Text of MA H 2319 (2024)
To ensure access to medical parole
Legislative text is a public record. Where LegiScan supplied it, the CC BY 4.0 credit applies.
Source: LegiScan. Bill data and text from LegiScan (legiscan.com), licensed CC BY 4.0 and used in modified form. LegiScan does not endorse the Trans Data Initiative. License: CC BY 4.0(opens another site). Source page(opens another site)
As introduced
20,737 characters
1 of 1
HOUSE DOCKET, NO. 3779 FILED ON: 1/20/2023
HOUSE . . . . . . . . . . . . . . . No. 2319
The Commonwealth of Massachusetts
_________________
PRESENTED BY:
Mindy Domb
_________________
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 to ensure access to medical parole.
_______________
PETITION OF:
NAME:
DISTRICT/ADDRESS:
DATE ADDED:
Mindy Domb
3rd Hampshire
1/20/2023
Patricia D. Jehlen
Second Middlesex
1/20/2023
Lindsay N. Sabadosa
1st Hampshire
1/20/2023
Jon Santiago
9th Suffolk
2/6/2023
Joanne M. Comerford
Hampshire, Franklin and Worcester
2/9/2023
Christine P. Barber
34th Middlesex
2/14/2023
Rebecca L. Rausch
Norfolk, Worcester and Middlesex
2/23/2023
Bud L. Williams
11th Hampden
2/23/2023
Samantha Montaño
15th Suffolk
2/25/2023
Michelle L. Ciccolo
15th Middlesex
3/2/2023
1 of 10
HOUSE DOCKET, NO. 3779 FILED ON: 1/20/2023
HOUSE . . . . . . . . . . . . . . . No. 2319
By Representative Domb of Amherst, a petition (accompanied by bill, House, No. 2319) of
Mindy Domb and others relative to access to medical parole. Public Safety and Homeland
Security.
The Commonwealth of Massachusetts
_______________
In the One Hundred and Ninety-Third General Court
(2023-2024)
_______________
An Act to ensure access to medical parole.
Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
of the same, as follows:
1
SECTION 1. Section 119A of Chapter 127 of the General Laws, as so appearing, is
2
hereby amended by striking out the definitions of “Permanent incapacitation” and “Terminal
3
illness” in subsection (a) and replacing with the following:
4
''Permanent incapacitation'', a medical determination of a physical or cognitive
5
incapacitation that appears irreversible, as determined by a licensed physician.
6
''Terminal illness'', a medical determination of a condition that appears incurable, as
7
determined by a licensed physician that will likely cause the death of the prisoner in not more
8
than 18 months.
9
SECTION 2. Section 119A is further amended by adding the following definition after
10
“Secretary”:
2 of 10
11
“Surrogate decision-maker”, a person chosen by an incarcerated person to advocate on
12
their behalf. Such a surrogate may include next-of-kin, close family member, attorney, health
13
care proxy, or an individual with power of attorney for the incarcerated person.
14
SECTION 3. Section 119A is further amended by striking subsection (c) and inserting the
15
following subsections:
16
(c)(1) The superintendent of a correctional facility shall consider a prisoner for medical
17
parole upon a written petition by the prisoner, the prisoner's attorney, the prisoner's next of kin, a
18
medical provider of the correctional facility or a member of the department's staff. The
19
superintendent shall review the petition and develop a recommendation as to the release of the
20
prisoner. Whether or not the superintendent recommends in favor of medical parole, the
21
superintendent shall, not more than 21 days after the Department’s receipt of the petition,
22
transmit the petition and the recommendation to the commissioner. The superintendent shall
23
transmit with the recommendation: (i) a proposed medical parole plan; (ii) a written diagnosis by
24
a physician licensed to practice medicine under section 2 of chapter 112; and (iii) an assessment
25
of the current risk for violence that the prisoner poses to society. The risk assessment shall be
26
based on consideration of the prisoner’s current cognitive and physical ability to violently
27
recidivate, considering the probability that violence will actually occur, in light of the person’s
28
documented current medical condition. Where the person's disability-related behaviors contribute
29
to current risk, the Department must also consider whether reasonable accommodations such as
30
individualized treatment and programming in a community setting could mitigate risk. Such
31
assessment shall be supported, if requested by the petitioner, by routine video surveillance of the
32
prisoner from the prison, demonstrating the prisoner’s level of incapacity.
