California Legislature—2013–14 Regular Session

Assembly BillNo. 2186


Introduced by Assembly Member Lowenthal

February 20, 2014


An act to amend Section 1370 of the Penal Code, relating to criminal procedure.

LEGISLATIVE COUNSEL’S DIGEST

AB 2186, as introduced, Lowenthal. Defendants: competency.

Existing law provides that if a defendant in a criminal proceeding is found mentally incompetent, the trial or judgment shall be suspended until the person becomes mentally competent. Existing law provides that the court shall order that the mentally incompetent defendant be delivered by the sheriff to a state hospital for the care and treatment of the mentally disordered, or to any other available public or private treatment facility approved by the community program director that will promote the defendant’s speedy restoration to mental competence, or placed on outpatient status as specified. Existing law further specifies commitment proceedings to include circumstances for the voluntary and involuntary administration of antipsychotic medication.

This bill would require the court to use opinions developed by examining medical professionals during the inquiry determining mental competence, when the court is determining if the defendant lacks the capacity to make decisions regarding the administration of antipsychotic medication.

Existing law provides that if the treating psychiatrist certifies that antipsychotic medication has become medically necessary and appropriate for the defendant, antipsychotic medication may be administered to the defendant for a maximum of 21 days, provided, however, that, within 72 hours of the certification, the defendant is provided a medication review hearing before an administrative law judge to be conducted at the facility where the defendant is receiving treatment.

This bill would authorize a court to extend the administrative law judge’s order authorizing involuntary medication for 14 days beyond the 21-day certification period upon a finding of good cause. The bill would authorize the district attorney, county counsel, or representative of any facility where a defendant found incompetent to stand trial is committed, to petition the court for an order to administer involuntary medication.

Existing law provides that an order by the court authorizing involuntary medication of the defendant is valid for one year. Existing law requires the court to review the order 6 months after it is made to determine if the grounds for the authorization remain. Existing law requires the medical director of the state hospital or other treatment facility to which the defendant is confined to make a written report to the court and the community program director for the county or region of commitment, or a designee, concerning the defendant’s progress toward recovery of mental competence, within 90 days of commitment, and thereafter, at 6-month intervals or until the defendant becomes mentally competent.

This bill would require the court to review its order authorizing involuntary medication in conjunction with the 6-month intervals described above. The bill would provide that within 60 days of the expiration of the one year involuntary medication order, the facility where the defendant is being treated may petition the committing court for a one year renewal, and would require the petition to include the basis for involuntary medication. The bill would require notice of the petition to the defendant, the defendant’s attorney, and the district attorney, and would require the court to hear and determine whether the defendant continues to meet the criteria for involuntary medication. The bill would require the 90-day and 6-month reports described above regarding progress towards competence to also address whether the administration of antipsychotic medication remains necessary.

By imposing additional duties on local prosecuting agencies, this bill would impose a state-mandated local program.

The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.

This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to these statutory provisions.

Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: yes.

The people of the State of California do enact as follows:

P3    1

SECTION 1.  

Section 1370 of the Penal Code is amended to
2read:

3

1370.  

(a) (1) (A) If the defendant is found mentally
4competent, the criminal process shall resume, the trial on the
5offense charged shall proceed, and judgment may be pronounced.

6(B) If the defendant is found mentally incompetent, the trial or
7judgment shall be suspended until the person becomes mentally
8competent.

9(i) In the meantime, the court shall order that the mentally
10incompetent defendant be delivered by the sheriff to a state hospital
11for the care and treatment of the mentally disordered, or to any
12other available public or private treatment facility, including a
13local county jail treatment facility, approved by the community
14program director that will promote the defendant’s speedy
15restoration to mental competence, or placed on outpatient status
16as specified in Section 1600.

17(ii) However, if the action against the defendant who has been
18found mentally incompetent is on a complaint charging a felony
19offense specified in Section 290, the prosecutor shall determine
20whether the defendant previously has been found mentally
21incompetent to stand trial pursuant to this chapter on a charge of
22a Section 290 offense, or whether the defendant is currently the
23 subject of a pending Section 1368 proceeding arising out of a
24charge of a Section 290 offense. If either determination is made,
25the prosecutor shall so notify the court and defendant in writing.
26After this notification, and opportunity for hearing, the court shall
27order that the defendant be delivered by the sheriff to a state
28hospital or other secure treatment facility for the care and treatment
29of the mentally disordered unless the court makes specific findings
30on the record that an alternative placement would provide more
P4    1appropriate treatment for the defendant and would not pose a
2danger to the health and safety of others.

