Title 18 › PART III — PRISONS AND PRISONERS › CHAPTER 313 — OFFENDERS WITH MENTAL DISEASE OR DEFECT › § 4244
A person found guilty, or the government, can ask for a hearing within ten days after the guilty verdict and before sentencing if there is solid information that the person may now have a mental illness or defect and needs custody for treatment. The judge can also order such a hearing on the judge’s own if there is reasonable cause. The court may order a psychiatric or psychological exam and report. If the exam says the person has a mental problem but does not need hospitalization, the report must also say what sentencing options could give the needed treatment. The hearing follows the usual procedures for these cases. If the court finds, by more likely than not, that the person now has a mental disease or defect and should be committed instead of jailed, the judge must commit the person to the Attorney General for hospitalization in a suitable facility. That commitment counts as a provisional prison sentence up to the maximum allowed for the offense. When the facility director files a certificate saying the person has recovered and no longer needs care, the court is told and, if the provisional sentence has not run out, the court will go ahead with final sentencing and can change the provisional sentence.
Full Legal Text
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
Sep 22, 2026
Release point: 119-110