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First Substitute H.B. 5

Representative Mike Thompson proposes the following substitute bill:





Sponsor: Mike Thompson

             6      This act modifies the Mental Health Professional Licensing Act. The act restricts the use,
             7      practice, or application of restraint to certain circumstances.
             8      This act affects sections of Utah Code Annotated 1953 as follows:
             9      ENACTS:
             10          58-60-117, Utah Code Annotated 1953
             11      Be it enacted by the Legislature of the state of Utah:
             12          Section 1. Section 58-60-117 is enacted to read:
             13          58-60-117. Coercive restraint practices.
             14          (1) As used in this section:
             15          (a) "Coercive restraint" means a restraint used for purposes other than the safety of the
             16      patient or others.
             17          (b) (i) "Restraint" means personal, physical, or mechanical restraint, that includes:
             18          (A) the application of physical force without the use of any device, for the purpose of
             19      restraining the movement of the patient's body; or
             20          (B) any manual method or physical or mechanical device, material, or equipment
             21      attached to or adjacent to the patient's body that the patient cannot easily remove that restricts
             22      freedom of movement or normal access to one's body.
             23          (ii) "Restraint" does not include briefly holding, without undue force, a patient, in order
             24      to calm the patient, or holding a patient's hand to escort the patient safely from one area to
             25      another.

             26          (2) Except as otherwise provided in Subsection (3), a licensed mental health therapist
             27      h [ or any other unlicensed individual ] h may not:
             28          (a) practice, use, or apply coercive restraint on or to a patient; or
             29          (b) direct, instruct, prescribe, supervise, or recommend that coercive restraint be used
             30      or applied on or to a patient.
             31          (3) Subsection (2) does not apply:
             32          (a) to a hospital that is subject to Requirements for States and Long Term Care
             33      Facilities, 42 C.F.R. Subchapter G, Part 482;
             34          (b) to a residential treatment facility that is subject to Requirements for States and
             35      Long Term Care Facilities, 42 C.F.R. Subchapter G, Part 483; or
             36          (c) when a mental health therapist determines that restraint is reasonably needed to:
             37          (i) protect the patient or another person from what reasonably appears to be imminent
             38      physical injury; or
             39          (ii) protect property from what reasonably appears to be imminent, substantial damage.
             40          (4) All use of restraint by a mental health therapist shall be fully documented in the
             41      patient's file or chart.
             42          (5) Any restraint permitted under Subsection (3)(c) must be terminated when
             43      conditions described in Subsection (3)(c) no longer exist or may be remediated by less
             44      restrictive means.

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