3(iii) If the action against the defendant who has been found
4mentally incompetent is on a complaint charging a felony offense
5specified in Section 290 and the defendant has been denied bail
6pursuant to subdivision (b) of Section 12 of Article I of the
7California Constitution because the court has found, based upon
8clear and convincing evidence, a substantial likelihood that the
9person’s release would result in great bodily harm to others, the
10court shall order that the defendant be delivered by the sheriff to
11a state hospital for the care and treatment of the mentally disordered
12unless the court makes specific findings on the record that an
13alternative placement would provide more appropriate treatment
14for the defendant and would not pose a danger to the health and
15safety of others.

16(iv) The clerk of the court shall notify the Department of Justice
17in writing of any finding of mental incompetence with respect to
18a defendant who is subject to clause (ii) or (iii) for inclusion in his
19or her state summary criminal history information.

20(C) Upon the filing of a certificate of restoration to competence,
21the court shall order that the defendant be returned to court in
22accordance with Section 1372. The court shall transmit a copy of
23its order to the community program director or a designee.

24(D) A defendant charged with a violent felony may not be
25delivered to a state hospital or treatment facility pursuant to this
26subdivision unless the state hospital or treatment facility has a
27secured perimeter or a locked and controlled treatment facility,
28and the judge determines that the public safety will be protected.

29(E) For purposes of this paragraph, “violent felony” means an
30offense specified in subdivision (c) of Section 667.5.

31(F) A defendant charged with a violent felony may be placed
32on outpatient status, as specified in Section 1600, only if the court
33finds that the placement will not pose a danger to the health or
34safety of others. If the court places a defendant charged with a
35violent felony on outpatient status, as specified in Section 1600,
36the court must serve copies of the placement order on defense
37counsel, the sheriff in the county where the defendant will be
38placed and the district attorney for the county in which the violent
39felony charges are pending against the defendant.

P5    1(2) Prior to making the order directing that the defendant be
2confined in a state hospital or other treatment facility or placed on
3outpatient status, the court shall proceed as follows:

4(A) The court shall order the community program director or a
5designee to evaluate the defendant and to submit to the court within
615 judicial days of the order a written recommendation as to
7whether the defendant should be required to undergo outpatient
8treatment, or committed to a state hospital or to any other treatment
9facility. No person shall be admitted to a state hospital or other
10treatment facility or placed on outpatient status under this section
11without having been evaluated by the community program director
12or a designee. The community program director or designee shall
13evaluate the appropriate placement for the defendant between a
14state hospital or a local county jail treatment facility based upon
15guidelines provided by the State Department of State Hospitals.
16If a local county jail treatment facility is selected, the State
17Department of State Hospitals shall provide treatment at the county
18jail treatment facility and reimburse the county jail treatment
19facility for the reasonable costs of the bed during the treatment.
20The six-month limitation in Section 1369.1 shall not apply to
21individuals deemed incompetent to stand trial who are being treated
22to restore competency within a county jail treatment facility
23pursuant to this section.

24(B) The court shall hear and determine whether the defendant
25lacks capacity to make decisions regarding the administration of
26antipsychoticbegin delete medication,end deletebegin insert medication. The court shall utilize
27opinions prepared pursuant to subdivision (a) of Section 1369end insert
and
28shall proceed as follows:

29(i) The court shall hear and determine whether any of the
30following is true:

31(I) The defendant lacks capacity to make decisions regarding
32antipsychotic medication, the defendant’s mental disorder requires
33medical treatment with antipsychotic medication, and, if the
34defendant’s mental disorder is not treated with antipsychotic
35medication, it is probable that serious harm to the physical or
36mental health of the patient will result. Probability of serious harm
37to the physical or mental health of the defendant requires evidence
38that the defendant is presently suffering adverse effects to his or
39her physical or mental health, or the defendant has previously
40suffered these effects as a result of a mental disorder and his or
P6    1her condition is substantially deteriorating. The fact that a
2defendant has a diagnosis of a mental disorder does not alone
3establish probability of serious harm to the physical or mental
4health of the defendant.

