SB 5853 — Extending the crisis relief center model to provide behavioral health crisis services for minors.
Last action — Effective date 6/6/2024**.
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✓Introduced
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✓In Committee
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✓Passed Senate
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✓Passed House
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced December 15, 2023. Enacted.
Odds of enactment
High chanceBased on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.
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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.
Prognosis
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Enacted
Current position in the legislative process.
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15 sponsors
1 primary, 14 co-sponsors signed on.
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Bipartisan support
Sponsored across 2 parties (11 D · 3 R) — cross-party backing.
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Cleared a recorded vote
Passed 2 recorded votes so far.
Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.
Bill Text
What changed in the latest version
1097 added · 1294 removedPlain-language change summary
The amendment to Bill SB 5853 clarifies the definition of "23-hour crisis relief center" by specifying that these facilities can serve either adults or children, but cannot mix the two in the same treatment area. This distinction is important because it ensures that facilities can tailor their services more appropriately to the specific needs of the population they serve. Additionally, the language has been adjusted to remove any redundancy in the references to certain sections of the law, making the bill clearer and easier to understand. This helps streamline the regulation of mental health and substance use care facilities, which is crucial for effective crisis response.
S-4049.2S-3530.4 SUBSTITUTE SENATE BILL 5853 State of Washington 68th Legislature 2024 Regular Session By Senate Health & Long Term Care (originally sponsored by Senators Dhingra, Wagoner, Frame, Hasegawa, Kuderer, Lovelett, Lovick, Muzzall, Nguyen, Nobles, Shewmake, Stanford, Torres, Valdez, and C.
Wilson)Wilson ANPrefiled ACT12/15/23. Relating to extending the crisis relief center model to provide behavioral health crisis services for minors;
amendingRead RCWfirst 71.24.916,time 71.34.020,01/08/24. 71.34.020, 71.34.351, 71.34.375, 71.34.430, 71.34.700, and 71.34.700;
Referred to Committee on Health & Long Term Care.
AN ACT Relating to extending the crisis relief center model to provide behavioral health crisis services for minors;
amending RCW 71.34.020, 71.34.020, and 71.34.351;
and providing ana contingent effective date;date.
providing a contingent effective date;
and providing an expiration date.
(1) "23-hour crisis relief center" means a community-based facility or portion of a facility serving either adults or children,minors, but not serving both in the same treatmentfacility, area, which is licensed or certified by the department of health and open 24 hours a day, seven days a week, offering access to mental health and substance use care for no more than 23 hours and 59 minutes at a time per patient, and which accepts all behavioral health crisis walk-ins drop-offs from first responders, and individuals referred through the 988 system regardless of behavioral health acuity, and meets the requirements under RCW 71.24.916.
(2) "988 crisis hotline" means the universal telephone number within the United States designated for the purpose of the national p.
1 SSBSB 5853 (2) "988 crisis hotline" means the universal telephone number within the United States designated for the purpose of the national suicide prevention and mental health crisis hotline system operating through the national suicide prevention lifeline.
(9) "Behavioral health aide" means a counselor, health educator, and advocate who helps address individual and community-based behavioral health needs, including those related to alcohol, drug, p.
2 SSBSB 5853 (9) "Behavioral health aide" means a counselor, health educator, and advocate who helps address individual and community-based behavioral health needs, including those related to alcohol, drug, and tobacco abuse as well as mental health problems such as grief, depression, suicide, and related issues and is certified by a community health aide program of the Indian health service or one or more tribes or tribal organizations consistent with the provisions of 25 U.S.C.
(16) "Community behavioral health service delivery system" means public, private, or tribal agencies that provide services specifically to persons with mental disorders, substance use p.
3 SSBSB 5853 (16) "Community behavioral health service delivery system" means public, private, or tribal agencies that provide services specifically to persons with mental disorders, substance use disorders, or both, as defined under RCW 71.05.020 and receive funding from public sources.
(21) "Crisis stabilization services" means services such as 23- hour crisis relief centers, crisis stabilization units, short-term respite facilities, peer-run respite services, and same-day walk-in p.
4 SSBSB 5853 (21) "Crisis stabilization services" means services such as 23- hour crisis relief centers, crisis stabilization units, short-term respite facilities, peer-run respite services, and same-day walk-in behavioral health services, including within the overall crisis system components that operate like hospital emergency departments that accept all walk-ins, and ambulance, fire, and police drop-offs, or determine the need for involuntary hospitalization of an individual.
or one large multiple site randomized, or statistically controlled p.evaluation, or both, where the weight of the evidence from a systemic review demonstrates sustained improvements in at least one outcome.
5"Evidence-based" SSBalso 5853means evaluation, or both, where the weight of the evidence from a systemicprogram reviewor demonstratespractice sustainedthat improvementscan inbe atp. least one outcome.
