R 419 |
2019 -- H 5751 SUBSTITUTE A Enacted 06/28/2019 |
H O U S E R E S O L U T I O N |
CREATING A SPECIAL LEGISLATIVE COMMISSION TO STUDY THE EFFICACY OF INVOLUNTARY INPATIENT TREATMENT FOR NON-COURT INVOLVED INDIVIDUALS DIAGNOSED WITH SUBSTANCE USE DISORDER |
Introduced By: Representatives Casey, Canario, Jacquard, Hull, and Morin |
Date Introduced: February 27, 2019 |
RESOLVED, That a special legislative commission be and the same is hereby created |
consisting of seventeen (17) members: three (3) of whom shall be members of the Rhode Island |
House of Representatives, not more than two (2) from the same political party, to be appointed by |
the Speaker of the House; one of whom shall be the Director of the Rhode Island Department of |
Health (RIDOH), or designee; one of whom shall be the Director of the Rhode Island Department |
of Behavioral Healthcare, Developmental Disabilities, and Hospitals, or designee; one of whom |
shall be from the Warren Alpert Medical School of Brown University, to be appointed by the |
Speaker of the House; one of whom shall be the Rhode Island Mental Health Advocate, or |
designee; one of whom shall be the President of the Hospital Association of Rhode Island, or |
designee; one of whom shall be the Rhode Island state Attorney General, or designee; one of |
whom shall be a representative of the health insurance industry, to be appointed by the Speaker of |
the House; three (3) of whom shall be representatives from groups that work with or advocate for |
persons who experience mental illness of substance use disorders, to be appointed by the Speaker |
of the House; one of whom shall be the President and Chief Operating Officer of Butler Hospital, |
or designee; one of whom shall be the Chief Justice of the Rhode Island Supreme Court, or |
designee; one of whom shall be the Executive Director of the Rhode Island Medical Society, or |
designee; and one of whom shall be of the President of the Rhode Island Chapter of the American |
College of Emergency Physicians, or designee. |
In lieu of any appointment of a member of the legislature to a permanent advisory |
commission, a legislative study commission, or any commission created by a General Assembly |
resolution, the appointing authority may appoint a member of the general public to serve in lieu |
of a legislator. |
The purpose of said commission shall be to examine the need for an advance directive or |
other mechanism to hold persons who are under the immediate effects of a substance use disorder |
involving opioids, and shall include, but not be limited to, a study and review of: |
Medical literature and expert opinions on the long-term relapse rates of individuals |
diagnosed with substance use disorder following involuntary inpatient treatment including: |
The differences in outcomes for coerced and non-coerced patients; |
The potential increased risk of an individual suffering a fatal overdose following a period |
of involuntary treatment; |
The length of time necessary for detoxification of opioids and recommended time |
following detoxification to begin medication-assisted treatment; |
The legal implications of holding a non-court involved individual who is diagnosed with |
substance use disorder but is no longer under the influence of substances; |
Whether the current capacity, including acute treatment services, clinical stabilization |
services, transitional support services and recovery homes, is sufficient to treat individuals |
seeking voluntary treatment for substance use disorder; |
The availability of other treatments for substance use disorder, including those treatments |
used in less restrictive settings; and |
The effectiveness of the existing involuntary commitment procedures pursuant to this |
chapter at reducing long-term relapse rates. |
Forthwith upon passage of this resolution, the members of the commission shall meet at |
the call of the Speaker of the House and organize and shall select a chairperson from among the |
legislators. |
Vacancies in said commission shall be filled in like manner as the original appointment. |
The membership of said commission shall receive no compensation for their services. |
All departments and agencies of the state, shall furnish such advice and information, |
documentary and otherwise, to said commission and its agents as is deemed necessary or |
desirable by the commission to facilitate the purposes of this resolution. |
The Speaker of the House is hereby authorized and directed to provide suitable quarters |
for said commission; and be it further |
RESOLVED, That the commission shall report its findings and recommendations to the |
House of Representatives no later than June 18, 2020, and said commission shall expire on July |
13, 2020. |
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LC001618/SUB A/4 |
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