MT SB429

Montana State Hospital may refuse court-ordered admissions without contempt finding if no bed is available, admission would exceed licensed capacity, or required medical/legal records have not been provided

Courts may only order fitness examinations at Montana State Hospital when no qualified psychiatrist, psychologist, or advanced practice registered nurse is available within the county of venue

Facilities may involuntarily administer medication to defendants found unfit to proceed through a treatment review committee and involuntary medication review board process, without requiring a separate court order for each instance

Courts must review incarcerated defendants' custodial status within 90 days of commitment and every 30 days thereafter; cases must be dismissed without prejudice if defendant remains unfit with no foreseeable improvement and no appropriate alternatives exist

Montana State Hospital must prioritize admissions for pretrial defendants ordered committed for fitness evaluation/treatment first, followed by pretrial defendants charged with violent crimes