Utah Code § 26B-5-365

Interstate Compact on Mental Health -- Compact provisions
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The Interstate Compact on Mental Health is hereby enacted and entered into with all other
jurisdictions that legally join in the compact, which is, in form, substantially as follows:
INTERSTATE COMPACT ON MENTAL HEALTH
The contracting states solemnly agree that:
Article I
 The proper and expeditious treatment of the mentally ill can be facilitated by cooperative
action, to the benefit of the patients, their families, and society as a whole. Further, the party
states find that the necessity of and desirability of furnishing that care and treatment bears no
primary relation to the residence or citizenship of the patient but that the controlling factors of
community safety and humanitarianism require that facilities and services be made available for all
who are in need of them. Consequently, it is the purpose of this compact and of the party states to
provide the necessary legal and constitutional basis for commitment or other appropriate care and
treatment of the mentally ill under a system that recognizes the paramount importance of patient
welfare and to establish the responsibilities of the party states.
 The appropriate authority in this state for making determinations under this compact is the
director of the division or his designee.
Article II
 As used in this compact:
(1) "After-care" means care, treatment, and services provided to a patient on convalescent status
or conditional release.
(2) "Institution" means any hospital, program, or facility maintained by a party state or political
subdivision for the care and treatment of persons with a mental illness.
(3) "Mental illness" means a psychiatric disorder as defined by the current Diagnostic and
Statistical Manual of Mental Disorders, that substantially impairs a person's mental, emotional,
behavioral, or related functioning to such an extent that he requires care and treatment for his
own welfare, the welfare of others, or the community.
(4) "Patient" means any person subject to or eligible, as determined by the laws of the sending
state, for institutionalization or other care, treatment, or supervision pursuant to the provisions
of this compact and constitutional due process requirements.
(5) "Receiving state" means a party state to which a patient is transported pursuant to the
provisions of the compact or to which it is contemplated that a patient may be sent.

(6) "Sending state" means a party state from which a patient is transported pursuant to the
provisions of the compact or from which it is contemplated that a patient may be sent.
(7) "State" means any state, territory, or possession of the United States, the District of Columbia,
and the Commonwealth of Puerto Rico.
Article III
(1) Whenever a person physically present in any party state is in need of institutionalization
because of mental illness, he shall be eligible for care and treatment in an institution in that
state, regardless of his residence, settlement, or citizenship qualifications.
(2) Notwithstanding the provisions of Subsection (1) of this article, any patient may be
transferred to an institution in another state whenever there are factors, based upon clinical
determinations, indicating that the care and treatment of that patient would be facilitated or
improved by that action. Any such institutionalization may be for the entire period of care
and treatment or for any portion or portions thereof. The factors to be considered include the
patient's full record with due regard for the location of the patient's family, the character of his
illness and its probable duration, and other factors considered appropriate by authorities in the
party state and the director of the division, or his designee.
(3) No state is obliged to receive any patient pursuant to the provisions of Subsection (2) of this
article unless the sending state has:
(a) given advance notice of its intent to send the patient;
(b) furnished all available medical and other pertinent records concerning the patient;
(c) given the qualified medical or other appropriate clinical authorities of the receiving state an
opportunity to examine the patient; and
(d) determined that the receiving state agrees to accept the patient.
(4) In the event that the laws of the receiving state establish a system of priorities for the
admission of patients, an interstate patient under this compact shall receive the same priority
as a local patient and shall be taken in the same order and at the same time that he would be
taken if he were a local patient.
(5) Pursuant to this compact, the determination as to the suitable place of institutionalization
for a patient may be reviewed at any time and further transfer of the patient may be made as
is deemed to be in the best interest of the patient, as determined by appropriate authorities in
the receiving and sending states.
Article IV
(1) Whenever, pursuant to the laws of the state in which a patient is physically present,
it is determined that the patient should receive after-care or supervision, that care or
supervision may be provided in the receiving state. If the medical or other appropriate clinical
authorities who have responsibility for the care and treatment of the patient in the sending
state believe that after-care in another state would be in the best interest of the patient and
would not jeopardize the public safety, they shall request the appropriate authorities in the
receiving state to investigate the desirability of providing the patient with after-care in the
receiving state. That request for investigation shall be accompanied by complete information
concerning the patient's intended place of residence and the identity of the person in whose
charge the patient would be placed, the complete medical history of the patient, and other
pertinent documents.
(2) If the medical or other appropriate clinical authorities who have responsibility for the
care and treatment of the patient in the sending state, and the appropriate authorities in the
receiving state find that the best interest of the patient would be served, and if the public
safety would not be jeopardized, the patient may receive after-care or supervision in the
receiving state.