5(II) The defendant is a danger to others, in that the defendant
6has inflicted, attempted to inflict, or made a serious threat of
7inflicting substantial physical harm on another while in custody,
8or the defendant had inflicted, attempted to inflict, or made a
9serious threat of inflicting substantial physical harm on another
10that resulted in his or her being taken into custody, and the
11defendant presents, as a result of mental disorder or mental defect,
12a demonstrated danger of inflicting substantial physical harm on
13others. Demonstrated danger may be based on an assessment of
14the defendant’s present mental condition, including a consideration
15of past behavior of the defendant within six years prior to the time
16the defendant last attempted to inflict, inflicted, or threatened to
17inflict substantial physical harm on another, and other relevant
18evidence.

19(III) The people have charged the defendant with a serious crime
20against the person or property, involuntary administration of
21antipsychotic medication is substantially likely to render the
22defendant competent to stand trial, the medication is unlikely to
23have side effects that interfere with the defendant’s ability to
24understand the nature of the criminal proceedings or to assist
25counsel in the conduct of a defense in a reasonable manner, less
26intrusive treatments are unlikely to have substantially the same
27results, and antipsychotic medication is in the patient’s best medical
28interest in light of his or her medical condition.

29(ii) If the court finds any of the conditions described in clause
30(i) to be true, the court shall issue an order authorizingbegin delete the treatment
31facility to involuntarily administerend delete
begin insert involuntary administration ofend insert
32 antipsychotic medication to the defendant when and as prescribed
33by the defendant’s treating psychiatristbegin insert at any facility housing the
34defendant for purposes of this sectionend insert
. The court shall not order
35involuntary administration of psychotropic medication under
36subclause (III) of clause (i) unless the court has first found that the
37defendant does not meet the criteria for involuntary administration
38of psychotropic medication under subclause (I) of clause (i) and
39does not meet the criteria under subclause (II) of clause (i).

P7    1(iii) In all cases, the treating hospital, facility, or program may
2administer medically appropriate antipsychotic medication
3prescribed by a psychiatrist in an emergency as described in
4subdivision (m) of Section 5008 of the Welfare and Institutions
5Code.

6(iv) If the court has determined that the defendant has the
7capacity to make decisions regarding antipsychotic medication,
8and if the defendant, with advice of his or her counsel, consents,
9the court order of commitment shall include confirmation that
10antipsychotic medication may be given to the defendant as
11prescribed by a treating psychiatrist pursuant to the defendant’s
12consent. The commitment order shall also indicate that, if the
13defendant withdraws consent for antipsychotic medication, after
14the treating psychiatrist complies with the provisions of
15subparagraph (C), the defendant shall be returned to court for a
16hearing in accordance with subparagraphs (C) and (D) regarding
17whether antipsychotic medication shall be administered
18involuntarily.

19(v) If the court has determined that the defendant has the
20capacity to make decisions regarding antipsychotic medication
21and if the defendant, with advice from his or her counsel, does not
22consent, the court order for commitment shall indicate that, after
23the treating psychiatrist complies with the provisions of
24subparagraph (C), the defendant shall be returned to court for a
25hearing in accordance with subparagraphs (C) and (D) regarding
26whether antipsychotic medication shall be administered
27involuntarily.

28(vi) Any report made pursuant to paragraph (1) of subdivision
29(b) shall include a description of any antipsychotic medication
30administered to the defendant and its effects and side effects,
31including effects on the defendant’s appearance or behavior that
32would affect the defendant’s ability to understand the nature of
33the criminal proceedings or to assist counsel in the conduct of a
34defense in a reasonable manner. During the time the defendant is
35confined in a state hospital or other treatment facility or placed on
36outpatient status, either the defendant or the people may request
37that the court review any order made pursuant to this subdivision.
38The defendant, to the same extent enjoyed by other patients in the
39state hospital or other treatment facility, shall have the right to
P8    1contact the patients’ rights advocate regarding his or her rights
2under this section.

3(C) If the defendant consented to antipsychotic medication as
4described in clause (iv) of subparagraph (B), but subsequently
5withdraws his or her consent, or, if involuntary antipsychotic
6medication was not ordered pursuant to clause (v) of subparagraph
7(B), and the treating psychiatrist determines that antipsychotic
8medication has become medically necessary and appropriate, the
9treating psychiatrist shall make efforts to obtain informed consent
10from the defendant for antipsychotic medication. If informed
11consent is not obtained from the defendant, and the treating
12psychiatrist is of the opinion that the defendant lacks capacity to
13make decisions regarding antipsychotic medication based on the
14conditions described in subclause (I) or (II) of clause (i) of
15subparagraph (B), the treating psychiatrist shall certify whether
16the lack of capacity and any applicable conditions described above
17exist. That certification shall contain an assessment of the current
18mental status of the defendant and the opinion of the treating
19psychiatrist that involuntary antipsychotic medication has become
20medically necessary and appropriate.

