MA H1745

Requires the Research and Policy Analysis Division (RPAD) within the Executive Office of Public Safety and Security to submit annual reports to the Massachusetts Attorney General on emergency medical care delivery to persons in custody within 365 days of enactment

Mandates data collection from 344 municipal police departments, 59 college/university law enforcement agencies, 24 county jails, 17 state prisons, and Emergency Medical Services on emergency department admissions, hospitalizations, and EMS activations for incarcerated individuals

Requires reporting on psychiatric crises during arrest, including whether 3-digit crisis reports were made prior to law enforcement contact and what medical care was provided

Cites 2024 U.S. DOJ Inspector General finding that 48% of custodial deaths in federal Bureau of Prisons facilities involved insufficient emergency medical responses as justification for the study

Aims to address gaps in the federal Death in Custody Reporting Act of 2013, which only reports death counts without clinical pre-mortality data needed to understand and prevent avoidable custodial deaths