SECTION 1. Section 1 of chapter 127 of the General Laws, as appearing in the 2018 Official Edition, is hereby amended by inserting after the definition of “Victim” the following 4 definitions:-

“Segregated confinement”, a housing placement where a prisoner is separated from the general population. The department shall only utilize the following types of segregated confinement: (1) restrictive housing; (2) disciplinary restrictive housing; (3) secure adjustment units; (4) secure treatment units; and (5) mental health watch.

“Secure adjustment unit”, a housing placement designed to provide access to cognitive behavioral treatment, education, programs, structured recreation, leisure time activities and mental health services for prisoners diverted from or released from restrictive housing.

“Health services unit”, a general population housing placement designed to deliver healthcare services to prisoners.

“Mental health watch”, a housing placement intended to protect a prisoner from serious self-harm.

SECTION 2. Said section 1 of said chapter 127, as so appearing, is hereby amended by striking out, in lines 27 and 30, the words “restrictive housing” and inserting in place thereof the following words:- segregated confinement

SECTION 3. Said section 1 of said chapter 127, as so appearing, is hereby amended by striking out, in lines 31 and 32, the words “clause (iv) or (v) of”             

SECTION 4. Said section 1 of said chapter 127, as so appearing, is hereby amended by striking out the definition of “secure treatment unit” and inserting in place thereof the following definition:-

“Secure treatment unit”, a housing placement of any security level that is designed to provide an alternative to restrictive housing for prisoners diagnosed with serious mental illness, and which provides clinically appropriate mental health treatment, programming, out of cell time, education, programming, and other services in accordance with clinical standards adopted by the department of correction in consultation with the department of mental health.

SECTION 5. Section 39 of said chapter 127, as so appearing, is hereby amended by striking out, in line 10, the words “restrictive housing unit” and inserting in place thereof the following words:- segregated confinement units other than mental health watch

SECTION 6. Said section 39 of said chapter 127, as so appearing, is hereby amended by inserting after the word “authorized” in line 14 the following words:- commensurate with the rights of general population prisoners

SECTION 7. Said section 39 of said chapter 127, as so appearing, is hereby amended by inserting after the word “television” in line 19 the following words:- , in accordance with the prisoner’s preference,

SECTION 8. Subsection (b) of said section 39 of said chapter 127, as so appearing, is hereby amended by inserting after the first sentence the following two sentences:- If canteen privileges or disability accommodations are deemed inconsistent with the security of the unit, such determination must be reviewed by the placement review examiners at each placement review, at which time the placement review examiners must override the determination if there is not substantial evidence to support it. The placement review examiners shall provide written explanation of their determination and all evidence relied upon, and all such determinations are final agency decisions. 

SECTION 9. Said section 39 of said chapter 127, as so appearing, is hereby amended by striking out, in lines 34 and 41, the words “restrictive housing” and inserting in place thereof the following words:- segregated confinement

SECTION 10. Said section 39 of said chapter 127, as so appearing, is hereby amended by striking out, in lines 36, 37, 38, and 39, the words “or restrictive housing is otherwise clinically contraindicated based on clinical standards adopted by the department of correction and the qualified mental health professional’s clinical judgment” and inserting in place thereof the following words:- . A prisoner with a serious mental illness or who is otherwise clinically contraindicated for restrictive housing, disciplinary restrictive housing, or secure adjustment units, based on clinical standards adopted by the department of correction and the qualified mental health professional’s clinical judgment, shall only be placed in secure treatment units, mental health watch, or general population units. Secure treatment units may be any level of security deemed appropriate for the population. They shall meet minimum standards for mental health treatment, programming, and education, as established by the department of correction’s director of behavioral health in consultation with the department of mental health. They shall have minimum out of cell time of no less than five hours daily. All secure treatment units must be co-directed by one correctional staff person and one clinical staff person, with equal authority in the unit. All correctional officers stationed in secure treatment units shall receive specialized training with a particular focus on psychiatric and cognitive disabilities.

SECTION 11. Said section 39 of said chapter 127, as so appearing, is hereby amended by striking out, in line 47, the words “restrictive housing” and inserting in place thereof the following words:- segregated confinement other than a secure treatment unit or mental health watch

SECTION 12. Section 39A of said chapter 127, as so appearing, is hereby amended by striking out, in lines 1 and 2, the words “restrictive housing” and inserting in place thereof the following words:- segregated confinement other than a secure treatment unit or mental health watch

SECTION 13. Said section 39A of said chapter 127, as so appearing, is hereby amended by inserting after the words “restrictive housing” in line 4 the following words:- , disciplinary restrictive housing, or a secure adjustment unit

SECTION 14. Said section 39A of said chapter 127, as so appearing, is hereby amended by striking out, in lines 12, 17, 20, 22, 34, 35, 38, and 39, the words “restrictive housing” and inserting in place thereof the following words:- segregated confinement

