1 | 1 | | Session of 2025 |
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2 | 2 | | SENATE BILL No. 243 |
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3 | 3 | | By Committee on Judiciary |
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4 | 4 | | 2-6 |
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5 | 5 | | AN ACT concerning criminal procedure; relating to competency to stand |
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6 | 6 | | trial; requiring the court to make certain findings in treatment orders; |
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7 | 7 | | requiring outpatient examination and evaluation in certain |
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8 | 8 | | circumstances; amending K.S.A. 22-3302 and 22-3303 and repealing |
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9 | 9 | | the existing sections. |
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10 | 10 | | Be it enacted by the Legislature of the State of Kansas: |
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11 | 11 | | Section 1. K.S.A. 22-3302 is hereby amended to read as follows: 22- |
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12 | 12 | | 3302. (a) At any time after the defendant has been charged with a crime |
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13 | 13 | | and before pronouncement of sentence, the defendant, the defendant's |
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14 | 14 | | counsel or the prosecuting attorney may request a determination of the |
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15 | 15 | | defendant's competency to stand trial. If, upon the request of either party |
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16 | 16 | | or upon the judge's own knowledge and observation, the judge before |
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17 | 17 | | whom the case is pending finds that there is reason to believe that the |
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18 | 18 | | defendant is incompetent to stand trial, the proceedings shall be suspended |
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19 | 19 | | and a hearing conducted to determine the competency of the defendant. |
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20 | 20 | | (b) (1) If a defendant is charged with a misdemeanor, the court shall |
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21 | 21 | | order the examination and evaluation of a defendant's competency to |
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22 | 22 | | stand trial on an outpatient basis in an appropriate state, county or |
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23 | 23 | | private institution or facility. |
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24 | 24 | | (2) If the defendant is charged with a felony,: |
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25 | 25 | | (A) The hearing to determine the competency of the defendant shall |
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26 | 26 | | be conducted by a district judge; and |
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27 | 27 | | (B) the court may order the examination and evaluation of a |
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28 | 28 | | defendant's competency to stand trial on an outpatient basis in an |
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29 | 29 | | appropriate state, county or private institution and shall not order |
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30 | 30 | | inpatient examination and evaluation services at a state hospital or the |
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31 | 31 | | state security hospital to determine competency unless the court holds a |
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32 | 32 | | hearing and issues an order stating: |
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33 | 33 | | (i) The facts upon which the court determined outpatient competency, |
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34 | 34 | | examination and evaluation services cannot be conducted in an |
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35 | 35 | | appropriate state, county or private institution or facility; |
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36 | 36 | | (ii) the potential length of incarceration the defendant could be |
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37 | 37 | | sentenced to serve for each offense; |
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38 | 38 | | (iii) the anticipated length of time for completion of inpatient |
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39 | 39 | | examination and evaluation services; |
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75 | 75 | | 36 SB 243 2 |
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76 | 76 | | (iv) whether the defendant is charged with an off-grid or nondrug |
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77 | 77 | | severity level 1 through 3 felony or a violation of K.S.A. 21-3504, 21-3511, |
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78 | 78 | | 21-3518, 21-3603 or 21-3719, prior to their repeal, or K.S.A 21-5505(b), |
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79 | 79 | | 21-5506(b), 21-5508(b), 21-5604(b) or 21-5812(b), and amendments |
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80 | 80 | | thereto; and |
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81 | 81 | | (v) the conditions that would require a defendant who is currently on |
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82 | 82 | | bond to be committed for inpatient examination and evaluation, if |
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83 | 83 | | applicable. |
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84 | 84 | | (3) The court shall provide a copy of each order for: |
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85 | 85 | | (A) Outpatient competency examination and evaluation to be |
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86 | 86 | | conducted in an appropriate state, county or private institution or facility |
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87 | 87 | | to the secretary for aging and disability services or the secretary's |
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88 | 88 | | designee; and |
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89 | 89 | | (B) inpatient competency examination and evaluation to be |
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90 | 90 | | conducted at the state security hospital or its agent to the state security |
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91 | 91 | | hopsital. |
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92 | 92 | | (c) (1) Subject to subsection (b), the court shall determine the issue of |
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93 | 93 | | competency and may impanel a jury of six persons to assist in making the |
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94 | 94 | | determination. The court may order a psychiatric or psychological |
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95 | 95 | | examination of the defendant. To facilitate the examination, the court may: |
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96 | 96 | | (A) Order that an evaluation be completed by an appropriate state, |
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97 | 97 | | county or private institution or facility to be conducted in person or by use |
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98 | 98 | | of available electronic means while the defendant is in jail, at any secure |
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99 | 99 | | location or on pretrial release; |
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100 | 100 | | (B) designate an appropriate state, county or private institution or |
