An Act To Require a Mandatory Peer Review Process for the Restraint and Seclusion of Children in a Hospital or Children's Home
Maine Legislature, Session 126, LD 1031
Committee Amendment CA_A_H610 (House)

COMMITTEE AMENDMENT "A" to H.P. 726, L.D. 1031, Bill, "An Act To 
Require a Mandatory Peer Review Process for the Restraint and Seclusion of Children in 
a Hospital or Children's Home" 
Amend the bill by striking out the title and substituting the following: 
'Resolve, Directing the Department of Health and Human Services To Review the 
Use of Restraint and Seclusion at Mental Health Institutes' 
Amend the bill by striking out everything after the title and before the summary and 
inserting the following: 
'Sec. 1. Restraint and seclusion review. Resolved: That the Commissioner of 
Health and Human Services shall review the use of restraint and seclusion in the 
Dorothea Dix Psychiatric Center and Riverview Psychiatric Center and invite 
representatives of the 2 nonstate mental health institutions, Spring Harbor Hospital and 
Acadia Hospital, to provide information regarding the use of restraint and seclusion in 
those institutions in order to compare the use of restraint and seclusion in institutes and 
institutions. 
The commissioner shall also invite representatives of psychiatric units 
within acute care hospitals to participate in discussions on the use of restraint and 
seclusion. The commissioner shall conduct the review within existing resources; and be 
it further 
Sec. 2. Department of Health and Human Services report. Resolved: 
That the Commissioner of Health and Human Services shall report the findings and 
recommendations of the review pursuant to section 1 to the Joint Standing Committee on 
Health and Human Services no later than November 1,2014; and be it further 
Sec. 3. Disability rights advocacy community participation. Resolved: 
That the Commissioner of Health and Human Services shall invite members of the 
disability rights advocacy community to discuss the findings of the report pursuant to 
section 2 and possible policy changes no later than November 15, 2014.' 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT·A" to H.P. 726, L.D. 1031 
SUMMARY 
This amendment replaces the bill with a resolve. It directs the Commissioner of 
Health and Human Services to review the use of restraint and seclusion in state mental 
health institutes and nonstate mental health institutions. The commissioner is required to 
report the findings and recommendations of the review to the Joint Standing Committee 
on Health and Human Services no later than November 1, 2014. The commissioner is 
also required to invite members of the disability rights advocacy community to discuss 
the findings of the report and possible policy changes no later than November 15, 2014. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 01/29/14 .:1A'ac:.. 
LD 1031 
LR 1854(02) 
An Act To Require a Mandatory Peer Review Process for the Restraint and Seclusion of Children in a 
Hospital or Children's Home 
Fiscal Detail and Notes 
Fiscal Note for Bill as Amended by Committee Amendment 'A' (~~ (P 10 ) 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - General Fund 
The additional costs to the Department of Health and Human Services to review and report on the use of restraint and 
seclusion in psychiatric settings can be absorbed by the department utilizing existing budgeted resources. 
LR1854(02) - Fiscal Note - Page 1 of 1