Page 17 of 32
The Institute does not support making chemical castration compulsory – either as a mandatory
order  if  the  trigger  conditions  are  satisfied  or  giving  courts  a  discretion  to  make  a  sentencing order  which  compels  the  offender  to  submit  to  drug  treatment.  Coercive  treatment  of  this
nature infringes ethical and human rights principles and is contrary to the general right to refuse medical  treatment  and  to  submit  to  a  number  of  known  possible  side  effects  of  the
drugs.Instrumental arguments about the effectiveness of such treatment as a means of reducing sexual  recidivism  are  reasons  for  offering  such  treatment  to  sex  offenders  but  do  not  justify
compelling offenders to undergo such treatment as part of a sentencing order.
10
56. The report notes that: drugs such as Medroxyprogesterone acetate MPA are sometimes used in
the  treatment  of  sex  offenders;  where  drugs  are  used  for  volunteers  this  is  not  particularly o t o e sial;  ut that  he i al  ast atio   is  ot a se te i g optio  i  a  Aust alia  ju isdi tio
see paragraph 6.4.33.
F. United States of America US
57. Several  US  states  have  adopted  laws  since  the  mid-1990s  that  provide  for  CC.  Variations  of  the
discretionary and mandatory CC sentencing regimes exist or existed in at least the following other US jurisdictions: Montana; Iowa; Wisconson; Georgia repealed; and Oregon repealed.
11
58. Specific reasons for the introduction of these laws provided by legislators are discussed below in
relation  to  the  CC  sentencing  regimes  of  three  particular  states:  California;  Florida;  and  Louisiana. The  following  are  more  general  factors  that  have  been  cited  as  potentially  explaining  the
introduction  of  such  laws.  One  such  factor  is  the  perception  in  the  US  that  prisons  were overcrowded,  coupled  with  the  realisation  that  most  offenders  will  eventually  be  released  from
prison.
12
CC  may  be  cheaper  than  imprisonment. A d CC la s  a   e pa t of a  tough o   i e
policy;  or  be  a  politically  motivated  response  to  public  pressure  our  outrage  about  particularly terrible offences or series of offences.
California 59.
Does the criminal law provide for a form of chemical castration CC? California Penal Code section
645
13
provides  that  a  person  convicted  of  certain  types  of  offences  may  or  must  be  sentenced  to undergo  medroxyprogesterone  acetate  MPA  treatment.  This  law  passed  through  the  California
10
Tasmanian Law Reform Institute, Sentencing: Final Report, No 11, June 2008, available at http:www.utas.edu.aulaw-reformpublicationscompleted-law-reform-projects
.
11
Zachary E. Oswald,  Off with His __: Analyzing the Sex Disparity in Chemical Castration Sentences , Mich. J. Gender  L. 19 2013 471, 483. Available at: http:repository.law.umich.edumjglvol19iss25483.
12
Zachary E. Oswald,  Off with His __: Analyzing the Sex Disparity in Chemical Castration Sentences , Mich. J. Gender  L. 19 2013 471, 480. Available at: http:repository.law.umich.edumjglvol19iss25483.
13
CA Penal Code § 645 through 2012 Leg Sess. The law may be viewed at Justia, http:law.justia.comcodescalifornia2011penpart-1639-653.2645, accessed on 24 February 2016. It may also
be accessed at FindLaw, http:codes.findlaw.comcapenal-codepen-sect-645.html, accessed 24 February 2016. See also the California Government website. The relevant amending law was Assembly Bill 3339 1996. See: Peter
J. Gi i oIII. Ma dato  Che i al Cast atio  fo  Pe pet ato s of “e  Offe ses Agai st Child e : Follo i g
Califo ias Lead ,   Pepp. L. Rev. 1 1998, available at: http:digitalcommons.pepperdine.eduplrvol25iss13.
Page 18 of 32
legislative  process  in  May,  August  and  September  1996  and  commenced  operation  on  1  January 1997. The sentencing regime specifies the use of the drug MPA. It appears to have been used as a
model  for  similar  laws  in  other  jurisdictions  in  the  US,  notably  Florida  and  Louisiana,  which  are reviewed below.
60.
To  which  offences  may  CC  apply?  MPA  treatment  may  or  must  be  ordered  if  an  offender  has
committed the offence of rape or other offences of a sexual nature and the victim of the offence is not yet 13 years of age.
