S T A T E O F N E W Y O R K
________________________________________________________________________
6283
2023-2024 Regular Sessions
I N S E N A T E
April 11, 2023
___________
Introduced by Sens. SEPULVEDA, MAY, PARKER -- read twice and ordered
printed, and when printed to be committed to the Committee on Crime
Victims, Crime and Correction
AN ACT to amend the executive law, in relation to medical parole
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Paragraph (a) of subdivision 1 of section 259-r of the
executive law, as amended by section 14 of chapter 322 of the laws of
2021, is amended to read as follows:
(a) The board shall have the power to release on medical parole any
incarcerated individual serving an indeterminate or determinate sentence
of imprisonment who, pursuant to subdivision two of this section, has
been certified to be suffering from a terminal condition, disease or
syndrome and to be so debilitated or incapacitated as to create a
reasonable probability that he or she is physically or cognitively inca-
pable of presenting [any] A danger to society, provided, however, that
no incarcerated individual serving a sentence imposed upon a conviction
for murder in the first degree or an attempt or conspiracy to commit
murder in the first degree shall be eligible for such release, and
provided further that no incarcerated individual serving a sentence
imposed upon a conviction for any of the following offenses shall be
eligible for such release unless in the case of an indeterminate
sentence he or she has served at least one-half of the minimum period of
the sentence and in the case of a determinate sentence he or she has
served at least one-half of the term of his or her determinate sentence:
murder in the second degree, manslaughter in the first degree, any
offense defined in article one hundred thirty of the penal law or an
attempt to commit any of these offenses. Solely for the purpose of
determining medical parole eligibility pursuant to this section, such
one-half of the minimum period of the indeterminate sentence and one-
half of the term of the determinate sentence shall not be credited with
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD00263-01-3
S. 6283 2
any time served under the jurisdiction of the department prior to the
commencement of such sentence pursuant to the opening paragraph of
subdivision one of section 70.30 of the penal law or subdivision two-a
of section 70.30 of the penal law, except to the extent authorized by
subdivision three of section 70.30 of the penal law.
§ 2. Paragraph (a) of subdivision 1 of section 259-r of the executive
law, as amended by section 14-a of chapter 322 of the laws of 2021, is
amended to read as follows:
(a) The board shall have the power to release on medical parole any
incarcerated individual serving an indeterminate or determinate sentence
of imprisonment who, pursuant to subdivision two of this section, has
been certified to be suffering from a terminal condition, disease or
syndrome and to be so debilitated or incapacitated as to create a
reasonable probability that he or she is physically or cognitively inca-
pable of presenting [any] A danger to society, provided, however, that
no incarcerated individual serving a sentence imposed upon a conviction
for murder in the first degree or an attempt or conspiracy to commit
murder in the first degree shall be eligible for such release, and
provided further that no incarcerated individual serving a sentence
imposed upon a conviction for any of the following offenses shall be
eligible for such release unless in the case of an indeterminate
sentence he or she has served at least one-half of the minimum period of
the sentence and in the case of a determinate sentence he or she has
served at least one-half of the term of his or her determinate sentence:
murder in the second degree, manslaughter in the first degree, any
offense defined in article one hundred thirty of the penal law or an
attempt to commit any of these offenses. Solely for the purpose of
determining medical parole eligibility pursuant to this section, such
one-half of the minimum period of the indeterminate sentence and one-
half of the term of the determinate sentence shall not be credited with
any time served under the jurisdiction of the department prior to the
commencement of such sentence pursuant to the opening paragraph of
subdivision one of section 70.30 of the penal law or subdivision two-a
of section 70.30 of the penal law, except to the extent authorized by
subdivision three of section 70.30 of the penal law.
§ 3. Paragraph (b) of subdivision 2 of section 259-r of the executive
law, as amended by chapter 322 of the laws of 2021, is amended to read
as follows:
(b) The commissioner, or the commissioner's designee, shall review the
diagnosis and may certify that the incarcerated individual is suffering
from such terminal condition, disease or syndrome and that the incarcer-
ated individual is so debilitated or incapacitated as to [create a
reasonable probability that he or she is physically or cognitively inca-
pable of presenting any danger to society] BE SEVERELY RESTRICTED IN HIS
OR HER ABILITY TO SELF-AMBULATE OR TO PERFORM SIGNIFICANT NORMAL ACTIV-
ITIES OF DAILY LIVING. If the commissioner does not so certify then the
incarcerated individual shall not be referred to the board for consider-
ation for release on medical parole. If the commissioner does so certi-
fy, then the commissioner shall, within seven working days of receipt of
such diagnosis, refer the incarcerated individual to the board for
consideration for release on medical parole. However, no such referral
of an incarcerated individual to the board shall be made unless the
incarcerated individual has been examined by a physician and diagnosed
as having a terminal condition, disease or syndrome as previously
described herein at some time subsequent to such incarcerated individ-
S. 6283 3
ual's admission to a facility operated by the department of [correction-
al services] CORRECTIONS AND COMMUNITY SUPERVISION.
