J.L. v. Miller

817 A.2d 1, 174 Vt. 288, 2002 Vt. LEXIS 253
CourtSupreme Court of Vermont
DecidedOctober 18, 2002
Docket00-430
StatusPublished
Cited by9 cases

This text of 817 A.2d 1 (J.L. v. Miller) is published on Counsel Stack Legal Research, covering Supreme Court of Vermont primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
J.L. v. Miller, 817 A.2d 1, 174 Vt. 288, 2002 Vt. LEXIS 253 (Vt. 2002).

Opinion

Morse, J.

Defendants Sutherland Miller, Commissioner, Vermont Department of Developmental and Mental Health Services; Rodney Copeland, Superintendent, Vermont State Hospital; Brij Sarran, Staff Psychiatrist, Vermont State Hospital; Nancy Belle Collett, Staff Psychiatrist, Vermont State Hospital; and Rafael E. Garcia, Staff Psychiatrist, Vermont State Hospital, appeal the denial of a motion for relief from judgment under V.R.C.P. 60(b)(5). Defendants had asked the superior court to vacate the “J. L. Consent Decree,” entered into in May 1985, because in 1998 the Legislature adopted legislation expressly stating that “the J. L. v. Miller consent judgment [is] no longer applicable.” 1997, No. 114 (Adj. Sess.), § 1 (codified as 18 V.S.A § 7629(d)). We hold that the legislative enactment of Act 114 supersedes the J.L. Consent Decree by operation of law, compelling us to reverse the trial court’s ruling and grant the motion for relief from judgment.

The underlying case dates back to May 28, 1985, when the Washington Superior Court approved a consent decree entered into by J.L. and the Vermont Department of Developmental and Mental Health Services. The decree was intended to provide both procedural and substantive protections to members of a class of individuals who had been committed to the Vermont State Hospital at Waterbury and were facing involuntary, nonemergency medication. The rules established by that decree have effectively withstood continued challenges and provided the controlling regulations for involuntary mental health treatment since its entry in 1985. See, e.g., J.L. v. Miller, 158 Vt. 601, 614 A.2d 808 (1992) (“J.L. I”).

Both expressly and in substance, Act 114 replaced the decree. The Legislature’s primary purpose in passing Act 114 was to provide a judicial process through which “the right of a legally competent person to determine whether or not to accept medical treatment” would be protected. 18 V.S.A § 7629(a). However, while Act 114 provides a new and different set of procedures for the treatment of individuals facing *290 involuntary medication, it also has some substantial similarities to the J.L. Consent Decree. For instance, both Act 114 and the J.L. Consent Decree provide for the patient to receive representation, as well as an independent psychiatric evaluation, 18 V.S.A § 7625(a); J.L. v. Miller, No. 5-418-84-WnC, at 8 (Vt. Sup. Ct. Washington County, May 28, 1985) (“J. L. Consent Decree”), and each requires a demonstration of proof by clear and convincing evidence in their respective hearings. 18 V.S.A § 7625(b); J.L. Consent Decree, at 8.

It is in those hearings that the differences are found. While the Consent Decree provided that a hearing prior to any involuntary nonemergency medication occur in front of an officer appointed by agreement between the Human Services Board and the Commissioner of Developmental and Mental Health Services, J.L. Consent Decree, at 7, Act 114 requires a comparable hearing to take place in family court, after the filing of a petition by the same commissioner. 18 V.S.A § 7625(a). That petition requires certification by a treating physician which describes the person’s mental illness, the necessity of involuntary medication, a list of proposed medications, a statement of risks and benefits, the person’s prognosis with and without medication, the current state of the person’s health, the current relevant facts concerning the individual, what alternate treatments were proposed and why they were ruled out, and whether the person has executed a durable power of attorney for health care. Id. § 7624(c)(l)-(7).

Under the J.L. Consent Decree, an application for a hearing must include the original request to pursue involuntary treatment, the approval and recommendation of the Medical Director of the Vermont State Hospital, and the facts relied on in the assertion of incompetence. J.L. Consent Decree, at 9. Included in the last consideration must be: the nature of the mental illness, the effect of the mental illness on the ability to assimilate information, the information provided to the patient prior to refusal, an assessment of specific areas in which the patient may lack the capacity to make or communicate informed decisions, the individualized treatment plan, the reasons for refusal, a description of alternative remedies and the likelihood of success, a description of any past side effects experienced by the patient from the proposed treatment, and a statement of any potential benefits and risks to the patient if treatment proceeds. Id.

At the hearing, if the presiding officer finds that the patient is incompetent, the officer’s decision on whether to administer medication is based upon a “substituted judgment” standard. Id. at 10. That standard requires the officer to consider whether a patient would *291 voluntarily consent to medication if competent, and relies on previously expressed preferences, religious convictions, the impact of the decision on the patient, other patients and staff, the patient’s family, and the possible risks and benefits of treatment in making that determination. Id. In contrast, Act 114 requires that a different standard be applied. Under the statute, upon a finding of incompetence, the family court is required to determine whether involuntary medication is supported by the factors enumerated in § 7627(c). 18 V.S.A § 7627(e). Those factors are similar to those considered under the J.L. Consent Decree, and mentioned above.

However great we may believe the differences are between the J.L. Consent Decree and Act 114, the most significant connection between the two is enunciated in 18 V.S.A. § 7629(d). In that provision, the Legislature recorded its specific intention to “render the J. L. v. Miller consent judgment no longer applicable.” Id.

When defendants’ motion was first filed, many members of the original class did not oppose it. However, certain individual intervenors and a subclass represented by plaintiff-appellees S.H. and R.B. contested the motion, seeking continued application of the terms of the original decree. They were joined shortly thereafter by another plaintiff, R.B., on behalf of a subclass of prison inmates subject to involuntary medication. After granting the motions to intervene and certifying the subclasses, the superior court heard arguments from all parties. Following the court’s denial of their motion for relief from judgment and after an unsuccessful motion for reconsideration, defendants appeal. •

The parties maintain that the question before the Court is whether the superior court erred in applying the standard established by the United States Supreme Court in Rufo v. Inmates of Suffolk County Jail, 502 U.S. 367 (1992). If the Rufo standards apply, the issue is whether the enactment of Act 114, effective July 1,1998, constituted a sufficient change in circumstances to warrant granting defendants’ Rule 60(b)(5) motion requesting termination of the previously controlling consent decree. In Rufo,

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Bluebook (online)
817 A.2d 1, 174 Vt. 288, 2002 Vt. LEXIS 253, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jl-v-miller-vt-2002.