Massachusetts 2023-2024 Regular Session

Massachusetts Senate Bill S1535 Compare Versions

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22 SENATE DOCKET, NO. 2262 FILED ON: 1/20/2023
33 SENATE . . . . . . . . . . . . . . No. 1535
44 The Commonwealth of Massachusetts
55 _________________
66 PRESENTED BY:
77 Patricia D. Jehlen
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 to ensure access to medical parole.
1313 _______________
1414 PETITION OF:
1515 NAME:DISTRICT/ADDRESS :Patricia D. JehlenSecond MiddlesexLiz MirandaSecond Suffolk1/20/2023Mindy Domb3rd Hampshire1/25/2023Joanne M. ComerfordHampshire, Franklin and Worcester2/9/2023Rebecca L. RauschNorfolk, Worcester and Middlesex2/23/2023 1 of 10
1616 SENATE DOCKET, NO. 2262 FILED ON: 1/20/2023
1717 SENATE . . . . . . . . . . . . . . No. 1535
1818 By Ms. Jehlen, a petition (accompanied by bill, Senate, No. 1535) of Patricia D. Jehlen, Liz
1919 Miranda, Mindy Domb, Joanne M. Comerford and others for legislation to remove barriers to
2020 medical parole. Public Safety and Homeland Security.
2121 [SIMILAR MATTER FILED IN PREVIOUS SESSION
2222 SEE SENATE, NO. 1599 OF 2021-2022.]
2323 The Commonwealth of Massachusetts
2424 _______________
2525 In the One Hundred and Ninety-Third General Court
2626 (2023-2024)
2727 _______________
2828 An Act to ensure access to medical parole.
2929 Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
3030 of the same, as follows:
3131 1 SECTION 1. Section 119A of Chapter 127 of the General Laws, as so appearing, is
3232 2hereby amended by striking out the definitions of “Permanent incapacitation” and “Terminal
3333 3illness” in subsection (a) and replacing with the following:
3434 4 ''Permanent incapacitation'', a medical determination of a physical or cognitive
3535 5incapacitation that appears irreversible, as determined by a licensed physician.
3636 6 ''Terminal illness'', a medical determination of a condition that appears incurable, as
3737 7determined by a licensed physician that will likely cause the death of the prisoner in not more
3838 8than 18 months. 2 of 10
3939 9 SECTION 2. Section 119A is further amended by adding the following definition after
4040 10“Secretary”:
4141 11 “Surrogate decision-maker”, a person chosen by an incarcerated person to advocate on
4242 12their behalf. Such a surrogate may include next-of-kin, close family member, attorney, health
4343 13care proxy, or an individual with power of attorney for the incarcerated person.
4444 14 SECTION 3. Section 119A is further amended by striking subsection (c) and inserting the
4545 15following subsections:
4646 16 (c)(1) The superintendent of a correctional facility shall consider a prisoner for medical
4747 17parole upon a written petition by the prisoner, the prisoner's attorney, the prisoner's next of kin, a
4848 18medical provider of the correctional facility or a member of the department's staff. The
4949 19superintendent shall review the petition and develop a recommendation as to the release of the
5050 20prisoner. Whether or not the superintendent recommends in favor of medical parole, the
5151 21superintendent shall, not more than 21 days after the Department’s receipt of the petition,
5252 22transmit the petition and the recommendation to the commissioner. The superintendent shall
5353 23transmit with the recommendation: (i) a proposed medical parole plan; (ii) a written diagnosis by
5454 24a physician licensed to practice medicine under section 2 of chapter 112; and (iii) an assessment
5555 25of the current risk for violence that the prisoner poses to society. The risk assessment shall be
5656 26based on consideration of the prisoner’s current cognitive and physical ability to violently
5757 27recidivate, considering the probability that violence will actually occur, in light of the person’s
5858 28documented current medical condition. Where the person's disability-related behaviors contribute
5959 29to current risk, the Department must also consider whether reasonable accommodations such as
6060 30individualized treatment and programming in a community setting could mitigate risk. Such 3 of 10
6161 31assessment shall be supported, if requested by the petitioner, by routine video surveillance of the
6262 32prisoner from the prison, demonstrating the prisoner’s level of incapacity.
