104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB2373 Introduced 2/7/2025, by Sen. Lakesia Collins SYNOPSIS AS INTRODUCED: See Index Amends the Code of Criminal Procedure of 1963 concerning defendants found unfit to stand trial. Provides that if the defendant is remanded to the custody of the Department of Human Services for inpatient services, the defendant shall be placed in a secure setting. Provides that during the period of time required to determine bed and placement availability at the designated facility, the defendant shall remain in jail and the pretrial release provisions do not apply. Provides that no physician or other person employed by the Department of Human Services shall be ordered to perform, in the person's official capacity, an examination of the defendant's fitness. Provides that if the defendant with mental disabilities is ordered to outpatient treatment, the defendant shall be released from custody with instructions to contact the Department of Human Services to schedule the receipt of restoration services in the community. Provides that a defendant who either fails to arrange for the receipt of community restoration services or whom the Department reports has failed to comply in any other respect with the outpatient treatment order shall be remanded to the Department to receive inpatient services at a secure facility designated by the Department. Provides that the initial fitness report shall indicate what information, if any, contained in the report may be harmful to the mental condition of the defendant if made known to the defendant and the court may determine if the defendant is restricted from receiving the report. Provides that if the defendant is unfit due to a traumatic brain injury or organic brain disease such as Alzheimer's or dementia, or any other condition other than one treatable as a mental illness or developmental disability, the court may order the defendant placed in a suitable public or private treatment facility or program that has agreed to provide treatment to the defendant. Provides that no person who has not been determined to be unfit due to an identified condition may be placed in a facility operated by the Department of Human Services. Makes other changes. Defines terms. LRB104 10122 RLC 20194 b A BILL FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB2373 Introduced 2/7/2025, by Sen. Lakesia Collins SYNOPSIS AS INTRODUCED: See Index See Index Amends the Code of Criminal Procedure of 1963 concerning defendants found unfit to stand trial. Provides that if the defendant is remanded to the custody of the Department of Human Services for inpatient services, the defendant shall be placed in a secure setting. Provides that during the period of time required to determine bed and placement availability at the designated facility, the defendant shall remain in jail and the pretrial release provisions do not apply. Provides that no physician or other person employed by the Department of Human Services shall be ordered to perform, in the person's official capacity, an examination of the defendant's fitness. Provides that if the defendant with mental disabilities is ordered to outpatient treatment, the defendant shall be released from custody with instructions to contact the Department of Human Services to schedule the receipt of restoration services in the community. Provides that a defendant who either fails to arrange for the receipt of community restoration services or whom the Department reports has failed to comply in any other respect with the outpatient treatment order shall be remanded to the Department to receive inpatient services at a secure facility designated by the Department. Provides that the initial fitness report shall indicate what information, if any, contained in the report may be harmful to the mental condition of the defendant if made known to the defendant and the court may determine if the defendant is restricted from receiving the report. Provides that if the defendant is unfit due to a traumatic brain injury or organic brain disease such as Alzheimer's or dementia, or any other condition other than one treatable as a mental illness or developmental disability, the court may order the defendant placed in a suitable public or private treatment facility or program that has agreed to provide treatment to the defendant. Provides that no person who has not been determined to be unfit due to an identified condition may be placed in a facility operated by the Department of Human Services. Makes other changes. Defines terms. LRB104 10122 RLC 20194 b LRB104 10122 RLC 20194 b A BILL FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB2373 Introduced 2/7/2025, by Sen. Lakesia Collins SYNOPSIS AS INTRODUCED: See Index See Index See Index Amends the Code of Criminal Procedure of 1963 concerning defendants found unfit to stand trial. Provides that if the defendant is remanded to the custody of the Department of Human Services for inpatient services, the defendant shall be placed in a secure setting. Provides that during the period of time required to determine bed and placement availability at the designated facility, the defendant shall remain in jail and the pretrial release provisions do not apply. Provides that no physician or other person employed by the Department of Human Services shall be ordered to perform, in the person's official capacity, an examination of the defendant's fitness. Provides that if the defendant with mental disabilities is ordered to outpatient treatment, the defendant shall be released from custody with instructions to contact the Department of Human Services to schedule the receipt of restoration services in the community. Provides that a defendant who either fails to arrange for the receipt of community restoration services or whom the Department reports has failed to comply in any other respect with the outpatient treatment order shall be remanded to the Department to receive inpatient services at a secure facility designated by the Department. Provides that the initial fitness report shall indicate what information, if any, contained in the report may be harmful to the mental condition of the defendant if made known to the defendant and the court may determine if the defendant is restricted from receiving the report. Provides that if the defendant is unfit due to a traumatic brain injury or organic brain disease such as Alzheimer's or dementia, or any other condition other than one treatable as a mental illness or developmental disability, the court may order the defendant placed in a suitable public or private treatment facility or program that has agreed to provide treatment to the defendant. Provides that no person who has not been determined to be unfit due to an identified condition may be placed in a facility operated by the Department of Human Services. Makes other changes. Defines terms. LRB104 10122 RLC 20194 b LRB104 10122 RLC 20194 b LRB104 10122 RLC 20194 b A BILL FOR SB2373LRB104 10122 RLC 20194 b SB2373 LRB104 10122 RLC 20194 b SB2373 LRB104 10122 RLC 20194 b 1 AN ACT concerning criminal law. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Code of Criminal Procedure of 1963 is 5 amended by changing Sections 104-10, 104-11, 104-13, 104-14, 6 104-15, 104-16, 104-17, 104-18, 104-19, 104-20, 104-21, 7 104-22, 104-23, 104-24, 104-25, and 104-26 and by adding 8 Sections 102-24 and 102-25 as follows: 9 (725 ILCS 5/102-24 new) 10 Sec. 102-24. Mental condition or physical condition. 11 "Mental condition" or "physical condition" means a condition 12 that substantially impairs a person's thought, perception of 13 reality, emotional process, judgment, behavior, or ability to 14 communicate with counsel, or both, but does not include 15 traumatic brain injury, organic brain disease such as dementia 16 or Alzheimer's, alcohol or cannabis use, substance use 17 disorder, or an abnormality manifested only by repeated 18 criminal or otherwise antisocial behavior. 19 (725 ILCS 5/102-25 new) 20 Sec. 102-25. Treatment supervisor, supervisor of the 21 defendant's treatment, person supervising the defendant's 22 treatment, or qualified professional. "Treatment supervisor", 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB2373 Introduced 2/7/2025, by Sen. Lakesia Collins SYNOPSIS AS INTRODUCED: See Index See Index See Index Amends the Code of Criminal Procedure of 1963 concerning defendants found unfit to stand trial. Provides that if the defendant is remanded to the custody of the Department of Human Services for inpatient services, the defendant shall be placed in a secure setting. Provides that during the period of time required to determine bed and placement availability at the designated facility, the defendant shall remain in jail and the pretrial release provisions do not apply. Provides that no physician or other person employed by the Department of Human Services shall be ordered to perform, in the person's official capacity, an examination of the defendant's fitness. Provides that if the defendant with mental disabilities is ordered to outpatient treatment, the defendant shall be released from custody with instructions to contact the Department of Human Services to schedule the receipt of restoration services in the community. Provides that a defendant who either fails to arrange for the receipt of community restoration services or whom the Department reports has failed to comply in any other respect with the outpatient treatment order shall be remanded to the Department to receive inpatient services at a secure facility designated by the Department. Provides that the initial fitness report shall indicate what information, if any, contained in the report may be harmful to the mental condition of the defendant if made known to the defendant and the court may determine if the defendant is restricted from receiving the report. Provides that if the defendant is unfit due to a traumatic brain injury or organic brain disease such as Alzheimer's or dementia, or any other condition other than one treatable as a mental illness or developmental disability, the court may order the defendant placed in a suitable public or private treatment facility or program that has agreed to provide treatment to the defendant. Provides that no person who has not been determined to be unfit due to an identified condition may be placed in a facility operated by the Department of Human Services. Makes other changes. Defines terms. LRB104 10122 RLC 20194 b LRB104 10122 RLC 20194 b LRB104 10122 RLC 20194 b A BILL FOR See Index LRB104 10122 RLC 20194 b SB2373 LRB104 10122 RLC 20194 b SB2373- 2 -LRB104 10122 RLC 20194 b SB2373 - 2 - LRB104 10122 RLC 20194 b SB2373 - 2 - LRB104 10122 RLC 20194 b 1 "supervisor of the defendant's treatment", "person supervising 2 the defendant's treatment", or "qualified professional" as 3 referenced in Article 104 means the person in charge of 4 overseeing fitness restoration for the defendant and may be a 5 physician, physician assistant, psychiatrist, clinical 6 psychologist, nurse practitioner, licensed clinical social 7 worker, or nurse who is working under the supervision of a 8 properly licensed physician, psychiatrist, or clinical 9 psychologist. Persons with any of the above designations are 10 deemed qualified to opine on the issue of fitness of the 11 defendant. 