District of Columbia Mental Health Civil Commitment Modernization Act of 2004

        [Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4302 Enrolled Bill (ENR)]

H.R.4302

One Hundred Eighth Congress

of the

United States of America

AT THE SECOND SESSION

Begun and held at the City of Washington on Tuesday,
the twentieth day of January, two thousand and four

An Act

To amend title 21, District of Columbia Official Code, to enact the
provisions of the Mental Health Civil Commitment Act of 2002 which
affect the Commission on Mental Health and require action by Congress in
order to take effect.

Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the ``District of Columbia Mental Health
Civil Commitment Modernization Act of 2004''.

SEC. 2. COMPOSITION, APPOINTMENT, AND ORGANIZATION OF COMMISSION ON
MENTAL HEALTH.

(a) In General.--Section 21-502, District of Columbia Official
Code, is amended to read as follows:

``Sec. 21-502. Commission on Mental Health; composition; appointment
and terms of members; organization; chairperson; salaries

``(a) The Commission on Mental Health is continued. The Chief Judge
of the Superior Court of the District of Columbia shall appoint the
members of the Commission, and the Commission shall be composed of 9
members and an alternate chairperson. One member shall be a magistrate
judge of the Court appointed pursuant to title 11, District of Columbia
Official Code, who shall be a member of the bar of the Court and has
engaged in active practice of law in the District of Columbia for a
period of at least 5 years prior to his or her appointment. The
magistrate judge shall be the Chairperson of the Commission and act as
the administrative head of the Commission. The Chairperson shall
preside at all hearings and direct all of the proceedings before the
Commission. Eight members of the Commission shall be psychiatrists or
qualified psychologists, as those terms are defined in section 21-501,
who have not had less than 5 years of experience in the diagnosis and
treatment of mental illness.
``(b)(1) Appointment of members of the Commission shall be for
terms of 4 years.
``(2) The initial appointment of a psychiatrist or a qualified
psychologist shall be for a probationary period of one year. After the
initial one-year probationary appointment, subsequent appointments of
the psychiatrist or qualified psychologist shall be for terms of 4
years.
``(c) The psychiatrist or qualified psychologist members of the
Commission shall serve on a part-time basis and shall be rotated by
assignment of the Chief Judge of the Court, so that at any one time the
Commission shall consist of the Chairperson and 2 members, each of whom
is either a psychiatrist or a qualified psychologist. Members of the
Commission who are psychiatrists or qualified psychologists may
practice their professions during their tenures of office, but may not
participate in the disposition of a case of a person in which they have
rendered professional service or advice.
``(d) The Chief Judge of the Court shall appoint a magistrate judge
of the Court to serve as an alternate Chairperson of the Commission.
The alternate Chairperson shall serve on a part time basis and act as
Chairperson in the absence of the permanent Chairperson.
``(e) The rate of compensation for the members of the Commission
who are psychiatrists or qualified psychologists shall be fixed by the
Executive Officer of the Court.''.
(b) Clerical Amendment.--The item relating to section 21-502 in the
table of sections for subchapter I of chapter 5 of title 21, District
of Columbia Official Code, is amended to read as follows:
``21-502. Commission on Mental Health; composition; appointment and
terms of members; organization; chairperson; salaries.''.
(c) Effective Date; Transition for Current Members.--The amendments
made by this section shall take effect on the date of the enactment of
this Act, except nothing in this section or the amendments made by this
section may be construed to affect the appointment or term of service
of any individual who serves as a member or alternate member of the
Commission on Mental Health (including an individual who serves as the
Chairperson or alternate Chairperson of the Commission) on such date.

SEC. 3. COMMISSION MEMBERS DEEMED COMPETENT AND COMPELLABLE WITNESSES
AT MENTAL HEALTH PROCEEDINGS.

Section 21-503(b), District of Columbia Official Code, is amended
by striking ``The Commission, or any of the members thereof,'' and
inserting ``Commission members who are psychiatrists or qualified
psychologists''.

SEC. 4. DETENTION FOR EMERGENCY OBSERVATION AND DIAGNOSIS.

