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HB 5465

AN ACT CONCERNING THE CONFINEMENT OF PERSONS WITH A PSYCHIATRIC DISABILITY BY THE PSYCHIATRIC SECURITY REVIEW BOARD.

2025 Regular Session Introduced by Tim Ackert

Clarifies PSRB authority to confine people with psychiatric disabilities, sets confinement criteria and review procedures, and outlines release and community reintegration.

REF. TO JOINT COMM. ON Public Health
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Bill Summary · HB 5465

Summary — HB 5465

AN ACT CONCERNING THE CONFINEMENT OF PERSONS WITH A PSYCHIATRIC DISABILITY BY THE PSYCHIATRIC SECURITY REVIEW BOARD

Purpose / Intent

Based on the bill title and subject, HB 5465 addresses the authority, procedures, and legal framework by which the Psychiatric Security Review Board (PSRB) may confine individuals with psychiatric disabilities. The bill appears focused on clarifying or changing how confinement, review, treatment, and release decisions are made for persons found not criminally responsible or otherwise subject to PSRB jurisdiction.

Note: The bill text was not provided. The sections below describe likely areas of change implied by the title and common legislative approaches; readers should consult the bill text and committee reports for exact language.

Key provisions likely addressed (subject to bill text)

  • Authority and scope: Specifies the PSRB’s power to order confinement of persons with psychiatric disabilities and identifies which categories of individuals fall under that authority (e.g., those found not criminally responsible by reason of mental disease or defect).
  • Confinement criteria: Defines legal and clinical standards for ordering confinement (danger to self/others, mental condition, treatment needs).
  • Placement and conditions: Establishes where confinement may occur (state psychiatric hospitals, secure treatment units, community placements), and standards for care and security.
  • Duration and review: Sets durations for initial confinement orders and schedules for periodic review hearings, including criteria for continued confinement, conditional discharge, or unconditional release.
  • Procedural safeguards: Details due process rights — notice, counsel, representation, evidence standards, ability to present witnesses, and appellate or judicial review mechanisms.
  • Treatment planning and oversight: Requires individualized treatment plans, progress reporting, and possibly performance or outcome reporting to oversight bodies.
  • Transition and community reintegration: Establishes procedures for conditional release, supervision, and linkage to community mental health services.
  • Recordkeeping and reporting: Mandates data collection and reporting requirements to track confinement, outcomes, and board actions.

Who would be affected

  • Individuals with psychiatric disabilities under PSRB jurisdiction (e.g., defendants found not criminally responsible).
  • The Psychiatric Security Review Board, state psychiatric facilities, and community mental health providers.
  • Defense and prosecution offices, courts, and families of affected individuals.
  • State oversight entities and potentially state budgets if changes increase institutional commitments or community services.

Procedural status and timeline

  • Filed: 2025-03-14 (introduced March 14, 2025)
  • Referred to Public Health joint committee: 2025-01-17
  • First read / Referred to Criminal Jurisprudence: 2025-04-07
  • Public hearing: 2025-04-29 (testimony recorded)
  • Reported favorably (without amendment): 2025-05-06
  • Committee report filed/distributed: 2025-05-10
  • Placed on General State Calendar: 2025-05-13
  • Companion bill: SB 2213

What to watch / next steps

  • Obtain and review the full bill text and the committee report to see exact definitions, standards, timelines, and safeguards.
  • Review testimony from the April 29 public hearing for stakeholder perspectives (prosecutors, defense bar, disability advocates, mental health providers, families).
  • Monitor any amendments on the floor or in committee and fiscal notes estimating costs for institutional vs. community care.

If you want, I can locate the bill text, summarize the exact statutory changes, and extract specific sections (criteria, timelines, and due‑process provisions) once the bill language is available.

Compiled from official sources — confirm details with the bill’s official record.

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