12 (725 ILCS 5/104-10) (from Ch. 38, par. 104-10) 13 Sec. 104-10. Presumption of Fitness; Fitness Standard.) A 14 defendant is presumed to be fit to stand trial or to plead, and 15 be sentenced. A defendant is unfit if, because of the 16 defendant's his mental or physical condition, the defendant he 17 is unable to either understand the nature and purpose of the 18 proceedings against the defendant him or to meaningfully 19 assist in the defendant's his defense. 20 (Source: P.A. 81-1217.) 21 (725 ILCS 5/104-11) (from Ch. 38, par. 104-11) 22 Sec. 104-11. Raising Issue; Burden; Fitness Motions.) (a) 23 The issue of the defendant's fitness for trial, to plead, or to 24 be sentenced may be raised by the defense, the State or the SB2373 - 2 - LRB104 10122 RLC 20194 b SB2373- 3 -LRB104 10122 RLC 20194 b SB2373 - 3 - LRB104 10122 RLC 20194 b SB2373 - 3 - LRB104 10122 RLC 20194 b 1 Court at any appropriate time before a plea is entered or 2 before, during, or after trial. When a bona fide bonafide 3 doubt of the defendant's fitness is raised, the court shall 4 order a determination of the issue by the county's expert 5 before proceeding further. 6 However, no order entered pursuant to this subsection 7 shall prevent further proceedings in the case. An expert so 8 appointed shall examine the defendant and make a report as 9 provided in Section 104-15. Upon the filing with the court of a 10 verified statement of services rendered, the court shall enter 11 an order directed to the county board to pay such expert a 12 reasonable fee as stated in the order. 13 (b) (Blank). Upon request of the defendant that a 14 qualified expert be appointed to examine him or her to 15 determine prior to trial if a bonafide doubt as to his or her 16 fitness to stand trial may be raised, the court, in its 17 discretion, may order an appropriate examination. However, no 18 order entered pursuant to this subsection shall prevent 19 further proceedings in the case. An expert so appointed shall 20 examine the defendant and make a report as provided in Section 21 104-15. Upon the filing with the court of a verified statement 22 of services rendered, the court shall enter an order on the 23 county board to pay such expert a reasonable fee stated in the 24 order. 25 (c) When a bona fide bonafide doubt of the defendant's 26 fitness has been raised, the burden of proving that the SB2373 - 3 - LRB104 10122 RLC 20194 b SB2373- 4 -LRB104 10122 RLC 20194 b SB2373 - 4 - LRB104 10122 RLC 20194 b SB2373 - 4 - LRB104 10122 RLC 20194 b 1 defendant is fit by a preponderance of the evidence and the 2 burden of going forward with the evidence are on the State. 3 However, the court may call its own witnesses and conduct its 4 own inquiry. 5 (d) Following a finding of unfitness, the court may hear 6 and rule on any pretrial motion or motions if the defendant's 7 presence is not essential to a fair determination of the 8 issues. A motion may be reheard upon a showing that evidence is 9 available which was not previously available, due to the 10 defendant's unfitness, when the motion was first decided. 11 (Source: P.A. 81-1217.) 12 (725 ILCS 5/104-13) (from Ch. 38, par. 104-13) 13 Sec. 104-13. Fitness examination. 14 (a) When the issue of fitness involves the defendant's 15 mental condition, the court shall order an examination of the 16 defendant by one or more licensed physicians, clinical 17 psychologists, or psychiatrists chosen by the court. No 18 physician, or other person clinical psychologist or 19 psychiatrist employed by the Department of Human Services 20 shall be ordered to perform, in the person's his official 21 capacity, an examination under this subsection Section. 22 (b) If the issue of fitness involves the defendant's 23 physical condition, the court shall appoint one or more 24 physicians and in addition, such other experts as it may deem 25 appropriate to examine the defendant and to report to the SB2373 - 4 - LRB104 10122 RLC 20194 b SB2373- 5 -LRB104 10122 RLC 20194 b SB2373 - 5 - LRB104 10122 RLC 20194 b SB2373 - 5 - LRB104 10122 RLC 20194 b 1 court regarding the defendant's condition. No physician or 2 other person employed by the Department of Human Services 3 shall be ordered to perform, in the person's official 4 capacity, an examination under this subsection. 5 (c) An initial fitness examination ordered under this 6 Section shall be given at the place designated by the person 7 who will conduct the examination, except that if the defendant 8 is being held in custody, the examination shall take place at 9 such location as the court directs. Unless the person is 10 already in the custody of the Department of Human Services, no 11 No examinations under this Section shall be ordered to take 12 place at mental health or developmental disabilities 13 facilities operated by the Department of Human Services. If 14 the defendant fails to keep appointments without reasonable 15 cause or if the county expert person conducting the 16 examination reports to the court that diagnosis requires 17 hospitalization or extended observation, the court may order 18 the defendant admitted to an appropriate facility for an 19 examination, other than an initial fitness examination or 20 placement a screening examination, for not more than 7 days. 21 The court may, upon a showing of good cause, grant an 22 additional 7 days to complete the examination and submit a 23 diagnosis to the court. 24 (d) Release on pretrial release or on recognizance shall 25 not be revoked and an application therefor shall not be denied 26 on the grounds that an examination has been ordered, unless SB2373 - 5 - LRB104 10122 RLC 20194 b SB2373- 6 -LRB104 10122 RLC 20194 b SB2373 - 6 - LRB104 10122 RLC 20194 b SB2373 - 6 - LRB104 10122 RLC 20194 b 1 the court has determined that the defendant must remain in 2 custody for the defendant's own safety or the safety of 3 others. 4 (e) Upon request by the defense and if the defendant is 5 indigent, the court may appoint, in addition to the expert or 6 experts chosen pursuant to subsection (a) of this Section, a 7 qualified expert selected by the defendant to examine the 8 defendant him and to make a report as provided in Section 9 104-15. Upon the filing with the court of a verified statement 10 of services rendered, the court shall enter an order on the 11 county board to pay such expert a reasonable fee stated in the 12 order. 13 (Source: P.A. 101-652, eff. 1-1-23.) 14 (725 ILCS 5/104-14) (from Ch. 38, par. 104-14) 15 Sec. 104-14. Use of Statements Made During Examination or 16 Treatment.) (a) Statements made by the defendant and 17 information gathered in the course of any examination or 18 treatment ordered under Section 104-13, 104-17 or 104-20 shall 19 not be admissible against the defendant unless the defendant 20 he raises the defense of insanity or the defense of drugged or 21 intoxicated condition, in which case they shall be admissible 22 only on the issue of whether the defendant he was insane, 23 drugged, or intoxicated. The refusal of the defendant to 24 cooperate in such examinations shall not preclude the raising 25 of the aforesaid defenses but shall preclude the defendant SB2373 - 6 - LRB104 10122 RLC 20194 b SB2373- 7 -LRB104 10122 RLC 20194 b SB2373 - 7 - LRB104 10122 RLC 20194 b SB2373 - 7 - LRB104 10122 RLC 20194 b 1 from offering expert evidence or testimony tending to support 2 such defenses if the expert evidence or testimony is based 3 upon the expert's examination of the defendant. 4 (b) Except as provided in paragraph (a) of this Section, 5 no statement made by the defendant in the course of any 6 examination or treatment ordered under Section 104-13, 104-17 7 or 104-20, which relates to the crime charged or to other 8 criminal acts, shall be disclosed by persons conducting the 9 examination or rendering the treatment, except to members of 10 the examining or treating team. The defendant, however, may 11 consent to the release of such information if the defendant is 12 competent to do so. , without the informed written consent of 13 the defendant, who is competent at the time of giving such 14 consent. 15 (c) The court shall advise the defendant of the 16 limitations on the use of any statements made or information 17 gathered in the course of the fitness examination or 18 subsequent treatment as provided in this Section. It shall 19 also advise the defendant him that the defendant he may refuse 20 to cooperate with the person conducting the examination, but 21 that such his refusal may be admitted admissible into evidence 22 on the issue of the defendant's his mental or physical 23 condition. 24 (Source: P.A. 81-1217.) 