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2 | 2 | | HOUSE DOCKET, NO. 3869 FILED ON: 1/20/2023 |
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3 | 3 | | HOUSE . . . . . . . . . . . . . . . No. 3619 |
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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 | | Michael S. Day |
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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 prohibiting the participation of healthcare professionals in the torture and abuse of |
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13 | 13 | | prisoners. |
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14 | 14 | | _______________ |
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15 | 15 | | PETITION OF: |
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16 | 16 | | NAME:DISTRICT/ADDRESS :DATE ADDED:Michael S. Day31st Middlesex1/20/2023 1 of 8 |
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17 | 17 | | HOUSE DOCKET, NO. 3869 FILED ON: 1/20/2023 |
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18 | 18 | | HOUSE . . . . . . . . . . . . . . . No. 3619 |
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19 | 19 | | By Representative Day of Stoneham, a petition (accompanied by bill, House, No. 3619) of |
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20 | 20 | | Michael S. Day for legislation to prohibit the participation of healthcare professionals in the |
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21 | 21 | | torture and abuse of prisoners. Public Health. |
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22 | 22 | | [SIMILAR MATTER FILED IN PREVIOUS SESSION |
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23 | 23 | | SEE HOUSE, NO. 2256 OF 2021-2022.] |
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24 | 24 | | The Commonwealth of Massachusetts |
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25 | 25 | | _______________ |
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26 | 26 | | In the One Hundred and Ninety-Third General Court |
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27 | 27 | | (2023-2024) |
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28 | 28 | | _______________ |
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29 | 29 | | An Act prohibiting the participation of healthcare professionals in the torture and abuse of |
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30 | 30 | | prisoners. |
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31 | 31 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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32 | 32 | | of the same, as follows: |
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33 | 33 | | 1 SECTION 1. Chapter 112 of the General Laws is hereby amended by inserting after |
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34 | 34 | | 2section 1B the following language:-- |
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35 | 35 | | 3 Section 1C: Participation in torture or abusive treatment of prisoners by health care |
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36 | 36 | | 4professionals. |
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37 | 37 | | 5 1. Definitions. |
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38 | 38 | | 6 As used in this section, unless the context requires otherwise, the following terms shall |
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39 | 39 | | 7have the following meanings: 2 of 8 |
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40 | 40 | | 8 (a) "Health care professional" means any person licensed, registered, certified, or exempt |
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41 | 41 | | 9to practice a health-related profession under the laws of the commonwealth of Massachusetts, |
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42 | 42 | | 10including but not limited to the following: chapter 111; chapter 111C; or sections two, three, |
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43 | 43 | | 11nine C, thirteen, twenty-three A, twenty-three R, twenty-four, forty-three, fifty-one, fifty-one and |
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44 | 44 | | 12one half, sixty-six, seventy-three C, seventy-four, eighty-seven WWW, eighty-nine, one hundred |
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45 | 45 | | 13and eight, one hundred and eighteen, one hundred and thirty, one hundred thirty-eight, one |
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46 | 46 | | 14hundred forty-nine, one hundred and sixty-three, one hundred and ninety-six, two hundred and |
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47 | 47 | | 15eleven, or two hundred and fifty-two of chapter 112; |
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48 | 48 | | 16 (b) "Torture" means any intentional act or intentional omission by which severe pain or |
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49 | 49 | | 17suffering, whether physical or mental, is inflicted on a person for any of the following purposes: |
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50 | 50 | | 18to obtain from the subject or from a third person information or a confession; to punish the |
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51 | 51 | | 19subject for an act that the subject or a third person has committed or is suspected of having |
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52 | 52 | | 20committed; to punish the subject or a third person for actual or suspected beliefs or membership |
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53 | 53 | | 21in any group; to intimidate or coerce the subject or a third person; or for any discriminatory |
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54 | 54 | | 22reason. |
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55 | 55 | | 23 (c) "Abusive treatment" means (i) cruel, inhuman or degrading, treatment or punishment |
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56 | 56 | | 24as defined by applicable international treaties and their corresponding interpreting bodies; (ii) |
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57 | 57 | | 25cruel and unusual punishment as defined in the United States Constitution or the laws of |
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58 | 58 | | 26Massachusetts; or (iii) any violation of subsection two of this section. |
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59 | 59 | | 27 (d) "Prisoner" means any person who is being detained, incarcerated, or held |
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60 | 60 | | 28involuntarily, whether by a government or non-government actor, entity, or official; and whether |
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61 | 61 | | 29or not under color of law. 3 of 8 |
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62 | 62 | | 30 (e) To "adversely affect" a person's physical or mental health or condition does not |
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63 | 63 | | 31include causing adverse effects that may arise from treatment or care when that treatment or care |
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64 | 64 | | 32is performed in accordance with generally applicable legal, health and professional standards and |
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65 | 65 | | 33for the purposes of evaluating, treating, protecting or improving the person's health. |
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66 | 66 | | 34 (f) “Interrogation” means the questioning of a prisoner, whether by a government or non- |
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67 | 67 | | 35government actor, entity or official, for purposes of: (1) law enforcement; (2) the enforcement of |
