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<ns0:Id>20250SB__036795AMD</ns0:Id>
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<ns0:History>
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<ns0:ActionText>INTRODUCED</ns0:ActionText>
<ns0:ActionDate>2025-02-13</ns0:ActionDate>
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<ns0:ActionText>AMENDED_SENATE</ns0:ActionText>
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<ns0:ActionText>AMENDED_SENATE</ns0:ActionText>
<ns0:ActionDate>2025-05-01</ns0:ActionDate>
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<ns0:SessionYear>2025</ns0:SessionYear>
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<ns0:MeasureType>SB</ns0:MeasureType>
<ns0:MeasureNum>367</ns0:MeasureNum>
<ns0:MeasureState>AMD</ns0:MeasureState>
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<ns0:AuthorText authorType="LEAD_AUTHOR">Introduced by Senators Allen and Stern</ns0:AuthorText>
<ns0:AuthorText authorType="COAUTHOR_ORIGINATING">(Coauthors: Senators Blakespear and Rubio)</ns0:AuthorText>
<ns0:Authors>
<ns0:Legislator>
<ns0:Contribution>LEAD_AUTHOR</ns0:Contribution>
<ns0:House>SENATE</ns0:House>
<ns0:Name>Allen</ns0:Name>
</ns0:Legislator>
<ns0:Legislator>
<ns0:Contribution>LEAD_AUTHOR</ns0:Contribution>
<ns0:House>SENATE</ns0:House>
<ns0:Name>Stern</ns0:Name>
</ns0:Legislator>
<ns0:Legislator>
<ns0:Contribution>COAUTHOR</ns0:Contribution>
<ns0:House>SENATE</ns0:House>
<ns0:Name>Blakespear</ns0:Name>
</ns0:Legislator>
<ns0:Legislator>
<ns0:Contribution>COAUTHOR</ns0:Contribution>
<ns0:House>SENATE</ns0:House>
<ns0:Name>Rubio</ns0:Name>
</ns0:Legislator>
</ns0:Authors>
<ns0:Title> An act to amend Sections 5150, 5150.4, 5352, 5352.6, 5354, and 5976.5 of, and to add Section 5975.4 to, the Welfare and Institutions Code, relating to mental health.</ns0:Title>
<ns0:RelatingClause>mental health</ns0:RelatingClause>
<ns0:GeneralSubject>
<ns0:Subject>Mental health.</ns0:Subject>
</ns0:GeneralSubject>
<ns0:DigestText>
<html:p>
(1)
<html:span class="EnSpace"/>
Existing law, the Lanterman-Petris-Short (LPS) Act, authorizes the involuntary commitment and treatment of persons with specified mental disorders. Under the act, when a person, as a result of a mental health disorder, is a danger to themselves or others, or is gravely disabled, the person may, upon probable cause, be taken into custody by specified individuals, including, among others, a peace officer and a designated member of a mobile crisis team, and placed in a facility designated by the county and approved by the State Department of Health Care Services for up to 72 hours for evaluation and treatment. Existing law defines “assessment” for those purposes to mean the determination of whether a person shall be evaluated and treated.
</html:p>
<html:p>This bill would require an assessment to consider reasonably available, relevant
information as specified. The bill would also authorize an assessment to be used to assist specified individuals in developing an aftercare plan for an individual, if that individual has agreed to an aftercare plan and can be properly served without being detained.</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
Existing law provides a procedure for the appointment of a conservator for a person who is determined to be gravely disabled as a result of a mental disorder or an impairment by chronic alcoholism (hereafter LPS conservatorship). Under existing law, a professional person in charge of an agency providing comprehensive evaluation or a facility providing intensive treatment may recommend a LPS conservatorship for a gravely disabled person in their care if the professional person determines that the person is unwilling to accept, or is incapable of accepting, treatment voluntarily. Under existing law, a professional person in charge of an agency providing comprehensive evaluation or
a facility providing intensive treatment or a professional person in charge of providing mental health treatment at a county jail, or their designee, may recommend a conservatorship for a gravely disabled person without that person being an inpatient in a facility providing comprehensive evaluation or intensive treatment if specified conditions are met.
</html:p>
<html:p>This bill would additionally authorize recommendations for an LPS conservatorship if a determination is made that the gravely disabled person has demonstrated an inability to accept voluntary treatment due to apparent incapacity. The bill would expand the list of individuals or entities that may recommend a conservatorship for a gravely disabled person without that person being an inpatient
in a facility providing comprehensive evaluation or intensive treatment to include, among others, the county agency providing investigations for conservatorships of the person.</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
Existing law separately provides for the establishment of a conservatorship for a person who is unable to properly provide for their personal needs or is substantially unable to manage their finances (hereafter probate conservatorship).
