014.  

Each designated facility shall accept, within its clinical
28capability and capacity, all categories of persons for whom it is
29designated, without regard to insurance or financial status. If a
30person presents to a designated facility with a psychiatric
31emergency medical condition, as defined in subdivision (f) of
32Section 5160, that is beyond its capability, the facility shall assist
33the person in obtaining emergency services and care at an
34appropriate facility.

35

SEC. 3.  

Section 5025 is added to the Welfare and Institutions
36Code
, to read:

37

5025.  

(a) The professional person in charge of a nondesignated
38hospital, as defined in subdivision (c) of Section 5160, his or her
39designee, the medical director of the nondesignated hospital or his
40or her designee, the psychiatric professional who has consulted
P7    1with a treating emergency professional in accordance with
2subdivision (c) of Section 5164, or a treating emergency
3professional or other professional staff person who has received
4training in managing persons who have been detained for
5evaluation and treatment and the determination of probable cause
6in accordance with Section 5150, and who is acting within the
7scope of his or her official duties, employment or contractual
8obligations, or clinical privileges for the nondesignated hospital,
9shall not be civilly or criminally liable for any action by a person
10detained pursuant to Article 1 (commencing with Section 5150)
11of Chapter 2 of this part, and released at the end of 72 hours, or
12before the end of 72 hours, if Section 5164 is satisfied.

13(b) The peace officer responsible for the detainment of the
14person shall not be civilly or criminally liable for any action by a
15person released at or before the end of the 72-hour detainment
16period pursuant to Article 1 (commencing with Section 5150) of
17Chapter 2 of this part.

18(c) A treating emergency professional or other professional staff
19person who has received training in managing persons who have
20been detained for evaluation and treatment and the determination
21of probable cause in accordance with Section 5150, and who is
22acting within the scope of his or her official duties, employment
23or contractual obligations, or clinical privileges for the
24nondesignated hospital shall not be liable for carrying out a
25determination in accordance with Section 5164.

26(d) Nothing in this section shall exonerate a person described
27in this section from liability if that person acted with gross
28negligence or willful or wanton misconduct.

29

SEC. 4.  

Section 5113 of the Welfare and Institutions Code is
30amended to read:

31

5113.  

Except as provided in Sections 5154, 5173, 5259.3, 5267,
325270.35, and 5306, the facility providing treatment pursuant to
33Article 1 (commencing with Section 5150), Article 1.5
34(commencing with Section 5170), Article 4 (commencing with
35Section 5250), Article 4.5 (commencing with Section 5260), Article
364.7 (commencing with Section 5270.10), or Article 6 (commencing
37with Section 5300), a nondesignated hospital, as defined in
38subdivision (c) of Section 5160, the administrator of the facility
39or nondesignated hospital, the professional person in charge of the
40facility or nondesignated hospital, and his or her designee, or the
P8    1peace officer responsible for the detainment of the person shall
2not be civilly or criminally liable for any action by a person
3released at or before the end of the period for which he or she was
4detained or admitted pursuant to the provisions of the appropriate
5article.

6

SEC. 5.  

Section 5113.5 is added to the Welfare and Institutions
7Code
, to read:

8

5113.5.  

(a) A designated facility or nondesignated hospital,
9as defined in subdivision (c) of Section 5160, or a physician or
10other professional staff person who has received training in
11managing persons who have been detained for evaluation and
12treatment and determination of probable cause in accordance with
13Section 5150, and who is acting within the scope of his or her
14official duties, employment or contractual obligations, or clinical
15privileges for the designated facility or nondesignated hospital
16shall not be liable for any of the following:

17(1) An injury caused by an eloping or eloped person who has
18been detained for a mental health disorder or addiction.

19(2) An injury to, or the wrongful death of, an eloping or eloped
20person who has been detained for a mental health disorder or
21addiction.

22(b) Nothing in this section shall exonerate a person described
23in this section from liability if that person acted with gross
24negligence or willful or wanton misconduct.

begin delete
25

SEC. 6.  

Section 5150.1 of the Welfare and Institutions Code
26 is amended to read:

27

5150.1.  

