Title 18 › PART III — PRISONS AND PRISONERS › CHAPTER 313 — OFFENDERS WITH MENTAL DISEASE OR DEFECT › § 4241
A judge must hold a hearing to decide if a person charged with a crime can understand the court process and help with their defense whenever the defendant or the government asks, or whenever the judge thinks there is good reason to doubt the person’s mental fitness. Before the hearing, the judge can order a mental health exam and report. The hearing follows the court’s normal rules for such evaluations. If the judge decides, by more likely than not, that the person cannot understand the charges or help with their defense, the judge must send the person to the custody of the Attorney General for treatment in a hospital or similar facility. The person can be held up to four months to see if there is a strong likelihood they will get better soon. They may be kept longer for a reasonable time if the court finds a strong likelihood they will recover during that time, or until the criminal charges are resolved, whichever comes first. If the hospital director says the person has recovered, the court will hold another hearing; if the judge finds they are fit, the person must be released and the case moves forward. A court’s finding that someone is fit for trial cannot be used as proof of sanity at the criminal trial.
Full Legal Text
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
Sep 23, 2026
Release point: 119-110