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101 | 101 | | facility to conduct the examination while the defendant is in jail, at any |
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102 | 102 | | secure location or on pretrial release; or |
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103 | 103 | | (C) appoint a licensed physician who is qualified through training or |
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104 | 104 | | experience or a licensed psychologist to examine the defendant and report |
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105 | 105 | | to the court. |
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106 | 106 | | (2) If the court orders the defendant committed to an institution or |
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107 | 107 | | facility for the an inpatient examination, the commitment shall be for a |
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108 | 108 | | period not to exceed 60 days from the date of admission or until the |
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109 | 109 | | examination is completed, whichever is the shorter period of time. No |
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110 | 110 | | statement made by the defendant in the course of any examination |
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111 | 111 | | provided for by this section, whether or not the defendant consents to the |
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112 | 112 | | examination, shall be admitted in evidence against the defendant in any |
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113 | 113 | | criminal proceeding. |
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114 | 114 | | (3) Before the expiration of the 60-day evaluation period, the |
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115 | 115 | | professional approved by the court to examine the defendant or, if the |
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116 | 116 | | defendant is committed for inpatient examination, the chief medical officer |
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117 | 117 | | or head of the appropriate institution or facility shall certify to the court |
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118 | 118 | | whether the defendant is competent to stand trial. |
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161 | 161 | | 43 SB 243 3 |
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162 | 162 | | (4) Upon notification of the court that a defendant committed for |
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163 | 163 | | inpatient psychiatric or psychological examination under this subsection |
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164 | 164 | | has been found competent to stand trial, the court shall order that the |
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165 | 165 | | defendant be returned no later than seven days after receipt of the notice |
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166 | 166 | | for proceedings under this section. If the defendant is not returned within |
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167 | 167 | | that time, the county where the proceedings will be held shall pay the costs |
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168 | 168 | | of maintaining the defendant at the institution or facility for the period of |
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169 | 169 | | time the defendant remains at the institution or facility in excess of the |
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170 | 170 | | seven-day period. |
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171 | 171 | | (d) No statement made by the defendant in the course of any |
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172 | 172 | | examination provided for by this section, whether or not the defendant |
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173 | 173 | | consents to the examination, shall be admitted in evidence against the |
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174 | 174 | | defendant in any criminal proceeding. |
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175 | 175 | | (e) If the defendant is found to be competent, the proceedings that |
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176 | 176 | | have been suspended shall be resumed. If the proceedings were suspended |
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177 | 177 | | before or during the preliminary examination, the judge who conducted the |
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178 | 178 | | competency hearing may conduct a preliminary examination or, if a |
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179 | 179 | | district magistrate judge was conducting the proceedings prior to the |
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180 | 180 | | competency hearing, the judge who conducted the competency hearing |
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181 | 181 | | may order the preliminary examination to be heard by a district magistrate |
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182 | 182 | | judge. |
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183 | 183 | | (e)(f) If the defendant is found to be incompetent to stand trial, the |
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184 | 184 | | court shall proceed in accordance with K.S.A. 22-3303, and amendments |
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185 | 185 | | thereto. |
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186 | 186 | | (f)(g) If proceedings are suspended and a hearing to determine the |
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187 | 187 | | defendant's competency is ordered after the defendant is in jeopardy, the |
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188 | 188 | | court may either order a recess or declare a mistrial. |
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189 | 189 | | (g)(h) The defendant shall be present personally at all proceedings |
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190 | 190 | | under this section. |
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191 | 191 | | Sec. 2. K.S.A. 22-3303 is hereby amended to read as follows: 22- |
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192 | 192 | | 3303. (a) (1) A defendant who is charged with a crime and is found to be |
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193 | 193 | | incompetent to stand trial shall be ordered for evaluation and treatment, |
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194 | 194 | | conducted on an outpatient or inpatient basis, by an appropriate state, |
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195 | 195 | | county or private institution or facility. Evaluation or restorative treatment |
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196 | 196 | | of a defendant shall not be conducted in a jail unless the administrative |
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197 | 197 | | head or law enforcement official in charge of the jail agrees to such |
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198 | 198 | | evaluation or restorative treatment being conducted in such jail. |
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199 | 199 | | (2) An evaluation and treatment may be ordered to be conducted on |
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200 | 200 | | an outpatient basis in person or by use of available electronic means while |
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201 | 201 | | the defendant is in jail, at any secure location, on pretrial release or in any |
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202 | 202 | | other appropriate setting. |