</html:p>
<html:p>Existing law requires the officer providing conservatorship investigation, if they concur with
the recommendation of the professional person or facility, to petition the superior court in the patient’s county of residence to establish a conservatorship. Existing law requires the officer providing conservator investigation to investigate all available alternatives to conservatorship, including, among other things, assisted outpatient treatment, as specified, and the Community Assistance, Recovery, and Empowerment Act program. Existing law requires the officer to recommended conservatorship to the court only if no suitable alternatives are available. Existing law requires the officer to render to the court a comprehensive written report of investigation prior to the hearing and to set forth all alternatives available if the officer recommends either for or against conservatorship.</html:p>
<html:p>This bill would specify probate conservatorships with or without major neurocognitive disorder powers in the list of available alternatives that the officer providing conservatorship
investigation is required to investigate. In a county where probate conservatorship and LPS conservatorship duties are split between separate agencies, the bill would require LPS conservatorship referrals that include the presence of a major neurocognitive disorder to be reviewed by both agencies to ensure the continuity of evaluations. The bill would additionally require an officer providing conservatorship investigation to include a recommended individualized plan for treatment and care drawn from the documented list of less-restrictive alternatives in the written report described above if the officer recommends against an LPS conservatorship. The bill would also make various clarifying changes. By expanding the duties of county agencies that provide services related to probate conservatorships and LPS conservatorships, and by expanding the duties of the county officer providing conservatorship investigation, this bill would impose a state-mandated local program.</html:p>
<html:p>
(4)
<html:span class="EnSpace"/>
Existing law authorizes a conservator of the person, the estate, or the person and the estate to be appointed for a person who is gravely disabled as a result of a mental health disorder or impairment by chronic alcoholism for the purpose of providing individualized treatment, supervision, and placement. Existing law requires the creation of an individualized treatment plan within 10 days of the establishment of a conservatorship, as specified. Existing law requires the treatment plan to specify goals for the conservatee’s treatment, the criteria by which the accomplishment of those goals can be adjudged, and a plan for reviewing the progress of the treatment. If a treatment plan is not developed or if the conservator fails to report to the court that the conservatee is no longer gravely disabled, existing law requires specified individuals, including a person designated by the county, to refer the matter to the court. Existing law requires the
court, upon report by a person designated by the county that the goals have been reached and the person is no longer gravely disabled, to terminate the conservatorship.
</html:p>
<html:p>This bill would require an individualized treatment plan to specify goals for stabilization, the individual’s evidenced-based treatment, and movement to a less-restrictive setting. The bill would require those goals to include the criteria by which accomplishment can be judged. The bill would require the treatment plan to be filed with the court, as specified, after it is developed. The bill would require the court to order the treating agency to remedy any perceived defects in a treatment plan if the plan does not meet the specified goals and criteria and would create procedures for remedying those defects and terminating the conservatorship. The bill would authorize the court, upon termination of the conservatorship,
to refer the individual to assisted outpatient treatment or CARE court, as specified. This bill would prohibit the court from terminating the conservatorship prior to the end of the conservator’s one-year mark if the conservatee cannot be located at any point during that one-year period, except as specified. The bill would require, when a county is filing a petition and the county is aware that the subject of the petition was, within the prior 6 months, a conservatee whose conservatorship was terminated before the one-year termination date, to include in its
petition the circumstances that gave rise to the termination. Because this bill would increase the duties on county personnel, this bill would impose a state-mandated local program.</html:p>
<html:p>
(5)
<html:span class="EnSpace"/>
Existing law, the Community Assistance, Recovery, and Empowerment (CARE) Act, authorizes specified people to petition a civil court to create a CARE plan to provide an individualized, appropriate range of community-based services and supports to an eligible individual. Under the CARE Act, all reports, evaluations, diagnoses, and other information filed with the court that are related to the respondent are confidential, except as specified.
</html:p>
<html:p>This bill would authorize that information to be shared only by a court order or as approved by the respondent. If the information is used outside of the above-described proceedings, the bill requires a court order for that information to be shared.</html:p>
<html:p>This bill would authorize a court, at any point after entry of a CARE agreement or adoption of a CARE plan, to order the respondent to an evaluation under the LPS without a petition from the county if the court believes the respondent has become gravely disabled. The bill would establish the procedures required before a court could issue an order pursuant to these provisions.</html:p>
<html:p>
(6)
<html:span class="EnSpace"/>
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
</html:p>
<html:p>This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above.</html:p>
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<ns0:DigestKey>
<ns0:VoteRequired>MAJORITY</ns0:VoteRequired>
<ns0:Appropriation>NO</ns0:Appropriation>
<ns0:FiscalCommittee>YES</ns0:FiscalCommittee>
<ns0:LocalProgram>YES</ns0:LocalProgram>
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<ns0:ImmediateEffect>NO</ns0:ImmediateEffect>
<ns0:ImmediateEffectFlags>
<ns0:Urgency>NO</ns0:Urgency>
<ns0:TaxLevy>NO</ns0:TaxLevy>
<ns0:Election>NO</ns0:Election>
<ns0:UsualCurrentExpenses>NO</ns0:UsualCurrentExpenses>
<ns0:BudgetBill>NO</ns0:BudgetBill>
<ns0:Prop25TrailerBill>NO</ns0:Prop25TrailerBill>
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</ns0:Description>
<ns0:Bill id="bill">
<ns0:Preamble>The people of the State of California do enact as follows:</ns0:Preamble>
<ns0:BillSection id="id_018F22A5-A891-45AD-B8D5-0B1883693A4C">
<ns0:Num>SECTION 1.</ns0:Num>
<ns0:ActionLine action="IS_AMENDED" ns3:href="urn:caml:codes:WIC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'5.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'PART'%20and%20caml%3ANum%3D'1.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'ARTICLE'%20and%20caml%3ANum%3D'1.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'5150.'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
