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SB1015 • 2026

Creates provisions for involuntary outpatient treatment

Creates provisions for involuntary outpatient treatment

Healthcare
Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Nurrenbern, Maggie; House handler: N/A
Last action
2026-04-16
Official status
Hearing Conducted H Health and Mental Health
Effective date
2026-08-28

Plain English Breakdown

The plain English breakdown is still being put together. The official documents below are already here.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

SA 1 SS SCS

3/24/2026 - SA 1 to SS for SCS S offered & adopted (Trent) • Trent

Adopted

Plain English: Adopted 3/24/2026 - SA 1 to SS for SCS S offered & adopted (Trent) by Trent

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.
SS SCS

3/24/2026 - SS for SCS S offered (Nurrenbern) • Nurrenbern

Adopted, as amended

Plain English: Adopted, as amended 3/24/2026 - SS for SCS S offered (Nurrenbern) by Nurrenbern

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.

Bill History

  1. 2026-04-16 Missouri House of Representatives and Missouri Senate

    Hearing Conducted H Health and Mental Health

  2. 2026-04-13 H1760

    Referred H Health and Mental Health

  3. 2026-03-26 H1434

    H Second Read

  4. 2026-03-25 H1427

    H First Read

  5. 2026-03-25 S779-780

    S Third Read and Passed

  6. 2026-03-25 S776

    Reported from S Fiscal Oversight Committee

  7. 2026-03-25 Missouri House of Representatives and Missouri Senate

    Voted Do Pass S Fiscal Oversight Committee

  8. 2026-03-24 S766

    Referred S Fiscal Oversight Committee

  9. 2026-03-24 S766

    Reported Truly Perfected S Rules, Joint Rules, Resolutions and Ethics Committee

  10. 2026-03-24 S688

    Perfected

  11. 2026-03-24 S688

    SS for SCS, as amended, S adopted

  12. 2026-03-24 S686-688

    SA 1 to SS for SCS S offered & adopted (Trent)--(4051S03.01S)

  13. 2026-03-24 S686

    SS for SCS S offered (Nurrenbern)--(4051S.03F)

  14. 2026-03-09 S546

    Reported from S Judiciary and Civil and Criminal Jurisprudence Committee w/SCS

  15. 2026-03-04 Missouri House of Representatives and Missouri Senate

    SCS Voted Do Pass S Judiciary and Civil and Criminal Jurisprudence Committee (4051S.02C)

  16. 2026-03-04 Missouri House of Representatives and Missouri Senate

    Hearing Conducted S Judiciary and Civil and Criminal Jurisprudence Committee

  17. 2026-01-08 S130

    Second Read and Referred S Judiciary and Civil and Criminal Jurisprudence Committee

  18. 2026-01-07 S52

    S First Read

  19. 2025-12-01 Missouri House of Representatives and Missouri Senate

    Prefiled

Official Summary Text

The following summaries of this bill are available:

Print All Summaries

Perfected

Print

SS/SCS/SB 1015 - This act modifies notarization requirements for applications for detention for evaluation and treatment at a mental health facility. Under this act, no notarization shall be required for the application or any affidavits, declarations, or other supporting documents filed under certain provisions of law, including when filed in court by an adult, when a peace officer takes a person into custody for detention at the facility for a period of 96 hours, when a person presents themselves at the facility and the health care provider completes the application, or if the person executing the application is an employee acting on behalf of a hospital.

This provision is identical to the perfected HB 1977 (2026) and provisions in SCS/HCS/HB 1259 (2025) and substantially similar to SB 1274 (2026) and SB 436 (2025).

This act establishes procedures for authorizing or continuing an individual's assisted outpatient treatment. A petition in court for such treatment may be filed by individuals specified in the act. A court may issue an order requiring the individual to participate in assisted outpatient treatment if the individual is at least 18 years of age, is suffering from a mental disorder, will not obtain treatment in the community voluntarily, and is unable to make an informed decision to see or comply with voluntary treatment. Additional grounds for ordering treatment shall consider the necessity of treatment to prevent a deterioration in the individual's mental illness likely to result in harm to the individual or others or the individual's history of lack of compliance with treatment for the illness, as described in the act.