§ 4. Subdivision 4 of section 259-r of the executive law, as amended
by section 38-l of subpart A of part C of chapter 62 of the laws of
2011, paragraph (b) as amended by chapter 322 of the laws of 2021, is
amended to read as follows:
4. (a) THE BOARD SHALL, UPON RECEIPT OF CERTIFICATION FROM THE COMMIS-
SIONER, INDEPENDENTLY DETERMINE WHETHER THE CONDITIONS UNDER WHICH THE
INCARCERATED INDIVIDUAL WOULD BE RELEASED CREATES A REASONABLE PROBABIL-
ITY THAT HE OR SHE IS PHYSICALLY OR COGNITIVELY INCAPABLE OF PRESENTING
A DANGER TO SOCIETY. THE BOARD SHALL PROVIDE A DETERMINATION OF RELEASE
WITHIN THIRTY DAYS UPON RECEIPT OF CERTIFICATION FROM THE COMMISSIONER.
(B) Medical parole granted pursuant to this section shall be for a
period of six months.
[(b)] (C) The board shall require as a condition of release on medical
parole that the releasee agree to remain under the care of a physician
while on medical parole and in a hospital established pursuant to arti-
cle twenty-eight of the public health law, a hospice established pursu-
ant to article forty of the public health law or any other placement
that can provide appropriate medical care as specified in the medical
discharge plan required by subdivision two of this section. The medical
discharge plan shall state that the availability of the placement has
been confirmed, and by whom. Notwithstanding any other provision of law,
when an incarcerated individual who qualifies for release under this
section is cognitively incapable of signing the requisite documentation
to effectuate the medical discharge plan and, after a diligent search no
person has been identified who could otherwise be appointed as the
incarcerated individual's guardian by a court of competent jurisdiction,
then, solely for the purpose of implementing the medical discharge plan,
the facility health services director at the facility where the incar-
cerated individual is currently incarcerated shall be lawfully empowered
to act as the incarcerated individual's guardian for the purpose of
effectuating the medical discharge.
[(c)] (D) Where appropriate, the board shall require as a condition of
release that medical parolees be supervised on intensive caseloads at
reduced supervision ratios.
[(d)] (E) The board shall require as a condition of release on medical
parole that the releasee undergo periodic medical examinations and a
medical examination at least one month prior to the expiration of the
period of medical parole and, for the purposes of making a decision
pursuant to paragraph [(e)] (F) of this subdivision, that the releasee
provide the board with a report, prepared by the treating physician, of
the results of such examination. Such report shall specifically state
whether or not the parolee continues to suffer from a terminal condi-
tion, disease, or syndrome, and to be so debilitated or incapacitated as
to be severely restricted in his or her ability to self-ambulate or to
perform significant normal activities of daily living.
[(e)] (F) Prior to the expiration of the period of medical parole the
board shall review the medical examination report required by paragraph
[(d)] (E) of this subdivision and may again grant medical parole pursu-
ant to this section; provided, however, that the provisions of paragraph
(c) of subdivision one and subdivision two of this section shall not
apply.
[(f)] (G) If the updated medical report presented to the board states
that a parolee released pursuant to this section is no longer so debili-
tated or incapacitated as to create a reasonable probability that he or
S. 6283 4
she is physically or cognitively incapable of presenting [any] A danger
to society or if the releasee fails to submit the updated medical report
then the board may not make a new grant of medical parole pursuant to
paragraph [(e)] (F) of this subdivision. Where the board has not granted
medical parole pursuant to such paragraph [(e)] (F) the board shall
promptly conduct through one of its members, or cause to be conducted by
a hearing officer designated by the board, a hearing to determine wheth-
er the releasee is suffering from a terminal condition, disease or
syndrome and is so debilitated or incapacitated as to create a reason-
able probability that he or she is physically or cognitively incapable
of presenting [any danger to society and does not present] a danger to
society. If the board makes such a determination then it may make a new
grant of medical parole pursuant to the standards of paragraph (b) of
subdivision one of this section. At the hearing, the releasee shall have
the right to representation by counsel, including the right, if the
releasee is financially unable to retain counsel, to have the appropri-
ate court assign counsel in accordance with the county or city plan for
representation placed in operation pursuant to article eighteen-B of the
county law.
