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        PRIOR PRINTER'S NOS. 751, 1196                PRINTER'S NO. 1510

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

        AS AMENDED ON THIRD CONSIDERATION, HOUSE OF REPRESENTATIVES,
           APRIL 15, 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 of    <--
     7  age or younger.
     8     * * *
     9     Section 2.  Section 5 of the act is amended to read:
    10     Section 5.  Admissions and Commitments.--[Admissions] Except
    11  as provided in section 12.1 of this act, admissions and
    12  commitments to treatment facilities may be made according to the
    13  procedural admission and commitment provisions of the act of
    14  [October 20, 1966 (P.L.96), known as the "Mental Health and
    15  Mental Retardation Act of 1966."] July 9, 1976 (P.L.817,
    16  No.143), known as the "Mental Health Procedures Act."
    17     Section 3.  The act is amended by adding a section SECTIONS    <--
    18  to read:
    19     SECTION 9.1.   STATE JUVENILE SUBSTANCE ABUSE AND CHEMICAL     <--
    20  DEPENDENCY ASSESSMENT AND TREATMENT PROGRAM.--(A)  THE OFFICE OF
    21  DRUG AND ALCOHOL PROGRAMS WITHIN THE DEPARTMENT OF HEALTH,
    22  WORKING IN COOPERATION WITH THE DEPARTMENT OF PUBLIC WELFARE IS
    23  HEREBY AUTHORIZED TO ESTABLISH A PILOT SUBSTANCE ABUSE AND
    24  CHEMICAL DEPENDENCY ASSESSMENT PROGRAM FOR THE PURPOSE OF
    25  ASSESSING AND TREATING SUBSTANCE-ABUSING AND CHEMICALLY
    26  DEPENDENT JUVENILE INMATES WHILE INCARCERATED IN STATE
    27  FACILITIES. THE PROGRAM SHALL BE CONTRACTED WITH A PRIVATE DRUG
    28  AND ALCOHOL TREATMENT PROVIDER. THE DEPARTMENT OF HEALTH AND THE
    29  DEPARTMENT OF PUBLIC WELFARE SHALL SELECT A PILOT JUVENILE
    30  FACILITY OR FACILITIES TO IMPLEMENT THE PROGRAM AND SHALL
    19970H0679B1510                  - 2 -

     1  COLLABORATE WITH THE COURTS, OTHER CRIMINAL JUSTICE AGENCIES AND
     2  DRUG AND ALCOHOL TREATMENT PROGRAMS TO DEVELOP WRITTEN
     3  GUIDELINES AND PROCEDURES GOVERNING THE SELECTION OF THE
     4  JUVENILE FACILITY OR FACILITIES, OPERATION OF THE PROGRAM,
     5  ELIGIBILITY OF TREATMENT PROGRAMS TO APPLY TO PROVIDE THIS
     6  SERVICE AND ELIGIBILITY OF INMATES FOR THE ASSESSMENT AND
     7  TREATMENT PROGRAM. THE PILOT PROGRAM ESTABLISHED UNDER THIS
     8  SECTION SHALL NOT TAKE THE PLACE OF ANY OTHER EXISTING
     9  THERAPEUTIC COMMUNITY DRUG AND ALCOHOL PROGRAM IN ANY STATE
    10  JUVENILE FACILITY.
    11     (B)  ASSESSMENTS OF DRUG AND ALCOHOL ABUSE AND DEPENDENCY
    12  SHALL BE PERFORMED BY DRUG AND ALCOHOL COUNSELORS WHO HAVE BEEN
    13  CERTIFIED BY THE PENNSYLVANIA CHEMICAL ABUSE CERTIFICATION BOARD
    14  (PCACB) OR WHO HOLD A RECIPROCITY-LEVEL CERTIFICATION BY THE
    15  INTERNATIONAL CERTIFICATION RECIPROCITY CONSORTIUM (ICRC).
    16     (C)  IF THE ASSESSMENT DETERMINES THAT THE INCARCERATED
    17  JUVENILE IS IN NEED OF ALCOHOL OR OTHER DRUG TREATMENT, THE
    18  JUVENILE SHALL BE REFERRED TO THE TREATMENT PROGRAM PROVIDED
    19  WITHIN THE JUVENILE FACILITY.
    20     (D)  THE ALCOHOL AND DRUG TREATMENT PROGRAM OR PROGRAMS
    21  WITHIN THE JUVENILE INSTITUTION SHALL BE ESTABLISHED AND
    22  ADMINISTERED IN A SEPARATE AREA OF THE PRISON BY PRIVATE ALCOHOL
    23  AND DRUG TREATMENT PROGRAMS LICENSED BY THE OFFICE OF DRUG AND
    24  ALCOHOL PROGRAMS WITHIN THE DEPARTMENT OF HEALTH. IN ADDITION TO
    25  LICENSURE, DRUG AND ALCOHOL TREATMENT PROGRAMS ELIGIBLE TO APPLY
    26  TO PROVIDE THIS SERVICE MUST HAVE AT LEAST FIVE YEARS'
    27  EXPERIENCE IN TREATING CHEMICALLY DEPENDENT INDIVIDUALS INVOLVED
    28  WITH THE CRIMINAL JUSTICE SYSTEM, FIVE YEARS' EXPERIENCE RUNNING
    29  A THERAPEUTIC COMMUNITY AND BE ABLE TO PROVIDE A LONG-TERM
    30  RESIDENTIAL THERAPEUTIC COMMUNITY WITHIN THE JUVENILE FACILITY.
    19970H0679B1510                  - 3 -