Section 5150 of the
<ns0:DocName>Welfare and Institutions Code</ns0:DocName>
is amended to read:
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<ns0:LawSection id="id_D0CDD76F-51D0-403A-A01B-A61F875519E6">
<ns0:Num>5150.</ns0:Num>
<ns0:LawSectionVersion id="id_6A93BE2C-C997-42F0-81BF-3B3AEE05685E">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
If a person, as a result of a mental health disorder, is a danger to others or to themselves, or is gravely disabled, a peace officer, professional person in charge of a facility designated by the county for evaluation and treatment, member of the attending staff, as defined by regulation, of a facility designated by the county for evaluation and treatment, designated members of a mobile crisis team, or professional person designated by the county may, upon probable cause, take, or cause to be taken, the person into custody for a period of up to 72 hours for assessment, evaluation, and crisis intervention, or placement for evaluation and treatment in a facility designated by the county for evaluation and treatment and approved by the State
Department of Health Care Services. The 72-hour period begins at the time when the person is first detained. At a minimum, assessment, as defined in Section 5150.4, and evaluation, as defined in subdivision (a) of Section 5008, shall be conducted and provided on an ongoing basis. Crisis intervention, as defined in subdivision (e) of Section 5008, may be provided concurrently with assessment, evaluation, or any other service.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
When determining if a person should be taken into custody pursuant to subdivision (a), the individual making that determination shall apply the provisions of Section 5150.05, and shall not be limited to consideration of the danger of imminent harm.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
The professional person in charge of a facility designated by the county for evaluation and
treatment, member of the attending staff, or professional person designated by the county shall assess the person to determine whether the person can be properly served without being detained. If, in the judgment of the professional person in charge of the facility designated by the county for evaluation and treatment, member of the attending staff, or professional person designated by the county, the person can be properly served without being detained, the person shall be provided evaluation, crisis intervention, or other inpatient or outpatient services on a voluntary basis. This subdivision does not prevent a peace officer from delivering an individual to a designated facility for assessment under this section. Furthermore, the assessment requirement of this subdivision does not require a peace officer to perform any additional duties other than those specified in Sections 5150.1 and
5150.2.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
If a person is evaluated by a professional person in charge of a facility designated by the county for evaluation or treatment, member of the attending staff, or professional person designated by the county and is found to be in need of mental health services, but is not admitted to the facility, all available alternative services provided pursuant to subdivision (c) shall be offered, as determined by the county mental health director.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
If, in the judgment of the professional person in charge of the facility designated by the county for evaluation and treatment, member of the attending staff, or the professional person designated by the county, the person cannot be properly served without being detained, the admitting facility shall require an application in writing
stating the circumstances under which the person’s condition was called to the attention of the peace officer, professional person in charge of the facility designated by the county for evaluation and treatment, member of the attending staff, or professional person designated by the county, and stating that the peace officer, professional person in charge of the facility designated by the county for evaluation and treatment, member of the attending staff, or professional person designated by the county has probable cause to believe that the person is, as a result of a mental health disorder, a danger to others or to themselves, or is gravely disabled. The application shall also record whether the historical course of the person’s mental disorder was considered in the determination pursuant to Section 5150.05. If the probable cause is based on the statement of a person other than the peace officer,
professional person in charge of the facility designated by the county for evaluation and treatment, member of the attending staff, or professional person designated by the county, the person shall be liable in a civil action for intentionally giving a statement that the person knows to be false. A copy of the application shall be treated as the original.
</html:p>
<html:p>
(f)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
At the time a person is taken into custody for evaluation, or within a reasonable time thereafter, unless a responsible relative or the guardian or conservator of the person is in possession of the person’s personal property, the person taking them into custody shall take reasonable precautions to preserve and safeguard the personal property in the possession of or on the premises occupied by the person. The person taking them into custody shall then furnish to
the court a report generally describing the person’s property so preserved and safeguarded and its disposition, in substantially the form set forth in Section 5211, except that if a responsible relative or the guardian or conservator of the person is in possession of the person’s property, the report shall include only the name of the relative or guardian or conservator and the location of the property, whereupon responsibility of the person taking them into custody for that property shall terminate.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
As used in this section, “responsible relative” includes the spouse, parent, adult child, domestic partner, grandparent, grandchild, or adult brother or sister of the person.
</html:p>
<html:p>
(g)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
Each person, at the time the person is first taken into custody under this section,
shall be provided, by the person who takes them into custody, the following information orally in a language or modality accessible to the person. If the person cannot understand an oral advisement, the information shall be provided in writing. The information shall be in substantially the following form:
</html:p>
<html:table class="convertedTable" id="id_07E4386E-17AD-46C4-AF5F-57E461BEBB15">
<html:tbody>
<html:tr>
<html:td valign="top" width="416">
<html:p class="Left10Point">
My name is
<html:span class="EnSpace"/>
<html:span class="UnderlinedLeaders"/>
.