(a) No peace officer seeking to transport, or having
28transported, a person to a designated facility for assessment under
29Section 5150, shall be instructed by mental health personnel to
30take the person to, or keep the person at, a jail solely because of
31the unavailability of an acute bed, nor shall the peace officer be
32forbidden to transport the person directly to the designated facility.
33No mental health employee from any county, state, city, or any
34private agency providing Short-Doyle psychiatric emergency
35services shall interfere with a peace officer performing duties under
36Section 5150 by preventing the peace officer from entering a
37designated facility with the person to be assessed, nor shall any
38employee of such an agency require the peace officer to remove
39the person without assessment as a condition of allowing the peace
40officer to depart.

P9    1(b) An emergency transport provider or any certified or licensed
2personnel of an emergency transport provider who has received
3training in managing persons who have been detained for
4evaluation and treatment and who is acting at the direction of a
5peace officer to transport a person who has been detained by the
6peace officer pursuant to subdivision (a) of Section 5150 to a
7designated facility for assessment under Section 5151, or to a
8nondesignated hospital, as defined in subdivision (c) of Section
95160, for emergency services and care, is authorized to continue
10the detention for the purpose of transporting the person to the
11facility or the nondesignated hospital.

12(c) “Peace officer” for the purposes of this section also means
13a jailer seeking to transport or transporting a person in custody to
14a designated facility for assessment consistent with Section 4011.6
15or 4011.8 of the Penal Code and Section 5150.

end delete
16

begin deleteSEC. 7.end delete
17
begin insertSEC. 6.end insert  

Section 5150.3 is added to the Welfare and Institutions
18Code
, to read:

19

5150.3.  

(a) An application for detention for evaluation and
20treatment shall be valid in all counties in which there is a
21designated facility to which the person may be taken.

22(b) (1) If the person detained by a peace officer or authorized
23professional is in a location other than a designated facility or
24nondesignated hospital, the original or copy of the application for
25detention for evaluation and treatment shall be presented to the
26designated facility under paragraph (2) or the nondesignated
27hospital under paragraph (3).

28(2) If after detention under Section 5150, the person is first taken
29 to a designated facility, the original or a copy of the signed
30application for detention for evaluation and treatment shall be
31presented to the designated facility.

32(3) If after detention under Section 5150, the person is first taken
33to a nondesignated hospital, the original or a copy of the signed
34application for detention for evaluation and treatment shall be
35presented to the nondesignated hospital. If the person is
36subsequently transferred to a designated facility, the nondesignated
37hospital shall deliver the original or a copy of the signed application
38for detention for evaluation and treatment to the designated facility.
39If the person is discharged from the nondesignated hospital under
40Section 5164 without a transfer to a designated facility, the
P10   1nondesignated hospital shall maintain the original or a copy of the
2 original signed application for detention for evaluation and
3treatment.

4(c) If a person detained for evaluation and treatment is
5 subsequently released pursuant to Sectionbegin delete 5164 or 5151,end deletebegin insert 5151 or
65164,end insert
the application for detention for evaluation and treatment in
7the possession of a designated facility or nondesignated hospital
8shall be retained for the period of time required by the medical
9records retention policy of the designated facility or nondesignated
10hospital.

11

begin deleteSEC. 8.end delete
12
begin insertSEC. 7.end insert  

Article 1.1 (commencing with Section 5160) is added
13to Chapter 2 of Part 1 of Division 5 of the Welfare and Institutions
14Code
, to read:

15 

16Article 1.1.  Persons Detained in Nondesignated Hospitals
17

 

18

5160.  

Unless the context otherwise requires, the following
19definitions shall govern the construction of this article:

20(a) “Emergency department of a nondesignated hospital” means
21a basic, comprehensive, or standby emergency medical service
22that is approved by the State Department of Public Health as a
23special or supplemental service of a nondesignated hospital. For
24purposes of this part, an emergency department of a nondesignated
25hospital shall include an observation or similar unit of the hospital
26that meets both of the following criteria:

27(1) The unit is operated under the direction and policies of the
28emergency department.