"Evidence-based"5 alsoSB means5853 a program or practice that can be implemented with a set of procedures to allow successful replication in Washington and, when possible, is determined to be cost- beneficial.
(a) Services for individuals committed under chapter 71.05 RCW who p.are receiving services pursuant to a conditional release or a court- ordered less restrictive alternative to detention;
6or SSB(b) 5853 are receiving services pursuantp. to a conditional release or a court- ordered less restrictive alternative to detention;
or6 (b)SB services5853 for individuals voluntarily receiving less restrictive alternative treatment on the grounds of the state hospital.
or where the weight of the evidence from a systemic review supports p.
7 SSBSB 5853 where the weight of the evidence from a systemic review supports sustained outcomes as described in subsection (30) of this section but does not meet the full criteria for evidence-based.
Resource management services include seven day a week, twenty-four hour a day availability of information regarding enrollment of adults and children who are mentally ill in services and their individual service plan to p.
8 SSBSB 5853 mentally ill in services and their individual service plan to designated crisis responders, evaluation and treatment facilities, and others as determined by the behavioral health administrative services organization or managed care organization, as applicable.
9 SSBSB 5853 (iii) Going to, residing in, or returning from any placement outside of the home, for example, psychiatric hospital, short-term inpatient, residential treatment, group or foster home, or a correctional facility;
RCW 71.24.916 and 2023 c 433 s 2 are each amended to read as follows:
(1) The secretary shall license or certify 23-hour crisis relief centers that meet state minimum standards.
The department shall create rules in consultation with the authority by January 1, 2024, to develop standards for licensure or certification of 23-hour crisis relief centers.
(((2))) (a) The rules, at a minimum, must require the 23-hour crisis relief center to:
p.
10 SSB 5853 (((a))) (i) Offer walk-in options and drop-off options for first responders and persons referred through the 988 system, without a requirement for medical clearance for these individuals.
The facility must be structured to have the capacity to accept admissions 90 percent of the time when the facility is not at its full capacity, and to have a no-refusal policy for law enforcement, with instances of declined admission and the reasons for the declines tracked and made available to the department;
(((b))) (ii) Provide services to address mental health and substance use crisis issues;
(((c))) (iii) Maintain capacity to screen for physical health needs, deliver minor wound care for nonlife-threatening wounds, and provide care for most minor physical or basic health needs that can be addressed without need for medical diagnosis or health care prescriber orders, with an identified pathway to transfer the person to more medically appropriate services if needed;
(((d))) (iv) Be staffed 24 hours a day, seven days a week, with a multidisciplinary team capable of meeting the needs of individuals experiencing all levels of crisis in the community, which includes access to a prescriber and the ability to dispense medications appropriate for 23-hour crisis relief center clients;
(((e))) (v) Screen all individuals for suicide risk and engage in comprehensive suicide risk assessment and planning when clinically indicated;
Show all 180 changed lines (140 more)
(((f))) (vi) Screen all individuals for violence risk and engage in comprehensive violence risk assessment and planning when clinically indicated;
(((g))) (vii) Limit patient stays to a maximum of 23 hours and 59 minutes except for patients waiting on a designated crisis responder evaluation or making an imminent transition to another setting as part of an established aftercare plan.
Exceptions to the time limit made under this subsection shall not cause a 23-hour crisis relief center to be classified as a residential treatment facility under RCW 71.12.455;
(((h))) (viii) Maintain relationships with entities capable of providing for reasonably anticipated ongoing service needs of clients, unless the licensee itself provides sufficient services;
and (((i))) (ix) When appropriate, coordinate connection to ongoing care.
p.
11 SSB 5853 (((3))) (b) The rules, at a minimum, must develop standards for determining medical stability before an emergency medical services drop-off.
(((4))) (c) The rules must include standards for the number of recliner chairs that may be licensed or certified in a 23-hour crisis relief center and the appropriate variance for temporarily exceeding that number in order to provide the no-refusal policy for law enforcement.
(((5))) (d) The department shall specify physical environment standards for the construction review process that are responsive to the unique characteristics of the types of interventions used to provide care for all levels of acuity in facilities operating under the 23-hour crisis relief center model.
(((6))) (e) The department shall coordinate with the authority and department of social and health services to establish rules that prohibit facilities that are licensed or required to be licensed under chapter 18.51, 18.20, 70.97, 72.36, or 70.128 RCW from discharging or transferring a resident to a 23-hour crisis relief center.
(((7))) (f) The department shall coordinate with the authority to establish rules that prohibit a hospital that is licensed under chapter 70.41 RCW from discharging or transferring a patient to a 23- hour crisis relief center unless the hospital has a formal relationship with the 23-hour crisis relief center.
(((8))) (g) The authority shall take steps necessary to make 23- hour crisis relief center services, including on-site physical health care, eligible for medicaid billing to the maximum extent allowed by federal law.