61.
How is the law relating to CC structured? According to section 645a, the court may order that a
person, upon parole, undergo MPA treatment if convicted of a first specified offence. Thus, for the first offence, the sentence is discretionary. According to section 645b, a person guilty of a second
offence shall undergo MPA treatment. Thus, if there is a second conviction for a specified offence, MPA  treatment  is  mandatory.  Alternatively,  a  person  may  undergo  voluntary  and  permanent
surgical treatment.
62. Section  645d  provides  that  treatment  shall  begin  one  week  prior  to  release;  and  shall  continue
u til the Depa t e t of Co e tio s de o st ates to the Boa d of P iso  Te s that this t eat e t is  o lo ge   e essa .
63. Finally, Section
f  p o ides that the Depa t e t of Co e tio  shall  ad i iste  this se tio  a d i ple e t  the  p oto ols  e ui ed    this  se tio .  Pa ag aph  f   fu the   p o ides  that  othi g  i
those  protocols  shall  require  a  physician  or  surgeon  to  participate  against  his  or  her  will  in  the administration of the provisions of section 645. Paragraph f also provides that the protocols shall
include, but not be limited to, a requirement to inform the person about the effects and side-effects of treatment.
64.
Practice  and  implementation  issues.    In  2010,  there  were  media  reports  that,  despite  the
mandatory  nature  of  the  sentencing  regime,  the  regime  was  not  being  implemented  on  a widespread basis.
14
65.
Why were these laws introduced or why is a sentence involving CC imposed?It has been difficult to
locate primary materials such as official documents discussing the proposed legislation concerning the  reasons  why  the  law  was  made.  The  primary  motivating  factor  expressed  by  the  California
Go e o s offi e appears to have been the promise that CC will reduce rates of recidivism.
15
14
CB“ ,  Califo ia La  Ma dates Che i al Cast atio  of Ce tai  Offenders ,   Ma ,
http:www.cbs8.comstory12443091california-law-mandates-chemical-castration-of-certain-offenders, accessed on 26 February 2016.
15
Peter J. GiminoIII , Mandatory Chemical Castration for Perpetrators of Sex Offenses Against Children: Following
Californias Lead , 25 Pepp. L. Rev. 1 1998, available at: http:digitalcommons.pepperdine.eduplrvol25iss13
. Gi i o  uotes a  Age e F a e P ess a ti le:  Califo ia
Go e o  “ig s Cast atio  Legislatio ,   “epte e
.
Page 19 of 32
66. A Los Angeles times article points out that the law passed through both chambers of the legislature
very quickly and legal scholars have pointed out that there were very few votes that opposed the passing of the legislation.
16
The Los Angeles Times quoted the Governor, Pete Wilson, as follows:
We  do  ot  p ete d  that  a   la   is  a  pa a ea…  This  is  o e  o e  alua le  tool  fo   la enforcement. But as long as it protects one girl or one boy, then keeping it on the books is worth
enduring all of the criticism the opponents can muster.
67. Assemblyman Hoge, who was closely involved in the lawmaking process, is quoted by the New York
Times as stating the following: There is no crime out there more heinous than child molestation. These are our most helpless
citizens. California and Californians are fed up with those who prey on kids, and were going to jail them and make it so that when they return to society as a whole, they dont have the desire
to do what they used to do.
17
68. This California law appears to have been a causative factor for a number of other states in the US to
pass similar legislation. Two of those – Florida and Louisiana – are discussed in detail below. Indeed,
the Los Angeles Times quotes Assemblyman Hoge as follows at the time of the signing of the law: We have now set the stage for America--
a d  e hope  ou a e liste i g A e i a … We  a  do this all over the country. This is going to have the biggest impact on this horrible, horrible crime
of any legislation ever seen.
18
Florida 69.
Does  the  criminal  law  provide  for  a  form  of  chemical  castration  CC?In  Florida,  a  law
19
that commenced came into effect in October 1997 makes provision for CC as a distinct sentence that
the  Court  may,  and  in  some  cases  must,  impose.  The  codified  reference  for  the  law  is  Florida Statutes 794.0235
a d its title is  Ad i ist atio  of  ed o p ogeste o e a etate  MPA  to pe so s convicted of
se ual  atte .
