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2 | 2 | | HOUSE DOCKET, NO. 3779 FILED ON: 1/20/2023 |
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3 | 3 | | HOUSE . . . . . . . . . . . . . . . No. 2319 |
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4 | 4 | | The Commonwealth of Massachusetts |
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5 | 5 | | _________________ |
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6 | 6 | | PRESENTED BY: |
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7 | 7 | | Mindy Domb |
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8 | 8 | | _________________ |
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9 | 9 | | To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General |
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10 | 10 | | Court assembled: |
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11 | 11 | | The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill: |
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12 | 12 | | An Act to ensure access to medical parole. |
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13 | 13 | | _______________ |
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14 | 14 | | PETITION OF: |
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15 | 15 | | NAME:DISTRICT/ADDRESS :DATE ADDED:Mindy Domb3rd Hampshire1/20/2023Patricia D. JehlenSecond Middlesex1/20/2023Lindsay N. Sabadosa1st Hampshire1/20/2023Jon Santiago9th Suffolk2/6/2023Joanne M. ComerfordHampshire, Franklin and Worcester2/9/2023Christine P. Barber34th Middlesex2/14/2023Rebecca L. RauschNorfolk, Worcester and Middlesex2/23/2023Bud L. Williams11th Hampden2/23/2023Samantha Montaño15th Suffolk2/25/2023Michelle L. Ciccolo15th Middlesex3/2/2023 1 of 10 |
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16 | 16 | | HOUSE DOCKET, NO. 3779 FILED ON: 1/20/2023 |
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17 | 17 | | HOUSE . . . . . . . . . . . . . . . No. 2319 |
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18 | 18 | | By Representative Domb of Amherst, a petition (accompanied by bill, House, No. 2319) of |
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19 | 19 | | Mindy Domb and others relative to access to medical parole. Public Safety and Homeland |
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20 | 20 | | Security. |
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21 | 21 | | The Commonwealth of Massachusetts |
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22 | 22 | | _______________ |
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23 | 23 | | In the One Hundred and Ninety-Third General Court |
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24 | 24 | | (2023-2024) |
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25 | 25 | | _______________ |
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26 | 26 | | An Act to ensure access to medical parole. |
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27 | 27 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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28 | 28 | | of the same, as follows: |
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29 | 29 | | 1 SECTION 1. Section 119A of Chapter 127 of the General Laws, as so appearing, is |
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30 | 30 | | 2hereby amended by striking out the definitions of “Permanent incapacitation” and “Terminal |
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31 | 31 | | 3illness” in subsection (a) and replacing with the following: |
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32 | 32 | | 4 ''Permanent incapacitation'', a medical determination of a physical or cognitive |
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33 | 33 | | 5incapacitation that appears irreversible, as determined by a licensed physician. |
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34 | 34 | | 6 ''Terminal illness'', a medical determination of a condition that appears incurable, as |
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35 | 35 | | 7determined by a licensed physician that will likely cause the death of the prisoner in not more |
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36 | 36 | | 8than 18 months. |
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37 | 37 | | 9 SECTION 2. Section 119A is further amended by adding the following definition after |
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38 | 38 | | 10“Secretary”: 2 of 10 |
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39 | 39 | | 11 “Surrogate decision-maker”, a person chosen by an incarcerated person to advocate on |
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40 | 40 | | 12their behalf. Such a surrogate may include next-of-kin, close family member, attorney, health |
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41 | 41 | | 13care proxy, or an individual with power of attorney for the incarcerated person. |
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42 | 42 | | 14 SECTION 3. Section 119A is further amended by striking subsection (c) and inserting the |
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43 | 43 | | 15following subsections: |
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44 | 44 | | 16 (c)(1) The superintendent of a correctional facility shall consider a prisoner for medical |
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45 | 45 | | 17parole upon a written petition by the prisoner, the prisoner's attorney, the prisoner's next of kin, a |
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46 | 46 | | 18medical provider of the correctional facility or a member of the department's staff. The |
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47 | 47 | | 19superintendent shall review the petition and develop a recommendation as to the release of the |
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48 | 48 | | 20prisoner. Whether or not the superintendent recommends in favor of medical parole, the |
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49 | 49 | | 21superintendent shall, not more than 21 days after the Department’s receipt of the petition, |
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50 | 50 | | 22transmit the petition and the recommendation to the commissioner. The superintendent shall |
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51 | 51 | | 23transmit with the recommendation: (i) a proposed medical parole plan; (ii) a written diagnosis by |
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52 | 52 | | 24a physician licensed to practice medicine under section 2 of chapter 112; and (iii) an assessment |
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53 | 53 | | 25of the current risk for violence that the prisoner poses to society. The risk assessment shall be |
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54 | 54 | | 26based on consideration of the prisoner’s current cognitive and physical ability to violently |
