Massachusetts 2023-2024 Regular Session

Massachusetts House Bill H3619 Compare Versions

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22 HOUSE DOCKET, NO. 3869 FILED ON: 1/20/2023
33 HOUSE . . . . . . . . . . . . . . . No. 3619
44 The Commonwealth of Massachusetts
55 _________________
66 PRESENTED BY:
77 Michael S. Day
88 _________________
99 To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
1010 Court assembled:
1111 The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
1212 An Act prohibiting the participation of healthcare professionals in the torture and abuse of
1313 prisoners.
1414 _______________
1515 PETITION OF:
1616 NAME:DISTRICT/ADDRESS :DATE ADDED:Michael S. Day31st Middlesex1/20/2023 1 of 8
1717 HOUSE DOCKET, NO. 3869 FILED ON: 1/20/2023
1818 HOUSE . . . . . . . . . . . . . . . No. 3619
1919 By Representative Day of Stoneham, a petition (accompanied by bill, House, No. 3619) of
2020 Michael S. Day for legislation to prohibit the participation of healthcare professionals in the
2121 torture and abuse of prisoners. Public Health.
2222 [SIMILAR MATTER FILED IN PREVIOUS SESSION
2323 SEE HOUSE, NO. 2256 OF 2021-2022.]
2424 The Commonwealth of Massachusetts
2525 _______________
2626 In the One Hundred and Ninety-Third General Court
2727 (2023-2024)
2828 _______________
2929 An Act prohibiting the participation of healthcare professionals in the torture and abuse of
3030 prisoners.
3131 Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
3232 of the same, as follows:
3333 1 SECTION 1. Chapter 112 of the General Laws is hereby amended by inserting after
3434 2section 1B the following language:--
3535 3 Section 1C: Participation in torture or abusive treatment of prisoners by health care
3636 4professionals.
3737 5 1. Definitions.
3838 6 As used in this section, unless the context requires otherwise, the following terms shall
3939 7have the following meanings: 2 of 8
4040 8 (a) "Health care professional" means any person licensed, registered, certified, or exempt
4141 9to practice a health-related profession under the laws of the commonwealth of Massachusetts,
4242 10including but not limited to the following: chapter 111; chapter 111C; or sections two, three,
4343 11nine C, thirteen, twenty-three A, twenty-three R, twenty-four, forty-three, fifty-one, fifty-one and
4444 12one half, sixty-six, seventy-three C, seventy-four, eighty-seven WWW, eighty-nine, one hundred
4545 13and eight, one hundred and eighteen, one hundred and thirty, one hundred thirty-eight, one
4646 14hundred forty-nine, one hundred and sixty-three, one hundred and ninety-six, two hundred and
4747 15eleven, or two hundred and fifty-two of chapter 112;
4848 16 (b) "Torture" means any intentional act or intentional omission by which severe pain or
4949 17suffering, whether physical or mental, is inflicted on a person for any of the following purposes:
5050 18to obtain from the subject or from a third person information or a confession; to punish the
5151 19subject for an act that the subject or a third person has committed or is suspected of having
5252 20committed; to punish the subject or a third person for actual or suspected beliefs or membership
5353 21in any group; to intimidate or coerce the subject or a third person; or for any discriminatory
5454 22reason.
5555 23 (c) "Abusive treatment" means (i) cruel, inhuman or degrading, treatment or punishment
5656 24as defined by applicable international treaties and their corresponding interpreting bodies; (ii)
5757 25cruel and unusual punishment as defined in the United States Constitution or the laws of
5858 26Massachusetts; or (iii) any violation of subsection two of this section.
5959 27 (d) "Prisoner" means any person who is being detained, incarcerated, or held
6060 28involuntarily, whether by a government or non-government actor, entity, or official; and whether
6161 29or not under color of law. 3 of 8
6262 30 (e) To "adversely affect" a person's physical or mental health or condition does not
6363 31include causing adverse effects that may arise from treatment or care when that treatment or care
6464 32is performed in accordance with generally applicable legal, health and professional standards and
6565 33for the purposes of evaluating, treating, protecting or improving the person's health.
