S T A T E O F N E W Y O R K
________________________________________________________________________
2406
2025-2026 Regular Sessions
I N S E N A T E
January 17, 2025
___________
Introduced by Sens. SEPULVEDA, COMRIE -- read twice and ordered printed,
and when printed to be committed to the Committee on Mental Health
AN ACT to amend the mental hygiene law, in relation to establishing
residential treatment facilities
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Section 7.18 of the mental hygiene law, as added by chapter
7 of the laws of 2007, is amended to read as follows:
§ 7.18 Secure treatment facilities in the office.
(a) 1. There shall be in the office secure treatment facilities, as
defined in subdivision (o) of section 10.03 of this title, as designated
by the commissioner for the care and treatment of dangerous sex offen-
ders requiring confinement, as described in article ten of this title.
[(b)] 2. Such secure treatment facilities may be created on the former
grounds of hospitals operated by the office, but shall be considered
separate and distinct facilities and shall not be considered or defined
as hospitals.
(B) 1. THERE SHALL BE IN THE OFFICE RESIDENTIAL TREATMENT FACILITIES
AS AN ALTERNATIVE TO INCARCERATION DESIGNATED BY THE COMMISSIONER AND
LICENSED BY THE OFFICE OF MENTAL HEALTH FOR THE CARE AND TREATMENT OF
PERSONS WITH SERIOUS MENTAL ILLNESS, AS DEFINED IN SUBDIVISION FIFTY-TWO
OF SECTION 1.03 OF THIS CHAPTER WHO ARE ALSO ACCUSED OF AT LEAST ONE
FELONY LEVEL CRIME. SUCH FACILITIES MAY BE OPERATED BY A PUBLIC OR
PRIVATE NON-PROFIT ORGANIZATION AS SET FORTH IN SUBDIVISION (D) OF
SECTION 7.17 OF THIS ARTICLE.
2. ADMISSION TO SUCH FACILITY WILL REQUIRE VOLUNTARY AND INFORMED
CONSENT OF PERSONS LIVING WITH SUCH SERIOUS MENTAL ILLNESS TO RESIDE AT
SAID FACILITY AND TO ABIDE BY ALL FACILITY RULES INCLUDING, BUT NOT
LIMITED TO, A VOLUNTARY AGREEMENT NOT TO LEAVE THE FACILITY WITHOUT
WEARING A GLOBAL POSITIONING SYSTEM DEVICE AND ACCOMPANIED BY STAFF,
UNLESS OTHERWISE AUTHORIZED BY THE FACILITY DIRECTOR. SUCH INFORMED
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD03677-01-5
S. 2406 2
CONSENT SHALL BE MEMORIALIZED IN AN AGREEMENT ENTERED INTO BY THE
PRESIDING JUDGE IN THE CRIMINAL MATTER INVOLVING SUCH FELONY LEVEL
CRIME, THE PERSON LIVING WITH SUCH SERIOUS MENTAL ILLNESS ALLEGED TO
HAVE COMMITTED SUCH FELONY LEVEL CRIME WHO SHALL BE REPRESENTED BY COUN-
SEL, AND THE COUNTY PROSECUTOR, AND SHALL FURTHER REQUIRE SUCH PERSON
LIVING WITH A SERIOUS MENTAL ILLNESS TO VOLUNTARILY AND KNOWINGLY
REQUEST THE IMPOSITION OF BAIL IN A NOMINAL AMOUNT, PURSUANT TO SUBDIVI-
SION FIVE OF SECTION 510.10 OF THE CRIMINAL PROCEDURE LAW. TO ENSURE
THAT CONSENT IS INFORMED AND VOLUNTARY, SUCH PRESIDING JUDGE SHALL
APPOINT COUNSEL IF SUCH PERSON WITH A SERIOUS MENTAL ILLNESS IS NOT
OTHERWISE REPRESENTED BY COUNSEL. SUCH AGREEMENT SHALL ALSO INCLUDE AN
AGREEMENT BY THE PROSECUTING AGENCY THAT WHERE SUCH PERSON SUCCESSFULLY
COMPLETES THE PERIOD OF TREATMENT OUTLINED IN SAID AGREEMENT SUCH PERSON
WILL NOT BE SUBJECT TO INCARCERATION FOR THE ALLEGED CRIMES WHICH WERE
THE SUBJECT OF, OR WHICH WERE AGREED TO IN THE AGREEMENT OR WHICH MAY BE
THEREAFTER SUBSTITUTED AT THE TIME OF SENTENCING FOR ANY ALLEGED CRIMES
RELATED TO THE ALLEGED INCIDENTS WHICH WERE THE SUBJECT OF SAID AGREE-
MENT.