</html:p>
<html:p class="Justify10Point">
I am a
<html:span class="EnSpace"/>
<ns0:LabelledField>
<html:span class="SpacedLeaders"/>
(peace officer/mental health professional)
<html:span class="SpacedLeaders"/>
</ns0:LabelledField>
</html:p>
<html:p class="Justify10Point">
with
<html:span class="EnSpace"/>
<ns0:LabelledField>
<html:span class="SpacedLeaders"/>
(name of agency)
<html:span class="SpacedLeaders"/>
</ns0:LabelledField>
.
</html:p>
<html:p class="Justify10Point">
You are not under criminal arrest, but I am taking you for an examination by mental health professionals at
<html:span class="UnderlinedLeaders"/>
</html:p>
<html:p class="Left10Point">
<ns0:LabelledField>
<html:span class="SpacedLeaders"/>
(name of facility)
<html:span class="SpacedLeaders"/>
</ns0:LabelledField>
</html:p>
<html:p class="Left10Point">You will be told your rights by the mental health staff.</html:p>
</html:td>
</html:tr>
</html:tbody>
</html:table>
<html:p>
(2)
<html:span class="EnSpace"/>
If taken into custody at the person’s own residence, the person shall also be provided the following information:
</html:p>
<html:br/>
<html:p>You may bring a few personal items with you, which I will have to approve. Please inform me if you need assistance turning off any appliance or water.
You may make a phone call and leave a note to tell your friends or family where you have been taken.</html:p>
<html:br/>
<html:p>
(h)
<html:span class="EnSpace"/>
The designated facility shall keep, for each patient evaluated, a record of the advisement given pursuant to subdivision (g), which shall include all of the following:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
The name of the person detained for evaluation.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The name and position of the peace officer or mental health professional taking the person into custody.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
The date the advisement was completed.
</html:p>
<html:p>
(4)
<html:span class="EnSpace"/>
Whether the advisement was completed.
</html:p>
<html:p>
(5)
<html:span class="EnSpace"/>
The language or modality used to give the advisement.
</html:p>
<html:p>
(6)
<html:span class="EnSpace"/>
If the advisement was not completed, a statement of good cause, as defined by regulations of the State Department of Health Care Services.
</html:p>
<html:p>
(i)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
Each person admitted to a facility designated by the county for evaluation and treatment shall be given the following information by admission staff of the facility. The information shall be given orally and in writing and in a language or modality accessible to the person. The written information shall be available to the person in English and in the language that is the person’s primary means of communication. Accommodations for other disabilities that may affect communication shall also be provided. The information shall be in substantially the
following form:
</html:p>
<html:table id="id_9B9C78EF-E658-4FD9-9F46-977AC3240162">
<html:tbody>
<html:tr>
<html:td valign="top" width="414">
<html:p class="Left10Point">
My name is
<html:span class="EnSpace"/>
<html:span class="UnderlinedLeaders"/>
<html:span class="ThinSpace"/>
.
</html:p>
</html:td>
</html:tr>
<html:tr>
<html:td valign="top" width="414">
<html:p class="Left10Point">
My position here is
<html:span class="ThinSpace"/>
<html:span class="UnderlinedLeaders"/>
<html:span class="ThinSpace"/>
.
</html:p>
</html:td>
</html:tr>
<html:tr>
<html:td valign="top" width="414">
<html:p class="Left10Point">
<html:span class="EmSpace"/>
You are being placed into this psychiatric facility because it is our professional opinion that, as a result of a mental health disorder, you are likely to (check applicable):
</html:p>
</html:td>
</html:tr>
<html:tr>
<html:td valign="top" width="414">
<html:p class="Left10Point">
<html:span class="EmSpace"/>
<html:span class="EmSpace"/>
◻
<html:span class="EnSpace"/>
Harm yourself as a result of a mental disorder.
<html:br/>
<html:span class="EmSpace"/>
<html:span class="EmSpace"/>
◻
<html:span class="EnSpace"/>
Harm someone else as a result of a mental disorder.
<html:br/>
<html:span class="EmSpace"/>
<html:span class="EmSpace"/>
◻
<html:span class="EnSpace"/>
Be unable to take care of your own food, clothing, shelter, personal safety, or necessary medical care as a result of a mental disorder, a severe substance use disorder, or a cooccurring mental health disorder and a severe substance use disorder.
<html:br/>
We believe this is true because
</html:p>
</html:td>
</html:tr>
<html:tr>
<html:td valign="top" width="414">
<html:p class="Left10Point">
<html:span class="UnderlinedLeaders"/>
</html:p>
<html:p class="Left10Point">
<html:span class="UnderlinedLeaders"/>
</html:p>
<html:p class="Left10Point">
<html:span class="UnderlinedLeaders"/>
.