20
As is the case with the California law, it specifies the type of drug to be used. Indeed, the law is very similar in its structure to the law in California and also Louisiana.
16
Los A geles Ti es,  Moleste  Cast atio  Measu e “ig ed ,   “epte e
, http:articles.latimes.com1996-
09-18newsmn-45100_1_child-molestation , accessed 26 February 2016.
17
Ne  Yo k Ti es,  California Child Molesters Face Chemical Castration ,   August ,
http:www.nytimes.com19960827uscalifornia-child-molesters-face-chemical-castration.html, accessed 26 February 2016.
18
Los Angeles Times,  Molester Castration Measure Signed , 18 September 1996, http:articles.latimes.com1996- 09-18newsmn-45100_1_child-molestation, accessed 26 February 2016.
19
Ch. 97-184, § 1, 1997 Fla. Laws 3455 codified at FLA. STAT. § 794.0235 1997.
20
The law may be viewed at: Official Internet Site of the Florida Legislature, Statutes, FLA. STAT. § 794.0235, http:www.leg.state.fl.usstatutesindex.cfm?App_mode=Display_StatuteSearch_String=URL=0700-
07990794Sections0794.0235.html , accessed 22 February 2016.
Page 20 of 32
70.
To which offences may CC apply?A Court may sentence a defendant to be treated with MPA if the
person is convicted of sexual battery under s 794.011. Sexual battery essentially includes any form of sexual penetration of a child; or without consent.
71.
How  is  the  law  relating  to  CC  structured?Section  794.02351  provides  that  the  ou t  …  [m]ay
se te e a defe da t to  e t eated  ith  ed o p ogeste o e a etate  MPA  …  if the defe da t is o i ted  of  se ual  atte   …   e phasis  added .  Thus,  upo   a  fi st  o i tio ,  MPA  is  a
discretionary sentence. Subsection 2 provides that the court shall sentence a person to be treated with MPA upon a second conviction for sexual battery. Thus, for a second offence of sexual battery,
the sentence is mandatory.
72. If a person is sentenced to be treated with MPA, that sentence may not be imposed instead of or
reduce any other sentence. Physical castration may be ordered with consent of the defendant. If a person fails to submit to treatment, this constitutes a separate offence.
73. “u se tio
a   p o ides  that  su h  a  se te e  shall  be  contingent  upon  a  determination  by  a ou t appoi ted  edi al e pe t, that the defe da t is a  app op iate  a didate fo  t eat e t.  The
la   does  ot  defi e  the  te   app op iate   o   spe if   hi h  fa to s  a   e  ele a t  i   the determination  whether  the  defendant  is  an  appropriate  candidate.  Subsection  3  provides  that
[ ]othi g  o tai ed i  this se tio  shall  e  o st ued to  e ui e the  o ti ued ad i ist atio  of ed o p ogeste o e a etate  MPA  t eat e t  he  it is  ot  edi all  app op iate.
74. The  se te e  ust  spe if   the  du atio   of  t eat e t  fo   a  spe ifi   te   of  ea s,  o   i   the
dis etio  of the  ou t, up to the life of the defe da t.  T eat e t  o e es  o late  tha  a  eek
prior to release. 75.
Practice and implementation issues. Subsection   p o ides that  The Depa t e t of Co e tio s
shall p o ide the se i es  e essa  to ad i iste   ed o p ogeste o e a etate  MPA  t eat e t. 76.
In  the  case  of  Tran  v  State  of  Florida,
21
the  District  Court  of  Appeal  of  Florida  considered  a mandatory sentence of MPA treatment. The appellant challenged the constitutional validity of the
MPA  sentence  regime.  The  Court,  however,  did  not  consider  this  argument  because  it  found  the sentence was not lawfully imposed on other grounds.