25 (725 ILCS 5/104-15) (from Ch. 38, par. 104-15) SB2373 - 7 - LRB104 10122 RLC 20194 b SB2373- 8 -LRB104 10122 RLC 20194 b SB2373 - 8 - LRB104 10122 RLC 20194 b SB2373 - 8 - LRB104 10122 RLC 20194 b 1 Sec. 104-15. Initial fitness report Report. 2 (a) The person or persons conducting an initial fitness 3 examination of the defendant, pursuant to paragraph (a) or (b) 4 of Section 104-13 shall submit a written report to the court, 5 the State, and the defense within 30 days of the date of the 6 order. The report shall include: 7 (1) A diagnosis and an explanation as to how it was 8 reached and the facts upon which it is based; 9 (2) A description of the defendant's mental or 10 physical disability, if any; its severity; and an opinion 11 as to whether and to what extent it impairs the 12 defendant's ability to understand the nature and purpose 13 of the proceedings against the defendant him or to 14 meaningfully assist in the defendant's his defense, or 15 both. 16 (b) A person who, due to any of organic brain disease, 17 alcohol or substance use, cannabis use, antisocial personality 18 disorder or repeated criminal behavior may not be deemed unfit 19 under this Section unless accompanied by a mental health or 20 developmental disabilities diagnosis. Unfitness due to a 21 mental condition may be found if the defendant would benefit 22 from treatment in either a mental health or developmental 23 disabilities facility. Unfitness due to a physical condition 24 may be found if the defendant would benefit from treatment in a 25 medical hospital or other residential care facility or program 26 for the rehabilitation of persons with physical disabilities. SB2373 - 8 - LRB104 10122 RLC 20194 b SB2373- 9 -LRB104 10122 RLC 20194 b SB2373 - 9 - LRB104 10122 RLC 20194 b SB2373 - 9 - LRB104 10122 RLC 20194 b 1 (c) (b) If the report indicates that the defendant is not 2 fit to stand trial or to plead because of a disability, the 3 report shall include an opinion as to the likelihood of the 4 defendant attaining fitness within the statutory a period of 5 time from the date of the finding of unfitness if provided with 6 a course of treatment. For a defendant charged with a felony, 7 the period of time shall be one year. For a defendant charged 8 with a Class A or Class B misdemeanor, the period of time shall 9 be no longer than the maximum term of imprisonment for the most 10 serious offense. Defendants charged with Class C misdemeanors, 11 petty offenses, infraction of a municipal ordinance, or 12 violation of the Illinois Vehicle Code are not eligible for 13 fitness restoration services, unless the penalty may include 14 incarceration for a period of 180 days or longer. If the person 15 or persons preparing the initial fitness report are unable to 16 form such an opinion, the report shall state the reasons 17 therefor. The report shall may include a general description 18 of the type of treatment needed and of the least physically 19 restrictive form of treatment therapeutically appropriate. If 20 the most serious charge facing the defendant is a misdemeanor 21 and inpatient treatment is recommended, the report shall state 22 reasons why outpatient treatment is not appropriate. 23 (d) (c) The initial fitness report shall indicate what 24 information, if any, contained therein may be harmful to the 25 mental condition of the defendant if made known to the 26 defendant and the court may determine if the defendant is SB2373 - 9 - LRB104 10122 RLC 20194 b SB2373- 10 -LRB104 10122 RLC 20194 b SB2373 - 10 - LRB104 10122 RLC 20194 b SB2373 - 10 - LRB104 10122 RLC 20194 b 1 restricted from receiving the report. him. 2 (e) (d) In addition to the report, a person retained or 3 appointed by the court State or the defense to conduct an 4 initial fitness examination under Section 104-13 shall, upon 5 written request, make the defendant's his or her notes, other 6 evaluations reviewed or relied upon by the testifying witness, 7 and any videotaped interviews available to another examiner of 8 the defendant. All forensic interviews conducted by a person 9 retained or appointed by the court State or the defense shall 10 be videotaped unless doing so would be impractical. In the 11 event that the interview is not videotaped, the examiner may 12 still testify as to the person's fitness and the court may only 13 consider the lack of compliance in according the weight and 14 not the admissibility of the expert testimony. An examiner may 15 use these materials as part of the defendant's his or her 16 diagnosis and explanation but shall not otherwise disclose the 17 contents, including at a hearing before the court, except as 18 otherwise provided in Section 104-14 of this Code. 19 (Source: P.A. 100-424, eff. 1-1-18.) 20 (725 ILCS 5/104-16) (from Ch. 38, par. 104-16) 21 Sec. 104-16. Fitness Hearing.) (a) The court court 22 shall conduct a hearing to determine the issue of the 23 defendant's fitness within 45 days of receipt of the final 24 written report of the person or persons conducting the 25 examination or upon conclusion of the matter then pending SB2373 - 10 - LRB104 10122 RLC 20194 b SB2373- 11 -LRB104 10122 RLC 20194 b SB2373 - 11 - LRB104 10122 RLC 20194 b SB2373 - 11 - LRB104 10122 RLC 20194 b 1 before it, subject to continuances allowed pursuant to Section 2 114-4 of this Act. 3 (b) Subject to the rules of evidence, matters admissible 4 on the issue of the defendant's fitness include, but are not 5 limited to, the following: 6 (1) The defendant's knowledge and understanding of the 7 charge, the proceedings, the consequences of a plea, judgment 8 or sentence, and the functions of the participants in the 9 trial process; 10 (2) The defendant's ability to observe, recollect and 11 relate occurrences, especially those concerning the incidents 12 alleged, and to effectively communicate with counsel; 13 (3) The defendant's social behavior and abilities; 14 orientation as to time and place; recognition of persons, 15 places and things; and performance of motor processes. 16 (c) The defendant has the right to be present at every 17 hearing on the issue of his fitness. The defendant's presence 18 may be waived only if there is filed with the court a 19 certificate stating that the defendant is physically unable to 20 be present due to a disability and the reasons therefor. The 21 certificate shall be signed by a licensed physician, physician 22 assistant, or nurse practitioner who, within 7 days, has 23 examined the defendant. A disability is a mental or physical 24 condition that, in the opinion of a physician, physician 25 assistant, or nurse practitioner, prevents the defendant from 26 safely attending a hearing in person. The defendant's mere SB2373 - 11 - LRB104 10122 RLC 20194 b SB2373- 12 -LRB104 10122 RLC 20194 b SB2373 - 12 - LRB104 10122 RLC 20194 b SB2373 - 12 - LRB104 10122 RLC 20194 b 1 refusal to attend a hearing shall not by itself constitute a 2 disability, regardless of the person's mental state. 3 (d) On the basis of the evidence before it, the court or 4 jury shall determine whether the defendant is fit to stand 5 trial, or to plead, or to be sentenced. If it finds that the 6 defendant is unfit, the court or the jury shall determine 7 whether there is substantial probability that the defendant, 8 if provided with a course of treatment, will attain fitness 9 within one year, except if the defendant is facing either a 10 Class A or B misdemeanors, in which case the period of time 11 shall be no longer than the maximum for the most serious 12 offense. If the court or the jury finds that there is not a 13 substantial probability, the court shall proceed as provided 14 in Section 104-23. If such probability is found or if the court 15 or the jury is unable to determine whether a substantial 16 probability exists, the court shall order the defendant to 17 undergo treatment for the purpose of rendering the defendant 18 him fit. In the event that a defendant is ordered to undergo 19 treatment with when there has been no initial determination as 20 to the probability of his attaining fitness within the 21 statutory timeframe, the court shall conduct a hearing as soon 22 as possible following the receipt of the treatment 23 supervisor's report filed pursuant to subsection (g) paragraph 24 (d) of Section 104-17, unless the hearing is waived by the 25 defense, and shall make a determination as to whether a 26 substantial probability of attaining fitness within the SB2373 - 12 - LRB104 10122 RLC 20194 b SB2373- 13 -LRB104 10122 RLC 20194 b SB2373 - 13 - LRB104 10122 RLC 20194 b SB2373 - 13 - LRB104 10122 RLC 20194 b 1 statutory timeframe exists. If the court or the jury finds 2 that there is not a substantial probability that the defendant 3 may be rendered fit within the statutory limitations, the 4 court shall proceed as provided in Section 104-23. 5 (e) An order finding the defendant unfit is a final order 6 for purposes of appeal by the State or the defendant. 7 (Source: P.A. 81-1217.) 8 (725 ILCS 5/104-17) (from Ch. 38, par. 104-17) 9 Sec. 104-17. Commitment for treatment; treatment plan. 10 (a) If the defendant is eligible to be or has been released 11 on pretrial release or on the defendant's his own 12 recognizance, the court shall select the least physically 13 restrictive form of treatment therapeutically appropriate and 14 consistent with the safety of the defendant or the safety of 15 others. treatment plan. The treatment placement may be ordered 16 on either on an inpatient or an outpatient basis. 