6666 34 (f) “Interrogation” means the questioning of a prisoner, whether by a government or non-
6767 35government actor, entity or official, for purposes of: (1) law enforcement; (2) the enforcement of
6868 36rules or regulations of a closed institution such as a jail or other detention facility, police facility,
6969 37prison, immigration facility, or psychiatric or military facility; (3) obtaining military and national
7070 38security intelligence; or (4) aiding or accomplishing any illegal activity or purpose. Questioning
7171 39by licensed health care professionals to assess the physical or mental condition of an individual
7272 40for the exclusive purpose of providing care and treatment of that individual within the patient-
7373 41provider relationship does not constitute interrogation.
7474 42 The terms "torture" and "abusive treatment" shall be interpreted in accordance with
7575 43applicable international treaties, principles and standards, as well as the decisions, observations
7676 44and recommendations of the corresponding interpreting bodies.
7777 45 2. Certain conduct of health care professionals prohibited.
7878 46 No health care professional shall:
7979 47 (a) apply his or her knowledge or skills in relation to, engage in any professional
8080 48relationship with, or perform services using his or her knowledge and skills in relation to any
8181 49prisoner except for: 4 of 8
8282 50 (i) the purpose of evaluating, treating, protecting, or improving the physical or mental
8383 51health of the prisoner within a patient-provider relationship; or
8484 52 (ii) situations permitted by paragraphs (a), (b) or (c) of subdivision four of this section.
8585 53 (b) engage, directly or indirectly, in the torture or abusive treatment of a prisoner, nor
8686 54participate in, incite, assist in, plan or design, or conspire to commit torture or abusive treatment.
8787 55This general prohibition includes, but is not limited to:
8888 56 (i) providing means or knowledge with the intent to facilitate the practice of torture or
8989 57abusive treatment;
9090 58 (ii) permitting his or her knowledge, or the clinical findings, treatment or health records
9191 59regarding a prisoner, to be used in the process of torture or abusive treatment;
9292 60 (iii) examining, evaluating, or treating a prisoner to certify whether torture or abusive
9393 61treatment can begin or be resumed;
9494 62 (iv) being present while torture or abusive treatment is being administered;
9595 63 (v) omitting indications of torture or abusive treatment from records or reports; or
9696 64 (vi) altering health care records or reports to hide, misrepresent or destroy evidence of
9797 65torture or abusive treatment;
9898 66 (c) use his or her knowledge or skills in any way to help create conditions of
9999 67confinement, incarceration or detention designed to harm, weaken, break down, exhaust or
100100 68otherwise impair a prisoner; 5 of 8
101101 69 (d) use his or her knowledge or skills to further or facilitate the punishment, intimidation,
102102 70or coercion of a prisoner (except as permitted by paragraph (a) or (b) of subdivision four of this
103103 71section);
104104 72 (e) use his or her knowledge or skills in any way to assist in the detention or incarceration
105105 73of a prisoner when such assistance may adversely affect the prisoner’s physical or mental health
106106 74(except as permitted by paragraph (a) or (b) of subdivision four of this section); or
107107 75 (f) participate in the interrogation of a prisoner, including, but not limited to, being
108108 76physically present in the interrogation room, having the ability to see or hear what is taking place
109109 77in the interrogation room by any technical means or methods, asking or suggesting questions,
110110 78advising on the use of specific interrogation techniques, monitoring the interrogation, or
111111 79medically or psychologically evaluating a person for the purpose of identifying potential
112112 80interrogation methods or strategies. However, this paragraph shall not bar a health care
113113 81professional from assessing the competency or sanity of a prisoner in connection with her/his
114114 82participation in a matter authorized by paragraph (a) of subdivision four of this section or from
115115 83engaging in conduct permitted under paragraph (d) of subdivision four.
