Senate Bill S1912

                                 BILL NUMBER:  S1912

 TITLE OF BILL :  An act to amend the mental hygiene law, in relation
to fees for services rendered to patients held in state inpatient
facilities pursuant to court orders

 PURPOSE OR GENERAL IDEA OF BILL :

To relieve counties of fiscal responsibility for services rendered to
patients held in state inpatient facilities pursuant to court order in
excess of thirty days.

 SUMMARY OF SPECIFIC PROVISIONS :

Section 1 amends subdivision (c) of section 43.03 of the mental
hygiene law by placing a 30 day limit on the fiscal responsibility of
county governments for Department of Mental Health (DMH) services to
certain persons being held pursuant to the order of a criminal court.

Section 2 is the effective date.

 EXISTING LAW :

Currently, Section 43.03 (c) of the Mental Hygiene Law provides that
persons receiving mental hygiene services while being held pursuant to
the order of a criminal court shall not be liable to DMH for such
              

services. Fees due to DMH for such services shall be paid by the
county in which the court is located. Counties are not responsible,
however, for services to persons committed to DMH pursuant to Section
330.20 of the Criminal Procedure Law or for examination pursuant to an
order of the Family Court.

 JUSTIFICATION :

Court ordered confinement for a mental health examination does not
exceed 30 days except upon application of the Commissioner of Mental
Health. When this occurs the court may authorize confinement for an
additional period, not exceeding 30 days, if it is satisfied that a
longer period is necessary to complete the examination. Except in
certain rare cases, the majority of court ordered confinements for
examination are, in fact, completed within 33 days. Those exceptions
usually result in a determination that the individual being examined
is unfit to proceed to trial and may as in the case of a murder charge
spend the rest of his or her life in a DMH facility at local
government expense.

At a time when local governments are already overburdened by State
mandates it is clearly inappropriate to charge them for services in
excess of 30 days over which they have no control. This is especially
true in cases where the individual being examined would, under other
ordinary circumstances, be committed to a DMH facility on an
involuntary basis as harmful to self or others at no cost to the local
government. For these reasons this bill must be enacted into law.

 PRIOR LEGISLATIVE HISTORY :

2011-2012: S.3883/A.6147
2013-2014: S.6226/A.3883
2015-2016: S.2465/A.5846

 FISCAL IMPLICATIONS FOR STATE AND LOCAL GOVERNMENTS :

Estimated $11 million to $12 million cost to the state annually.

 EFFECTIVE DATE :
This act would take effect on the first of January after it has become
a law.