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                                                      PRINTER'S NO. 1720

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 1448 Session of 2001


        INTRODUCED BY MAITLAND, BARD, BARRAR, BENNINGHOFF, BUNT,
           CALTAGIRONE, CAPPELLI, CLARK, L. I. COHEN, EGOLF, FLEAGLE,
           FRANKEL, GODSHALL, HORSEY, JAMES, KENNEY, KIRKLAND, LEDERER,
           MACKERETH, MARSICO, MELIO, S. MILLER, MYERS, NAILOR, NICKOL,
           ROEBUCK, ROSS, RUBLEY, SATHER, SCRIMENTI, SOLOBAY, STERN,
           T. STEVENSON, STRITTMATTER, SURRA, E. Z. TAYLOR, J. TAYLOR,
           THOMAS, TIGUE, VANCE, WATSON, C. WILLIAMS, WILT, DeLUCA AND
           J. EVANS, APRIL 26, 2001

        REFERRED TO COMMITTEE ON HEALTH AND HUMAN SERVICES,
           APRIL 26, 2001

                                     AN ACT

     1  Amending the act of February 13, 1970 (P.L.19, No.10), entitled
     2     "An act enabling certain minors to consent to medical, dental
     3     and health services, declaring consent unnecessary under
     4     certain circumstances," further providing for consent to
     5     treatment.

     6     The General Assembly of the Commonwealth of Pennsylvania
     7  hereby enacts as follows:
     8     Section 1.  The act of February 13, 1970 (P.L.19, No.10),
     9  entitled "An act enabling certain minors to consent to medical,
    10  dental and health services, declaring consent unnecessary under
    11  certain circumstances," is amended by adding a section to read:
    12     Section 1.1.  Mental Health Treatment.--(a)  Outpatient
    13  treatment shall include any of the following:
    14     (1)  Any minor who is fourteen years of age or older may
    15  consent on his or her own behalf to outpatient mental health
    16  examination and treatment, and the parent or legal guardian's

     1  consent shall not be necessary.
     2     (2)  A parent or legal guardian of a minor less than eighteen
     3  years of age may consent to voluntary outpatient mental health
     4  examination or treatment on behalf of the minor, and the minor's
     5  consent shall not be necessary.
     6     (3)  A minor may not abrogate consent provided by a parent or
     7  legal guardian on the minor's behalf, nor may a parent or legal
     8  guardian abrogate consent given by the minor on his or her own
     9  behalf.
    10     (b)  Inpatient treatment shall include any of the following:
    11     (1)  A parent or legal guardian may consent to voluntary
    12  inpatient treatment, pursuant to Article II of the act of July
    13  9, 1976 (P.L.817, No.143), known as the "Mental Health
    14  Procedures Act," on behalf of a minor less than eighteen years
    15  of age on the recommendation of a physician who has examined the
    16  minor. The minor's consent shall not be necessary.
    17     (2)  Nothing in this section shall be construed as
    18  restricting or altering a minor's existing rights to consent to
    19  treatment on his or her own behalf.
    20     (3)  Nothing in this section shall be construed as
    21  restricting or altering a parent or legal guardian's existing
    22  rights to object to a minor's voluntary treatment provided
    23  pursuant to the minor's consent on his or her own behalf.
    24     (4)  A minor may not abrogate consent provided by a parent or
    25  legal guardian on the minor's behalf, nor may a parent or legal
    26  guardian abrogate consent given by the minor on his or her own
    27  behalf.
    28     (5)  Any minor fourteen years of age or older and eighteen
    29  years of age or younger who has been confined for inpatient
    30  treatment on the consent of a parent or legal guardian and who
    20010H1448B1720                  - 2 -

     1  objects to continued inpatient treatment, may file a petition in
     2  the court of common pleas requesting a withdrawal from or
     3  modification of treatment. The court shall promptly appoint an
     4  attorney for such minor person and schedule a hearing to be held
     5  within seventy-two hours, unless continued upon the request of
     6  the attorney for the minor, by a judge or mental health review
     7  officer who shall determine whether or not the voluntary
     8  treatment is in the best interest of the minor. For inpatient
     9  treatment to continue against the minor's wishes, the court
    10  shall find the following:
    11     (i)  that the minor has a diagnosed mental disorder;
    12     (ii)  that the disorder is treatable;
    13     (iii) that the disorder can be treated in the particular
    14  facility where the treatment is taking place; and
    15     (iv)  that the treatment represents the least restrictive
    16  alternative that is medically appropriate.
    17     (c)  Definitions.--As used in this section, the following
    18  words and phrases shall have the meanings given to them in this
    19  subsection:
    20     "Facility" means any mental health establishment, hospital,
    21  clinic, institution, center, day-care center, base service unit,
    22  community mental health center, or part thereof, that provides
    23  for the diagnosis, treatment, care or rehabilitation of mentally
    24  ill persons.
    25     "Inpatient treatment" means all treatment that requires full-
    26  time or part-time residence in a facility that provides mental
    27  health treatment.
    28     "Mental health treatment" means a course of treatment,
    29  including evaluation, diagnosis, therapy and rehabilitation,
    30  designed and administered to alleviate an individual's pain and
    20010H1448B1720                  - 3 -

     1  distress and to maximize the probability of recovery from mental
     2  illness. The term also includes care and other services which
     3  supplement treatment and aid or promote recovery.
     4     Section 2.  This act shall take effect in 60 days.


















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