[(g)] (H) The hearing and determination provided for by paragraph
[(f)] (G) of this subdivision shall be concluded within the six month
period of medical parole. If the board does not renew the grant of
medical parole, it shall order that the releasee be returned immediately
to the custody of the department.
[(h)] (I) In addition to the procedures set forth in paragraph [(f)]
(G) of this subdivision, medical parole may be revoked at any time upon
any of the grounds specified in paragraph (a) of subdivision three of
section two hundred fifty-nine-i of this article, and in accordance with
the procedures specified in subdivision three of section two hundred
fifty-nine-i of this article.
[(i)] (J) A releasee who is on medical parole and who becomes eligible
for parole pursuant to the provisions of subdivision two of section two
hundred fifty-nine-i of this article shall be eligible for parole
consideration pursuant to such subdivision.
§ 5. Paragraph (a) of subdivision 1 of section 259-s of the executive
law, as amended by chapter 322 of the laws of 2021, is amended to read
as follows:
(a) The board shall have the power to release on medical parole any
incarcerated individual serving an indeterminate or determinate sentence
of imprisonment who, pursuant to subdivision two of this section, has
been certified to be suffering from a significant and permanent non-ter-
minal condition, disease or syndrome that has rendered the incarcerated
individual so physically or cognitively debilitated or incapacitated as
to create a reasonable probability that he or she does not present [any]
A danger to society, provided, however, that no incarcerated individual
serving a sentence imposed upon a conviction for murder in the first
degree or an attempt or conspiracy to commit murder in the first degree
shall be eligible for such release, and provided further that no incar-
cerated individual serving a sentence imposed upon a conviction for any
of the following offenses shall be eligible for such release unless in
the case of an indeterminate sentence he or she has served at least
one-half of the minimum period of the sentence and in the case of a
determinate sentence he or she has served at least one-half of the term
of his or her determinate sentence: murder in the second degree,
manslaughter in the first degree, any offense defined in article one
hundred thirty of the penal law or an attempt to commit any of these
S. 6283 5
offenses. Solely for the purpose of determining medical parole eligibil-
ity pursuant to this section, such one-half of the minimum period of the
indeterminate sentence and one-half of the term of the determinate
sentence shall not be credited with any time served under the jurisdic-
tion of the department prior to the commencement of such sentence pursu-
ant to the opening paragraph of subdivision one of section 70.30 of the
penal law or subdivision two-a of section 70.30 of the penal law, except
to the extent authorized by subdivision three of section 70.30 of the
penal law.
§ 6. Paragraph (b) of subdivision 2 of section 259-s of the executive
law, as amended by chapter 322 of the laws of 2021, is amended to read
as follows:
(b) The commissioner, or the commissioner's designee, shall review the
diagnosis and may certify that the incarcerated individual is suffering
from such condition, disease or syndrome and that the incarcerated indi-
vidual is so debilitated or incapacitated as to [create a reasonable
probability that he or she is physically or cognitively incapable of
presenting any danger to society] BE SEVERELY RESTRICTED IN HIS OR HER
ABILITY TO SELF-AMBULATE OR TO PERFORM SIGNIFICANT NORMAL ACTIVITIES OF
DAILY LIVING. If the commissioner does not so certify then the incarcer-
ated individual shall not be referred to the board for consideration for
release on medical parole. If the commissioner does so certify, then the
commissioner shall, within seven working days of receipt of such diagno-
sis, refer the incarcerated individual to the board for consideration
for release on medical parole. However, no such referral of an incar-
cerated individual to the board of parole shall be made unless the
incarcerated individual has been examined by a physician and diagnosed
as having a condition, disease or syndrome as previously described here-
in at some time subsequent to such incarcerated individual's admission
to a facility operated by the department.
§ 7. Subdivision 4 of section 259-s of the executive law, as amended
by chapter 322 of the laws of 2021, is amended to read as follows:
4. (a) THE BOARD SHALL, UPON RECEIPT OF CERTIFICATION FROM THE COMMIS-
SIONER, INDEPENDENTLY DETERMINE WHETHER THE CONDITIONS UNDER WHICH THE
INCARCERATED INDIVIDUAL WOULD BE RELEASED CREATES A REASONABLE PROBABIL-
ITY THAT HE OR SHE IS PHYSICALLY OR COGNITIVELY INCAPABLE OF PRESENTING
A DANGER TO SOCIETY. THE BOARD SHALL PROVIDE A DETERMINATION OF RELEASE
WITHIN THIRTY DAYS UPON RECEIPT OF CERTIFICATION FROM THE COMMISSIONER.