29(2) The unit provides continuing emergency services and care
30to patients prior to an inpatient admission, transfer, or discharge.

31(b) “Emergency professional” means either of the following:

32(1) A physician and surgeon who is board certified or pursuing
33board certification in emergency medicine, or a qualified licensed
34person, as defined in subdivision (e), during any scheduled period
35that he or she is on duty to provide medical screening and treatment
36of patients in an emergency department of a nondesignated hospital.

37(2) A physician and surgeon, or a qualified licensed person, as
38defined in subdivision (e), during any scheduled period that he or
39she is on duty to provide medical screening and treatment of
40patients in the emergency department of a nondesignated hospital
P11   1that is a critical access hospital within the meaning of Section
21250.7 of the Health and Safety Code. A physician and surgeon
3on duty under this paragraph shall include a physician and surgeon
4on call for a standby emergency medical service who is responsible
5to provide professional coverage for the emergency department.
6A physician and surgeon on duty under this paragraph does not
7include a physician and surgeon who is providing on-call specialty
8coverage services to the emergency department of a nondesignated
9hospital, unless the physician and surgeon is an emergency
10professional under paragraph (1).

11(c) “Nondesignated hospital” means a general acute care
12hospital, as defined in subdivision (a) of Section 1250 of the Health
13and Safety Code or an acute psychiatric hospital, as defined in
14subdivision (b) of Section 1250 of the Health and Safety Code,
15that is not a designated facility, as defined in Section 5008.

begin delete

16(d) “Psychiatric professional” means a physician and surgeon
17who is board certified or pursuing board certification in psychiatry
18and who is providing specialty services to the emergency
19department of a nondesignated hospital.

end delete
begin insert

20
(d) “Psychiatric emergency medical condition” has the same
21meaning as defined in subdivision (k) of Section 1317.1 of the
22Health and Safety Code.

end insert
begin insert

23
(e) “Psychiatric professional” means a physician and surgeon
24licensed by the Medical Board of California who has completed
25an approved psychiatric residency training program and who
26provides specialty services to the emergency department of a
27nondesignated hospital.

end insert
begin delete

28(e)

end delete

29begin insert(f)end insert “Qualified licensed person” means a licensed person
30designated by the medical staff and governing body of a
31nondesignated hospital to provide emergency services and care,
32to the extent permitted by applicable law, in an emergency
33department of the nondesignated hospital under the supervision
34of a physician and surgeon.

begin delete

35(f) “Psychiatric emergency medical condition” has the same
36meaning as defined in subdivision (k) of Section 1317.1 of the
37Health and Safety Code.

end delete
38

5161.  

(a) This section shall apply to a person who has been
39detained for evaluation and treatment by a peace officer or an
P12   1authorized professional and is taken to an emergency department
2of a nondesignated hospital for emergency services and care.

3(b) While the person is in the emergency department of the
4nondesignated hospital, the detention of the person for evaluation
5and treatment shall continue, unless the person is released from
6detention pursuant to Section 5164.

7

5162.  

(a) This section shall apply if, during a person’s
8examination or treatment in an emergency department, there is a
9need for a determination of probable cause for the detention of the
10person for evaluation and treatment.

11(b) If a person who has not been detained for evaluation and
12treatment has signs or symptoms, in the judgment of the treating
13emergency professional, that indicate probable cause for detention
14for evaluation and treatment, the person shall have the right to a
15prompt probable cause determination in accordance with any of
16the following:

17(1) The hospital may contact the county to arrange for a probable
18cause determination by an authorized professional, including, but
19not limited to, a member of a mobile crisis team.

20(2) As part of an evaluation, an authorized professional may
21conduct a probable cause determination and, upon a finding of
22probable cause, detain the person for evaluation and treatment in
23accordance with Section 5150.

24(3) The treating emergency professional may conduct a probable
25cause determination and, upon a finding of probable cause, detain
26the person for evaluation and treatment in accordance with Section
275150.

