BILL ANALYSIS                                                                                                                                                                                                    �




                   Senate Appropriations Committee Fiscal Summary
                            Senator Kevin de Le�n, Chair


          SB 1412 (Nielsen) - Criminal proceedings: mentally incompetent  
          offenders.
          
          Amended: May 7, 2014            Policy Vote: Public Safety 6-0
          Urgency: No                     Mandate: Yes
          Hearing Date: May 19, 2014      Consultant: Jolie Onodera
          
          This bill meets the criteria for referral to the Suspense File.


          Bill Summary: SB 1412 would provide that when a person facing  
          revocation of probation, mandatory supervision, postrelease  
          community supervision (PRCS), or parole may be mentally  
          incompetent, as specified, existing laws and procedures in place  
          for persons incompetent to stand trial (IST) shall apply.

          Fiscal Impact: 
              Potentially significant ongoing costs (General Fund*) to  
              hold additional court hearings to determine competency and  
              review progress reports of defendants pending revocation  
              proceedings, as specified.
              Potential increase in defendants found eligible for IST  
              commitment to the Department of State Hospitals (DSH). While  
              the annual cost to treat and house a DSH patient ranges from  
              $180,000 to $220,000, the DSH currently has a backlog of 300  
              IST patients awaiting commitment in county jails. To the  
              extent DSH is able to treat persons in county jail treatment  
              facilities and reimburse local jails for bed space, costs  
              would be significantly less per patient. 
              Potentially significant costs (General Fund) to the  
              Department of Corrections and Rehabilitation (CDCR) to the  
              extent specified alleged parole violators are found IST and  
              must be remanded to state prison for future parole  
              consideration by the Board of Parole Hearings (BPH).
              Potentially significant non-reimbursable costs to local  
              agencies pursuant to court orders, including county  
              sheriffs, county mental health directors, and public  
              guardians.
              Unknown potential future cost savings (Local/General Fund)  
              to the extent defendants are successfully treated and avert  
              revocation proceedings and re-incarceration.









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          *Trial Court Trust Fund

          Background: Existing law prohibits a person from being tried or  
          adjudged to punishment while that person is mentally  
          incompetent, meaning the person is unable to understand the  
          nature of the criminal proceedings or assist counsel in the  
          conduct of a defense in a rational manner. (Penal Code (PC) �  
          1367)

          If found mentally incompetent in a court or jury trial, the  
          defendant is committed to a state hospital for care and  
          treatment, or to any other available public or private treatment  
          facility, including a local county jail treatment facility, or  
          placed on outpatient status, as specified. (PC � 1370)

          Previously, individuals deemed by the court to be mentally IST  
          waited in county jails pending transfer to a state hospital for  
          evaluation and treatment to be restored to competency. However,  
          the lack of physical space at state hospitals to house ISTs  
          coupled with difficulty in staffing key personnel at state  
          hospitals resulted in an extensive backlog of IST commitments in  
          county jails and extended wait times pending transfer to a state  
          hospital.

          Pursuant to the Budget Act of 2007, the DSH received a $4.3  
          million appropriation from the Legislature to begin pilot  
          programs to examine alternative approaches to addressing the IST  
          waitlist. After several years, a pilot program was initiated in  
          San Bernardino County to treat ISTs in the county jail instead  
          of at a state hospital. In its January 2012 report, An  
          Alternative Approach: Treating the Incompetent to Stand Trial,  
          the Legislative Analyst's Office (LAO) indicated promising  
          results, "Specifically, we find the pilot program provides less  
          incentive for potential malingerers, has greater flexibility to  
          hold down costs, and is able to restore ISTs to competency in a  
          shorter amount of time than the state hospitals." In its  
          recommendations to the Legislature, the LAO indicated to further  
          reduce the IST waitlist, expansion of the pilot into counties  
          with historically long waitlists should be considered, and  
          specifically noted the counties of Los Angeles, Kern, and San  
          Diego as prime candidates.

