In Re: J.C., Appeal of: J.C. ( 2018 )


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  • J-A06029-18
    
    2018 Pa. Super. 335
    IN RE: J.C.                              :   IN THE SUPERIOR COURT OF
    :        PENNSYLVANIA
    :
    APPEAL OF: J.C.                          :
    :
    :
    :
    :
    :   No. 1391 WDA 2017
    Appeal from the Order July 5, 2017
    In the Court of Common Pleas of Allegheny County Juvenile Division at
    No(s): CP-02-JV-0001886-2011
    BEFORE:    BENDER, P.J.E., SHOGAN, J., and STRASSBURGER*, J.
    OPINION BY SHOGAN, J.:                             FILED DECEMBER 10, 2018
    Appellant,   J.C.,   appeals   from    the    order   that   granted   the
    Commonwealth’s request for involuntary commitment under the Court-
    Ordered Involuntary Treatment of Certain Sexually Violent Persons Statute
    (“Act 21”), 42 Pa.C.S. §§ 6401-6409. Upon careful review, we vacate the
    order.
    The trial court summarized the extensive history of this case as
    follows:
    Before finding [then thirteen-year-old] J.C. delinquent, this
    court first - by stipulation of the Office of Children, Youth and
    Families (“CYF”) and J.C.’s guardian - found J.C. dependent on
    April 9, 2010. J.C. was ordered to remain at Mel Blount Youth
    Home (“MBYH”) in Washington County because: (1) he had no
    home and (2) his mother was unable to care for J.C. due to her
    health and his age.
    While at MBYH, J.C. sexually assaulted another child and
    then admitted to the assault at a hearing on April 26, 2011,
    ____________________________________
    * Retired Senior Judge assigned to the Superior Court.
    J-A06029-18
    before the Washington County Court. The Washington County
    Court transferred the adjudicatory and dispositional hearings to
    this court. On November 7, 2011, this court adjudicated J.C.
    [delinquent] of one count of Indecent Assault,1 deferred
    disposition, and detained J.C. at Shuman Center pending a
    mental health evaluation. On November 21, 2011, the [c]ourt
    again deferred disposition and ordered J.C. remain detained with
    permission to place consistent with the mental health evaluation,
    recommendation and the availability of a bed at Adelphoi Village
    (which occurred on November 25, 2011). J.C. was ordered to
    complete a sex offenders’ program, and a commitment review
    was scheduled for April 9, 2011.          Probation now shared
    responsibility for J.C.’s care with CYF.2
    1 18 Pa.C.S.A. § 3126(a)(7), a (M1) at Petition
    T169017 case number CP-02-JV-1886-2011.
    2 The written commitment order was entered on
    November 29, 2011.
    After J.C.’s initial secured commitment to Adelphoi
    [V]illage on November 25, 2011, the court conducted eight
    shared responsibility (or “dual” delinquency/dependency
    permanency placement) hearings prior to May 19, 2014. At his
    May 19, 2014, dual hearing, the court found that J.C. had
    progressed sufficiently in the sex offender treatment program to
    permit transition to Adelphoi-SAL—a supervised[,] non-secure
    community, and independent-living facility. J.C. was placed at
    Adelphoi-SAL on May 23, 2014. During J.C.’s placement at
    Adelphoi-SAL, his mother passed away—ending any chance for
    J.C. to return to his home. At the January 21, 2015 dual
    hearing, J.C. displayed moderate progress and was scheduled to
    graduate from high school on time.          Probation and CYF’s
    permanency plan for J.C. was to obtain full[-]time employment
    or part-time employment while being a full-time student. CYF
    was ordered to provide ongoing post-secondary college
    vocational planning and take J.C. on college tours. Additionally,
    he would still need a permanent place to live. The next dual
    review was scheduled for April 20, 2015.
    On March 10, 2015, prior to the next review hearing, this
    court found that J.C. had failed to adjust (“FTA”) at Adelphoi-SAL
    independent living because he was caught viewing pornography.
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    J.C. was committed to Cove Prep for his second secure
    treatment program with a review scheduled for June 29, 2015.
    J.C. remained at Cove Prep for the next eleven months and
    received extensive sex offender therapy. At J.C.’s January 25,
    2016, dual hearing, this court released J.C. to the unsecure
    community independent living program based on his progress
    with sex offender therapy. For the next seven months, J.C.
    remained in the Auberle GOAL community independent living
    program. During this time, he received outpatient sex offender
    relapse prevention therapy in which he was permitted to gain
    employment, attend therapy sessions independently, and use
    public transportation.
    Prior to an FTA petition being filed, J.C. was removed from
    the GOAL program and detained at the Auberle Delinquency
    Hartman Shelter for possessing an unauthorized cell phone and
    two computer memory sticks—one of which contained nude
    photos of underage boys. After a Detention/Shelter Hearing on
    August 22, 2016, this court ordered J.C. to remain detained at
    the secure Hartman Shelter.
    On September 1, 2016, this court found that J.C. violated
    the terms of his probation by: (1) having possession of 2
    memory sticks in his back pack and (2) failing to adjust at the
    Auberle GOAL program. This court modified J.C.’s disposition,
    released him from Auberle GOAL, and placed him at Cove Prep
    for his third secure sexual offender’s treatment program. This
    court found that placement at Cove Prep was the least restrictive
    placement—consistent with public protection—and best suited for
    J.C.’s treatment, supervision, rehabilitation and welfare.
    J.C.’s public defender filed a petition for writ of habeas
    corpus relying on the plain language of 42 Pa.C.S.A. § 6353(a)
    (Limitation on and Change in Place of Commitment; General
    Rule), contending that J.C. had been illegally detained and, for
    more than a year, the court was legally obligated to release him
    from Cove Prep for lack of jurisdiction.           Prior to J.C.’s
    dispositional review hearing on January 19, 2017, the court
    heard oral argument on J.C.’s habeas corpus petition which it
    denied but agreed to reconsider after reviewing the parties’
    briefs. The court also conducted an ACT 21 dispositional review
    hearing to determine whether a prima facie case for J.C.’s
    involuntary treatment existed under ACT 21. This court found a
    prima facie case and ordered the County Department of Human
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    Services to file an ACT 21 petition. This court appointed
    attorney James Robertson to represent J.C. in the ACT 21
    proceedings.
    The court also found that J.C. had made minimal progress
    toward alleviating the tendencies which necessitated the original
    placement because J.C. had recently authored graphic materials
    detailing sexual fantasies describing his attraction to young boys
    and vividly describing the genitals of young boys. The letters
    had been reviewed by both Cove Prep staff and Probation, and
    both agreed that the letters were not of a therapeutic nature and
    were intended for J.C.’s arousal.
    Cove Prep and Probation both addressed their concerns to
    J.C. and re-directed him. At this point in the treatment process,
    therapy was concentrating on ability, or lack of ability, to control
    his attraction to young boys. J.C. admitted he has a serious
    issue and struggles daily with his attraction to young boys. He
    stated to probation he is unsure of his ability to control this
    attraction to boys while in the community. This court found that
    the current disposition provided balanced attention to the
    protection of the community, the imposition of accountability for
    offenses committed, and the development of competencies to
    enable the juvenile to become a responsible and productive
    member of the community. This court ordered J.C. to remain at
    Cove Prep.