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203 | 203 | | (3) For a defendant charged with a misdemeanor offense, outpatient |
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204 | 204 | | evaluation and treatment may shall be ordered to be conducted by an |
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247 | 247 | | 43 SB 243 4 |
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248 | 248 | | appropriate state, county or private institution or facility unless: |
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249 | 249 | | (A) The defendant is held in jail and the official in charge of the jail |
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250 | 250 | | has determined that the jail does not have the necessary resources to |
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251 | 251 | | accommodate the evaluation and treatment of the defendant by an |
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252 | 252 | | appropriate provider in the jail setting; or |
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253 | 253 | | (B) the court holds a hearing and makes a finding that inpatient |
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254 | 254 | | evaluation and treatment is necessary after considering: |
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255 | 255 | | (i) The facts upon which the court determined inpatient evaluation |
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256 | 256 | | and treatment is necessary; |
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257 | 257 | | (ii) the potential length of incarceration the defendant could be |
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258 | 258 | | sentenced to serve for each offense; |
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259 | 259 | | (iii) the anticipated length of time for completion of inpatient |
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260 | 260 | | examination and evaluation services; and |
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261 | 261 | | (iv) the conditions that would require a defendant who is currently on |
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262 | 262 | | bond to be committed for inpatient examination and evaluation, if |
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263 | 263 | | applicable. |
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264 | 264 | | (4) For a defendant charged with a felony offense,: |
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265 | 265 | | (A) Outpatient evaluation and treatment may be ordered to be |
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266 | 266 | | conducted by an appropriate state, county or private institution or facility.; |
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267 | 267 | | (5)(B) For a defendant charged with a felony offense, a commitment |
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268 | 268 | | to the state security hospital or its agent or a state hospital or its agent may |
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269 | 269 | | by conducted on a an inpatient basis or, if the defendant meets the |
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270 | 270 | | screening criteria established by the state security hospital, on an |
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271 | 271 | | outpatient basis; or |
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272 | 272 | | (C) a commitment to the state security hospital or its agent or a state |
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273 | 273 | | hospital or its agent for inpatient competency evaluation and treatment |
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274 | 274 | | may only be ordered after the court holds a hearing and issues an order |
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275 | 275 | | stating: |
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276 | 276 | | (i) The facts upon which the court determined that outpatient |
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277 | 277 | | competency evaluation and treatment services ordered by an appropriate |
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278 | 278 | | state, county or private institution or facility are not appropriate as a first |
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279 | 279 | | option for the defendant with commitment for inpatient competency |
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280 | 280 | | evaluation and treatment services at the state security hospital or its agent |
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281 | 281 | | or the state hospital or its agency being ordered as an alternative if |
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282 | 282 | | outpatient services are terminated pursuant to subsection (d); |
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283 | 283 | | (ii) the potential length of incarceration the defendant could be |
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284 | 284 | | sentenced to serve for each offense; |
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285 | 285 | | (iii) the anticipated length of time for completion of inpatient |
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286 | 286 | | examination and evaluation services; |
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287 | 287 | | (iv) whether the defendant is charged with an off-grid or nondrug |
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288 | 288 | | severity level 1 through 3 felony or a violation of K.S.A. 21-3504, 21-3511, |
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289 | 289 | | 21-3518, 21-3603 or 21-3719, prior to their repeal, or K.S.A 21-5505(b), |
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290 | 290 | | 21-5506(b), 21-5508(b), 21-5604(b) or 21-5812(b), and amendments |
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333 | 333 | | 43 SB 243 5 |
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334 | 334 | | thereto; and |
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335 | 335 | | (v) the conditions that would require a defendant who is currently on |
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336 | 336 | | bond to be committed for inpatient examination and evaluation, if |
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337 | 337 | | applicable. |
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338 | 338 | | (6)(5) At the commencement of outpatient treatment at an |
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339 | 339 | | appropriate state, county or private institution or facility that is not a jail |
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340 | 340 | | or other secure setting, the institution or facility conducting the treatment |
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341 | 341 | | shall notify the prosecuting attorney in the county where the criminal |
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342 | 342 | | proceeding is pending for the purpose of providing victim notification. If |
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343 | 343 | | notification was provided to the victim at the time the defendant was |
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344 | 344 | | released on bond and no change in the defendant's bond status or address |
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345 | 345 | | occurred, no additional victim notification is required when outpatient |
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346 | 346 | | competency evaluation and treatment is commenced. |
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347 | 347 | | (6) The court shall provide a copy of each order for: |
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348 | 348 | | (A) Outpatient competency examination and evaluation to be |
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349 | 349 | | conducted in an appropriate state, county or private institution or facility |
