Title 18 › Part PART III— - PRISONS AND PRISONERS › Chapter CHAPTER 313— - OFFENDERS WITH MENTAL DISEASE OR DEFECT › § 4241
A defendant or the government can ask for a hearing at any time after charges start and before sentencing, or after probation or supervised release begins and before the sentence ends, to decide if the defendant is mentally able to stand trial or take part in post-release proceedings. The court must hold the hearing if there is good reason to think the person may not understand the case or cannot help their lawyer. Before the hearing, the court can order a psychiatric or psychological exam and report under the rules in section 4247(b) and (c). The hearing itself will follow the procedures in section 4247(d). If the court finds, by more likely than not, that the defendant is now mentally unable to understand the case or help in their defense, it must send the person to the custody of the Attorney General for hospitalization in a suitable facility. The Attorney General must treat the person for up to four months to see if they will likely regain capacity. The hospital may keep them longer for a reasonable time until either the court finds they will likely become competent and trial can proceed, or the charges are resolved. When the hospital director says the person has recovered, a certificate is filed, a new hearing is held, and if the court again finds recovery by more likely than not, the person must be released and a trial or other proceeding set. A ruling that someone is competent to stand trial does not stop them from later using an insanity defense, and that competency finding cannot be used as evidence at the criminal trial.
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Crimes and Criminal Procedure — Source: USLM XML via OLRC
Legislative History
Reference
Citation
18 U.S.C. § 4241
Title 18 — Crimes and Criminal Procedure
Last Updated
Apr 6, 2026
Release point: 119-73