BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 2190
                                                                  Page  1

          CONCURRENCE IN SENATE AMENDMENTS
          AB 2190 (Maienschein)
          As Amended  August 21, 2014
          Majority vote
           
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          |ASSEMBLY:  |78-0 |(May 28, 2014)  |SENATE: |32-2 |(August 27,    |
          |           |     |                |        |     |2014)          |
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           Original Committee Reference:    PUB. S.  
           
          SUMMARY  :  Allows the court to place a person found to be  
          incompetent to stand trial (IST) or not guilty by reason of  
          insanity (NGI) on outpatient status without prior confinement  
          for a specified period within a mental health treatment  
          facility, as specified, and requires a conservatorship  
          investigator to submit a copy of his or her report, upon the  
          request of the defendant or his or her attorney, to specified  
          entities in a criminal case.

           The senate amendments  specify that the court-ordered evaluation  
          of a person's mental condition must lead to a conservatorship  
          investigation in order for the conservatorship investigator to  
          submit a copy of his or her report to the specified entities.

           AS PASSED BY THE ASSEMBLY  , this bill:  
           
          1)Provided that outpatient status may be available to a person  
            who otherwise is required to be confined in a state hospital  
            or other treatment facility for 180 days or more for the  
            commission of a specified felony offense if the court finds a  
            suitable placement, including but not limited to, an  
            outpatient placement program, that would provide the person  
            with more appropriate mental health treatment and the court  
            finds that the placement would not pose a danger to the health  
            or safety of others, including the victim and his or her  
            family.

          2)Required the court to consider all of the following criteria  
            before it may place any person who has been found IST or NGI  
            for a specified felony offense on outpatient status:

             a)   Whether the state hospital director or other treatment  
               facility to which the person has been committed advises the  








                                                                  AB 2190
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               committing court and the prosecutor that the defendant  
               would no longer be a danger to the health and safety of  
               others, including himself or herself, while under  
               supervision and treatment in the community and the  
               defendant will benefit from that status; and,

             b)   Whether the community program director advises the court  
               that the defendant will benefit from that status and  
               identifies an appropriate program of supervision and  
               treatment.

          3)Required the prosecutor, before release of a person as  
            specified above, to provide notice of the hearing date and  
            pending release to the committing-offense victim (or his or  
            her next of kin) where a request for the notice has been filed  
            with the court.

          4)Required the court to consider all of the following criteria  
            before it may place any person who has been found IST or NGI  
            for a misdemeanor or non-specified felony offense on  
            outpatient status:

             a)   In the case of a person who is an inpatient, whether the  
               state hospital director or other treatment facility to  
               which the person has been committed advises the court that  
               the defendant will not be a danger to the health and safety  
               of others while on outpatient status and that he or she  
               will benefit from such outpatient status; and,

             b)   In all cases, whether the community program director or  
               a designee advises the court that the defendant will not be  
               a danger to the health and safety of others while on  
               outpatient status, will benefit from such status, and  
               identifies an appropriate program of supervision and  
               treatment.

          5)Required the court, prior to determining whether to place the  
            person on outpatient status, to provide actual notice to the  
            prosecutor, defense attorney, and victim and to hold a hearing  
            at which the court may specifically order outpatient status  
            for the person.

          6)Required the officer providing a conservatorship  
            investigation, when a court with jurisdiction over a person in  
            a criminal case orders an evaluation of the person's mental  








                                                                  AB 2190
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            condition, as specified, to serve a copy of the report upon  
            the defendant or his or her attorney.  Requires, upon the  
            prior written request of the defendant or his or her attorney,  
            the officer providing the conservatorship investigation to  
            submit a copy of the report to the court hearing the criminal  
            case, the district attorney, and the county probation  
            department.

          7)Required that the conservatorship investigation report, and  
            the information contained in it, to be kept confidential and  
            not further disclosed to anyone without the prior written  
            consent of the defendant.

          8)Required the court to place all copies of the report in a  
            sealed file after disposition of the criminal case, except  
            that the defendant and his or her attorney may retain their  
            copies and, if the defendant is placed on probation status,  
            the probation department may retain a copy for the purpose of  
            supervision until probation is terminated, at which time the  
            department is required to return its copy to the court for  
            placement in the sealed file.

          9)Made legislative findings and declarations relative to a  
            conservatee's privacy rights.
           
          FISCAL EFFECT  :  According to the Senate Appropriations  
          Committee:

          1)Unknown potential increase in court costs from additional  
            hearings to determine appropriate placements (General Fund).   
            Some individuals who have been found incompetent to stand  
            trial or not guilty by reason of insanity and who have been  
            placed in a state hospital may request an additional hearing  
            to determine whether they can be placed in an outpatient  
            placement before 180 days have elapsed.  For example, if 5% of  
            the applicable individuals currently in a state hospital were  
            to receive an additional half-day court hearing, annual costs  
            would be about $275,000 per year.

          2)Potential annual costs in the low millions from community  
            placements paid for by the state (General Fund).  Under  
            current law, the state pays for community placements of  
            patients who are moved from a state hospital under the  
            Forensic Conditional Release Program.  If 50% of the patients  
            in a state hospital who request a hearing for community  








                                                                  AB 2190
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            placement are successful, annual state costs to pay for their  
            community placement would be about $2 million.
          3)No savings are likely in the near-term.  There is a long  
            waiting list for placement in a state hospital for individuals  
            who are incompetent to stand trial or not guilty by reason of  
            insanity (typically, these individuals are being held in  
            county jails or other facilities at the local level).  
            Therefore, any individuals who are released from a State  
            Hospital will immediately be replaced by another individual  
            from the waiting list.  In the 2014-15 Budget Act, the  
            Department received about $35 million to expand the capacity  
            to house incompetent to stand trial patients.  In the  
            long-run, there could be savings to the state if there is no  
            longer a waiting list for admission to state hospitals.

           COMMENTS  :  According to the author, "By giving the courts the  
          option to place offenders with mental disorders in an outpatient  
          setting, offenders can be given the treatment that is most  
          appropriate for them.  Not only does this give the courts more  
          tools to properly treat mentally disordered offenders but there  
          is substantial evidence for cost saving as well.  Also, by  
          permitting defendants to authorize the release of their  
          conservatorship reports to criminal courts, we can improve  
          coordination and treatment efforts between conservatorship  
          courts and criminal courts."
           
           Please see the policy committee analysis for a full discussion  
          of this bill.  


          Analysis Prepared by  :    Shaun Naidu / PUB. S. / (916) 319-3744 


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