Since July 1, 2025, Nevada law calls for two professionals to assess most defendants’ competency and lets prosecutors seek a separate medication order in certain cases.
For most defendants, a licensed psychiatrist and psychologist evaluate competency separately; one must be part of the treatment team.
If the first two evaluators disagree about a defendant’s ability to understand the case or help their lawyer, a third certified professional evaluates the defendant.
For a defendant committed to a secure facility, a prosecutor may seek a court order for psychiatric medication if the treating psychiatrist says it is needed to restore competency and the defendant refuses it.
The Division administrator or designee appoints two professionals to evaluate competency. This applies except to people charged with or convicted of a misdemeanor. The appointees are a licensed psychiatrist and a licensed psychologist certified under state law. One appointee must be part of the treatment team.
The administrator or designee appoints a third professional to evaluate competency if the first two disagree. The disagreement is about whether the defendant can understand the charge and court proceedings or help their lawyer. The third evaluator must be a licensed psychiatrist or psychologist certified under state law.
A prosecutor may seek a separate court order for involuntary psychiatric medication. This applies to an incompetent defendant committed to a secure Division facility for treatment. The treating psychiatrist must find the medication necessary to restore competency, and the defendant must refuse to take it voluntarily. The law took effect July 1, 2025.
No hearings or votes scheduled.