SB-1470, As Passed Senate, November 10, 2004                                

    SUBSTITUTE FOR

    SENATE BILL NO. 1470

                                                                             A bill to amend 1974 PA 258, entitled                                             

"Mental health code,"                                                       

by amending section 409 (MCL 330.1409), as amended by 1996 PA               

588.                                                                        

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

1       Sec. 409.  (1) Each community mental health services program                

2   shall establish 1 or more preadmission screening units with                 

3   24-hour availability to provide assessment and screening services           

4   for individuals being considered for admission into hospitals or            

5   alternative treatment programs.  The community mental health                

6   services program shall employ mental health professionals to                

7   provide the preadmission screening services or contract with                

8   another agency, which shall meet the requirements of this                   

9   section.  Preadmission screening unit staff shall be supervised             

10  by a registered professional nurse or other mental health                   

1   professional possessing at least a master's degree.                         

2       (2) Each community mental health services program shall                     

3   provide the address and telephone number of its preadmission                

4   screening unit or units to law enforcement agencies, the                    

5   department, the court, and hospital emergency rooms.                        

6       (3) A preadmission screening unit shall assess  individuals                 

7   who seek authorization an individual being considered for                  

8   admission into  hospitals a hospital operated by the department            

9   or under contract with the community mental health services                 

10  program.  If the individual is clinically suitable for                      

11  hospitalization, the preadmission screening unit shall authorize            

12  voluntary admission to the hospital.                                        

13      (4) If the preadmission screening unit of the community                     

14  mental health services program denies hospitalization, the                  

15  individual or the person making the application may request a               

16  second opinion from the executive director.  The executive                  

17  director shall arrange for an additional evaluation by a                    

18  psychiatrist, other physician, or licensed psychologist to be               

19  performed within 3 days, excluding Sundays and legal holidays,              

20  after the executive director receives the request.  If the                  

21  conclusion of the second opinion is different from the conclusion           

22  of the preadmission screening unit, the executive director, in              

23  conjunction with the medical director, shall make a decision                

24  based on all clinical information available.  The executive                 

25  director's decision shall be confirmed in writing to the                    

26  individual who requested the second opinion, and the confirming             

27  document shall include the signatures of the executive director             

1   and medical director or verification that the decision was made             

2   in conjunction with the medical director.  If an individual is              

3   assessed and found not to be clinically suitable for                        

4   hospitalization, the preadmission screening unit shall provide              

5   appropriate referral services.                                              

6       (5) If an individual is assessed and found not to be                        

7   clinically suitable for hospitalization, the preadmission                   

8   screening unit shall provide information regarding alternative              

9   services and the availability of those services, and make                   

10  appropriate referrals.                                                      

11      (6) A preadmission screening unit shall assess and examine,                 

12  or refer to a hospital for examination, an individual who is                

13  brought to the unit by a peace officer or ordered by a court to             

14  be examined.  If the individual meets the requirements for                  

15  hospitalization, the preadmission screening unit shall designate            

16  the hospital to which the individual shall be admitted.  The                

17  preadmission screening unit shall consult with the individual               

18  and, if the individual agrees, it shall consult with the                    

19  individual's family member of choice, if available, as to the               

20  preferred hospital for admission of the individual.                         

21      (7) If the individual chooses a hospital not under contract                 

22  with a community mental health services program, and the hospital           

23  agrees to the admission, the preadmission screening unit shall              

24  refer the individual to the hospital that is requested by the               

25  individual.  Any financial obligation for the services provided             

26  by the hospital shall be satisfied from funding sources other               

27  than the community mental health services program, the                      

1   department, or other state or county funding.                               

2       Enacting section 1.  This amendatory act does not take                      

3   effect unless all of the following bills of the 92nd Legislature            

4   are enacted into law:                                                       

5       (a) Senate Bill No. 1464.                                                   

6       (b) Senate Bill No. 1468.                                                   

7       (c) Senate Bill No. 1469.                                                   

8       (d) Senate Bill No. 1471.                                                   

9       (e) Senate Bill No. 1472.