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350 | 350 | | to the secretary for aging and disability services or the secretary's |
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351 | 351 | | designee; and |
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352 | 352 | | (B) inpatient competency examination and evaluation to be |
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353 | 353 | | conducted at the state security hospital or its agent to the state security |
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354 | 354 | | hospital. |
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355 | 355 | | (b) (1) Except as provided in subsection (d), if the defendant is |
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356 | 356 | | ordered to receive an evaluation and treatment on an outpatient basis |
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357 | 357 | | conducted by an appropriate state, county or private institution or facility, |
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358 | 358 | | the chief medical officer of such institution or head of such facility shall |
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359 | 359 | | certify to the court, within 90 days after the commencement of outpatient |
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360 | 360 | | treatment, whether the defendant has a substantial probability of attaining |
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361 | 361 | | competency to stand trial in the foreseeable future. The court shall set a |
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362 | 362 | | hearing within 21 days after certification unless exceptional circumstances |
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363 | 363 | | warrant delay, for the purpose of determining competency. |
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364 | 364 | | (2) If such probability does exist, the court shall order the defendant |
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365 | 365 | | to remain in jail or at a secure location, on pretrial release pursuant to |
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366 | 366 | | K.S.A. 22-2802, and amendments thereto, or at an appropriate setting until |
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367 | 367 | | the defendant attains competency to stand trial or for a period of six |
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368 | 368 | | months from the date of the commencement of outpatient treatment, |
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369 | 369 | | whichever occurs first. If such probability does not exist, the court shall |
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370 | 370 | | order the prosecuting attorney where the charges are filed to commence |
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371 | 371 | | involuntary commitment proceedings pursuant to article 29 of chapter 59 |
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372 | 372 | | of the Kansas Statutes Annotated, and amendments thereto, within 21 days |
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373 | 373 | | of receipt of the certification from the chief medical officer of the |
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374 | 374 | | institution or head of the facility unless exceptional circumstances warrant |
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375 | 375 | | delay. When a defendant is charged with any off-grid felony, any nondrug |
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376 | 376 | | severity level 1 through 3 felony, or a violation of K.S.A. 21-3504, 21- |
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419 | 419 | | 43 SB 243 6 |
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420 | 420 | | 3511, 21-3518, 21-3603 or 21-3719, prior to their repeal, or K.S.A. 21- |
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421 | 421 | | 5505(b), 21-5506(b), 21-5508(b), 21-5604(b) or 21-5812(b), and |
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422 | 422 | | amendments thereto, and commitment proceedings have commenced, for |
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423 | 423 | | such proceeding, "mentally ill person subject to involuntary commitment |
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424 | 424 | | for care and treatment" means a mentally ill person, as defined in K.S.A. |
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425 | 425 | | 59-2946(e), and amendments thereto, who is likely to cause harm to self or |
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426 | 426 | | others, as defined in K.S.A. 59-2946(f)(3), and amendments thereto. The |
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427 | 427 | | other provisions of K.S.A. 59-2946(f), and amendments thereto, shall not |
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428 | 428 | | apply. |
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429 | 429 | | (3) If a defendant who was found to have had a substantial |
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430 | 430 | | probability of attaining competency to stand trial, as provided in paragraph |
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431 | 431 | | (2), has not attained competency to stand trial within six months from the |
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432 | 432 | | date of the original commitment, the court shall order the prosecuting |
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433 | 433 | | attorney where the charges are filed or the secretary for aging and |
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434 | 434 | | disability services to commence involuntary commitment proceedings |
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435 | 435 | | pursuant to article 29 of chapter 59 of the Kansas Statutes Annotated, and |
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436 | 436 | | amendments thereto, within 21 days of receipt of the certification from the |
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437 | 437 | | chief medical officer of the institution or the head of the facility unless |
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438 | 438 | | exceptional circumstances warrant delay. When a defendant is charged |
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439 | 439 | | with any off-grid felony, any nondrug severity level 1 through 3 felony, or |
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440 | 440 | | a violation of K.S.A. 21-3504, 21-3511, 21-3518, 21-3603 or 21-3719, |
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441 | 441 | | prior to their repeal, K.S.A. 21-5505(b), 21-5506(b), 21-5508(b), 21- |
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442 | 442 | | 5604(b) or 21-5812(b), and amendments thereto, and commitment |
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443 | 443 | | proceedings have commenced, for such proceeding, "mentally ill person |
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444 | 444 | | subject to involuntary commitment for care and treatment" means a |
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445 | 445 | | mentally ill person, as defined in K.S.A. 59-2946(e), and amendments |
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446 | 446 | | thereto, who is likely to cause harm to self or others, as defined in K.S.A. |
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447 | 447 | | 59-2946(f)(3), and amendments thereto. The other provisions of K.S.A. |
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448 | 448 | | 59-2946(f), and amendments thereto, shall not apply. |
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449 | 449 | | (4) When reasonable grounds exist to believe that a defendant who |
