Massachusetts 2025-2026 Regular Session

Massachusetts Senate Bill S1171 Compare Versions

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22 SENATE DOCKET, NO. 1643 FILED ON: 1/16/2025
33 SENATE . . . . . . . . . . . . . . No. 1171
44 The Commonwealth of Massachusetts
55 _________________
66 PRESENTED BY:
77 Joan B. Lovely
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 relative to the well-being of new mothers and infants.
1313 _______________
1414 PETITION OF:
1515 NAME:DISTRICT/ADDRESS :Joan B. LovelySecond Essex 1 of 16
1616 SENATE DOCKET, NO. 1643 FILED ON: 1/16/2025
1717 SENATE . . . . . . . . . . . . . . No. 1171
1818 By Ms. Lovely, a petition (accompanied by bill, Senate, No. 1171) of Joan B. Lovely for
1919 legislation relative to the well-being of new mothers and infants. The Judiciary.
2020 [SIMILAR MATTER FILED IN PREVIOUS SESSION
2121 SEE SENATE, NO. 2398 OF 2023-2024.]
2222 The Commonwealth of Massachusetts
2323 _______________
2424 In the One Hundred and Ninety-Fourth General Court
2525 (2025-2026)
2626 _______________
2727 An Act relative to the well-being of new mothers and infants.
2828 Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
2929 of the same, as follows:
3030 1 SECTION 1. Section 1 of Chapter 123 of the General Laws, as so appearing, is hereby
3131 2amended by inserting at the end thereof the following new definitions:-
3232 3 “Postpartum psychosis”, the most severe of the perinatal mood and anxiety disorders
3333 4whereby an individual experiences alternating states of depression and/or mania (euphoria) and
3434 5loses touch with reality. Postpartum psychosis severely impairs an individual’s thinking and
3535 6judgment, with symptoms including, but not limited to, hallucinations and/or delusions,
3636 7cognitive confusion and disorientation, disorganized or racing thoughts, minimal need for sleep,
3737 8delirium, and excessive restlessness, such as pacing.
3838 9 “Postpartum depression”, a mood disorder which includes a variety of moderate to severe
3939 10symptoms of depression, severe anxiety, panic attacks and/or intrusive distressing obsessive 2 of 16
4040 11thoughts and compulsive ritualistic behavior. Clinical symptoms of depression include, but are
4141 12not limited to: insomnia and sleep disturbances; loss of pleasure and motivation in usual
4242 13activities, including lack of interest in the infant sad and depressed mood; lack of clarity in
4343 14thinking; lack of appetite or interest in eating; feelings of hopelessness, worthlessness and poor
4444 15self-esteem; extreme fatigue; suicidal thoughts; not feeling like oneself; feeling overwhelmed
4545 16and unable to cope with life’s demands.
4646 17 SECTION 2. (a) As used in this section, “perinatal” shall refer to the period of time from
4747 18pregnancy up until one year following birth.
4848 19 (b) The department of public health may consult with health care providers, including,
4949 20but not limited to, obstetricians, gynecologists, pediatricians, primary care providers, nurse
5050 21midwives, psychiatrists, and mental health clinicians, non-profit organizations, community
5151 22organizations, organizations providing prenatal childbirth education, and health insurance
5252 23carriers regarding development of a comprehensive digital resource center on perinatal mood and
5353 24anxiety disorders, including but not limited to postpartum depression and postpartum psychosis.
5454 25The department shall create, maintain, and update this digital resource center, which shall be free
5555 26and available to the public, and shall include information and resources for health care providers
5656 27and organizations serving perinatal individuals to aid them in treating or making appropriate
5757 28referrals for individuals experiencing perinatal psychiatric complications, as well as information
5858 29and resources for perinatal individuals and their families to aid them in understanding and
5959 30identifying perinatal mood and anxiety disorders and how to navigate available resources.
6060 31 (c) The department shall issue regulations that require health care providers and
6161 32organizations providing services to perinatal individuals, including, but not limited to, 3 of 16
6262 33obstetricians, gynecologists, pediatricians, primary care providers, nurse midwives, psychiatrists,
6363 34and mental health clinicians, non-profit organizations, community organizations, and
6464 35organizations providing prenatal childbirth education, to provide information to perinatal
6565 36individuals and their families about how to access the digital resource center described in
6666 37subsection (b), or to provide hard copies of the materials included in the digital resource center to
6767 38individuals unable to access digital resources.
