BILL NUMBER: SB 1399	AMENDED
	BILL TEXT

	AMENDED IN SENATE  MAY 11, 2010
	AMENDED IN SENATE  APRIL 14, 2010
	AMENDED IN SENATE  APRIL 7, 2010
	AMENDED IN SENATE  APRIL 5, 2010

INTRODUCED BY   Senator Leno

                        FEBRUARY 19, 2010

   An act to amend Section 3041 of, and to add  Section
  Sections 2065 and 3550 to, the Penal Code, 
and to add Section 10755 to the Welfare and Institutions Code, 
relating to parole.



	LEGISLATIVE COUNSEL'S DIGEST


   SB 1399, as amended, Leno. Parole: physically or cognitively
debilitated or incapacitated inmates.
   Existing law generally regulates the granting and conditioning of
parole, and places the duty to monitor parolees on the Division of
Adult Parole Operations. Existing law, the Victim's Bill of Rights
Act of 2008: Marsy's Law, as added by Proposition 9 at the November
4, 2008, statewide general election, provides that the Board of
Parole Hearings or its successor in interest shall be the state's
parole authority and shall be responsible for protecting victims'
rights in the parole process.
   This bill would provide that, except as specified, any prisoner
who the  Board of Parole Hearings   chief
medical officer  determines, based on the results of medical
evaluations, suffers from a significant and permanent condition,
disease, or syndrome resulting in the prisoner being physically or
cognitively debilitated or incapacitated  and  
shall be granted medical parole, if the Board of Parole Hearings
determines that  the conditions under which the prisoner would
be released would not reasonably pose a threat to public safety
 , shall be granted medical parole  . Those
provisions would not apply to any prisoner sentenced to death or life
in prison without possibility of parole or to any inmate who is
serving a sentence for which parole pursuant to this bill is
prohibited by any initiative statute. The bill would require that
parole placements and revocations pursuant to its provisions shall be
made in accordance with the Victim's Bill of Rights Act of 2008:
Marsy's Law. The bill would require a physician employed by the
Department of Corrections and Rehabilitation who is the primary care
provider for a prisoner to recommend that a prisoner be referred to
the Board of Parole Hearings for consideration for medical parole if
the physician believes the prisoner meets the  medical 
criteria for medical parole. The bill would provide that the Division
of Adult Parole Operations shall have the authority to impose any
reasonable conditions on prisoners subject to parole pursuant to this
bill, including, but not limited to, the requirement that parolees
submit to electronic monitoring. 
   Existing law generally provides for the duties and functions of
the Department of Corrections and Rehabilitation. Existing law
provides that the State Department of Health Care Services is
designated as the state agency with full power to supervise every
phase of the administration of health care services and medical
assistance for which grants-in-aid are received from the federal
government or made by the state in order to secure full compliance
with the applicable provisions of state and federal laws.  
   This bill would require that Department of Corrections and
Rehabilitation to, among other things, enter into memoranda of
understanding with the Social Security Administration and the State
Department of Health Care Services to facilitate prerelease
agreements to help inmates initiate benefits claims, as specified,
and pay the state share of Medi-Cal costs for inmates that have been
granted medical parole. The bill would require the State Department
of Health Care Services to seek any federal waivers or approvals
necessary for the Department of Corrections and Rehabilitation to pay
the state share of Medi-Cal expenditures associated with inmates
granted medical parole. 
   Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program: no.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