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450 | 450 | | has been adjudged incompetent to stand trial is competent, the court in |
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451 | 451 | | which the criminal case is pending shall conduct a hearing in accordance |
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452 | 452 | | with K.S.A. 22-3302, and amendments thereto, to determine the person's |
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453 | 453 | | present mental condition. Such court shall give reasonable notice of such |
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454 | 454 | | hearings to the prosecuting attorney, the defendant and the defendant's |
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455 | 455 | | attorney of record, if any. The prosecuting attorney shall provide victim |
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456 | 456 | | notification. If the court, following such hearing, finds the defendant to be |
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457 | 457 | | competent, the proceedings pending against the defendant shall be |
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458 | 458 | | resumed. |
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459 | 459 | | (5) A defendant committed to a public institution or facility under the |
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460 | 460 | | provisions of this section who is thereafter sentenced for the crime charged |
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461 | 461 | | at the time of commitment shall be credited with all of the time during |
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462 | 462 | | which the defendant was committed and confined in such public institution |
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505 | 505 | | 43 SB 243 7 |
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506 | 506 | | or facility. |
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507 | 507 | | (c) (1) Except as provided in subsection (d), if a defendant is ordered |
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508 | 508 | | or met criteria to receive an evaluation and treatment on an outpatient |
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509 | 509 | | basis conducted by the state security hospital or its agent or a state hospital |
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510 | 510 | | or its agent, the chief medical officer shall certify to the court, within 90 |
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511 | 511 | | days after commencement of treatment, whether the defendant has a |
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512 | 512 | | substantial probability of attaining competency to stand trial in the |
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513 | 513 | | foreseeable future. |
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514 | 514 | | (2) If such probability does exist, the court shall order the defendant |
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515 | 515 | | to remain in jail or at a secure location, on pretrial release pursuant to |
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516 | 516 | | K.S.A. 22-2802, and amendments thereto, or at an appropriate setting until |
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517 | 517 | | the defendant attains competency to stand trial or for a period of six |
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518 | 518 | | months from the date of the commencement of outpatient treatment, |
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519 | 519 | | whichever occurs first. If such probability does not exist, the court shall |
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520 | 520 | | order the prosecuting attorney where the charges are filed or the secretary |
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521 | 521 | | for aging and disability services to commence involuntary commitment |
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522 | 522 | | proceedings pursuant to article 29 of chapter 59 of the Kansas Statutes |
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523 | 523 | | Annotated, and amendments thereto, within 21 days of receipt of the |
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524 | 524 | | certification from the chief medical officer of the institution or the head of |
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525 | 525 | | the facility unless exceptional circumstances warrant delay. When a |
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526 | 526 | | defendant is charged with any off-grid felony, any nondrug severity level 1 |
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527 | 527 | | through 3 felony or a violation of K.S.A. 21-3504, 21-3511, 21-3518, 21- |
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528 | 528 | | 3603 or 21-3719, prior to their repeal, or K.S.A. 21-5505(b), 21-5506(b), |
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529 | 529 | | 21-5508(b), 21-5604(b) or 21-5812(b), and amendments thereto, and |
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530 | 530 | | commitment proceedings have commenced, for such proceeding, |
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531 | 531 | | "mentally ill person subject to involuntary commitment for care and |
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532 | 532 | | treatment" means a mentally ill person, as defined in K.S.A. 59-2946(e), |
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533 | 533 | | and amendments thereto, who is likely to cause harm to self or others, as |
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534 | 534 | | defined in K.S.A. 59-2946(f)(3), and amendments thereto. The other |
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535 | 535 | | provisions of K.S.A. 59-2946(f), and amendments thereto, shall not apply. |
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536 | 536 | | (3) If a defendant who was found to have had a substantial |
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537 | 537 | | probability of attaining competency to stand trial, as provided in paragraph |
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538 | 538 | | (2), has not attained competency to stand trial within six months from the |
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539 | 539 | | date of the original commitment, the court shall order the prosecuting |
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540 | 540 | | attorney where the charges are filed or the secretary for aging and |
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541 | 541 | | disability services to commence involuntary commitment proceedings |
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542 | 542 | | pursuant to article 29 of chapter 59 of the Kansas Statutes Annotated, and |
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543 | 543 | | amendments thereto, within 21 days of receipt of the certification from the |
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544 | 544 | | chief medical officer of the institution or the head of the facility unless |
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545 | 545 | | exceptional circumstances warrant delay. When a defendant is charged |
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546 | 546 | | with any off-grid felony, any nondrug severity level 1 through 3 felony or |
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547 | 547 | | a violation of K.S.A. 21-3504, 21-3511, 21-3518, 21-3603 or 21-3719, |
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548 | 548 | | prior to their repeal, or K.S.A. 21-5505(b), 21-5506(b), 21-5508(b), 21- |
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591 | 591 | | 43 SB 243 8 |
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592 | 592 | | 5604(b) or 21-5812(b), and amendments thereto, and commitment |