    The motion for reconsideration of his petition for habeas
    was denied on February 16, 2017, with the court adopting the
    Commonwealth’s legal argument. On March 8, 2017, J.C.’s
    attorney filed a Motion to Certify Interlocutory Order for Appeal
    of this reconsideration denial. This court granted that motion on
    April 7, 2017, finding that the case presents a controlling
    question of law as to which there is substantial ground for
    difference of opinion, and an immediate appeal will materially
    advance the ultimate termination of the matter.3
    3  On July 24, 2017, the Superior Court of
    Pennsylvania granted J.C.[’s] appeal of this court’s
    interlocutory order dated February 16, 2017[,]
    denying J.C.’s petition for habeas corpus relief. The
    court filed its opinion to this appeal on August 29,
    2017.[
    -4-
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    The court conducted a dual placement review and ACT 21
    hearing on June 27, 2017. At the hearing’s conclusion, this
    court found by clear and convincing evidence that J.C. has a
    mental abnormality or personality disorder which results in
    serious difficulty in controlling sexually violent behavior that
    makes him likely to engage in an act of sexual violence and
    otherwise meets all criteria necessary for continued commitment
    under ACT 21, 42 Pa.C.S.A. § 6403. The court was statutorily
    bound to commit J.C. to the Pennsylvania Sexual Responsibility
    and Treatment Program at Torrance State Hospital (“Torrance”)
    for a period of one year and not permitted any other treatment
    options. The court’s only other option by law was to close his
    case and release him.
    Trial Court Opinion, 10/17/17, at 1-6.
    In an order entered July 5, 2017, pursuant to 42 Pa.C.S. § 6403(d),
    the trial court committed Appellant for a period of one year to the Sexual
    Responsibility and Treatment Program.     However, the determination was
    stayed for ten days in order to provide Appellant’s counsel time to file a
    motion for reconsideration.   Appellant filed a motion for reconsideration,
    which the trial court denied on July 26, 2017. This timely appeal followed.
    Both Appellant and the trial court have complied with Pa.R.A.P. 1925.
    On November 20, 2017, Appellant filed his appellate brief with this
    Court. On January 23, 2018, the county solicitor for Allegheny County filed
    a responsive brief. Also on January 23, 2018, we notified the parties that
    this matter would be argued before this Court on February 28, 2018.     On
    February 21, 2018, Appellant filed a motion to amend his brief in order to
    include an additional argument alleging that Commonwealth v. Muniz, 
    164 A.3d 1189
    (Pa. 2017), has altered the law regarding the civil commitment at
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    issue in this case and that the commitment should be construed as
    punishment. The county solicitor filed a response to the motion. On March
    5, 2018, this Court entered an order granting Appellant’s request to amend
    his brief “limited to a discussion of the recent decisions in Commonwealth
    v. Muniz, 
    164 A.3d 1189
    (Pa. 2017) and Commonwealth v. Butler, 
    173 A.3d 1212
    (Pa. Super. 2017) and their impact on this case.” Order, 3/5/18.
    Appellant has filed a supplemental brief, and the county solicitor has filed an
    answer thereto.
    Appellant presented the following issue for our review in his initial
    appellate brief:
    1. Did the Trial Court err in finding by clear and convincing
    evidence that [Appellant] has a mental abnormality or
    personality disorder and has serious difficulty in controlling
    sexually violent behavior?
    Appellant’s Brief at 6.   In his supplemental brief, Appellant sets forth the
    following issue:
    1. Does 42 Pa.C.S. § 6403 (“Act 21”) constitute punishment as
    determined by a Muniz-Butler analysis.
    Appellant’s Supplemental Brief at 5.
    We will first address the issue raised by Appellant in his supplemental
    brief as it is dispositive. Appellant argues that, pursuant to recent case law,
    Act 21 is unconstitutional.       Appellant’s Supplemental Brief at 6-18.
    Essentially, Appellant contends that, under our Supreme Court’s decision in
    Muniz and this Court’s decision in Butler, we should hold Act 21 to be
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    unconstitutional      because        the    provisions     of    the    statute    impermissibly
    constitute punishment. Appellant asserts that, once the provisions of Act 21
    are properly deemed to be punishment, the statute must be considered to
    be unconstitutional because its implementation relies upon an incorrect
    burden of proof.       Appellant’s Supplemental Brief at 12.                      After thorough
    review, we are constrained to agree.
    We observe that a challenge to the application of a statute by a trial
    court presents a question of law. Commonwealth v. Perez, 
    97 A.3d 747
    ,
    750 (Pa. Super. 2014).          Where an issue presents a question of law, the
    appellate court’s standard of review is de novo.                          Commonwealth v.
    Descardes, 
    136 A.3d 493
    , 496-497 (Pa. 2016). In addition, our scope of
    review is plenary. 
    Id. To the
       extent    that      Appellant       raises     an    issue   challenging     the
    constitutionality of a statute, “[w]e note that duly enacted legislation carries
    with it a strong presumption of constitutionality.”                       Commonwealth v.
    Turner, 
    80 A.3d 754
    , 759 (Pa. 2013) (citation omitted).                           “A presumption
    exists ‘[t]hat the General Assembly does not intend to violate the
    Constitution     of   the   United         States    or   of    this    Commonwealth’      when
    promulgating legislation.” Commonwealth v. Baker, 
    78 A.3d 1044
    , 1050
    (Pa. 2013) (quoting 1 Pa.C.S. § 1922(3)). “Thus, a statute will not be found
    unconstitutional      unless    it    clearly,      palpably,     and    plainly    violates   the
    Constitution. If there is any doubt as to whether a challenger has met this
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    high burden, then we will resolve that doubt in favor of the statute’s
    constitutionality.”   Commonwealth v. Neiman, 
    84 A.3d 603
    , 611 (Pa.
    2013) (quotation marks and citations omitted).
    As a prefatory matter, we set forth an extensive overview of the
    statutes at issue.    Section 6352 of the Juvenile Act provides, in pertinent
    part, as follows:
    § 6352. Disposition of delinquent child
    (a) General rule.―If the child is found to be a delinquent
    child the court may make any of the following orders of
    disposition determined to be consistent with the protection of the
    public interest and best suited to the child’s treatment,
    supervision, rehabilitation, and welfare, which disposition shall,
    as appropriate to the individual circumstances of the child’s case,
    provide balanced attention to the protection of the community,
    the imposition of accountability for offenses committed and the
    development of competencies to enable the child to become a
    responsible and productive member of the community:
    * * *
    (2) Placing the child on probation under
    supervision of the probation officer of the court . . .,
    under conditions and limitations the court prescribes.
