BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 2625
                                                                  Page  1

          Date of Hearing:   April 30, 2014

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                  Mike Gatto, Chair

                  AB 2625 (Achadjian) - As Amended:  April 24, 2014 

          Policy Committee:                              Public  
          SafetyVote:   6-0

          Urgency:      No                  State Mandated Local Program:  
          Yes    Reimbursable:              Yes

           SUMMARY  

          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.  Specifically, this bill:

          1)Requires the medical director of the state hospital or other  
            facility, if the medical director's report regarding the  
            defendant's progress toward competency indicates it is  
            unlikely the defendant will regain competence in the  
            foreseeable future, to notify the committing county's sheriff  
            that transportation will be needed for the patient's return to  
            court. 

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

           FISCAL EFFECT  

          1)No significant state costs, to the extent this bill expedites  
            the return to the county of commitment IST defendants who  
            cannot be restored to competency. To the extent IST beds in  
            state hospitals open, they will be immediately filled from the  
            existing waiting list of IST patients, who remain in county  
            jail until a bed becomes available.

          2)To the extent this bill expedites the return to the county of  
            commitment IST defendants who cannot be restored to  








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            competency, county costs for conservatorships would increase,  
            though offset to a degree by fewer IST patients in county  
            jails.   

           COMMENTS  

           1)Rationale  . According to the sponsor of this measure, the  
            Department of State Hospitals (DSH), this bill is intended to  
            reduce the backlog of patients awaiting a state hospital  
            placement  in county jails by ensuring defendants found  
            incompetent to stand trial (IST) who cannot be restored to  
            trial competency are returned to their original county of  
            commitment in a timely manner.  

             DHS states, "The failure to retrieve IST patients in a timely  
            manner poses a substantial problem for the justice system by  
            occupying IST program space needed for other patients waiting  
            in county jails.  It also delays the resolution of court cases  
            of IST patients who can be restored to competency  
            successfully.

           2)Current law requires, if a defendant is found IST, trial or  
            judgment is suspended until the person regains competency.  If  
            a defendant is found mentally incompetent, the court orders  
            the defendant to be delivered by the sheriff to a state  
            hospital for the care and treatment of the mentally disordered  
            or any other public or private treatment facility that will  
            assist restoration of mental competence.  

            Requires a medical director of the state hospital or other  
            treatment facility, or the outpatient treatment staff if the  
            defendant is on outpatient status, to 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 the  
            order of commitment, or placement on outpatient status, and at  
            6-month intervals thereafter or until the defendant regains  
            competency.  

            Requires the committing court to order the defendant returned  
            to the court for conservatorship proceedings if the report  
            indicates there is no substantial likelihood  the defendant  
            will regain mental competence in the foreseeable future.   

            Requires a defendant who has not recovered mental competence  








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            to be returned to the committing court after three years from  
            the date of commitment or after a commitment equal to the  
            maximum term of imprisonment for the most serious offense  
            charged, whichever is shorter.

           3)The DSH current population:  (4,967) at Atascadero, Coalinga,  
            Metropolitan, Napa, and Patton State Hospitals comprises 1,350  
            persons NGI; 1,283 persons found IST; 258 mentally ill CDCR  
            commitments; 1,154 mentally disordered offenders; 897 sexually  
            violent predators; and 25 mentally disordered sex offenders.
           
          4)Support  includes the CA District Attorneys Association and the  
            CA State Sheriffs Association. 



           Analysis Prepared by  :    Geoff Long / APPR. / (916) 319-2081