Title 18 › Part III— PRISONS AND PRISONERS › Chapter 313— OFFENDERS WITH MENTAL DISEASE OR DEFECT › § 4247
Sets rules for court-ordered mental health exams, care, reports, and hearings. Key words are defined in one line each: rehabilitation program (basic education, job training, treatment for substance or sex problems, and organized sports/recreation); suitable facility (a place fit for the offense and the person); State (includes the District of Columbia); bodily injury (includes sexual abuse); sexually dangerous person (one who has done or tried sexually violent acts or child molestation and is dangerous to others); sexually dangerous to others (has a serious mental illness, abnormality, or disorder that would make it hard to avoid sexually violent acts or child molestation if released). Licensed psychiatrists or psychologists must do ordered exams. The court names the examiners; a defendant can ask for an extra examiner in cases under sections 4245, 4246, or 4248. For orders under 4241, 4244, or 4245 the court may send the person to a suitable facility for up to 30 days for the exam; for 4242, 4243, 4246, or 4248 the limit is 45 days. The facility director can ask to extend time by up to 15 days (for the 30‑day group) or up to 30 days (for the 45‑day group) for good cause. Exams should be done at the nearest suitable facility unless not practical. The examiner must file a written report with the court and give copies to the defense lawyer and the government. The report must cover history, symptoms, tests and results, findings, and opinions about diagnosis, outlook, and the specific legal question tied to the section ordered (for example, fitness for trial, sanity at the time of the crime, danger to others, sexual dangerousness, need for custody for treatment, or sentencing recommendations). At hearings the person gets a lawyer (appointed if they cannot pay), may testify, call and subpoena witnesses, and cross‑examine witnesses. Facility directors must report on committed persons (semiannually for 4241; annually for 4243, 4244, 4245, 4246, and 4248), tell the court and others the court directs, and inform the person about available rehabilitation programs. If a person is committed after prosecution for offenses in sections 871, 879, or 1751, a copy of the report goes to the Secret Service, which may not use it except for protective duties without court approval. Defense counsel can ask in writing for a videotape of testimony used in periodic reports; the court may order it and it must be filed with the report. People committed under 4243, 4246, or 4248 may still seek habeas corpus relief. Counsel or a legal guardian may move for a discharge at any time, but not within 180 days of a court decision to continue commitment; copies of the motion go to the facility director and the government. The Attorney General may contract with states, localities, or private agencies for confinement or treatment, may seek civil commitment under state law for persons under 4243, 4246, or 4248, must consider a facility’s rehab programs before placing someone, and must consult the Secretary of Health and Human Services about carrying out these rules and setting standards. Sections 4241–4244 do not apply to prosecutions under laws that only apply to the District of Columbia or to the Uniform Code of Military Justice.
Full Legal Text
Crimes and Criminal Procedure — Source: USLM XML via OLRC
Legislative History
Reference
Citation
18 U.S.C. § 4247
Title 18 — Crimes and Criminal Procedure
Last Updated
Apr 5, 2026
Release point: 119-73not60