</html:p>
</html:td>
</html:tr>
<html:tr>
<html:td valign="top" width="414">
<html:p class="Center10Point">
(list of the facts upon which the allegation of dangerous
<html:br/>
or gravely disabled due to mental health disorder is based, including pertinent
<html:br/>
facts arising from the admission interview or historical course
of the person’s mental disorder, severe substance use disorder, or cooccurring mental health disorder and severe substance use disorder)
</html:p>
</html:td>
</html:tr>
<html:tr>
<html:td valign="bottom" width="414">
<html:p class="Left10Point">
<html:span class="EmSpace"/>
You will be held for a period up to 72 hours. During the 72 hours you may also be transferred to another facility. You may request to be evaluated or treated at a facility of your choice. You may request to be evaluated or treated by a mental health professional of your choice. We cannot guarantee the facility or mental health professional you choose will be available, but we will honor your choice if we can.
</html:p>
</html:td>
</html:tr>
<html:tr>
<html:td valign="top" width="414">
<html:p class="Justify10Point">
<html:span class="EmSpace"/>
During these 72 hours you will be evaluated by the facility staff, and you may be given treatment, including medications. It is possible for you to be released before the end of the 72 hours. But if
the staff decides that you need continued treatment you can be held for a longer period of time. If you are held longer than 72 hours, you have the right to a lawyer and a qualified interpreter and a hearing before a judge. If you are unable to pay for the lawyer, then one will be provided to you free of charge.
</html:p>
</html:td>
</html:tr>
<html:tr>
<html:td valign="top" width="414">
<html:p class="Justify10Point">
<html:span class="EmSpace"/>
If you have questions about your legal rights, you may contact the county Patients’ Rights Advocate at
<ns0:LabelledField>
<html:span class="SpacedLeaders"/>
(phone number) for the county Patients’ Rights Advocacy office
<html:span class="SpacedLeaders"/>
</ns0:LabelledField>
.
</html:p>
<html:p class="Left10Point">
Your 72-hour period began
<ns0:LabelledField>
<html:span class="SpacedLeaders"/>
(date/time)
<html:span class="SpacedLeaders"/>
</ns0:LabelledField>
.
</html:p>
</html:td>
</html:tr>
</html:tbody>
</html:table>
<html:p>
(2)
<html:span class="EnSpace"/>
If the notice is given in a
county where weekends and holidays are excluded from the 72-hour period, the person shall be informed of this fact.
</html:p>
<html:p>
(j)
<html:span class="EnSpace"/>
For each person admitted for evaluation and treatment, the facility shall keep with the person’s medical record a record of the advisement given pursuant to subdivision (i), which shall include all of the following:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
The name of the person performing the advisement.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The date of the advisement.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
Whether the advisement was completed.
</html:p>
<html:p>
(4)
<html:span class="EnSpace"/>
The language or modality used to communicate the advisement.
</html:p>
<html:p>
(5)
<html:span class="EnSpace"/>
If the advisement was not completed, a statement of good cause.
</html:p>
<html:p>
(k)
<html:span class="EnSpace"/>
A facility to which a person who is involuntarily detained pursuant to this section is transported shall notify the county patients’ rights advocate, as defined in Section 5500, if a person has not been released within 72 hours of the involuntary detention.
</html:p>
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</ns0:BillSection>
<ns0:BillSection id="id_67D8CF2B-E43A-4F8D-B1FD-2B9BC36E5F83">
<ns0:Num>SEC. 2.</ns0:Num>
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Section 5150.4 of the
<ns0:DocName>Welfare and Institutions Code</ns0:DocName>
is amended to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_69E14D7E-5237-432E-9D47-88BE32764690">
<ns0:Num>5150.4.</ns0:Num>
<ns0:LawSectionVersion id="id_E0D24E2B-9B15-4B62-8735-B6335528FC34">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
“Assessment,” for the purposes of this article, means the determination of whether a person shall be evaluated and treated pursuant to Section 5150.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
An assessment shall consider reasonably available, relevant information including, but not limited to, the history of a person’s mental health records and the frequency of prior assessments provided under subdivision (c) of Section 5150. Assessments may be used to assist the professional person in charge of a facility designated by the county for evaluation and treatment, a member of the attending staff, or a professional person designated by the county in developing an aftercare plan for an individual if they have agreed to an
aftercare plan and can be properly served without being detained, pursuant to Section 5150.
</html:p>
</ns0:Content>
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</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_D2EF36A5-44E9-450A-AE6A-41AF96A7996F">
<ns0:Num>SEC. 3.</ns0:Num>
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Section 5352 of the
<ns0:DocName>Welfare and Institutions Code</ns0:DocName>
is amended to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_F72EBB3E-8B7F-4E09-BB17-A2B6FA12DF65">
<ns0:Num>5352.</ns0:Num>
<ns0:LawSectionVersion id="id_78517072-84F7-4BE8-862A-EF5F7F69303B">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
A professional person in charge of an agency providing comprehensive evaluation or a facility providing intensive treatment may recommend conservatorship for a person in their care who is gravely disabled as a result of a mental health disorder or impairment by chronic alcoholism to the officer providing conservatorship investigation for the person’s county of residence prior to their admission as a patient in such a facility if the professional person determines either of the following:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
The person is unwilling to accept voluntary treatment.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The person has demonstrated an inability to accept voluntary treatment due to apparent incapacity.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
An individual or entity described in subdivision (c) may recommend conservatorship for a person without that person being an inpatient in a facility that provides comprehensive evaluation or intensive treatment if both of the following conditions apply:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
The individual or entity has examined and evaluated the person and has determined that they are gravely
disabled as a result of a mental health disorder or impairment by chronic alcoholism.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The individual or entity has determined that future examination on an inpatient basis is not necessary for a determination that the person is gravely disabled.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
The conservatorships described in subdivision (b) may be recommended by any of the following individuals or entities:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
The professional person in charge of an agency providing comprehensive evaluation or a facility providing intensive treatment, or their designee.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The professional person in charge of providing mental health treatment at a county jail, or their designee.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
A physician who has provided treatment within the past year to the person being recommended for conservatorship for the condition that is causing the grave disability.