6868 39 (d) The commissioner of public health shall issue an annual summary of the use of the
6969 40digital resource center described in subsection (b), including but not limited to which portions of
7070 41the resource center were the most and least utilized by visitors, and shall annually file the
7171 42summary with the clerks of the house of representatives and the senate not later than June 30;
7272 43provided, however, that the first report is due not later than the June 30 following publication of
7373 44the digital resource center.
7474 45 SECTION 3. Section 15 of chapter 123 of the General Laws, as so appearing, is hereby
7575 46amended by inserting after the word “psychologists”, in lines 7 and 8, the following words:
7676 47provided however, that a defendant who gave birth within 12 months prior to the crime for which
7777 48the defendant has been charged shall undergo a screening for perinatal psychiatric complications
7878 49by a treating physician, psychiatrist or psychologist or other qualified physician or psychologist.
7979 50 SECTION 4. Subsection (a) of section 15 of chapter 123 of the General Laws, as so
8080 51appearing, is hereby amended by inserting at the end thereof the following new sentence:- When
8181 52an examination is ordered for a female defendant who suffers or suffered, at the time the crime
8282 53for which the defendant has been charged with occurred, from mental illness related to a
8383 54perinatal psychiatric complication such as postpartum psychosis or postpartum depression, said 4 of 16
8484 55examination shall be conducted by an expert in reproductive psychiatry within 48 hours of such
8585 56order.
8686 57 SECTION 5. Section 16 of chapter 123 of the General Laws, as so appearing, is hereby
8787 58amended by inserting at the end thereof the following new subsection:-
8888 59 (g) Any person committed to a facility under the provisions of this section who suffers
8989 60from mental illness related to a perinatal psychiatric complication such as postpartum psychosis
9090 61or postpartum depression shall receive a diagnosis and treatment plan made in consultation with
9191 62an expert in reproductive psychiatry. Additional services, including but not limited to parenting
9292 63assessment, parenting capacity building, and parent-child dyadic therapy shall be made available
9393 64if deemed appropriate by the consulting expert.
9494 65 SECTION 6. Chapter 123 of the General Laws, as so appearing, is hereby amended by
9595 66adding the following section:- Section 37. (a) The department shall appoint a community
9696 67program director to coordinate the department’s role provided for in this section in a particular
9797 68county or region.
9898 69 (b) Any person committed to a state hospital or other treatment facility under the
9999 70provisions of section 16 may be placed on outpatient status, from that commitment subject to the
100100 71procedures and provisions of this section.
101101 72 (c) In the case of any person charged with and found incompetent to stand trial or not
102102 73guilty by reason of mental illness or mental defect in such proceedings of murder, a violation in
103103 74which the victim suffers intentionally inflicted great bodily injury, or an act which poses a
104104 75serious threat of bodily harm to another person, outpatient status under this section shall not be
105105 76available until that person has actually been confined in a state hospital or other treatment facility 5 of 16
106106 77for 180 days or more after having been committed under the provisions of law specified in
107107 78section 16, unless the court finds a suitable placement, including, but not limited to, an outpatient
108108 79placement program, that would provide the person with more appropriate mental health
109109 80treatment and the court finds that the placement would not pose a danger to the health or safety
110110 81of others, including, but not limited to, the safety of the victim and the victim’s family.
111111 82 (d) In the case of any person charged with and found incompetent to stand trial or not
112112 83guilty by reason of mental illness or mental defect of any misdemeanor or any felony other than
113113 84those described in subsection (c), or found not guilty of any misdemeanor by reason of mental
114114 85illness or mental defect outpatient status under this section may be granted by the court prior to
115115 86actual confinement in a state hospital or other treatment facility under the provisions of law
116116 87specified in section 16.
117117 88 (e) Before any person subject to the provisions of subsection (d) may be placed on
118118 89outpatient status, the court shall consider all of the following criteria:
119119 90 (i) In the case of a person who is an inpatient, whether the director of the state hospital or
120120 91other treatment facility to which the person has been committed advises the court that the
121121 92defendant will not be a danger to the health and safety of others while on outpatient status, and
122122 93will benefit from such outpatient status.
