SB 1244 Arizona Senate · 57th Legislature - Second Regular Session

court-ordered treatment; continuation

Arizona Senate Bill 1244 amends mental health statutes to streamline court-ordered treatment continuity for individuals with serious mental health conditions. It requires mental health agencies to conduct annual reviews 90 days before treatment expiration to assess whether continued court-ordered treatment is appropriate (Section 36-543). The bill creates a new "conversion" process (Section 36-543.01) allowing patients to transition to ongoing court-ordered treatment without a full new petition, while strengthening notification requirements for guardians and patients about treatment renewals or discharges (Sections 36-504.01, 36-542). These changes directly affect patients under court-ordered mental health treatment, their guardians, and mental health treatment agencies.
Bill status passed 3 of 5 stages cleared
Introduction
Jan 2026
Committee Review
Senate Passage
Mar 2026
House Passage
Governor
Introduced Jan 21, 2026 Last action Mar 10, 2026
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What changed between versions

Introduced Version Senate Engrossed Version (03/02/2026) · 7 edits · Mar 2, 2026
MODERATE
This bill updates Arizona's mental health laws to create a new legal category called 'continuing court-ordered treatment' for patients who have already undergone two consecutive annual reviews. It simplifies the process for extending treatment beyond the standard annual renewal cycle by allowing a conversion to this new status, which removes strict time limits on how long a patient can be held in treatment. The changes also strengthen patient protections by requiring more detailed annual reports, ensuring legal representation, and establishing specific criteria that must be met to continue involuntary treatment long-term.
Scope change
The bill expands the scope of involuntary treatment by introducing a new mechanism for long-term confinement that bypasses the standard annual time limits, while simultaneously adding stricter procedural safeguards and reporting requirements for these extended cases.
REQUIREMENT

Added a new section (36-543.01) creating 'continuing court-ordered treatment' for patients after their second consecutive annual review, allowing treatment to continue indefinitely if specific criteria are met.

Modified the annual review process to require more detailed reports, including specific opinions on voluntary treatment alternatives and the patient's ability to follow recommendations with or without a court order.

ENFORCEMENT

Added a requirement that the medical director must file a written annual report with the court within 90 days of the anniversary date of the continuing treatment order, detailing treatment compliance and the medical director's opinion on whether to terminate or continue the order.

Added a specific burden of proof requirement stating that the mental health agency must prove by clear and convincing evidence that continuing treatment is necessary at the objection hearing.

TIMELINE

Modified the timeline for hearings, requiring that if a patient objects to a continuing treatment order, the court must hold a hearing within 30 calendar days of the request.

ELIGIBILITY

Modified eligibility criteria to include a new finding that without the order, the patient is likely to suffer severe harm or be unable to provide for basic physical needs.

TECHNICAL

Added technical provisions regarding the appointment of attorneys for patients without representation and the right to request independent evaluations during the annual report process.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
8
Key actions
3
Committee
0
Amendments
2
Mar 2, 2026
Upper · Passed
PASSED
upper
Feb 24, 2026
Upper · Passed
DPA
upper
Jan 28, 2026
Upper · Passed
DPA
upper
1 primary · 1 co-sponsor

Sponsors