    42 Pa.C.S. § 6352(a)(2).
    A child who has been adjudicated delinquent for certain acts of sexual
    violence and committed pursuant to Section 6352, and who remains
    committed upon attaining twenty years of age, is subject to assessment by
    the Sex Offender Assessment Board (“SOAB”) and a subsequent court
    review pursuant to 42 Pa.C.S. § 6358. Section 6358 states:
    § 6358. Assessment of delinquent children by the State
    Sexual Offenders Assessment Board
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    (a) General rule.--A child who has been found to be
    delinquent for an act of sexual violence which if committed by an
    adult would be a violation of 18 Pa.C.S. § 3121 (relating to
    rape), 3123 (relating to involuntary deviate sexual intercourse),
    3124.1 (relating to sexual assault), 3125 (relating to aggravated
    indecent assault), 3126 (relating to indecent assault) or 4302
    (relating to incest) who is committed to an institution or other
    facility pursuant to section 6352 (relating to disposition of
    delinquent child) and who remains in such facility upon attaining
    20 years of age shall be subject to an assessment by the board.
    (b) Duty of probation officer.--Ninety days prior to
    the 20th birthday of the child, the probation officer shall have the
    duty to notify the board of the status of the delinquent child and
    the institution or other facility where the child is presently
    committed.      The probation officer shall assist the board in
    obtaining access to the child and any information required by the
    board to perform the assessment, including, but not limited to,
    the child’s official court record and complete juvenile probation
    file.
    * * *
    (c) Assessment.--The          board      shall   conduct    an
    assessment, which shall include the board’s determination of
    whether or not the child is in need of commitment for
    involuntary treatment due to a mental abnormality as defined in
    section 6402 (relating to definitions) or a personality disorder,
    either of which results in serious difficulty in controlling sexually
    violent behavior.    Upon the completion of the assessment
    pursuant to this section, the board shall provide the assessment
    to the court. . . .
    (d) Duty of court.--The court shall provide a copy of
    the assessment by the board to the probation officer, the district
    attorney, county solicitor or designee and the child’s attorney.
    (e) Dispositional review hearing.--Where the board
    has concluded that the child is in need of involuntary treatment
    pursuant to the provisions of Chapter 64 (relating to court
    ordered involuntary treatment of certain sexually violent
    persons), the court shall conduct a hearing at which the county
    solicitor or a designee, the probation officer and the child’s
    attorney are present. The court shall consider the assessment,
    treatment information and any other relevant information
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    regarding the delinquent child at the dispositional review hearing
    pursuant to section 6353 (relating to limitation on and change in
    place of commitment), which shall be held no later than 180
    days before the 21st birthday of the child. . . .
    (f) Subsequent proceeding.--If, at the conclusion of
    the dispositional review hearing required in subsection (e), the
    court finds there is a prima facie case that the child is in need of
    involuntary treatment under the provisions of Chapter 64, the
    court shall direct that the county solicitor or a designee file a
    petition to initiate proceedings under the provisions of that
    chapter.
    42 Pa.C.S. § 6358.
    Chapter 64 of the Judicial Code encompasses Act 21 and applies to the
    commitment of sexually violent children found to be in need of involuntary
    treatment pursuant to Section 6358. Section 6401 provides as follows:
    6401. Scope of Chapter
    This chapter establishes rights and procedures for the civil
    commitment of sexually violent delinquent children who, due to
    a mental abnormality or personality disorder, have serious
    difficulty in controlling sexually violent behavior and thereby
    pose a danger to the public and further provides for additional
    periods of commitment for involuntary treatment for said
    persons.
    42 Pa.C.S. § 6401.
    The procedures to be followed for imposing periods of commitment for
    involuntary treatment are detailed in subsequent sections of Act 21. Section
    6403 addresses the procedures to be followed for determining if an
    individual requires commitment for involuntary treatment under Act 21, and
    states as follows:
    § 6403. Court-ordered involuntary treatment
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    (a) Persons subject to involuntary treatment.—A person
    may be subject to court ordered commitment for involuntary
    treatment under this chapter if the person:
    (1) Has been adjudicated delinquent for an act
    of sexual violence which if committed by an adult
    would be a violation of 18 Pa.C.S.A. § 3121 (relating
    to rape), 3123 (relating to involuntary deviate sexual
    intercourse), 3124.1 (relating to sexual assault),
    3125 (relating to aggravated indecent assault), 3126
    (relating to indecent assault) or 4302 (relating to
    incest).
    (2) Has been committed to an institution or
    other facility pursuant to section 6352 (relating to
    disposition of delinquent child) and remains in the
    institution or other facility upon attaining 20 years of
    age.
    (3) Is in need of involuntary treatment due to
    a mental abnormality or personality disorder which
    results in serious difficulty in controlling sexually
    violent behavior that makes the person likely to
    engage in an act of sexual violence.
    (b) Procedures for initiating court-ordered involuntary
    commitment.—
    (1) Where, pursuant to the provisions of
    section 6358(f) (relating to assessment of delinquent
    children by the State Sexual Offenders Assessment
    Board), the court determines that a prima facie case
    has been presented that the child is in need of
    involuntary treatment under the provisions of this
    chapter, the court shall order that a petition be filed
    by the county solicitor or a designee before the court
    having jurisdiction of the person pursuant to
    Chapter 63 (relating to juvenile matters).
    (2) The petition shall be in writing in a form
    adopted by the department and shall set forth the
    facts constituting reasonable grounds to believe the
    individual is within the criteria for court-ordered
    involuntary treatment as set forth in subsection (a).
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    The petition shall include the assessment of the
    person by the board as required in section 6358.
    (3) The court shall set a date for the hearing
    which shall be held within 30 days of the filing of the
    petition pursuant to paragraph (1) and direct the
    person to appear for the hearing. A copy of the
    petition and notice of the hearing date shall be
    served on the person, the attorney who represented
    the person at the most recent dispositional review
    hearing pursuant to section 6358(e) and the county
    solicitor or a designee. The person and that attorney
    who represented the person shall, along with copies
    of the petition, also be provided with written notice
    advising that the person has the right to counsel and
    that, if he cannot afford one, counsel shall be
    appointed for the person.
    (4) The person shall be informed that the
    person has a right to be assisted in the proceedings
    by an independent expert in the field of sexually
    violent behavior. If the person cannot afford to
    engage such an expert, the court shall allow a
    reasonable fee for such purpose.
    (c) Hearing.—A hearing pursuant to this chapter shall be
    conducted as follows:
    (1) The person shall not be called as a witness
    without the person’s consent.
    (2) The person shall have the right to confront
    and cross-examine all witnesses and to present
    evidence on the person’s own behalf.
    (3) The hearing shall be public.
    (4) A stenographic or other sufficient record
    shall be made.
    (5) The hearing shall be conducted by the
    court.
    (d) Determination and order.—Upon a finding by clear
    and convincing evidence that the person has a mental
    abnormality or personality disorder which results in
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    serious difficulty in controlling sexually violent behavior
    that makes the person likely to engage in an act of sexual
    violence, an order shall be entered directing the
    immediate commitment of the person for inpatient
    involuntary treatment to a facility designated by the
    department.       The order shall be in writing and shall be
    consistent with the protection of the public safety and the
    appropriate control, care and treatment of the person. An
    appeal shall not stay the execution of the order.