3 of 10
33
(c)(2) The Department shall submit written petitions on behalf of permanently
34
cognitively incapacitated prisoners. The Department must first contact the prisoner’s next of kin,
35
surrogate decision-maker, attorney or Prisoners’ Legal Services, and notify them of the
36
opportunity to file a petition in lieu of the Department. The Department’s obligation to submit
37
written petitions on behalf of cognitively incapacitated prisoners does not preclude other
38
appropriate parties from filing petitions on behalf of incarcerated persons with cognitive
39
incapacitation. The Department shall accept release of information forms signed by the prisoner
40
if no guardian has already been appointed.
41
(c)(3) The Department shall identify prisoners who are cognitively incapacitated through
42
at least annual administration of a standardized cognitive assessment tool to all prisoners aged 55
43
and older. The Department shall identify all prisoners screening positive for cognitive
44
impairment or who are terminally ill or physically incapacitated in a quarterly report to an
45
appropriate prisoners’ rights legal organization, which will include the prisoner’s name, the
46
prisoner’s next-of-kin or surrogate decision-maker, information about the prisoner’s sentence,
47
and the relevant condition or description of the incapacitation. In addition to the regular
48
assessments by medical personnel at the prison, the prisoner, or the prisoner’s family or attorney
49
may request at any time that the prisoner’s primary care physician in the prison assess cognitive
50
capacity.
51
(c)(4) Upon the commissioner’s receipt of the petition and recommendation pursuant to
52
paragraph (1), the commissioner shall notify, in writing, the district attorney for the jurisdiction
53
where the offense resulting in the prisoner being committed to the correctional facility occurred,
54
the prisoner, the person who petitioned for medical parole, if not the prisoner and, if applicable
55
under chapter 258B, the victim or the victim's family that the prisoner is being considered for
4 of 10
56
medical parole. The parties who receive the notice shall have an opportunity to provide written
57
statements; provided, however, that if the prisoner was convicted and is serving a sentence under
58
section 1 of chapter 265, the district attorney or victim's family may request a hearing.
59
Where the prisoner meets the medical criteria for medical parole, the Department must
60
submit a medical parole plan meeting the prisoner’s needs to the Parole Board no later than 35
61
days after the Department’s receipt of the petition. Where a parole plan to a private home
62
appropriate to the person’s care is available, that home shall be the proposed plan unless the
63
Department produces documentation of specific reasons the home placement would cause a risk
64
to public safety.
65
SECTION 4. Section 119A is further amended by striking subsection (d) and replacing
66
with the following subsections:
67
(d)(1) A sheriff shall consider a prisoner for medical parole upon a written petition filed
68
by the prisoner, the prisoner's attorney, the prisoner's next of kin, a medical provider of the house
69
of correction or jail or a member of the sheriff's staff. The sheriff shall review the request and
70
develop a recommendation as to the release of the prisoner. Whether or not the sheriff
71
recommends in favor of medical parole, the sheriff shall, not more than 21 days after the
72
Department’s receipt of the petition, transmit the petition and the recommendation to the
73
commissioner. The sheriff shall transmit with the petition: (i) a proposed medical parole plan; (ii)
74
a written diagnosis by a physician licensed to practice medicine under section 2 of chapter 112;
75
and (iii) an assessment of the current risk for violence that the prisoner poses to society. The risk
76
assessment shall be based on consideration of the prisoner’s current cognitive and physical
77
ability to violently recidivate, and the probability that violence will actually occur, in light of the
5 of 10
78
person’s documented current medical condition. When the person's disability-related behaviors
79
contribute to current risk, the Department must also consider whether reasonable
80
accommodations such as individualized treatment and programming in a community setting
81
could mitigate risk. Such assessment shall be supported, if requested by the petitioner, by routine
82
video surveillance of the prisoner from the jail, demonstrating the prisoner’s level of incapacity.
83
(d)(2) The sheriff shall submit written petitions on behalf of permanently cognitively
84
incapacitated prisoners. The sheriff must contact the prisoner’s next of kin, surrogate decision-
85
maker, attorney or Prisoners’ Legal Services, and notify them of the opportunity to file a petition
86
in lieu of the sheriff. The Sheriff’s obligation to submit written petitions on behalf of cognitively
87
incapacitated prisoners does not preclude other appropriate parties from filing written petitions
88
on behalf of incarcerated persons with cognitive incapacitation. The sheriff shall accept release
89
of information forms signed by the prisoner if no guardian has already been appointed.