(2) By March 31, 2025, the secretary shall amend licensure and certification rules for 23-hour crisis relief clinics in consultation with the authority to create standards for licensure or certification of 23-hour crisis relief centers which provide services to children.
To meet the needs of children in crisis and their families, 23-hour crisis relief centers treating children must, in addition to meeting the requirements of subsection (1) of this section:
(a) Not treat children in a shared space with clients over the age of 18;
(b) Be structured to meet the crisis needs of children ages eight and over and their families;
p.
12 SSB 5853 (c) Provide resources to connect children and their families with behavioral health supports;
(d) Coordinate with the department of children, youth, and families for children who do not need inpatient care and are unable to be discharged to home;
and (e) Be staffed 24 hours a day, seven days a week, with a pediatric multidisciplinary team.
Sec.
3.
(3)p. "Alcoholism" means a disease, characterized by a dependency on alcoholic beverages, loss of control over the amount and circumstances of use, symptoms of tolerance, physiological or psychological withdrawal, or both, if use is reduced or discontinued, and impairment of health or disruption of social or economic functioning.
10 SB 5853 (3) "Alcoholism" means a disease, characterized by a dependency on alcoholic beverages, loss of control over the amount and circumstances of use, symptoms of tolerance, physiological or psychological withdrawal, or both, if use is reduced or discontinued, and impairment of health or disruption of social or economic functioning.
(9) "Behavioral health disorder" means either a mental disorder as defined in this section, a substance use disorder as defined in p.this section, or a co-occurring mental disorder and substance use disorder.
13 SSB 5853 this section, or a co-occurring mental disorder and substance use disorder.
(12) "Commitment" means a determination by a judge or court commissioner, made after a commitment hearing, that the minor is in needp. of inpatient diagnosis, evaluation, or treatment or that the minor is in need of less restrictive alternative treatment.
11 SB 5853 need of inpatient diagnosis, evaluation, or treatment or that the minor is in need of less restrictive alternative treatment.
p.(18) "Designated crisis responder" has the same meaning as provided in RCW 71.05.020.
14 SSB 5853 (18) "Designated crisis responder" has the same meaning as provided in RCW 71.05.020.
(24)p. "Evaluation and treatment facility" means a public or private facility or unit that is licensed or certified by the department of health to provide emergency, inpatient, residential, or outpatient mental health evaluation and treatment services for minors.
12 SB 5853 (24) "Evaluation and treatment facility" means a public or private facility or unit that is licensed or certified by the department of health to provide emergency, inpatient, residential, or outpatient mental health evaluation and treatment services for minors.
p.(27) "Habilitative services" means those services provided by program personnel to assist minors in acquiring and maintaining life skills and in raising their levels of physical, behavioral, social, and vocational functioning.
15 SSB 5853 (27) "Habilitative services" means those services provided by program personnel to assist minors in acquiring and maintaining life skills and in raising their levels of physical, behavioral, social, and vocational functioning.
(b)p. The conditions and strategies necessary to achieve the purposes of habilitation;
13 SB 5853 (b) The conditions and strategies necessary to achieve the purposes of habilitation;
p.(b) For purposes of family-initiated treatment under RCW 71.34.600 through 71.34.670, "inpatient treatment" has the meaning included in (a) of this subsection and any other residential treatment facility licensed under chapter 71.12 RCW.
16 SSB 5853 (b) For purposes of family-initiated treatment under RCW 71.34.600 through 71.34.670, "inpatient treatment" has the meaning included in (a) of this subsection and any other residential treatment facility licensed under chapter 71.12 RCW.
(36) "Less restrictive alternative" or "less restrictive setting" means outpatient treatment provided to a minor as a program of individualized treatment in a less restrictive setting than inpatient treatmentp. that includes the services described in RCW 71.34.755, including residential treatment.
14 SB 5853 treatment that includes the services described in RCW 71.34.755, including residential treatment.
p.(41) "Medical necessity" for inpatient care means a requested service which is reasonably calculated to:
17 SSB 5853 (41) "Medical necessity" for inpatient care means a requested service which is reasonably calculated to:
(43) "Mental health professional" ((meansmeans a psychiatrist, psychiatric advanced registered nurse practitioner, physician assistant working with a supervising psychiatrist, psychologist, psychiatric nurse, social worker, and such other mental health professionalsp. as defined by rules adopted by the secretary of the department of health under this chapter.)) has the same meaning as provided in RCW 71.05.020.
15 SB 5853 professionals as defined by rules adopted by the secretary of the department of health under this chapter.
If a dispute arises between individuals authorized to act as a parent for the purpose of p.RCW 71.34.600 through 71.34.670, the disagreement must be resolved according to the priority established under RCW 7.70.065(2)(a).
18 SSB 5853 RCW 71.34.600 through 71.34.670, the disagreement must be resolved according to the priority established under RCW 7.70.065(2)(a).
