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