          AB 1470 (Committee on Budget) Chapter 24/2012, the 2012 budget  
          trailer bill on mental health, included a number of provisions  








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          concerning treatment of IST defendants in county jail treatment  
          facilities and authorized a county mental health program  
          director to determine whether an IST defendant should be treated  
          in jail, providing that if a local county jail treatment  
          facility is selected, the DSH must provide treatment at the  
          county jail treatment facility and reimburse the county jail  
          treatment facility for the reasonable costs of the bed during  
          the treatment. 

          The May Revision of the 2014-15 Governor's Budget includes $3.9  
          million General Fund and 13.5 positions to expand the  
          Restoration of Competency Program by up to 55 beds. This program  
          provides for treatment of IST patients in county jails rather  
          than inpatient treatment at a state hospital. 

          This bill seeks to apply the existing processes and procedures  
          in place for offenders prior to being tried or adjudged to those  
          offenders pending revocation proceedings.

          Proposed Law: This bill would provide that when a person facing  
          revocation of probation, mandatory supervision, PRCS, or parole  
          may be mentally incompetent, as specified, existing laws and  
          procedures in place for persons incompetent to stand trial (IST)  
          must apply. Specifically, this bill:
                 Provides that a person cannot have his or her probation,  
               mandatory supervision, PRCS, or parole revoked while that  
               person is mentally incompetent, as specified.
                 Authorizes competency hearings if, during revocation  
               proceedings for violations of probation, mandatory  
               supervision, PRCS, or parole, a doubt arises in a judge's  
               mind as to the mental competency of the defendant. 
                 Provides that only a court trial is required to  
               determine competency in any proceeding for a violation of  
               supervision.
                 Provides that the provision of antipsychotic medications  
               to persons in county jail pending revocation of PRCS not  
               exceed one year, and for persons pending revocation of  
               mandatory supervision, shall not exceed the remaining  
               period of mandatory supervision, as specified.
                 Suspends hearings on alleged violations of supervision  
               if a defendant is found IST, until the person becomes  
               mentally competent.
                 For proceedings alleging a violation of mandatory  
               supervision, if person not found gravely disabled, as  








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               specified, court shall reinstate supervision and may modify  
               terms and conditions of supervision to include mental  
               health treatment, mental health courts, reentry courts, or  
               other collaborative justice courts available for improving  
               mental health of the defendant.
                 Specifies that formal resumption of a revocation hearing  
               for PRCS or parole must occur within a reasonable time, and  
               in no event may the defendant be detained in custody for  
               over 180 days from arrest.
                 Accelerates the timeline required for written progress  
               reports due to the courts for defendants pending revocation  
               of PRCS or parole who are found IST. 
                 For proceedings alleging a violation of PRCS or parole,  
               if person not restored to competency within 180 days, court  
               shall reinstate supervision and may modify terms and  
               conditions of supervision to include mental health  
               treatment, mental health courts, reentry courts, or other  
               collaborative justice courts available for improving mental  
               health of the defendant.
                 Provides that notwithstanding any other law, if a person  
               subject to parole pursuant to Section 3000.1 or paragraph  
               (4) of subdivision (b) of Section 3000 is found IST, the  
               court, upon a finding of probable cause that the person  
               violated a term or condition of parole, shall remand the  
               person to the custody of the CDCR and the jurisdiction of  
               the Board of Parole Hearings for the purpose of future  
               parole consideration
                 If a defendant is found IST and is developmentally  
               disabled, in the event of dismissal of revocation  
               proceedings before the defendant recovers competence, the  
               defendant may be transferred to a Department of  
               Developmental Services (DDS) facility.
                 Provides that time spent by a defendant in a hospital or  
               other facility as a result of a commitment as mentally  
               incompetent, shall be credited toward any period of  
               revocation or remaining term of supervision that was  
               suspended.
                 Makes other conforming changes to various statutes.

          Prior Legislation: AB 366 (Allen) Chapter 654/2011 modifies the  
          process by which individuals that are declared IST can be  
          involuntarily medicated.  

