House File 2475 - Introduced
HOUSE FILE
BY HEATON
Passed House, Date Passed Senate, Date
Vote: Ayes Nays Vote: Ayes Nays
Approved
A BILL FOR
1 An Act authorizing a psychiatric advanced registered nurse
2 practitioner to file certain periodic court reports on persons
3 with mental illness who do not require full=time placement in
4 a treatment facility.
5 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
6 TLSB 6339YH 82
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PAG LIN
1 1 Section 1. Section 229.1, Code 2007, is amended by adding
1 2 the following new subsection:
1 3 NEW SUBSECTION. 11A. "Psychiatric advanced registered
1 4 nurse practitioner" means an individual currently licensed as
1 5 a registered nurse under chapter 152 or 152E who holds a
1 6 national certification in psychiatric health care and who is
1 7 registered with the board of nursing as an advanced registered
1 8 nurse practitioner.
1 9 Sec. 2. Section 229.15, subsection 2, Code 2007, is
1 10 amended to read as follows:
1 11 2. Not more than sixty days after the entry of a court
1 12 order for treatment of a patient pursuant to a report issued
1 13 under section 229.14, subsection 1, paragraph "c", and
1 14 thereafter at successive intervals as ordered by the court but
1 15 not to exceed ninety days so long as that court order remains
1 16 in effect, the medical director of the facility or the
1 17 psychiatric advanced registered nurse practitioner treating
1 18 the patient shall report to the court which entered the order.
1 19 The report shall state whether the patient's condition has
1 20 improved, remains unchanged, or has deteriorated, and shall
1 21 indicate if possible the further length of time the patient
1 22 will require treatment by the facility. If at any time the
1 23 patient without good cause fails or refuses to submit to
1 24 treatment as ordered by the court, the medical director or the
1 25 psychiatric advanced registered nurse practitioner shall at
1 26 once so notify the court, which shall order the patient
1 27 hospitalized as provided by section 229.14, subsection 2,
1 28 paragraph "d", unless the court finds that the failure or
1 29 refusal was with good cause and that the patient is willing to
1 30 receive treatment as provided in the court's order, or in a
1 31 revised order if the court sees fit to enter one. If at any
1 32 time the medical director or the psychiatric advanced
1 33 registered nurse practitioner reports to the court that in the
1 34 director's or practitioner's opinion the patient requires
1 35 full=time custody, care and treatment in a hospital, and the
2 1 patient is willing to be admitted voluntarily to the hospital
2 2 for these purposes, the court may enter an order approving
2 3 hospitalization for appropriate treatment upon consultation
2 4 with the chief medical officer of the hospital in which the
2 5 patient is to be hospitalized. If the patient is unwilling to
2 6 be admitted voluntarily to the hospital, the procedure for
2 7 determining involuntary hospitalization, as set out in section
2 8 229.14, subsection 2, paragraph "d", shall be followed.
2 9 EXPLANATION
2 10 This bill authorizes a psychiatric advanced registered
2 11 nurse practitioner to file certain periodic court reports on
2 12 persons with mental illness who do not require full=time
2 13 placement in a treatment facility.
2 14 The bill provides that no more than 60 days after entry of
2 15 a court order for treatment of a respondent who is mentally
2 16 ill who does not require full=time placement in a treatment
2 17 facility and thereafter at successive intervals not to exceed
2 18 90 days for as long as the involuntary treatment continues,
2 19 the psychiatric advanced registered nurse practitioner shall
2 20 have the authority, along with the administrator of the
2 21 treatment facility or the psychiatric advanced registered
2 22 nurse practitioner of the treatment facility, to report to the
2 23 court which entered the order and shall state whether in the
2 24 opinion of the psychiatric advanced registered nurse
2 25 practitioner the respondent's condition has improved, remains
2 26 unchanged, or has deteriorated, and shall indicate the further
2 27 length of time the respondent will require treatment by the
2 28 facility. If the respondent fails or refuses to submit to
2 29 treatment as ordered by the court, the psychiatric advanced
2 30 registered nurse practitioner shall notify the court, which
2 31 shall order the respondent committed for treatment unless the
2 32 court finds that the failure or refusal was with good cause,
2 33 and that the respondent is willing to receive treatment as
2 34 provided in the court's order, or in a revised order if the
2 35 court sees fit to enter one. If the psychiatric advanced
3 1 registered nurse practitioner reports to the court that the
3 2 respondent requires full=time custody, care, and treatment in
3 3 a facility, and the respondent is willing to be admitted
3 4 voluntarily to the facility for these purposes, the court may
3 5 enter an order approving the placement upon consultation with
3 6 the administrator of the facility in which the respondent is
3 7 to be placed.
3 8 The bill defines "psychiatric advanced registered nurse
3 9 practitioner" as an individual currently licensed as a
3 10 registered nurse under Code chapter 152 or 152E who holds a
3 11 national certification in psychiatric health care and who is
3 12 registered with the board of nursing as an advanced registered
3 13 nurse practitioner.
3 14 LSB 6339YH 82
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