Summary of SB 43

• Replaces hospitalization-focused language with court-ordered treatment language throughout mental health commitment statutes, reflecting a shift toward community-based treatment options rather than mandatory inpatient hospitalization.

• Adds a new commitment category (division B(5) of section 5122.01) for individuals unlikely to survive safely in the community without supervision who have a history of treatment non-compliance and are at risk of relapse or deterioration.

• Creates standardized affidavit form (section 5122.111) for initiating court-ordered treatment proceedings, requiring specific categories of mental illness to be documented and filed with the probate court.

• Expands treatment plan requirements to include outpatient services such as assertive community treatment, peer support, housing assistance, and substance abuse treatment, with provisions allowing individuals receiving outpatient treatment to demonstrate voluntary compliance and potentially have cases dismissed.

• Establishes new fee structure in probate court (section 2101.16(A)(75)) charging $25.00 for filing affidavits of mental illness and allows courts to waive fees for indigent individuals.