Kansas 2025-2026 Regular Session

Kansas Senate Bill SB243 Compare Versions

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11 Session of 2025
22 SENATE BILL No. 243
33 By Committee on Judiciary
44 2-6
55 AN ACT concerning criminal procedure; relating to competency to stand
66 trial; requiring the court to make certain findings in treatment orders;
77 requiring outpatient examination and evaluation in certain
88 circumstances; amending K.S.A. 22-3302 and 22-3303 and repealing
99 the existing sections.
1010 Be it enacted by the Legislature of the State of Kansas:
1111 Section 1. K.S.A. 22-3302 is hereby amended to read as follows: 22-
1212 3302. (a) At any time after the defendant has been charged with a crime
1313 and before pronouncement of sentence, the defendant, the defendant's
1414 counsel or the prosecuting attorney may request a determination of the
1515 defendant's competency to stand trial. If, upon the request of either party
1616 or upon the judge's own knowledge and observation, the judge before
1717 whom the case is pending finds that there is reason to believe that the
1818 defendant is incompetent to stand trial, the proceedings shall be suspended
1919 and a hearing conducted to determine the competency of the defendant.
2020 (b) (1) If a defendant is charged with a misdemeanor, the court shall
2121 order the examination and evaluation of a defendant's competency to
2222 stand trial on an outpatient basis in an appropriate state, county or
2323 private institution or facility. 
2424 (2) If the defendant is charged with a felony,:
2525 (A) The hearing to determine the competency of the defendant shall
2626 be conducted by a district judge; and
2727 (B) the court may order the examination and evaluation of a
2828 defendant's competency to stand trial on an outpatient basis in an
2929 appropriate state, county or private institution and shall not order
3030 inpatient examination and evaluation services at a state hospital or the
3131 state security hospital to determine competency unless the court holds a
3232 hearing and issues an order stating:
3333 (i) The facts upon which the court determined outpatient competency,
3434 examination and evaluation services cannot be conducted in an
3535 appropriate state, county or private institution or facility;
3636 (ii) the potential length of incarceration the defendant could be
3737 sentenced to serve for each offense;
3838 (iii) the anticipated length of time for completion of inpatient
3939 examination and evaluation services;
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7676 (iv) whether the defendant is charged with an off-grid or nondrug
7777 severity level 1 through 3 felony or a violation of K.S.A. 21-3504, 21-3511,
7878 21-3518, 21-3603 or 21-3719, prior to their repeal, or K.S.A 21-5505(b),
7979 21-5506(b), 21-5508(b), 21-5604(b) or 21-5812(b), and amendments
8080 thereto; and
8181 (v) the conditions that would require a defendant who is currently on
8282 bond to be committed for inpatient examination and evaluation, if
8383 applicable.
8484 (3) The court shall provide a copy of each order for:
8585 (A) Outpatient competency examination and evaluation to be
8686 conducted in an appropriate state, county or private institution or facility
8787 to the secretary for aging and disability services or the secretary's
8888 designee; and
8989 (B) inpatient competency examination and evaluation to be
9090 conducted at the state security hospital or its agent to the state security
9191 hopsital.
9292 (c) (1) Subject to subsection (b), the court shall determine the issue of
9393 competency and may impanel a jury of six persons to assist in making the
9494 determination. The court may order a psychiatric or psychological
9595 examination of the defendant. To facilitate the examination, the court may:
9696 (A) Order that an evaluation be completed by an appropriate state,
9797 county or private institution or facility to be conducted in person or by use
9898 of available electronic means while the defendant is in jail, at any secure
9999 location or on pretrial release;
100100 (B) designate an appropriate state, county or private institution or
101101 facility to conduct the examination while the defendant is in jail, at any
102102 secure location or on pretrial release; or
103103 (C) appoint a licensed physician who is qualified through training or
104104 experience or a licensed psychologist to examine the defendant and report
105105 to the court.
106106 (2) If the court orders the defendant committed to an institution or
107107 facility for the an inpatient examination, the commitment shall be for a
108108 period not to exceed 60 days from the date of admission or until the
109109 examination is completed, whichever is the shorter period of time. No
110110 statement made by the defendant in the course of any examination
111111 provided for by this section, whether or not the defendant consents to the
112112 examination, shall be admitted in evidence against the defendant in any
113113 criminal proceeding.
