BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  SB 1412
                                                                  Page 1

          Date of Hearing:  June 17, 2014
          Counsel:       Shaun Naidu


                         ASSEMBLY COMMITTEE ON PUBLIC SAFETY
                                 Tom Ammiano, Chair

                    SB 1412 (Nielsen) - As Amended:  June 9, 2014
                       As Proposed to be Amended in Committee


           SUMMARY  :   Applies procedures relative to persons who are  
          incompetent to stand trial (IST) to persons who may be mentally  
          incompetent and face revocation of probation, mandatory  
          supervision, postrelease community supervision (PRCS), or  
          parole.  Specifically, this bill  :   

          1)Provides that only a court trial is required to determine  
            competency in any proceeding for a violation of probation,  
            mandatory supervision, PRCS, or parole.

          2)Allows the court, except as specified, to order any of the  
            following if the defendant is found mentally incompetent  
            during a PRCS or parole revocation hearing:

             a)   Order the defendant to undergo treatment, as authorized,  
               for restoring the defendant to competency if the court  
               determines that there is a reasonable likelihood that the  
               defendant may be restored to competency and returned to  
               court to face the revocation proceedings no later than 180  
               days from the date of his or her arrest;

             b)   Dismiss the pending revocation matter and return the  
               defendant to supervision, and either of the following:

               i)     Modify the terms and conditions of supervision to  
                 include appropriate mental health treatment; or,

               ii)    Refer the matter to the public guardian of the  
                 county of commitment to initiate conservatorship  
                 proceedings; or,

             c)   Refer the matter to any local mental health court,  
               reentry court, or other collaborative justice court  
               available for improving the defendant's mental health.








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          3)Repeals law held unconstitutional relative to misdemeanor-only  
            provisions in IST cases.

          4)Makes conforming changes to apply procedures relative to  
            persons who are IST to persons who may be mentally incompetent  
            and face revocation of probation, mandatory supervision, PRCS,  
            or parole.

           EXISTING LAW  : 

          1)Provides that numerous, specified felonies are punishable by a  
            sentence of imprisonment in county jail-not prison-unless the  
            crime of conviction or the defendant's criminal history makes  
            him or her ineligible for serving the felony sentence in jail.  
             Provides that a felony jail term is for 16 months, two years,  
            or three years, unless otherwise specified.  (Pen. Code, �  
            1170, subd. (h).)

          2)Provides that the following felons are prohibited from serving  
            an executed felony sentence in county jail:

             a)   A defendant who has a prior or current conviction for a  
               serious felony, as described, or a violent felony, as  
               described;

             b)   A defendant who has a prior conviction in another  
               jurisdiction for an offense that has all the elements of a  
               serious or violent felony in California, as specified;

             c)   A defendant who is required to register as a sex  
               offender; and,

             d)   A defendant who is convicted of a crime and as part of  
               the sentence receives an aggravated while collar crime  
               enhancement, as specified.  (Pen. Code, � 1170, subd.  
               (h)(3).)

          3)Provides that where a court sentences a defendant for a jail  
            felony pursuant to realignment, the court may impose the full  
            lower, middle, or upper term for the offense or the term for  
            the offense but with the last portion of the term spent under  
            mandatory supervision by the probation department in the  
            community.  (Pen. Code, � 1170, subd. (h)(5)(A)-(B).)









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          4)Provides that specified inmates released from prison after  
            serving a determinate term are subject to PRCS.  Requires PRCS  
            to be provided by a county agency designated by the board of  
            supervisors and to be consistent with evidence-based  
            practices.  (Pen. Code, � 3451, subd. (a).)

          5)Prohibits a person from being tried or adjudged to punishment  
            while that person is mentally incompetent.  (Pen. Code, �  
            1367, subd. (a).)

          6)Defines "mental incompetency" as when an individual who, as a  
            result of mental disorder or developmental disability, is  
            unable to understand the nature of the criminal proceedings or  
            to assist counsel in the conduct of a defense in a rational  
            manner.  (Pen. Code, � 1367, subd. (a).)

          7)Requires, if during the pendency of an action and prior to  
            judgment, a doubt arises in the mind of the judge as to the  
            mental competence of the defendant, the judge to state that  
            doubt on the record and inquire of the defendant's attorney  
            whether, in the opinion of that attorney, the defendant is  
            mentally competent.  Requires the court, at the request of the  
            defendant or his or her attorney, to recess the proceeding for  
            as long as may be reasonably necessary to permit counsel to  
            confer with the defendant and to form an opinion as to the  
            mental competence of the defendant.  (Pen. Code, � 1368, subd.  
            (a).)