90
(d)(3) The sheriff shall identify prisoners who are cognitively incapacitated through at
91
least annual administration of a standardized cognitive assessment tool to all prisoners aged 55
92
and older. The sheriff shall identify all prisoners screening positive for cognitive impairment or
93
who are terminally ill or physically incapacitated in a quarterly report to an appropriate
94
prisoners’ rights legal organization, which will include the prisoner’s name, the prisoner’s next-
95
of-kin or surrogate decision-maker, information about the prisoner’s sentence, and the relevant
96
condition or description of the incapacitation. In addition to the regular assessments by medical
97
personnel at the prison, the prisoner, or the prisoner’s family or attorney may request at any time
98
that the prisoner’s primary care physician in the prison assess cognitive capacity.
6 of 10
99
(d)(4) Upon the commissioner's receipt of the petition and recommendation pursuant to
100
paragraph (1), the commissioner shall notify, in writing, the district attorney for the jurisdiction
101
where the offense resulting in the prisoner being committed to the correctional facility occurred,
102
the prisoner, the person who petitioned for medical parole, if not the prisoner and, if applicable
103
under chapter 258B, the victim or the victim's family that the prisoner is being considered for
104
medical parole. The parties who receive the notice shall have an opportunity to submit written
105
statements.
106
Where the prisoner meets the medical criteria for medical parole, the Department shall
107
submit a medical parole plan meeting the prisoner’s needs to the Parole Board no later than 35
108
days after the sheriff’s receipt of the petition. Where a medical parole plan to a private home
109
appropriate to the individual’s care is available, that home shall be the proposed plan unless the
110
Department produces documentation of specific reasons the home placement would cause a risk
111
to public safety.
112
SECTION 5. Section 119A is further amended by striking subsection (e) and replacing
113
with the following:
114
(e) The commissioner shall issue a written decision not later than 45 days after the
115
Department’s receipt of a petition, which shall be accompanied by a statement of reasons for the
116
commissioner's decision. The Department shall also establish a policy implementing a further
117
expedited process for decision and release of a person on medical parole whose death by
118
terminal illness is found to be likely in less than 6 months. Medical parole shall be granted to a
119
terminally ill or permanently incapacitated prisoner unless the Commissioner determines by clear
120
and convincing evidence that, if the prisoner is released with appropriate conditions, community
7 of 10
121
supervision, and reasonable accommodations, the prisoner will not live and remain at liberty
122
without violently recidivating. The assessment of terminal illness or permanent incapacitation by
123
a medical provider shall be separate from the public safety risk assessment. Any denial of
124
medical parole shall explain how the petitioner’s release would be incompatible with the welfare
125
of society given the petitioner’s current medical condition. No petition shall be denied on
126
medical grounds without a current, in-person evaluation of the prisoner by the licensed physician
127
opining that the person is not medically eligible. Petitioners shall have a right to funds for
128
experts pursuant to chapter 261. The parole board shall impose terms and conditions for medical
129
parole that shall apply through the date upon which the prisoner's sentence would have expired
130
and which shall be no more restrictive than the individual’s current medical condition
131
necessitates.
132
All decisions to grant or deny medical parole, and the creation of a medical parole plan
133
shall be made without bias pertaining to a person’s race, ethnicity, disability, religion, sexual
134
orientation, or gender identity.
135
Release after a grant of medical parole shall occur within 7 days of the grant, absent
136
documented extraordinary circumstances preventing such timely release. A prisoner for whom
137
the Department cannot identify appropriate post-release placement shall be referred to the
138
Department of Public Health (“DPH”) for placement in an appropriate DPH facility pursuant to
139
section 151 of chapter 127. Not less than 24 hours before the date of a prisoner's release on
140
medical parole, the commissioner shall notify, in writing, the district attorney for the jurisdiction
141
where the offense resulting in the prisoner being committed to the correctional facility occurred,
142
the department of state police, the police department in the city or town in which the prisoner
8 of 10
143
shall reside and, if applicable under chapter 258B, the victim or the victim's family of the
144
prisoner's release and the terms and conditions of the release.