114114 (3) Before the expiration of the 60-day evaluation period, the
115115 professional approved by the court to examine the defendant or, if the
116116 defendant is committed for inpatient examination, the chief medical officer
117117 or head of the appropriate institution or facility shall certify to the court
118118 whether the defendant is competent to stand trial.
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162162 (4) Upon notification of the court that a defendant committed for
163163 inpatient psychiatric or psychological examination under this subsection
164164 has been found competent to stand trial, the court shall order that the
165165 defendant be returned no later than seven days after receipt of the notice
166166 for proceedings under this section. If the defendant is not returned within
167167 that time, the county where the proceedings will be held shall pay the costs
168168 of maintaining the defendant at the institution or facility for the period of
169169 time the defendant remains at the institution or facility in excess of the
170170 seven-day period.
171171 (d) No statement made by the defendant in the course of any
172172 examination provided for by this section, whether or not the defendant
173173 consents to the examination, shall be admitted in evidence against the
174174 defendant in any criminal proceeding.
175175 (e) If the defendant is found to be competent, the proceedings that
176176 have been suspended shall be resumed. If the proceedings were suspended
177177 before or during the preliminary examination, the judge who conducted the
178178 competency hearing may conduct a preliminary examination or, if a
179179 district magistrate judge was conducting the proceedings prior to the
180180 competency hearing, the judge who conducted the competency hearing
181181 may order the preliminary examination to be heard by a district magistrate
182182 judge.
183183 (e)(f) If the defendant is found to be incompetent to stand trial, the
184184 court shall proceed in accordance with K.S.A. 22-3303, and amendments
185185 thereto.
186186 (f)(g) If proceedings are suspended and a hearing to determine the
187187 defendant's competency is ordered after the defendant is in jeopardy, the
188188 court may either order a recess or declare a mistrial.
189189 (g)(h) The defendant shall be present personally at all proceedings
190190 under this section.
191191 Sec. 2. K.S.A. 22-3303 is hereby amended to read as follows: 22-
192192 3303. (a) (1) A defendant who is charged with a crime and is found to be
193193 incompetent to stand trial shall be ordered for evaluation and treatment,
194194 conducted on an outpatient or inpatient basis, by an appropriate state,
195195 county or private institution or facility. Evaluation or restorative treatment
196196 of a defendant shall not be conducted in a jail unless the administrative
197197 head or law enforcement official in charge of the jail agrees to such
198198 evaluation or restorative treatment being conducted in such jail.
199199 (2) An evaluation and treatment may be ordered to be conducted on
200200 an outpatient basis in person or by use of available electronic means while
201201 the defendant is in jail, at any secure location, on pretrial release or in any
202202 other appropriate setting.
203203 (3) For a defendant charged with a misdemeanor offense, outpatient
204204 evaluation and treatment may shall be ordered to be conducted by an
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248248 appropriate state, county or private institution or facility unless:
249249 (A) The defendant is held in jail and the official in charge of the jail
250250 has determined that the jail does not have the necessary resources to
251251 accommodate the evaluation and treatment of the defendant by an
252252 appropriate provider in the jail setting; or
253253 (B) the court holds a hearing and makes a finding that inpatient
254254 evaluation and treatment is necessary after considering:
255255 (i) The facts upon which the court determined inpatient evaluation
256256 and treatment is necessary;
257257 (ii) the potential length of incarceration the defendant could be
258258 sentenced to serve for each offense;
259259 (iii) the anticipated length of time for completion of inpatient
260260 examination and evaluation services; and
261261 (iv) the conditions that would require a defendant who is currently on
262262 bond to be committed for inpatient examination and evaluation, if
263263 applicable.