17 (b) If the defendant defendant's is unfit due to mental 18 illness or developmental disability as identified in the 19 Mental Health and Developmental Disabilities Code disability 20 is mental, the court may order the defendant into the him 21 placed for secure treatment in the custody of the Department 22 of Human Services. , or The the court may also order the 23 defendant to be him placed in the custody of any other 24 appropriate public or private mental health facility or 25 treatment program which has agreed to provide treatment to the SB2373 - 13 - LRB104 10122 RLC 20194 b SB2373- 14 -LRB104 10122 RLC 20194 b SB2373 - 14 - LRB104 10122 RLC 20194 b SB2373 - 14 - LRB104 10122 RLC 20194 b 1 defendant. If the defendant is remanded to the custody of the 2 Department of Human Services for inpatient services, the 3 defendant shall be placed in a secure setting. During the 4 period of time required to determine bed and placement 5 availability at the designated facility, the defendant shall 6 remain in jail and the pretrial release provisions of Section 7 110-2 do not apply. If the most serious charge faced by the 8 defendant is a Class A or Class B misdemeanor, the court shall 9 order outpatient treatment, unless the court finds good cause 10 on the record to order secure, inpatient treatment. If the 11 court orders the defendant to inpatient treatment in the 12 custody of the Department of Human Services, the Department 13 shall conduct a placement screening evaluate the defendant to 14 determine the most appropriate placement option for secure 15 facility to receive the defendant and, within 20 days of the 16 successful transmittal by the clerk of the circuit court of 17 the court's placement order, if inpatient treatment is most 18 appropriate, notify the court, the State and the defense court 19 of the designated secure facility to receive the defendant. In 20 such case, the The Department shall admit the defendant to a 21 secure facility within 60 days of the transmittal of the 22 court's remand court's placement order, unless the Department 23 can demonstrate good faith efforts at placement and a lack of 24 bed and placement availability. If placement cannot be made 25 within 60 days of successful the transmittal of the court's 26 remand court's placement order and the Department has SB2373 - 14 - LRB104 10122 RLC 20194 b SB2373- 15 -LRB104 10122 RLC 20194 b SB2373 - 15 - LRB104 10122 RLC 20194 b SB2373 - 15 - LRB104 10122 RLC 20194 b 1 demonstrated good faith efforts at placement and a lack of bed 2 and placement availability, the Department shall provide the 3 court, the State, and the defense with an update and shall 4 continue an update to update the ordering court, the State and 5 the defense court every 30 days thereafter until the defendant 6 is placed. Once bed and placement availability is determined, 7 the Department shall notify the sheriff who shall promptly 8 transport the defendant to the designated facility. If the 9 defendant is placed in the custody of the Department of Human 10 Services, the defendant shall be placed in a secure setting. 11 During the period of time required to determine bed and 12 placement availability at the designated facility, the 13 defendant shall remain in jail. If during the course of 14 screening evaluating the defendant for placement, the 15 Department of Human Services determines that the defendant is 16 currently fit to stand trial, suitable for outpatient 17 treatment, or unfit without a substantial probability of being 18 rendered fit within the statutory timeframe, it shall 19 immediately notify the court, the State, and the defense court 20 and shall submit a written report within 7 days. In any of 21 those circumstances, that circumstance the placement shall be 22 held pending a court hearing on the Department's report. 23 Otherwise, upon completion of the placement process, including 24 identifying bed and placement availability, the sheriff shall 25 be notified and shall transport the defendant to the 26 designated facility. If, within 60 days of the successful SB2373 - 15 - LRB104 10122 RLC 20194 b SB2373- 16 -LRB104 10122 RLC 20194 b SB2373 - 16 - LRB104 10122 RLC 20194 b SB2373 - 16 - LRB104 10122 RLC 20194 b 1 transmittal by the clerk of the circuit court of the court's 2 remand court's placement order, the Department has not 3 provided the court fails to provide the sheriff with notice of 4 bed and placement availability at the designated facility, the 5 sheriff shall contact the Department to inquire about when a 6 placement will become available at the designated facility as 7 well as bed and placement availability at other secure 8 facilities. The Department shall respond to the sheriff within 9 2 business days of the notice and inquiry by the sheriff 10 seeking the transfer and the Department shall provide the 11 sheriff with the status of the placement screening, currently 12 designated facility evaluation, information on bed and 13 placement availability, and an estimated date of admission for 14 the defendant, and any changes to the that estimated date of 15 admission. If the Department notifies the sheriff during the 2 16 business day period of an alternate secure a facility operated 17 by the Department with current placement availability, the 18 sheriff shall promptly transport the defendant to that 19 facility. The placement may be ordered either on an inpatient 20 or an outpatient basis. 21 (c) If the defendant's disability is physical, the court 22 may order placement at a medical hospital or other residential 23 care facility or program that has agreed to provide treatment 24 to the defendant. Only such physical conditions that may be 25 overcome by special assistance or provisions as referenced in 26 Section 104-22 qualify as physical disabilities under this SB2373 - 16 - LRB104 10122 RLC 20194 b SB2373- 17 -LRB104 10122 RLC 20194 b SB2373 - 17 - LRB104 10122 RLC 20194 b SB2373 - 17 - LRB104 10122 RLC 20194 b 1 subsection. him placed under the supervision of the Department 2 of Human Services which shall place and maintain the defendant 3 in a suitable treatment facility or program, or the court may 4 order him placed in an appropriate public or private facility 5 or treatment program which has agreed to provide treatment to 6 the defendant. The placement may be ordered either on an 7 inpatient or an outpatient basis. 8 (d) If the defendant with mental disabilities is ordered 9 to outpatient treatment, the defendant shall be released from 10 custody with instructions to contact the Department of Human 11 Services to schedule the receipt of restoration services in 12 the community. A defendant who either fails to arrange for the 13 receipt of community restoration services or whom the 14 Department reports has failed to comply in any other respect 15 with the outpatient treatment order shall be remanded to the 16 Department pursuant to subsection (b) hereof to receive 17 inpatient services at a secure facility designated by the 18 Department. 19 (e) If the defendant is unfit due to any condition other 20 than a mental or physical condition as defined in Section 21 102-24, the court may order the defendant placed in a suitable 22 public or private treatment facility or program that has 23 agreed to provide treatment to the defendant. No person who 24 has not been determined to be unfit due to a mental or physical 25 condition identified in Section 102-24 may be placed in a 26 facility operated by the Department of Human Services. SB2373 - 17 - LRB104 10122 RLC 20194 b SB2373- 18 -LRB104 10122 RLC 20194 b SB2373 - 18 - LRB104 10122 RLC 20194 b SB2373 - 18 - LRB104 10122 RLC 20194 b 1 (f) (d) The clerk of the circuit court shall within 5 days 2 of the entry of the order transmit to the Department, 3 hospital, facility, agency or program institution, if any, to 4 which the defendant is remanded for treatment, the following: 5 (1) a certified copy of the order to undergo 6 treatment. Accompanying the certified copy of the order to 7 undergo treatment shall be the complete copy of any 8 initial fitness report prepared under Section 104-15 of 9 this Code or other report prepared by a forensic examiner 10 for the court; 11 (2) the county and municipality in which the offense 12 was committed; 13 (3) the county and municipality in which the arrest 14 took place; 15 (4) a copy of the arrest report, criminal charges, 16 arrest record; and 17 (5) an order authorizing the Department, hospital, 18 facility or program to contact and receive information 19 from prior and current treatment providers and the 20 defendant's family concerning prior admissions, treatment, 21 medications and behaviors; and 22 (6) (5) all additional matters which the Court directs 23 the clerk to transmit. 24 (g) (e) Within 30 days of admission to the hospital, 25 facility or program designated under this Section facility, 26 the person supervising the defendant's treatment shall submit SB2373 - 18 - LRB104 10122 RLC 20194 b SB2373- 19 -LRB104 10122 RLC 20194 b SB2373 - 19 - LRB104 10122 RLC 20194 b SB2373 - 19 - LRB104 10122 RLC 20194 b 1 to file with the court, the State, and the defense a report 2 assessing the hospital's, facility's or program's capacity to 3 provide appropriate treatment for the defendant and indicating 4 an his opinion as to the probability of the defendant's 5 attaining fitness within a period of time from the date of the 6 finding of unfitness. For a defendant charged with a felony, 7 the period of time shall be one year. For a defendant charged 8 with a Class A or Class B misdemeanor, the period of time shall 9 be no longer than the sentence if convicted of the most serious 10 offense. Defendants charged with Class C misdemeanors, petty 11 offenses, infraction of a municipal ordinance, or violation of 12 the Illinois Vehicle Code are not eligible for fitness 13 restoration services, unless the statutory penalty therefor 14 may include a sentence for a period of 180 days or longer. If 15 the report indicates that there is a substantial probability 16 that the defendant will attain fitness within the statutory 17 time period, the treatment supervisor shall also submit file a 18 treatment plan which shall include: 19 (1) A diagnosis of the defendant's disability; 20 (2) A description of treatment goals with respect to 21 rendering the defendant fit, a specification of the 22 proposed treatment modalities, and an estimated timetable 23 for attainment of the goals; 24 (3) An identification of the person in charge of 25 supervising the defendant's treatment. 