,i #aac? ,,congress #b;d ,session ,h4 ,r4 #dghd ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,may #cj1 #bjad ,mr4 ,cicill9e 7= himself1 ,mr4 ,grijalva1 ,ms4 ,cl>ke ( ,new ,york1 & ,mr4 ,rangel7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ! ,judici>y1 & 9 addition to ! ,committee on ,en]gy & ,comm]ce1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to inc5tivize ,/ate report+ sy/ems t all[ m5tal heal? pr(essionals to submit in=mation on c]ta9 individuals deem$ dang]\s = purposes ( prohibit+ fire>m possession by su* individuals1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,end ,pur*ase ( ,fire>ms by ,dang]\s ,individuals ,act ( #bjad4 #b4 ,/ate report+ sy/ems 7a7 ,/ate report+ sy/ems z condition ( receiv+ full ,edw>d ,byrne ,memorial ,ju/ice ,assi/ance ,grants am\nts 7#a7 ,9 g5]al ,= ea* fiscal ye> beg9n+ ) fiscal ye> #bjah1 a ,/ate %all-- 7,a7 e/abli% a report+ sy/em1 9 accordance ) guidel9es provid$ pursuant to section #d7;a71 ?r\gh :i* m5tal heal? pr(essionals may report to appropriate ,/ate entities-- 7i7 9 accordance ) p>agraph 7#b71 in=mation describ$ 9 su* p>agraph ) respect to individuals describ$ 9 su* p>agraph2 7ii7 9 accordance ) p>agraph 7#c71 in=mation describ$ 9 su* p>agraph ) respect to individuals describ$ 9 su* p>agraph2 & 7iii7 9 accordance ) p>agraph 7#d71 in=mation describ$ 9 su* p>agraph ) respect to individuals describ$ 9 su* p>agraph2 7,b7 e/abli% "u ,/ate law a process1 9 accordance ) ! guidel9es provid$ pursuant to section #d7;b71 relat+ to tempor>ily committ+ individuals involunt>ily to1 or hold+ individuals involunt>ily at1 m5tal heal? facilities2 7,c7 f ! in=mation collect$ by ! ,/ate pursuant to subp>agraph 7,a71 make electronically available to ! ,attorney ,g5]al records relevant to a det]m9ation ( :e!r a p]son is disqualifi$ f possess+ or receiv+ a fire>m "u subsection 7g77#d7 ( section #ibb ( title #ah1 ,unit$ ,/ates ,code1 or applicable ,/ate law2 7,d7 ^u notification "u a subsequ5t p>agraph ( ?is section or subp>agraph 7,g71 or o!rwise z specifi$ "u su* p>agraph or subp>agraph1 t ! basis "u :i* a record 0 made available "u subp>agraph 7,a7 does n apply1 or no long] applies1 %all1 z soon z practicable-- 7i7 update1 correct1 modify1 or remove1 z applicable1 ! record f any database t ! ,f$]al or ,/ate gov]nm5t ma9ta9s & makes available to ! ,national ,in/ant ,crim9al ,backgr\nd ,*eck ,sy/em1 consi/5t ) ! rules p]ta9+ to t database2 & 7ii7 notify ! ,attorney ,g5]al t su* basis no long] applies s t ! record sy/em 9 :i* ! record is ma9ta9$ is kept up to date2 7,e7 ensure t ! in=mation submitt$ to ! report+ sy/em pursuant to ?is subsection-- 7i7 ) respect to an individual describ$ 9 p>agraph 7#c71 is remov$ f su* sy/em on ! date describ$ 9 ! second s5t5ce ( su* p>agraph2 & 7ii7 ) respect to an individual describ$ 9 p>agraph 7#d71 is remov$ f su* sy/em on ! date describ$ 9 ! second s5t5ce ( su* p>agraph2 7,f7 ensure t ! report+ sy/em e/abli%$ "u subp>agraph 7,a7 includes an appeals process comp>able to su* a process appli$ ) respect to ! ,national ,in/ant ,crim9al ,backgr\nd ,*eck ,sy/em1 includ+ ) respect to proc$ures = notifications ( individuals ) respect to :om in=mation is submitt$ to ! report+ sy/em & an opportunity to review & appeal su* submission2 & 7,g7 7i7 ensure t any individual :o-- 7,i7 is disqualifi$ f possess+ or receiv+ a fire>m "u subsection 7g77#d7 ( section #ibb1 ( title ,unit$ ,/ates ,code1 or applicable ,/ate law pursuant to in=mation report$ ?r\gh ! report+ sy/em e/abli%$ "u subp>agraph 7,a72 & 7,,ii7 at ! "t ( inclusion ( su* in=mation 9 su* report+ sy/em is "u #ah ye>s ( age2 is evaluat$ by a m5tal heal? pr(essional by n lat] ?an ! date ! individual is #ba ye>s ( age 9 ord] to det]m9e if su* individual %\ld rema9 s disqualifi$2 & 7ii7 ^u det]m9ation t su* individual %\ld n rema9 s disqualifi$1 notify ! appropriate ,/ate entity t ! in=mation s report$ no long] applies = inclusion 9 ! report+ sy/em or any database or record describ$ 9 subp>agraph 7,d74 7#b7 ,individuals ,tempor>ily ,committ$ on a ,volunt>y ,basis ,= purposes ( subsection 7a77#a77;,a77i71 9 ! case ( an individual :o is committ$ on a volunt>y basis to a m5tal in/itution 7z def9$ = purposes ( section #ibb7;g77#d7 ( title #ah1 ,unit$ ,/ates ,code7 9 a ,/ate1 ! m5tal heal? pr(essional :o is prim>ily responsible = ! individual's treatm5t at su* in/itution-- 7,a7 may report to ! report+ sy/em e/abli%$ by ! ,/ate "u p>agraph 7#a77;,a7 in=mation ) respect to su* individual t is suffici5t = inclusion 9 ! ,national ,in/ant ,crim9al ,backgr\nd ,*eck ,sy/em & consi/5t ) ,f$]al & ,/ate privacy laws if su* m5tal heal? pr(essional det]m9es1 9 accordance ) ! guidel9es provid$ pursuant to section #d7;a7 & ) section #e7;c71 su* individual is a dang] to ! individual or to o!rs2 & 7,b7 ^u dis*>ge ( su* individual f su* in/itution1 %all notify ! appropriate ,/ate entity t ! in=mation submitt$ "u subp>agraph 7,a7 no long] applies = inclusion 9 ! report+ sy/em e/abli%$ "u p>agraph 7#a77;,a7 or any database or record describ$ 9 p>agraph 7#a77;,d74 7#c7 ,individuals tempor>ily committ$ or held on an involunt>y basis ,= purposes ( subsection 7a77#a77;,a77ii71 9 ! case ( an individual :o is tempor>ily committ$ or held on an involunt>y basis1 9 accordance ) a process describ$ 9 p>agraph 7#a77;,b71 to a m5tal in/itution 7z def9$ = purposes ( section #ibb7;g77#d7 ( title #ah1 ,unit$ ,/ates ,code7 9 a ,/ate1 ! m5tal heal? pr(essional :o is prim>ily responsible = ! individual's treatm5t at su* in/itution may report to ! report+ sy/em e/abli%$ by ! ,/ate "u p>agraph 7#a77;,a71 z soon z is practicable aft] ! date ! individual is releas$ f su* in/itution1 in=mation ) respect to su* individual t is suffici5t = inclusion 9 ! ,national ,in/ant ,crim9al ,backgr\nd ,*eck ,sy/em & consi/5t ) ,f$]al & ,/ate privacy laws if su* m5tal heal? pr(essional det]m9es1 9 accordance ) ! guidel9es provid$ pursuant to section #d7;a7 & ) section #e7;c71 su* individual is a dang] to ! individual or to o!rs4 ,on ! date t is #e ye>s aft] ! date ( su* release1 = purposes ( subsections 7a77#a77;,d7 & 7b77#a71 ! appropriate ,/ate entity & ! ,attorney ,g5]al %all be deem$ to h be5 notifi$ t ! in=mation submitt$ "u ! previ\s s5t5ce no long] applies = inclusion 9 ! report+ sy/em e/abli%$ "u p>agraph 7#a77;,a7 or any database or record describ$ 9 p>agraph 7#a77;,d74 7#d7 ,individuals mak+ specific ?reat to m5tal heal? pr(essional ,= purposes ( subsection 7a77#a77;,a77iii71 9 ! case ( an individual :o communicates to a m5tal heal? pr(essional a s]i\s ?reat1 z det]m9$ by ! pr(essional 9 accordance ) ! guidance provid$ pursuant to section #d7;a71 ( physical viol5ce aga9/ ano!r individual :o is reasonably id5tifiable1 ! m5tal heal? pr(essional may report to ! report+ sy/em e/abli%$ by ! ,/ate "u p>agraph 7#a77;,a71 z soon z is practicable aft] ! date ( su* communication1 in=mation ) respect to su* individual t is suffici5t = inclusion 9 ! ,national ,in/ant ,crim9al ,backgr\nd ,*eck ,sy/em & consi/5t ) ,f$]al & ,/ate privacy laws4 ,on ! date t is #f mon?s aft] ! date ( su* report1 = purposes ( subsections 7a77#a77;,d7 & 7b77#a71 ! appropriate ,/ate entity & ! ,attorney ,g5]al %all be deem$ to h be5 notifi$ t ! in=mation submitt$ "u ! previ\s s5t5ce no long] applies = inclusion 9 ! report+ sy/em e/abli%$ "u p>agraph 7#a77;,a7 or any database or record describ$ 9 p>agraph 7#a77;,d74 7b7 ,national ,in/ant ,crim9al ,backgr\nd ,*eck ,sy/em updates requir$ 7#a7 ,9 g5]al ,! ,attorney ,g5]al ^u receiv+ notice pursuant to subsection 7a77#a77;,d7 %all ensure t ! record 9 ! ,national ,in/ant ,crim9al ,backgr\nd ,*eck ,sy/em is updat$1 correct$1 modifi$1 or remov$ )9 #cj days ( receipt4 7#b7 ,specific in=mation remov$ f record ,! ,attorney ,g5]al %all ensure t ! in=mation submitt$ to ! ,national ,in/ant ,crim9al ,backgr\nd ,*eck ,sy/em pursuant to subsection 7a7-- 7,a7 ) respect to an individual describ$ 9 p>agraph 7#c7 ( subsection 7a71 is remov$ f su* sy/em on ! date describ$ 9 ! second s5t5ce ( su* p>agraph2 & 7,b7 ) respect to an individual describ$ 9 p>agraph 7#d7 ( subsection 7a71 is remov$ f su* sy/em on ! date describ$ 9 ! second s5t5ce ( su* p>agraph4 7c7 ,en=cem5t 7#a7 ,attorney g5]al report 7,a7 ,9 g5]al ,n lat] ?an ,janu>y #ca ( ea* ye>1 ! ,attorney ,g5]al %all submit to ! ,committee on ! ,judici>y ( ! ,s5ate & ! ,committee on ! ,judici>y ( ! ,h\se ( ,repres5tatives a report on ! progress ( ! ,/ates 9 implem5t+ & ma9ta9+ ! report+ sy/em describ$ 9 subp>agraph 7,a7 ( subsection 7a77#a7 & process describ$ 9 subp>agraph 7,b7 ( su* subsection1 & 9 provid+ t in=mation pursuant to ! requirem5ts ( subp>agraphs 7,c7 & 7,d7 ( su* subsection4 7,b7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to ! ,dep>tm5t ( ,ju/ice1 su* funds z may be necess>y to c>ry out subp>agraph 7,a74 7#b7 ,p5alties 7,a7 ,discretion>y r$uction 7i7 ,= ea* ye> dur+ ! #b-ye> p]iod beg9n+ #c ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al may )hold n m ?an #c p]c5t ( ! am\nt t w\ld o!rwise be allocat$ to a ,/ate = su* ye> "u section #eje ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgee7 if ! ,/ate is n 9 compliance ) ea* requirem5t "u subsection 7a77#a7 ) respect to su* ye>4 7ii7 ,= ea* ye> dur+ ! #e-ye> p]iod aft] ! expiration ( ! p]iod ref]r$ to 9 clause 7i71 ! ,attorney ,g5]al may )hold n m ?an #d p]c5t ( ! am\nt t w\ld o!rwise be allocat$ to a ,/ate = su* ye> "u section #eje ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgee7 if ! ,/ate is n 9 compliance ) ea* requirem5t "u subsection 7a77#a7 ) respect to su* ye>4 7,b7 ,m&atory r$uction ,= ea* ye> aft] ! expiration ( ! p]iods ref]r$ to 9 subp>agraph 7,a71 ! ,attorney ,g5]al %all )hold #e p]c5t ( ! am\nt t w\ld o!rwise be allocat$ to a ,/ate = su* ye> "u section #eje ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgee71 if ! ,/ate is n 9 compliance ) ea* requirem5t "u subsection 7a77#a7 ) respect to su* ye>4 7,c7 ,waiv] by ,attorney ,g5]al ,! ,attorney ,g5]al may waive ! applicability ( subp>agraph 7,b7 to a ,/ate ) respect to ! requirem5ts describ$ 9 subp>agraphs 7,a71 7,b71 & 7,c7 ( subsection 7a77#a7 if ! ,/ate provides sub/antial evid5ce1 z det]m9$ by ! ,attorney ,g5]al1 t ! ,/ate is mak+ a reasonable ef=t to comply ) su* requirem5ts4 7#c7 ,reallocation ,any funds t are n allocat$ "u section #eje ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgee7 to a ,/ate pursuant to p>agraph 7#b7 because ( ! failure ( ! ,/ate to comply ) ! requirem5ts ( subsection 7a77#a7 %all be reallocat$ "u su* section to ,/ates t meet su* requirem5ts4 #c4 ,additional ,fire>ms ,prohibitions to ,f$]al ,,nics ,sy/em ,bas$ on ,/ate ,report+ ,sy/ems ,section #iib ( title #ah1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 9 subsection 7d7-- 7,a7 by am5d+ p>agraph 7#d7 to read z foll[s3 7#d7 has be5-- 7,a7 adjudicat$ z a m5tal defective2 or 7,b7 committ$ to any m5tal in/itution1 &-- 7i7 9 ! case ( a volunt>y commitm5t-- 7,i7 has be5 det]m9$ by a m5tal heal? pr(essional1 9 accordance ) section #e7;c7 ( ! ,end ,pur*ase ( ,fire>ms by ,dang]\s ,individuals ,act ( #bjad1 to pres5t a dang] to o!rs2 & 7,,ii7 is s]v+ a p]iod ( commitm5t at su* in/itution2 7ii7 9 ! case ( a tempor>y involunt>y commitm5t or hold ?r\gh a process e/abli%$ pursuant to section #b7;a77#a77;,b7 ( ! ,end ,pur*ase ( ,fire>ms by ,dang]\s ,individuals ,act ( #bjad-- 7,i7 has be5 det]m9$ by a m5tal heal? pr(essional1 9 accordance ) section #e7;c7 ( ! ,end ,pur*ase ( ,fire>ms by ,dang]\s ,individuals ,act ( #bjad1 to pres5t a dang] to o!rs2 & 7,,ii7 is s]v+ a p]iod ( commitm5t at su* in/itution1 or has be5 releas$ f su* in/itution = a p]iod ( less ?an #e ye>s2 or 7iii7 9 ! case ( a =mal commitm5t by a c\rt1 bo>d1 commission1 or o!r lawful au?ority1 is s]v+ a p]iod ( commitm5t at su* in/itution1 or has be5 releas$ f su* in/itution2 2 7,b7 9 p>agraph 7#h71 by /rik+ or at ! end2 7,c7 9 p>agraph 7#i71 by /rik+ ! p]iod at ! end & ins]t+ 2 or2 & 7,d7 by ins]t+ aft] p>agraph 7#i71 ! foll[+ new p>agraph3 7#aj7 dur+ ! prior #f-mon? p]iod1 has communicat$ to a m5tal heal? pr(essional a s]i\s ?reat to commit an act ( physical viol5ce aga9/ ano!r id5tifiable p]son4 2 & 7#b7 9 subsection 7g7-- 7,a7 by am5d+ p>agraph 7#d7 to read z foll[s3 7#d7 :o has be5-- 7,a7 adjudicat$ z a m5tal defective2 or 