(50) "Professional person in charge" or "professional person" means a physician, other mental health professional, or other person empowered by an evaluation and treatment facility, secure withdrawal managementp. and stabilization facility, or approved substance use disorder treatment program with authority to make admission and discharge decisions on behalf of that facility.
16 SB 5853 management and stabilization facility, or approved substance use disorder treatment program with authority to make admission and discharge decisions on behalf of that facility.
(54) "Public agency" means any evaluation and treatment facility or institution, or hospital, or approved substance use disorder treatment program that is conducted for, or includes a distinct unit, floor, or ward conducted for, the care and treatment of persons with mental illness, substance use disorders, or both mental illness and substance use disorders if the agency is operated directly by p.federal, state, county, or municipal government, or a combination of such governments.
19 SSB 5853 federal, state, county, or municipal government, or a combination of such governments.
(i)p. Assessment and treatment, provided by certified substance use disorder professionals or co-occurring disorder specialists;
17 SB 5853 (i) Assessment and treatment, provided by certified substance use disorder professionals or co-occurring disorder specialists;
With regard p.to voluntary patients, "start of initial detention" means the time at which the minor gives notice of intent to leave under the provisions of this chapter.
20 SSB 5853 to voluntary patients, "start of initial detention" means the time at which the minor gives notice of intent to leave under the provisions of this chapter.
(65) "Therapeutic court personnel" means the staff of a mental health court or other therapeutic court which has jurisdiction over defendants who are dually diagnosed with mental disorders, including courtp. personnel, probation officers, a court monitor, prosecuting attorney, or defense counsel acting within the scope of therapeutic court duties.
18 SB 5853 court personnel, probation officers, a court monitor, prosecuting attorney, or defense counsel acting within the scope of therapeutic court duties.
"Video" does not include p.the use of audio-only telephone, facsimile, email, or store and forward technology.
21 SSB 5853 the use of audio-only telephone, facsimile, email, or store and forward technology.
4.3.
(3) "Alcoholism" means a disease, characterized by a dependency on alcoholic beverages, loss of control over the amount and circumstances of use, symptoms of tolerance, physiological or psychological withdrawal, or both, if use is reduced or discontinued, andp. impairment of health or disruption of social or economic functioning.
19 SB 5853 and impairment of health or disruption of social or economic functioning.
p.(10) "Child psychiatrist" means a person having a license as a physician and surgeon in this state, who has had graduate training in child psychiatry in a program approved by the American Medical Association or the American Osteopathic Association, and who is board eligible or board certified in child psychiatry.
22 SSB 5853 (10) "Child psychiatrist" means a person having a license as a physician and surgeon in this state, who has had graduate training in child psychiatry in a program approved by the American Medical Association or the American Osteopathic Association, and who is board eligible or board certified in child psychiatry.
(14)p. "Co-occurring disorder specialist" means an individual possessing an enhancement granted by the department of health under chapter 18.205 RCW that certifies the individual to provide substance use disorder counseling subject to the practice limitations under RCW 18.205.105.
20 SB 5853 (14) "Co-occurring disorder specialist" means an individual possessing an enhancement granted by the department of health under chapter 18.205 RCW that certifies the individual to provide substance use disorder counseling subject to the practice limitations under RCW 18.205.105.
p.(19) "Detention" or "detain" means the lawful confinement of a person, under the provisions of this chapter.
23 SSB 5853 (19) "Detention" or "detain" means the lawful confinement of a person, under the provisions of this chapter.
(24) "Evaluation and treatment facility" means a public or private facility or unit that is licensed or certified by the department of health to provide emergency, inpatient, residential, or outpatient mental health evaluation and treatment services for minors.p.
21 SB 5853 minors.
(27) "Habilitative services" means those services provided by program personnel to assist minors in acquiring and maintaining life p.skills and in raising their levels of physical, behavioral, social, and vocational functioning.
24 SSB 5853 skills and in raising their levels of physical, behavioral, social, and vocational functioning.
(d)p. The rationale for using this plan of habilitation to achieve those intermediate and long-range goals;
22 SB 5853 (d) The rationale for using this plan of habilitation to achieve those intermediate and long-range goals;
(b) For purposes of family-initiated treatment under RCW 71.34.600 through 71.34.670, "inpatient treatment" has the meaning p.included in (a) of this subsection and any other residential treatment facility licensed under chapter 71.12 RCW.
25 SSB 5853 included in (a) of this subsection and any other residential treatment facility licensed under chapter 71.12 RCW.
(38)p. "Likelihood of serious harm" means:
23 SB 5853 (38) "Likelihood of serious harm" means:
(a) Diagnose, correct, p.cure, or alleviate a mental disorder or substance use disorder;
26 SSB 5853 cure, or alleviate a mental disorder or substance use disorder;
(43) "Mental health professional" ((meansmeans a psychiatrist, psychiatric advanced registered nurse practitioner, physician assistant working with a supervising psychiatrist, psychologist, psychiatric nurse, social worker, and such other mental health professionals as defined by rules adopted by the secretary of the department of health under this chapter.))chapter. has the same meaning as provided in RCW 71.05.020.
