republic-os/legal/us/code/title-18/chapter-313/section-4244.md

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LegalText	18 U.S.C. § 4244	Hospitalization of a convicted person suffering from mental disease or defect	us	united_states_code	code_section	18	CRIMES AND CRIMINAL PROCEDURE	313	OFFENDERS WITH MENTAL DISEASE OR DEFECT	4244	18 U.S.C. § 4244	current	119-100	2026-06-26	official	https://uscode.house.gov/download/releasepoints/us/pl/119/100/xml_usc18@119-100.zip	/us/usc/t18/s4244	data/legal/raw/us/code/title-18/usc18.xml	4ad169f0cf7740e6f427bdb435487c5504d702d68d24aae396c1011ad149f96e	1a1bbbbdb59e376ada4eb7ad1056fd68d396679ee7ab59f0561af15006122708	3213852d21c94a4a6eb787b27c6f22f6493d347e346b55d8f834679e8eba586b	2026-07-04	official	legal us-code

18 U.S.C. § 4244 - Hospitalization of a convicted person suffering from mental disease or defect

Text

(a) Motion To Determine Present Mental Condition of Convicted Defendant.— A defendant found guilty of an offense, or the attorney for the Government, may, within ten days after the defendant is found guilty, and prior to the time the defendant is sentenced, file a motion for a hearing on the present mental condition of the defendant if the motion is supported by substantial information indicating that the defendant may presently be suffering from a mental disease or defect for the treatment of which he is in need of custody for care or treatment in a suitable facility. The court shall grant the motion, or at any time prior to the sentencing of the defendant shall order such a hearing on its own motion, if it is of the opinion that there is reasonable cause to believe that the defendant may presently be suffering from a mental disease or defect for the treatment of which he is in need of custody for care or treatment in a suitable facility.

(b) Psychiatric or Psychological Examination and Report.— Prior to the date of the hearing, the court may order that a psychiatric or psychological examination of the defendant be conducted, and that a psychiatric or psychological report be filed with the court, pursuant to the provisions of section 4247(b) and (c). In addition to the information required to be included in the psychiatric or psychological report pursuant to the provisions of section 4247(c), if the report includes an opinion by the examiners that the defendant is presently suffering from a mental disease or defect but that it is not such as to require his custody for care or treatment in a suitable facility, the report shall also include an opinion by the examiner concerning the sentencing alternatives that could best accord the defendant the kind of treatment he does need.

(c) Hearing.— The hearing shall be conducted pursuant to the provisions of section 4247(d).

(d) Determination and Disposition.— If, after the hearing, the court finds by a preponderance of the evidence that the defendant is presently suffering from a mental disease or defect and that he should, in lieu of being sentenced to imprisonment, be committed to a suitable facility for care or treatment, the court shall commit the defendant to the custody of the Attorney General. The Attorney General shall hospitalize the defendant for care or treatment in a suitable facility. Such a commitment constitutes a provisional sentence of imprisonment to the maximum term authorized by law for the offense for which the defendant was found guilty.

(e) Discharge.— When the director of the facility in which the defendant is hospitalized pursuant to subsection (d) determines that the defendant has recovered from his mental disease or defect to such an extent that he is no longer in need of custody for care or treatment in such a facility, he shall promptly file a certificate to that effect with the clerk of the court that ordered the commitment. The clerk shall send a copy of the certificate to the defendant’s counsel and to the attorney for the Government. If, at the time of the filing of the certificate, the provisional sentence imposed pursuant to subsection (d) has not expired, the court shall proceed finally to sentencing and may modify the provisional sentence.

(Added Sept. 7, 1949, ch. 535, § 1, 63 Stat. 686; amended Pub. L. 98–473, title II, § 403(a), Oct. 12, 1984, 98 Stat. 2061.)

Notes

Editorial Notes

Amendments1984—Pub. L. 98–473 amended section generally, substituting “Hospitalization of a convicted person suffering from mental disease or defect” for “Mental incompetency after arrest and before trial” in section catchline, and substituting provisions relating to motion, examination and report, hearing, etc., to determine present mental condition of convicted defendant, for provisions relating to motion, examination, etc., to determine the mental competency of a person after arrest and before trial.

Statutory Notes and Related Subsidiaries

SeparabilityAct Sept. 7, 1949, ch. 535, § 4, 63 Stat. 688, provided that: “If any provision of Title 18, United States Code, sections 4244 to 4248, inclusive, or the application thereof to any person or circumstance shall be held invalid, the remainder of the said sections and the application of such provision to persons or circumstances other than those as to which it is held invalid shall not be affected thereby.”

Use of AppropriationsAct Sept. 7, 1949, ch. 535, § 3, 63 Stat. 688, provided that: “The Attorney General may authorize the use of any unexpended balance of the appropriation for ‘Support of United States prisoners’ for carrying out the purposes of Title 18, United States Code, sections 4244 to 4248, inclusive, or in payment of any expenses incidental thereto and not provided for by other specific appropriations.”