Amends TCA Title 33, Chapter 6, Part 4.
Under present law, a hospital or treatment resource that receives a person transported pursuant to the present law provisions governing transportation of a detainee to a treatment facility, must have a licensed physician examine the person to determine whether the person is subject to admission. This bill authorizes a qualified advanced practice provider to perform the examination instead of a physician. This bill defines "qualified advanced practice provider" as an individual working under the supervision of a licensed physician, and who is a: (1) Licensed advanced practice nurse with certification from a national certifying organization as a psychiatric-mental health advanced practice nurse; or (2) Physician assistant with certification from a national certifying organization as having additional qualifications in psychiatry. This bill requires that a certificate of need for emergency diagnosis, evaluation, and treatment completed by a qualified advanced practice provider be reviewed by the supervising physician as soon as practicable, but no more than 24 hours after completion by the qualified advanced practice provider. The review by the supervising physician must be a face-to-face assessment, either in-person or by electronic means, of the individual admitted. The admitted individual must be returned to the county if: (1) The supervising physician does not concur with the certificate of need; (2) The supervising physician determines that continued hospitalization of the admitted individual is not necessary; or (3) The certificate of need is not reviewed by the supervising physician within 24 hours of completion as required by this bill. This bill deletes the present law provisions whereby if a person who is not a licensed physician executes the first certificate of need in support of hospitalization under the provisions governing emergency involuntary admission to inpatient treatment, then only a licensed physician may execute the second certificate of need in support of hospitalization.
Under present law, a hospital or treatment resource that receives a person transported pursuant to the present law provisions governing transportation of a detainee to a treatment facility, must have a licensed physician examine the person to determine whether the person is subject to admission. This bill authorizes a qualified advanced practice provider to perform the examination instead of a physician. This bill defines "qualified advanced practice provider" as an individual working under the supervision of a licensed physician, and who is a: (1) Licensed advanced practice nurse with certification from a national certifying organization as a psychiatric-mental health advanced practice nurse; or (2) Physician assistant with certification from a national certifying organization as having additional qualifications in psychiatry. This bill requires that a certificate of need for emergency diagnosis, evaluation, and treatment completed by a qualified advanced practice provider be reviewed by the supervising physician as soon as practicable, but no more than 24 hours after completion by the qualified advanced practice provider. The review by the supervising physician must be a face-to-face assessment, either in-person or by electronic means, of the individual admitted. The admitted individual must be returned to the county if: (1) The supervising physician does not concur with the certificate of need; (2) The supervising physician determines that continued hospitalization of the admitted individual is not necessary; or (3) The certificate of need is not reviewed by the supervising physician within 24 hours of completion as required by this bill. This bill deletes the present law provisions whereby if a person who is not a licensed physician executes the first certificate of need in support of hospitalization under the provisions governing emergency involuntary admission to inpatient treatment, then only a licensed physician may execute the second certificate of need in support of hospitalization.
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