MA S2857

Expands eligibility for medical parole by redefining "terminal illness" as a condition reasonably likely to cause death within 18 months (determined by a licensed physician) and "permanent incapacitation" as irreversible physical or cognitive incapacitation

Requires annual cognitive assessments for all prisoners aged 55 and older using standardized tools in their preferred language, with referrals to Prisoners' Legal Services for those showing moderate or severe cognitive decline

Establishes strict timelines: superintendents/sheriffs must transmit recommendations within 21 days, the department must submit parole plans within 35 days, the commissioner must issue decisions within 45 days, and release must occur within 7 days of approval

Shifts the burden of proof so medical parole must be granted unless the Commissioner finds by clear and convincing evidence that the prisoner would violently recidivate even with appropriate conditions and accommodations

Mandates demographic data collection (race, ethnicity, gender, age) on all medical parole applications, grants, and denials, and requires written explanations for any denials