   SECTION 1.    Section 2065 is added to the  
Penal Code   , to read:  
   2065.  The Department of Corrections and Rehabilitation shall
complete all of the following tasks associated with inmates granted
medical parole pursuant to Section 3041 or 3550:
   (a) The department shall enter into memoranda of understanding
with the Social Security Administration and the State Department of
Health Care Services to facilitate prerelease agreements to help
inmates initiate benefits claims.
   (b) The department shall pay the state share of Medi-Cal costs for
inmates that have been granted medical parole.
   (c) The department shall reimburse providers for the medical
treatment and long-term care costs of inmates granted medical parole
who have not retained medical insurance, at a rate no lower than the
Medi-Cal rate until the point that a parolee retains alternate health
care coverage.
   (d) The department shall reimburse counties for the costs
associated with providing an inmate granted medical parole with a
public guardian. 
   SECTION 1.   SEC. 2.   Section 3041 of
the Penal Code is amended to read:
   3041.  (a) In the case of any inmate sentenced pursuant to any
provision of law, other than Chapter 4.5 (commencing with Section
1170) of Title 7 of Part 2, the Board of Parole Hearings shall meet
with each inmate during the third year of incarceration for the
purposes of reviewing the inmate's file, making recommendations, and
documenting activities and conduct pertinent to granting or
withholding postconviction credit. One year prior to the inmate's
minimum eligible parole release date a panel of two or more
commissioners or deputy commissioners shall again meet with the
inmate and shall normally set a parole release date as provided in
Section 3041.5. No more than one member of the panel shall be a
deputy commissioner. In the event of a tie vote, the matter shall be
referred for an en banc review of the record that was before the
panel that rendered the tie vote. Upon en banc review, the board
shall vote to either grant or deny parole and render a statement of
decision. The en banc review shall be conducted pursuant to
subdivision (e). The release date shall be set in a manner that will
provide uniform terms for offenses of similar gravity and magnitude
with respect to their threat to the public, and that will comply with
the sentencing rules that the Judicial Council may issue and any
sentencing information relevant to the setting of parole release
dates. The board shall establish criteria for the setting of parole
release dates and in doing so shall consider the number of victims of
the crime for which the inmate was sentenced and other factors in
mitigation or aggravation of the crime. At least one commissioner of
the panel shall have been present at the last preceding meeting,
unless it is not feasible to do so or where the last preceding
meeting was the initial meeting. Any person on the hearing panel may
request review of any decision regarding parole for an en banc
hearing by the board. In case of a review, a majority vote in favor
of parole by the board members participating in an en banc review is
required to grant parole to any inmate.
   (b) The panel or the board, sitting en banc, shall set a release
date unless it determines that the gravity of the current convicted
offense or offenses, or the timing and gravity of current or past
convicted offense or offenses, is such that consideration of the
public safety requires a more lengthy period of incarceration for
this individual, and that a parole date, therefore, cannot be fixed
at this meeting. After the effective date of this subdivision, any
decision of the parole panel finding an inmate suitable for parole
shall become final within 120 days of the date of the hearing. During
that period, the board may review the panel's decision. The panel's
decision shall become final pursuant to this subdivision unless the
board finds that the panel made an error of law, or that the panel's
decision was based on an error of fact, or that new information
should be presented to the board, any of which when corrected or
considered by the board has a substantial likelihood of resulting in
a substantially different decision upon a rehearing. In making this
determination, the board shall consult with the commissioners who
conducted the parole consideration hearing. No decision of the parole
panel shall be disapproved and referred for rehearing except by a
majority vote of the board, sitting en banc, following a public
meeting.
   (c) For the purpose of reviewing the suitability for parole of
those inmates eligible for parole under prior law at a date earlier
than that calculated under Section 1170.2, the board shall appoint
panels of at least two persons to meet annually with each inmate
until the time the person is released pursuant to proceedings or
reaches the expiration of his or her term as calculated under Section
1170.2.
   (d) It is the intent of the Legislature that, during times when
there is no backlog of inmates awaiting parole hearings, life parole
consideration hearings, or life rescission hearings, hearings will be
conducted by a panel of three or more members, the majority of whom
shall be commissioners. The board shall report monthly on the number
of cases where an inmate has not received a completed initial or
subsequent parole consideration hearing within 30 days of the hearing
date required by subdivision (a) of Section 3041.5 or paragraph (2)
of subdivision (b) of Section 3041.5, unless the inmate has waived
the right to those timeframes. That report shall be considered the
backlog of cases for purposes of this section, and shall include
information on the progress toward eliminating the backlog, and on
the number of inmates who have waived their right to the above
timeframes. The report shall be made public at a regularly scheduled
meeting of the board and a written report shall be made available to
the public and transmitted to the Legislature quarterly.
   (e) For purposes of this section, an en banc review by the board
means a review conducted by a majority of commissioners holding
office on the date the matter is heard by the board. An en banc
review shall be conducted in compliance with the following:
   (1) The commissioners conducting the review shall consider the
entire record of the hearing that resulted in the tie vote.
   (2) The review shall be limited to the record of the hearing. The
record shall consist of the transcript or audiotape of the hearing,
written or electronically recorded statements actually considered by
the panel that produced the tie vote, and any other material actually
considered by the panel. New evidence or comments shall not be
considered in the en banc proceeding.
   (3) The board shall separately state reasons for its decision to
grant or deny parole.
   (4) A commissioner who was involved in the tie vote shall be
recused from consideration of the matter in the en banc review.
   (f) Notwithstanding any other provision of law, except as provided
in subdivision (g), any prisoner sentenced to a term of imprisonment
under Section 1168 who  the Board of Parole Hearings
determines, based on the results of the medical evaluations performed
by the Department of Corrections and Rehabilitation physicians
  the chief medical officer at the institution where the
prisoner is located determines, as provided in this section  ,
suffers from a significant and permanent condition, disease, or
syndrome resulting in the prisoner being physically or cognitively
debilitated or incapacitated  and   shall be
granted medical parole if the Board of Parole Hearings determines
that  the conditions under which the prisoner would be released
would not reasonably pose a threat to public safety  shall be
granted medical parole  .
   (g) Subdivision (f) shall not apply to any prisoner sentenced to
death or life in prison without possibility of parole or to any
inmate who is serving a sentence for which parole, pursuant to
subdivision (f), is prohibited by any initiative statute. Parole
placements and revocations pursuant to subdivision (f) shall be made
in accordance with the Victim's Bill of Rights Act of 2008: Marsy's
Law.
   (h) When a physician employed by the Department of Corrections and
Rehabilitation who is the primary care provider for an inmate
identifies an inmate that he or she believes meets the  medical
 criteria for medical parole specified in subdivision (f), the
primary care physician shall recommend to the chief medical officer
of the institution where the prisoner is located that the prisoner be
referred to the Board of Parole Hearings for consideration for
medical parole. Within 30 days of receiving that recommendation 
,   if  the chief medical officer  shall make
a determination of the prisoner's eligibility for medical parole and,
if he or she  concurs in the recommendation of the primary
care physician,  he or she shall  refer the matter to the
Board of Parole  Hearings. If   Hearings, and if
 the chief medical officer does not concur in the
recommendation, he or she shall provide the primary care physician
with a written explanation of the reasons for denying the referral.