(45)p. "Outpatient treatment" means any of the nonresidential services mandated under chapter 71.24 RCW and provided by licensed or certified behavioral health agencies as identified by RCW 71.24.025.
24 SB 5853 (45) "Outpatient treatment" means any of the nonresidential services mandated under chapter 71.24 RCW and provided by licensed or certified behavioral health agencies as identified by RCW 71.24.025.
p.(47) "Peace officer" means a law enforcement official of a public agency or governmental unit, and includes persons specifically given peace officer powers by any state law, local ordinance, or judicial order of appointment.
27 SSB 5853 (47) "Peace officer" means a law enforcement official of a public agency or governmental unit, and includes persons specifically given peace officer powers by any state law, local ordinance, or judicial order of appointment.
(51)p. "Psychiatric nurse" means a registered nurse who has experience in the direct treatment of persons who have a mental illness or who are emotionally disturbed, such experience gained under the supervision of a mental health professional.
25 SB 5853 (51) "Psychiatric nurse" means a registered nurse who has experience in the direct treatment of persons who have a mental illness or who are emotionally disturbed, such experience gained under the supervision of a mental health professional.
p.(55) "Release" means legal termination of the commitment under the provisions of this chapter.
28 SSB 5853 (55) "Release" means legal termination of the commitment under the provisions of this chapter.
(iii)p. Acute or subacute detoxification services for intoxicated individuals;
26 SB 5853 (iii) Acute or subacute detoxification services for intoxicated individuals;
(62) "Start of initial detention" means the time of arrival of the minor at the first evaluation and treatment facility, secure p.withdrawal management and stabilization facility, or approved substance use disorder treatment program offering inpatient treatment if the minor is being involuntarily detained at the time.
29 SSB 5853 withdrawal management and stabilization facility, or approved substance use disorder treatment program offering inpatient treatment if the minor is being involuntarily detained at the time.
(66)p. "Therapeutic court personnel" means the staff of a mental health court or other therapeutic court which has jurisdiction over defendants who are dually diagnosed with mental disorders, including court personnel, probation officers, a court monitor, prosecuting attorney, or defense counsel acting within the scope of therapeutic court duties.
27 SB 5853 (66) "Therapeutic court personnel" means the staff of a mental health court or other therapeutic court which has jurisdiction over defendants who are dually diagnosed with mental disorders, including court personnel, probation officers, a court monitor, prosecuting attorney, or defense counsel acting within the scope of therapeutic court duties.
(68) "Video" means the delivery of behavioral health services through the use of interactive audio and video technology, permitting p.real-time communication between a person and a designated crisis responder, for the purpose of evaluation.
30 SSB 5853 real-time communication between a person and a designated crisis responder, for the purpose of evaluation.
5.4.
A peace officer may take or authorize a minor to be taken into custody and immediately delivered to an appropriate crisis stabilization unit, 23-hour crisis relief center, evaluation and treatment facility, secure withdrawal management and stabilization facility, approved substance use disorder treatment program, or the emergency department of a local hospital when he or she has reasonable cause to believe that such minor is suffering from a behavioral health disorder and presents an imminent likelihood of seriousp. harm or is gravely disabled.
28 SB 5853 serious harm or is gravely disabled.
Sec.
6.
RCW 71.34.375 and 2019 c 446 s 25 are each amended to read as follows:
(1) If a parent or guardian, for the purpose of mental health treatment, substance use disorder treatment, or evaluation, brings his or her minor child to an evaluation and treatment facility, a hospital emergency room, an inpatient facility licensed under chapter 72.23 RCW, an inpatient facility licensed under chapter 70.41 or 71.12 RCW operating inpatient psychiatric beds for minors, a secure withdrawal management and stabilization facility, a 23-hour crisis relief center, or an approved substance use disorder treatment program, the facility is required to promptly provide written and verbal notice of all statutorily available treatment options contained in this chapter.
The notice need not be given more than p.
31 SSB 5853 once if written and verbal notice has already been provided and documented by the facility.
(2) The provision of notice must be documented by the facilities required to give notice under subsection (1) of this section and must be accompanied by a signed acknowledgment of receipt by the parent or guardian.
The notice must contain the following information:
(a) All current statutorily available treatment options including but not limited to those provided in this chapter;
and (b) The procedures to be followed to utilize the treatment options described in this chapter.
(3) The department of health shall produce, and make available, the written notification that must include, at a minimum, the information contained in subsection (2) of this section.
The department of health must revise the written notification as necessary to reflect changes in the law.
Sec.
7.
