SENATE AMENDED PRIOR PRINTER'S NOS. 751, 1196, 1510, PRINTER'S NO. 2565 1802
No. 679 Session of 1997
INTRODUCED BY VANCE, KENNEY, TRUE, BUXTON, NAILOR, NICKOL, OLIVER, YOUNGBLOOD, MILLER, HENNESSEY, MARKOSEK, FLEAGLE, SATHER, DEMPSEY, WAUGH, FARGO, LEDERER, BELARDI, GORDNER, STURLA, COY, KAISER, BROWN, L. I. COHEN, BARLEY, HALUSKA, MASLAND, TULLI, BATTISTO, MARSICO, RUBLEY, EGOLF, D. W. SNYDER, PLATTS, MELIO, LAUGHLIN, McCALL, LYNCH, THOMAS, BARD, STEELMAN, TRELLO, BROWNE, MAITLAND, ROEBUCK, JAROLIN, B. SMITH, McNAUGHTON, STABACK, TIGUE, CORNELL, RAYMOND, SCRIMENTI, E. Z. TAYLOR, BAKER, BEBKO-JONES, SURRA, GANNON, J. TAYLOR, SCHRODER, DeLUCA, FEESE, HUTCHINSON, CIVERA, BOSCOLA, BENNINGHOFF, SAYLOR, BELFANTI, ROBERTS, ROSS, DiGIROLAMO, SEYFERT, JAMES, GEIST, C. WILLIAMS, STETLER, GLADECK AND WASHINGTON, MARCH 6, 1997
AS AMENDED ON THIRD CONSIDERATION, IN SENATE, NOVEMBER 17, 1997
AN ACT 1 Amending the act of April 14, 1972 (P.L.221, No.63), entitled, 2 as amended, "An act establishing the Pennsylvania Advisory 3 Council on Drug and Alcohol Abuse; imposing duties on the 4 Department of Health to develop and coordinate the 5 implementation of a comprehensive health, education and 6 rehabilitation program for the prevention and treatment of 7 drug and alcohol abuse and drug and alcohol dependence; 8 providing for emergency medical treatment; providing for 9 treatment and rehabilitation alternatives to the criminal 10 process for drug and alcohol dependence; and making repeals," 11 adding a definition; providing for a juvenile inmate <-- 12 substance abuse program and for the commitment of minors; and 13 further providing for financial obligation. 14 The General Assembly of the Commonwealth of Pennsylvania 15 hereby enacts as follows: 16 Section 1. Section 2(b) of the act of April 14, 1972 17 (P.L.221, No.63), known as the Pennsylvania Drug and Alcohol
1 Abuse Control Act, is amended by adding a definition to read: 2 Section 2. Definitions: 3 * * * 4 (b) As used in this act: 5 * * * 6 "Minor" means any person under the age of eighteen years. 7 * * * 8 Section 2. Section 5 of the act is amended to read: 9 Section 5. Admissions and Commitments.--[Admissions] Except 10 as provided in section 12.1 of this act, admissions and 11 commitments to treatment facilities may be made according to the 12 procedural admission and commitment provisions of the act of 13 [October 20, 1966 (P.L.96), known as the "Mental Health and 14 Mental Retardation Act of 1966."] July 9, 1976 (P.L.817, 15 No.143), known as the "Mental Health Procedures Act." 16 Section 3. The act is amended by adding sections A SECTION <-- 17 to read: 18 Section 9.1. State Juvenile Substance Abuse and Chemical <-- 19 Dependency Assessment and Treatment Program.--(a) The Office of 20 Drug and Alcohol Programs within the Department of Health, 21 working in cooperation with the Department of Public Welfare is 22 hereby authorized to establish a pilot substance abuse and 23 chemical dependency assessment program for the purpose of 24 assessing and treating substance-abusing and chemically 25 dependent juvenile inmates while incarcerated in State 26 facilities. The program shall be contracted with a private drug 27 and alcohol treatment provider. The Department of Health and the 28 Department of Public Welfare shall select a pilot juvenile 29 facility or facilities to implement the program and shall 30 collaborate with the courts, other criminal justice agencies and 19970H0679B2565 - 2 -