          8)Requires the trial to determine mental competency to proceed  
            as follows:

             a)   Requires the court to appoint a psychiatrist or licensed  
               psychologist to examine the defendant and to appoint two  
               psychiatrists or licensed psychologists if the defendant is  
               not seeking a finding of mental incompetence.  Requires the  
               examining psychiatrist or licensed psychologist to evaluate  
               the nature of the defendant's mental disorder, if any; the  
               defendant's ability or inability to understand the nature  
               of the criminal proceedings or assist counsel in the  
               conduct of a defense in a rational manner; and whether  
               treatment with antipsychotic medications is medically  
               appropriate for the defendant and whether antipsychotic  
               medication is likely to restore the defendant to  
               competency.  









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             b)   Requires the defendant's attorney to offer evidence in  
               support of the allegation of mental incompetence.

             c)   Requires the prosecution to present its case regarding  
               the issue of the defendant's present mental competence.  

             d)   Allows each party to present rebutting testimony, unless  
               the court, for good reason in furtherance of justice, also  
               permits other evidence in support of the original  
               contention.  (Pen. Code, � 1369.)

          9)States that if the defendant is found mentally competent, the  
            criminal process shall resume, the trial on the offense  
            charged shall proceed, and judgment may be pronounced.  (Pen.  
            Code, � 1370, subd. (a)(1)(A).)

          10)Requires, if the defendant is found mentally incompetent, the  
            trial or judgment to be suspended until the person becomes  
            mentally competent.  (Pen. Code, � 1370, subd. (a)(1)(B).)

          11)Allows, until January 1, 2016 and upon the concurrence of the  
            county board of supervisors, the county mental health  
            director, and the county sheriff, a county jail to be  
            designated a "treatment facility" and to provide  
            medically-approved medicine to defendants found to be mentally  
            incompetent and unable to provide consent due to a mental  
            disorder, provided that the defendant's treatment does not  
            exceed 6 months, except as specified, and does not abrogate or  
            limit provisions of law enacted to ensure the defendant's  
            constitutional due process rights.  (Pen. Code, �� 1369.1 &  
            1370, subd. (a)(2)(A).)

          12)Requires a court to issue an order authorizing the treatment  
            facility to involuntarily administer antipsychotic medication  
            to a defendant when prescribed by the defendant's treating  
            psychiatrist if  the court finds any of the following  
            conditions to be true:

             a)   The defendant lacks capacity to make decisions regarding  
               antipsychotic medication, the defendant's mental disorder  
               requires medical treatment with antipsychotic medication,  
               and, if the defendant's mental disorder is not treated with  
               antipsychotic medication, it is probable that serious harm  
               to the physical or mental health of the patient will  
               result.








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               i)     Probability of serious harm to the physical or  
                 mental health of the defendant requires evidence that the  
                 defendant is presently suffering adverse effects to his  
                 or her physical or mental health or the defendant has  
                 previously suffered these effects as a result of a mental  
                 disorder and his or her condition is substantially  
                 deteriorating.

               ii)    The fact that a defendant has a diagnosis of a  
                 mental disorder does not alone establish probability of  
                 serious harm to the physical or mental health of the  
                 defendant.

             b)   The defendant is a danger to others, in that the  
               defendant has inflicted, attempted to inflict, or made a  
               serious threat of inflicting substantial physical harm on  
               another while in custody, or the defendant had inflicted,  
               attempted to inflict, or made a serious threat of  
               inflicting substantial physical harm on another that  
               resulted in his or her being taken into custody, and the  
               defendant presents, as a result of a mental disorder or  
               mental defect, a demonstrated danger of inflicting  
               substantial physical harm on others.

               i)     Demonstrated danger may be based on an assessment of  
                 the defendant's present mental condition, including a  
                 consideration of past behavior of the defendant within  
                 six years prior to the time the defendant last attempted  
                 to inflict, inflicted, or threatened to inflict  
                 substantial physical harm on another, and other relevant  
                 evidence.

             c)   The people have charged the defendant with a serious  
               crime against a person or property, involuntary  
               administration of antipsychotic medication is substantially  
               likely to render the defendant competent to stand trial,  
               the medication is unlikely to have side effects that  
               interfere with the defendant's ability to understand the  
               nature of the criminal proceedings or to assist counsel in  
               the conduct of a defense in a reasonable manner, less  
               intrusive treatments are unlikely to have substantially the  
               same results, and antipsychotic medication is in the  
               patient's best medical interest in light of his or her  
               medical condition.  (Pen. Code, � 1370, subd. (a)(2)(B).)