6363 33 (c)(2) The Department shall submit written petitions on behalf of permanently
6464 34cognitively incapacitated prisoners. The Department must first contact the prisoner’s next of kin,
6565 35surrogate decision-maker, attorney or Prisoners’ Legal Services, and notify them of the
6666 36opportunity to file a petition in lieu of the Department. The Department’s obligation to submit
6767 37written petitions on behalf of cognitively incapacitated prisoners does not preclude other
6868 38appropriate parties from filing petitions on behalf of incarcerated persons with cognitive
6969 39incapacitation. The Department shall accept release of information forms signed by the prisoner
7070 40if no guardian has already been appointed.
7171 41 (c)(3) The Department shall identify prisoners who are cognitively incapacitated through
7272 42at least annual administration of a standardized cognitive assessment tool to all prisoners aged 55
7373 43and older. The Department shall identify all prisoners screening positive for cognitive
7474 44impairment or who are terminally ill or physically incapacitated in a quarterly report to an
7575 45appropriate prisoners’ rights legal organization, which will include the prisoner’s name, the
7676 46prisoner’s next-of-kin or surrogate decision-maker, information about the prisoner’s sentence,
7777 47and the relevant condition or description of the incapacitation. In addition to the regular
7878 48assessments by medical personnel at the prison, the prisoner, or the prisoner’s family or attorney
7979 49may request at any time that the prisoner’s primary care physician in the prison assess cognitive
8080 50capacity.
8181 51 (c)(4) Upon the commissioner’s receipt of the petition and recommendation pursuant to
8282 52paragraph (1), the commissioner shall notify, in writing, the district attorney for the jurisdiction 4 of 10
8383 53where the offense resulting in the prisoner being committed to the correctional facility occurred,
8484 54the prisoner, the person who petitioned for medical parole, if not the prisoner and, if applicable
8585 55under chapter 258B, the victim or the victim's family that the prisoner is being considered for
8686 56medical parole. The parties who receive the notice shall have an opportunity to provide written
8787 57statements; provided, however, that if the prisoner was convicted and is serving a sentence under
8888 58section 1 of chapter 265, the district attorney or victim's family may request a hearing.
8989 59 Where the prisoner meets the medical criteria for medical parole, the Department must
9090 60submit a medical parole plan meeting the prisoner’s needs to the Parole Board no later than 35
9191 61days after the Department’s receipt of the petition. Where a parole plan to a private home
9292 62appropriate to the person’s care is available, that home shall be the proposed plan unless the
9393 63Department produces documentation of specific reasons the home placement would cause a risk
9494 64to public safety.
9595 65 SECTION 4. Section 119A is further amended by striking subsection (d) and replacing
9696 66with the following subsections:
9797 67 (d)(1) A sheriff shall consider a prisoner for medical parole upon a written petition filed
9898 68by the prisoner, the prisoner's attorney, the prisoner's next of kin, a medical provider of the house
9999 69of correction or jail or a member of the sheriff's staff. The sheriff shall review the request and
100100 70develop a recommendation as to the release of the prisoner. Whether or not the sheriff
101101 71recommends in favor of medical parole, the sheriff shall, not more than 21 days after the
102102 72Department’s receipt of the petition, transmit the petition and the recommendation to the
103103 73commissioner. The sheriff shall transmit with the petition: (i) a proposed medical parole plan; (ii)
104104 74a written diagnosis by a physician licensed to practice medicine under section 2 of chapter 112; 5 of 10
105105 75and (iii) an assessment of the current risk for violence that the prisoner poses to society. The risk
106106 76assessment shall be based on consideration of the prisoner’s current cognitive and physical
107107 77ability to violently recidivate, and the probability that violence will actually occur, in light of the
108108 78person’s documented current medical condition. When the person's disability-related behaviors
109109 79contribute to current risk, the Department must also consider whether reasonable
110110 80accommodations such as individualized treatment and programming in a community setting
111111 81could mitigate risk. Such assessment shall be supported, if requested by the petitioner, by routine
112112 82video surveillance of the prisoner from the jail, demonstrating the prisoner’s level of incapacity.
113113 83 (d)(2) The sheriff shall submit written petitions on behalf of permanently cognitively
114114 84incapacitated prisoners. The sheriff must contact the prisoner’s next of kin, surrogate decision-
115115 85maker, attorney or Prisoners’ Legal Services, and notify them of the opportunity to file a petition
116116 86in lieu of the sheriff. The Sheriff’s obligation to submit written petitions on behalf of cognitively
117117 87incapacitated prisoners does not preclude other appropriate parties from filing written petitions
118118 88on behalf of incarcerated persons with cognitive incapacitation. The sheriff shall accept release
119119 89of information forms signed by the prisoner if no guardian has already been appointed.