77. The Court relevantly stated the following in relation to the MPA sentencing regime:
We  eje t the states  o te tio  that the MPA statute is fo   e edial t eat e t pu poses, as opposed  to  punishment.  The  language  of  the  entire  statute  speaks  of  MPA  in  terms  of  a
se te e a d a pe alt . … As a  atte  of statuto   o st u tio , it  ould appear that a sentence to  administration  of  MPA  does  constitute  punishment.  Pursuant  to  the  statutory  scheme,  the
administration  of  MPA  is  imposed  as  part  of  a  criminal  sentence.  Indeed,  section  794.0235  is placed within Floridas criminal code, rather than
u de  Flo idas pu li  health  ode. … “i e the
21
965 So.2d 226 Fla. Dist. Ct. App. 2007, Warner J, Klein and Hazouri JJ concurring. The case may be viewed at: Case text,
https:casetext.comcasetran-v-state-13 ,accessed 22 February 2016.
Page 21 of 32
legislature has deemed MPA treatment a penalty, we conclude that it is part of the defendants pu ish e t a d se te e.
78. Apparently even the various states that have mandatory laws, such as Florida, only rarely actually go
ahead with mandatory treatment if the offender does not also consent.
22
79.
Why were these laws introduced or why is a sentence involving CC imposed?The researcher has so
far  had  great  difficulty  in  finding  primary  source  material  that  explains  or  justifies  the  MPA sentencing regime.
80. As the discussion of the MPA sentencing regime by the Florida appeals court in Tran makes clear,
the MPA se te i g  egi e is a pe alt  a d pa t of the defe da t s pu ish e t a d se te e. It is therefore punitive in nature.
81. Spalding  points  to  motivating  factors  of  Florida  legislators  for  the  MPA  sentencing  regime  which
included the following:
23
the MPA sentencing regime is necessary to alleviate the increasing sexual offence rate in the US; and that the MPA sentencing regime will reduce the number of repeat sex
offe de s.  “paldi g  su a ises  this  as  follo s:  The  reasoning  advanced  for  the  enactment  of
Flo ida s  he i al ast atio  statute is that  eha ilitatio  of se  offe de s a d thesafet  of Flo ida s citizens are sufficient justifications for establishing chemical castration as a condition of release for
convicted sex offenders.
24
Louisiana 82.
Does  the  criminal  law  provide  for  a  form  of  chemical  castration  CC?In  June  2008,  Louisiana
‘e ised  “tatutes  LA  ‘e   “tat  : . ,  e titled  Ad i ist atio   of  ed o p ogeste o e  a etate pa   to  e tai   se   offe de s ,  o
e ed  a e  i to  effe t .
25
The  law  not  only  explicitly specifies  a  form  of  castration  as  a  sentencing  option,  but  also  specifies  which  drug  is  to  be
administered.
83.
To which offences may CC apply? The offences for which it is imposed are specified inLA Rev Stat
14:43.6 and include aggravated forms of rape and incest. 84.
How is the law relating to CC structured?Upon a first conviction for a specified offence, the Court
may se te e the offe de  to  e t eated  a o di g to a s hedule of ad i ist atio   o ito ed
22
“ha a Va  “l ke, Go do  P Waldo, a d Willia  Bales  Hit  E  Whe e it Hu ts: Mo eta  a d No t aditio al Punitive Sanctions , in International Handbook of Penology and Criminal Justice, eds. ShlomoGioraShoham, Ori
Beck, and Martin Kett, 2008, p 141.
23
La  Hel  “paldi g,  Flo ida s 1997 Che i al Cast atio  La : A ‘etu  to the Da k Ages , Florida State University Law Review 25 1998 117, 118; 138.
24
La  Hel  “paldi g,  Flo ida s 1997 Che i al Cast atio  La : A ‘etu  to the Da k Ages , Florida State University Law Review 25 1998 117
, . “paldi g s a ti le is st o gl   iti al of the MPA se te i g  egi e. He
points to several constitutional issues; legal, ethical and practical issues relating to the administration of the drug; and also questions the effectiveness of the treatment for certain types of sex offenders.
25
Justia, http:law.justia.comcodeslouisiana2011rstitle14rs14-43-6, 21 Feb 2016.
Page 22 of 32
the Department of Public Safe t  a d Co e tio s.   ‘“  : .  A  Thus, the se te e is dis etio a
for a first offence. 85.
If a person is convicted of a second specified offence, the Court shall sentence the offender to be treated. Thus, the sentence is mandatory. RS 14:43.6 B1.