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68 | 68 | | 36rules or regulations of a closed institution such as a jail or other detention facility, police facility, |
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69 | 69 | | 37prison, immigration facility, or psychiatric or military facility; (3) obtaining military and national |
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70 | 70 | | 38security intelligence; or (4) aiding or accomplishing any illegal activity or purpose. Questioning |
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71 | 71 | | 39by licensed health care professionals to assess the physical or mental condition of an individual |
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72 | 72 | | 40for the exclusive purpose of providing care and treatment of that individual within the patient- |
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73 | 73 | | 41provider relationship does not constitute interrogation. |
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74 | 74 | | 42 The terms "torture" and "abusive treatment" shall be interpreted in accordance with |
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75 | 75 | | 43applicable international treaties, principles and standards, as well as the decisions, observations |
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76 | 76 | | 44and recommendations of the corresponding interpreting bodies. |
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77 | 77 | | 45 2. Certain conduct of health care professionals prohibited. |
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78 | 78 | | 46 No health care professional shall: |
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79 | 79 | | 47 (a) apply his or her knowledge or skills in relation to, engage in any professional |
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80 | 80 | | 48relationship with, or perform services using his or her knowledge and skills in relation to any |
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81 | 81 | | 49prisoner except for: 4 of 8 |
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82 | 82 | | 50 (i) the purpose of evaluating, treating, protecting, or improving the physical or mental |
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83 | 83 | | 51health of the prisoner within a patient-provider relationship; or |
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84 | 84 | | 52 (ii) situations permitted by paragraphs (a), (b) or (c) of subdivision four of this section. |
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85 | 85 | | 53 (b) engage, directly or indirectly, in the torture or abusive treatment of a prisoner, nor |
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86 | 86 | | 54participate in, incite, assist in, plan or design, or conspire to commit torture or abusive treatment. |
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87 | 87 | | 55This general prohibition includes, but is not limited to: |
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88 | 88 | | 56 (i) providing means or knowledge with the intent to facilitate the practice of torture or |
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89 | 89 | | 57abusive treatment; |
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90 | 90 | | 58 (ii) permitting his or her knowledge, or the clinical findings, treatment or health records |
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91 | 91 | | 59regarding a prisoner, to be used in the process of torture or abusive treatment; |
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92 | 92 | | 60 (iii) examining, evaluating, or treating a prisoner to certify whether torture or abusive |
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93 | 93 | | 61treatment can begin or be resumed; |
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94 | 94 | | 62 (iv) being present while torture or abusive treatment is being administered; |
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95 | 95 | | 63 (v) omitting indications of torture or abusive treatment from records or reports; or |
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96 | 96 | | 64 (vi) altering health care records or reports to hide, misrepresent or destroy evidence of |
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97 | 97 | | 65torture or abusive treatment; |
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98 | 98 | | 66 (c) use his or her knowledge or skills in any way to help create conditions of |
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99 | 99 | | 67confinement, incarceration or detention designed to harm, weaken, break down, exhaust or |
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100 | 100 | | 68otherwise impair a prisoner; 5 of 8 |
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101 | 101 | | 69 (d) use his or her knowledge or skills to further or facilitate the punishment, intimidation, |
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102 | 102 | | 70or coercion of a prisoner (except as permitted by paragraph (a) or (b) of subdivision four of this |
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103 | 103 | | 71section); |
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104 | 104 | | 72 (e) use his or her knowledge or skills in any way to assist in the detention or incarceration |
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105 | 105 | | 73of a prisoner when such assistance may adversely affect the prisoner’s physical or mental health |
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106 | 106 | | 74(except as permitted by paragraph (a) or (b) of subdivision four of this section); or |
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107 | 107 | | 75 (f) participate in the interrogation of a prisoner, including, but not limited to, being |
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108 | 108 | | 76physically present in the interrogation room, having the ability to see or hear what is taking place |
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109 | 109 | | 77in the interrogation room by any technical means or methods, asking or suggesting questions, |
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110 | 110 | | 78advising on the use of specific interrogation techniques, monitoring the interrogation, or |
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111 | 111 | | 79medically or psychologically evaluating a person for the purpose of identifying potential |
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112 | 112 | | 80interrogation methods or strategies. However, this paragraph shall not bar a health care |
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113 | 113 | | 81professional from assessing the competency or sanity of a prisoner in connection with her/his |
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114 | 114 | | 82participation in a matter authorized by paragraph (a) of subdivision four of this section or from |
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115 | 115 | | 83engaging in conduct permitted under paragraph (d) of subdivision four. |
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116 | 116 | | 84 3. General obligations of health care professionals. |
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117 | 117 | | 85 (a) Every health care professional who uses his or her knowledge or skills in relation to a |
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118 | 118 | | 86prisoner shall do so in a way consistent with generally applicable legal, health and professional |
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119 | 119 | | 87standards, including but not limited to those pertaining to the confidentiality of patient |
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120 | 120 | | 88information. 6 of 8 |
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121 | 121 | | 89 (b) In all clinical assessments relating to a prisoner, whether for therapeutic or evaluative |