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593 | 593 | | proceedings have commenced, for such proceeding, "mentally ill person |
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594 | 594 | | subject to involuntary commitment for care and treatment" means a |
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595 | 595 | | mentally ill person, as defined in K.S.A. 59-2946(e), and amendments |
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596 | 596 | | thereto, who is likely to cause harm to self or others, as defined in K.S.A. |
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597 | 597 | | 59-2946(f)(3), and amendments thereto. The other provisions of K.S.A. |
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598 | 598 | | 59-2946(f), and amendments thereto, shall not apply. |
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599 | 599 | | (4) When reasonable grounds exist to believe that a defendant who |
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600 | 600 | | has been adjudged incompetent to stand trial is competent, the court in |
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601 | 601 | | which the criminal case is pending shall conduct a hearing in accordance |
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602 | 602 | | with K.S.A. 22-3302, and amendments thereto, to determine the person's |
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603 | 603 | | present mental condition. Such court shall give reasonable notice of such |
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604 | 604 | | hearings to the prosecuting attorney, the defendant and the defendant's |
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605 | 605 | | attorney of record, if any. The prosecuting attorney shall provide victim |
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606 | 606 | | notification. If the court, following such hearing, finds the defendant to be |
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607 | 607 | | competent, the proceedings pending against the defendant shall be |
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608 | 608 | | resumed. |
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609 | 609 | | (5) A defendant committed to a public institution or facility under the |
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610 | 610 | | provisions of this section who is thereafter sentenced for the crime charged |
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611 | 611 | | at the time of commitment shall be credited with all of the time during |
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612 | 612 | | which the defendant was committed and confined in such public institution |
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613 | 613 | | or facility. |
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614 | 614 | | (d) (1) If the defendant is ordered or met criteria to receive an |
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615 | 615 | | evaluation and treatment on an outpatient basis and the chief medical |
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616 | 616 | | officer of the appropriate state, county or private institution or facility |
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617 | 617 | | determines that the defendant's mental health condition or behaviors |
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618 | 618 | | warrant terminating outpatient treatment services and commencing |
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619 | 619 | | evaluation and treatment on an inpatient basis, the chief medical officer of |
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620 | 620 | | the institution or the head of the facility shall provide a report to the court |
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621 | 621 | | within 10 days after outpatient treatment services are terminated. Such |
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622 | 622 | | report shall certify the date that outpatient treatment was terminated and |
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623 | 623 | | the reason inpatient evaluation and treatment services are recommended. A |
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624 | 624 | | copy of such report shall be provided to the chief medical officer of the |
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625 | 625 | | state security hospital. Upon receipt of such report, the court shall issue |
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626 | 626 | | any orders or warrants required to facilitate the sheriff of the county where |
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627 | 627 | | the charges are filed to take the defendant into custody and transport such |
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628 | 628 | | defendant to the state security hospital or its agent or a state hospital or its |
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629 | 629 | | agent for admission for inpatient services. The chief medical officer shall |
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630 | 630 | | submit a report pursuant to subsection (e) as to whether the defendant has |
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631 | 631 | | attained competency within 90 days of the defendant's admission to such |
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632 | 632 | | hospital for inpatient evaluation and treatment. |
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633 | 633 | | (2) The court, prosecuting attorney where criminal charges are |
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634 | 634 | | pending, the defense counsel for a defendant charged with a felony offense |
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677 | 677 | | 43 SB 243 9 |
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678 | 678 | | who is receiving outpatient evaluation and treatment services and the chief |
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679 | 679 | | medical officer of any institution or the head of any facility where the |
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680 | 680 | | defendant is receiving outpatient services shall provide requested |
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681 | 681 | | documentation to the state security hospital or its agent or the state |
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682 | 682 | | hospital or its agent for the purpose of managing inpatient admission. |
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683 | 683 | | (e) (1) If the defendant is charged with a felony offense, the court |
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684 | 684 | | may order a defendant to receive inpatient evaluation and treatment at an |
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685 | 685 | | appropriate state, county or private institution or facility after considering |
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686 | 686 | | the defendant's mental condition, behaviors and the availability of |
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687 | 687 | | outpatient evaluation and treatment options. The chief medical officer of |
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688 | 688 | | the institution or the head of the facility shall certify to the court, within 90 |
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689 | 689 | | days after the commencement of inpatient treatment, whether the |
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690 | 690 | | defendant has a substantial probability of attaining competency to stand |
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691 | 691 | | trial in the foreseeable future. |
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692 | 692 | | (2) If such probability does exist, the court shall order the defendant |