   (i) Notwithstanding any other law, medical parole hearings shall
be conducted by two-person panels consisting of at least one
commissioner. In the event of a tie vote, the matter shall be
referred to the full board for a decision.  
   (j) 
    (i)  Notwithstanding any other provisions of this
section, the prisoner or his or her family member or designee may
independently request consideration for medical parole by contacting
the chief medical officer at the prison or the secretary. Within 30
days of receiving the request, the chief medical officer shall, in
consultation with the prisoner's primary care physician, make a
determination whether the prisoner meets the criteria for medical
parole as specified in subdivision (f) and, if the chief medical
officer determines that the prisoner satisfies the criteria set forth
in subdivision (f), he or she shall refer the matter to the Board of
Parole Hearings. If the chief medical officer does not concur in the
recommendation, he or she shall provide the prisoner or his or her
family member or designee with a written explanation of the reasons
for denying the application. 
   (j) The Department of Corrections and Rehabilitation shall
complete parole plans for inmates referred to the Board of Parole
Hearings for medical parole consideration. The parole plans shall
include, but not be limited to, the inmate's plan for residency and
medical care.  
   (k) Notwithstanding any other law, medical parole hearings shall
be conducted by two-person panels consisting of at least one
commissioner. In the event of a tie vote, the matter shall be
referred to the full board for a decision.  
   (k) 
    (l)  Upon receiving a recommendation from a chief
medical officer of the department for a prisoner to be granted
medical parole pursuant to subdivision (h) or  (j) 
 (i)  , the board, as specified in subdivision  (i)
  (k)  , shall make an independent judgment 
whether the conditions under which the inmate would be released pose
a reasonable threat to public safety,  and make  written
 findings related thereto. 
   (l) 
    (m)  The Division of Adult Parole Operations shall have
the authority to impose any reasonable conditions on prisoners
subject to medical parole supervision pursuant to subdivision (f),
including, but not limited to, the requirement that the parolee
submit to electronic monitoring. As a further condition of medical
parole, pursuant to subdivision (f), the parolee may be required to
submit to an examination by a physician for the purpose of diagnosing
their current medical condition. In the event such an examination
takes place, a report of the examination and diagnosis shall be
submitted to the board by the examining physician. If the board
determines that the person's medical condition has substantially
improved and that the person poses a threat to public safety, the
board may revoke the parole and return the person to the custody of
the department.
   (1) Notwithstanding any other provision of law establishing
maximum periods for parole, a prisoner placed on medical parole
supervision prior to the earliest possible parole date that the
prisoner would otherwise have been released to parole under, shall
remain on medical parole, pursuant to subdivision (f), until that
earliest possible parole date, at which time the provisions of
paragraph (2) shall apply.
   (2) At the expiration of the period described in paragraph (1),
the parolee shall commence serving that period of parole provided by,
and under all other provisions of, Chapter 8 (commencing with
Section 3000) of Title 1 of Part 3. 
   (m) The warden or warden's representative, along with the
appropriate medical or mental health care representatives, shall,