          SB 1794 (Perata) Chapter 486/2004 established the standards for  








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          the administration of antipsychotic medication to persons found  
          IST.

          Staff Comments: By extending the process of identifying and  
          treating defendants found to be IST to a larger population of  
          defendants, the provisions of this bill could result in  
          potentially significant ongoing costs (General Fund) to hold  
          additional court hearings to determine competency and review  
          progress reports of defendants pending revocation proceedings,  
          as specified.

          The provisions of this bill could increase commitments eligible  
          for treatment at a DSH facility for defendants found mentally  
          incompetent. The annual cost to treat and house a defendant in a  
          DSH facility ranges from $180,000 to $220,000. Costs  
          notwithstanding, DSH indicates a current backlog of over 300 IST  
          defendants who have been committed to a state hospital but are  
          awaiting admission in county jails, as the DSH does not have the  
          capacity to take on new IST admissions at this time.

          Alternatively, to the extent the DSH treats persons in county  
          jail treatment facilities, which would require reimbursement to  
          local jails for bed space, these costs could be significantly  
          less. Staff notes the May Revision of the 2014-15 Governor's  
          Budget includes $3.9 million General Fund to expand the  
          Restoration of Competency Program by up to 55 beds. This program  
          provides for treatment of IST patients in county jails rather  
          than inpatient treatment at a state hospital. 

          This bill could potentially result in an unknown but likely  
          small number of defendants convicted of serious crimes and  
          alleged to have violated parole to be remanded to the custody of  
          CDCR should they be found IST under the provisions of this bill.  
          Existing law provides that no person shall be returned to state  
          prison on a parole revocation except for those life-term  
          offenders who paroled pursuant to PC � 3000.1 (PC � 3056). This  
          bill would not only require life-term offenders to be remanded  
          to state prison upon IST determination, but also registered sex  
          offenders convicted of crimes against victims younger than 14  
          years of age. Additionally, because the bill remands the parolee  
          to the jurisdiction of the BPH for future parole consideration,  
          the term of re-incarceration would be indeterminate. Potential  
          state costs for increased prison commitments are unknown, but  
          could be significant.








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          This bill could significantly increase ongoing costs to local  
          agencies resulting from court orders to transfer defendants to  
          state hospitals or other treatment facilities, provide  
          assessments and written evaluations, in some cases within a  
          shorter timeframe, on defendants, provide for county jail bed  
          space, and initiate county conservatorship proceedings, if  
          necessary.

          To the extent defendants are successfully treated and avert  
          revocation proceedings and re-incarceration, the provisions of  
          this bill could result in an unknown level of potential future  
          cost savings to the state and counties.

          Recommended Amendments: To reduce potential state costs and for  
          consistency with existing law pursuant to 2011 Realignment,  
          staff recommends an amendment to delete the reference to  
          convicted sex offender parolees from the population of parolees  
          that could potentially be remanded to CDCR custody upon IST  
          determination:

          Section 1370.02, as added to the Penal Code: 
          (c) Notwithstanding any other law, if a person subject to parole  
          pursuant to Section 3000.1  or paragraph (4) of subdivision (b)  
          of Section 3000  is found mentally incompetent, the court, upon a  
          finding of probable cause that the person violated a term or  
          condition of parole, shall remand the person to the custody of  
          the Department of Corrections and Rehabilitation and the  
          jurisdiction of the Board of Parole Hearings for the purpose of  
          future parole consideration. If the court finds no probable  
          cause to believe that the person violated a term or condition of  
          parole, the court may proceed under paragraph (2) or (3) of  
          subdivision (b), or both.


          Staff also recommends the following technical amendment in  
          Section 9 of the bill:

          (a) If the defendant  on postrelease community supervision or  
          parole is found mentally competent,   is found mentally competent  
          during a postrelease community supervision or parole revocation  
          hearing  , the revocation proceedings shall resume. The formal  
          hearing on the revocation shall occur within a reasonable time  
          after resumption of the proceedings, but in no event may the  








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          defendant be detained in custody for over 180 days from the date  
          of arrest.