AI-generated summary. We recommend consulting the bill text for important decisions.

Charged with a serious felony, a defendant who pleads not guilty by reason of insanity must now prove that claim by "clear and convincing evidence" — a high legal bar — rather than having the prosecution disprove it; the bill also narrows which mental conditions qualify, explicitly excluding personality disorders, psychopathy, and substance use disorders, while allowing the defense only for conditions like schizophrenia, bipolar I, PTSD, and other psychotic disorders. The bill also changes how courts and the Department of Health and Human Services oversee people committed after an insanity verdict, shifting mental health reviews from every six months to every twelve months and giving judges discretion — rather than a mandate — to order a state mental examination when a defendant raises the insanity defense.