    (n)     The Department of Corrections and
Rehabilitation shall,  at the time a prisoner is placed on
medical parole supervision pursuant to subdivision (f), ensure that
the prisoner has applied for any federal entitlement programs for
which the prisoner is eligible, and has in his or her possession a
discharge medical summary, full medical records, parole medications,
and all property belonging to the prisoner that was under the control
of the department. Any additional records shall be sent to the
prisoner's forwarding address after release to health care-related
parole supervision.
   SEC. 2.   SEC. 3.   Section 3550 is
added to the Penal Code, to read:
   3550.  (a) Notwithstanding any other provision of law, except as
provided in subdivision (b), any prisoner sentenced to a term of
imprisonment under Section 1170 who  the Board of Parole
Hearings determines, based on the results of the medical evaluations
performed by the Department of Corrections and Rehabilitation
physicians   the chief medical officer of the
institution where the prisoner is located determines, as provided in
this section  , suffers from a significant and permanent
condition, disease, or syndrome resulting in the prisoner being
physically or cognitively debilitated or incapacitated  and
  shall be granted medical parole if the Board of Parole
Hearings determines that  the conditions under which the
prisoner would be released would not reasonably pose a threat to
public safety  shall be granted medical parole  .
   (b) Subdivision (a) shall not apply to any prisoner sentenced to
death or life in prison without possibility of parole or to any
inmate who is serving a sentence for which parole, pursuant to
subdivision (a), is prohibited by any initiative statute. Parole
placements and revocations pursuant to subdivision (a) shall be made
in accordance with the Victim's Bill of Rights Act of 2008: Marsy's
Law.
   (c) When a physician employed by the Department of Corrections and
Rehabilitation who is the primary care provider for an inmate
identifies an inmate that he or she believes meets the  medical
 criteria for medical parole specified in subdivision (a) the
primary care physician shall recommend to the chief medical officer
of the institution where the prisoner is located that the prisoner be
referred to the Board of Parole Hearings for consideration for
medical parole. Within 30 days of receiving that recommendation ,
if  the chief medical officer  shall make a
determination of the prisoner's eligibility for medical parole and,
if he or she  concurs in the recommendation of the primary
care physician,  he or she shall  refer the matter to the
Board of Parole  Hearings. If   Hearings, and if
 the chief medical officer does not concur in the
recommendation, he or she shall provide the primary care physician
with a written explanation of the reasons for denying the referral.

