SB 219 — Mental health: hospitalization; person requiring treatment; revise, and modify certain procedures for treatment. Amends secs. 401, 427, 430, 461, 468, 472a & 475 of 1974 PA 258 (MCL 330.1401 et seq.).

SB-219, As Passed Senate, May 21, 2025 SUBSTITUTE FOR SENATE BILL NO.

(a) An individual who has mental illness , and who as a result because of that mental illness can reasonably be expected within in the near future to intentionally or unintentionally seriously WAM S00775'25 (S-1)(S-1)_SB219_APS_1 8j4xwc3yi91e 1 physically injure himself, herself, the individual's self or another individual, others, and who has engaged in an act or acts or made significant threats that are substantially supportive of the expectation.

An individual described in this subsection may be hospitalized under the informal or formal voluntary hospitalization provisions of this chapter if he or she is considered the hospital director considers the individual clinically suitable for WAM S00775'25 (S-1)(S-1)_SB219_APS_1 8j4xwc3yi91e 1 hospitalization.

In all cases where a peace officer has executed WAM S00775'25 (S-1)(S-1)_SB219_APS_1 8j4xwc3yi91e 1 executes a petition, the preadmission screening unit shall ensure that an examination is conducted by a physician or licensed psychologist examines the individual.

If the psychiatrist certifies that the patient is a person requiring WAM S00775'25 (S-1)(S-1)_SB219_APS_1 8j4xwc3yi91e 1 treatment in the form of assisted outpatient treatment, a referral must be made to the community mental health services program serving the community where the patient resides and hearings may be convened under sections 451 to 465.

(b) Except as otherwise provided in this subdivision, evidence is presented that the physician, psychologist, or qualified health WAM S00775'25 (S-1)(S-1)_SB219_APS_1 8j4xwc3yi91e 1 professional who examined the individual under subdivision (a) discussed their findings and the plan for treatment for the individual with a psychiatrist during or immediately after the examination.

WAM S00775'25 (S-1)(S-1)_SB219_APS_1 8j4xwc3yi91e 1 (b) "Qualified health professional" means a psychiatric nurse practitioner who is acting under the delegation of a psychiatrist under section 16215 of the public health code, 1978 PA 368, MCL 333.16215, or a physician's assistant who is acting pursuant to a practice agreement with a psychiatrist under article 15 of the public health code, 1978 PA 368, MCL 333.16101 to 333.18838.

(c) Order the individual to undergo a program of combined hospitalization and assisted outpatient treatment, as recommended by the community mental health services program or other entity as WAM S00775'25 (S-1)(S-1)_SB219_APS_1 8j4xwc3yi91e 1 designated by the department.

WAM S00775'25 (S-1)(S-1)_SB219_APS_1 8j4xwc3yi91e 1 (v) Educational or vocational training.

(4) In developing an order for assisted outpatient treatment, order, the court shall consider any a preference or medication experience reported by the individual or his or her the individual's designated representative, whether or not the individual has an existing individual plan of services under WAM S00775'25 (S-1)(S-1)_SB219_APS_1 8j4xwc3yi91e 1 section 712, and any direction included in a directions included in an existing durable power of attorney or advance directive.

(1) Upon the filing of a petition under section 434 and a finding that an individual is a person requiring treatment, the court shall issue an initial order of for involuntary mental WAM S00775'25 (S-1)(S-1)_SB219_APS_1 8j4xwc3yi91e 1 health treatment that shall must be limited in duration as follows:

WAM S00775'25 (S-1)(S-1)_SB219_APS_1 8j4xwc3yi91e 1 (b) A continuing order of assisted outpatient treatment must not exceed 1 year.

(1) During the period of an order for assisted WAM S00775'25 (S-1)(S-1)_SB219_APS_1 8j4xwc3yi91e 1 outpatient treatment or combined hospitalization and assisted outpatient treatment, if the agency or mental health professional who is supervising an individual's assisted outpatient treatment program determines that the individual is not complying with the court order or that the assisted outpatient treatment has not been or will not be sufficient to prevent harm that the individual may inflict on himself or herself the individual's self or upon others, then the supervising agency or mental health professional shall notify the court immediately.

The duration of the hospitalization, including the number of days the individual has already been hospitalized if the WAM S00775'25 (S-1)(S-1)_SB219_APS_1 8j4xwc3yi91e 1 order being modified is a combined order, shall must not exceed 60 days for an initial order or 90 days for a second or continuing order.

(c) Upon On the recommendation by of the community mental health services program serving the community in which the WAM S00775'25 (S-1)(S-1)_SB219_APS_1 8j4xwc3yi91e 1 individual resides, that the individual be hospitalized for a period of more than 10 days, but not longer than the duration of the order for assisted outpatient treatment or a combination of hospitalization and assisted outpatient treatment, or not longer than 90 days, whichever is less.

Final Page WAM S00775'25 (S-1)(S-1)_SB219_APS_1 8j4xwc3yi91e