RCW 71.34.430 and 2019 c 381 s 22 are each amended to read as follows:
A mental health agency, psychiatric hospital, ((or)) evaluation and treatment facility, crisis stabilization unit, or 23-hour crisis relief center may release mental health information about an adolescent to a parent of the adolescent without the consent of the adolescent by following the limitations and restrictions of RCW 70.02.240 and 70.02.265.
Sec.
8.
RCW 71.34.700 and 2020 c 302 s 78 are each amended to read as follows:
(1) If an adolescent is brought to an evaluation and treatment facility, secure withdrawal management and stabilization facility with available space, approved substance use disorder treatment program with available space, crisis stabilization unit, 23-hour crisis relief center, or hospital emergency room for immediate behavioral health services, the professional person in charge of the facility shall evaluate the adolescent's condition, determine whether the adolescent suffers from a behavioral health disorder, and whether the adolescent is in need of immediate inpatient treatment.
(2) If it is determined under subsection (1) of this section that the adolescent suffers from a behavioral health disorder, inpatient treatment is required, the adolescent is unwilling to consent to voluntary admission, and the professional person believes that the p.
32 SSB 5853 adolescent meets the criteria for initial detention, the facility may detain or arrange for the detention of the adolescent for up to twelve hours, not including time periods prior to medical clearance, in order to enable a designated crisis responder to evaluate the adolescent and commence initial detention proceedings under the provisions of this chapter.
(3) Dismissal of a commitment petition is not the appropriate remedy for a violation of the timeliness requirements of this section, based on the purpose of this chapter under RCW 71.34.010, except in the few cases where the facility staff or the designated crisis responder have totally disregarded the requirements of this section.
Sec.
9.
RCW 71.34.700 and 2020 c 302 s 79 are each amended to read as follows:
(1) If an adolescent is brought to an evaluation and treatment facility, secure withdrawal management and stabilization facility, approved substance use disorder treatment program, crisis stabilization unit, 23-hour crisis relief center, or hospital emergency room for immediate behavioral health services, the professional person in charge of the facility shall evaluate the adolescent's condition, determine whether the adolescent suffers from a behavioral health disorder, and whether the adolescent is in need of immediate inpatient treatment.
(2) If it is determined under subsection (1) of this section that the adolescent suffers from a behavioral health disorder, inpatient treatment is required, the adolescent is unwilling to consent to voluntary admission, and the professional person believes that the adolescent meets the criteria for initial detention, the facility may detain or arrange for the detention of the adolescent for up to twelve hours, not including time periods prior to medical clearance, in order to enable a designated crisis responder to evaluate the adolescent and commence initial detention proceedings under the provisions of this chapter.
(3) Dismissal of a commitment petition is not the appropriate remedy for a violation of the timeliness requirements of this section, based on the purpose of this chapter under RCW 71.34.010, except in the few cases where the facility staff or the designated crisis responder have totally disregarded the requirements of this section.
p.
33 SSB 5853 NEW SECTION.
Sec.
10.
Section 4 of this act takes effect when section 13, chapter 433, Laws of 2023 takes effect.
11.5.
Section 83 of this act expirestakes Julyeffect 1,when 2026.section 13, chapter 433, Laws of 2023 takes effect.
NEW SECTION.
Sec.
12.
Section 9 of this act takes effect July 1, 2026.
3429 SSBSB 5853
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Action History
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Effective date 6/6/2024**.
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Chapter 367, 2024 Laws.
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Governor signed.
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Delivered to Governor.
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Speaker signed.
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President signed.
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Third reading, passed; yeas, 92; nays, 4; absent, 0; excused, 2.
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Rules suspended. Placed on Third Reading.
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Rules Committee relieved of further consideration. Placed on second reading.
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Referred to Rules 2 Review.
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APP - Majority; do pass.
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Executive action taken in the House Committee on Appropriations at 10:30 AM.
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Public hearing in the House Committee on Appropriations at 1:30 PM.
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Referred to Appropriations.
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Minority; without recommendation.
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HSEL - Majority; do pass.
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Executive action taken in the House Committee on Early Learning & Human Services at 1:30 PM.
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Public hearing in the House Committee on Early Learning & Human Services at 1:30 PM.
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First reading, referred to Human Services, Youth, & Early Learning.
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Third reading, passed; yeas, 49; nays, 0; absent, 0; excused, 0.
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Rules suspended. Placed on Third Reading.
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Floor amendment(s) adopted.
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2nd substitute bill substituted (WM 24).
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Placed on second reading by Rules Committee.
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Passed to Rules Committee for second reading.
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WM - Majority; 2nd substitute bill be substituted, do pass.
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Executive action taken in the Senate Committee on Ways & Means at 10:00 AM.
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Public hearing in the Senate Committee on Ways & Means at 1:30 PM.
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On motion, referred to Ways & Means.
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HLTC - Majority; 1st substitute bill be substituted, do pass.