    42 Pa.C.S. § 6403 (emphasis added).
    The limitations of Act 21 on the duration of commitment and
    subsequent review procedures are set forth as follows:
    § 6404. Duration of commitment and review
    (a) Initial period of commitment.—The person shall be
    subject to a period of commitment for inpatient treatment for
    one year.
    (b) Annual review. —
    (1) Sixty days prior to the expiration of the one-year
    commitment period, the director of the facility or a designee
    shall submit an evaluation and the board shall submit an
    assessment of the person to the court.
    (2) The court shall schedule a review hearing which shall
    be conducted pursuant to section 6403(c)(relating to court-
    ordered involuntary treatment) and which shall be held no later
    than 30 days after receipt of both the evaluation and the
    assessment under paragraph (1). Notice of the review hearing
    shall be provided to the person, the attorney who represented
    the person at the previous hearing held pursuant to this
    subsection or section 6403, the district attorney and the county
    solicitor or a designee. The person and the person’s attorney
    shall also be provided with written notice advising that the
    person has the right to counsel and that, if he cannot afford one,
    counsel shall be appointed for the person.         If the court
    determines by clear and convincing evidence that the
    person continues to have serious difficulty controlling
    sexually violent behavior while committed for inpatient
    treatment due to a mental abnormality or personality
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    disorder that makes the person likely to engage in an act
    of sexual violence, the court shall order an additional
    period of involuntary inpatient treatment of one year;
    otherwise, the court shall order the department, in consultation
    with the board, to develop an outpatient treatment plan for the
    person. The order shall be in writing and shall be consistent with
    the protection of the public safety and appropriate control, care
    and treatment of the person.
    42 Pa.C.S. § 6404(a), (b) (emphasis added).
    In addition, the following language in Section 6404 also governs a
    transfer of an individual from involuntary inpatient treatment to involuntary
    outpatient treatment provided that certain criteria are met by the individual:
    (c) Outpatient treatment plan. —
    (1) If at any time the director or a designee of the facility
    to which the person was committed concludes the person no
    longer has serious difficulty in controlling sexually violent
    behavior in an inpatient setting, the director shall petition the
    court for a hearing. Notice of the petition shall be given to the
    person, the attorney who represented the person at the previous
    hearing held pursuant to subsection (b) or section 6403, the
    board, the district attorney and the county solicitor. The person
    and the person’s attorney shall also be provided with written
    notice advising that the person has the right to counsel and that,
    if he cannot afford one, counsel shall be appointed for the
    person.
    (2) Upon receipt of notice under paragraph (1), the board
    shall conduct a new assessment within 30 days and provide that
    assessment to the court.
    (3) Within 15 days after the receipt of the assessment
    from the board, the court shall hold a hearing pursuant to
    section 6403(c).  If the court determines by clear and
    convincing evidence that the person continues to have
    serious difficulty controlling sexually violent behavior
    while committed for inpatient treatment due to a mental
    abnormality or personality disorder that makes the person
    likely to engage in an act of sexual violence, the court
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    shall order that the person be subject to the remainder of
    the period of inpatient commitment. Otherwise, the court
    shall order the department, in consultation with the
    board, to develop an outpatient treatment plan for the
    person.
    (4) The department shall provide the person with notice of
    the person’s right to petition the court for transfer to involuntary
    outpatient treatment over the objection of the department. The
    court, after review of the petition, may schedule a hearing
    pursuant to section 6403(c).
    (5) An outpatient treatment plan shall be in writing and
    shall identify the specific entity that will provide each clinical and
    support service identified in the plan.
    (6) The department shall provide a copy of the outpatient
    treatment plan to the court, the person, the attorney who
    represented the person at the most recent hearing pursuant to
    section 6403, the board, the district attorney, and the county
    solicitor or a designee.
    42 Pa.C.S. § 6404(c) (emphasis added).
    Also, the restrictions on discharge of an individual following involuntary
    treatment are set forth in Act 21 as follows:
    (d) Prohibition on discharge. — The court shall not order
    discharge from involuntary treatment until the person has
    completed involuntary outpatient treatment pursuant to section
    6404.2 (relating to duration of outpatient commitment and
    review).
    42 Pa.C.S. § 6404(d).
    Act 21 further provides for a transfer of an individual to involuntary
    outpatient treatment with the following provision:
    Transfer to involuntary outpatient treatment.
    The court may approve or disapprove an outpatient
    treatment plan. Upon approval of an outpatient treatment plan,
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    the court shall order transfer of the person to involuntary
    outpatient treatment pursuant to section 6404.2 (relating to
    duration of outpatient commitment and review).
    42 Pa.C.S. § 6404.1.
    With regard to involuntary outpatient treatment and subsequent
    review, the statute provides the following:
    Duration of outpatient commitment and review.
    (a) Terms and conditions. — If a court has ordered the
    transfer of the person to involuntary outpatient treatment
    pursuant to section 6404.1 (relating to transfer to involuntary
    outpatient treatment), the court may in its discretion specify the
    terms and conditions of the outpatient commitment, including,
    but not limited to:
    (1)     Absolute compliance with the outpatient
    treatment plan.
    (2)    Restrictions and requirements regarding the
    location of the person’s residence and the times the
    person must be physically present.
    (3) Restrictions and requirements regarding areas
    the person is not permitted to visit.
    (4) Restrictions and requirements regarding who the
    person may contact in any medium.
    (5) Periodic polygraph tests.
    (b) Duration. — The court shall order involuntary outpatient
    treatment for a period of one year.
    (c) Status reports. — An involuntary outpatient treatment
    provider shall submit a report on the person’s status and clinical
    progress, on a form prescribed by the department, to the facility
    operated by the department pursuant to section 6406(a)
    (relating to duty of Department of Public Welfare), not less than
    every 30 days.
    (d)     Failure to comply. — If an involuntary outpatient
    treatment provider becomes aware that the person has violated
    any provision of the treatment plan or any term or condition
    specified pursuant to subsection (a), or the provider concludes
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    J-A06029-18
    that the person is having serious difficulty controlling sexually
    violent behavior in an outpatient setting due to a mental
    abnormality or personality disorder that makes the person likely
    to engage in an act of sexual violence, the provider shall
    immediately notify the facility operated by the department
    pursuant to section 6406(a). The facility shall notify the court by
    the close of the next business day.
    (e) Revocation of transfer. — Upon receiving notice pursuant
    to subsection (d) that the person has violated a material term or
    condition of transfer specified pursuant to subsection (a), or that
    the person is having serious difficulty controlling sexually violent
    behavior in an outpatient setting due to a mental abnormality or
    personality disorder that makes the person likely to engage in an
    act of sexual violence, the court shall revoke the transfer to
    involuntary outpatient treatment and order the immediate return
    to involuntary inpatient treatment without a prior hearing. The
    court may issue a warrant requiring any law enforcement officer
    or any person authorized by the court to take the person into
    custody and return the person to involuntary inpatient
    treatment. The person may file a written request for a hearing
    after revocation of the transfer to involuntary treatment. The
    court shall conduct a hearing pursuant to section 6403(c)
    (relating to court-ordered involuntary treatment) within ten days
    of filing of the request.
    (f) Annual review and discharge.
