I_MICJS_2023A 08/29/2023 10:12:39 AM Committee Summary PUBLICSTAFF SUMMARY OF MEETINGINTERIM COMMITTEE TREATMENT OF PERSONS WITH BEHAVIORAL HEALTH DISORDERS IN THE CRIMINAL AND JUVENILE JUSTICE SYSTEMS Date 08/29/2023 Attendance Bradfield X English * Fields * Pelton R. X Rodriguez X Amabile X Time 10:12:39 AM to 12:18:21 PM Place LSB B This Meeting was called to order by Amabile This Report was prepared by Juliann Jenson Hearing Items Action Taken hPublic Testimony Committee Discussion Only hBill Draft Requests Committee Discussion Only Public Testimony - Committee Discussion Only 10:13:06 AM Chair Amabile called the meeting to order. Dr. Celeste St John-Larkin, representing themself, testified. She discussed postpartum depression and referenced related legislation in other states. She answered questions from the committee. Bill Draft Requests - Committee Discussion Only 10:22:23 AM Task force chair and co-chair, Stuart Jenkins and Dr. Erin Crites, presented a set of legislative recommendations and ideas from the task force. The recommendations and ideas may be found here: https://leg.colorado.gov/sites/default/files/images/overview_-_2023_legislative_resommendations.pdf. Dr. Crites summarized the process and ranking system used to finalize the task force recommendations. Mr. Jenkins began the overview by discussing the additional legislative ideas that were not officially voted on the by the task force. These ideas include: adult competency to stand trial, community collaborative models to support high-risk adults, support team assisted response (STAR) programs, and gaps in care for justice-involved women and pregnant/postpartum individuals. Committee members asked questions about adult competency to stand trial. Further questions were asked about the ranking system. The conversation turned to the 911 Resource Center from the legislative recommendation. Further discussion ensued about the ranking system and task force support. 10:47:02 AM Mr. Jenkins proceeded to summarize the task force legislative recommendations, starting with Bill #1, remote court appearances for individualks in in-patient, partial hospitalization, and intensive outpatient behavioral healthcare treatment. Committee discussion followed about treatment disruptions for court appearances, as well as a need to keep cases moving through the court system. Mr. Jenkins continued to explain Bill #2, withdrawal management services and funding within the behavioral health crisis response system. The bill also removes jail as an alternative option for substance use disorders when no crime was committed. Mr. Jenkins summarized and answered questions about Bill #3, competency dockets. The committee discussed combining this with the other adult competency bill idea discussed earlier in the hearing. The committee revisited Bill #4 about the Colorado 911 Resource Center and funding sources. Mr. Jenkins continued and summarized Bill #5, regarding a youth mobile crisis program. Committee members asked questions about the 14 participating counties that employ a youth mobile crisis program and staffing. The committee next discussed Bill #6, prohibiting hospitals and urgent care providers from checking a patient's warrant status without consent. Questions were raised about the frequency of this happening and other related questions. 11:05:44 AM Mr. Jenkins reviewed Bill #7, statewide analysis of available behavioral health services for individuals involved in the justice system. Committee members discussed data collection. The committee debated Bill #8, district attorney assessments for juvenile diversion programs. Committee members noted that this recommendation was not supported by task force members due to some confusion about the program's purpose. 