                                                                  SB 1412
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           FISCAL EFFECT  :   Unknown

           COMMENTS  :   

           1)Author's Statement  :  According to the author, "For decades,  
            California law has prohibited a person from being tried or  
            punished while that person is mentally incompetent.  The  
            statutes governing competency to stand trial apply not only to  
            criminal trials, but also to probation revocation hearings.  

            "In the wake of realignment, two new classes of supervision  
            were created - mandatory supervision and post-release  
            community supervision (PRCS).  Mandatory supervision is the  
            portion of a local prison sentence served in the community  
            under the supervision of a probation officer.  Every day  
            served on mandatory supervision is deducted from the original  
            prison term.  PRCS effectively replaced parole for persons who  
            were sentenced to state prison for non-violent, nonserious,  
            and non-sexual crimes.  Rather than being supervised by a  
            state parole agent upon release from state prison, they are  
            released on PRCS and supervised by county probation  
            departments.  Unfortunately, while the existing statutes apply  
            to criminal trials and probation revocation hearings, they are  
            silent with respect to revocation hearings for offenders on  
            PRCS and mandatory [supervision].  When these two classes of  
            supervision were created in AB 109, there were no  
            corresponding changes made to the laws governing competence.

            "As a result, there is no lawful mechanism to assist these  
            offenders when a judge or attorney suspects the offender may  
            not be competent to understand the proceedings or assist their  
            attorney in a PRCS or mandatory supervision revocation  
            hearing.  SB 1412 takes the existing process for evaluating  
            and treating mentally incompetent defendants in criminal  
            trials and probation revocation hearings, and creates a  
            similar process for use in PRCS and mandatory supervision  
            revocation hearings."

           2)Competency to Stand Trial  :  The standard in American  
            jurisprudence regarding a person's mental fitness to stand  
            trial was laid out by the U.S. Supreme Court in Dusky v.  
            United States.  The Court stated that "the test must be  
            whether [the defendant] has sufficient present ability to  
            consult with his lawyer with a reasonable degree of rational  








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            understanding-and whether he has a rational as well as factual  
            understanding of the proceedings against him."  (Dusky v.  
            United States (1960) 362 U.S. 402, 402 [internal quotations  
            omitted].)  California has codified this standard in Penal  
            Code section 1367, subdivision (a), which bars a person from  
            being tried or adjudged to punishment if that person, "as a  
            result of mental disorder or developmental disability, ? is  
            unable to understand the nature of the criminal proceedings or  
            to assist counsel in the conduct of a defense in a rational  
            manner."  (Pen. Code, � 1367, subd. (a).)  If the court finds  
            a defendant mentally incompetent to stand trial, the person is  
            committed to a state hospital or other (inpatient or  
            outpatient) treatment facility for treatment to regain  
            competency in order to be brought back to court to face the  
            charges against him or her.  (Pen. Code, � 1370, subd. (a).)  
             
           3)Involuntary Medication of Incompetent Defendants  :  In  
            Washington v. Harper, the U.S. Supreme Court held that a  
            mentally-ill prisoner who is a danger to himself or others can  
            be involuntarily medicated.  (Washington v. Harper (1990) 494  
            U.S. 210.)  Furthermore, the Court held in Riggins v. Nevada  
            that forced medication in order to render a defendant  
            competent to stand trial for murder was constitutionally  
            permissible.  (Riggins v. Nevada (1992) 504 U.S. 127.)  Read  
            together, the Court has stated that these two cases "indicate  
            that the Constitution permits the Government involuntarily to  
            administer antipsychotic drugs to a mentally ill defendant  
            facing serious criminal charges in order to render that  
            defendant competent to stand trial, but only if the treatment  
            is medically appropriate, is substantially unlikely to have  
            side effects that may undermine the fairness of the trial,  
            and, taking account of less intrusive alternatives, is  
            necessary significantly to the further important governmental  
            trial-related interests."  (Sell v. United States (2003) 539  
            U.S. 166, 179.)

