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2 | 2 | | SENATE DOCKET, NO. 2235 FILED ON: 1/17/2025 |
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3 | 3 | | SENATE . . . . . . . . . . . . . . No. 1102 |
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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 | | Paul R. Feeney |
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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 establishing medical panels for the probate and family court department. |
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13 | 13 | | _______________ |
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14 | 14 | | PETITION OF: |
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15 | 15 | | NAME:DISTRICT/ADDRESS :Paul R. FeeneyBristol and Norfolk 1 of 4 |
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16 | 16 | | SENATE DOCKET, NO. 2235 FILED ON: 1/17/2025 |
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17 | 17 | | SENATE . . . . . . . . . . . . . . No. 1102 |
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18 | 18 | | By Mr. Feeney, a petition (accompanied by bill, Senate, No. 1102) of Paul R. Feeney for |
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19 | 19 | | legislation to establish medical panels for the probate and family court department. The |
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20 | 20 | | Judiciary. |
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21 | 21 | | [SIMILAR MATTER FILED IN PREVIOUS SESSION |
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22 | 22 | | SEE SENATE DOCKET, NO. 3132 OF 2023-2024.] |
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23 | 23 | | The Commonwealth of Massachusetts |
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24 | 24 | | _______________ |
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25 | 25 | | In the One Hundred and Ninety-Fourth General Court |
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26 | 26 | | (2025-2026) |
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27 | 27 | | _______________ |
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28 | 28 | | An Act establishing medical panels for the probate and family court department. |
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29 | 29 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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30 | 30 | | of the same, as follows: |
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31 | 31 | | 1 Chapter 215 of the General Laws is hereby amended by adding the following section:- |
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32 | 32 | | 2 Section 6D. (a) The chief justice of the probate and family court department shall |
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33 | 33 | | 3establish a procedure for convening a medical panel to assist in the determination of any relevant |
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34 | 34 | | 4or potentially relevant medical issue raised in any proceeding before the court in which there is a |
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35 | 35 | | 5contested petition for the appointment of a guardian or conservator of a minor or incapacitated |
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36 | 36 | | 6person, or for custody of a minor, or any request to modify the existing custody or guardianship |
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37 | 37 | | 7arrangement. The medical panel may review medical and other relevant records designated by |
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38 | 38 | | 8the parties, examine the minor or incapacitated person and issue a certificate answering questions |
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39 | 39 | | 9set forth in subsection (e) to assure that decisions in cases raising material medical issues are as |
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40 | 40 | | 10medically informed as possible. 2 of 4 |
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41 | 41 | | 11 (b) The chief justice, in consultation with the Massachusetts Medical Society, shall |
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42 | 42 | | 12recruit and maintain a pool of physicians to serve on medical panels. Recruited physicians shall |
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43 | 43 | | 13be licensed to practice medicine in the commonwealth and skilled in branches of medicine |
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44 | 44 | | 14relevant to the capacities, limitations, needs, opportunities, and physical and mental health of |
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45 | 45 | | 15minors or incapacitated persons. |
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46 | 46 | | 16 (c) Upon a party’s granted petition to the presiding judge for a medical examination |
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47 | 47 | | 17or the presiding judge’s order for a medical examination, the chief justice shall appoint no fewer |
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48 | 48 | | 18than 3 physicians from the pool to serve on a medical panel. The court shall issue to the parties a |
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49 | 49 | | 19notice stating the medical panel members selected for the specific matter at hand and their |
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50 | 50 | | 20respective medical specialties. |
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51 | 51 | | 21 (d) A physician selected from the pool by the chief justice to serve on a medical |
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52 | 52 | | 22panel shall not be an associated physician, as defined in section 6 of chapter 32, and shall not |
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53 | 53 | | 23have previously treated the incapacitated person or minor for whom a guardianship or |
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54 | 54 | | 24conservatorship is proposed or examined or served on a panel that previously examined and |
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55 | 55 | | 25evaluated, for any purpose, such person or minor. |
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56 | 56 | | 26 (e) Within 30 days after completing an examination pursuant to this section, or |
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57 | 57 | | 27within such other time as the court may order for good cause upon the medical panel’s request, |
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58 | 58 | | 28the medical panel shall issue a written, supporting report establishing its answer to each of the |
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59 | 59 | | 29following questions is unanimous or, if not unanimous, by each of the members of the panel |
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60 | 60 | | 30majority and minority members: |
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61 | 61 | | 31 (i) whether the minor or incapacitated person has, for reasons other than advanced |
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62 | 62 | | 32age or minority, a clinically diagnosed condition that results in an inability to receive and 3 of 4 |
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63 | 63 | | 33evaluate information or make and communicate decisions to such an extent that the individual |
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64 | 64 | | 34lacks the ability to meet essential requirements for physical health, safety or self-care, even with |
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65 | 65 | | 35appropriate technological assistance; |
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66 | 66 | | 36 (ii) whether the clinically diagnosed condition is likely to be permanent; and |
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67 | 67 | | 37 (iii) whether there is a less restrictive means of providing the health, safety or self- |
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68 | 68 | | 38care the minor or incapacitated person requires, taking into account generally accepted medical |
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69 | 69 | | 39treatment and practice, and appropriate technological assistance including the use of equipment |
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70 | 70 | | 40or computer hardware and software that may increase or improve the minor or incapacitated |
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71 | 71 | | 41person’s capacity and ability to become more independent, and whether there are ways to |
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72 | 72 | | 42minimize potentially toxic medications or physical restraints which impair the quality of life and |
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73 | 73 | | 43capacity for enjoyment while still ensuring the individuals’ safety. |
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74 | 74 | | 44 The medical panel shall attach to their report a certificate certifying that their |
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75 | 75 | | 45findings were arrived at independently of each other and free of undue influence of any kind. |
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76 | 76 | | 46 Within the same time period, the person to be examined, or that person's counsel, |
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77 | 77 | | 47shall file and serve a statement of that person's preference for a simultaneous examination by the |
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78 | 78 | | 48panel or separate examinations by each of the panel members. |
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79 | 79 | | 49 (f) The administrator of the medical panel program shall use best efforts to assure |
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80 | 80 | | 50compliance with applicable time limits, any of which may be modified for good cause. |
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81 | 81 | | 51 (g) Upon success completion of service on a court-appointed medical panel, each |
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82 | 82 | | 52panel member shall receive a certification of panel service denoting the dates of service. 4 of 4 |
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83 | 83 | | 53 (h) A party to a relevant proceeding, or a guardian, may petition the court for a |
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84 | 84 | | 54temporary order granting an emergency medical examination relevant to the care, custody and |
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85 | 85 | | 55maintenance of a minor or incapacitated person who is a party to a proceeding before the court. |
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86 | 86 | | 56The chief justice may draw 3 physicians from the medical panel pool to perform an emergency |
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87 | 87 | | 57medical evaluation if determined to be necessary by the court. The chief justice may assign a |
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88 | 88 | | 58reasonable timeframe with which to select medical pool members to perform the emergency |
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89 | 89 | | 59medical evaluation, pursuant to the reporting requirements of subsection (e). Every order entered |
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90 | 90 | | 60relative to care and custody, or guardianship, shall include specific findings of fact made by the |
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91 | 91 | | 61court which clearly demonstrate the injury, harm or damage that might reasonably be expected to |
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92 | 92 | | 62occur if relief pending a judgment is not granted. |
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