145
SECTION 6. Section 119A is further amended by striking subsection (f) and replacing
146
with the following:
147
(f) For all purposes, including revocation, a prisoner granted release under this section
148
shall be under the jurisdiction, supervision and control of the parole board, as if the prisoner had
149
been paroled pursuant to section 130 of chapter 127. The parole board may revise, alter or amend
150
the terms and conditions of a medical parole at any time.
151
If a parole officer receives credible information that the individual’s terminal illness or
152
permanent incapacitation has improved to the extent that the individual would no longer be
153
eligible for medical parole under this section, the board shall obtain a medical assessment by a
154
licensed physician of the prisoner’s current medical condition. If the medical assessment
155
concludes that the individual no longer qualifies for medical parole, the parole officer shall bring
156
the individual on medical parole before the board for a parole revocation hearing. The individual
157
shall remain at liberty during the pendency of the revocation proceedings, barring a substantial
158
and immediate risk to public safety. If the board establishes at the revocation hearing that the
159
terminal illness or permanent incapacitation has improved to the extent that the individual is no
160
longer eligible for medical parole pursuant to this section, the board shall order the return of the
161
individual to incarceration, or, subject to appropriate terms and conditions set by the board, order
162
release to parole supervision under another form of parole permitted by law.
163
If a parole officer receives credible information that an individual on medical parole has
164
failed to comply with a condition of medical parole, the parole officer may initiate parole
9 of 10
165
revocation proceedings. If the board established at the revocation hearing that the individual has
166
violated a condition of medical parole, it may revoke parole and order return of the individual to
167
incarceration, or order that the individual be reparoled to the community on medical parole
168
subject to appropriate terms and conditions set by the board. In determining whether to order the
169
individual’s return to custody, the board shall consider the medical hardship of incarceration and
170
whether provision of reasonable accommodations would enable the individual to comply with
171
the conditions of medical parole.
172
If the board orders revocation and reincarceration pursuant to this subsection, the prisoner
173
shall return to custody in accordance with the terms of their original sentence with credit given
174
only for the duration of the medical parole that was served in compliance with all conditions of
175
their medical parole pursuant to subsection (e). Revocation of a prisoner’s medical parole for any
176
reason shall not preclude a prisoner’s eligibility for medical parole in the future or for another
177
form of release permitted by law.
178
SECTION 7. Section 119A is further amended by striking subsection (g) and replacing
179
with the following:
180
(g) A prisoner, sheriff or superintendent aggrieved by a decision denying or granting
181
medical parole made under this section may petition for relief pursuant to section 4 of chapter
182
249.
183
A reviewing court may affirm or reverse the commissioner's decision and order grant or
184
denial of the prisoner’s release. Petitions for certiorari shall be handled by the judiciary with due
185
haste considering the urgent nature of medical parole. A decision by the court affirming or
186
reversing the commissioner's grant or denial of medical parole shall not affect a prisoner's
10 of 10
187
eligibility for any other form of release permitted by law. A decision by the court pursuant to this
188
subsection shall not preclude a prisoner's eligibility for medical parole in the future.
189
SECTION 8. Section 119A is further amended by striking subsection (i) and replacing
190
with the following:
191
(i) The commissioner and the secretary shall file an annual report not later than March 1
192
with the clerks of the senate and the house of representatives, the senate and house committees
193
on ways and means and the joint committee on the judiciary detailing, for the prior year: (i) the
194
number of prisoners in the custody of the department or of the sheriffs who applied for medical
195
parole under this section and the race, ethnicity, and age of each applicant at the time of the
196
petition; (ii) the number of prisoners who have been granted medical parole and the race and
197
ethnicity, age of each prisoner at the time of the petition; (iii) the nature of the illness of the
198
applicants for medical parole; (iv) the counties to which the prisoners have been released; (v) the
199
number of prisoners who have been denied medical parole, the reason for the denial and the race,
200
ethnicity and age of each prisoner at the time of the petition; (vi) the number of prisoners who
201
have petitioned for medical parole more than once; (vii) the number of prisoners released who
202
have been returned to the custody of the department or the sheriff and the reason for each
203
prisoner's return; and (viii) the number of petitions for relief sought pursuant to subsection (g).
204
Nothing in this report shall include personally identifiable information of the prisoners.