            In Sell, the Court goes on to further specify the limited  
            circumstances when the U.S. Constitution permits the  
            government to administer drugs to a pretrial detainee against  
            the detainee's will.  It finds that all of the following  
            conditions must apply:

             a)   A court must find that important governmental interests  
               are at stake.  While bringing to trial a person accused of  
               a serious crime is an important government interest, and  








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               timely prosecution satisfies the literal aspect of this  
               element, that alone does not satisfy the purpose as there  
               may be special circumstances that lessen its importance in  
               a particular case.  Consequently, this analysis must be  
               done on a case-by-case basis.  (Id. at 180; Carter v.  
               Superior Court (2006) 141 Cal.App.4th 992, 1002.)

             b)   A "court must conclude that involuntary medication will  
               significantly further those concomitant state interests.   
               It must find that administration of the drugs is  
               substantially likely to render the defendant competent to  
               stand trial."  (Sell, supra, 539 U.S. at 181.)

             c)   A court must find that the administration of the drugs  
               is "substantially unlikely" to have side effects that  
               interfere significantly with the person's ability to assist  
               his or her counsel in conducting a defense.  (Id.)

             d)   A court must find that involuntary medication is  
               necessary to further those interests and that alternative,  
               less intrusive treatments are unlikely to achieve  
               substantially the same results.  (Id.)

             e)   A court must find that administering the medication is  
               medically appropriate, that is to say, in the inmate's best  
               medical interest in light of his or her condition.  (Id.)

            Statute requires that before making the order to commit a  
            defendant to a state hospital or other treatment facility, the  
            court must make a determination on whether the defendant lacks  
            capacity to make decisions regarding the administration of  
            antipsychotic medication.  (Pen. Code, � 1370, subd.  
            (a)(2)(B)(i); see Existing Law #12.)  Upon a finding of any of  
            the specified conditions, the court is required to issue an  
            order authorizing the treatment facility to involuntarily  
            administer medication to the defendant as prescribed by his or  
            her treating psychiatrist (Pen. Code, � 1370, subd.  
            (a)(2)(B)(ii).), with the defendant's capacity to make  
            decisions concerning antipsychotic medications being reported  
            to the court at six-month intervals.  (Pen. Code, � 1370,  
            subd. (b)(2).)  This bill would apply this same requirement  
            and procedure to defendants facing revocation of probation,  
            mandatory supervision, PRCS, or parole and whom the court  
            finds incompetent.  It is questionable, however, if  
            involuntarily medicating a defendant to regain competency to  








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            face the possible revocation of misdemeanor probation meets  
            the "serious criminal charges" standard set by the Court in  
            Sell.
                
            4)Competency Evaluation of Misdemeanor Defendants  :  In Pederson  
            v. Superior Court of Los Angeles County (2003) 105 Cal.App.4th  
            931, the court examined the validity of the statute-Penal Code  
            section 1367.1-that lays out the process to evaluate  
            competency for misdemeanor-only defendants.  The court  
            determined that the statute was a violation of the defendant's  
            equal protection rights as it required the defendant to  
            undergo evaluation and treatment prior to a competency  
            determination that was not required for defendants charged  
            with felony offenses.  Striking down the statute as  
            unconstitutional, the court held that the misdemeanor-only  
            competency evaluations should be handled the same as felony  
            competency evaluations, that is, according to Penal Code  
            section 1368.  This bill would repeal Penal Code section  
            1367.1, which the court held was unconstitutional.

           5)Argument in Support  :  According to the  California State  
            Sheriffs' Association  , this bill "clarifies the process by  
            which persons placed on postrelease community supervision or  
            mandatory supervision can be restored to competency in the  
            event the person is deemed mentally incompetent.  This measure  
            will also ensure that medication necessary to restore a person  
            to competency may continue once a person is released from  
            custody."
             
          6)Current Legislation  :   
                
             a)   AB 2186 (Lowenthal) would allow the representative of  
               any facility where a defendant found incompetent to stand  
               trial is committed, and specified others, to petition for  
               an order to involuntarily medicate the defendant and allow  
               any facility housing him or her to involuntary administer  
               the medication.  AB 2186 is pending in the Senate Committee  
               on Appropriations.  

              b)   AB 2190 (Maienschein) would allow the court to place a  
               person found to be incompetent to stand trial or not guilty  
               by reason of insanity on outpatient status without prior  
               confinement for a specified period within a mental health  
               treatment facility.  AB 2190 is awaiting a hearing in the  
               Senate Committee on Health.  








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             c)   AB 2625 (Achadjian) would require the return to court of  
               a defendant who was confined to a state hospital for  
               treatment to regain competency if the treating facility  
               reports that there is no substantial likelihood that the  
               defendant will regain competence in the foreseeable future.  
                AB 2625 is pending in the Senate Committee on  
               Appropriations.  
           
           REGISTERED SUPPORT / OPPOSITION  :

           Support 
           
          California District Attorneys Association (Sponsor)
          California Council of Community Mental Health Agencies
          California State Sheriffs' Association
          Mental Health America of California
          Taxpayers for Improving Public Safety
           
            Opposition 
           
          None


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