The act sets forth the procedures for the hearing process, including the option for a jury trial. If the court or jury finds, by clear and convincing evidence, that the individual meets the criteria for assisted outpatient treatment and that an appropriate mental health program has agreed to accept the individual, the court shall issue an order requiring the individual to participate in treatment for a period not to exceed two years, unless extended by the court as described in the act.

Current provisions of law exempting certain professionals from civil liability for investigating, detaining, transporting, conditionally releasing, or discharging a person shall apply to assisted outpatient treatment under this act.

The court shall assign a case manager from a certified community behavioral health clinic to each individual ordered to participate in assisted outpatient treatment. The case manager and individual shall report to the court at least once every ninety days.

If a court determines that the individual is not complying with an order of assisted outpatient treatment, the court may order, without a hearing, that the individual be evaluated at a community mental health center, be hospitalized in a psychiatric hospital for a period of not more than ten days, and potentially be hospitalized for longer upon the recommendation of the community mental health center; provided such extended hospitalization does not exceed the duration of the order for assisted outpatient treatment or ninety days, whichever is less. If the individual objects to such hospitalization, the court shall schedule a hearing as described in the act.

Beginning December 1, 2028, the Office of State Courts Administrator shall submit an annual report to the General Assembly regarding certain statistics of individuals receiving treatment under this act and the impact of such treatment on hospitalization and incarceration rates.

These provisions are substantially similar to HB 1154 (2025).
SARAH HASKINS

Senate Substitute

Print

SS/SCS/SB 1015 - This act establishes procedures for authorizing or continuing an individual's assisted outpatient treatment. A petition in court for such treatment may be filed by individuals specified in the act. A court may issue an order requiring the individual to participate in assisted outpatient treatment if the individual is at least 18 years of age, is suffering from a mental disorder, will not obtain treatment in the community voluntarily, and is unable to make an informed decision to see or comply with voluntary treatment. Additional grounds for ordering treatment shall consider the necessity of treatment to prevent a deterioration in the individual's mental illness likely to result in harm to the individual or others or the individual's history of lack of compliance with treatment for the illness, as described in the act.

The act sets forth the procedures for the hearing process, including the option for a jury trial. If the court or jury finds, by clear and convincing evidence, that the individual meets the criteria for assisted outpatient treatment and that an appropriate mental health program has agreed to accept the individual, the court shall issue an order requiring the individual to participate in treatment for a period not to exceed two years, unless extended by the court as described in the act.

Current provisions of law exempting certain professionals from civil liability for investigating, detaining, transporting, conditionally releasing, or discharging a person shall apply to assisted outpatient treatment under this act.

The court shall assign a case manager from a certified community behavioral health clinic to each individual ordered to participate in assisted outpatient treatment. The case manager and individual shall report to the court at least once every ninety days.

If a court determines that the individual is not complying with an order of assisted outpatient treatment, the court may order, without a hearing, that the individual be evaluated at a community mental health center, be hospitalized in a psychiatric hospital for a period of not more than ten days, and potentially be hospitalized for longer upon the recommendation of the community mental health center; provided such extended hospitalization does not exceed the duration of the order for assisted outpatient treatment or ninety days, whichever is less. If the individual objects to such hospitalization, the court shall schedule a hearing as described in the act.

Beginning December 1, 2028, the Office of State Courts Administrator shall submit an annual report to the General Assembly regarding certain statistics of individuals receiving treatment under this act and the impact of such treatment on hospitalization and incarceration rates.