11:25:34 AM Lastly, the committtee discussed Bill #9, medical marijuana prescriptions for individuals on probation. Committee members asked questions about physician involvement. Libby Stuyt, subcommittee chair, appeared remotely to provide an update on the topic. Mr. Jenkins requested that legislative ideas #2 and #3 (multi-agency collaboratives and STAR program) be shelved until further review by the task force. Members touched upon various other recommendations. 11:38:31 AM Committee members discussed possible postpartum legislation. 11:40:10 AM Chair Amabile directed the committee to vote on the task force legislative recommendations. 11:45:55 AM Motion Approve a bill draft request for remote court appearances when an individual is in certain intensive or in-patient treatment programs (Recommendation #1) Moved Rodriguez Seconded Bradfield Bradfield No English Yes Fields Yes Pelton R. No Rodriguez Yes Amabile Yes YES: 4 NO: 2 EXC: 0 ABS: 0 FINAL ACTION: PASS 11:47:16 AM Motion Approve a bill draft request to expand withdrawal management services within the crisis response system and remove jail as an option for substance use disorder commitments when no crime was committed (Recommendation #2) Moved Rodriguez Seconded English Bradfield No English Yes Fields Yes Pelton R. No Rodriguez Yes Amabile Yes YES: 4 NO: 2 EXC: 0 ABS: 0 FINAL ACTION: PASS 11:48:43 AM Motion Approve a bill draft request to reform adult competency to stand trial proceedings (Recommendation #3 and Idea #1) Moved Rodriguez Seconded Bradfield Bradfield Yes English Yes Fields Yes Pelton R. No Rodriguez Yes Amabile Yes YES: 5 NO: 1 EXC: 0 ABS: 0 FINAL ACTION: PASS 11:49:29 AM Motion Approve a bill draft request to support the Colorado 911 Resource Center (Recommendation #4) Moved Rodriguez Seconded English Bradfield Yes English Yes Fields Yes Pelton R. Yes Rodriguez Yes Amabile Yes YES: 6 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS 11:50:20 AM Shelby Ross, Office of Legislative Legal Services, discussed the committee's scope. 11:54:01 AM Motion Approve a bill draft request to create a youth mobile crisis program (Recommendation #5) Moved Rodriguez Seconded English Bradfield Yes English Yes Fields Yes Pelton R. Yes Rodriguez Yes Amabile Yes YES: 6 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS 11:54:54 AM Motion Approve a bill draft request to prohibit hospitals and urgent care centers from checking a patient's warrant status (Recommendation #6) Moved Rodriguez Seconded Fields Bradfield No English Yes Fields Yes Pelton R. No Rodriguez No Amabile Yes YES: 3 NO: 3 EXC: 0 ABS: 0 FINAL ACTION: FAIL 11:55:34 AM Motion Approve a bill draft request to conduct a statewide analysis on available services for individuals involved in the justice system (Recommendation #7) Moved Rodriguez Seconded English Bradfield No English Yes Fields No Pelton R. No Rodriguez Yes Amabile Yes YES: 3 NO: 3 EXC: 0 ABS: 0 FINAL ACTION: FAIL 11:56:24 AM Motion Approve a bill draft request to require district attorneys to consider behavioral health in eligibility criteria for juvenile diversion (Recommendation #8) Moved Rodriguez Seconded Bradfield Bradfield No English Yes Fields Yes Pelton R. No Rodriguez Yes Amabile Yes YES: 4 NO: 2 EXC: 0 ABS: 0 FINAL ACTION: PASS 11:57:07 AM Motion Approve a bill draft request to require a prescription to use medical marijuana when in court ordered treatment on probation (Recommendation #9) Moved Rodriguez Seconded Bradfield Bradfield No English Yes Fields No Pelton R. No Rodriguez No Amabile Yes YES: 2 NO: 4 EXC: 0 ABS: 0 FINAL ACTION: FAIL 11:58:44 AM Motion Approve a bill draft request about gaps in care for individuals experiencing postpartum in the criminal justice system (Idea # 4) Moved Rodriguez Seconded Fields Bradfield Yes English Yes Fields Yes Pelton R. No Rodriguez Yes Amabile Yes YES: 5 NO: 1 EXC: 0 ABS: 0 FINAL ACTION: PASS 11:58:55 AM Legislative Oversight Committee members were assigned to bills to assist with drafting questions. 12:10:34 PM Committee discussion ensued about timelines and amendments. The meeting to vote on the final bill drafts was set for October 24, 2023, at 10:00 a.m. 12:18:21 PM The committee adjourned.