123123 94 (ii) In all cases, whether the community program director or a designee advises the court
124124 95that the defendant will not be a danger to the health and safety of others while on outpatient
125125 96status, will benefit from such status, and identifies an appropriate program of supervision and
126126 97treatment. In the case of a female defendant who suffers from mental illness related to a perinatal
127127 98psychiatric complication such as postpartum psychosis or postpartum depression, an appropriate 6 of 16
128128 99treatment program shall be identified in consultation with an expert in reproductive psychiatry.
129129 100Additional services, including but not limited to parenting assessment, parenting capacity
130130 101building and parent-child dyadic therapy shall also be made available if deemed appropriate by
131131 102the consulting expert.
132132 103 (f) Prior to determining whether to place the person on outpatient status, the court shall
133133 104provide actual notice to the prosecutor and defense counsel, and to the victim, and shall hold a
134134 105hearing at which the court may specifically order outpatient status for the person.
135135 106 (g) The community program director or a designee shall prepare and submit the
136136 107evaluation and the treatment plan specified in paragraph (ii) of subsection (e) to the court within
137137 10815 calendar days after notification by the court to do so, except that in the case of a person who
138138 109is an inpatient, the evaluation and treatment plan shall be submitted within 30 calendar days after
139139 110notification by the court to do so.
140140 111 (h) Any evaluations and recommendations pursuant to paragraphs (i) and (ii) of
141141 112subsection (e) shall include review and consideration of complete, available information
142142 113regarding the circumstances of the criminal offense and the person’s prior criminal history.
143143 114 (i) Before any person subject to subsection (c) of this section may be placed on outpatient
144144 115status the court shall consider all of the following criteria:
145145 116 (i) Whether the director of the state hospital or other treatment facility to which the
146146 117person has been committed advises the committing court and the prosecutor that the defendant
147147 118would no longer be a danger to the health and safety of others, including himself or herself,
148148 119while under supervision and treatment in the community, and will benefit from that status. 7 of 16
149149 120 (ii) Whether the community program director advises the court that the defendant will
150150 121benefit from that status, and identifies an appropriate program of supervision and treatment. In
151151 122the case of a female defendant who suffers from mental illness related to a perinatal psychiatric
152152 123complication such as postpartum psychosis or postpartum depression, an appropriate treatment
153153 124program shall be identified in consultation with an expert in reproductive psychiatry. Additional
154154 125services, including but not limited to parenting assessment, parenting capacity building and
155155 126parent-child dyadic therapy shall also be made available if deemed appropriate by the consulting
156156 127expert.
157157 128 (j) Prior to release of a person under subsection (c), the prosecutor shall provide notice of
158158 129the hearing date and pending release to the victim or next of kin of the victim of the offense for
159159 130which the person was committed where a request for the notice has been filed with the court, and
160160 131after a hearing in court, the court shall specifically approve the recommendation and plan for
161161 132outpatient status. The burden shall be on the victim or next of kin to the victim to keep the court
162162 133apprised of the party’s current mailing address.
163163 134 (k) In any case in which the victim or next of kin to the victim has filed a request for
164164 135notice with the director of the state hospital or other treatment facility, he or she shall be notified
165165 136by the director at the inception of any program in which the committed person would be allowed
166166 137any type of day release unattended by the staff of the facility.
167167 138 (l) The community program director shall prepare and submit the evaluation and the
168168 139treatment plan specified in paragraph (ii) of subsection (i) to the court within 30 calendar days
169169 140after notification by the court to do so. 8 of 16
170170 141 (m) Any evaluations and recommendations pursuant to paragraphs (i) and (ii) of
171171 142subsection (i) shall include review and consideration of complete, available information
172172 143regarding the circumstances of the criminal offense and the person’s prior criminal history.
173173 144 (n) Upon receipt by the committing court of the recommendation of the director of the
174174 145state hospital or other treatment facility to which the person has been committed that the person
175175 146may be eligible for outpatient status as set forth in paragraph (i) of subsection (e) or (i) of this
176176 147section, the court shall immediately forward such recommendation to the community program
177177 148director, prosecutor, and defense counsel. The court shall provide copies of the arrest reports and
178178 149the state summary criminal history information to the community program director.
