MO HB3370

All Missouri circuit and associate circuit courts must offer treatment court programs for first-time felony offenders with substance use disorders prior to entering a plea, with charges dismissed upon successful completion (offender must pay associated costs)

Creates a new "assisted outpatient treatment" framework allowing courts to order involuntary outpatient mental health services for adults 18+ who have a mental illness, will not seek voluntary treatment, and either pose a risk of serious harm or have a history of treatment noncompliance resulting in at least two civil detentions or violent behavior within the past 36 months

Court orders for assisted outpatient treatment can last up to two years, require hearings within two judicial days of petition filing, and must be proven by clear and convincing evidence with respondents entitled to attorney representation and jury trial rights

Noncompliant respondents may be hospitalized for up to 10 days without a hearing, or longer (up to 90 days) with a community mental health center recommendation; peace officers may be directed to transport respondents to designated facilities

Office of State Courts Administrator must submit annual reports to the General Assembly on the number of individuals under assisted outpatient treatment orders, compliance rates, and impact on hospitalization and incarceration rates