264264 (4) For a defendant charged with a felony offense,:
265265 (A) Outpatient evaluation and treatment may be ordered to be
266266 conducted by an appropriate state, county or private institution or facility.;
267267 (5)(B) For a defendant charged with a felony offense, a commitment
268268 to the state security hospital or its agent or a state hospital or its agent may
269269 by conducted on a an inpatient basis or, if the defendant meets the
270270 screening criteria established by the state security hospital, on an
271271 outpatient basis; or
272272 (C) a commitment to the state security hospital or its agent or a state
273273 hospital or its agent for inpatient competency evaluation and treatment
274274 may only be ordered after the court holds a hearing and issues an order
275275 stating:
276276 (i) The facts upon which the court determined that outpatient
277277 competency evaluation and treatment services ordered by an appropriate
278278 state, county or private institution or facility are not appropriate as a first
279279 option for the defendant with commitment for inpatient competency
280280 evaluation and treatment services at the state security hospital or its agent
281281 or the state hospital or its agency being ordered as an alternative if
282282 outpatient services are terminated pursuant to subsection (d);
283283 (ii) the potential length of incarceration the defendant could be
284284 sentenced to serve for each offense;
285285 (iii) the anticipated length of time for completion of inpatient
286286 examination and evaluation services;
287287 (iv) whether the defendant is charged with an off-grid or nondrug
288288 severity level 1 through 3 felony or a violation of K.S.A. 21-3504, 21-3511,
289289 21-3518, 21-3603 or 21-3719, prior to their repeal, or K.S.A 21-5505(b),
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334334 thereto; and
335335 (v) the conditions that would require a defendant who is currently on
336336 bond to be committed for inpatient examination and evaluation, if
337337 applicable.
338338 (6)(5) At the commencement of outpatient treatment at an
339339 appropriate state, county or private institution or facility that is not a jail
340340 or other secure setting, the institution or facility conducting the treatment
341341 shall notify the prosecuting attorney in the county where the criminal
342342 proceeding is pending for the purpose of providing victim notification. If
343343 notification was provided to the victim at the time the defendant was
344344 released on bond and no change in the defendant's bond status or address
345345 occurred, no additional victim notification is required when outpatient
346346 competency evaluation and treatment is commenced.
347347 (6) The court shall provide a copy of each order for:
348348 (A) Outpatient competency examination and evaluation to be
349349 conducted in an appropriate state, county or private institution or facility
350350 to the secretary for aging and disability services or the secretary's
351351 designee; and
352352 (B) inpatient competency examination and evaluation to be
353353 conducted at the state security hospital or its agent to the state security
354354 hospital.
355355 (b) (1) Except as provided in subsection (d), if the defendant is
356356 ordered to receive an evaluation and treatment on an outpatient basis
357357 conducted by an appropriate state, county or private institution or facility,
358358 the chief medical officer of such institution or head of such facility shall
359359 certify to the court, within 90 days after the commencement of outpatient
360360 treatment, whether the defendant has a substantial probability of attaining
361361 competency to stand trial in the foreseeable future. The court shall set a
362362 hearing within 21 days after certification unless exceptional circumstances
363363 warrant delay, for the purpose of determining competency.
364364 (2) If such probability does exist, the court shall order the defendant
365365 to remain in jail or at a secure location, on pretrial release pursuant to
366366 K.S.A. 22-2802, and amendments thereto, or at an appropriate setting until
367367 the defendant attains competency to stand trial or for a period of six
368368 months from the date of the commencement of outpatient treatment,
369369 whichever occurs first. If such probability does not exist, the court shall
370370 order the prosecuting attorney where the charges are filed to commence
371371 involuntary commitment proceedings pursuant to article 29 of chapter 59
372372 of the Kansas Statutes Annotated, and amendments thereto, within 21 days
373373 of receipt of the certification from the chief medical officer of the
374374 institution or head of the facility unless exceptional circumstances warrant
375375 delay. When a defendant is charged with any off-grid felony, any nondrug
376376 severity level 1 through 3 felony, or a violation of K.S.A. 21-3504, 21-
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421421 5505(b), 21-5506(b), 21-5508(b), 21-5604(b) or 21-5812(b), and
422422 amendments thereto, and commitment proceedings have commenced, for
423423 such proceeding, "mentally ill person subject to involuntary commitment
424424 for care and treatment" means a mentally ill person, as defined in K.S.A.