7,b7 committ$ to any m5tal in/itution1 &-- 7i7 9 ! case ( a volunt>y commitm5t-- 7,i7 has be5 det]m9$ by a m5tal heal? pr(essional1 9 accordance ) section #e7;c7 ( ! ,end ,pur*ase ( ,fire>ms by ,dang]\s ,individuals ,act ( #bjad1 to pres5t a dang] to o!rs2 & 7,,ii7 is s]v+ a p]iod ( commitm5t at su* in/itution2 7ii7 9 ! case ( a tempor>y involunt>y commitm5t or hold ?r\gh a process e/abli%$ pursuant to section #b7;a77#a77;,b7 ( ! ,end ,pur*ase ( ,fire>ms by ,dang]\s ,individuals ,act ( #bjad-- 7,i7 has be5 det]m9$ by a m5tal heal? pr(essional1 9 accordance ) section #e7;c7 ( ! ,end ,pur*ase ( ,fire>ms by ,dang]\s ,individuals ,act ( #bjad1 to pres5t a dang] to o!rs2 & 7,,ii7 is s]v+ a p]iod ( commitm5t at su* in/itution1 or has be5 releas$ f su* in/itution = a p]iod ( less ?an #e ye>s2 or 7iii7 9 ! case ( a =mal commitm5t by a c\rt1 bo>d1 commission1 or o!r lawful au?ority1 is s]v+ a p]iod ( commitm5t at su* in/itution1 or has be5 releas$ f su* in/itution2 2 7,b7 9 p>agraph 7#h71 by /rik+ or at ! end2 7,c7 9 p>agraph 7#i71 by /rik+ ! comma at ! end & ins]t+ 2 or2 & 7,d7 by ins]t+ aft] p>agraph 7#i71 ! foll[+ new p>agraph3 7#aj7 :o has communicat$ to a m5tal heal? pr(essional a s]i\s ?reat to commit an act ( physical viol5ce aga9/ ano!r id5tifiable p]son1 = a p]iod ( #f mon?s aft] mak+ su* a ?reat1 4 #d4 ,guidel9es 7a7 ,g5]al guidel9es = ,/ate report+ sy/ems ,n lat] ?an #af mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all1 pursuant to rulemak+ & 9 accordance ) subsection 7d71 e/abli% guidel9es = ,/ates & m5tal heal? pr(essionals1 ) respect to e/abli%+ report+ sy/ems "u section #b7;a77#a7-- 7#a7 to ensure det]m9ations describ$ 9 p>agraphs 7#b7 & 7#c7 ( section #b7;a7 ( dang]\sness & det]m9ations describ$ 9 section #b7;a77#d7 ( s]i\s ?reat = purposes ( report+ in=mation "u section #b7;a77#a7 are adm9i/]$ prop]ly2 7#b7 to ensure t only individuals qualifi$ to make su* det]m9ations are p]mitt$ to d s2 7#c7 to ensure an individual has rec\rse at any po9t dur+ ! det5tion ( su* individual at a m5tal heal? in/itution on ! basis ( a volunt>y or involunt>y commitm5t to conte/ ! legality ( su* commitm5t or det]m9ation ( dang]\sness by means ( a 8habeas corpus0 or writ he>+2 7#d7 to ensure all report+ to law en=cem5t (ficials1 ,/ate-bas$ databases1 & ,national ,in/ant ,crim9al ,backgr\nd ,*eck ,sy/em are compliant ) applicable ,f$]al & ,/ate privacy & security protections & /&>ds2 7#e7 to recomm5d ! process by :i* qualifi$ pr(essionals %\ld assess an individual to det]m9e dang]\sness = purposes describ$ 9 section #b2 & 7#f7 = any o!r purpose deem$ necess>y by ! ,secret>y4 7b7 ,tempor>y involunt>y commitm5t or hold process guidel9es ,n lat] ?an #af mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all1 pursuant to rulemak+ & 9 accordance ) subsection 7d71 e/abli% guidel9es = ,/ates to e/abli% a process = tempor>ily committ+ or hold+ individuals on an involunt>y basis to m5tal heal? in/itutions4 ,su* guidel9es %all address at lea/ ! foll[+3 7#a7 ,due ,process ,guidel9es to ensure any det]m9ation t an individual %all be