Title 18 › Part PART III— - PRISONS AND PRISONERS › Chapter CHAPTER 313— - OFFENDERS WITH MENTAL DISEASE OR DEFECT › § 4244
A defendant found guilty, or the government’s lawyer, can ask for a hearing within 10 days after the guilty finding and before sentencing if there is strong information that the defendant now has a mental illness or defect and needs custody for care in a suitable facility. The judge must hold the hearing if there is reasonable cause. The court can order psychiatric or psychological exams and reports. If examiners think the person has a mental problem but does not need hospitalization, they must say what sentencing options might provide needed treatment. The hearing follows the court’s usual rules for such evaluations. If the judge finds, by more likely than not evidence, that the defendant now needs treatment in a facility instead of prison, the judge will commit the person to the Attorney General, who will place them in a suitable hospital. That commitment counts as a provisional prison sentence up to the maximum allowed for the crime. When the facility director believes the person has recovered enough, the director must file a certificate with the court clerk, who will notify both lawyers. If the provisional sentence has not yet expired, the court will finish sentencing and may change the provisional sentence.
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Crimes and Criminal Procedure — Source: USLM XML via OLRC
Legislative History
Reference
Citation
18 U.S.C. § 4244
Title 18 — Crimes and Criminal Procedure
Last Updated
Apr 6, 2026
Release point: 119-73