21(D) (i) If the treating psychiatrist certifies that antipsychotic
22medication has become medically necessary and appropriate
23pursuant to subparagraph (C), antipsychotic medication may be
24administered to the defendant for not more than 21 days, provided,
25however, that, within 72 hours of the certification, the defendant
26is provided a medication review hearing before an administrative
27law judge to be conducted at the facility where the defendant is
28 receiving treatment. The treating psychiatrist shall present the case
29for the certification for involuntary treatment and the defendant
30shall be represented by an attorney or a patients’ rights advocate.
31The attorney or patients’ rights advocate shall be appointed to meet
32with the defendant no later than one day prior to the medication
33review hearing to review the defendant’s rights at the medication
34review hearing, discuss the process, answer questions or concerns
35regarding involuntary medication or the hearing, assist the
36defendant in preparing for the hearing and advocating for his or
37her interests at the hearing, review the panel’s final determination
38following the hearing, advise the defendant of his or her right to
39judicial review of the panel’s decision, and provide the defendant
40with referral information for legal advice on the subject. The
P9    1defendant shall also have the following rights with respect to the
2medication review hearing:

3(I) To being given timely access to the defendant’s records.

4(II)  To be present at the hearing, unless the defendant waives
5that right.

6(III) To present evidence at the hearing.

7(IV) To question persons presenting evidence supporting
8involuntary medication.

9(V) To make reasonable requests for attendance of witnesses
10on the defendant’s behalf.

11(VI) To a hearing conducted in an impartial and informal
12manner.

13(ii) If the administrative law judge determines that the defendant
14either meets the criteria specified in subclause (I) of clause (i) of
15subparagraph (B), or meets the criteria specified in subclause (II)
16of clause (i) of subparagraph (B), then antipsychotic medication
17may continue to be administered to the defendant for the 21-day
18certification period. Concurrently with the treating psychiatrist’s
19certification, the treating psychiatrist shall file a copy of the
20certification and a petition with the court for issuance of an order
21to administer antipsychotic medication beyond the 21-day
22certification period. For purposes of this subparagraph, the treating
23psychiatrist shall not be required to pay or deposit any fee for the
24filing of the petition or other document or paper related to the
25petition.

26(iii) If the administrative law judge disagrees with the
27certification, medication may not be administered involuntarily
28until the court determines that antipsychotic medication should be
29administered pursuant to this section.

30(iv) The court shall provide notice to the prosecuting attorney
31 and to the attorney representing the defendant, and shall hold a
32hearing, no later than 18 days from the date of the certification, to
33determine whether antipsychotic medication should be ordered
34beyond the certification period.

35(v) If, as a result of the hearing, the court determines that
36antipsychotic medication should be administered beyond the
37certification period, the court shall issue an order authorizing the
38administration of that medication.

39(vi) The court shall render its decision on the petition and issue
40its order no later than three calendar days after the hearing and, in
P10   1any event, no later than the expiration of the 21-day certification
2period.

begin insert

3(vii) The court may extend the administrative law judge’s order
4for 14 days beyond the 21-day certification period upon a finding
5of good cause.

end insert
begin insert

6(viii) The district attorney, county counsel, or representative of
7any facility where a defendant found incompetent to stand trial is
8committed may petition the court for an order to administer
9involuntary medication pursuant to the criteria set forth in
10subclauses (II) and (III) of clause (i) of subparagraph (B). The
11order is reviewable as provided in paragraph (7).

end insert

12(3) When the court orders that the defendant be confined in a
13state hospital or other public or private treatment facility, the court
14shall provide copies of the following documents which shall be
15taken with the defendant to the state hospital or other treatment
16facility where the defendant is to be confined:

17(A) The commitment order, including a specification of the
18charges.

19(B) A computation or statement setting forth the maximum term
20of commitment in accordance with subdivision (c).

21(C) A computation or statement setting forth the amount of
22credit for time served, if any, to be deducted from the maximum
23term of commitment.

24(D) State summary criminal history information.