    (1) Sixty days prior to the expiration of the one-
    year outpatient commitment period, the director of
    the facility or a designee shall submit an evaluation,
    and the board shall submit an assessment of the
    person to the court.
    (2) The court shall schedule a review hearing which
    shall be conducted pursuant to section 6403(c) and
    which shall be held no later than 30 days after
    receipt of both the evaluation and the assessment
    under paragraph (1). Notice of the review hearing
    shall be provided to the person, the attorney who
    represented the person at the previous hearing held
    pursuant to section 6403, the district attorney and
    the county solicitor or a designee. The person and
    the person’s attorney shall also be provided with
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    J-A06029-18
    written notice advising that the person has the right
    to counsel and that, if the person cannot afford one,
    counsel shall be appointed for the person. If the
    court determines by clear and convincing
    evidence that the person has serious difficulty
    controlling sexually violent behavior due to a
    mental abnormality or personality disorder that
    makes the person likely to engage in an act of
    sexual violence, the court shall order an
    additional period of involuntary inpatient
    treatment of one year; otherwise the court shall
    order the discharge of the person and inform the
    person on the record and in open court of the
    person’s obligation to attend counseling under
    subsection (g), including the penalty for failing to
    attend counseling under 18 Pa.C.S. § 4915.1
    (relating to failure to comply with registration
    requirements). The order shall be in writing and
    shall be consistent with the protection of the public
    safety and appropriate control, care and treatment of
    the person. Upon discharge, the person shall attend
    counseling under subsection (g).
    (g) Counseling of sexually violent delinquent children. —
    For the time period under section 9799.15 (relating to
    period of registration), a sexually violent delinquent child
    shall attend at least monthly counseling sessions in a
    program approved by the board and shall be financially
    responsible for all fees assessed from the counseling
    sessions. The board shall monitor compliance. If the sexually
    violent delinquent child can prove to the satisfaction of the court
    inability to afford to pay for the counseling sessions, the sexually
    violent delinquent child shall attend the counseling sessions; and
    the board shall pay the requisite fees.
    42 Pa.C.S. § 6404.2 (emphases added).
    We now turn to recently developed case law that informs our analysis
    in this matter, i.e, Muniz and Butler. We note that these cases addressed
    - 18 -
    J-A06029-18
    the constitutionality of this Commonwealth’s Sexual Offender Registration
    and Notification Act (“SORNA”)1 and not Act 21. However, historically, we
    have employed the same standards in reviewing issues under Act 21 as
    under the relevant adult sex offender statute.     See In the Interest of
    K.A.P., 
    916 A.2d 1152
    , 1159 (Pa. Super. 2007) (stating “[j]ust like Megan’s
    Law II, [Act 21] contains provisions where a trial court is asked to predict
    the likelihood that an offender will commit an act of sexual violence as a
    result of a personality disorder or mental abnormality.    Thus, the cases
    interpreting Megan’s Law II are highly instructive when interpreting [Act
    21]”); In the Interest of R.Y., 
    957 A.2d 780
    , 784 (Pa. Super. 2008)
    (observing that, analytically, a claim challenging the sufficiency of the
    evidence under Act 21 is similar to a challenge to the sufficiency of the
    evidence that a defendant is a “sexually violent predator” under Megan’s
    Law and adopting the same principles of appellate review for Act 21
    purposes). Despite the lack of such analysis in In re H.R., ___ A.3d ___,
    
    2018 Pa. Super. 264
    (Pa. Super. filed September 21, 2018), as discussed
    infra, we conclude that we are constrained by our prior determinations,
    which applied Megan’s Law decisions to cases involving Act 21, to analyze
    ____________________________________________
    1  SORNA, 42 Pa.C.S. §§ 9799.10-9799.41, supplanted Megan’s Law as the
    statute governing the registration and supervision of sex offenders. SORNA
    was recently amended by H.B. 631, 202 Gen. Assem., Reg. Sess. (Pa.
    2018), Act 10 of 2018.
    - 19 -
    J-A06029-18
    Act 21 in light of recent case law that addressed the constitutionality of
    SORNA.
    In Muniz, the Pennsylvania Supreme Court held that the registration
    requirements set forth under SORNA constitute criminal punishment as
    opposed to a mere civil penalty, and therefore, their retroactive application
    violates the ex post facto clauses of the Pennsylvania Constitution. 
    Muniz, 164 A.3d at 1193
    . Indeed, five of the six participating justices held that the
    registration provisions constitute punishment, notwithstanding the General
    Assembly’s identification of the provisions as nonpunitive. 
    Id. at 1218.
    In
    reaching its holding, the Court in Muniz applied a two-part analysis. 
    Id. at 1208.
    The Court first addressed the stated intent of the General Assembly
    in effectuating the statute. 
    Id. at 1209.
    The Court went on to determine
    whether the law was punitive in effect by conducting an analysis of the
    seven factors used to determine if a statute is punishment set forth in
    Kennedy v. Mendoza-Martinez, 
    372 U.S. 144
    (1963).            Accordingly, we
    will do likewise.
    We observe that a panel of this Court recently decided the matter of
    In re H.R., ___ A.3d ___, 
    2018 Pa. Super. 264
    (Pa. Super. filed September
    21, 2018), and concluded that Act 21 has a nonpunitive purpose and effect,
    such that it does not constitute punishment. In reaching its conclusion, the
    Court in H.R. relied upon our previous holding in In re S.A., 
    925 A.2d 838
    (Pa. Super. 2007), wherein we determined that Act 21 is not penal in
    - 20 -
    J-A06029-18
    nature. H.R., ___ A.3d at ___, 
    2018 Pa. Super. 264
    at *7. In so doing, the
    Court in H.R. declined to rely upon our Supreme Court’s decision in Muniz
    and attempted to distinguish the ramifications of the decision therein. 
    Id. at *8.
    Specifically, the Court in H.R. stated:
    [I]n In re S.A., this Court considered Act 21 in light of the
    [Mendoza–Martinez] factors, and concluded that Act 21 is not
    punitive in effect. Therefore, Muniz, which found that the ex
    post facto application of SORNA (a punitive statute) was
    prohibited, is distinguishable from this case that involves Act 21
    (a non-punitive statute). Hence, [the a]ppellant’s reliance on
    Muniz affords him no relief.
    
    Id. (emphases in
    original).   Likewise, the Court in H.R. distinguished this
    Court’s holding in Butler on the presumption that Butler was decided based
    on the punitive effect of SORNA, and, pursuant to the holding in S.A., Act 21
    is not punitive. 
    Id. at *9.
    Finally, in reaching its conclusion that the 2011
    amendments to Act 21 do not render the statute punitive in nature, the H.R.
    Court relied upon a discussion presented by the trial court and considered
    only isolated excerpts from the 2011 amendments.        
    Id. at *9-12.
         In so
    doing, the H.R. Court did not conduct a full two-step analysis of the
    amended statute, as conducted in Muniz, to determine whether it must be
    deemed punitive in nature. We further note that the cases relied upon by
    the Court in H.R., for the blanket conclusion that Act 21 is nonpunitive,
    predate the 2011 amendments to Act 21.        For this reason, we decline to
    follow the rudimentary reasoning set forth in H.R. and will conduct our own
    - 21 -
    J-A06029-18
    two-step, Muniz-sanctioned analysis of Act 21 as it now stands with the
    2011 amendments.