26 (Source: P.A. 101-652, eff. 1-1-23; 102-1118, eff. 1-18-23.) SB2373 - 19 - LRB104 10122 RLC 20194 b SB2373- 20 -LRB104 10122 RLC 20194 b SB2373 - 20 - LRB104 10122 RLC 20194 b SB2373 - 20 - LRB104 10122 RLC 20194 b 1 (725 ILCS 5/104-18) (from Ch. 38, par. 104-18) 2 Sec. 104-18. Progress reports. 3 (a) The treatment supervisor shall submit a written 4 progress report to the court, the State, and the defense: 5 (1) At least 7 days prior to the date for any hearing 6 on the issue of the defendant's fitness, provided the 7 treatment supervisor has been notified by the court of 8 such date sufficiently in advance;; 9 (2) Whenever the treatment supervisor he believes that 10 the defendant has attained fitness; 11 (3) Whenever there is an opinion by the treatment 12 supervisor he believes that there is not a substantial 13 probability that the defendant will attain fitness, with 14 treatment, within the statutory time period set in 15 subsection (e) of Section 104-17 of this Code from the 16 date of the original finding of unfitness. 17 (b) The progress report shall contain: 18 (1) The clinical findings of the treatment supervisor 19 and the facts upon which the findings are based; 20 (2) The opinion of the treatment supervisor as to 21 whether the defendant has attained fitness, or as to 22 whether the defendant is making progress, under treatment, 23 toward attaining fitness within the statutory time period 24 set in subsection (e) of Section 104-17 of this Code from 25 the date of the original finding of unfitness, or there is SB2373 - 20 - LRB104 10122 RLC 20194 b SB2373- 21 -LRB104 10122 RLC 20194 b SB2373 - 21 - LRB104 10122 RLC 20194 b SB2373 - 21 - LRB104 10122 RLC 20194 b 1 not a substantially probability that the defendant will 2 attain fitness within the statutory time period; 3 (3) If the defendant is receiving medication, 4 information from the prescribing physician indicating the 5 type, the dosage and the effect of the medication on the 6 defendant's appearance, actions and demeanor. 7 (c) Whenever the court is sent a report from the 8 supervisor of the defendant's treatment under either paragraph 9 (2) or (3) of subsection (a) of this Section it shall, within 10 48 hours, enter an order upon the sheriff to return the 11 defendant to the county jail. Upon receipt of such order, the 12 treatment supervisor provider shall arrange directly with the 13 county sheriff jail for the immediate return of the defendant 14 to the county jail as provided under subsection (e) of Section 15 104-20 of this Code. 16 (d) Whenever the court receives a report from the 17 defendant's treatment supervisor pursuant to paragraph (2) or 18 (3) of subsection (a), the court shall forthwith set the 19 matter for a first hearing within 14 days, unless good cause is 20 demonstrated why the hearing cannot be held within that time 21 and shall set the hearing at the first available opportunity 22 thereafter. 23 (Source: P.A. 99-78, eff. 7-20-15; 100-27, eff. 1-1-18.) 24 (725 ILCS 5/104-19) (from Ch. 38, par. 104-19) 25 Sec. 104-19. Records.) Any report submitted to filed of SB2373 - 21 - LRB104 10122 RLC 20194 b SB2373- 22 -LRB104 10122 RLC 20194 b SB2373 - 22 - LRB104 10122 RLC 20194 b SB2373 - 22 - LRB104 10122 RLC 20194 b 1 record with the court concerning diagnosis, treatment or 2 treatment plans made pursuant to this Article shall not be 3 placed in the defendant's court record, but shall be 4 maintained separately by the clerk of the court and shall be 5 available only to the court or an appellate court, the State 6 and the defense, the Department, a hospital, facility or 7 program which is providing treatment to the defendant pursuant 8 to an order of the court or such other persons as the court may 9 direct. 10 (Source: P.A. 81-1217.) 11 (725 ILCS 5/104-20) (from Ch. 38, par. 104-20) 12 Sec. 104-20. Ninety-day hearings; continuing treatment.) 13 (a) Upon entry or continuation of any order to undergo 14 fitness restoration treatment, the court shall set a date for 15 hearing to reexamine the issue of the defendant's fitness not 16 more than 90 days from the original finding of unfitness and at 17 90-day intervals thereafter. The clerk of the circuit court 18 shall notify the hospital, facility or program providing 19 treatment to the defendant of all upcoming hearing dates. In 20 addition, whenever the court receives a report from the 21 supervisor of the defendant's treatment pursuant to 22 subparagraph (3) of paragraph (a) of Section 104-18, the court 23 shall forthwith set the matter for a first hearing within 14 24 days unless good cause is demonstrated why the hearing cannot 25 be held. Unless waived by the defense, on On the date set or SB2373 - 22 - LRB104 10122 RLC 20194 b SB2373- 23 -LRB104 10122 RLC 20194 b SB2373 - 23 - LRB104 10122 RLC 20194 b SB2373 - 23 - LRB104 10122 RLC 20194 b 1 upon conclusion of the matter then pending before it, the 2 court, sitting without a jury, shall conduct a hearing, unless 3 waived by the defense, and shall determine: 4 (1) Whether the defendant is fit to stand trial or to 5 plead; or and if not, 6 (2) Whether the defendant is making progress under 7 treatment toward attainment of fitness within the 8 statutory time period set in subsection (e) of Section 9 104-17 of this Code from the date of the original finding 10 of unfitness; or . 11 (3) Whether there is not a substantial probability 12 that the defendant may be restored to fitness within the 13 statutory timeframe. 14 (b) If the court finds the defendant to be fit pursuant to 15 this Section, the court shall set the matter for trial and if 16 in secure custody, order that the defendant be returned to the 17 county to stand trial. ; provided that if the defendant is in 18 need of continued care or treatment and the supervisor of the 19 defendant's treatment agrees to continue to provide it, the 20 court may enter any order it deems appropriate for the 21 continued care or treatment of the defendant by the facility 22 or program pending the conclusion of the criminal proceedings. 23 (c) If the court finds that the defendant is still unfit 24 but that the defendant he is making progress toward attaining 25 fitness, the court may continue or modify the its original 26 treatment order entered pursuant to Section 104-17. SB2373 - 23 - LRB104 10122 RLC 20194 b SB2373- 24 -LRB104 10122 RLC 20194 b SB2373 - 24 - LRB104 10122 RLC 20194 b SB2373 - 24 - LRB104 10122 RLC 20194 b 1 (d) If the court finds that the defendant is still unfit 2 and that the defendant he is not making progress toward 3 attaining fitness such that there is not a substantial 4 probability that the defendant he will attain fitness within 5 the time statutory period set in subsection (e) of Section 6 104-17 of this Code from the date of the original finding of 7 unfitness, if in secure custody, the court shall order that 8 the defendant be returned to the county and shall otherwise 9 proceed pursuant to Section 104-23. However, if the defendant 10 is in need of continued care and treatment and the supervisor 11 of the defendant's treatment agrees to continue to provide it, 12 the court may enter any order it deems appropriate for the 13 continued care or treatment by the facility or program pending 14 the conclusion of the criminal proceedings. 15 (e) Whenever the court receives a report from the 16 supervisor of the defendant's treatment under paragraph (2) or 17 (3) of subsection (a) of Section 104-18 of this Code, the court 18 shall, within 48 hours, immediately enter an order directing 19 the sheriff to return the defendant to the county jail and set 20 the matter for trial. At any time thereafter, the issue of the 21 defendant's fitness can be raised again under Section 104-11 22 of this Code. If the court finds that the defendant is still 23 unfit after being recommended as fit by the supervisor of the 24 defendant's treatment and, that it is substantially probable 25 that the defendant may be restored to fitness within the 26 statutory timeframe, the court shall attach a copy of any SB2373 - 24 - LRB104 10122 RLC 20194 b SB2373- 25 -LRB104 10122 RLC 20194 b SB2373 - 25 - LRB104 10122 RLC 20194 b SB2373 - 25 - LRB104 10122 RLC 20194 b 1 written report that identifies the relevant factors in favor 2 thereof the finding that the defendant continues to be unfit, 3 prepared by a licensed physician, clinical psychologist, or 4 psychiatrist, to the court order remanding the person for 5 further treatment. 6 (Source: P.A. 99-140, eff. 1-1-16; 100-27, eff. 1-1-18.) 7 (725 ILCS 5/104-21) (from Ch. 38, par. 104-21) 8 Sec. 104-21. Medication. 9 (a) A defendant who is ordered into the custody of the 10 Department of Human Services after a finding of unfitness is 11 subject to the involuntary administration of medication under 12 Section 2-107.1 of the Mental Health and Developmental 13 Disabilities Code. The petition may be filed in either the 14 county where the defendant is located or with the court having 15 jurisdiction over the defendant. A defendant receiving 16 psychotropic drugs shall not be presumed to be unfit to stand 17 trial solely by virtue of the receipt of those drugs or 18 medications. 19 (a-5) The court-ordered custodian of a defendant who is 20 subject to the involuntary administration of medication under 21 this Section shall be entitled to receive the treatment notes, 22 records, and reports relative to the defendant upon written 23 request. A prior treatment provider who is provided with a 24 copy of the court's custody order shall respond to the 25 custodian's records request within 5 business days. No records SB2373 - 25 - LRB104 10122 RLC 20194 b SB2373- 26 -LRB104 10122 RLC 20194 b SB2373 - 26 - LRB104 10122 RLC 20194 b SB2373 - 26 - LRB104 10122 RLC 20194 b 1 received pursuant to this Section may be used for any purposes 2 except to determine whether the defendant meets the criteria 3 for court-ordered treatment under Section 2-107.1 or to 4 prepare for and participate in hearings under Section 2-107.1. 