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55 | 55 | | 27recidivate, considering the probability that violence will actually occur, in light of the person’s |
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56 | 56 | | 28documented current medical condition. Where the person's disability-related behaviors contribute |
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57 | 57 | | 29to current risk, the Department must also consider whether reasonable accommodations such as |
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58 | 58 | | 30individualized treatment and programming in a community setting could mitigate risk. Such |
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59 | 59 | | 31assessment shall be supported, if requested by the petitioner, by routine video surveillance of the |
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60 | 60 | | 32prisoner from the prison, demonstrating the prisoner’s level of incapacity. 3 of 10 |
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61 | 61 | | 33 (c)(2) The Department shall submit written petitions on behalf of permanently |
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62 | 62 | | 34cognitively incapacitated prisoners. The Department must first contact the prisoner’s next of kin, |
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63 | 63 | | 35surrogate decision-maker, attorney or Prisoners’ Legal Services, and notify them of the |
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64 | 64 | | 36opportunity to file a petition in lieu of the Department. The Department’s obligation to submit |
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65 | 65 | | 37written petitions on behalf of cognitively incapacitated prisoners does not preclude other |
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66 | 66 | | 38appropriate parties from filing petitions on behalf of incarcerated persons with cognitive |
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67 | 67 | | 39incapacitation. The Department shall accept release of information forms signed by the prisoner |
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68 | 68 | | 40if no guardian has already been appointed. |
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69 | 69 | | 41 (c)(3) The Department shall identify prisoners who are cognitively incapacitated through |
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70 | 70 | | 42at least annual administration of a standardized cognitive assessment tool to all prisoners aged 55 |
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71 | 71 | | 43and older. The Department shall identify all prisoners screening positive for cognitive |
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72 | 72 | | 44impairment or who are terminally ill or physically incapacitated in a quarterly report to an |
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73 | 73 | | 45appropriate prisoners’ rights legal organization, which will include the prisoner’s name, the |
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74 | 74 | | 46prisoner’s next-of-kin or surrogate decision-maker, information about the prisoner’s sentence, |
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75 | 75 | | 47and the relevant condition or description of the incapacitation. In addition to the regular |
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76 | 76 | | 48assessments by medical personnel at the prison, the prisoner, or the prisoner’s family or attorney |
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77 | 77 | | 49may request at any time that the prisoner’s primary care physician in the prison assess cognitive |
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78 | 78 | | 50capacity. |
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79 | 79 | | 51 (c)(4) Upon the commissioner’s receipt of the petition and recommendation pursuant to |
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80 | 80 | | 52paragraph (1), the commissioner shall notify, in writing, the district attorney for the jurisdiction |
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81 | 81 | | 53where the offense resulting in the prisoner being committed to the correctional facility occurred, |
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82 | 82 | | 54the prisoner, the person who petitioned for medical parole, if not the prisoner and, if applicable |
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83 | 83 | | 55under chapter 258B, the victim or the victim's family that the prisoner is being considered for 4 of 10 |
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84 | 84 | | 56medical parole. The parties who receive the notice shall have an opportunity to provide written |
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85 | 85 | | 57statements; provided, however, that if the prisoner was convicted and is serving a sentence under |
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86 | 86 | | 58section 1 of chapter 265, the district attorney or victim's family may request a hearing. |
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87 | 87 | | 59 Where the prisoner meets the medical criteria for medical parole, the Department must |
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88 | 88 | | 60submit a medical parole plan meeting the prisoner’s needs to the Parole Board no later than 35 |
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89 | 89 | | 61days after the Department’s receipt of the petition. Where a parole plan to a private home |
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90 | 90 | | 62appropriate to the person’s care is available, that home shall be the proposed plan unless the |
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91 | 91 | | 63Department produces documentation of specific reasons the home placement would cause a risk |
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92 | 92 | | 64to public safety. |
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93 | 93 | | 65 SECTION 4. Section 119A is further amended by striking subsection (d) and replacing |
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94 | 94 | | 66with the following subsections: |
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95 | 95 | | 67 (d)(1) A sheriff shall consider a prisoner for medical parole upon a written petition filed |
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96 | 96 | | 68by the prisoner, the prisoner's attorney, the prisoner's next of kin, a medical provider of the house |
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97 | 97 | | 69of correction or jail or a member of the sheriff's staff. The sheriff shall review the request and |
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98 | 98 | | 70develop a recommendation as to the release of the prisoner. Whether or not the sheriff |
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99 | 99 | | 71recommends in favor of medical parole, the sheriff shall, not more than 21 days after the |