    Our first inquiry involves a determination of the intent of the
    legislature. As the Court in Muniz explained:
    In applying the first element of this test, the sole question is
    whether the General Assembly’s intent was to punish. This is a
    question of statutory construction and we must consider the
    statute’s text and its structure to determine the legislative
    objective.    Furthermore, considerable deference must be
    afforded to the intent as the legislature has stated it.
    Muniz, 
    164 A.3d 1209
    (citations and quotation marks omitted).
    The General Assembly announced that Act 21 “establishes rights and
    procedures for the civil commitment of sexually violent delinquent children,
    who . . . pose a danger to the public and further provides for additional
    periods of commitment for involuntary treatment . . .” 42 Pa.C.S. § 6401.
    Nothing in this language reflects that the legislature intended the law to be
    punishment.   Rather, the General Assembly’s stated intent in enacting Act
    21 was not to punish sexually violent delinquent children, but to establish
    civil commitment procedures to provide involuntary treatment and protect
    the public from danger. Therefore, because the intent of the legislation is
    nonpunitive, we address the second prong of our analysis, i.e., examination
    of the seven Mendoza-Martinez factors as approved in Muniz.
    Specifically, our inquiry requires a determination as to whether the
    effects of Act 21 are sufficiently punitive to override the legislature’s
    nonpunitive intent. To this end, in Mendoza–Martinez, 
    372 U.S. 144
    , the
    - 22 -
    J-A06029-18
    United States Supreme Court mandated a seven-factor test.         Specifically,
    courts must consider the following:
    Whether the sanction involves an affirmative disability or
    restraint, whether it has historically been regarded as a
    punishment, whether it comes into play only on a finding of
    scienter, whether its operation will promote the traditional aims
    of punishment—retribution and deterrence, whether the behavior
    to which it applies is already a crime, whether an alternative
    purpose to which it may rationally be connected is assignable for
    it, and whether it appears excessive in relation to the alternative
    purpose assigned are all relevant to the inquiry, and may often
    point in differing directions.
    
    Id. at 168–169.
    The first factor addresses whether Act 21 involves an affirmative
    disability or restraint. The statute provides that the individual is subject to
    involuntary inpatient commitment for a period of one year.         42 Pa.C.S.
    § 6404(a).   It also provides for an annual review, at which the court may
    “order an additional period of involuntary inpatient treatment for one year.”
    42 Pa.C.S. § 6404(b)(2).     This type of involuntary inpatient treatment is
    permitted to extend indefinitely.
    Furthermore, the 2011 amendments to Act 21 altered the ramification
    of the trial court’s conclusion upon annual review.      The statute formerly
    instructed that if the court determined that the person did not continue to
    have serious difficulty controlling sexually violent behavior while committed
    for inpatient treatment due to a mental abnormality or personality disorder
    that made the person likely to engage in an act of sexual violence, the court
    shall order the discharge of the person.       However, the 2011 amendments
    - 23 -
    J-A06029-18
    removed the opportunity for immediate discharge and instructed that if the
    court determines that the person does not continue to have serious difficulty
    controlling sexually violent behavior while committed for inpatient treatment
    due to a mental abnormality or personality disorder that makes the person
    likely to engage in an act of sexual violence, “the court shall order the
    department, in consultation with the board, to develop an outpatient
    treatment plan for the person.”           42 Pa.C.S. § 6404(b)(2) (emphasis
    added).   In addition, the 2011 amendment to Act 21 added the following
    restrictive language prohibiting discharge prior to completion of involuntary
    outpatient treatment:
    (d) Prohibition on discharge.-- The court shall not order
    discharge from involuntary treatment until the person has
    completed involuntary outpatient treatment pursuant to section
    6404.2 (relating to duration of outpatient commitment and
    review).
    42 Pa.C.S. § 6404(d).
    Hence, we find the involuntary inpatient treatment, as well as the
    limitations on discharge set forth in the 2011 amendments, to be a direct
    restraint upon an individual. Accordingly, we consider this factor to weigh in
    favor of finding Act 21’s effect to be punitive.
    The second factor is whether the sanction has historically been
    regarded as punishment. We observe that the 2011 amendments to Act 21
    added the entirety of Sections 6404.1 and 6404.2 to the Act. Upon review
    of those sections, we are constrained to conclude that they are akin to
    - 24 -
    J-A06029-18
    probation. In reaching this conclusion, we reproduce the following language
    from our Supreme Court’s decision in Muniz, which analyzed SORNA under
    the second factor and enlightens our analysis herein:
    In contrast, the mandatory in-person verification requirement in
    Section 9799.15(e) not only creates an affirmative restraint
    upon appellant, requiring him to appear at a designated facility a
    minimum of 100 times over the next 25 years, extending for the
    remainder of his life, as a Tier III offender, but also greatly
    resembles the periodic meetings with probation officers imposed
    on probationers. ... Because SORNA differs significantly from
    the statute at issue in Smith[ v. Doe, 
    538 U.S. 84
    (2003)],
    these disparities must be considered.
    In [Commonwealth v. Williams, 
    832 A.2d 962
    (Pa.
    2003)] Williams II, the Pennsylvania Supreme Court found that
    probation has historically been considered a traditional form of
    punishment. Williams 
    II, 832 A.2d at 977
    . Probation entails a
    set of mandatory conditions imposed on an individual who has
    either been released after serving a prison sentence, or has been
    sentenced to probation in lieu of prison time. 42 Pa.C.S. § 9754.
    These conditions can include psychiatric treatment, limitations
    on travel, and notifying a probation officer when any change of
    employment or residency occurs.          42 Pa.C.S. § 9754(c).
    Probationers are also subject to incarceration for a violation of
    any condition of their probation. 42 Pa.C.S. § 9771.
    Like the conditions imposed on probationers, registrants
    under SORNA must notify the state police of a change in
    residence or employment. 42 Pa.C.S. § 9799.15(g). Offenders
    also face incarceration for any non-compliance with the
    registration requirements.        42 Pa.C.S. § 9799.22(a).
    Furthermore, SORNA requires registrants who do not have a
    fixed place of work to provide “general travel routes and general
    areas where the individual works” in order to be in compliance.
    42 Pa.C.S. § 9799.16. The Supreme Court in Smith stated that
    “a sex offender who fails to comply with the reporting
    requirement may be subjected to criminal prosecution for that
    failure, but any prosecution is a proceeding separate from the
    individual’s original offense.”   
    Smith, 538 U.S. at 101-02
    .
    However, violations for noncompliance with both probation and
    SORNA registration requirements are procedurally parallel. Both
    - 25 -
    J-A06029-18
    require further factual findings to determine whether a violation
    has actually occurred.       42 Pa.C.S. §§ 9771(d), 9799.21.
    Similarly, but for the original underlying offense, neither would
    be subject to the mandatory conditions from which the potential
    violation stems. The parallels between the SORNA registration
    requirements and probation lead me to conclude that factor two
    of the Mendoza-Martinez test leans towards a finding that
    SORNA is punitive.