5 (a-7) A petition filed on behalf of a defendant who is in 6 custody under this Article shall be heard within 7 days, 7 unless good cause is stated on the record why the hearing 8 cannot be so held within the statutory timeframe. In no event, 9 however, shall such hearing be delayed beyond 14 days from the 10 date the petition is filed. The court shall adjudicate the 11 petition within 3 working days of the conclusion of the 12 medication hearing. 13 (b) Whenever a defendant who is receiving medication under 14 medical direction is transferred between a place of custody 15 and a treatment facility or program, a written report from the 16 prescribing physician shall accompany the defendant. The 17 report shall state the type and dosage of the defendant's 18 medication and the duration of the prescription. The chief 19 officer of the place of custody or the treatment supervisor at 20 the facility or program shall ensure insure that such 21 medication is provided according to the directions of the 22 prescribing physician or until superseded by order of a 23 physician who has examined the defendant. 24 (c) (Blank). If a defendant refuses psychotropic 25 medication, it may be administered over the defendant's 26 objections in accord with the Mental Health and Developmental SB2373 - 26 - LRB104 10122 RLC 20194 b SB2373- 27 -LRB104 10122 RLC 20194 b SB2373 - 27 - LRB104 10122 RLC 20194 b SB2373 - 27 - LRB104 10122 RLC 20194 b 1 Disabilities Code. If court authorized medications are sought, 2 the petition, prepared in accord with Section 2-107.1 of the 3 Mental Health and Developmental Disabilities Code may be filed 4 in the county where the defendant is located or with the court 5 having jurisdiction over the defendant. 6 (Source: P.A. 98-1025, eff. 8-22-14.) 7 (725 ILCS 5/104-22) (from Ch. 38, par. 104-22) 8 Sec. 104-22. Trial with special provisions and 9 assistance.) (a) On motion of the defendant, the State or on 10 the court's own accord motion, the court shall determine 11 whether special provisions or assistance will render the 12 defendant fit to stand trial as defined in Section 104-10. 13 (b) Such special provisions or assistance may include but 14 are not limited to: 15 (1) The administration of medication. 16 (2) (1) Appointment of qualified translators who shall 17 simultaneously translate all testimony at trial into 18 language understood by the defendant. 19 (3) (2) Appointment of experts qualified to assist a 20 defendant who because of a disability is unable to 21 understand the proceedings or communicate with the 22 defendant's his or her attorney. 23 (c) The case may proceed to trial only if the court 24 determines that such provisions or assistance compensate for a 25 defendant's disabilities so as to render the defendant fit as SB2373 - 27 - LRB104 10122 RLC 20194 b SB2373- 28 -LRB104 10122 RLC 20194 b SB2373 - 28 - LRB104 10122 RLC 20194 b SB2373 - 28 - LRB104 10122 RLC 20194 b 1 defined in Section 104-10. In such cases the court shall state 2 for the record the following: 3 (1) The qualifications and experience of the experts or 4 other persons appointed to provide special assistance to the 5 defendant; 6 (2) The court's reasons for selecting or appointing the 7 particular experts or other persons to provide the special 8 assistance to the defendant; 9 (3) How the appointment of the particular expert or other 10 persons will serve the goal of rendering the defendant fit in 11 view of the appointee's qualifications and experience, taken 12 in conjunction with the particular disabilities of the 13 defendant; and 14 (4) Any other factors considered by the court in 15 determining that the defendant is fit with special provisions 16 or assistance. appointing that individual. 17 (Source: P.A. 81-1217.) 18 (725 ILCS 5/104-23) (from Ch. 38, par. 104-23) 19 Sec. 104-23. Unfit defendants. Cases involving an unfit 20 defendant who demands a discharge hearing or a defendant whom 21 the defendant's treatment supervisor has reported as unfit 22 without a substantial probability of attaining fitness within 23 the statutory time period who cannot become fit to stand trial 24 and for whom no special provisions or assistance can 25 compensate for the defendant's his disability and render the SB2373 - 28 - LRB104 10122 RLC 20194 b SB2373- 29 -LRB104 10122 RLC 20194 b SB2373 - 29 - LRB104 10122 RLC 20194 b SB2373 - 29 - LRB104 10122 RLC 20194 b 1 defendant him fit shall proceed in the following manner: 2 (a) Upon a determination that there is not a substantial 3 probability that the defendant will attain fitness within the 4 time period set in subsection (e) of Section 104-17 of this 5 Code from the original finding of unfitness, the court The 6 court shall hold a discharge hearing within 14 60 days, unless 7 good cause is shown for the delay. 8 (b) If at the hearing at any time the court determines that 9 there is not a substantial probability that the defendant will 10 attain fitness become fit to stand trial or to plead within the 11 statutory time period it shall proceed as follows: set in 12 subsection (e) of Section 104-17 of this Code from the date of 13 the original finding of unfitness, or if at the end of the time 14 period set in subsection (e) of Section 104-17 of this Code 15 from that date the court finds the defendant still unfit and 16 for whom no special provisions or assistance can compensate 17 for his disabilities and render him fit, the State shall 18 request the court: 19 (1) To set the matter for a discharge hearing pursuant 20 to Section 104-25 104-25 unless a hearing has already been 21 held pursuant to paragraph (a) of this Section; or 22 (2) To release the defendant from custody and to 23 dismiss with prejudice the charges against the defendant 24 him; or 25 (3) To remand the defendant to the custody of the 26 Department of Human Services and order an involuntary SB2373 - 29 - LRB104 10122 RLC 20194 b SB2373- 30 -LRB104 10122 RLC 20194 b SB2373 - 30 - LRB104 10122 RLC 20194 b SB2373 - 30 - LRB104 10122 RLC 20194 b 1 civil commitment a hearing to be conducted pursuant to the 2 provisions of the Mental Health and Developmental 3 Disabilities Code, as now or hereafter amended. The 4 Department of Human Services shall have 7 days from the 5 date it receives the defendant assess the individual and 6 if warranted, to prepare and file the necessary petition 7 and certificates that are required for commitment on an 8 inpatient or outpatient basis under the Mental Health and 9 Developmental Disabilities Code subject to a 7 day 10 extension upon a showing of good cause. If the defendant 11 is committed to the Department of Human Services pursuant 12 to such hearing, the court having jurisdiction over the 13 criminal matter shall dismiss the charges against the 14 defendant, with the leave to reinstate. In such cases the 15 Department of Human Services shall notify the court, the 16 State's attorney and the defense attorney upon the 17 discharge of the defendant. A former defendant so 18 committed shall be otherwise treated in the same manner as 19 any other civilly committed patient for all purposes 20 including admission, selection of the place of treatment 21 and the treatment modalities, entitlement to rights and 22 privileges, transfer, and discharge. If the defendant does 23 not qualify for involuntary commitment, but has expressed 24 a willingness to be admitted on a voluntary basis and the 25 facility director determines that the defendant is 26 clinically suitable for voluntary admission, the SB2373 - 30 - LRB104 10122 RLC 20194 b SB2373- 31 -LRB104 10122 RLC 20194 b SB2373 - 31 - LRB104 10122 RLC 20194 b SB2373 - 31 - LRB104 10122 RLC 20194 b 1 Department shall so advise the court, the State, and the 2 defense. The court may consider this factor in determining 3 whether to proceed under subparagraph (1) or (2) of 4 paragraph (b) of this Section. Should the court dismiss 5 with prejudice the charges against the defendant, the 6 defendant shall then be admission to the Department on a 7 voluntary basis pursuant to the Mental Health and 8 Developmental Disabilities Code. If a defendant who does 9 not qualify for involuntary commitment is unwilling or 10 unsuitable for voluntary admission, the Department shall 11 so advise the court, the State and the defense. Upon 12 receipt of such a notice, the court A defendant who is not 13 committed shall, within 48 hours, enter an order for the 14 sheriff to transport the defendant to the county jail be 15 remanded to the court having jurisdiction of the criminal 16 matter for further disposition pursuant to subparagraph 17 (1) or (2) of paragraph (b) of this Section. 18 (c) Where charges have not been dismissed with prejudice, 19 if If the defendant is later restored to fitness and the 20 original charges against him are reinstated, the speedy trial 21 provisions of Section 103-5 shall commence to run. 22 (Source: P.A. 102-1118, eff. 1-18-23.) 23 (725 ILCS 5/104-24) (from Ch. 38, par. 104-24) 24 Sec. 104-24. Time Credit. Time spent in custody pursuant 25 to orders issued under this Article Section 104-17 or 104-20 SB2373 - 31 - LRB104 10122 RLC 20194 b SB2373- 32 -LRB104 10122 RLC 20194 b SB2373 - 32 - LRB104 10122 RLC 20194 b SB2373 - 32 - LRB104 10122 RLC 20194 b 1 or pursuant to a commitment to the Department of Human 2 Services following a finding of unfitness or incompetency 3 under prior law, shall be credited against any sentence 4 imposed on the defendant in the pending criminal case or in any 5 other case arising out of the same conduct. The court shall 6 calculate the time credit to be applied when considering the 7 maximum period of time that a defendant may remain in custody. 8 The Department of Human Services shall not be authorized to 9 independently apply or calculate time credit. 10 (Source: P.A. 89-507, eff. 7-1-97.) 11 (725 ILCS 5/104-25) (from Ch. 38, par. 104-25) 12 Sec. 104-25. Discharge hearing. 