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California Bill Would Let Courts Order Involuntary Psychiatric Medication in Outpatient Cases

Assemblymember Catherine Stefani unveiled the proposal with Mayor Daniel Lurie as sponsor.

Overview

  • Stefani announced the legislation at San Francisco City Hall and is expected to introduce it in the Legislature later this week.
  • The measure would permit involuntary administration of psychiatric medication during six-month assisted outpatient treatment orders, closing a gap in current law.
  • Supporters say judges could authorize medication when a person lacks capacity, with due process protections and individualized medical evidence.
  • Clinicians describe a process allowing transport to a hospital for the recommended medication and a return to community care to continue treatment.
  • City leaders argue the change could reduce cycling through crowded emergency rooms and jails, while disability-rights advocates have opposed similar compelled-treatment expansions and warn of threats to autonomy.