120120 90 (d)(3) The sheriff shall identify prisoners who are cognitively incapacitated through at
121121 91least annual administration of a standardized cognitive assessment tool to all prisoners aged 55
122122 92and older. The sheriff shall identify all prisoners screening positive for cognitive impairment or
123123 93who are terminally ill or physically incapacitated in a quarterly report to an appropriate
124124 94prisoners’ rights legal organization, which will include the prisoner’s name, the prisoner’s next-
125125 95of-kin or surrogate decision-maker, information about the prisoner’s sentence, and the relevant
126126 96condition or description of the incapacitation. In addition to the regular assessments by medical 6 of 10
127127 97personnel at the prison, the prisoner, or the prisoner’s family or attorney may request at any time
128128 98that the prisoner’s primary care physician in the prison assess cognitive capacity.
129129 99 (d)(4) Upon the commissioner's receipt of the petition and recommendation pursuant to
130130 100paragraph (1), the commissioner shall notify, in writing, the district attorney for the jurisdiction
131131 101where the offense resulting in the prisoner being committed to the correctional facility occurred,
132132 102the prisoner, the person who petitioned for medical parole, if not the prisoner and, if applicable
133133 103under chapter 258B, the victim or the victim's family that the prisoner is being considered for
134134 104medical parole. The parties who receive the notice shall have an opportunity to submit written
135135 105statements.
136136 106 Where the prisoner meets the medical criteria for medical parole, the Department shall
137137 107submit a medical parole plan meeting the prisoner’s needs to the Parole Board no later than 35
138138 108days after the sheriff’s receipt of the petition. Where a medical parole plan to a private home
139139 109appropriate to the individual’s care is available, that home shall be the proposed plan unless the
140140 110Department produces documentation of specific reasons the home placement would cause a risk
141141 111to public safety.
142142 112 SECTION 5. Section 119A is further amended by striking subsection (e) and replacing
143143 113with the following:
144144 114 (e) The commissioner shall issue a written decision not later than 45 days after the
145145 115Department’s receipt of a petition, which shall be accompanied by a statement of reasons for the
146146 116commissioner's decision. The Department shall also establish a policy implementing a further
147147 117expedited process for decision and release of a person on medical parole whose death by
148148 118terminal illness is found to be likely in less than 6 months. Medical parole shall be granted to a 7 of 10
149149 119terminally ill or permanently incapacitated prisoner unless the Commissioner determines by clear
150150 120and convincing evidence that, if the prisoner is released with appropriate conditions, community
151151 121supervision, and reasonable accommodations, the prisoner will not live and remain at liberty
152152 122without violently recidivating. The assessment of terminal illness or permanent incapacitation by
153153 123a medical provider shall be separate from the public safety risk assessment. Any denial of
154154 124medical parole shall explain how the petitioner’s release would be incompatible with the welfare
155155 125of society given the petitioner’s current medical condition. No petition shall be denied on
156156 126medical grounds without a current, in-person evaluation of the prisoner by the licensed physician
157157 127opining that the person is not medically eligible. Petitioners shall have a right to funds for
158158 128experts pursuant to chapter 261. The parole board shall impose terms and conditions for medical
159159 129parole that shall apply through the date upon which the prisoner's sentence would have expired
160160 130and which shall be no more restrictive than the individual’s current medical condition
161161 131necessitates.
162162 132 All decisions to grant or deny medical parole, and the creation of a medical parole plan
163163 133shall be made without bias pertaining to a person’s race, ethnicity, disability, religion, sexual
164164 134orientation, or gender identity.
165165 135 Release after a grant of medical parole shall occur within 7 days of the grant, absent
166166 136documented extraordinary circumstances preventing such timely release. A prisoner for whom
167167 137the Department cannot identify appropriate post-release placement shall be referred to the
168168 138Department of Public Health (“DPH”) for placement in an appropriate DPH facility pursuant to
169169 139section 151 of chapter 127. Not less than 24 hours before the date of a prisoner's release on
170170 140medical parole, the commissioner shall notify, in writing, the district attorney for the jurisdiction
171171 141where the offense resulting in the prisoner being committed to the correctional facility occurred, 8 of 10
172172 142the department of state police, the police department in the city or town in which the prisoner
173173 143shall reside and, if applicable under chapter 258B, the victim or the victim's family of the
174174 144prisoner's release and the terms and conditions of the release.