425425 59-2946(e), and amendments thereto, who is likely to cause harm to self or
426426 others, as defined in K.S.A. 59-2946(f)(3), and amendments thereto. The
427427 other provisions of K.S.A. 59-2946(f), and amendments thereto, shall not
428428 apply.
429429 (3) If a defendant who was found to have had a substantial
430430 probability of attaining competency to stand trial, as provided in paragraph
431431 (2), has not attained competency to stand trial within six months from the
432432 date of the original commitment, the court shall order the prosecuting
433433 attorney where the charges are filed or the secretary for aging and
434434 disability services to commence involuntary commitment proceedings
435435 pursuant to article 29 of chapter 59 of the Kansas Statutes Annotated, and
436436 amendments thereto, within 21 days of receipt of the certification from the
437437 chief medical officer of the institution or the head of the facility unless
438438 exceptional circumstances warrant delay. When a defendant is charged
439439 with any off-grid felony, any nondrug severity level 1 through 3 felony, or
440440 a violation of K.S.A. 21-3504, 21-3511, 21-3518, 21-3603 or 21-3719,
441441 prior to their repeal, K.S.A. 21-5505(b), 21-5506(b), 21-5508(b), 21-
442442 5604(b) or 21-5812(b), and amendments thereto, and commitment
443443 proceedings have commenced, for such proceeding, "mentally ill person
444444 subject to involuntary commitment for care and treatment" means a
445445 mentally ill person, as defined in K.S.A. 59-2946(e), and amendments
446446 thereto, who is likely to cause harm to self or others, as defined in K.S.A.
447447 59-2946(f)(3), and amendments thereto. The other provisions of K.S.A.
448448 59-2946(f), and amendments thereto, shall not apply.
449449 (4) When reasonable grounds exist to believe that a defendant who
450450 has been adjudged incompetent to stand trial is competent, the court in
451451 which the criminal case is pending shall conduct a hearing in accordance
452452 with K.S.A. 22-3302, and amendments thereto, to determine the person's
453453 present mental condition. Such court shall give reasonable notice of such
454454 hearings to the prosecuting attorney, the defendant and the defendant's
455455 attorney of record, if any. The prosecuting attorney shall provide victim
456456 notification. If the court, following such hearing, finds the defendant to be
457457 competent, the proceedings pending against the defendant shall be
458458 resumed.
459459 (5) A defendant committed to a public institution or facility under the
460460 provisions of this section who is thereafter sentenced for the crime charged
461461 at the time of commitment shall be credited with all of the time during
462462 which the defendant was committed and confined in such public institution
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506506 or facility.
507507 (c) (1) Except as provided in subsection (d), if a defendant is ordered
508508 or met criteria to receive an evaluation and treatment on an outpatient
509509 basis conducted by the state security hospital or its agent or a state hospital
510510 or its agent, the chief medical officer shall certify to the court, within 90
511511 days after commencement of treatment, whether the defendant has a
512512 substantial probability of attaining competency to stand trial in the
513513 foreseeable future.
514514 (2) If such probability does exist, the court shall order the defendant
515515 to remain in jail or at a secure location, on pretrial release pursuant to
516516 K.S.A. 22-2802, and amendments thereto, or at an appropriate setting until
517517 the defendant attains competency to stand trial or for a period of six
518518 months from the date of the commencement of outpatient treatment,
519519 whichever occurs first. If such probability does not exist, the court shall
520520 order the prosecuting attorney where the charges are filed or the secretary
521521 for aging and disability services to commence involuntary commitment
522522 proceedings pursuant to article 29 of chapter 59 of the Kansas Statutes
523523 Annotated, and amendments thereto, within 21 days of receipt of the
524524 certification from the chief medical officer of the institution or the head of
525525 the facility unless exceptional circumstances warrant delay. When a
526526 defendant is charged with any off-grid felony, any nondrug severity level 1
527527 through 3 felony or a violation of K.S.A. 21-3504, 21-3511, 21-3518, 21-
528528 3603 or 21-3719, prior to their repeal, or K.S.A. 21-5505(b), 21-5506(b),
529529 21-5508(b), 21-5604(b) or 21-5812(b), and amendments thereto, and
530530 commitment proceedings have commenced, for such proceeding,
531531 "mentally ill person subject to involuntary commitment for care and
532532 treatment" means a mentally ill person, as defined in K.S.A. 59-2946(e),
533533 and amendments thereto, who is likely to cause harm to self or others, as
534534 defined in K.S.A. 59-2946(f)(3), and amendments thereto. The other
535535 provisions of K.S.A. 59-2946(f), and amendments thereto, shall not apply.