</html:p>
<html:p>
(4)
<html:span class="EnSpace"/>
A psychiatrist who has provided treatment within the
past year to the person being recommended for conservatorship for the condition that is causing the grave disability.
</html:p>
<html:p>
(5)
<html:span class="EnSpace"/>
The county agency providing investigations for conservatorships of the person established pursuant to Article 1 (commencing with Section 1800) of Chapter 1 of Part 3 of Division 4 of the Probate Code.
</html:p>
<html:p>
(6)
<html:span class="EnSpace"/>
The judicial officer overseeing a
competency hearing, as authorized by Penal Code section 1370.01.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
If the officer providing the conservatorship investigation concurs with a recommendation provided pursuant to this section, they shall petition the superior court in the county of residence of the patient to establish conservatorship.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
If temporary conservatorship is indicated, that fact shall be alternatively
pleaded in the petition. The officer providing conservatorship investigation or other county officer or employee
designated by the county shall act as the temporary conservator.
</html:p>
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</ns0:BillSection>
<ns0:BillSection id="id_66B48FB8-7C27-42C7-8AB3-70FEC3BA734D">
<ns0:Num>SEC. 4.</ns0:Num>
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Section 5352.6 of the
<ns0:DocName>Welfare and Institutions Code</ns0:DocName>
is amended to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_5CE61503-2BE8-490A-BF9F-32B8D477F654">
<ns0:Num>5352.6.</ns0:Num>
<ns0:LawSectionVersion id="id_2B3D8279-DC03-44A9-BB1B-4ECA8E893CDF">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
Within 10 days after conservatorship of the person has been established under the provisions of this article, an individualized treatment plan shall be created unless treatment is specifically found not to be appropriate by the court.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The treatment plan shall be developed by the Short-Doyle Act community mental health service, the staff of a facility operating under a contract to provide such services in the individual’s county of residence, or the staff of a health facility licensed pursuant to Chapter 2 (commencing with Section 1250) of Division 2 of the Health and Safety Code to provide inpatient psychiatric treatment.
If a treatment plan is not developed as provided herein, then the matter shall be referred to the court by the Short-Doyle Act community mental health service, or the staff of a facility operating under a contract to provide those services, or the conservator, or the attorney of record for the conservatee.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
The person responsible for developing the treatment plan shall encourage the participation of the client and the client’s family members, when appropriate, in the development, implementation, revision, and review of the treatment plan.
</html:p>
<html:p>
(4)
<html:span class="EnSpace"/>
(A)
<html:span class="EnSpace"/>
The individualized treatment plan shall specify the following goals:
</html:p>
<html:p>
(i)
<html:span class="EnSpace"/>
Stabilization.
</html:p>
<html:p>
(ii)
<html:span class="EnSpace"/>
The individual’s evidence-based treatment.
</html:p>
<html:p>
(iii)
<html:span class="EnSpace"/>
Movement to a less-restrictive setting.
</html:p>
<html:p>
(B)
<html:span class="EnSpace"/>
All of the goals in this paragraph shall include the criteria by which accomplishment of the goals can be judged and a plan for review of the progress of treatment.
</html:p>
<html:p>
(5)
<html:span class="EnSpace"/>
The goals of the treatment plan shall be equivalent to reducing or eliminating the behavioral manifestations of grave disability.
</html:p>
<html:p>
(6)
<html:span class="EnSpace"/>
After a treatment plan is developed, a copy shall be filed with the court by the Short-Doyle Act community mental health service, the staff of a facility operating under a contract to provide such services, the conservator, or the attorney of record for
the conservatee.
</html:p>
<html:p>
(7)
<html:span class="EnSpace"/>
(A)
<html:span class="EnSpace"/>
If a treatment plan does not meet the goals and criteria specified in this subdivision, the court shall order the treating agency to remedy any perceived defects within 10 days of the order.
</html:p>
<html:p>
(B)
<html:span class="EnSpace"/>
Appropriate treatment shall continue while the treatment plan is being remedied.