179179 150 (o) Within 30 calendar days the community program director or a designee shall submit
180180 151to the court and, when appropriate, to the director of the state hospital or other treatment facility,
181181 152a recommendation regarding the defendant’s eligibility for outpatient status, as set forth in
182182 153paragraph (ii) of subsection (e) or (i) and the recommended plan for outpatient supervision and
183183 154treatment. The plan shall set forth specific terms and conditions to be followed during outpatient
184184 155status. The court shall provide copies of this report to the prosecutor and the defense counsel.
185185 156 (p) The court shall calendar the matter for hearing within 15 business days of the receipt
186186 157of the community program director’s report and shall give notice of the hearing date to the
187187 158prosecutor, defense counsel, the community program director, and, when appropriate, to the
188188 159director of the state hospital or other facility. In any hearing conducted pursuant to this section,
189189 160the court shall consider the circumstances and nature of the criminal offense leading to
190190 161commitment and shall consider the person’s prior criminal history. 9 of 16
191191 162 (q) The court shall, after a hearing in court, either approve or disapprove the
192192 163recommendation for outpatient status. If the approval of the court is given, the defendant shall be
193193 164placed on outpatient status subject to the terms and conditions specified in the supervision and
194194 165treatment plan. If the outpatient treatment occurs in a county other than the county of
195195 166commitment, the court shall transmit a copy of the case record to the superior court in the county
196196 167where outpatient treatment occurs, so that the record will be available if revocation proceedings
197197 168are initiated pursuant to subsection (w) or (x).
198198 169 (r) The department shall be responsible for the supervision of persons placed on
199199 170outpatient status under this title. The commissioner shall designate, for each county or region, a
200200 171community program director who shall be responsible for administering the community
201201 172treatment programs for persons committed from that county or region under the provisions
202202 173specified in subsection (b).
203203 174 (s) The department shall notify in writing the chief justice of the trial court, the district
204204 175attorney of each county, and the executive director of the committee on public counsel services
205205 176as to the person designated to be the community program director for each county or region, and
206206 177timely written notice shall be given whenever a new community program director is to be
207207 178designated.
208208 179 (t) The community program director shall be the outpatient treatment supervisor of
209209 180persons placed on outpatient status under this section. The community program director may
210210 181delegate the outpatient treatment supervision responsibility to a designee.
211211 182 (u) The outpatient treatment supervisor shall, at 90-day intervals following the beginning
212212 183of outpatient treatment, submit to the court, the prosecutor and defense counsel, and to the 10 of 16
213213 184community program director, where appropriate, a report setting forth the status and progress of
214214 185the defendant.
215215 186 (v) Outpatient status shall be for a period not to exceed 1 year. At the end of the period of
216216 187outpatient status approved by the court, the court shall, after actual notice to the prosecutor, the
217217 188defense counsel, and the community program director, and after a hearing in court, either
218218 189discharge the person from commitment under appropriate provisions of the law, order the person
219219 190confined to a treatment facility, or renew its approval of outpatient status. Prior to such hearing,
220220 191the community program director shall furnish a report and recommendation to the medical
221221 192director of the state hospital or other treatment facility, where appropriate, and to the court,
222222 193which the court shall make available to the prosecutor and defense counsel. The person shall
223223 194remain on outpatient status until the court renders its decision unless hospitalized under other
224224 195provision of the law. The hearing pursuant to the provisions of this section shall be held no later
225225 196than 30 days after the end of the 1 year period of outpatient status unless good cause exists. The
226226 197court shall transmit a copy of its order to the community program director or a designee.
227227 198 (w) If at any time during the outpatient period, the outpatient treatment supervisor is of
228228 199the opinion that the person requires extended inpatient treatment or refuses to accept further
229229 200outpatient treatment and supervision, the community program director shall notify the superior
230230 201court in either the county which approved outpatient status or in the county where outpatient
231231 202treatment is being provided of such opinion by means of a written request for revocation of
232232 203outpatient status. The community program director shall furnish a copy of this request to the
233233 204defense counsel and to the prosecutor in both counties if the request is made in the county of
234234 205treatment rather than the county of commitment. Within 15 business days, the court where the
235235 206request was filed shall hold a hearing and shall either approve or disapprove the request for 11 of 16
236236 207revocation of outpatient status. If the court approves the request for revocation, the court shall
237237 208order that the person be confined in a state hospital or other treatment facility approved by the
238238 209community program director. The court shall transmit a copy of its order to the community
239239 210program director or a designee. Where the county of treatment and the county of commitment
240240 211differ and revocation occurs in the county of treatment, the court shall enter the name of the
241241 212committing county and its case number on the order of revocation and shall send a copy of the
242242 213order to the committing court and the prosecutor and defense counsel in the county of
243243 214commitment.
