Section 1 (253B.18, subdivision 4c) requires the civil commitment special review board to review each denied petition for a reduction in custody for barriers and obstacles preventing a patient from progressing in treatment, and provide the commissioner an annual summation of the barriers to treatment progress and recommendations to achieve the common goal of making progress in treatment. 

Section 2 (253B.18, subdivision 5) requires the head of the treatment facility to schedule a hearing before the special review board for any patient who has not appeared before the board in the previous three years, and schedule a hearing at least every three years, thereafter.