     1  IN ADDITION, AS PART OF THE APPLICATION PROCESS, THE TREATMENT
     2  PROGRAM MUST DEMONSTRATE THE ABILITY TO PROVIDE POST-PRISON
     3  AFTERCARE AND CONTINUING CARE TREATMENT FACILITIES.
     4     (E)  THE SUBSTANCE ABUSE AND CHEMICAL DEPENDENCY ASSESSMENTS
     5  UNDER THIS SECTION SHALL INCORPORATE METHODS FOR DETECTION AND
     6  DETERMINATION OF CHRONIC DRUG AND ALCOHOL ADDICTION AND SHALL
     7  INCLUDE, BUT NOT BE LIMITED TO, DRUG AND ALCOHOL COUNSELING AND
     8  EVALUATION, CHEMICAL TESTING AND ANY OTHER ACCEPTABLE MEANS FOR
     9  DETECTION AND DETERMINATION OF SUBSTANCE ABUSE AND CHEMICAL
    10  DEPENDENCY.
    11     (F)  THE OFFICE OF DRUG AND ALCOHOL TREATMENT PROGRAMS WITHIN
    12  THE DEPARTMENT OF HEALTH SHALL CONDUCT AN ONGOING, COMPREHENSIVE
    13  EVALUATION PROGRAM TO DETERMINE THE EFFECTIVENESS OF THE
    14  SUBSTANCE ABUSE ASSESSMENT PILOT PROGRAM IN REDUCING CRIMINAL
    15  BEHAVIOR, RECIDIVISM, ARREST AND COMMITMENTS TO JUVENILE
    16  INSTITUTIONS. IN ADDITION, THE OFFICE OF DRUG AND ALCOHOL
    17  TREATMENT PROGRAMS SHALL COLLABORATE WITH THE DEPARTMENT OF
    18  PUBLIC WELFARE TO SECURE MEDICAL ASSISTANCE PAYMENTS TO COVER
    19  THE COST OF DRUG AND ALCOHOL DETOXIFICATION AND REHABILITATION
    20  SERVICES FOR ANY PERSON ELIGIBLE FOR THE PAYMENTS.
    21     (G)  ON OR BEFORE MARCH 1 OF EACH YEAR, THE DEPARTMENT OF
    22  HEALTH SHALL SUBMIT A REPORT TO THE GENERAL ASSEMBLY WHICH SHALL
    23  INCLUDE, BUT NOT BE LIMITED TO, A COMPREHENSIVE EVALUATION TO
    24  DETERMINE THE EFFECTIVENESS OF THE SUBSTANCE ABUSE ASSESSMENT
    25  PILOT PROGRAM IN REDUCING CRIMINAL BEHAVIOR, RECIDIVISM, ARREST
    26  AND COMMITMENTS TO JUVENILE INSTITUTIONS.
    27     Section 12.1.  Commitment of Minors.--(a)  A parent or legal
    28  guardian who has legal or physical custody of a minor may
    29  petition the court of common pleas of the judicial district
    30  where the minor is domiciled for commitment of the minor to
    19970H0679B1510                  - 4 -