244244 215 (x) If at any time during the outpatient period the prosecutor is of the opinion that the
245245 216person is a danger to the health and safety of others while on that status, the prosecutor may
246246 217petition the court for a hearing to determine whether the person shall be continued on that status.
247247 218Upon receipt of the petition, the court shall calendar the case for further proceedings within 15
248248 219business days and the clerk shall notify the person, the community program director, and the
249249 220attorney of record for the person of the hearing date. Upon failure of the person to appear as
250250 221noticed, if a proper affidavit of service has been filed with the court, the court may issue a capias
251251 222to compel the attendance of such person. If, after a hearing in court conducted using the same
252252 223standards used in conducting probation revocation hearings pursuant to section 3 of chapter 279,
253253 224the judge determines that the person is a danger to the health and safety of others, the court shall
254254 225order that the person be confined in a state hospital or other treatment facility which has been
255255 226approved by the community program director.
256256 227 (y) Upon the filing of a request for revocation under subsection (w) or subsection (x) and
257257 228pending the court’s decision on revocation, the person subject to revocation may be confined in a
258258 229facility designated by the community program director when it is the opinion of that director that 12 of 16
259259 230the person will now be a danger to self or to another while on outpatient status and that to delay
260260 231confinement until the revocation hearing would pose an imminent risk of harm to the person or
261261 232to another. The facility so designated shall continue the patient’s program of treatment, shall
262262 233provide adequate security so as to ensure both the safety of the person and the safety of others in
263263 234the facility, and shall, to the extent possible, minimize interference with the person’s program of
264264 235treatment. Upon the request of the community program director or a designee, a peace officer
265265 236shall take, or cause to be taken, the person into custody and transport the person to a facility as
266266 237described in subsection (z) and designated by the community program director for confinement
267267 238under this section. Within 1 business day after the person is confined in a jail under this section,
268268 239the community program director shall apply in writing to the court for authorization to confine
269269 240the person pending the hearing under subsection (w) or subsection (x). The application shall be
270270 241in the form of a declaration, and shall specify the behavior or other reason justifying the
271271 242confinement of the person in a jail. Upon receipt of the application for confinement, the court
272272 243shall consider and rule upon it, and if the court authorizes detention in a jail, the court shall
273273 244actually serve copies of all orders and all documents filed by the community program director
274274 245upon the prosecuting and defense counsel. The community program director shall notify the
275275 246court in writing of the confinement of the person and of the factual basis for the opinion that the
276276 247immediate confinement in a jail was necessary. The court shall supply a copy of these documents
277277 248to the prosecutor and defense counsel.
278278 249 (z) The facility designated by the community program director may be a state hospital, a
279279 250local treatment facility, a county jail, or any other appropriate facility, so long as the facility can
280280 251continue the person’s program of treatment, provide adequate security, and minimize
281281 252interference with the person’s program of treatment. If the facility designated by the community 13 of 16
282282 253program director is a county jail, the patient shall be separated from the general population of the
283283 254jail. A county jail may not be designated unless the services specified above are provided, and
284284 255accommodations are provided which ensure both the safety of the person and the safety of the
285285 256general population of the jail. Within 3 business days of the patient’s confinement in a jail, the
286286 257community program director shall report to the court regarding what type of treatment the patient
287287 258is receiving in the facility. If there is evidence that the treatment program is not being complied
288288 259with, or accommodations have not been provided which ensure both the safety of the committed
289289 260person and the safety of the general population of the jail, the court shall order the person
290290 261transferred to an appropriate facility, including an appropriate state hospital.
291291 262 (aa) A resentencing hearing shall be allowed in the following cases, in addition to those
292292 263permitted under other sections:
293293 264 At the time of the offense, the defendant was suffering from a serious perinatal
294294 265psychiatric complication, a mental illness such as postpartum depression or postpartum
295295 266psychosis, which though insufficient to establish the defense of insanity, substantially affected
296296 267his or her ability to understand his or her acts or to conform his or her conduct to the
297297 268requirements of the law.