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100 | 100 | | 72Department’s receipt of the petition, transmit the petition and the recommendation to the |
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101 | 101 | | 73commissioner. The sheriff shall transmit with the petition: (i) a proposed medical parole plan; (ii) |
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102 | 102 | | 74a written diagnosis by a physician licensed to practice medicine under section 2 of chapter 112; |
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103 | 103 | | 75and (iii) an assessment of the current risk for violence that the prisoner poses to society. The risk |
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104 | 104 | | 76assessment shall be based on consideration of the prisoner’s current cognitive and physical |
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105 | 105 | | 77ability to violently recidivate, and the probability that violence will actually occur, in light of the 5 of 10 |
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106 | 106 | | 78person’s documented current medical condition. When the person's disability-related behaviors |
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107 | 107 | | 79contribute to current risk, the Department must also consider whether reasonable |
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108 | 108 | | 80accommodations such as individualized treatment and programming in a community setting |
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109 | 109 | | 81could mitigate risk. Such assessment shall be supported, if requested by the petitioner, by routine |
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110 | 110 | | 82video surveillance of the prisoner from the jail, demonstrating the prisoner’s level of incapacity. |
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111 | 111 | | 83 (d)(2) The sheriff shall submit written petitions on behalf of permanently cognitively |
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112 | 112 | | 84incapacitated prisoners. The sheriff must contact the prisoner’s next of kin, surrogate decision- |
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113 | 113 | | 85maker, attorney or Prisoners’ Legal Services, and notify them of the opportunity to file a petition |
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114 | 114 | | 86in lieu of the sheriff. The Sheriff’s obligation to submit written petitions on behalf of cognitively |
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115 | 115 | | 87incapacitated prisoners does not preclude other appropriate parties from filing written petitions |
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116 | 116 | | 88on behalf of incarcerated persons with cognitive incapacitation. The sheriff shall accept release |
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117 | 117 | | 89of information forms signed by the prisoner if no guardian has already been appointed. |
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118 | 118 | | 90 (d)(3) The sheriff shall identify prisoners who are cognitively incapacitated through at |
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119 | 119 | | 91least annual administration of a standardized cognitive assessment tool to all prisoners aged 55 |
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120 | 120 | | 92and older. The sheriff shall identify all prisoners screening positive for cognitive impairment or |
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121 | 121 | | 93who are terminally ill or physically incapacitated in a quarterly report to an appropriate |
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122 | 122 | | 94prisoners’ rights legal organization, which will include the prisoner’s name, the prisoner’s next- |
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123 | 123 | | 95of-kin or surrogate decision-maker, information about the prisoner’s sentence, and the relevant |
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124 | 124 | | 96condition or description of the incapacitation. In addition to the regular assessments by medical |
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125 | 125 | | 97personnel at the prison, the prisoner, or the prisoner’s family or attorney may request at any time |
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126 | 126 | | 98that the prisoner’s primary care physician in the prison assess cognitive capacity. 6 of 10 |
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127 | 127 | | 99 (d)(4) Upon the commissioner's receipt of the petition and recommendation pursuant to |
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128 | 128 | | 100paragraph (1), the commissioner shall notify, in writing, the district attorney for the jurisdiction |
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129 | 129 | | 101where the offense resulting in the prisoner being committed to the correctional facility occurred, |
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130 | 130 | | 102the prisoner, the person who petitioned for medical parole, if not the prisoner and, if applicable |
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131 | 131 | | 103under chapter 258B, the victim or the victim's family that the prisoner is being considered for |
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132 | 132 | | 104medical parole. The parties who receive the notice shall have an opportunity to submit written |
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133 | 133 | | 105statements. |
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134 | 134 | | 106 Where the prisoner meets the medical criteria for medical parole, the Department shall |
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135 | 135 | | 107submit a medical parole plan meeting the prisoner’s needs to the Parole Board no later than 35 |
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136 | 136 | | 108days after the sheriff’s receipt of the petition. Where a medical parole plan to a private home |
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137 | 137 | | 109appropriate to the individual’s care is available, that home shall be the proposed plan unless the |
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138 | 138 | | 110Department produces documentation of specific reasons the home placement would cause a risk |
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139 | 139 | | 111to public safety. |
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140 | 140 | | 112 SECTION 5. Section 119A is further amended by striking subsection (e) and replacing |
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141 | 141 | | 113with the following: |
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142 | 142 | | 114 (e) The commissioner shall issue a written decision not later than 45 days after the |
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143 | 143 | | 115Department’s receipt of a petition, which shall be accompanied by a statement of reasons for the |