86. The  law  further  provides  that  the  treatment  may  not  be  imposed  in  lieu  of  or  reduce  any  other
penalty. The Court may order physical castration if the defendant consents. RS 14:43.6 2. A court appointed medical expert must determine the suitability of the treatment. Also, the treatment shall
commence not later than one week prior to the release of the defendant. If the defendant refuses to undergo treatment, this is an offence and upon conviction the offender shall again, mandatory
be imprisoned for not less than three but not more than five years.
87.
Practice  and  implementation  issues.Medroxyprogesterone  acetate  is  administered  through
injection. As of 2011, three years after the law commenced, it appears that this sentencing option was not commonly used by judges in Louisiana, even where it may be lawfully imposed.
26
88. The law was considered by the Louisiana Supreme Court in State Ex Rel. Herbert Nicholson Versus
State  of  Louisiana.
27
Relevantly  for  this  research  tasks,  the  Court  held  that: …the  chemical
castration requirements of the new statute are expressly part of the punishment that a court may i pose fo  the se   i es e u e ated i  La.‘.“.  : . .  The Court further stated that therefore,
a d  e ause the  E  Post Fa to Clause p ohi its  et oa ti e application of new laws that increase the pe alt  fo   hi h the  i e is pu isha le … a d  e ause  e fi d  o  lea l  e p essed legislati e
i te t  to  appl   this  su sta ti e  ha ge  i   the  la   et oa ti el ,   the  la   does  ot  appl retroactively.
89.
Why  were  these  laws  introduced  or  why  is  a  sentence  involving  CC  imposed?  The  Governor  of
Louisiana  at  the  time,  Bobby  Jindal,  made  a  statement  at  the  time  the  law  came  into  effect. According to one press source, Governor Bobby Jindal said that he wanted to create a deterrent to
hei ous  a d  disgusti g  i es.  We  thi k  it s  iti al  to  gi e  the  judi ial  s ste   a d  ou   la enforcement officials  every  tool possible to  punish  these monsters  and keep  them away  from our
hild e .
28
26
Sentencing Law and Policy Blog, Louisia a judges  ot usi g autho it  to o de   he i al  ast atio  fo  se
offe de s ,January 10, 2011, http:sentencing.typepad.comsentencing_law_and_policy201101louisiana- judges-not-using-authority-to-order-chemical-castration-for-sex-offenders.html, accessed 20 February 2016. See
also The Ad o ate,  No Che i al Cast atio  fo  Co i ted ,   Ma ,
http:theadvocate.comnewsneworleansneworleansnews12292887-123no-chemical-castration-for-convicted ,
accessed 20 February 2016.
27
Case No. 2013-KH-0072.
28
Huffi gto  Post,  Louisiana Gov. Jindal Authorizes Chemical Castration Of Sex Offenders,    Ma ,
http:www.huffingtonpost.com20080626louisiana-gov-jindal-auth_n_109342.html , accessed 20 February
2016.
Page 23 of 32
90. A copy of the press release may be viewed at the Vote Smart website.
29
That press release contains the following quotes from Governor Bobby Jindal:
The Sex Offender Chemical Castration Bill is a good bill, and I am especially glad to sign it into Louisiana law today, on the same day the Supreme Court has made an atrocious ruling
against our states ability to sentence those who sexually assault our children to the fullest extent. Those who prey on our children are among the very worst criminals imaginable.
Not only as the Governor of this great state, but as a father of three children, I believe that sexually assaulting a child is one of the very worst crimes and I am glad we have taken such
strong measures in Louisiana to put a stop to these monsters brutal acts. I want to send the message loud and clear - to the Supreme Court of the United States and beyond - make no
mistake about it, if anyone wants to molest children and commit sexual assaults on kids they should not do so here in Louisiana. Here, we will do everything in our power to protect our
children and we will not rest until justice is won and we have fully punished those who harm them.
91. The language of the law is punitive in nature. Its primary purpose appears to be to punish those
convicted of the offences to which it applies. The Louisiana Supreme Court made this point in the case of State Ex Rel. Herbert Nicholson, quoted above.
92. Further, the language used by the Governor in the press release indicates several further purposes
of the law. The first is that it should have a general deterrent effect – that is, it aims to stop persons
from committing the offences to which it applies. It also seeks to protect the community. Finally, it is also  intended  to  serve  the  purpose  of  denunciation.  Finally,  the  Governor  repeatedly  referred  to
offences against children.
G. Jurisdictions in Europe