</html:p>
<html:p>
(8)
<html:span class="EnSpace"/>
The conservator is responsible for ensuring the completion and utilization of the treatment plan at the conservatee’s treatment settings.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
If the progress review determines that the goals have been reached and
the conservatee is no longer gravely disabled, a person designated by the county shall report to the court that the conservatee is no longer gravely disabled and file copies of the progress review establishing that the conservatee is no longer gravely disabled and the care coordination plan for posttermination.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
Upon receipt of the report and documents in paragraph (1), the court shall terminate the conservatorship.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
Upon termination of the conservatorship, the court may refer the individual to assisted outpatient treatment pursuant to Section 5346, if the county offers assisted outpatient treatment, or to CARE court pursuant to Section 5978.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
If the conservator fails to report to the court that the
conservatee is no longer gravely disabled, as provided in this section, then the matter shall be referred to the court by the Short-Doyle Act community mental health service, the staff of a facility operating under a contract to provide such services, or the attorney of record for the conservatee.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
If a conservatee cannot be located at any point during the conservatorship’s one-year term, the court shall not terminate the conservatorship prior to the one-year mark without proof that the treatment plan goals have been achieved and the individual is no longer gravely disabled.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
When a county filing a petition under this part is aware that the person who is the subject of the petition was, within the prior six months, a conservatee in a conservatorship under this part that was terminated before the automatic one-year termination date, the county shall set forth this information, including the circumstances
that gave rise to the termination, in its petition.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
Information submitted pursuant to paragraph (1) shall be considered pursuant to Section 5008.2.
</html:p>
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</ns0:BillSection>
<ns0:BillSection id="id_B4E62689-6994-4214-BFDE-68582D9B811C">
<ns0:Num>SEC. 5.</ns0:Num>
<ns0:ActionLine action="IS_AMENDED" ns3:href="urn:caml:codes:WIC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'5.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'PART'%20and%20caml%3ANum%3D'1.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'3.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'5354.'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
Section 5354 of the
<ns0:DocName>Welfare and Institutions Code</ns0:DocName>
is amended to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_AF420B43-0381-47D7-95C8-A62BE6D2316C">
<ns0:Num>5354.</ns0:Num>
<ns0:LawSectionVersion id="id_A0542325-769B-4101-9053-AAA0B710ACBA">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
The officer providing conservatorship investigation shall investigate all available alternatives to conservatorship, including, but not limited to, probate conservatorship with or without major neurocognitive disorder powers, assisted outpatient treatment pursuant to Section 5346, and the Community Assistance, Recovery, and Empowerment (CARE) Act program pursuant to Section 5978, as applicable, and shall recommend LPS
conservatorship to the court only if no suitable alternatives are available.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
In a county where the duty of investigation for probate conservatorship and LPS conservatorship are split between separate agencies, referrals for LPS conservatorships that include the presence of a major neurocognitive disorder shall be reviewed by both agencies to ensure the continuity of evaluations.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
The officer providing investigation for LPS conservatorships shall render to the court a written report of investigation prior to the hearing. The report to the court shall be comprehensive and shall contain all relevant aspects of the person’s medical, psychological, financial, family, vocational, and social condition, and information obtained from the person’s family members, close friends,
social worker, or principal therapist. The report shall also contain all available information concerning the person’s real and personal property. The facilities providing intensive treatment or comprehensive evaluation shall disclose any records or information that may facilitate the investigation.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
If the officer providing conservatorship investigation recommends either for or against LPS conservatorship, the officer shall set forth in a written report all alternatives available, including probate conservatorship with or without major neurocognitive disorder powers, assisted outpatient treatment pursuant to Section 5346 and the CARE Act program pursuant to Section 5978, as applicable, and all other less-restrictive alternatives. If the officer providing conservatorship investigation recommends against LPS conservatorship, they shall also
include a recommended individualized plan for treatment and care drawn from the documented list of less-restrictive alternatives. Regardless of whether the officer providing conservatorship investigation recommends for or against LPS conservatorship, a copy of the report shall be transmitted to the individual who originally recommended conservatorship, to the person or agency, if any, recommended to serve as conservator, and to the person recommended for or their appointed counsel. The court may receive the report in evidence and may read and consider the contents thereof in rendering its judgment.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
Notwithstanding Section 5328, when a court with jurisdiction over a person in a criminal case orders an evaluation of the person’s mental condition pursuant to Section 5200, and that evaluation leads to a conservatorship investigation,
the officer providing the conservatorship investigation shall serve a copy of the report required under subdivision (c) upon the defendant or the defendant’s counsel. Upon the prior written request of the defendant or the defendant’s counsel, the officer providing the conservatorship investigation shall also submit a copy of the report to the court hearing the criminal case, the district attorney, and the county probation department. The conservatorship investigation report and the information contained in that report, shall be kept confidential and shall not be further disclosed to anyone without the prior written consent of the defendant. After disposition of the criminal case, the court shall place all copies of the report in a sealed file, except as follows:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
The defendant and the defendant’s counsel may retain their copy.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
If the defendant is placed on probation status, the county probation department may retain a copy of the report for the
purpose of supervision of the defendant until the probation is terminated, at which time the probation department shall return its copy of the report to the court for placement into the sealed file.
</html:p>
<html:p>
(f)
<html:span class="EnSpace"/>
For purposes of this section, the following definitions shall apply:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
“LPS conservatorship” means a conservatorship established pursuant to this chapter.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
“Probate conservatorship” means a conservatorship of the person established pursuant to Article 1 (commencing with Section 1800) of Chapter 1 of Part 3 of Division 4 of the Probate Code.