This act is substantially similar to HB 1154 (2025).
SARAH HASKINS

Senate Committee Substitute

Print

SCS/SB 1015 - This act establishes procedures for authorizing or continuing an individual's assisted outpatient treatment. A petition in court for such treatment may be filed by individuals specified in the act. A court may issue an order requiring the individual to participate in assisted outpatient treatment if the individual is at least 18 years of age, is suffering from a mental disorder, will not obtain treatment in the community voluntarily, and is unable to make an informed decision to see or comply with voluntary treatment. Additional grounds for ordering treatment shall consider the necessity of treatment to prevent a deterioration in the individual's mental illness likely to result in harm to the individual or others or the individual's history of lack of compliance with treatment for the illness, as described in the act.

The act sets forth the procedures for the hearing process, including the option for a jury trial. If the court or jury finds, by clear and convincing evidence, that the individual meets the criteria for assisted outpatient treatment and that an appropriate mental health program has agreed to accept the individual, the court shall issue an order requiring the individual to participate in treatment for a period not to exceed two years, unless extended by the court as described in the act.

Current provisions of law exempting certain professionals from civil liability for investigating, detaining, transporting, conditionally releasing, or discharging a person shall apply to assisted outpatient treatment under this act.

The court shall assign a case manager from a certified community behavioral health clinic to each individual ordered to participate in assisted outpatient treatment. The case manager and individual shall report to the court at least once every ninety days.

If a court determines that the individual is not complying with an order of assisted outpatient treatment, the court may order, without a hearing, that the individual be evaluated at a community mental health center, be hospitalized in a psychiatric hospital for a period of not more than ten days, and potentially be hospitalized for longer upon the recommendation of the community mental health center; provided such extended hospitalization does not exceed the duration of the order for assisted outpatient treatment or ninety days, whichever is less. If the individual objects to such hospitalization, the court shall schedule a hearing as described in the act.

Finally, the Office of State Courts Administrator shall submit an annual report to the General Assembly regarding certain statistics of individuals receiving treatment under this act and the impact of such treatment on hospitalization and incarceration rates.

This act is substantially similar to HB 1154 (2025).
SARAH HASKINS

Introduced

Print

SB 1015 - This act establishes procedures for authorizing or continuing an individual's involuntary outpatient treatment. A petition in court for such treatment may be filed by the director, administrator, or treating physician of an emergency receiving center where the individual is receiving services or by the Department of Health and Senior Services, the Department of Mental Health, or any local public health agency. A court may issue an order requiring the individual to participate in assisted outpatient treatment if the individual is at least 18 years of age, is suffering from a mental disorder, will not obtain treatment in the community voluntarily, and is unable to make an informed decision to see or comply with voluntary treatment. Additional grounds for ordering treatment shall consider the necessity of treatment to prevent a deterioration in the individual's mental disorder likely to result in harm to the individual or others or the individual's history of lack of compliance with treatment for the disorder, as described in the act.

The act sets forth the procedures for the hearing process, including the option for a jury trial. If the court or jury finds, by clear and convincing evidence, that the individual meets the criteria for assisted outpatient treatment and that an appropriate mental health program has agreed to accept the individual, the court shall issue an order requiring the individual to participate in treatment for a period not to exceed two years, unless extended by the court as described in the act.

The court shall assign a case manager from a certified community behavioral health clinic to each individual ordered to participate in assisted outpatient treatment. The case manager and individual shall report to the court at least once every ninety days.

If a court determines that the individual is not complying with an order of assisted outpatient treatment, the court may order, without a hearing, that the individual be evaluated at a community mental health center, be hospitalized in a psychiatric hospital for a period of not more than ten days, and potentially be hospitalized for longer upon the recommendation of the community mental health center; provided such extended hospitalization does not exceed the duration of the order for assisted outpatient treatment or ninety days, whichever is less. If the individual objects to such hospitalization, the court shall schedule a hearing as described in the act.

Finally, the Office of State Courts Administrator shall submit an annual report to the General Assembly regarding certain statistics of individuals receiving treatment under this act and the impact of such treatment on hospitalization and incarceration rates.

This act is identical to HB 1154 (2025).
SARAH HASKINS