(3) In supervising, treating, or caring for a patient on after-care pursuant to the terms of this
article, a receiving state shall employ the same standards of visitation, examination, care, and
treatment as for similar local patients.
Article V
 Whenever a dangerous or potentially dangerous patient escapes from an institution
in any party state, that state shall promptly notify all appropriate authorities both within and
without the jurisdiction of the escape in a manner reasonably calculated to facilitate the
speedy apprehension of the escapee. Immediately upon the apprehension and identification
of that patient, he shall be detained in the state where found, pending disposition in
accordance with the laws of that state.
Article VI
 Accredited officers of any party state, upon the establishment of their authority and the
identity of the patient, shall be permitted to transport any patient being moved pursuant to this
compact through any and all states party to this compact, without interference.
Article VII
(1) No person may be deemed a patient of more than one institution at any given time.
Completion of transfer of any patient to an institution in a receiving state has the effect of
making the person a patient of the institution in the receiving state.
(2) The sending state shall pay all costs of and incidental to the transportation of any patient
pursuant to this compact, but any two or more party states may, by making a specific
agreement for that purpose, arrange for a different allocation of costs among themselves.
(3) No provision of this compact may be construed to alter or affect any internal relationships
among the departments, agencies, and officers of a party state, or between a party state
and its subdivisions, as to the payment of costs or responsibilities.
(4) Nothing in this compact may be construed to prevent any party state or any of its
subdivisions from asserting any right against any person, agency, or other entity with regard
to costs for which that party state or its subdivision may be responsible under this compact.
(5) Nothing in this compact may be construed to invalidate any reciprocal agreement between
a party state and a nonparty state relating to institutionalization, care, or treatment of the
mentally ill, or any statutory authority under which those agreements are made.
Article VIII
(1) Nothing in this compact may be construed to abridge, diminish, or in any way impair the
rights, duties, and responsibilities of any patient's guardian on his own behalf or with
respect to any patient for whom he serves, except that when the transfer of a patient to
another jurisdiction makes advisable the appointment of a supplemental or substitute
guardian, a court of competent jurisdiction in the receiving state may make supplemental
or substitute appointments. In that case, the court that appointed the previous guardian
shall, upon being advised of the new appointment and upon the satisfactory completion of
accounting and other acts as the court may require, relieve the previous guardian of power
and responsibility to whatever extent is appropriate in the circumstances.
 However, in the case of any patient having settlement in the sending state, a
court of competent jurisdiction in the sending state has the sole discretion to relieve
a guardian appointed by it or to continue his power and responsibility, as it deems
advisable. The court in the receiving state may, in its discretion, confirm or reappoint the
person or persons previously serving as guardian in the sending state in lieu of making a
supplemental or substitute appointment.

(2) The term "guardian" as used in Subsection (1) of this article includes any guardian,
trustee, legal committee, conservator, or other person or agency however denominated,
who is charged by law with power to act for the person or property of a patient.
Article IX
(1) No provision of this compact except Article V applies to any person institutionalized
while under sentence in a penal or correctional institution, while subject to trial on a
criminal charge, or whose institutionalization is due to the commission of an offense for
which, in the absence of mental illness, he would be subject to incarceration in a penal or
correctional institution.
(2) To every extent possible, it shall be the policy of party states that no patient be placed
or detained in any prison, jail, or lockup, but shall, with all expedition, be taken to a
suitable institutional facility for mental illness.
Article X
(1) Each party state shall appoint a "compact administrator" who, on behalf of his state,
shall act as general coordinator of activities under the compact in his state and receive
copies of all reports, correspondence, and other documents relating to any patient
processed under the compact by his state, either in the capacity of sending or receiving
state. The compact administrator, or his designee, shall deal with all matters relating to
the compact and patients processed under the compact. In this state the director of the
division, or his designee shall act as the "compact administrator."
(2) The compact administrators of the respective party states have power to promulgate
reasonable rules and regulations as are necessary to carry out the terms and provisions
of this compact. In this state, the division has authority to establish those rules in
accordance with the Utah Administrative Rulemaking Act.
(3) The compact administrator shall cooperate with all governmental departments, agencies,
and officers in this state and its subdivisions in facilitating the proper administration of
the compact and any supplementary agreement or agreements entered into by this state
under the compact.
(4) The compact administrator is hereby authorized and empowered to enter into
supplementary agreements with appropriate officials of other states pursuant to Articles
VII and XI of this compact. In the event that supplementary agreements require or
contemplate the use of any institution or facility of this state or require or contemplate the
provision of any service by this state, that agreement shall have no force unless approved
by the director of the department or agency under whose jurisdiction the institution or
facility is operated, or whose department or agency will be charged with the rendering of
services.
(5) The compact administrator may make or arrange for any payments necessary to
discharge financial obligations imposed upon this state by the compact or by any
supplementary agreement entered into under the compact.
Article XI
 Administrative authorities of any two or more party states may enter into
supplementary agreements for the provision of any service or facility, or for the
maintenance of any institution on a joint or cooperative basis whenever the states
concerned find that those agreements will improve services, facilities, or institutional care
and treatment of persons who are mentally ill. A supplementary agreement may not be
construed to relieve a party state of any obligation that it otherwise would have under
other provisions of this compact.
Article XII

 This compact has full force and effect in any state when it is enacted into law in that
state. Thereafter, that state is a party to the compact with any and all states that have
legally joined.
Article XIII
 A party state may withdraw from the compact by enacting a statute repealing
the compact. Withdrawal takes effect one year after notice has been communicated
officially and in writing to the compact administrators of all other party states. However,
the withdrawal of a state does not change the status of any patient who has been sent to
that state or sent out of that state pursuant to the compact.
Article XIV
 This compact shall be liberally construed so as to effectuate its purposes. The
provisions of this compact are severable, and if any phrase, clause, sentence or provision
is declared to be contrary to the constitution of the United States or the applicability to any
government, agency, person, or circumstance is held invalid, the validity of the remainder
of this compact and its applicability to any government, agency, person, or circumstance
shall not be affected thereby. If this compact is held to be contrary to the constitution of
any party state the compact shall remain in full force and effect as to the remaining states
and in full force and effect as to the state affected as to all severable matters.
Renumbered and Amended by Chapter 308, 2023 General Session

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