S T A T E O F N E W Y O R K
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11024
I N A S S E M B L Y
April 23, 2026
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Introduced by M. of A. SIMON -- read once and referred to the Committee
on Mental Health
AN ACT to amend the mental hygiene law, in relation to a statewide
competency restoration workgroup; and providing for the repeal of such
provisions upon the expiration thereof
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. The mental hygiene law is amended by adding a new section
7.50 to read as follows:
§ 7.50 STATEWIDE COMPETENCY RESTORATION WORKGROUP.
(A) THERE IS HEREBY ESTABLISHED A STATEWIDE COMPETENCY RESTORATION
WORKGROUP. THE COMMISSIONER OF THE OFFICE OF MENTAL HEALTH AND THE
COMMISSIONER OF THE OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES
SHALL CONVENE THE STATEWIDE COMPETENCY RESTORATION WORKGROUP WHICH SHALL
CONSIST OF NINETEEN MEMBERS EACH OF WHOM MAY APPOINT A DESIGNEE AS
FOLLOWS:
(1) THE COMMISSIONER OF MENTAL HEALTH;
(2) THE COMMISSIONER OF THE OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISA-
BILITIES;
(3) THE CHIEF ADMINISTRATIVE JUDGE OF THE COURTS;
(4) THE CHAIR OF THE NEW YORK STATE CONFERENCE OF LOCAL MENTAL HYGIENE
DIRECTORS;
(5) THE EXECUTIVE DIRECTOR OF THE NEW YORK STATE ASSOCIATION OF COUN-
TIES;
(6) THE PRESIDENT OF THE DISTRICT ATTORNEYS ASSOCIATION OF THE STATE
OF NEW YORK;
(7) THE EXECUTIVE DIRECTOR OF THE NEW YORK STATE DEFENDERS ASSOCI-
ATION;
(8) THE PRESIDENT OF THE NEW YORK STATE SHERIFFS ASSOCIATION;
(9) A REPRESENTATIVE FROM THE NEW YORK CITY HEALTH AND HOSPITALS
CORPORATION;
(10) A REPRESENTATIVE FROM MENTAL HYGIENE LEGAL SERVICES ESTABLISHED
UNDER ARTICLE FORTY-SEVEN OF THIS CHAPTER; AND
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD15651-01-6
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(11) THREE ADDITIONAL MEMBERS APPOINTED BY THE GOVERNOR, TWO ADDI-
TIONAL MEMBERS APPOINTED BY THE SPEAKER OF THE ASSEMBLY, TWO ADDITIONAL
MEMBERS APPOINTED BY THE TEMPORARY PRESIDENT OF THE SENATE, ONE ADDI-
TIONAL MEMBER APPOINTED BY THE MINORITY LEADER OF THE ASSEMBLY, AND ONE
ADDITIONAL MEMBER APPOINTED BY THE MINORITY LEADER OF THE SENATE.
MEMBERS APPOINTED PURSUANT TO THIS PARAGRAPH SHALL INCLUDE: A PSYCHIAT-
RIC EXAMINER AS DEFINED IN SUBDIVISION SEVEN OF SECTION 730.10 OF THE
CRIMINAL PROCEDURE LAW WHO HAS EXPERIENCE WITH COMPETENCY RESTORATION
EVALUATIONS; A REPRESENTATIVE OF LAW ENFORCEMENT; AND AN INDIVIDUAL WITH
LIVED EXPERIENCE NAVIGATING THE CRIMINAL COURT ON BEHALF OF A DEFENDANT
WHO IS UNDER AN ORDER OF EXAMINATION.
(B) THE WORKGROUP SHALL SUBMIT A PRELIMINARY REPORT TO THE GOVERNOR,
TEMPORARY PRESIDENT OF THE SENATE, AND SPEAKER OF THE ASSEMBLY NO LATER
THAN DECEMBER THIRTIETH, TWO THOUSAND TWENTY-SIX. THE PRELIMINARY REPORT
SHALL PROVIDE SHORT-TERM SOLUTIONS THAT CAN BE ACCOMPLISHED NO LATER
THAN APRIL FIRST, TWO THOUSAND TWENTY-SEVEN. THE WORKGROUP SHALL SUBMIT
A MORE COMPREHENSIVE REPORT TO THE GOVERNOR, TEMPORARY PRESIDENT OF THE
SENATE, AND SPEAKER OF THE ASSEMBLY NO LATER THAN JUNE THIRTIETH, TWO
THOUSAND TWENTY-SEVEN, PROVIDING MEDIUM-TERM SOLUTIONS THAT CAN BE
ACCOMPLISHED NO LATER THAN JANUARY TENTH, TWO THOUSAND TWENTY-EIGHT, AND
LONG-TERM SOLUTIONS THAT CAN BE ACCOMPLISHED NO LATER THAN JANUARY
TENTH, TWO THOUSAND TWENTY-NINE, AND AIM TO DO THE FOLLOWING:
(1) IMPROVE THE EFFICIENCY AND EFFECTIVENESS OF THE COMPETENCY RESTO-
RATION PROCESS AS IT RELATES TO DEFENDANTS WHO ARE BEING EVALUATED AND
RECEIVING RESTORATION UNDER ARTICLE SEVEN HUNDRED THIRTY OF THE CRIMINAL
PROCEDURE LAW;
(2) ENSURE ACCESS TO AND PROVISION OF RESTORATION SERVICES IN THE
LEAST RESTRICTIVE SETTING TO RESTORE TRIAL COMPETENCE IN THE MOST EXPE-
DITIOUS MANNER; AND
(3) DEVELOP PROCESSES TO ENSURE THAT DEFERRED LEGAL PROCEEDINGS CAN
RESUME WITHOUT UNDUE DELAYS, AVOID UTILIZING RESTORATION TO COMPETENCY
SERVICES FOR THE PROVISION OF LONG-TERM MENTAL HEALTH TREATMENT, AND
INITIATE PROMPT TRANSFER TO AN APPROPRIATE STATE FACILITY FOR LONG-TERM
TREATMENT IF IT IS DETERMINED THAT THE INDIVIDUAL CANNOT BE RESTORED TO
COMPETENCY.