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144 | 144 | | 116commissioner's decision. The Department shall also establish a policy implementing a further |
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145 | 145 | | 117expedited process for decision and release of a person on medical parole whose death by |
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146 | 146 | | 118terminal illness is found to be likely in less than 6 months. Medical parole shall be granted to a |
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147 | 147 | | 119terminally ill or permanently incapacitated prisoner unless the Commissioner determines by clear |
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148 | 148 | | 120and convincing evidence that, if the prisoner is released with appropriate conditions, community 7 of 10 |
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149 | 149 | | 121supervision, and reasonable accommodations, the prisoner will not live and remain at liberty |
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150 | 150 | | 122without violently recidivating. The assessment of terminal illness or permanent incapacitation by |
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151 | 151 | | 123a medical provider shall be separate from the public safety risk assessment. Any denial of |
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152 | 152 | | 124medical parole shall explain how the petitioner’s release would be incompatible with the welfare |
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153 | 153 | | 125of society given the petitioner’s current medical condition. No petition shall be denied on |
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154 | 154 | | 126medical grounds without a current, in-person evaluation of the prisoner by the licensed physician |
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155 | 155 | | 127opining that the person is not medically eligible. Petitioners shall have a right to funds for |
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156 | 156 | | 128experts pursuant to chapter 261. The parole board shall impose terms and conditions for medical |
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157 | 157 | | 129parole that shall apply through the date upon which the prisoner's sentence would have expired |
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158 | 158 | | 130and which shall be no more restrictive than the individual’s current medical condition |
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159 | 159 | | 131necessitates. |
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160 | 160 | | 132 All decisions to grant or deny medical parole, and the creation of a medical parole plan |
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161 | 161 | | 133shall be made without bias pertaining to a person’s race, ethnicity, disability, religion, sexual |
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162 | 162 | | 134orientation, or gender identity. |
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163 | 163 | | 135 Release after a grant of medical parole shall occur within 7 days of the grant, absent |
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164 | 164 | | 136documented extraordinary circumstances preventing such timely release. A prisoner for whom |
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165 | 165 | | 137the Department cannot identify appropriate post-release placement shall be referred to the |
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166 | 166 | | 138Department of Public Health (“DPH”) for placement in an appropriate DPH facility pursuant to |
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167 | 167 | | 139section 151 of chapter 127. Not less than 24 hours before the date of a prisoner's release on |
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168 | 168 | | 140medical parole, the commissioner shall notify, in writing, the district attorney for the jurisdiction |
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169 | 169 | | 141where the offense resulting in the prisoner being committed to the correctional facility occurred, |
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170 | 170 | | 142the department of state police, the police department in the city or town in which the prisoner 8 of 10 |
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171 | 171 | | 143shall reside and, if applicable under chapter 258B, the victim or the victim's family of the |
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172 | 172 | | 144prisoner's release and the terms and conditions of the release. |
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173 | 173 | | 145 SECTION 6. Section 119A is further amended by striking subsection (f) and replacing |
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174 | 174 | | 146with the following: |
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175 | 175 | | 147 (f) For all purposes, including revocation, a prisoner granted release under this section |
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176 | 176 | | 148shall be under the jurisdiction, supervision and control of the parole board, as if the prisoner had |
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177 | 177 | | 149been paroled pursuant to section 130 of chapter 127. The parole board may revise, alter or amend |
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178 | 178 | | 150the terms and conditions of a medical parole at any time. |
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179 | 179 | | 151 If a parole officer receives credible information that the individual’s terminal illness or |
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180 | 180 | | 152permanent incapacitation has improved to the extent that the individual would no longer be |
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181 | 181 | | 153eligible for medical parole under this section, the board shall obtain a medical assessment by a |
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182 | 182 | | 154licensed physician of the prisoner’s current medical condition. If the medical assessment |
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183 | 183 | | 155concludes that the individual no longer qualifies for medical parole, the parole officer shall bring |
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184 | 184 | | 156the individual on medical parole before the board for a parole revocation hearing. The individual |
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185 | 185 | | 157shall remain at liberty during the pendency of the revocation proceedings, barring a substantial |
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186 | 186 | | 158and immediate risk to public safety. If the board establishes at the revocation hearing that the |
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187 | 187 | | 159terminal illness or permanent incapacitation has improved to the extent that the individual is no |
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188 | 188 | | 160longer eligible for medical parole pursuant to this section, the board shall order the return of the |