25(E) Any arrest reports prepared by the police department or
26other law enforcement agency.

27(F) Any court-ordered psychiatric examination or evaluation
28reports.

29(G) The community program director’s placement
30recommendation report.

31(H) Records of any finding of mental incompetence pursuant
32to this chapter arising out of a complaint charging a felony offense
33specified in Section 290 or any pending Section 1368 proceeding
34arising out of a charge of a Section 290 offense.

35(4) When the defendant is committed to a treatment facility
36pursuant to clause (i) of subparagraph (B) of paragraph (1) or the
37court makes the findings specified in clause (ii) or (iii) of
38subparagraph (B) of paragraph (1) to assign the defendant to a
39treatment facility other than a state hospital or other secure
40treatment facility, the court shall order that notice be given to the
P11   1appropriate law enforcement agency or agencies having local
2jurisdiction at the site of the placement facility of any finding of
3mental incompetence pursuant to this chapter arising out of a
4charge of a Section 290 offense.

5(5) When directing that the defendant be confined in a state
6 hospital pursuant to this subdivision, the court shall select the
7hospital in accordance with the policies established by the State
8Department of State Hospitals.

9(6) (A) If the defendant is committed or transferred to a state
10hospital pursuant to this section, the court may, upon receiving the
11written recommendation of the medical director of the state hospital
12and the community program director that the defendant be
13transferred to a public or private treatment facility approved by
14the community program director, order the defendant transferred
15to that facility. If the defendant is committed or transferred to a
16public or private treatment facility approved by the community
17program director, the court may, upon receiving the written
18recommendation of the community program director, transfer the
19defendant to a state hospital or to another public or private
20treatment facility approved by the community program director.
21In the event of dismissal of the criminal charges before the
22defendant recovers competence, the person shall be subject to the
23applicable provisions of the Lanterman-Petris-Short Act (Part 1
24(commencing with Section 5000) of Division 5 of the Welfare and
25Institutions Code). Where either the defendant or the prosecutor
26chooses to contest either kind of order of transfer, a petition may
27be filed in the court for a hearing, which shall be held if the court
28determines that sufficient grounds exist. At the hearing, the
29prosecuting attorney or the defendant may present evidence bearing
30on the order of transfer. The court shall use the same standards as
31are used in conducting probation revocation hearings pursuant to
32Section 1203.2.

33Prior to making an order for transfer under this section, the court
34shall notify the defendant, the attorney of record for the defendant,
35the prosecuting attorney, and the community program director or
36a designee.

37(B) If the defendant is initially committed to a state hospital or
38secure treatment facility pursuant to clause (ii) or (iii) of
39subparagraph (B) of paragraph (1) and is subsequently transferred
40to any other facility, copies of the documents specified in paragraph
P12   1(3) shall be taken with the defendant to each subsequent facility
2to which the defendant is transferred. The transferring facility shall
3also notify the appropriate law enforcement agency or agencies
4having local jurisdiction at the site of the new facility that the
5defendant is a person subject to clause (ii) or (iii) of subparagraph
6(B) of paragraph (1).

7(7) begin insert(A)end insertbegin insertend insert An order by the court authorizing involuntary
8medication of the defendant shall be valid for no more than one
9year. The court shall review the orderbegin delete six months after the order
10was madeend delete
begin insert in conjunction with the six month interval progress
11reports pursuant to paragraph (1) of subdivision (b)end insert
to determine
12if the grounds for the authorization remain. In the review, the court
13shall consider the reports of the treating psychiatrist or psychiatrists
14and the defendant’s patients’ rights advocate or attorney. The court
15may require testimony from the treating psychiatrist or psychiatrists
16and the patients’ rights advocate or attorney, if necessary. The
17court may continue the order authorizing involuntary medication
18for up to another six months, or vacate the order, or make any other
19appropriate order.

begin insert

20(B) Within 60 days of the expiration of the one year involuntary
21medication order, the facility where the defendant is being treated
22may petition the committing court for a one year renewal, subject
23to the same conditions and requirements as in subparagraph (A).
24The petition shall include the basis for involuntary medication set
25forth in clause (i) of subparagraph (B) of paragraph (2). Notice
26of the petition shall be provided to the defendant, the defendant’s
27attorney, and the district attorney. The court shall hear and
28determine whether the defendant continues to meet the criteria set
29forth in clause (i) of subparagraph (B) of paragraph (2).