SECTION 15. Section 39B of said chapter 127, as so appearing, is hereby amended by striking out, in lines 1, 4, 5, 17, 33, 34, and 35, the words “restrictive housing” and inserting in place thereof the following words:- segregated confinement

SECTION 16. Said section 39B of said chapter 127, as so appearing, is hereby amended by inserting after the word “39A” in line 4 the following words:- or subsection (a) of section 39H

SECTION 17. Said section 39B of said chapter 127, as so appearing, is hereby amended by striking out, in lines 8 and 9, the words “not later than 6 months and”

SECTION 18. Said section 39B of said chapter 127, as so appearing, is hereby amended by inserting after the words “restrictive housing” in lines 11 and 12 the following words:- , disciplinary restrictive housing, a secure adjustment unit, or a secure treatment unit following an allegation or finding of a disciplinary breach

SECTION 19. Said section 39B of said chapter 127, as so appearing, is hereby amended by striking out, in line 20, the word “or” and inserting in place thereof the following word:- and

SECTION 20. Said section 39B of said chapter 127, as so appearing, is hereby amended by inserting after the word “writing” in line 20 the following words:- and be represented by an advocate

SECTION 21. Said section 39B of said chapter 127, as so appearing, is hereby amended by striking out, in lines 22 and 23, the words “the evidence relied on and the reasons for the placement decision” and inserting in place thereof the following words:- (1) any negative effects of segregated confinement on the prisoner and the extent to which such effects may be impacting the prisoner’s behavior and perceived level of risk, (2) whether a reasonable probability of safety for the prisoner and third parties could be achieved if the prisoner were confined to general population or a less restrictive form of segregated confinement than the prisoner has been assigned to, (3) the factual basis or bases for the placement decision, (4) written description of any statements made by the prisoner during the hearing and (5) attaching all supporting records and all records submitted by the prisoner

SECTION 22. Said section 39B of said chapter 127, as so appearing, is hereby amended by striking out subsection (d).

SECTION 23. Said section 39B of said chapter 127, as so appearing, is hereby amended by inserting after subsection (e) the following subsection:-

(f)  If a placement review causes a prisoner to be held in segregated confinement for more than 90 days over a one-year period, the placement review shall constitute a final agency decision. The prisoner may file a complaint challenging the prisoner’s placement in segregated confinement in the superior court for the county in which the inmate is incarcerated or otherwise being held or in Suffolk county in accordance with section 14 of chapter 30A. The superior court shall determine if there is substantial evidence to support the determination of the placement review. If there is substantial evidence to support the determination of the placement review then the court shall: (1) uphold the placement in segregated confinement or (2) make other orders the court deems consistent with justice. If there is not substantial evidence to support the determination of the placement review then the court shall: (1) order that the prisoner shall be housed in the general population; (2) order that the prisoner shall be housed in a less restrictive form of segregated confinement than the prisoner is currently confined to; (3) order that the prisoner shall be housed in the type of segregated confinement that the department assigned the prisoner to; or (4) make other orders the court deems consistent with justice. The availability of review under this section shall not be construed to limit any judicial remedies otherwise available.

SECTION 24. Section 39C of said chapter 127, as so appearing, is hereby amended by striking out, in line 4, the words “restrictive housing” and inserting in place thereof the following words:- segregated confinement

SECTION 25. Section 39D of said chapter 127, as so appearing, is hereby amended by striking out, in lines 2 and 3, the words “restrictive housing” and inserting in place thereof the following words:- segregated confinement

SECTION 26. Said section 39D of said chapter 127, as so appearing, is hereby amended by striking out subsection (b) and inserting in place thereof the following subsection:-

