BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 2625
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          CONCURRENCE IN SENATE AMENDMENTS
          AB 2625 (Achadjian)
          As Amended  August 20, 2014
          Majority vote
           
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          |ASSEMBLY:  |73-0 |(May 8, 2014)   |SENATE: |33-0 |(August 25,    |
          |           |     |                |        |     |2014)          |
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           Original Committee Reference:    PUB. S.  
           
          SUMMARY  :  Specifies procedures relative to returning to the  
          court a defendant who is committed to a state hospital for  
          treatment to regain mental competency but who has not recovered  
          competence.

           The Senate amendments  add double-jointing language to  
          incorporate changes made by AB 2186 (Lowenthal) of the current  
          legislative session and SB 1412 (Nielsen) of the current  
          legislative session should some or all of these bills become  
          enacted.

           AS PASSED BY THE ASSSEMBLY , this bill:

          1)Requires the medical director of the state hospital or other  
            treatment facility to which a defendant is confined for  
            treatment to regain mental competence to do the following if  
            the medical director's report concerning the defendant's  
            progress toward mental competency recovery indicates that  
            there is no substantial likelihood that the defendant will  
            regain mental competence in the foreseeable future:

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

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

          2)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.








                                                                  AB 2625
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           FISCAL EFFECT  :  According to the Senate Appropriations  
          Committee:

          1)No significant near-term state costs General Fund (GF) to the  
            Department of State Hospitals (DSH) to the extent Incompetent  
            to Stand Trial (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. 

          2)Future cost-savings GF 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.

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

          4)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. 

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

          *Trial Court Trust Fund

           COMMENTS  :  According to the author, "Patients are taken into DSH  
          custody in order for them to participate in a program aimed at  
          assisting in the restoration of competency, in order for the  
          patient to stand trial.  Some patients, however, have severe  
          mental disorders that make it unlikely that they can be restored  
          to trial competency.  For these patients, the State Hospital  
          issues a progress report to the committing county court  
          informing them the patient is Incompetent to Stand Trial (IST).   
          Many counties do not retrieve these individuals, which then  
          leaves them in the custody of the State Hospital at a cost of  
          approximately $200,000 per year, per patient.  In addition to  
          this, the waitlist for IST patients awaiting placement in State  
          Hospitals is at over 300 individuals.  AB 2625 is an agreement  
          between the Governor's office, county officials, law  
          enforcement, and DSH in order to get these individuals back into  








                                                                  AB 2625
                                                                  Page  3

          the custody of the county so that State Hospitals can begin  
          placing patients on the IST waitlist.  This legislation is  
          sponsored by the Administration and DSH."

          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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