(B) Medical parole granted pursuant to this section shall be for a
period of six months.
[(b)] (C) The board shall require as a condition of release on medical
parole that the releasee agree to remain under the care of a physician
while on medical parole and in a hospital established pursuant to arti-
cle twenty-eight of the public health law, a hospice established pursu-
ant to article forty of the public health law or any other placement,
including a residence with family or others, that can provide appropri-
ate medical care as specified in the medical discharge plan required by
subdivision two of this section. The medical discharge plan shall state
that the availability of the placement has been confirmed, and by whom.
Notwithstanding any other provision of law, when an incarcerated indi-
vidual who qualifies for release under this section is cognitively inca-
pable of signing the requisite documentation to effectuate the medical
discharge plan and, after a diligent search no person has been identi-
fied who could otherwise be appointed as the incarcerated individual's
guardian by a court of competent jurisdiction, then, solely for the
purpose of implementing the medical discharge plan, the facility health
S. 6283 6
services director at the facility where the incarcerated individual is
currently incarcerated shall be lawfully empowered to act as the incar-
cerated individual's guardian for the purpose of effectuating the
medical discharge.
[(c)] (D) Where appropriate, the board shall require as a condition of
release that medical parolees be supervised on intensive caseloads at
reduced supervision ratios.
[(d)] (E) The board shall require as a condition of release on medical
parole that the releasee undergo periodic medical examinations and a
medical examination at least one month prior to the expiration of the
period of medical parole and, for the purposes of making a decision
pursuant to paragraph [(e)] (F) of this subdivision, that the releasee
provide the board with a report, prepared by the treating physician, of
the results of such examination. Such report shall specifically state
whether or not the parolee continues to suffer from a significant and
permanent non-terminal and debilitating condition, disease, or syndrome,
and to be so debilitated or incapacitated as to be severely restricted
in his or her ability to self-ambulate or to perform significant normal
activities of daily living.
[(e)] (F) Prior to the expiration of the period of medical parole the
board shall review the medical examination report required by paragraph
[(d)] (E) of this subdivision and may again grant medical parole pursu-
ant to this section; provided, however, that the provisions of paragraph
(c) of subdivision one and subdivision two of this section shall not
apply.
[(f)] (G) If the updated medical report presented to the board states
that a parolee released pursuant to this section is no longer so debili-
tated or incapacitated as to create a reasonable probability that he or
she is physically or cognitively incapable of presenting [any] A danger
to society or if the releasee fails to submit the updated medical report
then the board may not make a new grant of medical parole pursuant to
paragraph [(e)] (F) of this subdivision. Where the board has not granted
medical parole pursuant to [such] paragraph [(e)] (F) OF THIS SUBDIVI-
SION the board shall promptly conduct through one of its members, or
cause to be conducted by a hearing officer designated by the board, a
hearing to determine whether the releasee is suffering from a signif-
icant and permanent non-terminal and incapacitating condition, disease
or syndrome and is so debilitated or incapacitated as to create a
reasonable probability that he or she is physically or cognitively inca-
pable of presenting [any danger to society and does not present] a
danger to society. If the board makes such a determination then it may
make a new grant of medical parole pursuant to the standards of para-
graph (b) of subdivision one of this section. At the hearing, the
releasee shall have the right to representation by counsel, including
the right, if the releasee is financially unable to retain counsel, to
have the appropriate court assign counsel in accordance with the county
or city plan for representation placed in operation pursuant to article
eighteen-B of the county law.
[(g)] (H) The hearing and determination provided for by paragraph
[(f)] (G) of this subdivision shall be concluded within the six month
period of medical parole. If the board does not renew the grant of
medical parole, it shall order that the releasee be returned immediately
to the custody of the department of correctional services.
[(h)] (I) In addition to the procedures set forth in paragraph [(f)]
(G) of this subdivision, medical parole may be revoked at any time upon
any of the grounds specified in paragraph (a) of subdivision three of
S. 6283 7
section two hundred fifty-nine-i of this article, and in accordance with
the procedures specified in subdivision three of section two hundred
fifty-nine-i of this article.
[(i)] (J) A releasee who is on medical parole and who becomes eligible
for parole pursuant to the provisions of subdivision two of section two
hundred fifty-nine-i of this article shall be eligible for parole
consideration pursuant to such subdivision.
§ 8. This act shall take effect immediately; provided, however, that
the amendments to paragraph (a) of subdivision 1 of section 259-r of the
executive law made by section one of this act shall be subject to the
expiration and reversion of such paragraph pursuant to subdivision d of
section 74 of chapter 3 of the laws of 1995, as amended, when upon such
date the provisions of section two of this act shall take effect.