end insert

30(b) (1) Within 90 days of a commitment made pursuant to
31subdivision (a), the medical director of the state hospital or other
32treatment facility to which the defendant is confined shall make a
33 written report to the court and the community program director
34for the county or region of commitment, or a designee, concerning
35the defendant’s progress toward recovery of mental competence
36begin insert and whether the administration of antipsychotic medication
37remains necessaryend insert
. Where the defendant is on outpatient status,
38the outpatient treatment staff shall make a written report to the
39community program director concerning the defendant’s progress
40toward recovery of mental competence. Within 90 days of
P13   1placement on outpatient status, the community program director
2shall report to the court on this matter. If the defendant has not
3recovered mental competence, but the report discloses a substantial
4likelihood that the defendant will regain mental competence in the
5foreseeable future, the defendant shall remain in the state hospital
6or other treatment facility or on outpatient status. Thereafter, at
7six-month intervals or until the defendant becomes mentally
8competent, where the defendant is confined in a treatment facility,
9the medical director of the hospital or person in charge of the
10facility shall report in writing to the court and the community
11program director or a designee regarding the defendant’s progress
12toward recovery of mental competencebegin insert and whether the
13administration of antipsychotic medication remains necessaryend insert
.
14Where the defendant is on outpatient status, after the initial 90-day
15report, the outpatient treatment staff shall report to the community
16program director on the defendant’s progress toward recovery,
17and the community program director shall report to the court on
18this matter at six-month intervals. A copy of these reports shall be
19provided to the prosecutor and defense counsel by the court. If the
20report indicates that there is no substantial likelihood that the
21defendant will regain mental competence in the foreseeable future,
22the committing court shall order the defendant to be returned to
23the court for proceedings pursuant to paragraph (2) of subdivision
24(c). The court shall transmit a copy of its order to the community
25program director or a designee.

26(2) Where the court has issued an order authorizing the treating
27facility to involuntarily administer antipsychotic medication to the
28defendant, the reports made at six-month intervals concerning the
29defendant’s progress toward regaining competency shall also
30consider the issue of involuntary medication. Each report shall
31include, but is not limited to, all the following:

32(A) Whether or not the defendant has the capacity to make
33decisions concerning antipsychotic medication.

34(B) If the defendant lacks capacity to make decisions concerning
35 antipsychotic medication, whether the defendant risks serious harm
36to his or her physical or mental health if not treated with
37antipsychotic medication.

38(C) Whether or not the defendant presents a danger to others if
39he or she is not treated with antipsychotic medication.

P14   1(D) Whether the defendant has a mental illness for which
2medications are the only effective treatment.

3(E) Whether there are any side effects from the medication
4currently being experienced by the defendant that would interfere
5with the defendant’s ability to collaborate with counsel.

6(F) Whether there are any effective alternatives to medication.

7(G) How quickly the medication is likely to bring the defendant
8to competency.

9(H) Whether the treatment plan includes methods other than
10medication to restore the defendant to competency.

11(I) A statement, if applicable, that no medication is likely to
12restore the defendant to competency.

13(3) After reviewing the reports, the court shall determine whether
14or not grounds for the order authorizing involuntary administration
15of antipsychotic medication still exist and shall do one of the
16following:

17(A) If the original grounds for involuntary medication still exist,
18the order authorizing the treating facility to involuntarily administer
19antipsychotic medication to the defendant shall remain in effect.

20(B) If the original grounds for involuntary medication no longer
21exist, and there is no other basis for involuntary administration of
22antipsychotic medication, the order for the involuntary
23administration of antipsychotic medication shall be vacated.

24(C) If the original grounds for involuntary medication no longer
25exist, and the report states that there is another basis for involuntary
26administration of antipsychotic medication, the court shall set a
27hearing within 21 days to determine whether the order for the
28involuntary administration of antipsychotic medication shall be
29vacated or whether a new order for the involuntary administration
30of antipsychotic medication shall be issued. The hearing shall
31proceed as set forth in subparagraph (B) of paragraph (2) of
32subdivision (a).

33(4) Any defendant who has been committed or has been on
34outpatient status for 18 months and is still hospitalized or on
35outpatient status shall be returned to the committing court where
36a hearing shall be held pursuant to the procedures set forth in
37Section 1369. The court shall transmit a copy of its order to the
38community program director or a designee.