13 (a) As provided for in paragraph (a) of Section 104-23 and 14 subparagraph (1) of paragraph (b) of Section 104-23 a hearing 15 to determine the sufficiency of the evidence shall be held. 16 Such hearing shall be conducted by the court without a jury. 17 The State and the defendant may introduce evidence relevant to 18 the question of defendant's guilt of the crime charged. 19 The court may admit hearsay or affidavit evidence on 20 secondary matters such as testimony to establish the chain of 21 possession of physical evidence, laboratory reports, 22 authentication of transcripts taken by official reporters, 23 court and business records, and public documents. 24 (b) If the evidence presented by the State does not prove 25 the defendant guilty beyond a reasonable doubt, the court SB2373 - 32 - LRB104 10122 RLC 20194 b SB2373- 33 -LRB104 10122 RLC 20194 b SB2373 - 33 - LRB104 10122 RLC 20194 b SB2373 - 33 - LRB104 10122 RLC 20194 b 1 shall enter a judgment of acquittal; however nothing herein 2 shall prevent the State from requesting the court to commit 3 the defendant to the Department of Human Services under the 4 provisions of the Mental Health and Developmental Disabilities 5 Code. 6 (c) If after considering the evidence, the defendant is 7 found not guilty by reason of insanity, the court shall enter a 8 judgment of acquittal and the proceedings after acquittal by 9 reason of insanity under Section 5-2-4 of the Unified Code of 10 Corrections shall apply. 11 (d) If the discharge hearing does not result in an 12 acquittal of the charge under subsection (b) or (c), the 13 defendant may be remanded for further treatment and the 14 statutory one year time limit for restoration set forth in 15 Section 104-23 shall be extended as follows: 16 (1) If the most serious charge upon which the State 17 sustained its burden of proof was a Class 1 or Class X 18 felony, the treatment period may be extended up to a 19 maximum treatment period of 2 years; 20 (1.1) If the most serious charge upon which the State 21 sustained its burden of proof was if a Class 2, 3, or 4 22 felony, the treatment period may be extended up to a 23 maximum of 15 months; 24 (2) If the State sustained its burden of proof on a 25 charge of first degree murder, the treatment period may be 26 extended up to a maximum treatment period of 5 years. SB2373 - 33 - LRB104 10122 RLC 20194 b SB2373- 34 -LRB104 10122 RLC 20194 b SB2373 - 34 - LRB104 10122 RLC 20194 b SB2373 - 34 - LRB104 10122 RLC 20194 b 1 (3) Defendants facing misdemeanor charges are not 2 subject to extension of the treatment period unless they 3 are also facing felony charges on the same conduct. 4 (e) Transcripts of testimony taken at a discharge hearing 5 may be admitted in evidence at a subsequent trial of the case, 6 subject to the rules of evidence, if the witness who gave such 7 testimony is legally unavailable at the time of the subsequent 8 trial. 9 (f) If the court fails to enter an order of acquittal the 10 defendant may appeal from such judgment in the same manner 11 provided for an appeal from a conviction in a criminal case. 12 (g) At the expiration of an extended period of treatment 13 ordered pursuant to subsection (d) of this Section: 14 (1) Upon a finding that the defendant is fit or can be 15 rendered fit consistent with special provisions or 16 assistance pursuant to Section 104-22 if in custody, the 17 court shall, within 48 hours, order the sheriff to return 18 the defendant to the county and the court may otherwise 19 proceed with trial. 20 (2) If the defendant continues to be unfit to stand 21 trial, the court shall determine whether the defendant he 22 or she is subject to involuntary admission under the 23 Mental Health and Developmental Disabilities Code or 24 constitutes a serious threat to the public safety. If so 25 found, the defendant shall be remanded to the Department 26 of Human Services for further treatment and shall be SB2373 - 34 - LRB104 10122 RLC 20194 b SB2373- 35 -LRB104 10122 RLC 20194 b SB2373 - 35 - LRB104 10122 RLC 20194 b SB2373 - 35 - LRB104 10122 RLC 20194 b 1 treated in the same manner as a civilly committed patient 2 for all purposes, except that the defendant shall be 3 placed in a secure setting unless the court determines 4 that there are compelling reasons why such placement is 5 not necessary. In addition, the criminal original court 6 having jurisdiction over the defendant shall be required 7 to approve any conditional release or discharge of the 8 defendant, for the period of commitment equal to the 9 maximum sentence to which the defendant would have been 10 subject had the defendant he or she been convicted in the 11 underlying a criminal proceeding. The court shall 12 calculate the maximum period of civil commitment under 13 this subsection and no credits may be applied against such 14 term other than those considered and applied by the court. 15 During this period of commitment, the original court 16 having jurisdiction over the defendant shall hold hearings 17 under clause (i) of this paragraph (2). However, if the 18 defendant is remanded to the Department of Human Services, 19 the defendant shall be placed in a secure setting unless 20 the court determines that there are compelling reasons why 21 such placement is not necessary. 22 If the defendant does not have a current treatment 23 plan, then within 3 days of admission under this 24 subsection subdivision (g)(2), the defendant's treatment 25 supervisor shall submit a treatment plan to the court, the 26 State, and the defense shall be prepared for each SB2373 - 35 - LRB104 10122 RLC 20194 b SB2373- 36 -LRB104 10122 RLC 20194 b SB2373 - 36 - LRB104 10122 RLC 20194 b SB2373 - 36 - LRB104 10122 RLC 20194 b 1 defendant and entered into his or her record. The plan 2 shall include (i) an assessment of the defendant's 3 treatment needs, (ii) a description of the services 4 recommended for treatment, (iii) the goals of each type of 5 element of service, (iv) an anticipated timetable for the 6 accomplishment of the goals, and (v) a designation of the 7 qualified professional responsible for the implementation 8 of the plan. The plan shall be reviewed and updated as the 9 clinical condition warrants, but not less than every 30 10 days. 11 Every 90 days after the entry of an initial admission 12 order under this subsection subdivision (g)(2), the 13 defendant's treatment supervisor facility director shall 14 submit file a progress typed treatment plan report to the 15 court, the State, and the defense with the original court 16 having jurisdiction over the defendant. The report shall 17 include an opinion as to whether the defendant is: (i) fit 18 to stand trial, or (ii) if not, and whether the defendant 19 is currently subject to involuntary admission. If so, the 20 treatment supervisor shall also state whether the 21 defendant is , in need of mental health services on an 22 inpatient basis, or in need of mental health services on 23 an outpatient basis. The report shall also summarize the 24 basis for those findings and provide a current summary of 25 the 5 items required in a treatment plan. A copy of the 26 report shall be forwarded to the clerk of the circuit SB2373 - 36 - LRB104 10122 RLC 20194 b SB2373- 37 -LRB104 10122 RLC 20194 b SB2373 - 37 - LRB104 10122 RLC 20194 b SB2373 - 37 - LRB104 10122 RLC 20194 b 1 court to be filed in accordance with Section 104-19 with a 2 copy provided to the State and the defense, if the 3 defendant is represented by counsel. If the report states 4 that the defendant is fit to stand trial, the court shall 5 conduct a fitness hearing. If the defendant is found fit, 6 the court shall, within 48 hours, order the county sheriff 7 to return the defendant to the county jail to stand trial. 8 Upon request of the defendant's treatment supervisor, 9 the State, the defense, or on the court's court, the State's 10 Attorney, and the defendant's attorney if the defendant is 11 represented by counsel. The court on its own motion, it may 12 order a hearing to review the treatment plan. The defendant or 13 the State's Attorney may request a treatment plan review every 14 90 days and the court shall review the current treatment plan 15 to determine whether the plan complies with the requirements 16 of this Section. The court may also order an independent 17 examination of the defendant on its own initiative or at the 18 request of and shall order such an evaluation if either the 19 defense recipient or the State State's Attorney so requests 20 and has demonstrated to the court that the plan cannot be 21 effectively reviewed by the court without such an examination. 22 Under no circumstances shall the court be required to order an 23 independent examination pursuant to this Section. However, if 24 it does, it may not do so more than once each 12-month period 25 year. The examination shall be conducted by a psychiatrist or 26 clinical psychologist as defined in Section 1-103 of the SB2373 - 37 - LRB104 10122 RLC 20194 b SB2373- 38 -LRB104 10122 RLC 20194 b SB2373 - 38 - LRB104 10122 RLC 20194 b SB2373 - 38 - LRB104 10122 RLC 20194 b 1 Mental Health and Developmental Disabilities Code who is not 2 in the employ of the Department of Human Services. 3 If, during the period within which the defendant is 4 confined in a secure setting, the court enters an order 5 that requires the defendant to appear, the court shall 6 timely transmit a copy of the order or writ to the director 7 of the hospital, particular Department of Human Services 8 facility or program providing services to the defendant 9 where the defendant resides authorizing the transportation 10 of the defendant to the court for the purpose of the 11 hearing. 