(b) The commissioner shall publish a report quarterly and provide directly to the segregated confinement oversight committee and to the special commission to study the health and safety of lesbian, gay, bisexual, transgender, queer and intersex prisoners in correctional institutions, jails and houses of correction, as to each segregated confinement unit within each state correctional facility, and every six months as to each segregated confinement unit within each county correctional facility: (i) the number of prisoners as to whom a finding of serious mental illness has been delineated by diagnosis and the number of such prisoners held for more than 15 days; (ii) the number of prisoners who have committed suicide or committed non-lethal acts of self-harm; (iii) the number of prisoners according to the reason for their segregated confinement; (iv) a listing of prisoners with names redacted, including an anonymized identification number that shall be consistent across reports, age, race, gender and ethnicity, and, if known, the voluntary self-identified sexual orientation, as defined in section 3 of chapter 151B,  and gender identity, as defined in section 7 of chapter 4, of each prisoner subjected to segregated confinement, whether the prisoner was pregnant during time spent in restrictive housing, whether the prisoner has an open mental health case, the date of the prisoner’s commitment to segregated confinement, the length of the prisoner’s disciplinary term, if applicable, and a summary of the reason for the prisoner’s commitment; (v) the number of placement reviews conducted for each type of segregated confinement and the number of prisoners released from each type of segregated confinement as a result of such placement reviews; (vi) the length of original assignment to and total time served in segregated confinement for disciplinary purposes for each prisoner released from said confinement as a result of a placement review; (vii) the count of prisoners released to the community directly or within 30 days of release from segregated confinement; (viii) the known disabilities of every prisoner who was placed in segregated confinement during the previous 3 months; (ix) the number of mental health professionals who work directly with prisoners in segregated confinement; (x) the number of transfers to outside hospitals directly from segregated confinement (xi) such additional information as the commissioner may determine; (xii) the number of prisoners subjected to each type of segregated confinement; (xiii) the number of prisoners held in segregated confinement for more than 15 days; (xiv) the number of prisoners 21 years of age or younger subjected to each type of segregated confinement; (xv) the number of pregnant prisoners subjected to each type of segregated confinement; (xvi) the racial and ethnic composition of prisoners subjected to each type of segregated confinement; (xvii) the sexual orientation and gender identity composition of prisoners subjected to each type of segregated confinement who have voluntarily disclosed during Prison Rape Elimination Act (PREA) screenings or voluntarily disclose and self-identify at any other time during their incarceration their sexual orientation, as defined in section 3 of chapter 151B, or gender identity, as defined in section 7 of chapter 4; (xviii) the number of prisoners subjected to multiple stays in each type of segregated confinement in a given reporting period; (xix) the rate of recidivism for individuals that were subject to segregated confinement.

The information shall be published in a commonly available electronic, machine readable format.

SECTION 27. Said section 39D of said chapter 127, as so appearing, is hereby amended by inserting the following section:-

(d) The commissioner with consultation from the administrators of county correctional facilities, the department of public health, the department of youth services, the Fenway Institute, and input from other stakeholders shall develop policies and procedures for prisoners to voluntarily disclose their sexual orientation and/or gender identity during initial intake to state and county correctional facilities and upon placement in segregated confinement. The collection of sexual orientation or gender identity information voluntarily provided by prisoners placed in or currently held in segregated confinement must be collected by members of the special commission on the health and safety of lesbian, gay, bisexual, transgender, queer, and intersex prisoners.

SECTION 28. Section 39E of said chapter 127, as so appearing, is hereby amended by striking out, in line 2, the words “restrictive housing” and inserting in place thereof the following words:- segregated confinement other than mental health watch

SECTION 29. Section 39F of said chapter 127, as so appearing, is hereby amended by striking out, in lines 3 and 8, the words “restrictive housing” and inserting in place thereof the following words:- segregated confinement other than mental health watch

SECTION 30. Said section 39F of said chapter 127, as so appearing, is hereby amended by striking out, in line 4, the words “restrictive housing” and inserting in place thereof the following words:- segregated confinement

SECTION 31. Section 39G of said chapter 127, as so appearing, is hereby amended by striking out, in lines 1, 26, 27, 36, 40, 41, 42, 43, 44, 45, and 47, the words “restrictive housing” and inserting in place thereof the following words:- segregated confinement

SECTION 32. Said section 39G of said chapter 127, as so appearing, is hereby amended by striking out, in line 6, the word “9” and inserting in place thereof the following word:- 10

SECTION 33. Said section 39G of said chapter 127, as so appearing, is hereby amended by inserting after the word “designee” in line 18 the following words:- , 1 of whom shall be an individual who has personally experienced segregated confinement

SECTION 34. Said section 39G of said chapter 127, as so appearing, is hereby amended by striking out, in line 29, the word “The” and inserting in place thereof the following words:- All members of the

SECTION 35. Said section 39G of said chapter 127, as so appearing, is hereby amended by inserting after the word “institutions” in lines 29 and 30, the following words:- , including for surprise inspections,

SECTION 36. Subsection (c) of said section 39G of said chapter 127, as so appearing, is hereby amended by inserting after the first sentence the following four sentences:- No restrictions shall be placed on the ability of members of the committee to speak with the public or the press about public aspects of the committee’s work. The committee may ask the department of correction and sheriff’s departments to develop new data and information relating to use of solitary confinement. The committee shall be entitled to review nonpublic information and records, including personnel records and prisoner records. The committee shall be entitled to review and obtain copies of all public information and records, including all public information that is segregable from non-public information and records.

SECTION 37. Said chapter 127, as so appearing, is hereby amended by inserting after section 39G the following section:-

Section 39H. (a) A prisoner may be placed on mental health watch only if it is determined by a qualified mental health professional’s clinical judgment that the prisoner requires observation to protect them from a risk of serious self-harm.

(b) A prisoner who has been placed on mental health watch for more than 72 hours and continues to require observation to protect them from a risk of serious self-harm, as determined by a qualified mental health professional’s clinical judgment, shall receive enhanced clinical care at a specialized hospital.