    
    Muniz, 164 A.3d at 1213
    (quoting Commonwealth v. Perez, 
    97 A.3d 747
    ,
    763-764 (Pa. Super. 2014) (Donohue, J. concurring)).
    Similar to the conditions imposed upon an individual who has either
    been released after serving a prison sentence or has been sentenced to
    probation in lieu of prison time, Act 21 permits the court to specify terms
    and conditions of the involuntary outpatient commitment, including but not
    limited to:
    (1) Absolute compliance with the outpatient treatment plan.
    (2) Restrictions and requirements regarding the location of the
    person’s residence and the times the person must be physically
    present.
    (3) Restrictions and requirements regarding areas the person is
    not permitted to visit.
    (4) Restrictions and requirements regarding who the person
    may contact in any medium.
    (5) Periodic polygraph tests.
    42 Pa.C.S. § 6404.2(a).    Further, the statute mandates that if a person
    violates a material term or condition specified in Section 6404.2(a), “the
    court shall revoke the transfer to involuntary outpatient treatment and order
    the immediate return to involuntary inpatient treatment without a prior
    hearing.” 42 Pa.C.S. § 6404.2(e). An addition to the penal nature of the
    statute is the language directing that “[t]he court may issue a warrant
    - 26 -
    J-A06029-18
    requiring any law enforcement officer or any person authorized by the court
    to take the person into custody and return the person to involuntary
    inpatient treatment.” 
    Id. Upon review
    of these provisions of Act 21 pertaining to involuntary
    outpatient treatment, we conclude that they are similar to probation.
    Therefore, this factor of the analysis, as well, weighs in favor of a
    determination that Act 21’s effect is punitive.
    The third factor concerns whether the statute at issue applies only
    upon a finding of scienter. With regard to this factor, Appellant notes that
    the Court in Muniz determined that this factor was of little significance and
    concedes that it is not relevant to our analysis. Appellant’s Brief at 10. The
    Commonwealth agrees.            Commonwealth’s Brief at 12.         We follow the
    conclusion of the Court in Muniz and consider this factor to be of little
    significance in our inquiry. 
    Muniz, 164 A.3d at 1214
    .
    The fourth factor concerns whether the operation of the statute
    promotes    the   traditional    aims   of   punishment,   i.e.,   retribution   and
    deterrence. Act 21 does not have an effect of retribution. In S.A., the Court
    addressed the deterrent effect of the statute as follows: “[A]lthough the
    legislation could possibly deter behavior of delinquent juveniles, the
    presence of a deterrent purpose does not render such legislation punitive in
    nature.”   
    S.A., 925 A.2d at 844
    .       However, as we noted earlier, the S.A.
    Court’s conclusion was based upon the previous version of Act 21.
    - 27 -
    J-A06029-18
    For the following reasons, when we review the current iteration of Act
    21, we cannot reach the same conclusion as the Court in S.A. with regard to
    deterrence.   Specifically, we observe that the previous version of Section
    6404 of the statute, which was reviewed by the Court in S.A., permitted
    the court to “discharge” the individual from involuntary inpatient treatment
    at the conclusion of an annual review period, or upon petition of the director
    of the facility in which the individual is committed. Currently, Act 21 does
    not permit discharge of an individual from involuntary inpatient treatment,
    but instead directs that an outpatient treatment plan be formulated. In fact,
    Act 21 now contains the following language prohibiting discharge:
    The court shall not order discharge from involuntary
    treatment until the person has completed involuntary
    outpatient treatment pursuant to section 6404.2 (relating to
    duration of outpatient commitment and review).
    42 Pa.C.S. § 6404(d) (emphasis added). Furthermore, the current version
    of Act 21 includes additional language pertaining to transfer of an individual
    to involuntary outpatient treatment, 42 Pa.C.S. § 6404.1, and a section
    detailing the duration of outpatient treatment and review, 42 Pa.C.S.
    § 6404.2.     Adding to the deterrent effect, Act 21 currently includes
    provisions that permit the individual to be transferred immediately from
    involuntary outpatient treatment back to involuntary inpatient treatment.
    42 Pa.C.S. § 6404.2(e). The 2011 amendments direct that a review hearing
    be held at the conclusion of one year of involuntary outpatient treatment.
    42 Pa.C.S. § 6404.2(f). Following the review hearing:
    - 28 -
    J-A06029-18
    the court shall order an additional period of involuntary inpatient
    treatment of one year; otherwise the court shall order the
    discharge of the person and inform the person on the record and
    in open court of the person’s obligation to attend counseling
    under subsection (g), including the penalty for failing to attend
    counseling under 18 Pa.C.S. Section 4915.1 (relating to failure
    to comply with registration requirements).
    42 Pa.C.S. § 6404.2(f). Thus, the individual can be cycled from involuntary
    outpatient treatment back into involuntary inpatient treatment to begin the
    entire process anew.
    Moreover, as reflected in the language cited above, the 2011
    amendments to Act 21 added the additional requirement that, upon eventual
    discharge, the individual attend at least monthly counseling sessions in an
    approved program and shall be financially responsible for all fees from the
    counseling sessions. 42 Pa.C.S. § 6404.2(g). The counseling requirement is
    equal to the length of the individual’s SORNA registration.    
    Id. Currently, under
    SORNA, a sexually violent delinquent child must register for life. 42
    Pa.C.S. § 9799.15(a)(5). Therefore, the mandatory counseling requirement
    under 42 Pa.C.S. § 6404.2(g), and the concomitant responsibility to pay for
    such counseling sessions, continues for the individual’s lifetime. Analyzing
    the statute as a whole, we are compelled to conclude that its provisions were
    designed with a deterrent effect. Accordingly, this factor weighs in favor of
    finding Act 21 to be punitive.
    We turn to the fifth factor, which concerns whether the behavior to
    which the statute applies is already a crime.     With regard to this factor,
    - 29 -
    J-A06029-18
    Appellant agrees with the Muniz Court, which determined that the factor
    was of little weight because past criminal conduct is a necessary beginning
    point. Appellant’s Brief at 11. Again, we follow the conclusion of the Court
    in Muniz and consider this factor to be of little significance in our inquiry.
    
    Muniz, 164 A.3d at 1216
    .
    The sixth factor compels us to address whether there is an alternative
    purpose to which Act 21 may be rationally connected.          Here, Appellant
    concedes that Act 21 is rationally related to public safety and health.    We
    agree that there is an alternative purpose to which the statute may be
    rationally connected. Consequently, we conclude that this factor weighs in
    favor of finding Act 21 to be nonpunitive.
    Finally, the seventh factor directs us to consider whether the statute is
    excessive in relation to the alternative purpose assigned. There is no doubt
    that once a person is subject to the provisions of Act 21, such subordination
    continues indefinitely.    The statutory process begins when the court
    mandates involuntary inpatient treatment, which is subject to an annual
    review hearing. At the end of the review hearing, the court must either (1)
    recommit the person for another one-year term of involuntary inpatient
    treatment, or (2) transfer the person to involuntary outpatient treatment for
    a term of one year. If the court recommits the person for further inpatient
    treatment, the cycle of recommitment and review may continue indefinitely.