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Executive action taken in the Senate Committee on Health & Long Term Care at 8:00 AM.
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Public hearing in the Senate Committee on Health & Long Term Care at 10:30 AM.
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First reading, referred to Health & Long Term Care.
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Prefiled for introduction.
Sponsors
- Claire Wilson · Cosponsor
- Javier Valdez · Cosponsor
- Nikki Torres · Cosponsor
- Derek Stanford · Cosponsor
- Sharon Shewmake · Cosponsor
- T'wina Nobles · Cosponsor
- Ron Muzzall · Cosponsor
- John Lovick · Cosponsor
- Liz Lovelett · Cosponsor
- Kuderer · Cosponsor
- Bob Hasegawa · Cosponsor
- Noel Frame · Cosponsor
- Keith Wagoner · Cosponsor
- Manka Dhingra · Primary
- Joe Nguyen · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 14 co-sponsors · 136 not signed on · 4 voted No
Sponsors (1)
- Manka Dhingra Democrat
Co-sponsors (14)
- Claire Wilson Democrat
- Javier Valdez Democrat
- Nikki Torres Republican
- Derek Stanford Democrat
- Sharon Shewmake Democrat
- T'wina Nobles Democrat
- Ron Muzzall Republican
- John Lovick Democrat
- Liz Lovelett Democrat
- Kuderer
- Bob Hasegawa Democrat
- Noel Frame Democrat
- Keith Wagoner Republican
- Joe Nguyen Democrat
Not signed on (136)
136 members have not signed on to this bill.
Show all 136 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 26 | 4 | 0 | 0 |
| Democrat | 56 | 0 | 0 | 1 |
| Unaffiliated | 10 | 0 | 0 | 1 |
| Total | 92 | 4 | 0 | 2 |
| % of votes cast | 94% | 4% | 0% | 2% |
How each member voted (98)
| Member | Party | Vote |
|---|---|---|
| Chambers | — | Yea |
| Chandler | — | Not Voting |
| Cheney | — | Yea |
| Chopp | — | Yea |
| Hutchins | — | Yea |
| Kretz | — | Yea |
| Maycumber | — | Yea |
| Mosbrucker | — | Yea |
| Robertson | — | Yea |
| Sandlin | — | Yea |
| Wilcox | — | Yea |
| Alex Ramel | Democrat | Yea |
| Alicia Rule | Democrat | Yea |
| Amy Walen | Democrat | Yea |
| April Berg | Democrat | Yea |
| Beth Doglio | Democrat | Yea |
| Bill Ramos | Democrat | Yea |
| Brandy Donaghy | Democrat | Yea |
| Chipalo Street | Democrat | Yea |
| Chris Stearns | Democrat | Yea |
| Cindy Ryu | Democrat | Yea |
| Clyde Shavers | Democrat | Yea |
| Dan Bronoske | Democrat | Yea |
| Darya Farivar | Democrat | Yea |
| Dave Paul | Democrat | Yea |
| David Hackney | Democrat | Yea |
| Davina Duerr | Democrat | Yea |
| Debra Entenman | Democrat | Yea |
| Debra Lekanoff | Democrat | Yea |
| Emily Alvarado | Democrat | Yea |
| Gerry Pollet | Democrat | Yea |
| Greg Nance | Democrat | Yea |
| Jake Fey | Democrat | Yea |
| Jamila Taylor | Democrat | Yea |
| Jessica Bateman | Democrat | Yea |
| Joe Fitzgibbon | Democrat | Yea |
| Joe Timmons | Democrat | Yea |
| Julia Reed | Democrat | Yea |
| Julio Cortes | Democrat | Yea |
| Kristine Reeves | Democrat | Yea |
| Larry Springer | Democrat | Yea |
| Lauren Davis | Democrat | Yea |
| Laurie Jinkins | Democrat | Yea |
| Lillian Ortiz-Self | Democrat | Yea |
| Lisa Callan | Democrat | Yea |
| Liz Berry | Democrat | Yea |
| Marcus Riccelli | Democrat | Yea |
| Mari Leavitt | Democrat | Yea |
| Mary Fosse | Democrat | Yea |
| Melanie Morgan | Democrat | Not Voting |
| Mia Gregerson | Democrat | Yea |
| Mike Chapman | Democrat | Yea |
| Monica Jurado Stonier | Democrat | Yea |
| My-Linh Thai | Democrat | Yea |
| Nicole Macri | Democrat | Yea |
| Roger Goodman | Democrat | Yea |
| Sharlett Mena | Democrat | Yea |
| Sharon Tomiko Santos | Democrat | Yea |
| Sharon Wylie | Democrat | Yea |
| Shelley Kloba | Democrat | Yea |
| Steve Bergquist | Democrat | Yea |
| Steve Tharinger | Democrat | Yea |
| Strom Peterson | Democrat | Yea |
| Tana Senn | Democrat | Yea |
| Tarra Simmons | Democrat | Yea |
| Timm Ormsby | Democrat | Yea |
