265 A.3d 1044
Md.2021Background
- Jason Mercer, an involuntarily committed psychiatric patient, refused prescribed psychotropic medication; a clinical review panel approved forcible medication and issued a written decision.
- Mercer filed an appeal request form within 48 hours but checked a box declining legal representation and signed; a rights advisor also signed the form.
- Six days later OAH sent a Notice of Hearing stating Mercer had the right to request representation; on the day of the hearing Mercer asked for counsel.
- The ALJ treated the late request as a postponement request, found no good cause to postpone based on Mercer’s prior declination and safety concerns, and conducted the hearing with Mercer unrepresented; the ALJ ordered forcible medication.
- The circuit court and Maryland Court of Special Appeals affirmed; the Court of Appeals granted certiorari and reversed, holding HG § 10-708 confers a right to counsel upon request, there is no statutory deadline to request counsel, and an effective waiver requires verification that it was knowing and voluntary.
Issues
| Issue | Plaintiff's Argument (Mercer) | Defendant's Argument (Center) | Held |
|---|---|---|---|
| Does HG § 10-708 confer a right to counsel? | §10-708(i)(4)(ii) gives a statutory right to counsel at the administrative hearing (once requested). | The statute only provides a right to request counsel, not an automatic right; assistance is discretionary and conditioned on timely request. | The statute gives a right to counsel upon request; once invoked the right attaches and the State will provide counsel at no cost. |
| Does checking “decline legal representation” on the appeal form waive the right to request counsel at the hearing? | The form did not warn of consequences or time limits, so the box is not an effective waiver. | The signed form and rights-advisor interaction show Mercer declined representation; ALJ may rely on that to deny a postponement. | The form, as used here, did not effect an effective waiver; subsequent Notice of Hearing (which reiterated the right to request counsel) undermined the form’s declination. |
| Is an on-the-record waiver colloquy required before treating a declination as a waiver? | A colloquy is required to protect the significant liberty interest implicated by forcible medication. | No on-the-record colloquy is mandated by statute; verification by staff and forms suffices. | An on-the-record criminal-style colloquy is not required, but there must be verification that the waiver/declination was knowing and voluntary and that the individual wishes to proceed unrepresented. |
| Did the ALJ violate due process by denying Mercer’s request for counsel at the hearing? | Yes — denial without verification of a knowing, voluntary waiver deprived Mercer of due process. | No — ALJ properly relied on the signed form and rights-advisor’s statements and could deny a last-minute postponement. | Court of Appeals: ALJ erred; Mathews balancing favors requiring verification of a knowing and voluntary waiver; denial deprived Mercer of procedural due process. |
Key Cases Cited
- Vitek v. Jones, 445 U.S. 480 (1980) (transfer/treatment of prisoners implicates due process protections including notice and assistance)
- Mathews v. Eldridge, 424 U.S. 319 (1976) (three-factor balancing test for procedural due process)
- Washington v. Harper, 494 U.S. 210 (1990) (administrative procedures may satisfy due process for involuntary medication; lay advisors can substitute for counsel in some contexts)
- Williams v. Wilzack, 319 Md. 485 (1990) (Maryland §10-708 then unconstitutional for failing to provide procedural protections for forced medication)
- Beeman v. Dep’t of Health & Mental Hygiene, 107 Md. App. 122 (1995) (upheld 48-hour appeal period and recognized right to counsel upon request)
- Dep’t of Health & Mental Hygiene v. Kelly, 397 Md. 399 (2007) (statutory standards governing forced medication require showing of danger in confinement context)
- Allmond v. Dep’t of Health & Mental Hygiene, 448 Md. 592 (2016) (interpretation of §10-708 after amendments; limits on involuntary medication)
- Johnson v. Md. Dep’t of Health, 470 Md. 648 (2020) (procedural due process requirements under §10-708 and recognition of right to request counsel)
- Youngberg v. Romeo, 457 U.S. 307 (1982) (substantive due process for involuntarily committed persons)
- Mills v. Rogers, 457 U.S. 291 (1982) (constitutional liberty interest in refusing antipsychotic drugs)
- Riggins v. Nevada, 504 U.S. 127 (1992) (due process limits on involuntary medication)
- Sell v. United States, 539 U.S. 166 (2003) (limits on involuntary medication to restore competence)