12 (i) 180 days after a defendant is remanded to the 13 Department of Human Services, under paragraph (2) of 14 subsection (g) paragraph (2), and every 180 days 15 thereafter for so long as the defendant is confined 16 under the order entered thereunder, the court shall 17 set a hearing and shall direct that notice of the time 18 and place of the hearing be served upon the defendant, 19 the facility director, the State's Attorney, and the 20 defendant's attorney. If requested by either the State 21 or the defense or if the court determines that it is 22 appropriate, an impartial examination of the defendant 23 by a psychiatrist or clinical psychologist as defined 24 in Section 1-103 of the Mental Health and 25 Developmental Disabilities Code who is not in the 26 employ of the Department of Human Services shall be SB2373 - 38 - LRB104 10122 RLC 20194 b SB2373- 39 -LRB104 10122 RLC 20194 b SB2373 - 39 - LRB104 10122 RLC 20194 b SB2373 - 39 - LRB104 10122 RLC 20194 b 1 ordered, and the report considered at the time of the 2 hearing. If the defendant is not currently represented 3 by counsel, the court shall appoint the public 4 defender to represent the defendant at the hearing. 5 The court shall make a finding as to whether the 6 defendant is: (A) subject to involuntary admission 7 and, if so, whether the defendant is ; or (B) in need of 8 mental health services in the form of inpatient care; 9 or (C) in need of mental health services on an 10 outpatient basis but not subject to involuntary 11 admission nor inpatient care. 12 The findings of the court shall be established by 13 clear and convincing evidence and the burden of proof 14 and the burden of going forward with the evidence 15 shall rest with the State State's Attorney. The court 16 Upon finding by the court, the court shall enter its 17 findings on and an appropriate order. 18 (ii) The terms "subject to involuntary admission", 19 "in need of mental health services in the form of 20 inpatient care" and "in need of mental health services 21 on an outpatient basis but not subject to involuntary 22 admission nor inpatient care" shall have the meanings 23 ascribed to them in clause (a-1) (d)(3) of Section 24 5-2-4 of the Unified Code of Corrections. 25 (3) If the defendant is not committed pursuant to this 26 Section, the defendant he or she shall be released. SB2373 - 39 - LRB104 10122 RLC 20194 b SB2373- 40 -LRB104 10122 RLC 20194 b SB2373 - 40 - LRB104 10122 RLC 20194 b SB2373 - 40 - LRB104 10122 RLC 20194 b 1 (4) In no event may the treatment period be extended 2 to exceed the maximum sentence to which a defendant would 3 have been subject had the defendant he or she been 4 convicted in the a criminal proceeding on the most serious 5 offense. For purposes of this Section, the maximum 6 sentence shall be determined by Section 5-8-1 (730 ILCS 7 5/5-8-1) or Article 4.5 of Chapter V of the "Unified Code 8 of Corrections", excluding any sentence of natural life. 9 (5) If the treatment supervisor reports the defendant 10 as fit, the court shall immediately, within 48 hours, 11 order the sheriff to return the defendant to the county 12 jail to stand trial, plead, or be sentenced. 13 (Source: P.A. 95-1052, eff. 7-1-09.) 14 (725 ILCS 5/104-26) (from Ch. 38, par. 104-26) 15 Sec. 104-26. Disposition of Defendants suffering 16 disabilities. 17 (a) A defendant convicted following a trial conducted 18 under the provisions of Section 104-22 shall not be sentenced 19 before a written presentence report of investigation is 20 presented to and considered by the court. The presentence 21 report shall be prepared pursuant to Sections 5-3-2, 5-3-3 and 22 5-3-4 of the Unified Code of Corrections, as now or hereafter 23 amended, and shall include a physical and mental examination 24 unless the court finds that the reports of prior physical and 25 mental examinations conducted pursuant to this Article are SB2373 - 40 - LRB104 10122 RLC 20194 b SB2373- 41 -LRB104 10122 RLC 20194 b SB2373 - 41 - LRB104 10122 RLC 20194 b SB2373 - 41 - LRB104 10122 RLC 20194 b 1 adequate and recent enough so that additional examinations 2 would be unnecessary. 3 (b) (Blank). 4 (c) A defendant convicted following a trial under Section 5 104-22 shall be sentenced according to the procedures and 6 dispositions authorized under the Unified Code of Corrections, 7 as now or hereafter amended, subject to the following 8 provisions: 9 (1) The court shall not impose a sentence of 10 imprisonment upon the offender if the court believes that 11 due to the presence of a because of his disability, a 12 sentence of imprisonment would not serve the ends of 13 justice and the interests of society and the offender or 14 that because of a his disability, a sentence of 15 imprisonment would subject the offender to excessive 16 hardship. In addition to any other conditions of a 17 sentence of conditional discharge or probation, the court 18 may require that the offender undergo treatment 19 appropriate for the defendant's to his mental or physical 20 condition. 21 (2) (Blank). After imposing a sentence of imprisonment 22 upon an offender who has a mental disability, the court 23 may remand him to the custody of the Department of Human 24 Services and order a hearing to be conducted pursuant to 25 the provisions of the Mental Health and Developmental 26 Disabilities Code, as now or hereafter amended. If the SB2373 - 41 - LRB104 10122 RLC 20194 b SB2373- 42 -LRB104 10122 RLC 20194 b SB2373 - 42 - LRB104 10122 RLC 20194 b SB2373 - 42 - LRB104 10122 RLC 20194 b 1 offender is committed following such hearing, he shall be 2 treated in the same manner as any other civilly committed 3 patient for all purposes except as provided in this 4 Section. If the defendant is not committed pursuant to 5 such hearing, he shall be remanded to the sentencing court 6 for disposition according to the sentence imposed. 7 (3) If the court imposes a sentence of imprisonment 8 upon an offender who has a mental disability but does not 9 proceed under subparagraph (2) of paragraph (c) of this 10 Section, it shall order the Department of Corrections to 11 proceed pursuant to Section 3-8-5 of the Unified Code of 12 Corrections, as now or hereafter amended. 13 (3.5) If the court imposes a sentence of imprisonment 14 upon an offender who has a mental disability, it the court 15 shall direct the clerk of the circuit court circuit court 16 clerk to immediately notify the Illinois State Police, 17 Firearm Owner's Identification (FOID) Office, in a form 18 and manner prescribed by the Illinois State Police and 19 shall forward a copy of the court order to the Department. 20 (4) If the court imposes a sentence of imprisonment 21 upon an offender who has a physical disability, it may 22 authorize the Department of Corrections to place the 23 offender in a public or private facility which is able to 24 provide care or treatment for the offender's disability 25 and which agrees to do so. 26 (5) When an offender is placed with the Department of SB2373 - 42 - LRB104 10122 RLC 20194 b SB2373- 43 -LRB104 10122 RLC 20194 b SB2373 - 43 - LRB104 10122 RLC 20194 b SB2373 - 43 - LRB104 10122 RLC 20194 b 1 Human Services or another facility pursuant to 2 subparagraph (2) or (4) of this paragraph (c), the public 3 or Department or private facility shall not discharge or 4 allow the offender to be at large in the community without 5 prior approval of the court. If the defendant is placed in 6 the custody of the Department of Human Services, the 7 defendant shall be placed in a secure setting unless the 8 court determines that there are compelling reasons why 9 such placement is not necessary. The offender shall accrue 10 all good time credits as determined by the court while in 11 the custody of the public or private facility and shall be 12 eligible for parole in the same manner as if the offender 13 he were serving the defendant's his sentence within the 14 Department of Corrections. If the sentence has not yet 15 expired when When the offender no longer requires 16 hospitalization, care, or treatment, the public or private 17 Department of Human Services or the facility shall 18 transfer the offender him, if his sentence has not 19 expired, to the Department of Corrections. If an offender 20 is transferred to the Department of Corrections, the 21 facility Department of Human Services shall transfer to 22 the Department of Corrections all related records 23 pertaining to length of custody and treatment services 24 provided during the time the offender was held. 25 (6) The Department of Corrections shall notify the 26 public or private Department of Human Services or a SB2373 - 43 - LRB104 10122 RLC 20194 b SB2373- 44 -LRB104 10122 RLC 20194 b SB2373 - 44 - LRB104 10122 RLC 20194 b SB2373 - 44 - LRB104 10122 RLC 20194 b 1 facility in which an offender has been placed pursuant to 2 subparagraph (2) or (4) of paragraph (c) of this Section 3 of the expiration of the his sentence. Thereafter, an 4 offender so placed in the Department of Human Services 5 shall continue to be treated pursuant to the defendant's 6 his commitment order and shall be considered a civilly 7 committed patient for all purposes including discharge. An 8 offender who is in a facility pursuant to subparagraph (4) 9 of paragraph (c) of this Section shall be informed by the 10 facility of the expiration of the defendant's his 11 sentence, and shall either consent to the continuation of 12 the defendant's his care or treatment by the facility, or 13 shall be discharged. 14 (Source: P.A. 102-538, eff. 8-20-21; 103-51, eff. 1-1-24.) 15 (725 ILCS 5/104-27 rep.) 16 (725 ILCS 5/104-28 rep.) 17 Section 10. The Code of Criminal Procedure of 1963 is 18 amended by repealing Sections 104-27 and 104-28. SB2373- 45 -LRB104 10122 RLC 20194 b 1 INDEX 2 Statutes amended in order of appearance SB2373- 45 -LRB104 10122 RLC 20194 b SB2373 - 45 - LRB104 10122 RLC 20194 b 1 INDEX 2 Statutes amended in order of appearance SB2373- 45 -LRB104 10122 RLC 20194 b SB2373 - 45 - LRB104 10122 RLC 20194 b SB2373 - 45 - LRB104 10122 RLC 20194 b 1 INDEX 2 Statutes amended in order of appearance SB2373 - 44 - LRB104 10122 RLC 20194 b SB2373- 45 -LRB104 10122 RLC 20194 b SB2373 - 45 - LRB104 10122 RLC 20194 b SB2373 - 45 - LRB104 10122 RLC 20194 b 1 INDEX 2 Statutes amended in order of appearance SB2373 - 45 - LRB104 10122 RLC 20194 b