BILL ANALYSIS                                                                                                                                                                                                    �




                   Senate Appropriations Committee Fiscal Summary
                            Senator Kevin de Le�n, Chair


          SB 1284 (Galgiani) - Inmates: medical parole or compassionate  
          release.
          
          Amended: April 28, 2014         Policy Vote: Public Safety 4-1
          Urgency: No                     Mandate: No
          Hearing Date: May 12, 2014      Consultant: Jolie Onodera
          
          This bill meets the criteria for referral to the Suspense File.
          
          
          Bill Summary: SB 1284 would provide that inmates convicted of  
          first degree murder of a peace officer, as specified, are  
          ineligible for compassionate release or medical parole.

          Fiscal Impact: Potential loss of significant future cost savings  
          (General Fund) to the extent formerly eligible inmates convicted  
          of first degree murder of a peace officer would have otherwise  
          been granted medical parole or compassionate release. Based on  
          historical releases, the average annual savings on CDCR custody  
          costs alone for one inmate released from a hospital/nursing home  
          setting on medical parole is $750,000 (General Fund).

          Background: Existing law provides that an inmate under the  
          supervision of the Department of Corrections and Rehabilitation  
          (CDCR) may be released for medical reasons under compassionate  
          release or medical parole. The compassionate release provisions  
          provide that if the Secretary of the CDCR, the Board of Parole  
          Hearings (BPH), or both, determine that the conditions under  
          which a prisoner would be released or receive treatment do not  
          pose a threat to public safety, and the prisoner is terminally  
          ill with an incurable condition and has less than six months to  
          live, or the prisoner is permanently medically incapacitated and  
          requires 24-hour care, the Secretary or the BPH may recommend to  
          the court that the prisoner's sentence be recalled (PC �  
          1170(e)(1)(2)).

          Existing law establishes the medical parole program whereby any  
          prisoner who the head physician of a CDCR institution determines  
          is permanently medically incapacitated with a medical condition  
          that renders him or her permanently unable to perform activities  
          of basic daily living, resulting in the prisoner requiring  
          24-hour care, and that incapacitation did not exist at the time  








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          of sentencing, shall be granted medical parole if the BPH  
          determines that the conditions under which the prisoner would be  
          released would not reasonably pose a threat to public safety (PC  
          � 3550(a)).

          Existing law provides that the compassionate release and medical  
          parole provisions do not apply to a prisoner sentenced to death  
          or a term of life without the possibility of parole.  
          Additionally, the medical parole provisions do not apply to a  
          prisoner serving a sentence for which parole, as specified, is  
          prohibited by any initiative statute.



          Proposed Law: This bill would specify that, in addition to the  
          eligibility restrictions under existing law, the following  
          inmates are ineligible for release on medical parole or  
          compassionate release:
               A prisoner who was convicted of first degree murder if the  
              victim was a peace officer, as specified, who was killed  
              while engaged in the performance of his or her duties, and  
              the individual knew, or reasonably should have known, that  
              the victim was a peace officer engaged in the performance of  
              his or her duties.
               The victim was a peace officer, as defined, or had been a  
              peace officer, and was intentionally murdered in retaliation  
              for the performance of his or her official duties.
               Provides that if the court determines that the application  
              of this clause violates the ex post facto clauses of the  
              U.S. or California Constitution, the court shall only  
              enforce its provisions prospectively.

          Prior Legislation: AB 68 (Maienschein) Chapter 764/2013 requires  
          the CDCR to give notice at least 30 days prior to a medical  
          parole hearing or medical parole release, as specified, to the  
          county of commitment and the county of proposed release.

          SB 1399 (Leno) Chapter 405/2010 provides for medical parole of  
          CDCR inmates under the following circumstances: 1) the inmate is  
          found by the head physician to be permanently medically  
          incapacitated with a medical condition that renders him or her  
          permanently unable to perform activities of daily living,  
          resulting in the need for 24-hour care, and 2) the Board of  
          Parole Hearings also makes a determination that the conditions  








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          under which the prisoner would be released would not reasonably  
          pose a threat to public safety.

          Staff Comments: By placing additional restrictions on the  
          population of prison inmates eligible for medical parole or  
          compassionate release, this bill could result in a significant  
          future loss of General Fund cost savings, potentially in the low  
          millions of dollars annually, that otherwise would have been  
          afforded to CDCR as a result of eliminating the ability to  
          reduce costly security for incapacitated inmates and potentially  
          for the Receiver to receive federal reimbursement through  
          Medi-Cal for medical care in certain circumstances.

          Data from CDCR indicates over 500 commitments to state prison  
          annually for the crime of first degree murder. However, specific  
          information on whether the victim was a peace officer is not  
          available for this population. To the extent even one inmate  
          (0.2 percent) would have been eligible for medical parole or  
          compassionate release, would result in a significant loss of  
          savings.

          The Receiver has indicated costs of about $750,000 (General  
          Fund) per year to guard one inmate, who is not on parole, in a  
          hospital or nursing home setting. As CDCR policy requires an  
          inmate still serving his or her sentence to continue to be  
          guarded, restricting medical parole for additional inmates will  
          restrict CDCR's ability to remove custodial costs for these  
          inmates. Placing a person on medical parole removes the guarding  
          component, irrespective of whether or not the Receiver is  
          reimbursed for medical care by the federal government.