28(c) If the person is detained for evaluation and treatment
29pursuant to this section, the detention shall continue during his or
30her stay in the emergency department of a nondesignated hospital,
31unless the person is released from detention pursuant to Section
325164 or the detention ends by reason of the expiration of 72 hours
33pursuant to subdivision (a) of Section 5150.

34

5163.  

(a) This section shall apply to a person who is first
35detained pursuant to Section 5150 for evaluation and treatment in
36a nondesignated hospital emergency department or has been
37detained pursuant to Section 5150 for evaluation and treatment
38and first taken to an emergency department of a nondesignated
39hospital.

P13   1(b) (1) Except as provided in subdivision (e), the nondesignated
2hospital shall notify the county in which the nondesignated hospital
3is located of the person’s detention.

4(2) If the person was detained for evaluation and treatment and
5taken to the emergency department of the nondesignated hospital
6pursuant to Section 5161, the notification shall occur after the
7hospital has performed an initial medical screening of the person
8in accordance with paragraphs (1) and (2) of subdivision (a) of
9Section 1317.1 of the Health and Safety Code.

10(3) If the person is first detained for evaluation and treatment
11in the emergency department of the nondesignated hospital
12pursuant to Section 5162, the notification shall occur when the
13probable cause determination has been completed.

14(c) The notification to the county shall be made using the
1524-hour toll-free telephone number established by the county’s
16mental health program for psychiatric emergency services and
17crisis stabilization if the county’s mental health program has a
1824-hour toll-free telephone number in operation on January 1,
192017, for this purpose. The notification shall be documented in
20the patient’s medical record.

21(d) The nondesignated hospital shall advise the county of all of
22the following:

23(1) The time when the 72-hour detention period for evaluation
24and treatment expires.

25(2) An estimate of the time when the person will be medically
26stable for transfer to a designated facility.

27(3) The county in which the person resides, if known.

28(e) The notification to the county under this section shall not
29be required if the treating emergency professional determines that
30the person will be admitted, pursuant to Section 5165, to an acute
31care bed of a nondesignated hospital for the primary purpose of
32receiving acute inpatient services for a medical condition that is
33in addition to the person’s psychiatric condition.

34

5164.  

(a) This section shall establish a process for releasing
35from detention a person who has been detained for evaluation and
36treatment during the time that the person is detained in the
37emergency department of a nondesignated hospital.

38(b) If the treating emergency professional, after an examination
39of the person, determines that a person does not have a mental
P14   1disorder, the treating professional may release the person from
2detention for evaluation and treatment.

3(c) If the treating emergency professional, after an examination
4of the person, determines that a person has a mental disorder, but
5there is no longer probable cause to continue the detention for
6evaluation and treatment, the treating emergency professional may
7release that person only when the treating emergency professional
8has conducted a face-to-face examination and determined that the
9person does not pose a danger to himself or herself or others, and
10is not gravely disabled.

begin insert

11
(d) Nothing in this article shall be construed to prevent a
12treating emergency professional from consulting with an authorized
13professional, including a psychiatric professional, for the purposes
14of determining whether a person has a mental disorder or whether
15there is no longer probable cause to detain the person because
16the person does not pose a danger to himself or herself or others,
17or is not gravely disabled.

end insert
begin insert

18
(e) Nothing in this article shall be construed to prevent an
19authorized professional, including a psychiatric professional, from
20directly releasing the person after conducting a face-to-face
21examination and determining there is no longer probable cause
22to detain the person because the person no longer poses a danger
23to himself or herself or others, or is not gravely disabled.

end insert
24

5165.  

(a) A nondesignated hospital and the professional staff
25of the nondesignated hospital shall not be civilly or criminally
26liable for the transfer of a person detained for evaluation and
27treatment to a designated facility in accordance with this article.

28(b) The peace officer or authorized professional responsible for
29the detention of the person for evaluation and treatment who
30transfers the custody of the person to an emergency professional
31of a nondesignated hospital shall not be civilly or criminally liable
32for any of the following:

33(1) The continuation and enforcement of the detention for
34evaluation and treatment during the person’s stay in the emergency
35department of the nondesignated hospital prior to the discharge of
36the person from the hospital in accordance with this article.