536536 (3) If a defendant who was found to have had a substantial
537537 probability of attaining competency to stand trial, as provided in paragraph
538538 (2), has not attained competency to stand trial within six months from the
539539 date of the original commitment, the court shall order the prosecuting
540540 attorney where the charges are filed or the secretary for aging and
541541 disability services to commence involuntary commitment proceedings
542542 pursuant to article 29 of chapter 59 of the Kansas Statutes Annotated, and
543543 amendments thereto, within 21 days of receipt of the certification from the
544544 chief medical officer of the institution or the head of the facility unless
545545 exceptional circumstances warrant delay. When a defendant is charged
546546 with any off-grid felony, any nondrug severity level 1 through 3 felony or
547547 a violation of K.S.A. 21-3504, 21-3511, 21-3518, 21-3603 or 21-3719,
548548 prior to their repeal, or K.S.A. 21-5505(b), 21-5506(b), 21-5508(b), 21-
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592592 5604(b) or 21-5812(b), and amendments thereto, and commitment
593593 proceedings have commenced, for such proceeding, "mentally ill person
594594 subject to involuntary commitment for care and treatment" means a
595595 mentally ill person, as defined in K.S.A. 59-2946(e), and amendments
596596 thereto, who is likely to cause harm to self or others, as defined in K.S.A.
597597 59-2946(f)(3), and amendments thereto. The other provisions of K.S.A.
598598 59-2946(f), and amendments thereto, shall not apply.
599599 (4) When reasonable grounds exist to believe that a defendant who
600600 has been adjudged incompetent to stand trial is competent, the court in
601601 which the criminal case is pending shall conduct a hearing in accordance
602602 with K.S.A. 22-3302, and amendments thereto, to determine the person's
603603 present mental condition. Such court shall give reasonable notice of such
604604 hearings to the prosecuting attorney, the defendant and the defendant's
605605 attorney of record, if any. The prosecuting attorney shall provide victim
606606 notification. If the court, following such hearing, finds the defendant to be
607607 competent, the proceedings pending against the defendant shall be
608608 resumed.
609609 (5) A defendant committed to a public institution or facility under the
610610 provisions of this section who is thereafter sentenced for the crime charged
611611 at the time of commitment shall be credited with all of the time during
612612 which the defendant was committed and confined in such public institution
613613 or facility.
614614 (d) (1) If the defendant is ordered or met criteria to receive an
615615 evaluation and treatment on an outpatient basis and the chief medical
616616 officer of the appropriate state, county or private institution or facility
617617 determines that the defendant's mental health condition or behaviors
618618 warrant terminating outpatient treatment services and commencing
619619 evaluation and treatment on an inpatient basis, the chief medical officer of
620620 the institution or the head of the facility shall provide a report to the court
621621 within 10 days after outpatient treatment services are terminated. Such
622622 report shall certify the date that outpatient treatment was terminated and
623623 the reason inpatient evaluation and treatment services are recommended. A
624624 copy of such report shall be provided to the chief medical officer of the
625625 state security hospital. Upon receipt of such report, the court shall issue
626626 any orders or warrants required to facilitate the sheriff of the county where
627627 the charges are filed to take the defendant into custody and transport such
628628 defendant to the state security hospital or its agent or a state hospital or its
629629 agent for admission for inpatient services. The chief medical officer shall
630630 submit a report pursuant to subsection (e) as to whether the defendant has
631631 attained competency within 90 days of the defendant's admission to such
632632 hospital for inpatient evaluation and treatment.
