Title 18 › Part III— PRISONS AND PRISONERS › Chapter 313— OFFENDERS WITH MENTAL DISEASE OR DEFECT › § 4241
A defendant or the government's lawyer can ask the court for a hearing at any point after prosecution starts and before sentencing, or after probation or supervised release begins and before the sentence ends, to decide if the defendant is mentally fit to understand the proceedings and help with their defense. The judge must hold the hearing if there is reasonable cause to think the person may be unable to understand the case or assist in their defense. The court can order a psychiatric or psychological exam and report before the hearing, and the hearing follows the procedures required by law. If the court finds, by more likely than not, that the defendant is currently unable to understand the proceedings or assist in their defense, the judge must send the person to the Attorney General’s custody for hospital treatment. The hospital may hold the person up to four months to see if there is a strong chance they will become fit. The stay can be extended for another reasonable time if the court finds a good chance of recovery, or until the charges are resolved. If the hospital director says the person has recovered, the court will hold another hearing and, if fit, order immediate discharge and set trial dates. Being found competent for trial cannot be used as evidence at the criminal trial and does not stop the defendant from using an insanity defense.
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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 5, 2026
Release point: 119-73not60