Section 21-526, District of Columbia Official Code, is amended by
adding at the end the following new subsections:
``(c) The maximum period of time for detention for emergency
observation and diagnosis may be extended for up to 21 days, if
judicial proceedings under subchapter IV of this chapter have been
commenced before the expiration of the order entered under section 21-
524 and a psychiatrist or qualified psychologist has examined the
person who is the subject of the judicial proceedings and is of the
opinion that the person being detained remains mentally ill and is
likely to injure himself or others as a result of the illness unless
the emergency detention is continued. For good cause shown, the Court
may extend the period of detention for emergency observation and
diagnosis. The period of detention for emergency observation and
diagnosis may be extended pursuant to section 21-543(b) or following a
hearing before the Commission pursuant to subsections (d) and (e) of
this section.
``(d) If the Commission, at the conclusion of its hearing pursuant
to section 21-542, has found that the person with respect to whom the
hearing was held is mentally ill and, because of the mental illness, is
likely to injure himself or others if not committed, and has concluded
that a recommendation of inpatient commitment is the least restrictive
alternative available to prevent the person from injuring himself or
others, the detention for emergency observation and diagnosis may be
continued by the Department or hospital--
``(1) pending the conclusion of judicial proceedings under
subchapter IV of this chapter;
``(2) until the Court enters an order discharging the person;
or
``(3) until the Department or hospital determines that
continued hospitalization is no longer the least restrictive form
of treatment appropriate for the person being detained.
``(e) If the Commission, at the conclusion of its hearing, finds
that the person is mentally ill, is likely to injure himself or other
persons as a result of mental illness if not committed, and that
outpatient treatment is the least restrictive form of commitment
appropriate, then, within 14 days of the date of the hearing, the
person shall be discharged from inpatient status and shall receive
outpatient mental health services or mental health supports as an
emergency nonvoluntary patient consistent with this subchapter, pending
the conclusion of judicial proceedings under subchapter IV of this
chapter.''.

SEC. 5. REPRESENTATION BY COUNSEL OF PERSONS ALLEGED TO BE MENTALLY
ILL.

Section 21-543, District of Columbia Official Code, is amended--
(1) in subsection (a) (as redesignated by section 2(r)(1) of
the Mental Health Civil Commitment Act of 2002), by striking the
last sentence; and
(2) by adding at the end the following new subsection:
``(b) The Commission may not grant a continuance for counsel to
prepare his case for more than 5 days. The Commission may grant
continuances for good cause shown for periods of up to 14 days. If the
Commission grants a continuance, the emergency observation and
detention of the person about whom the hearing is being held shall be
extended for the duration of the continuance.''.

SEC. 6. HEARING AND DETERMINATION ON QUESTION OF MENTAL ILLNESS.

(a) In General.--Section 21-545, District of Columbia Official
Code, is amended--
(1) in subsection (a), by striking ``jury trial'' each place it
appears and inserting ``jury trial or a trial by the Court'';
(2) by amending subsection (b) to read as follows:
``(b)(1) If the Court or jury finds that the person is not mentally
ill or is not likely to injure himself or others as a result of mental
illness, the Court shall dismiss the petition and order the person's
release.
``(2) If the Court or jury finds that the person is mentally ill
and, because of that mental illness, is likely to injure himself or
others if not committed, the Court may order the person's commitment to
the Department or to any other facility, hospital, or mental health
provider that the Court believes is the least restrictive alternative
consistent with the best interests of the person and the public. An
order of commitment issued pursuant to this paragraph shall be for a
period of one year.''; and
(3) by adding at the end the following new subsections:
``(c) The psychiatrists and qualified psychologists who are members
of the Commission shall be competent and compellable witnesses at a
hearing or trial held pursuant to this chapter.
``(d) The jury to be used in any case where a jury trial is
demanded under this chapter shall be impaneled, upon order of the
Court, from the jurors in attendance upon other branches of the Court,
who shall perform the services in addition to and as part of their
duties in the Court.''.
(b) Effective Date.--The amendments made by this section shall
apply with respect to trials under section 21-545, District of Columbia
Code, which are initiated on or after the date of the enactment of this
Act.

