S.F. No. 4460 Summary

• Modifies civil commitment priority admission requirements to state-operated treatment programs based on medical acuity, wait time, safety considerations, and other factors, requiring admission within 48 hours when a medically appropriate bed is available.

• Eliminates co-payment obligations for prisoners receiving mental health medications in county correctional facilities, effective immediately.

• Authorizes counties to seek reimbursement from the commissioner of human services for co-payment costs incurred for mental health medications provided to prisoners.

• Appropriates an unspecified amount from the general fund in fiscal year 2025 to the direct care and treatment executive board to pay for injectable and neuroleptic medications, create a support position for counties and correctional facilities, and reimburse county boards for mental health medication co-payment costs.

• Establishes a panel to review de-identified data quarterly for one year to ensure equitable implementation of the priority admissions framework, with ongoing oversight by a quality committee.