     1  involuntary drug and alcohol treatment services, including
     2  inpatient services, if the minor is incapable of accepting or     <--
     3  unwilling to accept voluntary treatment. THE PETITION SHALL SET   <--
     4  FORTH SUFFICIENT FACTS AND GOOD REASON FOR THE COMMITMENT. Such
     5  matters shall be heard by the division or a judge of the court
     6  assigned to conduct proceedings under 42 Pa.C.S. Ch. 63
     7  (relating to juvenile matters), involving children who have been
     8  alleged to be dependent or delinquent.
     9     (b)  Upon petition pursuant to subsection (a), the court
    10  shall appoint counsel for the minor. A minor who is alleged to
    11  have a dependency on drugs or alcohol shall be ordered to
    12  undergo a drug and alcohol assessment performed by a
    13  psychiatrist, a licensed psychologist with specific training in
    14  drug and alcohol assessment and treatment or a certified
    15  addiction counselor. The court shall hear the testimony of the
    16  persons under this subsection at the hearing on the petition for
    17  involuntary commitment.
    18     (c)  Based on the assessment defined in subsection (b), the
    19  court may order the minor committed to involuntary drug and
    20  alcohol treatment, including inpatient services, for up to        <--
    21  forty-five days if all of the following apply:
    22     (1)  The court finds by clear and convincing evidence that:
    23  (i) the minor is a drug-dependent person; and (ii) the minor is
    24  incapable of accepting or unwilling to accept voluntary
    25  treatment services.
    26     (2)  The court finds that the minor will benefit from
    27  involuntary treatment services.
    28     (3)  Where the court decision is inconsistent with the level
    29  of care and length of stay TREATMENT recommended by the           <--
    30  assessment, the court shall set forth in its order a statement
    19970H0679B1510                  - 5 -

     1  of facts and reasons for its recommendations DISPOSITION.         <--
     2     (d)  A minor ordered to undergo inpatient treatment due to a   <--
     3  determination pursuant to subsection (c) shall remain under the
     4  treatment designated by the court for a period of forty-five
     5  days unless sooner discharged. Prior to the end of the forty-
     6  five-day period, the court shall conduct a review hearing for
     7  the purpose of determining whether further treatment is
     8  necessary. If the court determines that further treatment is
     9  needed, the court may order the minor recommitted to inpatient    <--
    10  services for an additional period of treatment not to exceed
    11  forty-five days unless sooner discharged. The court may continue
    12  the minor in treatment for successive forty-five-day periods
    13  pursuant to determinations that the minor will benefit from
    14  inpatient services for an additional forty-five days.             <--
    15     Section 4.  Section 13 of the act is amended to read:
    16     Section 13.  Financial Obligations.--(a)  Except for minors,
    17  all persons receiving treatment under this act shall be subject
    18  to the provisions of Article V of the act of October 20, 1966
    19  (P.L.96), known as the "Mental Health and Mental Retardation Act
    20  of 1966," in so far as it relates to liabilities and payments
    21  for services rendered by the Commonwealth.
    22     (b)  In the case of proceedings under section 12.1 of this
    23  act, unless the court finds that the parent or legal guardian is
    24  without financial resources, the parent or legal guardian shall
    25  be obligated for all of the following:
    26     (1)  Court costs.
    27     (2)  Counsel fees for the minor.
    28     (3)  The cost of assessment and treatment services.
    29     Section 5.  Nothing in this act shall relieve, restrict or
    30  expand the obligations of any insurer, health maintenance
    19970H0679B1510                  - 6 -

     1  organization, third-party administrators, hospital plan
     2  corporation or health services plan corporation doing business
     3  in this Commonwealth with respect to the coverage of drug and
     4  alcohol benefits, as set forth in Article VI-A of the act of May
     5  17, 1921 (P.L.682, No.284), known as The Insurance Company Law
     6  of 1921, section 2334 of the act of April 9, 1929 (P.L.177,
     7  No.175), known as The Administrative Code of 1929, the act of
     8  December 29, 1972 (P.L.1701, No.364), known as the Health
     9  Maintenance Organization Act, or 40 Pa.C.S. Chs. 61 (relating to
    10  hospital plan corporations) and 63 (relating to professional
    11  health services plan corporations).
    12     Section 6.  All acts and parts of acts are repealed insofar
    13  as they are inconsistent with this act.
    14     Section 7.  This act shall take effect in 60 days.











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