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122 | 122 | | 90purposes, health care professionals shall exercise their professional judgment independent of the |
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123 | 123 | | 91interests of a government or other third party. |
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124 | 124 | | 92 4. Certain conduct of health care professionals permitted. |
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125 | 125 | | 93 A health care professional may engage in the following conduct, so long as it is |
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126 | 126 | | 94consistent with legal and professional standards; it does not adversely affect the physical or |
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127 | 127 | | 95mental health or condition of an individual; it does not violate subdivision two or three of this |
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128 | 128 | | 96section; and it is not otherwise unlawful: |
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129 | 129 | | 97 (a) participate in or aid the investigation, prosecution, or defense of a criminal, |
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130 | 130 | | 98administrative or civil matter; |
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131 | 131 | | 99 (b) participate in acts to restrain or temporarily alter the physical or mental activity of a |
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132 | 132 | | 100prisoner, where necessary for the physical or mental health or safety of the prisoner or for the |
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133 | 133 | | 101safety of other prisoners, or persons directly caring for, guarding or confining the prisoner; |
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134 | 134 | | 102 (c) conduct human subject research in accordance with all safeguards for human subjects |
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135 | 135 | | 103required by Massachusetts, federal and international law, including but not limited to the |
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136 | 136 | | 104informed consent of the subject and institutional review board approval; |
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137 | 137 | | 105 (d) conduct training related to the non-abusive interrogation of prisoners solely for one or |
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138 | 138 | | 106more of the following purposes, provided that such training is not specific to ongoing or |
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139 | 139 | | 107anticipated interrogations: |
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140 | 140 | | 108 (i) assessing a physical or mental illness or condition of a person subject to interrogation; 7 of 8 |
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141 | 141 | | 109 (ii) assessing the possible physical and mental effects of particular techniques and |
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142 | 142 | | 110conditions of interrogation; and |
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143 | 143 | | 111 (iii) developing effective, non-abusive interrogation strategies. |
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144 | 144 | | 112 5. Duty to report. |
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145 | 145 | | 113 A health care professional who has reasonable grounds, based on more information than |
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146 | 146 | | 114is publicly available, to believe that torture, abusive treatment or conduct in violation of this |
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147 | 147 | | 115section has occurred, is ongoing, or will take place in the future shall immediately report such |
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148 | 148 | | 116conduct to: |
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149 | 149 | | 117 (a) a government agency that the health care professional reasonably believes has legal |
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150 | 150 | | 118authority to investigate, prevent or punish the continuation of torture or abusive treatment of a |
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151 | 151 | | 119prisoner or conduct in violation of this section and is reasonably likely to attempt to do so; and |
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152 | 152 | | 120 (b) in the case of an alleged violation by a health care professional licensed under the |
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153 | 153 | | 121laws of Massachusetts, the appropriate licensing authority. |
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154 | 154 | | 122 6. Knowledge. |
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155 | 155 | | 123 It shall be a violation of this section if the health care professional knew or reasonably |
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156 | 156 | | 124should have known his or her conduct is of the kind prohibited, and regardless of whether he or |
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157 | 157 | | 125she is acting in his or her professional capacity. If a health care professional is denied access to |
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158 | 158 | | 126the information necessary to ascertain whether torture or abusive treatment has occurred, is |
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159 | 159 | | 127occurring or will occur, the health care professional must presume that the prisoner is at risk of |
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160 | 160 | | 128torture or abusive treatment. |
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161 | 161 | | 129 7. Mitigation. 8 of 8 |
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162 | 162 | | 130 The following may be considered in full or partial mitigation of a violation of this section |
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163 | 163 | | 131by the health care professional: |
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164 | 164 | | 132 (a) compliance with subsection four of this section; or |
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165 | 165 | | 133 (b) cooperation in good faith with an investigation of a violation of this section. |
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166 | 166 | | 134 8. Applicability. |
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167 | 167 | | 135 This section shall apply without regard to whether the proscribed conduct takes place |
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168 | 168 | | 136within or outside of the commonwealth of Massachusetts; whether it is committed by a |
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169 | 169 | | 137governmental or non-governmental entity, official, or actor; or whether it is committed under |
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170 | 170 | | 138actual or asserted color of law. |
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171 | 171 | | 139 9. Scope of practice not expanded. |
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172 | 172 | | 140 This section shall not be construed to expand the lawful scope of practice of any health |
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173 | 173 | | 141care professional. |
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174 | 174 | | 142 SECTION 2. The introduction or enactment of this act shall not be construed to mean that |
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175 | 175 | | 143the conduct proscribed herein does not already violate state law or constitute professional |
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176 | 176 | | 144misconduct. |
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