633633 (2) The court, prosecuting attorney where criminal charges are
634634 pending, the defense counsel for a defendant charged with a felony offense
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678678 who is receiving outpatient evaluation and treatment services and the chief
679679 medical officer of any institution or the head of any facility where the
680680 defendant is receiving outpatient services shall provide requested
681681 documentation to the state security hospital or its agent or the state
682682 hospital or its agent for the purpose of managing inpatient admission.
683683 (e) (1) If the defendant is charged with a felony offense, the court
684684 may order a defendant to receive inpatient evaluation and treatment at an
685685 appropriate state, county or private institution or facility after considering
686686 the defendant's mental condition, behaviors and the availability of
687687 outpatient evaluation and treatment options. The chief medical officer of
688688 the institution or the head of the facility shall certify to the court, within 90
689689 days after the commencement of inpatient treatment, whether the
690690 defendant has a substantial probability of attaining competency to stand
691691 trial in the foreseeable future.
692692 (2) If such probability does exist, the court shall order the defendant
693693 to remain in jail or at a secure location, on pretrial release pursuant to
694694 K.S.A. 22-2802, and amendments thereto, or at an appropriate setting until
695695 the defendant attains competency to stand trial or for a period of six
696696 months from the date of the commencement of inpatient treatment,
697697 whichever occurs first. If such probability does not exist, the court shall
698698 order the prosecuting attorney where the charges are filed or the secretary
699699 for aging and disability services to commence involuntary commitment
700700 proceedings pursuant to article 29 of chapter 59 of the Kansas Statutes
701701 Annotated, and amendments thereto, within 21 days of receipt of the
702702 certification from the chief medical officer of the institution or the head of
703703 the facility unless exceptional circumstances warrant delay. When a
704704 defendant is charged with any off-grid felony, any nondrug severity level 1
705705 through 3 felony or a violation of K.S.A. 21-3504, 21-3511, 21-3518, 21-
706706 3603 or 21-3719, prior to their repeal, or K.S.A. 21-5505(b), 21-5506(b),
707707 21-5508(b), 21-5604(b) or 21-5812(b), and amendments thereto, and
708708 commitment proceedings have commenced, for such proceeding,
709709 "mentally ill person subject to involuntary commitment for care and
710710 treatment" means a mentally ill person, as defined in K.S.A. 59-2946(e),
711711 and amendments thereto, who is likely to cause harm to self or others, as
712712 defined in K.S.A. 59-2946(f)(3), and amendments thereto. The other
713713 provisions of K.S.A. 59-2946(f), and amendments thereto, shall not apply.
714714 (3) If a defendant who was found to have had a substantial
715715 probability of attaining competency to stand trial, as provided in paragraph
716716 (2), has not attained competency to stand trial within six months from the
717717 date of the original commitment, the court shall order the prosecuting
718718 attorney where the charges are filed or the secretary for aging and
719719 disability services to commence involuntary commitment proceedings
720720 pursuant to article 29 of chapter 59 of the Kansas Statutes Annotated, and
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764764 amendments thereto, within 21 days of receipt of the certification from the
765765 chief medical officer of the institution or the head of the facility unless
766766 exceptional circumstances warrant delay. When a defendant is charged
767767 with any off-grid felony, any nondrug severity level 1 through 3 felony or
768768 a violation of K.S.A. 21-3504, 21-3511, 21-3518, 21-3603 or 21-3719,
769769 prior to their repeal, or K.S.A. 21-5505(b), 21-5506(b), 21-5508(b), 21-
770770 5604(b) or 21-5812(b), and amendments thereto, and commitment
771771 proceedings have commenced, for such proceeding, "mentally ill person
772772 subject to involuntary commitment for care and treatment" means a
773773 mentally ill person, as defined in K.S.A. 59-2946(e), and amendments
774774 thereto, who is likely to cause harm to self or others, as defined in K.S.A.
775775 59-2946(f)(3), and amendments thereto. The other provisions of K.S.A.
776776 59-2946(f), and amendments thereto, shall not apply.