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693 | 693 | | to remain in jail or at a secure location, on pretrial release pursuant to |
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694 | 694 | | K.S.A. 22-2802, and amendments thereto, or at an appropriate setting until |
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695 | 695 | | the defendant attains competency to stand trial or for a period of six |
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696 | 696 | | months from the date of the commencement of inpatient treatment, |
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697 | 697 | | whichever occurs first. If such probability does not exist, the court shall |
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698 | 698 | | order the prosecuting attorney where the charges are filed or the secretary |
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699 | 699 | | for aging and disability services to commence involuntary commitment |
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700 | 700 | | proceedings pursuant to article 29 of chapter 59 of the Kansas Statutes |
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701 | 701 | | Annotated, and amendments thereto, within 21 days of receipt of the |
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702 | 702 | | certification from the chief medical officer of the institution or the head of |
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703 | 703 | | the facility unless exceptional circumstances warrant delay. When a |
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704 | 704 | | defendant is charged with any off-grid felony, any nondrug severity level 1 |
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705 | 705 | | through 3 felony or a violation of K.S.A. 21-3504, 21-3511, 21-3518, 21- |
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706 | 706 | | 3603 or 21-3719, prior to their repeal, or K.S.A. 21-5505(b), 21-5506(b), |
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707 | 707 | | 21-5508(b), 21-5604(b) or 21-5812(b), and amendments thereto, and |
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708 | 708 | | commitment proceedings have commenced, for such proceeding, |
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709 | 709 | | "mentally ill person subject to involuntary commitment for care and |
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710 | 710 | | treatment" means a mentally ill person, as defined in K.S.A. 59-2946(e), |
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711 | 711 | | and amendments thereto, who is likely to cause harm to self or others, as |
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712 | 712 | | defined in K.S.A. 59-2946(f)(3), and amendments thereto. The other |
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713 | 713 | | provisions of K.S.A. 59-2946(f), and amendments thereto, shall not apply. |
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714 | 714 | | (3) If a defendant who was found to have had a substantial |
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715 | 715 | | probability of attaining competency to stand trial, as provided in paragraph |
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716 | 716 | | (2), has not attained competency to stand trial within six months from the |
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717 | 717 | | date of the original commitment, the court shall order the prosecuting |
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718 | 718 | | attorney where the charges are filed or the secretary for aging and |
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719 | 719 | | disability services to commence involuntary commitment proceedings |
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720 | 720 | | pursuant to article 29 of chapter 59 of the Kansas Statutes Annotated, and |
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764 | 764 | | amendments thereto, within 21 days of receipt of the certification from the |
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765 | 765 | | chief medical officer of the institution or the head of the facility unless |
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766 | 766 | | exceptional circumstances warrant delay. When a defendant is charged |
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767 | 767 | | with any off-grid felony, any nondrug severity level 1 through 3 felony or |
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768 | 768 | | a violation of K.S.A. 21-3504, 21-3511, 21-3518, 21-3603 or 21-3719, |
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769 | 769 | | prior to their repeal, or K.S.A. 21-5505(b), 21-5506(b), 21-5508(b), 21- |
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770 | 770 | | 5604(b) or 21-5812(b), and amendments thereto, and commitment |
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771 | 771 | | proceedings have commenced, for such proceeding, "mentally ill person |
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772 | 772 | | subject to involuntary commitment for care and treatment" means a |
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773 | 773 | | mentally ill person, as defined in K.S.A. 59-2946(e), and amendments |
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774 | 774 | | thereto, who is likely to cause harm to self or others, as defined in K.S.A. |
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775 | 775 | | 59-2946(f)(3), and amendments thereto. The other provisions of K.S.A. |
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776 | 776 | | 59-2946(f), and amendments thereto, shall not apply. |
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777 | 777 | | (4) When reasonable grounds exist to believe that a defendant who |
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778 | 778 | | has been adjudged incompetent to stand trial is competent, the court in |
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779 | 779 | | which the criminal case is pending shall conduct a hearing in accordance |
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780 | 780 | | with K.S.A. 22-3302, and amendments thereto, to determine the person's |
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781 | 781 | | present mental condition. Such court shall give reasonable notice of such |
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782 | 782 | | hearings to the prosecuting attorney, the defendant and the defendant's |
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783 | 783 | | attorney of record, if any. The prosecuting attorney shall provide victim |
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784 | 784 | | notification. If the court, following such hearing, finds the defendant to be |
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785 | 785 | | competent, the proceedings pending against the defendant shall be |
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786 | 786 | | resumed. |
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787 | 787 | | (5) A defendant committed to a public institution or facility under the |
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788 | 788 | | provisions of this section who is thereafter sentenced for the crime charged |
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789 | 789 | | at the time of commitment shall be credited with all of the time during |
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790 | 790 | | which the defendant was committed and confined in such public institution |
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791 | 791 | | or facility. |
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792 | 792 | | (f) (1) Notwithstanding the provisions of K.S.A. 59-29a22, and |
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793 | 793 | | amendments thereto, psychotropic medications may be prescribed for any |