</html:p>
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</ns0:LawSection>
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</ns0:BillSection>
<ns0:BillSection id="id_C82822F0-81B9-4991-B012-F58FF1243499">
<ns0:Num>SEC. 6.</ns0:Num>
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Section 5975.4 is added to the
<ns0:DocName>Welfare and Institutions Code</ns0:DocName>
, to read:
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<ns0:Fragment>
<ns0:LawSection id="id_2E3E06AE-74D6-45F0-B2A1-B57BFB63F365">
<ns0:Num>5975.4.</ns0:Num>
<ns0:LawSectionVersion id="id_C080BA29-8646-4E56-98FC-EF7DDC8D4EAD">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
At any point after the entry of a CARE agreement pursuant to subdivision (a) or Section 5977.1, or the adoption of a CARE plan pursuant to paragraph (2) of subdivision (d) of Section 5977.1, the court may order the respondent to an evaluation pursuant to Section 5206 without a petition from the county if the court believes the respondent has become gravely disabled.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
Before issuing an order pursuant subdivision (a), the court shall do all of the following:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
Set a status review hearing.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
Order the county to include in its report information setting forth whether the respondent is, as a result of a
mental disorder or severe substance use disorder, gravely disabled.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
Determine, after the hearing at which the county behavioral health agency and the respondent are given an opportunity to be heard, that the respondent appears to be gravely disabled as a result of a mental disorder and has refused or failed to accept evaluation voluntarily.
</html:p>
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</ns0:LawSection>
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</ns0:BillSection>
<ns0:BillSection id="id_DB565506-2B5E-4B5A-AC84-E69061E48C47">
<ns0:Num>SEC. 7.</ns0:Num>
<ns0:ActionLine action="IS_AMENDED" ns3:href="urn:caml:codes:WIC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'5.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'PART'%20and%20caml%3ANum%3D'8.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'5976.5.'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
Section 5976.5 of the
<ns0:DocName>Welfare and Institutions Code</ns0:DocName>
is amended to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_3BC09786-8A72-4DA2-A66A-AD53C2C905ED">
<ns0:Num>5976.5.</ns0:Num>
<ns0:LawSectionVersion id="id_3245405B-0E07-44AD-AD52-C735D09990CF">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
Notwithstanding any other law, and except as otherwise provided in this section, a hearing held under this part is presumptively closed to the public.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
The respondent may demand that the hearing be public and be held in a place suitable for attendance by the public.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
The respondent may request the presence of any family member or friend without waiving the right to keep the hearing closed to the rest of the public.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
A request by another party to the proceeding to make the hearing public may be granted if the judicial officer conducting the hearing
finds that the public interest in an open hearing clearly outweighs the respondent’s interest in privacy.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
All reports, evaluations, diagnoses, or other information filed with the court related to the respondent’s health shall be confidential and may only be shared by a court order, or as approved by the respondent. This information may be used outside of CARE Act proceedings, such as an LPS conservatorship petition pursuant to Section 5352, but shall require a court order.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The respondent may, at any time, petition the court for an order sealing these records or any other court records in a proceeding held under this part. Notwithstanding any rule of court prohibiting records kept confidential by law from consideration for sealing, if such a petition is
filed, there shall exist a presumption in favor of sealing.
</html:p>
<html:p>
(f)
<html:span class="EnSpace"/>
The fact that evidence is admitted at a proceeding held under this part shall not be the basis for admission of that evidence in a subsequent legal proceeding.
</html:p>
<html:p>
(g)
<html:span class="EnSpace"/>
Photographs, recordings, transcripts, other records of proceedings held under this part, and testimony regarding proceedings held under this part shall not be admissible in any subsequent legal proceeding except upon motion by one of the following in that subsequent legal proceeding:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
The respondent.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The county behavioral health agency, the public guardian, or the public conservator.
</html:p>
<html:p>
(h)
<html:span class="EnSpace"/>
In a proceeding held under this part, this section shall not affect the applicability of paragraph (2) of subdivision (c) of Section 5977.1, make admissible any evidence that is not otherwise admissible, or permit a witness to base an opinion on any matter that is not a proper basis for that opinion. The admission or exclusion of evidence shall be pursuant to the rules of evidence established by the Evidence Code, including, but not limited to, Section 352 of the Evidence Code, and by judicial decision.
</html:p>
<html:p>
(i)
<html:span class="EnSpace"/>
Before commencing a hearing at the respondent’s first court appearance, the judicial officer shall inform the respondent of their rights under this section. At subsequent hearings, the court is not required to advise the respondent of their rights under this section upon finding that the respondent understands and waives the additional
advisement of their rights.
</html:p>
</ns0:Content>
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</ns0:LawSection>
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<ns0:BillSection id="id_E591F785-2B7B-469E-AA1D-B8DE9A700BBD">
<ns0:Num>SEC. 8.</ns0:Num>
<ns0:Content>
<html:p>If the Commission on State Mandates determines that this act contains costs mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code.</html:p>
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</ns0:Bill>
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