298298 269 At the time of the offense, the defendant was suffering from postpartum depression or
299299 270postpartum psychosis which was either undiagnosed by a qualified medical professional
300300 271(physician, psychiatrist or psychologist) or untreated or unsuccessfully treated, and this
301301 272temporary mental illness tended to excuse or justify the defendant’s criminal conduct and was
302302 273not used in trial or sentencing. 14 of 16
303303 274 (bb) Nothing in this section shall prevent hospitalization pursuant to the provisions of
304304 275section 12.
305305 276 (cc) A person whose confinement in a treatment facility under subsection (w) or
306306 277subsection (x) is approved by the court shall not be released again to outpatient status unless
307307 278court approval is obtained under subsection (e) or subsection (i).
308308 279 (dd) No person who is on outpatient status pursuant to this section shall leave this state
309309 280without first obtaining prior written approval to do so from the committing court. The prior
310310 281written approval of the court for the person to leave this state shall specify when the person may
311311 282leave, when the person is required to return, and may specify other conditions or limitations at
312312 283the discretion of the court. The written approval for the person to leave this state may be in a
313313 284form and format chosen by the committing court.
314314 285 (ee) In no event shall the court give written approval for the person to leave this state
315315 286without providing notice to the prosecutor, the defense counsel, and the community program
316316 287director. The court may conduct a hearing on the question of whether the person should be
317317 288allowed to leave this state and what conditions or limitations, if any, should be imposed.
318318 289 (ff) Any person who violates subsection (dd) is guilty of a misdemeanor and upon
319319 290conviction shall by punished by imprisonment for not more than 6 months in a house of
320320 291correction or by a fine of not more than $1,000.
321321 292 (gg) The department shall be responsible for the community treatment and supervision of
322322 293judicially committed patients. These services shall be available on a county or regional basis.
323323 294The department may provide these services directly or through contract with private providers. 15 of 16
324324 295The program or programs through which these services are provided shall be known as the
325325 296forensic conditional release program.
326326 297 (hh) The department shall contact all regional mental health programs by January 1,
327327 2982024, to determine their interest in providing an appropriate level of supervision and treatment of
328328 299judicially committed patients at reasonable cost. Regional mental health programs may agree or
329329 300refuse to operate such a program.
330330 301 (ii) No later than January 1, 2025, and by January 1 of each subsequent year, all state
331331 302hospitals or other treatment facilities participating in the forensic conditional release program
332332 303shall report to the commissioner the following information: (i) the cost of the program to the
333333 304facility; (ii) the demographic profiles of persons receiving supervision and treatment in the
334334 305program; and (iii) the rates of adherence to treatment under the program.
335335 306 (jj) No later than January 1, 2025, and by January 1 of each subsequent year, the chief
336336 307justice of the trial court shall report to the commissioner the following information: rates and
337337 308types of reoffense while these persons are served by the program and after their discharge.
338338 309 (kk) The department shall conduct yearly evaluations of the forensic conditional release
339339 310program. An evaluation of the program shall determine its effectiveness in successfully
340340 311reintegrating these persons into society after release from state institutions. This evaluation of
341341 312program effectiveness shall include, but not be limited to, a determination of the rates of
342342 313reoffense while these persons are served by the program and after their discharge. This
343343 314evaluation shall also address the effectiveness of the various treatment components of the
344344 315program and their intensity. 16 of 16
345345 316 (ll) The department shall ensure consistent data gathering and program standards for use
346346 317statewide by the forensic conditional release program.
347347 318 (mm) The department of correction, and the executive office of public safety and security
348348 319shall cooperate with the department in conducting this evaluation.
349349 320 (nn) The administrators and the supervision and treatment staff of the forensic conditional
350350 321release program shall not be held criminally or civilly liable for any criminal acts committed by
351351 322the persons on parole or judicial commitment status who receive supervision or treatment.
352352 323 (oo) The court retains jurisdiction over the person until the end of the period of the
353353 324assisted outpatient treatment established under this section or until the court finds that the person
354354 325no longer meets the criteria in this section.
355355 326 SECTION 7. In all cases in which the penalty of life imprisonment without the possibility
356356 327of parole may be authorized, mitigating circumstances shall be any factors proffered by the
357357 328defendant or the commonwealth which are relevant to a finding that a defendant suffered from
358358 329mental illness related to a perinatal psychiatric complication such as postpartum psychosis or
359359 330postpartum depression at the time the offense was committed.