Title 18Crimes and Criminal ProcedureRelease 119-73

§4244 Hospitalization of a convicted person suffering from mental disease or defect

Title 18 › Part PART III— - PRISONS AND PRISONERS › Chapter CHAPTER 313— - OFFENDERS WITH MENTAL DISEASE OR DEFECT › § 4244

Last updated Apr 6, 2026|Official source

Summary

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.

Full Legal Text

Title 18, §4244

Crimes and Criminal Procedure — Source: USLM XML via OLRC

(a)A defendant found guilty of an offense, or the attorney for the Government, may, within ten days after the defendant is found guilty, and prior to the time the defendant is sentenced, file a motion for a hearing on the present mental condition of the defendant if the motion is supported by substantial information indicating that the defendant may presently be suffering from a mental disease or defect for the treatment of which he is in need of custody for care or treatment in a suitable facility. The court shall grant the motion, or at any time prior to the sentencing of the defendant shall order such a hearing on its own motion, if it is of the opinion that there is reasonable cause to believe that the defendant may presently be suffering from a mental disease or defect for the treatment of which he is in need of custody for care or treatment in a suitable facility.
(b)Prior to the date of the hearing, the court may order that a psychiatric or psychological examination of the defendant be conducted, and that a psychiatric or psychological report be filed with the court, pursuant to the provisions of section 4247(b) and (c). In addition to the information required to be included in the psychiatric or psychological report pursuant to the provisions of section 4247(c), if the report includes an opinion by the examiners that the defendant is presently suffering from a mental disease or defect but that it is not such as to require his custody for care or treatment in a suitable facility, the report shall also include an opinion by the examiner concerning the sentencing alternatives that could best accord the defendant the kind of treatment he does need.
(c)The hearing shall be conducted pursuant to the provisions of section 4247(d).
(d)If, after the hearing, the court finds by a preponderance of the evidence that the defendant is presently suffering from a mental disease or defect and that he should, in lieu of being sentenced to imprisonment, be committed to a suitable facility for care or treatment, the court shall commit the defendant to the custody of the Attorney General. The Attorney General shall hospitalize the defendant for care or treatment in a suitable facility. Such a commitment constitutes a provisional sentence of imprisonment to the maximum term authorized by law for the offense for which the defendant was found guilty.
(e)When the director of the facility in which the defendant is hospitalized pursuant to subsection (d) determines that the defendant has recovered from his mental disease or defect to such an extent that he is no longer in need of custody for care or treatment in such a facility, he shall promptly file a certificate to that effect with the clerk of the court that ordered the commitment. The clerk shall send a copy of the certificate to the defendant’s counsel and to the attorney for the Government. If, at the time of the filing of the certificate, the provisional sentence imposed pursuant to subsection (d) has not expired, the court shall proceed finally to sentencing and may modify the provisional sentence.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Amendments

1984—Pub. L. 98–473 amended section generally, substituting “Hospitalization of a convicted person suffering from mental disease or defect” for “Mental incompetency after arrest and before trial” in section catchline, and substituting provisions relating to motion, examination and report, hearing, etc., to determine present mental condition of convicted defendant, for provisions relating to motion, examination, etc., to determine the mental competency of a person after arrest and before trial.

Statutory Notes and Related Subsidiaries

SeparabilityAct Sept. 7, 1949, ch. 535, § 4, 63 Stat. 688, provided that: “If any provision of Title 18, United States Code, sections 4244 to 4248, inclusive, or the application thereof to any person or circumstance shall be held invalid, the remainder of the said sections and the application of such provision to persons or circumstances other than those as to which it is held invalid shall not be affected thereby.” Use of AppropriationsAct Sept. 7, 1949, ch. 535, § 3, 63 Stat. 688, provided that: “The Attorney General may authorize the use of any unexpended balance of the appropriation for ‘Support of United States prisoners’ for carrying out the purposes of Title 18, United States Code, sections 4244 to 4248, inclusive, or in payment of any expenses incidental thereto and not provided for by other specific appropriations.”

Reference

Citations & Metadata

Citation

18 U.S.C. § 4244

Title 18Crimes and Criminal Procedure

Last Updated

Apr 6, 2026

Release point: 119-73