BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                            



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                                    THIRD READING


          Bill No:  AB 2625
          Author:   Achadjian (R)
          Amended:  4/24/14 in Assembly
          Vote:     21

           
           SENATE PUBLIC SAFETY COMMITTEE  : 6-0, 6/10/14
          AYES:  Hancock, Anderson, De León, Knight, Liu, Steinberg
          NO VOTE RECORDED:  Mitchell

           SENATE APPROPRIATIONS COMMITTEE  :  7-0, 6/23/14
          AYES:  De León, Walters, Gaines, Hill, Lara, Padilla, Steinberg

           ASSEMBLY FLOOR  :  73-0, 5/8/14 (Consent) - See last page for vote


           SUBJECT  :    Defendants:  competence

           SOURCE  :     Department of State Hospitals


           DIGEST  :    This bill specifies procedures relative to returning  
          to court a defendant committed to a state hospital or other  
          facility for treatment as incompetent to stand trial (IST) who  
          has not recovered competency, as specified.

           ANALYSIS  :    Existing law:

          1.States that a person cannot be tried or adjudged to punishment  
            while he/she is mentally incompetent (IST - incompetent to  
            stand trial).  

          2.States that if the court has a doubt as to whether or not a  
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            defendant is IST, the court shall state that doubt on the  
            record and shall seek defense counsel's opinion as to the  
            defendant's competence.  

          3.Provides hearing procedures to determine whether the defendant  
            is mentally competent or not.

          4.States that if the defendant is found IST, the matter shall be  
            suspended until the person becomes mentally competent. 

          5.Includes detailed procedures for review of orders for  
            involuntary anti-psychotic medication and to determine whether  
            a person committed as IST without a medication order should be  
            medicated. 

          This bill:
           
           1.Changes the requirement that the medical director of the state  
            hospital or other treatment facility to which a defendant is  
            confined for treatment make a written report to the court and  
            county community program director concerning the defendant's  
            progress toward recovery of mental competence, from within 90  
            days of the order of commitment to within 90 days of  
            admission.

          2.Requires the following actions and procedures where a progress  
            report concerning an IST defendant concludes that there is no  
            substantial likelihood that he/she will regain competence  
            within the foreseeable future:

             A.   The committing court, within 10 days of its receipt of  
               the report, shall order that the IST defendant be returned  
               to court for initiation of conservatorship proceedings.

             B.   The medical director of the state hospital or other  
               treatment facility to which a defendant is confined for  
               treatment to regain mental shall do the following:

                     Promptly notify and provide a copy of the report to  
                 the defendant's attorney and the district attorney; and

                     Provide a separate notification, in compliance with  
                 applicable privacy laws, to the committing county's  
                 sheriff that transportation will be needed for the  

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                 patient.

          1.Requires that a defendant committed to a state hospital for  
            treatment to regain mental competency, but who has not  
            recovered competence, to be returned to the committing court  
            no later than 90 days before the expiration of the defendant's  
            term of commitment.

           Comments
           
          According to the author, "Currently, patients are taken into  
          Department of State Hospitals (DSH) custody in order to assist  
          in the patients' restoration of competency.  IST is a program  
          DSH administers to get a patient to the point that they may  
          stand trial.  Some patients are deemed as unable to regain  
          competency and are supposed to be sent back into the custody of  
          the committing county.  Many counties end up not retrieving  
          their patients and those people remain at a State Hospital,  
          which costs the state approximately $200,000 per year, per  
          patient.  AB 2625 simply establishes guidelines for getting the  
          patient back in possession of their county.  First, the bill  
          requires the medical director of the state hospital to notify  
          the defense counsel and the district attorney of the committing  
          county if the inmate is unable to regain competence and that  
          they must be returned to the committing county within 10 days of  
          this notification.  They must also notify the county's sheriff  
          that transportation for the patient is needed.  Also, the bill  
          provides that, prior to the expiration of the three-year  
          statutory limit on being treated in the State Hospital, an IST  
          who has not recovered competence must be returned to their  
          committing county no later than 90 days prior to the expiration  
          of the three-year limit."

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    
          Local:  Yes

          According to the Senate Appropriations Committee:

           No significant near-term state costs (General Fund) to the  
            Department of State Hospitals (DSH) to the extent IST patients  
            who cannot be restored to competency are replaced with IST  
            patients from the wait list and require comparable treatment,  
            custody, and housing costs. 


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           Future cost-savings (General Fund) to DSH once the IST wait  
            list is removed by ensuring that IST defendants who cannot be  
            restored to competency are returned to counties in a timely  
            manner, allowing DSH resources to be used more efficiently.

           Potential ongoing cost savings to the courts (General Fund*)  
            due to fewer IST status conferences and court orders issued  
            under the more efficient process.

           Potential minor state-reimbursable costs for medical directors  
            of local facilities to promptly notify defense counsel, the  
            district attorney, and county sheriff. These costs would  
            likely be more than offset by cost savings through reduced  
            lengths of stay of IST patients in county facilities. 

           Potential non-reimbursable local costs for increased  
            conservatorship proceedings upon order of the court. 

          *Trial Court Trust Fund

           SUPPORT  :   (Verified  6/24/14)

          Department of State Hospitals (source) 
          California Association of Psychiatric Technicians
          California District Attorneys Association
          California State Sheriffs' Association
          Judicial Council of California
          Los Angeles County Sheriff

           ASSEMBLY FLOOR  :  73-0, 5/8/14
          AYES: Achadjian, Alejo, Allen, Ammiano, Atkins, Bigelow, Bloom,  
            Bocanegra, Bonilla, Bonta, Bradford, Brown, Buchanan, Ian  
            Calderon, Campos, Chau, Chávez, Chesbro, Conway, Cooley,  
            Dababneh, Dahle, Daly, Dickinson, Donnelly, Fong, Fox,  
            Frazier, Beth Gaines, Garcia, Gatto, Gomez, Gonzalez, Gordon,  
            Grove, Hagman, Harkey, Roger Hernández, Holden, Jones,  
            Jones-Sawyer, Levine, Linder, Logue, Lowenthal, Maienschein,  
            Medina, Melendez, Mullin, Muratsuchi, Nazarian, Nestande,  
            Olsen, Pan, Patterson, Perea, Quirk, Quirk-Silva, Rendon,  
            Ridley-Thomas, Rodriguez, Salas, Skinner, Stone, Ting, Wagner,  
            Waldron, Weber, Wieckowski, Wilk, Williams, Yamada, John A.  
            Pérez
          NO VOTE RECORDED: Eggman, Gorell, Gray, Hall, Mansoor, V. Manuel  
            Pérez, Vacancy

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          JG:nl  6/24/14   Senate Floor Analyses 

                           SUPPORT/OPPOSITION:  SEE ABOVE

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