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                                 SENATE AMENDED
        PRIOR PRINTER'S NOS. 751, 1196, 1510,         PRINTER'S NO. 2565
        1802

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,
           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.



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