(C) THE REPORT SHALL ALSO INCLUDE ANY RECOMMENDATION PROVIDED BY THE
WORKGROUP IN ACCORDANCE WITH SUBDIVISION (E) OF THIS SECTION AND AN
ACCOUNTING, BY COUNTY, OF ALL PATIENTS CURRENTLY IN COMPETENCY RESTORA-
TION, THE LENGTH OF STAY IN RESTORATION, THE NUMBER OF COMPETENCY RESTO-
RATION EVALUATIONS THAT HAVE BEEN ORDERED FOR EACH DEFENDANT, THE TREND
IN THE NUMBER OF DEFENDANTS ORDERED INTO COMPETENCY RESTORATION, AND THE
COSTS INCURRED/PAID PER COUNTY EACH YEAR SINCE JANUARY FIRST, TWO THOU-
SAND TWENTY.
(D) THE WORKGROUP SHALL CONVENE, NO LATER THAN NINETY DAYS FOLLOWING
THE EFFECTIVE DATE OF THIS SECTION, AND SHALL MEET AS FREQUENTLY AS ITS
BUSINESS MAY REQUIRE. MEMBERS SHALL RECEIVE NO COMPENSATION FOR THEIR
PARTICIPATION BUT SHALL BE REIMBURSED FOR EXPENSES ACTUALLY AND NECES-
SARILY INCURRED IN THE PERFORMANCE OF THEIR DUTIES.
(E) THE WORKGROUP SHALL CONSIDER, BUT IS NOT LIMITED TO, RECOMMENDA-
TIONS THAT ACCOMPLISH THE FOLLOWING:
(1) REDUCE THE TOTAL NUMBER OF DEFENDANTS IN RESTORATION SERVICES;
(2) REDUCE THE LENGTHS OF STAY DEFENDANTS IN RESTORATION SERVICES;
(3) REDUCE THE RECIDIVISM RATE FOR INDIVIDUALS DISCHARGED FROM RESTO-
RATION SERVICES;
(4) EVALUATE THE COMPETENCY CURRICULUMS IN CONJUNCTION WITH THE EFFEC-
TIVENESS OF COMPETENCY RESTORATION TO EXPLAIN WHETHER FACILITIES ARE
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DELIVERING THE APPROPRIATE TREATMENT AND EDUCATION TO EFFECTIVELY AND
EFFICIENTLY RESTORE COMPETENCY TO STAND TRIAL WHILE SUGGESTING REFORMS
TO SYSTEMS OR STATUTES TO IMPROVE EFFICIENCY AND EFFECTIVENESS;
(5) EXPAND TREATMENT OPTIONS FOR DEFENDANTS IN RESTORATION SERVICES,
SUCH AS OUTPATIENT COMMUNITY-BASED RESTORATION PROGRAMS, TAILORED
CURRICULUMS FOR DIAGNOSES, AND STATE HOSPITAL BEDS;
(6) EVALUATE TRENDS IN THE INCREASE OR DECREASE IN THE NUMBER OF
DEFENDANTS ORDERED INTO COMPETENCY RESTORATION, AND POSSIBLE EXPLANA-
TIONS FOR SUCH TRENDS AND REFORM AND STANDARDIZATION SYSTEMS AS NECES-
SARY AND APPROPRIATE;
(7) IMPROVE COORDINATION BETWEEN STATE AND LOCAL GOVERNMENT, LAW
ENFORCEMENT, DISTRICT ATTORNEYS, AND COURTS TO FACILITATE AN EFFECTIVE
AND EFFICIENT SYSTEM TO EVALUATE DEFENDANTS AND, WHERE APPROPRIATE,
RESTORE DEFENDANTS TO COMPETENCY; AND
(8) EVALUATE AND ASSESS FINANCIAL MODELS FOR FUNDING RESTORATION
SERVICES TO ENSURE APPROPRIATE ALLOCATION BETWEEN COUNTY AND STATE.
§ 2. This act shall take effect immediately and shall expire and be
deemed repealed one year after such effective date.