MD SB181

Establishes geriatric parole eligibility for incarcerated individuals who are at least 65 years old, have served at least 20 years, are not sex offenders, and have had no Category 1A disciplinary infractions in the previous 3 years

Removes the Governor's authority to disapprove Maryland Parole Commission decisions to grant medical parole to individuals sentenced to life imprisonment

Expands medical parole eligibility to include individuals with terminal illness (defined as a disease with an end-of-life trajectory) or who are chronically debilitated, requiring a physician's determination rather than the previous "physically incapable of presenting a danger" standard

Requires the Department of Public Safety and Correctional Services to submit names of geriatric parole-eligible individuals to the Commission on an ongoing basis, with mandatory risk assessments for those serving 40+ years for multiple violent crimes

Authorizes the Justice Reinvestment Oversight Board to distribute savings to the Parole Commission for hiring psychologists to perform risk assessments, with the act taking effect October 1, 2025