SEC. 7. RENEWAL OF COMMITMENT STATUS BY COMMISSION.

(a) In General.--Subchapter IV of chapter 5 of title 21, District
of Columbia Official Code, is amended by inserting after section 21-545
the following new section:

``Sec. 21-545.01. Renewal of commitment status by commission; review by
Court

``(a) At least 60 days prior to the expiration of an order of
commitment issued pursuant to section 21-545 or this section, the chief
clinical officer of the Department, or the chief of service of the
facility, hospital, or mental health provider to which the person is
committed may petition the Commission for a renewal of the order of
commitment for that person. For good cause shown, a petition of
commitment may be filed within the last 60 days of the one-year period
of commitment. The petition for renewal of commitment shall be
supported by a certificate of a psychiatrist or qualified psychologist
stating that he has examined the person and is of the opinion that the
person is mentally ill, and, because of the illness, is likely to
injure himself or other persons if not committed. The term of the
renewed commitment order shall not exceed one year.
``(b) Within 3 days of the filing of a petition under subsection
(a) of this section, the Commission shall send a copy of the petition
and supporting certificate by registered mail to the person with
respect to whom the petition was filed and by regular mail to the
person's attorney.
``(c) The Commission shall promptly examine a person for whom a
petition is filed under subsection (a) of this section, and, in
accordance with the procedures described in sections 21-542 and 21-543,
shall thereafter promptly hold a hearing on the issue of the person's
mental illness and whether, as a result of a mental illness, the person
is likely to injure himself or other persons if not committed.
``(d) If the Commission finds, after a hearing under subsection (c)
of this section, that the person with respect to whom the hearing was
held is no longer mentally ill, or is not mentally ill to the extent
that the person is likely to injure himself or other persons if not
committed, the Commission shall immediately order the termination of
the commitment and notify the Court of that fact in writing.
``(e) If the Commission finds, after a hearing under subsection (c)
of this section, that the person with respect to whom the hearing was
held remains mentally ill to the extent that the person is likely to
injure himself or others if not committed, the Commission shall order
the renewal of the commitment of the person for an additional term not
to exceed one year and shall promptly report that fact, in writing, to
the Court. The report shall contain the Commission's findings of fact
and conclusions of law. A copy of the report shall be served by
registered mail on the person with respect to whom the hearing was held
and by mail on the person's attorney.
``(f) If a petition for a renewal of an order of commitment is
pending at the expiration of the commitment period ordered under
section 21-545 or this section, the Court may, for good cause shown,
extend the period of commitment pending resolution of the renewal
petition.
``(g) Within the last 30 days of the period of commitment, the
chief clinical officer of the Department, or the chief of service of
the facility, hospital, or mental health provider to which a person is
committed, shall notify the Court which ordered the person's commitment
pursuant to section 21-545 or this section of the decision not to seek
renewal of commitment. Notice to the Court shall be in writing and a
copy of the notice shall be mailed to the person who was committed and
the person's attorney.
``(h)(1) A person for whom the Commission orders renewed commitment
pursuant to subsection (e) of this section may seek a review of the
Commission's order by the Superior Court of the District of Columbia,
and the Commission, orally and in writing, shall advise the person of
this right.
``(2) A review of the Commission's order of renewed commitment, in
whole or in part, may be made by a judge of the appropriate division
sua sponte and shall be made upon a motion of one of the parties made
pursuant to procedures established by rules of the Court. The reviewing
judge shall conduct such proceedings as required by the rules of the
Court.
``(3) An appeal to the District of Columbia Court of Appeals may be
made only after a judge of the Court has reviewed the Commission's
order of renewed commitment.''.
(b) Clerical Amendment.--The table of sections of subchapter IV of
chapter 5 of title 21, District of Columbia Official Code, is amended
by inserting after the item relating to section 21-545 the following:
``21-545.01. Renewal of commitment status by Commission; review by
Court.''.

Speaker of the House of Representatives.

Vice President of the United States and
President of the Senate.