| Tina Orwall | Democrat | Yea |
| Vandana Slatter | Democrat | Yea |
| Alex Ybarra | Republican | Yea |
| Andrew Barkis | Republican | Yea |
| April Connors | Republican | Yea |
| Carolyn Eslick | Republican | Yea |
| Chris Corry | Republican | Yea |
| Cyndy Jacobsen | Republican | Nay |
| Dan Griffey | Republican | Yea |
| Drew Stokesbary | Republican | Yea |
| Ed Orcutt | Republican | Yea |
| Jenny Graham | Republican | Yea |
| Jim Walsh | Republican | Nay |
| Joe Schmick | Republican | Yea |
| Joel McEntire | Republican | Nay |
| Keith Goehner | Republican | Yea |
| Kevin Waters | Republican | Yea |
| Leonard Christian | Republican | Yea |
| Mark Klicker | Republican | Yea |
| Mary Dye | Republican | Yea |
| Michelle Valdez | Republican | Yea |
| Mike Steele | Republican | Yea |
| Mike Volz | Republican | Yea |
| Paul Harris | Republican | Yea |
| Peter Abbarno | Republican | Yea |
| Sam Low | Republican | Yea |
| Skyler Rude | Republican | Yea |
| Stephanie Barnard | Republican | Yea |
| Stephanie McClintock | Republican | Yea |
| Suzanne Schmidt | Republican | Yea |
| Tom Dent | Republican | Nay |
| Travis Couture | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 10 | 0 | 0 | 0 |
| Republican | 16 | 0 | 0 | 0 |
| Democrat | 23 | 0 | 0 | 0 |
| Total | 49 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (49)
| Member | Party | Vote |
|---|---|---|
| Billig | — | Yea |
| Hawkins | — | Yea |
| Keiser | — | Yea |
| Kuderer | — | Yea |
| Mullet | — | Yea |
| Padden | — | Yea |
| Randall | — | Yea |
| Rivers | — | Yea |
| Van De Wege | — | Yea |
| Wilson, L. | — | Yea |
| Annette Cleveland | Democrat | Yea |
| Bob Hasegawa | Democrat | Yea |
| Claire Wilson | Democrat | Yea |
| Claudia Kauffman | Democrat | Yea |
| Derek Stanford | Democrat | Yea |
| Drew Hansen | Democrat | Yea |
| Jamie Pedersen | Democrat | Yea |
| Javier Valdez | Democrat | Yea |
| Jesse Salomon | Democrat | Yea |
| Joe Nguyen | Democrat | Yea |
| John Lovick | Democrat | Yea |
| June Robinson | Democrat | Yea |
| Lisa Wellman | Democrat | Yea |
| Liz Lovelett | Democrat | Yea |
| Manka Dhingra | Democrat | Yea |
| Marko Liias | Democrat | Yea |
| Noel Frame | Democrat | Yea |
| Rebecca Saldaña | Democrat | Yea |
| Sharon Shewmake | Democrat | Yea |
| Steve Conway | Democrat | Yea |
| T'wina Nobles | Democrat | Yea |
| Victoria Hunt | Democrat | Yea |
| Yasmin Trudeau | Democrat | Yea |
| Chris Gildon | Republican | Yea |
| Curtis King | Republican | Yea |
| Drew MacEwen | Republican | Yea |
| Jeff Holy | Republican | Yea |
| Jeff Wilson | Republican | Yea |
| Jim McCune | Republican | Yea |
| John Braun | Republican | Yea |
| Judy Warnick | Republican | Yea |
| Keith Wagoner | Republican | Yea |
| Mark Schoesler | Republican | Yea |
| Matt Boehnke | Republican | Yea |
| Nikki Torres | Republican | Yea |
| Perry Dozier | Republican | Yea |
| Phil Fortunato | Republican | Yea |
| Ron Muzzall | Republican | Yea |
| Shelly Short | Republican | Yea |
Subjects
Frequently asked questions
- Who sponsors SB 5853?
- SB 5853 is sponsored by Claire Wilson (Democrat), Javier Valdez (Democrat), Nikki Torres (Republican), Derek Stanford (Democrat), Sharon Shewmake (Democrat), T'wina Nobles (Democrat), Ron Muzzall (Republican), John Lovick (Democrat), Liz Lovelett (Democrat), Kuderer, Bob Hasegawa (Democrat), Noel Frame (Democrat), Keith Wagoner (Republican), Manka Dhingra (Democrat), and Joe Nguyen (Democrat).
- What is the current status of SB 5853?
- This bill has been enacted into law. Introduced December 15, 2023. Enacted.
- Where can I track SB 5853?
- Track SB 5853 free on One Click Politics — get push/email alerts when it moves.
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Last checked for changes 3 months ago · updated continuously
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