tempor>ily involunt>ily committ$ or held is assess$ by m ?an "o qualifi$ m5tal heal? pr(essional4 7#b7 ,qualifi$ pr(essionals ,guidel9es to det]m9e :i* m5tal heal? pr(essionals are qualifi$ to h&le ! responsibilities provid$ su* pr(essionals "u section #b4 7#c7 ,recomm5dations 9 ,assess+ ,pati5ts ,guidel9es recomm5d+ ! process by :i* qualifi$ pr(essionals %\ld assess an individual to det]m9e dang]\sness = purposes describ$ 9 section #b4 7#d7 ,treatm5ts 7,a7 ,9 g5]al ,guidel9es = h[ any individual designat$ to be tempor>ily involunt>y committ$ or held & :o is receiv+ m$ication z a result ( ! m5tal illness ( su* individual mu/ be advis$ ab\t ! probable effects & possible side effects ( ! m$ication4 7,b7 ,in=mation on m$ication ,guidel9es = requir+ ! foll[+ in=mation relat$ to m$ications to be giv5 to su* an individual3 7i7 ,! nature ( ! m5tal illness or behavior t is ! reason ! m$ication is be+ giv5 or recomm5d$4 7ii7 ,! likelihood ( su* m5tal illness or behavior improv+ or n improv+ )\t ! m$ication4 7iii7 ,reasonable alt]native treatm5ts available4 7iv7 ,! "n & type1 frequ5cy am\nt1 & me?od ( disp5s+ ! m$ication1 & ! probable l5g? ( "t ! m$ication w be tak54 7#e7 ,assessm5t ,guidel9es relat$ to ! process ( assess+ an individual = a tempor>y involunt>y commitm5t or hold1 :i* %all incorporate ! foll[+ requirem5ts3 7,a7 ,face to ,face ,prior to admitt+ an individual to a m5tal heal? facility pursuant to su* commitm5t1 ! qualifi$ m5tal heal? pr(essional 9 *>ge ( ! facility or designee ( su* pr(essional %all assess ! individual ) a face to face assessm5t to det]m9e ! appropriat5ess ( ! tempor>y involunt>y det5tion or hold4 7,b7 ,v]ification f ,second ,pr(essional ,a second m5tal heal? pr(essional %all indep5d5tly v]ify ! appropriat5ess ( ! tempor>y involunt>y det5tion or hold4 7#f7 ,advisem5t ,guidel9es relat$ to advis+ su* an individual orally & 9 writt5 =m dur+ ! foll[+ /eps 9 ! process ( ! individual be+ tempor>ily involunt>ily committ$ or held3 7,a7 ,transport ,aft] an initial det5tion by a qualifi$ pr(essional 7z def9$ by ! ,/ate7 to transport a pati5t to a facility1 an oral advisem5t conta9+ critical in=mation z det]m9$ by ! ,secret>y mu/ be giv5 to ! individual be+ transport$ to a facility = an assessm5t4 7,b7 ,^u ,admission ,^u admission1 aft] a det]m9ation ( dang]\sness by a qualifi$ pr(essional1 an oral advisem5t by a m5tal heal? pr(essional conta9+ critical in=mation z det]m9$ by ! ,secret>y mu/ be giv5 to ! individual4 7#g7 ,additional guidel9es ,any o!r guidel9es deem$ necess>y by ! ,secret>y = purposes ( ?is ,act4 7c7 ,c]tification process ,! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli% a process = c]tify+ t ,/ates are 9 compliance ) ! guidel9es describ$ 9 subsections 7a7 & 7b7 = purposes ( e/abli%+ ! compliance ( su* ,/ates "u section #b7;c74 7d7 ,consultation ) /akehold]s ,9 e/abli%+ guidel9es describ$ 9 p>agraphs 7#a71 7#b71 & 7#e7 ( subsection 7a7 & p>agraphs 7#b71 7#c71 7#d71 & 7#e7 ( subsection 7b71 ! ,secret>y ( ,heal? & ,human ,s]vices %all consult ) relevant m5tal heal? pr(essional