   (d) Notwithstanding any other law, medical parole hearings shall
be conducted by two-person panels consisting of at least one
commissioner. In the event of a tie vote, the matter shall be
referred to the full board for a decision.  
   (e) 
    (d)  Notwithstanding any other provisions of this
section, the prisoner or his or her family member or designee may
independently request consideration for medical parole by contacting
the chief medical officer at the prison or the secretary. Within 30
days of receiving the request, the chief medical officer shall, in
consultation with the prisoner's primary care physician, make a
determination whether the prisoner meets the criteria for medical
parole as specified in subdivision (a) and, if the chief medical
officer determines that the prisoner satisfies the criteria set forth
in subdivision (a), he or she shall refer the matter to the Board of
Parole Hearings. If the chief medical officer does not concur in the
recommendation, he or she shall provide the prisoner or his or her
family member or designee with a written explanation of the reasons
for denying the application. 
   (e) The Department of Corrections and Rehabilitation shall
complete parole plans for inmates referred to the Board of Parole
Hearings for medical parole consideration. The parole plans shall
include, but not be limited to, the inmate's plan for residency and
medical care.  
   (f) Notwithstanding any other law, medical parole hearings shall
be conducted by two-person panels consisting of at least one
commissioner. In the event of a tie vote, the matter shall be
referred to the full board for a decision.  
   (f) 
    (g)  Upon receiving a recommendation from a chief
medical officer of the department for a prisoner to be granted
medical parole pursuant to subdivision (c) or  (e) 
 (d)  , the board, as specified in subdivision  (d)
  (f)  , shall make an independent judgment 
whether the conditions under which the inmate would be released pose
a reasonable threat to public safety,  and make  written
 findings related thereto. 
   (g) 
    (h)  Notwithstanding any other provision of law, the
Division of Adult Parole Operations shall have the authority to
impose any reasonable conditions on prisoners subject to medical
parole supervision pursuant to subdivision (a), including, but not
limited to, the requirement that the parolee submit to electronic
monitoring. As a further condition of medical parole, pursuant to
subdivision (a), the parolee may be required to submit to an
examination by a physician for the purpose of diagnosing their
current medical condition. In the event such an examination takes
place, a report of the examination and diagnosis shall be submitted
to the board by the examining physician. If the board determines that
the person's medical condition has substantially improved and that
the person poses a threat to public safety, the board may revoke the
parole and return the person to the custody of the department.
   (1) Notwithstanding any other provision of law establishing
maximum periods for parole, a prisoner placed on medical parole
supervision prior to the earliest possible parole date that the
prisoner would otherwise have been released to parole under, shall
remain on medical parole, pursuant to subdivision (a), until that
earliest possible parole date, at which time the provisions of
paragraph (2) shall apply.
   (2) At the expiration of the period described in paragraph (1),
the parolee shall commence serving that period of parole provided by,
and under all other provisions of, Chapter 8 (commencing with
Section 3000) of Title 1 of Part 3. 
   (h) The warden or warden's representative, along with the
appropriate medical or mental health care representatives, shall,

    (i)     The Department of Corrections and
Rehabilitation shall,  at the time a prisoner is placed on
medical parole supervision pursuant to subdivision (a), ensure that
the prisoner has applied for any federal entitlement programs for
which the prisoner is eligible, and has in his or her possession a
discharge medical summary, full medical records, parole medications,
and all property belonging to the prisoner that was under the control
of the department. Any additional records shall be sent to the
prisoner's forwarding address after release to health care-related
parole supervision.
   SEC. 4.    Section 10755 is added to the  
Welfare and Institutions Code   , to read:  
   10755.  The State Department of Health Care Services shall seek
any necessary waivers from federal rules or regulations and any other
approvals necessary to enable the Department of Corrections and
Rehabilitation to pay the state share of Medi-Cal expenditures
associated with inmates granted medical parole pursuant to Section
3041 or 3550 of the Penal Code.