Restraint of incarcerated persons.
What changed between versions
The core prohibition on mechanical restraints was narrowed from applying 'while receiving care' (all time as an admitted hospital patient) to only 'while receiving an advanced level of medical services,' which is defined as specific interventions including mechanical ventilation, medical sedation, surgery, vasopressors, medical paralysis, chemotherapy, dialysis, comfort measures, and peripartum or postpartum management. Emergency department services are explicitly excluded.
The same narrowing from 'while receiving care' to 'an advanced level of medical services' was applied to the juvenile provisions in Welfare and Institutions Code Section 210.6, meaning shackled juveniles in hospitals are now only protected during specific advanced interventions rather than their entire admission.
The definition of 'imminent physical threat' was narrowed from 'an imminent risk of harm to the incarcerated person, medical staff, or other individuals' to specifically 'violent or self-destructive behavior that jeopardizes the immediate physical safety of the patient, a staff member, or others.' This limits when hospitals can use their medical restraint process.
The definition of 'while receiving care' (which covered all medical services including examinations, diagnostic procedures, treatments, surgical procedures, postoperative recovery, hospice care, and all other time spent within a hospital as an admitted patient) was removed from both the state prison and local facility provisions.
A savings clause ('Except as otherwise provided in this section') was added to the main prohibition in both Penal Code Section 2652.6 and Welfare and Institutions Code Section 210.6, creating an explicit exception mechanism for the restraint ban.