39(5) If it is determined by the court that no treatment for the
40defendant’s mental impairment is being conducted, the defendant
P15   1shall be returned to the committing court. The court shall transmit
2a copy of its order to the community program director or a
3designee.

4(6) At each review by the court specified in this subdivision,
5the court shall determine if the security level of housing and
6treatment is appropriate and may make an order in accordance
7with its determination. If the court determines that the defendant
8shall continue to be treated in the state hospital or on an outpatient
9 basis, the court shall determine issues concerning administration
10of antipsychotic medication, as set forth in subparagraph (B) of
11paragraph (2) of subdivision (a).

12(c) (1) At the end of three years from the date of commitment
13or a period of commitment equal to the maximum term of
14imprisonment provided by law for the most serious offense charged
15in the information, indictment, or misdemeanor complaint,
16whichever is shorter, a defendant who has not recovered mental
17competence shall be returned to the committing court. The court
18shall notify the community program director or a designee of the
19return and of any resulting court orders.

20(2) Whenever any defendant is returned to the court pursuant
21to paragraph (1) or (4) of subdivision (b) or paragraph (1) of this
22subdivision and it appears to the court that the defendant is gravely
23disabled, as defined in subparagraph (B) of paragraph (1) of
24subdivision (h) of Section 5008 of the Welfare and Institutions
25Code, the court shall order the conservatorship investigator of the
26county of commitment of the defendant to initiate conservatorship
27proceedings for the defendant pursuant to Chapter 3 (commencing
28with Section 5350) of Part 1 of Division 5 of the Welfare and
29Institutions Code. Any hearings required in the conservatorship
30proceedings shall be held in the superior court in the county that
31ordered the commitment. The court shall transmit a copy of the
32order directing initiation of conservatorship proceedings to the
33community program director or a designee, the sheriff and the
34district attorney of the county in which criminal charges are
35pending, and the defendant’s counsel of record. The court shall
36notify the community program director or a designee, the sheriff
37and district attorney of the county in which criminal charges are
38pending, and the defendant’s counsel of record of the outcome of
39the conservatorship proceedings.

P16   1(3) If a change in placement is proposed for a defendant who
2is committed pursuant to subparagraph (B) of paragraph (1) of
3subdivision (h) of Section 5008 of the Welfare and Institutions
4Code, the court shall provide notice and an opportunity to be heard
5with respect to the proposed placement of the defendant to the
6sheriff and the district attorney of the county in which criminal
7charges are pending.

8(4) Where the defendant is confined in a treatment facility, a
9copy of any report to the committing court regarding the
10defendant’s progress toward recovery of mental competence shall
11be provided by the committing court to the prosecutor and to the
12defense counsel.

13(d) The criminal action remains subject to dismissal pursuant
14to Section 1385. If the criminal action is dismissed, the court shall
15transmit a copy of the order of dismissal to the community program
16director or a designee.

17(e) If the criminal charge against the defendant is dismissed,
18the defendant shall be released from any commitment ordered
19under this section, but without prejudice to the initiation of any
20proceedings that may be appropriate under the
21Lanterman-Petris-Short Act, Part 1 (commencing with Section
225000) of Division 5 of the Welfare and Institutions Code.

23(f) As used in this chapter, “community program director” means
24the person, agency, or entity designated by the State Department
25of State Hospitals pursuant to Section 1605 of this code and Section
264360 of the Welfare and Institutions Code.

27(g) For the purpose of this section, “secure treatment facility”
28shall not include, except for state mental hospitals, state
29developmental centers, and correctional treatment facilities, any
30facility licensed pursuant to Chapter 2 (commencing with Section
311250) of, Chapter 3 (commencing with Section 1500) of, or Chapter
323.2 (commencing with Section 1569) of, Division 2 of the Health
33and Safety Code, or any community board and care facility.

34(h) Nothing in this section shall preclude a defendant from filing
35a petition for habeas corpus to challenge the continuing validity
36of an order authorizing a treatment facility or outpatient program
37to involuntarily administer antipsychotic medication to a person
38being treated as incompetent to stand trial.

begin delete

39(i) This section shall become operative on July 1, 2012.

end delete
P17   1

SEC. 2.  

If the Commission on State Mandates determines that
2this act contains costs mandated by the state, reimbursement to
3local agencies and school districts for those costs shall be made
4pursuant to Part 7 (commencing with Section 17500) of Division
54 of Title 2 of the Government Code.



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