MI HB4718

Adds definition of "chemical restraint" to the Mental Health Code, defining it as a drug used for discipline or convenience rather than to treat a diagnosed medical symptom, including drugs that manage behavior, restrict freedom of movement temporarily, or are non-standard treatments.

Clarifies that "convenience" means controlling a resident's behavior with less effort and not in the resident's best interest, and "discipline" means an action taken to punish or penalize a resident.

Expands restraint regulations to prohibit using physical and chemical restraint simultaneously, requiring chemical restraint only after physical restraint has been attempted and unsuccessful.

Requires restraints be removed every 2 hours for at least 15 minutes unless medically contraindicated, and mandates that repeated restraint trigger a review and modification of the resident's service plan to reduce restraint use.

Changes mandatory language from "shall" to "must" throughout Section 740 and establishes a 90-day effective date after enactment.