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                                                       PRINTER'S NO. 257

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 259 Session of 2001


        INTRODUCED BY ORIE, TIGUE, THOMAS, WOJNAROSKI, LAUGHLIN, COY,
           BEBKO-JONES, GEORGE, READSHAW, FRANKEL, WASHINGTON, PISTELLA,
           SOLOBAY, PRESTON, KENNEY, HARHART, R. MILLER, C. WILLIAMS,
           DALEY, RUBLEY, HENNESSEY, E. Z. TAYLOR, SCRIMENTI, JOSEPHS,
           SATHER, HARHAI, PETRARCA, EACHUS, SEMMEL, McCALL AND
           STEELMAN, JANUARY 29, 2001

        REFERRED TO COMMITTEE ON HEALTH AND HUMAN SERVICES,
           JANUARY 29, 2001

                                     AN ACT

     1  Amending the act of July 9, 1976 (P.L.817, No.143), entitled "An
     2     act relating to mental health procedures; providing for the
     3     treatment and rights of mentally disabled persons, for
     4     voluntary and involuntary examination and treatment and for
     5     determinations affecting those charged with crime or under
     6     sentence," providing for aftercare plans for persons under
     7     treatment prior to discharge from treatment.

     8     The General Assembly of the Commonwealth of Pennsylvania
     9  hereby enacts as follows:
    10     Section 1.  The act of July 9, 1976 (P.L.817, No.143), known
    11  as the Mental Health Procedures Act, is amended by adding a
    12  section to read:
    13     Section 108.1.  Aftercare Directives.--(a)  Every person who
    14  is under treatment under this act including treatment under
    15  section 116, and the person's conservator, guardian or other
    16  legally authorized representative shall, prior to discharge from
    17  a facility as defined in section 103, be give a written
    18  aftercare plan.

     1     (b)  The written aftercare plan shall include, to the extent
     2  known, all of the following components:
     3     (1)  The nature of the illness and follow-up required.
     4     (2)  Medications including side effects and dosage schedules.
     5  If the patient was given an informed consent form with his or
     6  her medications, the form shall satisfy the requirement for
     7  information on side effects of the medications.
     8     (3)  Expected course of recovery.
     9     (4)  Recommendations regarding treatment that are relevant to
    10  the person's care.
    11     (5)  Referrals to providers of medical and mental health
    12  services.
    13     (6)  Notification of the person's right to use advance
    14  directives, in accordance with a form established by the
    15  department for this purpose. The notification shall also inform
    16  the person that he or she is not required to use an advance
    17  directive, and that discharge is not contingent upon the
    18  person's decision to use an advance directive.
    19     (7)  Other relevant information.
    20     (c)  The person shall be advised by facility personnel that
    21  he or she may designate another person to receive a copy of the
    22  aftercare plan. A copy of the aftercare plan shall be given to
    23  any person designated by the person.
    24     (d)  A person discharged from treatment under section 116 may
    25  refuse any or all services under the written aftercare plan.
    26     (e)  The provisions of section 111 shall not apply to any
    27  person who is authorized to receive an aftercare plan.
    28     (f)  The department shall convene an advance directive work
    29  group to produce a model advance directive form, in order to
    30  promote uniformity and facilitate use of advance directives. The
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     1  work group shall consist of, but not be limited to, mental
     2  health consumers, family members of mental health consumers,
     3  representatives of county mental health departments, consumer
     4  advocates, and representatives of mental health inpatient and
     5  outpatient families and agencies.
     6     Section 2.  This act shall take effect July 1, 2001.
















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