A county chargeable with the expense of a patient in a state hospital for persons with mental illness shall remove such patient to a county or private institution for persons with mental illness which has complied with the aforesaid rules when the administrator of the division or the administrator's designee so orders on a finding that said patient is suffering from chronic mental illness or from senility and will receive equal benefit by being so transferred. A county shall remove to its county care facility any patient in a state hospital for persons with mental illness upon request of the superintendent of the state hospital in which the patient is confined pursuant to the superintendent's authority under section 229.15, subsection 4, and approval by the board of supervisors of the county of the patient's residence. In no case shall a patient be thus transferred except upon compliance with section 229.14, subsection 4, or without the written consent of a relative, friend, or guardian if such relative, friend, or guardian pays the expense of the care of such patient in a state hospital. Patients transferred to a public or private facility under this section may subsequently be placed on convalescent or limited leave or transferred to a different facility for continued full-time custody, care, and treatment when, in the opinion of the attending physician or the chief medical officer of the hospital from which the patient was so transferred, the best interest of the patient would be served by such leave or transfer. However, if the patient was originally hospitalized involuntarily, the leave or transfer shall be made in compliance with section 229.15, subsection 4.
[S13, § 2727-a64; C24, 27, 31, 35, § 3527, 3528; C39, § 3527; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, § 227.11]
96 Acts, ch 1129, § 113
Referred to in § 230.15, 331.381
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