777777 (4) When reasonable grounds exist to believe that a defendant who
778778 has been adjudged incompetent to stand trial is competent, the court in
779779 which the criminal case is pending shall conduct a hearing in accordance
780780 with K.S.A. 22-3302, and amendments thereto, to determine the person's
781781 present mental condition. Such court shall give reasonable notice of such
782782 hearings to the prosecuting attorney, the defendant and the defendant's
783783 attorney of record, if any. The prosecuting attorney shall provide victim
784784 notification. If the court, following such hearing, finds the defendant to be
785785 competent, the proceedings pending against the defendant shall be
786786 resumed.
787787 (5) A defendant committed to a public institution or facility under the
788788 provisions of this section who is thereafter sentenced for the crime charged
789789 at the time of commitment shall be credited with all of the time during
790790 which the defendant was committed and confined in such public institution
791791 or facility.
792792 (f) (1) Notwithstanding the provisions of K.S.A. 59-29a22, and
793793 amendments thereto, psychotropic medications may be prescribed for any
794794 defendant who is ordered or has met the criteria to receive evaluation and
795795 treatment on an inpatient or outpatient basis at an appropriate state, county
796796 or private institution or facility.
797797 (2) Psychotropic medications shall be prescribed, ordered and
798798 administered in conformity with accepted clinical practice. Psychotropic
799799 medication shall be administered only upon the written order of a
800800 physician or upon a verbal order noted in the defendant's medical records
801801 and subsequently signed by the physician. The attending physician shall
802802 regularly review the drug regimen of each defendant under such
803803 physician's care and shall monitor any symptoms of harmful side effects.
804804 (3) Whenever any defendant is receiving psychotropic medications
805805 that alter the defendant's mental state in such a way as to adversely affect
806806 the defendant's judgment or hamper the defendant in preparing for or
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850850 participating in any hearing provided for by this section, for two days prior
851851 to and during any such hearing, the treatment institution or facility shall
852852 not administer such medication or treatment unless such medication or
853853 treatment is necessary to sustain the defendant's life or to protect the
854854 defendant or others. Prior to the hearing, a report of all psychotropic
855855 medications or other treatment that has been administered to the defendant
856856 and a copy of any written consent signed by the defendant shall be
857857 submitted to the court. Counsel for the defendant may preliminarily
858858 examine the attending physician regarding the administration of any
859859 medication to the defendant within two days of the hearing and the effect
860860 that medication may have had on the defendant's judgment or ability to
861861 prepare for or participate in the hearing. If the court determines that
862862 medication or other treatment has been administered that adversely affects
863863 the defendant's judgment or ability to prepare for or participate in the
864864 hearing, the court may grant the defendant a reasonable continuance to
865865 allow for the defendant to be better able to prepare for or participate in the
866866 hearing. The court shall order that such medication or other treatment be
867867 discontinued until the conclusion of the hearing unless the court finds that
868868 such medication or other treatment is necessary to sustain the defendant's
869869 life or to protect the defendant or others. If the court makes such a finding,
870870 the court shall order the hearing to proceed.
871871 (4) If a defendant who is charged with a felony is receiving treatment
872872 pursuant to this section and is not deemed a present danger to self or others
873873 objects to taking any medication prescribed for the purpose of restoring the
874874 defendant to competency, the defendant's objection shall be recorded in the
875875 defendant's medical record and written notice of such objection shall be
876876 forwarded to the medical director of the treatment institution or facility or
877877 the director's designee and to the court where the criminal charges are
878878 pending. The medication may be administered over the defendant's
879879 objection only if the court finds that:
880880 (A) The medication is substantially unlikely to have side effects that
881881 may undermine the fairness of the trial;
882882 (B) the medication is medically appropriate;
883883 (C) less intrusive alternatives have been considered;
884884 (D) the medication is necessary to advance significantly important
885885 governmental trial interests; and
886886 (E) the administrative head or law enforcement official in charge of
887887 the jail has agreed to having the medication administered over the
888888 defendant's objection in the jail.
889889 (5) No experimental medication shall be administered without the
890890 consent of the defendant or such defendant's legal guardian.
891891 Sec. 3. K.S.A. 22-3302 and 22-3303 are hereby repealed.
892892 Sec. 4. This act shall take effect and be in force from and after its
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936936 publication in the statute book.1