IL SB4251

Excludes individuals found unfit to stand trial or not guilty by reason of insanity from the definition of "consumer" under the Specialized Mental Health Rehabilitation Act of 2013 if they are subject to court-ordered secure inpatient care in Department of Human Services custody.

Requires courts to order outpatient treatment for defendants with mental disabilities whose most serious charge is a misdemeanor, unless the court documents good cause on the record to order inpatient treatment instead.

Mandates the Department of Human Services admit defendants to secure facilities within 60 days of receiving court placement orders, or demonstrate good faith placement efforts and lack of bed availability; requires 30-day status updates to the court if placement cannot be completed within 60 days.

Eliminates the 20-day deadline for the Department to notify sheriffs of facility placement, replacing it with a 60-day admission deadline and removing provisions allowing sheriffs to transfer defendants to the nearest available facility.

Requires courts to hold discharge hearings within 60 days when determining a defendant will not attain fitness within the specified timeframe, unless good cause for delay is shown.