The stakes are high given the lifetime counseling, community alerts and public shaming the designation would trigger. Judge O'Neill has had authority over the case for three years, after police arrested Cosby in December 2015 as well as during his trial in 2017 which ended in gridlock.
Two of Bill Cosby's many accusers said on Sunday that they hope that the disgraced actor-comedian will be sentenced to jail at this week's hearing.
Cosby was convicted in April on three counts of aggravated indecent assault for drugging and sexually assaulting Andrea Constand at his home in the suburbs of Philadelphia in 2004.
He faces a maximum of 10 years in prison on each charge, but state guidelines recommend a sentence of about one to four years.
At Cosby's trial, five women besides Constand testified that he had assaulted them.
Her letter comes just days after Montgomery County Court Judge Steven O'Neill declined - for a second time - to recuse himself from her husband's Monday sentencing.
In this instance, "the judge is going to get flak", he said. The hearings will also determine whether Cosby is designated a sexually violent predator. According to NBC News, "Cosby's lawyers opposed the request for additional accusers to testify at the sentencing hearing". Neighbours and schools will be warned he is living nearby.
The stigma may not be as paralyzing for a man like Cosby - in his 80s, living in a gated house and presumably not looking for work or going to the local gym.
Daniel Filler, dean of Drexel University's Kline School of Law, said judges can't help being influenced a little by the "optics" of a case - that it, how it is going to look to the public.