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794 | 794 | | defendant who is ordered or has met the criteria to receive evaluation and |
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795 | 795 | | treatment on an inpatient or outpatient basis at an appropriate state, county |
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796 | 796 | | or private institution or facility. |
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797 | 797 | | (2) Psychotropic medications shall be prescribed, ordered and |
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798 | 798 | | administered in conformity with accepted clinical practice. Psychotropic |
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799 | 799 | | medication shall be administered only upon the written order of a |
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800 | 800 | | physician or upon a verbal order noted in the defendant's medical records |
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801 | 801 | | and subsequently signed by the physician. The attending physician shall |
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802 | 802 | | regularly review the drug regimen of each defendant under such |
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803 | 803 | | physician's care and shall monitor any symptoms of harmful side effects. |
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804 | 804 | | (3) Whenever any defendant is receiving psychotropic medications |
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805 | 805 | | that alter the defendant's mental state in such a way as to adversely affect |
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806 | 806 | | the defendant's judgment or hamper the defendant in preparing for or |
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849 | 849 | | 43 SB 243 11 |
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850 | 850 | | participating in any hearing provided for by this section, for two days prior |
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851 | 851 | | to and during any such hearing, the treatment institution or facility shall |
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852 | 852 | | not administer such medication or treatment unless such medication or |
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853 | 853 | | treatment is necessary to sustain the defendant's life or to protect the |
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854 | 854 | | defendant or others. Prior to the hearing, a report of all psychotropic |
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855 | 855 | | medications or other treatment that has been administered to the defendant |
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856 | 856 | | and a copy of any written consent signed by the defendant shall be |
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857 | 857 | | submitted to the court. Counsel for the defendant may preliminarily |
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858 | 858 | | examine the attending physician regarding the administration of any |
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859 | 859 | | medication to the defendant within two days of the hearing and the effect |
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860 | 860 | | that medication may have had on the defendant's judgment or ability to |
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861 | 861 | | prepare for or participate in the hearing. If the court determines that |
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862 | 862 | | medication or other treatment has been administered that adversely affects |
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863 | 863 | | the defendant's judgment or ability to prepare for or participate in the |
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864 | 864 | | hearing, the court may grant the defendant a reasonable continuance to |
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865 | 865 | | allow for the defendant to be better able to prepare for or participate in the |
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866 | 866 | | hearing. The court shall order that such medication or other treatment be |
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867 | 867 | | discontinued until the conclusion of the hearing unless the court finds that |
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868 | 868 | | such medication or other treatment is necessary to sustain the defendant's |
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869 | 869 | | life or to protect the defendant or others. If the court makes such a finding, |
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870 | 870 | | the court shall order the hearing to proceed. |
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871 | 871 | | (4) If a defendant who is charged with a felony is receiving treatment |
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872 | 872 | | pursuant to this section and is not deemed a present danger to self or others |
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873 | 873 | | objects to taking any medication prescribed for the purpose of restoring the |
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874 | 874 | | defendant to competency, the defendant's objection shall be recorded in the |
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875 | 875 | | defendant's medical record and written notice of such objection shall be |
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876 | 876 | | forwarded to the medical director of the treatment institution or facility or |
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877 | 877 | | the director's designee and to the court where the criminal charges are |
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878 | 878 | | pending. The medication may be administered over the defendant's |
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879 | 879 | | objection only if the court finds that: |
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880 | 880 | | (A) The medication is substantially unlikely to have side effects that |
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881 | 881 | | may undermine the fairness of the trial; |
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882 | 882 | | (B) the medication is medically appropriate; |
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883 | 883 | | (C) less intrusive alternatives have been considered; |
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884 | 884 | | (D) the medication is necessary to advance significantly important |
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885 | 885 | | governmental trial interests; and |
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886 | 886 | | (E) the administrative head or law enforcement official in charge of |
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887 | 887 | | the jail has agreed to having the medication administered over the |
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888 | 888 | | defendant's objection in the jail. |
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889 | 889 | | (5) No experimental medication shall be administered without the |
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890 | 890 | | consent of the defendant or such defendant's legal guardian. |
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891 | 891 | | Sec. 3. K.S.A. 22-3302 and 22-3303 are hereby repealed. |
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892 | 892 | | Sec. 4. This act shall take effect and be in force from and after its |
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935 | 935 | | 43 SB 243 12 |
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936 | 936 | | publication in the statute book.1 |
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