1 drug and alcohol treatment programs to develop written 2 guidelines and procedures governing the selection of the 3 juvenile facility or facilities, operation of the program, 4 eligibility of treatment programs to apply to provide this 5 service and eligibility of inmates for the assessment and 6 treatment program. The pilot program established under this 7 section shall not take the place of any other existing 8 therapeutic community drug and alcohol program in any State 9 juvenile facility. 10 (b) Assessments of drug and alcohol abuse and dependency 11 shall be performed by drug and alcohol counselors who have been 12 certified by the Pennsylvania Chemical Abuse Certification Board 13 (PCACB) or who hold a reciprocity-level certification by the 14 International Certification Reciprocity Consortium (ICRC). 15 (c) If the assessment determines that the incarcerated 16 juvenile is in need of alcohol or other drug treatment, the 17 juvenile shall be referred to the treatment program provided 18 within the juvenile facility. 19 (d) The alcohol and drug treatment program or programs 20 within the juvenile institution shall be established and 21 administered in a separate area of the prison by private alcohol 22 and drug treatment programs licensed by the Office of Drug and 23 Alcohol Programs within the Department of Health. In addition to 24 licensure, drug and alcohol treatment programs eligible to apply 25 to provide this service must have at least five years' 26 experience in treating chemically dependent individuals involved 27 with the criminal justice system, five years' experience running 28 a therapeutic community and be able to provide a long-term 29 residential therapeutic community within the juvenile facility. 30 In addition, as part of the application process, the treatment 19970H0679B2565 - 3 -
1 program must demonstrate the ability to provide post-prison 2 aftercare and continuing care treatment facilities. 3 (e) The substance abuse and chemical dependency assessments 4 under this section shall incorporate methods for detection and 5 determination of chronic drug and alcohol addiction and shall 6 include, but not be limited to, drug and alcohol counseling and 7 evaluation, chemical testing and any other acceptable means for 8 detection and determination of substance abuse and chemical 9 dependency. 10 (f) The Office of Drug and Alcohol Treatment Programs within 11 the Department of Health shall conduct an ongoing, comprehensive 12 evaluation program to determine the effectiveness of the 13 substance abuse assessment pilot program in reducing criminal 14 behavior, recidivism, arrest and commitments to juvenile 15 institutions. In addition, the Office of Drug and Alcohol 16 Treatment Programs shall collaborate with the Department of 17 Public Welfare to secure medical assistance payments to cover 18 the cost of drug and alcohol detoxification and rehabilitation 19 services for any person eligible for the payments. 20 (g) On or before March 1 of each year, the Department of 21 Health shall submit a report to the General Assembly which shall 22 include, but not be limited to, a comprehensive evaluation to 23 determine the effectiveness of the substance abuse assessment 24 pilot program in reducing criminal behavior, recidivism, arrest 25 and commitments to juvenile institutions. 26 Section 12.1. Commitment of Minors.--(a) A parent or legal 27 guardian who has legal or physical custody of a minor may 28 petition the court of common pleas of the judicial district 29 where the minor is domiciled for commitment of the minor to 30 involuntary drug and alcohol treatment services, including 19970H0679B2565 - 4 -
1 inpatient services, if the minor is incapable of accepting or 2 unwilling to accept voluntary treatment. The petition shall set 3 forth sufficient facts and good reason for the commitment. Such 4 matters shall be heard by the division or a judge of the court 5 assigned to conduct proceedings under 42 Pa.C.S. Ch. 63 6 (relating to juvenile matters), involving children who have been 7 alleged to be dependent or delinquent. 8 (b) Upon petition pursuant to subsection (a), the court <-- 9 shall appoint counsel for the minor. A minor who is alleged to 10 have a dependency on drugs or alcohol shall be ordered to 11 undergo a drug and alcohol assessment performed by a 12 psychiatrist, a licensed psychologist with specific training in 13 drug and alcohol assessment and treatment or a certified 14 addiction counselor. The court shall hear the testimony of the 15 COURT: <-- 16 (1) SHALL APPOINT COUNSEL FOR THE MINOR. 