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189 | 189 | | 161individual to incarceration, or, subject to appropriate terms and conditions set by the board, order |
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190 | 190 | | 162release to parole supervision under another form of parole permitted by law. |
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191 | 191 | | 163 If a parole officer receives credible information that an individual on medical parole has |
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192 | 192 | | 164failed to comply with a condition of medical parole, the parole officer may initiate parole 9 of 10 |
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193 | 193 | | 165revocation proceedings. If the board established at the revocation hearing that the individual has |
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194 | 194 | | 166violated a condition of medical parole, it may revoke parole and order return of the individual to |
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195 | 195 | | 167incarceration, or order that the individual be reparoled to the community on medical parole |
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196 | 196 | | 168subject to appropriate terms and conditions set by the board. In determining whether to order the |
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197 | 197 | | 169individual’s return to custody, the board shall consider the medical hardship of incarceration and |
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198 | 198 | | 170whether provision of reasonable accommodations would enable the individual to comply with |
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199 | 199 | | 171the conditions of medical parole. |
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200 | 200 | | 172 If the board orders revocation and reincarceration pursuant to this subsection, the prisoner |
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201 | 201 | | 173shall return to custody in accordance with the terms of their original sentence with credit given |
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202 | 202 | | 174only for the duration of the medical parole that was served in compliance with all conditions of |
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203 | 203 | | 175their medical parole pursuant to subsection (e). Revocation of a prisoner’s medical parole for any |
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204 | 204 | | 176reason shall not preclude a prisoner’s eligibility for medical parole in the future or for another |
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205 | 205 | | 177form of release permitted by law. |
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206 | 206 | | 178 SECTION 7. Section 119A is further amended by striking subsection (g) and replacing |
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207 | 207 | | 179with the following: |
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208 | 208 | | 180 (g) A prisoner, sheriff or superintendent aggrieved by a decision denying or granting |
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209 | 209 | | 181medical parole made under this section may petition for relief pursuant to section 4 of chapter |
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210 | 210 | | 182249. |
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211 | 211 | | 183 A reviewing court may affirm or reverse the commissioner's decision and order grant or |
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212 | 212 | | 184denial of the prisoner’s release. Petitions for certiorari shall be handled by the judiciary with due |
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213 | 213 | | 185haste considering the urgent nature of medical parole. A decision by the court affirming or |
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214 | 214 | | 186reversing the commissioner's grant or denial of medical parole shall not affect a prisoner's 10 of 10 |
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215 | 215 | | 187eligibility for any other form of release permitted by law. A decision by the court pursuant to this |
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216 | 216 | | 188subsection shall not preclude a prisoner's eligibility for medical parole in the future. |
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217 | 217 | | 189 SECTION 8. Section 119A is further amended by striking subsection (i) and replacing |
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218 | 218 | | 190with the following: |
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219 | 219 | | 191 (i) The commissioner and the secretary shall file an annual report not later than March 1 |
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220 | 220 | | 192with the clerks of the senate and the house of representatives, the senate and house committees |
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221 | 221 | | 193on ways and means and the joint committee on the judiciary detailing, for the prior year: (i) the |
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222 | 222 | | 194number of prisoners in the custody of the department or of the sheriffs who applied for medical |
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223 | 223 | | 195parole under this section and the race, ethnicity, and age of each applicant at the time of the |
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224 | 224 | | 196petition; (ii) the number of prisoners who have been granted medical parole and the race and |
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225 | 225 | | 197ethnicity, age of each prisoner at the time of the petition; (iii) the nature of the illness of the |
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226 | 226 | | 198applicants for medical parole; (iv) the counties to which the prisoners have been released; (v) the |
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227 | 227 | | 199number of prisoners who have been denied medical parole, the reason for the denial and the race, |
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228 | 228 | | 200ethnicity and age of each prisoner at the time of the petition; (vi) the number of prisoners who |
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229 | 229 | | 201have petitioned for medical parole more than once; (vii) the number of prisoners released who |
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230 | 230 | | 202have been returned to the custody of the department or the sheriff and the reason for each |
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231 | 231 | | 203prisoner's return; and (viii) the number of petitions for relief sought pursuant to subsection (g). |
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232 | 232 | | 204Nothing in this report shall include personally identifiable information of the prisoners. |
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