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                                                       PRINTER'S NO. 751

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

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 AND
           GLADECK, MARCH 6, 1997

        REFERRED TO COMMITTEE ON HEALTH AND HUMAN SERVICES,
           MARCH 6, 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 commitment of minors; and
    12     further providing for financial obligation.

    13     The General Assembly of the Commonwealth of Pennsylvania
    14  hereby enacts as follows:
    15     Section 1.  Section 2(b) of the act of April 14, 1972
    16  (P.L.221, No.63), known as the Pennsylvania Drug and Alcohol
    17  Abuse Control Act, is amended by adding a definition to read:

     1     Section 2.  Definitions:
     2     * * *
     3     (b)  As used in this act:
     4     * * *
     5     "Minor" means any person eighteen years of age or younger.
     6     * * *
     7     Section 2.  Sections 5 and 12 of the act are amended to read:
     8     Section 5.  Admissions and Commitments.--[Admissions] Except
     9  as provided in section 12.1 of this act, admissions and
    10  commitments to treatment facilities may be made according to the
    11  procedural admission and commitment provisions of the act of
    12  [October 20, 1966 (P.L.96), known as the "Mental Health and
    13  Mental Retardation Act of 1966."] July 9, 1976 (P.L.817,
    14  No.143), known as the "Mental Health Procedures Act."
    15     Section 12.  [Consent of Minor] Parental Notification of
    16  Diagnosis, Treatment or Counseling of Minor.--Notwithstanding
    17  any other provisions of law, a minor who suffers from the use of
    18  a controlled or harmful substance may give consent to furnishing
    19  of medical care or counseling related to diagnosis or treatment.
    20  The consent of the parents or legal guardian of the minor shall
    21  not be necessary to authorize medical care or counseling related
    22  to such diagnosis or treatment. [The consent of the minor shall
    23  be valid and binding as if the minor had achieved his majority.
    24  Such consent shall not be voidable nor subject to later
    25  disaffirmance because of minority. Any physician or any agency
    26  or organization operating a drug abuse program, who provides
    27  counseling to a minor who uses any controlled or harmful
    28  substance may, but shall not be obligated to inform the parents
    29  or legal guardian of any such minor as to the treatment given or
    30  needed.] Any physician, agency or organization operating a drug
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     1  abuse program that provides counseling or furnishes medical care
     2  to a minor who uses any controlled or harmful substance shall be
     3  obligated to inform the single county authority of the county in
     4  which the physician, agency or organization operating a drug
     5  abuse program provides the minor with counseling or medical
     6  care. The single county authority shall be responsible for
     7  informing the parent or legal guardian of any such minor as to
     8  the treatment given or needed. Exemptions to this section shall
     9  be granted by the single county authority if the minor can
    10  present evidence that the parent or legal guardian of the minor:
    11     (1)  will refuse to allow the minor to live in the same
    12  residence if disclosure is made regarding counseling or medical
    13  care received from a physician, agency or organization operating
    14  a drug abuse program;
    15     (2)  has emotionally or physically abused the minor or poses
    16  an emotional or physical threat to the minor if disclosure is
    17  made regarding counseling or medical care received from a
    18  physician, agency or organization operating a drug abuse
    19  program; or
    20     (3)  has exhibited neglect of the minor.
    21     Section 3.  The act is amended by adding a section to read:
    22     Section 12.1.  Commitment of Minors.--(a)  A parent or legal
    23  guardian who has legal or physical custody of a minor may
    24  petition the court of common pleas of the judicial district
    25  where the minor is domiciled for commitment of the minor to
    26  involuntary drug and alcohol treatment services, including
    27  inpatient services if the minor is incapable of accepting or
    28  unwilling to accept voluntary treatment.
    29     (b)  Upon petition pursuant to subsection (a), the court
    30  shall appoint counsel for the minor. A minor who is alleged to
    19970H0679B0751                  - 3 -

     1  have a dependency on drugs or alcohol shall be ordered to
     2  undergo a drug and alcohol assessment performed by a
     3  psychiatrist, a licensed psychologist with specific training in
     4  drug and alcohol assessment and treatment, a certified addiction
     5  counselor or an individual certified by the Commonwealth to
     6  perform drug and alcohol assessment. The court shall hear the
     7  testimony of the persons under this subsection at the hearing on
     8  the petition for involuntary commitment.
     9     (c)  The court may order the minor committed to involuntary
    10  drug and alcohol treatment, including inpatient services for up
    11  to ninety days if all of the following apply:
    12     (1)  The court finds, beyond a reasonable doubt, that: (i)
    13  the minor is a drug-dependent person; and (ii) the minor is
    14  incapable of accepting or unwilling to accept voluntary
    15  treatment services.
    16     (2)  The court finds that the minor will benefit from
    17  involuntary treatment services.
    18     (d)  A minor ordered to undergo inpatient treatment due to a
    19  determination pursuant to subsection (c) shall remain under the
    20  treatment designated by the court for a period of ninety days
    21  unless sooner discharged. At the end of the ninety-day period,
    22  the court shall conduct a review hearing for the purpose of
    23  determining whether further treatment is necessary. If the court
    24  determines that further treatment is needed, the court may order
    25  the minor recommitted to inpatient services for an additional
    26  period of treatment not to exceed ninety days unless sooner
    27  discharged. The court may continue the minor in treatment for
    28  successive ninety-day periods pursuant to determinations that
    29  the minor will benefit from inpatient services for an additional
    30  ninety days.
    19970H0679B0751                  - 4 -

     1     Section 4.  Section 13 of the act is amended to read:
     2     Section 13.  Financial Obligations.--(a)  Except for minors,
     3  all persons receiving treatment under this act shall be subject
     4  to the provisions of Article V of the act of October 20, 1966
     5  (P.L.96), known as the "Mental Health and Mental Retardation Act
     6  of 1966," in so far as it relates to liabilities and payments
     7  for services rendered by the Commonwealth.
     8     (b)  In the case of proceedings under section 12.1 of this
     9  act, unless the court finds that the parent or legal guardian is
    10  without financial resources, the parent or legal guardian shall
    11  be obligated for all of the following:
    12     (1)  Court costs.
    13     (2)  Counsel fees for the minor.
    14     (3)  The cost of assessment and treatment services.
    15     Section 5.  Nothing in this act shall relieve, restrict or
    16  expand the obligations of any insurer, health maintenance
    17  organization, third-party administrators, hospital plan
    18  corporation or health services plan corporation doing business
    19  in this Commonwealth with respect to the coverage of drug and
    20  alcohol benefits, as set forth in Article VI-A of the act of May
    21  17, 1921 (P.L.682, No.284), known as The Insurance Company Law
    22  of 1921, section 2334 of the act of April 9, 1929 (P.L.177,
    23  No.175), known as The Administrative Code of 1929, act of
    24  December 29, 1972 (P.L.1701, No.364), known as the Health
    25  Maintenance Organization Act, or 40 Pa.C.S. Chs. 61 (relating to
    26  hospital plan corporations) and 63 (relating to professional
    27  health services plan corporations).
    28     Section 6.  All acts and parts of acts are repealed insofar
    29  as they are inconsistent with this act.
    30     Section 7.  This act shall take effect in 60 days.
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