17 (2) SHALL ORDER A MINOR WHO IS ALLEGED TO HAVE A DEPENDENCY 18 ON DRUGS OR ALCOHOL TO UNDERGO A DRUG AND ALCOHOL ASSESSMENT 19 PERFORMED BY A PSYCHIATRIST, A LICENSED PSYCHOLOGIST WITH 20 SPECIFIC TRAINING IN DRUG AND ALCOHOL ASSESSMENT AND TREATMENT 21 OR A CERTIFIED ADDICTION COUNSELOR. SUCH ASSESSMENT SHALL <-- 22 INCLUDE A RECOMMENDED LEVEL OF CARE AND LENGTH OF TREATMENT. 23 ASSESSMENTS COMPLETED BY CERTIFIED ADDICTION COUNSELORS SHALL BE 24 BASED ON THE DEPARTMENT OF HEALTH APPROVED DRUG AND ALCOHOL <-- 25 LEVEL OF CARE CRITERIA AND SHALL BE REVIEWED BY A CASE 26 MANAGEMENT SUPERVISOR IN A SINGLE COUNTY AUTHORITY. 27 THE COURT SHALL HEAR THE TESTIMONY OF THE persons PERFORMING THE <-- 28 ASSESSMENT under this subsection at the hearing on the petition 29 for involuntary commitment. 30 (c) Based on the assessment defined in subsection (b), the 19970H0679B2565 - 5 -
1 court may order the minor committed to involuntary drug and 2 alcohol treatment, including inpatient services, for up to 3 forty-five days if all of the following apply: 4 (1) The court finds by clear and convincing evidence that: 5 (i) the minor is a drug-dependent person; and (ii) the minor is 6 incapable of accepting or unwilling to accept voluntary 7 treatment services. 8 (2) The court finds that the minor will benefit from 9 involuntary treatment services. 10 (3) Where the court decision is inconsistent with the level 11 of care and length of treatment recommended by the assessment, 12 the court shall set forth in its order a statement of facts and 13 reasons for its disposition. 14 (d) A minor ordered to undergo treatment due to a 15 determination pursuant to subsection (c) shall remain under the 16 treatment designated by the court for a period of forty-five 17 days unless sooner discharged. Prior to the end of the forty- 18 five-day period, the court shall conduct a review hearing IN <-- 19 ACCORDANCE WITH SUBSECTION (C) for the purpose of determining 20 whether further treatment is necessary. If the court determines 21 that further treatment is needed, the court may order the minor 22 recommitted to services for an additional period of treatment 23 not to exceed forty-five days unless sooner discharged. The 24 court may continue the minor in treatment for successive forty- 25 five-day periods pursuant to determinations that the minor will 26 benefit from services for an additional forty-five days. 27 Section 4. Section 13 of the act is amended to read: 28 Section 13. Financial Obligations.--(a) Except for minors, 29 all persons receiving treatment under this act shall be subject 30 to the provisions of Article V of the act of October 20, 1966 19970H0679B2565 - 6 -
1 (P.L.96), known as the "Mental Health and Mental Retardation Act 2 of 1966," in so far as it relates to liabilities and payments 3 for services rendered by the Commonwealth. 4 (b) In the case of proceedings under section 12.1 of this 5 act, unless the court finds that the parent or legal guardian is 6 without financial resources, the parent or legal guardian shall 7 be obligated for all of the following: 8 (1) Court costs. 9 (2) Counsel fees for the minor. 10 (3) The cost of assessment and treatment services. 11 Section 5. Nothing in this act shall relieve, restrict or 12 expand the obligations of any insurer, health maintenance 13 organization, third-party administrators, hospital plan 14 corporation or health services plan corporation doing business 15 in this Commonwealth with respect to the coverage of drug and 16 alcohol benefits, as set forth in Article VI-A of the act of May 17 17, 1921 (P.L.682, No.284), known as The Insurance Company Law 18 of 1921, section 2334 of the act of April 9, 1929 (P.L.177, 19 No.175), known as The Administrative Code of 1929, the act of 20 December 29, 1972 (P.L.1701, No.364), known as the Health 21 Maintenance Organization Act, or 40 Pa.C.S. Chs. 61 (relating to 22 hospital plan corporations) and 63 (relating to professional 23 health services plan corporations). 24 Section 6. All acts and parts of acts are repealed insofar 25 as they are inconsistent with this act. 26 Section 7. This act shall take effect in 60 days. B27L35JS/19970H0679B2565 - 7 -