116116 84 3. General obligations of health care professionals.
117117 85 (a) Every health care professional who uses his or her knowledge or skills in relation to a
118118 86prisoner shall do so in a way consistent with generally applicable legal, health and professional
119119 87standards, including but not limited to those pertaining to the confidentiality of patient
120120 88information. 6 of 8
121121 89 (b) In all clinical assessments relating to a prisoner, whether for therapeutic or evaluative
122122 90purposes, health care professionals shall exercise their professional judgment independent of the
123123 91interests of a government or other third party.
124124 92 4. Certain conduct of health care professionals permitted.
125125 93 A health care professional may engage in the following conduct, so long as it is
126126 94consistent with legal and professional standards; it does not adversely affect the physical or
127127 95mental health or condition of an individual; it does not violate subdivision two or three of this
128128 96section; and it is not otherwise unlawful:
129129 97 (a) participate in or aid the investigation, prosecution, or defense of a criminal,
130130 98administrative or civil matter;
131131 99 (b) participate in acts to restrain or temporarily alter the physical or mental activity of a
132132 100prisoner, where necessary for the physical or mental health or safety of the prisoner or for the
133133 101safety of other prisoners, or persons directly caring for, guarding or confining the prisoner;
134134 102 (c) conduct human subject research in accordance with all safeguards for human subjects
135135 103required by Massachusetts, federal and international law, including but not limited to the
136136 104informed consent of the subject and institutional review board approval;
137137 105 (d) conduct training related to the non-abusive interrogation of prisoners solely for one or
138138 106more of the following purposes, provided that such training is not specific to ongoing or
139139 107anticipated interrogations:
140140 108 (i) assessing a physical or mental illness or condition of a person subject to interrogation; 7 of 8
141141 109 (ii) assessing the possible physical and mental effects of particular techniques and
142142 110conditions of interrogation; and
143143 111 (iii) developing effective, non-abusive interrogation strategies.
144144 112 5. Duty to report.
145145 113 A health care professional who has reasonable grounds, based on more information than
146146 114is publicly available, to believe that torture, abusive treatment or conduct in violation of this
147147 115section has occurred, is ongoing, or will take place in the future shall immediately report such
148148 116conduct to:
149149 117 (a) a government agency that the health care professional reasonably believes has legal
150150 118authority to investigate, prevent or punish the continuation of torture or abusive treatment of a
151151 119prisoner or conduct in violation of this section and is reasonably likely to attempt to do so; and
152152 120 (b) in the case of an alleged violation by a health care professional licensed under the
153153 121laws of Massachusetts, the appropriate licensing authority.
154154 122 6. Knowledge.
155155 123 It shall be a violation of this section if the health care professional knew or reasonably
156156 124should have known his or her conduct is of the kind prohibited, and regardless of whether he or
157157 125she is acting in his or her professional capacity. If a health care professional is denied access to
158158 126the information necessary to ascertain whether torture or abusive treatment has occurred, is
159159 127occurring or will occur, the health care professional must presume that the prisoner is at risk of
160160 128torture or abusive treatment.
161161 129 7. Mitigation. 8 of 8
162162 130 The following may be considered in full or partial mitigation of a violation of this section
163163 131by the health care professional:
164164 132 (a) compliance with subsection four of this section; or
165165 133 (b) cooperation in good faith with an investigation of a violation of this section.
166166 134 8. Applicability.
167167 135 This section shall apply without regard to whether the proscribed conduct takes place
168168 136within or outside of the commonwealth of Massachusetts; whether it is committed by a
169169 137governmental or non-governmental entity, official, or actor; or whether it is committed under
170170 138actual or asserted color of law.
171171 139 9. Scope of practice not expanded.
172172 140 This section shall not be construed to expand the lawful scope of practice of any health
173173 141care professional.
174174 142 SECTION 2. The introduction or enactment of this act shall not be construed to mean that
175175 143the conduct proscribed herein does not already violate state law or constitute professional
176176 144misconduct.