37(2) The release of the person from detention for evaluation and
38treatment in accordance with this article.

39(3) The transfer of the person detained for evaluation and
40treatment to a designated facility in accordance with this article.

P15   1(c) Nothing in this section shall exonerate a person described
2in this section from liability if that person acted with gross
3negligence or willful or wanton misconduct.

4

5166.  

(a) A provider of ambulance services licensed by the
5Department of the California Highway Patrol or operated by a
6public safety agency, and the employees of those providers who
7are certified or licensed under Section 1797.56 of the Health and
8Safety Code, shall be authorized to do both of the following:

9(1) Transport a person who is in a hospital or facility on a
10voluntary basis to a designated facility for psychiatric treatment.

11(2) Transport, and continue the detention of, a person who is
12detained for evaluation and treatment in a hospital or facility to a
13designated facility for psychiatric treatment.

14(b) This section shall apply to transfers from any type of facility,
15including nondesignated hospitals and other facilities.

16(c) A person shall not be detained for evaluation and treatment
17solely for the purpose of transporting the person, or transferring
18the person by a provider of ambulance services, to a designated
19facility or an emergency department of a nondesignated hospital.

20

5167.  

(a) Notwithstanding Section 5328, peace officers,
21authorized professionals, emergency professionals, and other
22qualified professionals who participate in the examination,
23consultation, treatment, placement, referral, or transport of a person
24who is, or for whom there may be probable cause to be, detained
25for evaluation and treatment under Section 5150 may engage in
26communication of patient information among each other and with
27county behavioral health professionals and staff, in the provision
28of emergency services, referral, and placement for the person with
29a designated facility or other agency. This includes communication
30about the historical course of the person’s mental disorder, as
31defined in Section 5150.05.

32(b) Communication of patient information under this section
33also includes both of the following:

34(1) Communications between emergency medical personnel
35and emergency professionals at a licensed hospital, as defined in
36subdivision (a) or (b) of Section 1250 of the Health and Safety
37Code, in examination and treatment of a person at the scene of an
38emergency or in transport of the person to a hospital for emergency
39services and care.

P16   1(2) Communications among emergency medical personnel,
2emergency professionals, and authorized professionals at a
3designated facility or a nondesignated hospital at which the person
4may be evaluated, treated, placed, referred, or transported,
5including during the course of transport.

6(c) For purposes of this section, communications among
7emergency medical personnel, emergency professionals, and
8authorized professionals include communications with licensed
9persons working under the supervision of emergency professionals
10and authorized professionals.

begin insert
11

begin insert5168.end insert  

Nothing in this chapter supersedes or abrogates the
12provisions governing medical control set forth in Chapter 5
13(commencing with Section 1798) of Division 2.5 of the Health and
14Safety Code.

end insert
15

begin deleteSEC. 9.end delete
16
begin insertSEC. 8.end insert  

Section 5270.50 of the Welfare and Institutions Code
17 is amended to read:

18

5270.50.  

(a) Notwithstanding Section 5113, if the provisions
19of Section 5270.35 have been met, the professional person in
20charge of the facility providing intensive treatment, his or her
21designee, the medical director of the facility or his or her designee
22described in Section 5270.35, the psychiatrist directly responsible
23for the person’s treatment, or the psychologist shall not be held
24civilly or criminally liable for any action by a person released
25before or at the end of the 30 days of intensive treatment pursuant
26to this article.

27(b) The professional person in charge of the facility providing
28intensive treatment or his or her designee, the medical director of
29the facility or his or her designee described in Section 5270.35,
30the psychiatrist directly responsible for the person’s treatment, or
31the psychologist shall not be held civilly or criminally liable for
32any action by a person released at the end of the 30 days of
33intensive treatment pursuant to this article.

34(c) The attorney or advocate representing the person, the
35court-appointed commissioner or referee, the certification review
36hearing officer conducting the certification review hearing, or the
37peace officer responsible for detaining the person shall not be
38civilly or criminally liable for any action by a person released at
P17   1or before the end of the 30 days of intensive treatment pursuant to
2this article.



O

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