organizations & /akehold]s1 su* z ! ,am]ican ,psy*ological ,association & ! ,am]ican ,psy*iatric ,association4 #e4 ,miscellane\s 7a7 ,individuals tempor>ily involunt>ily committ$ or held ,to be treat$ z di/9ct f o!rs :o are involunt>ily committ$ ,= purposes ( ! ,national ,in/ant ,crim9al ,backgr\nd ,*eck ,sy/em1 ! provisions ( ?is ,act1 & section #ibb ( title #ah1 ,unit$ ,/ates ,code1 individuals :o are tempor>ily involunt>ily committ$ or held "u a ,/ate-level process ) respect to :i* ! ,/ate has be5 c]tifi$ "u section #d7;c7 %all be treat$ z a sep>ate & di/9ct population f individuals :o are involunt>ily committ$ ?r\gh a judicial process4 7b7 ,limit+ liability = m5tal heal? pr(essionals ,any m5tal heal? pr(essional :o does n report "u a report+ sy/em e/abli%$ "u section #b7;a77#a71 9 accordance ) guidel9es e/abli%$ "u section #d7;a71 in=mation describ$ 9 p>agraph 7#b71 7#c71 or 7#d7 ( section #b7;a71 ) respect to an individual describ$ 9 su* respective p>agraph1 %all n be held liable 9 any civil action 9 ,/ate or ,f$]al c\rt = any damages result+ f su* failure to report su* in=mation4 7c7 ,det]m9ation ( dang]\sness ,= purposes ( ?is ,act1 a det]m9ation ( dang]\sness1 ) respect to an individual1 %all be pr$icat$ on ! pres5ce ( ei!r-- 7#a7 a sub/antial risk ( physical h>m to ! individual z manife/$ by evid5ce (1 ?reats (1 or attempts at1 suicide or s]i\s bodily h>m2 or 7#b7 a sub/antial risk ( physical h>m to ano!r individual z manife/$ by evid5ce ( homicidal or o!r viol5t behavior or evid5ce t su* o!r individual is plac$ 9 reasonable fe> ( viol5t behavior & physical h>m to su* o!r individual4 7d7 ,/udy on exi/+ ,/ate /atutes 7#a7 ,/udy ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is subsection ref]r$ to z ! ,secret>y7 %all ent] into an agreem5t ) ! ,in/itute ( ,m$ic9e 7or if ! ,in/itute decl9es to ent] into su* an agreem5t1 ano!r appropriate entity7 to conduct a compreh5sive /udy on ,/ate /atutes1 enact$ be=e ! date ( ! enactm5t ( ?is ,act1 t require m5tal heal? pr(essionals to directly report c]ta9 individuals into ,/ate fire>m prohibition databases4 7#b7 ,consid]ations ,! /udy "u p>agraph 7#a7 %all include consid]ation ( ! foll[+3 7,a7 ,h[ ! ,/ate /atutes describ$ 9 su* p>agraph impact ! quality ( c>e provid$ by m5tal heal? pr(essionals to pati5ts4 7,b7 ,h[ su* ,/ate /atutes impact a pati5t's decision to access m5tal heal? treatm5t4 7,c7 ,! effectiv5ess ( su* ,/ate /atutes z int]v5tions = prev5t+ fire>m-relat$ viol5ce4 7,d7 ,any o!r relevant consid]ations1 z det]m9$ by ! ,in/itute ( ,m$ic9e 7or1 if applicable1 ! o!r appropriate entity describ$ 9 p>agraph 7#a774 7#c7 ,report ,! ,secret>y %all ensure t1 n lat] ?an #ab mon?s aft] ! date ( enactm5t ( ?is ,act-- 7,a7 ! /udy "u subp>agraph 7#a7 is complet$2 & 7,b7 a report on ! f9d+ & conclusions ( su* /udy is submitt$ to ! ,congress4 7e7 ,am5d+ ref]5ces f p]sons adjudicat$ z a m5tal defective to ineligible due to disqualify+ m5tal /atus 7#a7 ,9 g5]al 7,a7 ,section #age;b7d77#b77;,f7 ( title #ah1 ,unit$ ,/ates ,code1 is am5d$ by /rik+ adjudicat$ z a m5tal defective1 & ins]t+ adjudicat$ z ineligible due to disqualify+ m5tal /atus4 7,b7 ,section #hdb ( title #ah1 ,unit$ ,/ates ,code1 is am5d$-- 7i7 9 subsection 7d77#f71 by /rik+ adjudicat$ a m5tal defective1 & ins]t+ adjudicat$ z ineligible due to disqualify+ m5tal /atus2 & 7ii7 9 subsection 7i77#d71 by /rik+ adjudicat$ z a m5tal defective1 & ins]t+ adjudicat$ z ineligible due to disqualify+ m5tal /atus4 7,c7 ,section #ibb ( title #ah1 ,unit$ ,/ates ,code1 is am5d$-- 7i7 9 subsection 7d77#d71 by /rik+ adjudicat$ z a m5tal defective1 & ins]t+ adjudicat$ z ineligible due to disqualify+ m5tal /atus2 7ii7 9 subsection 7g77#d71 by /rik+ adjudicat$ z a m5tal defective1 & ins]t+ adjudicat$ z ineligible due to disqualify+ m5tal /atus2 & 7iii7 9 subsection 7s77#c77;,b77iv71 by /rik+ adjudicat$ z a m5tal defective1 & ins]t+ adjudicat$ z ineligible due to disqualify+ m5tal /atus4 7,d7 ,! ,,nics ,improvem5t ,am5dm5ts ,act ( #bjjg 7#ah ,u4,s4,c4 #ibb note7 is am5d$-- 7i7 9 section #c7b71 by /rik+ adjudicat$ z a m5tal defective1 & ins]t+ adjudicat$ z ineligible due to disqualify+ m5tal /atus2 7ii7 9 section #aja-- 7,i7 9 subsection 7b77#b77;,c77ii71 by /rik+ adjudicat$ z a m5tal defective1 & ins]t+ adjudicat$ z ineligible due to disqualify+ m5tal /atus2 7,,ii7 9 subsection 7c77#a77;,c71 by /rik+ adjudicat$ z a m5tal defective1 & ins]t+ adjudicat$ z ineligible due to disqualify+ m5tal /atus2 7,,iii7 9 subsection 7c77#c71 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ adjudicate a p]son z a m5tal defective1 & ins]t+ adjudicate a p]son z ineligible due to disqualify+ m5tal /atus2 & 7,,iv7 9 subsection 7c77#c77;,a71 by /rik+ adjudicate ! p]son z a m5tal defective1 & ins]t+ adjudicate ! p]son z ineligible due to disqualify+ m5tal /atus2 & 7iii7 9 section #ajb-- 7,i7 9 subsection 7b77#a77;,c77iv71 by /rik+ adjudicat$ z a m5tal defective1 & ins]t+ adjudicat$ z ineligible due to disqualify+ m5tal /atus2 & 7,,ii7 9 subsection 7c77#c71 by /rik+ adjudicat$ z a m5tal defective1 & ins]t+ adjudicat$ z ineligible due to disqualify+ m5tal /atus4 7#b7 ,ref]5ces ,= purposes ( ea* provision am5d$ by p>agraph 7#a71 a ref]5ce to a p]son adjudicat$ z ineligible due to disqualify+ m5tal /atus %all be consid]$ to ref] to a p]son adjudicat$ z a m5tal defective1 z def9$ = t provision on ! day be=e ! date ( enactm5t ( ?is ,act4 7#c7 ,regulations ,= purposes ( regulations issu$ to c>ry out a provision am5d$ by p>agraph 7#a7-- 7,a7 be=e ! regulations are am5d$ to c>ry out ?is subsection a ref]5ce 9 ! regulations to a p]son adjudicat$ z a m5tal defective %all be consid]$ to be a ref]5ce to a p]son adjudicat$ z ineligible due to disqualify+ m5tal /atus2 & 7,b7 9 am5d+ ! regulations to c>ry out ?is subsection1 a ,f$]al ag5cy %all ensure t ! regulations cle>ly /ate t p]sons adjudicat$ z ineligible due to disqualify+ m5tal /atus 7 =m]ly t]m$ p]sons adjudicat$ z a m5tal defective4 7#d7 ,rule ( con/ruction ,no?+ 9 ?is subsection %all be con/ru$ to alt] or o!rwise affect ! def9ition ( p]sons previ\sly t]m$ adjudicat$ z a m5tal defective "u provisions am5d$ by p>agraph 7#a74