3. PROGRAMS OPERATED PURSUANT TO THIS SECTION SHALL PROVIDE THE
FOLLOWING AS NEEDED: MEDICATION MANAGEMENT; EFFECTIVE PSYCHIATRIC AND
THERAPEUTIC TREATMENT IN A SAFE, VIOLENCE-FREE ENVIRONMENT DESIGNED TO
STABILIZE THE UNDERLYING SERIOUS MENTAL ILLNESS; TREATMENT OF ANY CO-OC-
CURRING SUBSTANCE USE DISORDER; AND BASIC CARE AND LIFE SKILLS TRAINING
RELATED TO NUTRITION, EXERCISE, HYGIENE AND MENTAL AND PHYSICAL HEALTH
CARE MAINTENANCE.
4. PURSUANT TO SUBDIVISION (B) OF SECTION 7.15 OF THIS ARTICLE, THE
COMMISSIONER SHALL WORK COOPERATIVELY WITH THE COMMISSIONER OF THE
OFFICE OF ADDICTION SERVICES AND SUPPORTS TO PROVIDE FOR THE TREATMENT
OF CO-OCCURRING SUBSTANCE USE DISORDERS OF RESIDENTS IN SEMI-SECURE
FACILITIES LICENSED PURSUANT TO THIS SECTION.
5. ON OR WITHIN THIRTY DAYS OF THE EFFECTIVE DATE OF THE CHAPTER OF
THE LAWS OF TWO THOUSAND TWENTY-FIVE THAT AMENDED THIS SECTION, THE
COMMISSIONER SHALL TAKE REASONABLY NECESSARY ACTIONS TO FULLY IMPLEMENT
THIS SECTION, INCLUDING BUT NOT LIMITED TO, PROMULGATING RULES, REGU-
LATIONS OR GUIDELINES REGARDING LICENSURE BY THE OFFICE OF MENTAL HEALTH
OF RESIDENTIAL ALTERNATIVE TO INCARCERATION FACILITIES AS SET FORTH IN
PARAGRAPH ONE OF THIS SUBDIVISION. IF RULES, REGULATIONS OR GUIDELINES
ARE NECESSARY FOR LICENSURE, SUCH LICENSURE RULES, REGULATIONS OR GUIDE-
LINES SHALL BE DETERMINED ON OR WITHIN NINE MONTHS OF THE EFFECTIVE DATE
OF THE CHAPTER OF THE LAWS OF TWO THOUSAND TWENTY-FIVE THAT AMENDED THIS
SECTION.
6. ON OR WITHIN NINETY DAYS OF THE EFFECTIVE DATE OF THE CHAPTER OF
THE LAWS OF TWO THOUSAND TWENTY-FIVE THAT AMENDED THIS SECTION, THE
COMMISSIONER SHALL SEEK FEDERAL FINANCIAL PARTICIPATION IN THE FEDERAL
MEDICAL ASSISTANCE PERCENTAGE PROGRAM WITH REGARD TO THE ADMINISTRATION
AND IMPLEMENTATION OF ANY PROGRAM AS PROVIDED FOR IN PARAGRAPH THREE OF
THIS SUBDIVISION.
§ 2. This act shall take effect immediately.