175175 145 SECTION 6. Section 119A is further amended by striking subsection (f) and replacing
176176 146with the following:
177177 147 (f) For all purposes, including revocation, a prisoner granted release under this section
178178 148shall be under the jurisdiction, supervision and control of the parole board, as if the prisoner had
179179 149been paroled pursuant to section 130 of chapter 127. The parole board may revise, alter or amend
180180 150the terms and conditions of a medical parole at any time.
181181 151 If a parole officer receives credible information that the individual’s terminal illness or
182182 152permanent incapacitation has improved to the extent that the individual would no longer be
183183 153eligible for medical parole under this section, the board shall obtain a medical assessment by a
184184 154licensed physician of the prisoner’s current medical condition. If the medical assessment
185185 155concludes that the individual no longer qualifies for medical parole, the parole officer shall bring
186186 156the individual on medical parole before the board for a parole revocation hearing. The individual
187187 157shall remain at liberty during the pendency of the revocation proceedings, barring a substantial
188188 158and immediate risk to public safety. If the board establishes at the revocation hearing that the
189189 159terminal illness or permanent incapacitation has improved to the extent that the individual is no
190190 160longer eligible for medical parole pursuant to this section, the board shall order the return of the
191191 161individual to incarceration, or, subject to appropriate terms and conditions set by the board, order
192192 162release to parole supervision under another form of parole permitted by law. 9 of 10
193193 163 If a parole officer receives credible information that an individual on medical parole has
194194 164failed to comply with a condition of medical parole, the parole officer may initiate parole
195195 165revocation proceedings. If the board established at the revocation hearing that the individual has
196196 166violated a condition of medical parole, it may revoke parole and order return of the individual to
197197 167incarceration, or order that the individual be reparoled to the community on medical parole
198198 168subject to appropriate terms and conditions set by the board. In determining whether to order the
199199 169individual’s return to custody, the board shall consider the medical hardship of incarceration and
200200 170whether provision of reasonable accommodations would enable the individual to comply with
201201 171the conditions of medical parole.
202202 172 If the board orders revocation and reincarceration pursuant to this subsection, the prisoner
203203 173shall return to custody in accordance with the terms of their original sentence with credit given
204204 174only for the duration of the medical parole that was served in compliance with all conditions of
205205 175their medical parole pursuant to subsection (e). Revocation of a prisoner’s medical parole for any
206206 176reason shall not preclude a prisoner’s eligibility for medical parole in the future or for another
207207 177form of release permitted by law.
208208 178 SECTION 7. Section 119A is further amended by striking subsection (g) and replacing
209209 179with the following:
210210 180 (g) A prisoner, sheriff or superintendent aggrieved by a decision denying or granting
211211 181medical parole made under this section may petition for relief pursuant to section 4 of chapter
212212 182249.
213213 183 A reviewing court may affirm or reverse the commissioner's decision and order grant or
214214 184denial of the prisoner’s release. Petitions for certiorari shall be handled by the judiciary with due 10 of 10
215215 185haste considering the urgent nature of medical parole. A decision by the court affirming or
216216 186reversing the commissioner's grant or denial of medical parole shall not affect a prisoner's
217217 187eligibility for any other form of release permitted by law. A decision by the court pursuant to this
218218 188subsection shall not preclude a prisoner's eligibility for medical parole in the future.
219219 189 SECTION 8. Section 119A is further amended by striking subsection (i) and replacing
220220 190with the following:
221221 191 (i) The commissioner and the secretary shall file an annual report not later than March 1
222222 192with the clerks of the senate and the house of representatives, the senate and house committees
223223 193on ways and means and the joint committee on the judiciary detailing, for the prior year: (i) the
224224 194number of prisoners in the custody of the department or of the sheriffs who applied for medical
225225 195parole under this section and the race, ethnicity, and age of each applicant at the time of the
226226 196petition; (ii) the number of prisoners who have been granted medical parole and the race and
227227 197ethnicity, age of each prisoner at the time of the petition; (iii) the nature of the illness of the
228228 198applicants for medical parole; (iv) the counties to which the prisoners have been released; (v) the
229229 199number of prisoners who have been denied medical parole, the reason for the denial and the race,
230230 200ethnicity and age of each prisoner at the time of the petition; (vi) the number of prisoners who
231231 201have petitioned for medical parole more than once; (vii) the number of prisoners released who
232232 202have been returned to the custody of the department or the sheriff and the reason for each
233233 203prisoner's return; and (viii) the number of petitions for relief sought pursuant to subsection (g).
234234 204Nothing in this report shall include personally identifiable information of the prisoners.