    Eventually, if the court is satisfied that the person no longer has serious
    - 30 -
    J-A06029-18
    difficulty in controlling sexually violent behavior in an inpatient setting, the
    individual is not discharged but is transferred to involuntary outpatient
    treatment.   The period of involuntary outpatient treatment also is for one
    year, with a review hearing at the conclusion of that period.           At the
    conclusion of that review hearing, the court shall either (1) “discharge” the
    person or (2) transfer the individual back to involuntary inpatient treatment
    to begin the entire sequence anew.       However, in this instance the term
    “discharge” is a misnomer because the person is never unconstrained of the
    mandatory monthly counseling provision with its associated cost that follows
    the completion of involuntary outpatient treatment.       Moreover, failure to
    attend the mandatory counseling sessions constitutes a criminal offense. 18
    Pa.C.S. § 4915.1(a.2). Said crime is currently graded as a misdemeanor of
    the first degree. 18 Pa.C.S. § 4915.1(c.3). We conclude that the sweeping
    nature of Act 21, which subjects the individual to lifetime control by the
    state for acts that occurred when the person was a juvenile, is excessive in
    relation to the statute’s alternative purpose of protecting the public.
    Consequently, this factor weighs in favor of finding Act 21 to be punitive.
    We also must balance the above-discussed factors. Our review of Act
    21 under the Mendoza-Martinez factors reveals significant differences
    between the most recent iteration of the statute following the 2011
    amendments and the statute that was determined to be nonpunitive in 
    S.A., 925 A.2d at 845
    . We now hold that four of the five factors, which we have
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    J-A06029-18
    given significance, weigh in favor of finding Act 21 to be punitive in effect
    despite its remedial purpose. In summary, we have concluded that Act 21
    involves affirmative disabilities or restraints; its sanctions have been
    historically regarded as punishment; its operation promotes the traditional
    aims of punishment; and its lifelong provisions are excessive in relation to
    its stated nonpunitive purpose. Accordingly, we find that application of Act
    21 constitutes punishment.
    We also must consider Appellant’s claim that the provisions of Act 21
    are unconstitutional as written because they amount to the imposition of
    punishment.   Appellant’s Supplemental Brief at 12.   Specifically, Appellant
    notes that the statute employs an incorrect burden of proof in determining
    whether to apply its provisions to individuals. 
    Id. We agree.
    In addressing this portion of Appellant’s argument, we consider the
    following language from Butler:
    In Apprendi [v. New Jersey, 
    530 U.S. 466
    , 
    120 S. Ct. 2348
    , 
    147 L. Ed. 2d 435
    (2000)], the Supreme Court of the
    United States held that other than the fact of a prior conviction,
    any fact that increases the penalty for a crime beyond the
    prescribed statutory maximum must be submitted to a jury, and
    proved beyond a reasonable doubt. Stated another way, it is
    unconstitutional for a legislature to remove from the jury the
    assessment of facts that increase the prescribed range of
    penalties to which a criminal defendant is exposed. It is equally
    clear that such facts must be established by proof beyond a
    reasonable doubt.
    Subsequently in Alleyne v. United States, 
    570 U.S. 99
    ,
    
    133 S. Ct. 2151
    , 
    186 L. Ed. 2d 314
    (2013), the [Supreme Court of
    the United States] held that any fact that increases the
    mandatory minimum sentence for a crime is an element that
    - 32 -
    J-A06029-18
    must be submitted to the jury and found beyond a reasonable
    doubt. The Alleyne majority reasoned that while Harris v.
    United States, 
    536 U.S. 545
    , 
    122 S. Ct. 2406
    , 
    153 L. Ed. 2d 524
          (2002), limited Apprendi to facts increasing the statutory
    maximum, the principle applied in Apprendi applies with equal
    force to facts increasing the mandatory minimum.          This is
    because it is impossible to dissociate the floor of a sentencing
    range from the penalty affixed to the crime, and it is impossible
    to dispute that facts increasing the legally prescribed floor
    aggravate the punishment. Thus, this reality demonstrates that
    the core crime and the fact triggering the mandatory minimum
    sentence together constitute a new, aggravated crime, each
    element of which must be submitted to the jury.
    
    Butler, 173 A.3d at 1216-1217
    (quoting Commonwealth v. Conaway,
    
    105 A.3d 755
    , 761 (Pa. Super. 2014)). This Court further explained:
    Apprendi and Alleyne apply to all types of punishment,
    not just imprisonment. Thus, as our Supreme Court has stated
    [in Muniz], if registration requirements [under SORNA] are
    punishment, then the facts leading to registration requirements
    need to be found by the fact-finder chosen by the defendant, be
    it a judge or a jury, beyond a reasonable doubt.
    
    Butler, 173 A.3d at 1217
    (citations omitted). The Butler Court went on to
    clarify the following:
    [S]ince our Supreme Court has held that SORNA registration
    requirements are punitive or a criminal penalty to which
    individuals are exposed, then under Apprendi and Alleyne, a
    factual finding, such as whether a defendant has a “mental
    abnormality or personality disorder that makes [him or her]
    likely to engage in predatory sexually violent offenses[,]” 42
    Pa.C.S.A. § 9799.12, that increases the length of registration
    must be found beyond a reasonable doubt by the chosen
    fact-finder. Section 9799.24(e)(3) [of SORNA] identifies the
    trial court as the finder of fact in all instances and specifies clear
    and convincing evidence as the burden of proof required to
    designate a convicted defendant as an SVP. Such a statutory
    scheme in the criminal context cannot withstand constitutional
    scrutiny. Accordingly, we are constrained to hold that section
    9799.24(e)(3) is unconstitutional and [the a]ppellant’s judgment
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    J-A06029-18
    of sentence, to the extent it required him to register as an SVP
    for life, was illegal.
    
    Id. at 1217-1218
    (emphasis added).
    We are constrained to reach the same conclusion as the Court in
    Butler. As discussed above, we have determined that the provisions of Act
    21 are punitive.   Therefore, pursuant to Apprendi and Alleyne, a factual
    finding of whether an individual has serious difficulty controlling sexually
    violent behavior due to a mental abnormality or personality disorder that
    makes the person likely to engage in an act of sexual violence, which
    exposes the individual to punishment, must be found beyond a reasonable
    doubt by the chosen fact finder. However, Act 21 names the trial court as
    the finder of fact and sets forth “clear and convincing evidence” as the
    required burden of proof.    Accordingly, this statutory procedure does not
    withstand constitutional scrutiny. Hence, it is our determination that Act 21
    is unconstitutional for the above-stated reasons, and we are constrained to
    vacate the order directing Appellant to be subjected to the constraints of the
    statute.
    Order vacated. Jurisdiction relinquished.
    P.J.E. Bender joins the Opinion.
    Judge Strassburger files a Dissenting Opinion.
    - 34 -
    J-A06029-18
    Judgment Entered.
    Joseph D. Seletyn, Esq.
    Prothonotary
    Date: 12/10/2018
    - 35 -