Texas Correctional Office on Offenders

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Texas Department of Criminal Justice Reentry and
Integration Division
Texas Correctional Office on Offenders with
Medical or Mental Impairments (TCOOMMI)
Medically Recommended Intensive
Supervision (MRIS) FY13 Annual Report
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Legislative Updates(Effective September 1,
2007)

• Medically Recommended Intensive Supervision
  (MRIS) provides for the early parole review and
  release of certain categories of offenders who
  are mentally ill, mentally retarded, elderly,
  terminally ill, long term care or physically
  handicapped. The purpose of MRIS is to release
  offenders, who pose minimal public safety risk,
  from incarceration to more cost effective
  alternatives.

Enabling Legislation

• As the result of HB 1670, offenders with a
  reportable conviction or adjudication under
  Chapter 62, Code of Criminal Procedure, were
  previously ineligible for MRIS consideration.
  During the 80th Legislative Session, HB 2611 was
  passed allowing MRIS consideration for such
  offenders if in a persistent vegetative state or
  being a person with an organic brain syndrome
  with significant to total mobility impairment.
• HB 431, also enacted during the 80th Legislative
  Session, allows MRIS consideration for defendants
  convicted of a state jail felony.

• Government Code 508.146, Medically Recommended
  Intensive Supervision, enables TCOOMMI, in
  cooperation with Correctional Managed Health
  Care, to identify offenders who may be eligible
  for early parole review due to a medical
  condition. If the Board of Pardons and Paroles
  then determines that based on the offenders
  condition and a medical evaluation, the offender
  does not constitute a threat to public safety,
  the offender is released to a medically suitable
  placement and appropriate supervision.
• As the result of HB 1670, enacted during the 78th
  Legislative Session, offenders with a reportable
  conviction or adjudication under Chapter 62, Code
  of Criminal Procedure, were previously ineligible
  for MRIS consideration. During the 80th
  Legislative Session, HB 2611 was passed allowing
  MRIS consideration for such offenders if in a
  persistent vegetative state or being a person
  with an organic brain syndrome with significant
  to total mobility impairment.
• HB 431, also enacted during the 80th Legislative
  Session, allows MRIS consideration for defendants
  convicted of a state jail felony.

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MRIS Data Comparison(by fiscal year)
There were a total of 69 MRIS approvals during
FY13. Of those, 59 were CID offenders approved
by the Texas Board of Pardons and Paroles. The
remaining 10 were State Jail confinees approved
by sentencing Judges. Includes ineligible
referrals with no qualifying medical condition
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MRIS Offender Data
MRIS Referrals 1362
Individual Offenders Referred 1000
Presentations for MRIS consideration 359
Individual Offenders Presented 288
Includes multiple referrals for 237
individual offenders Of the 359
presentations, 345 were presented to the Board
and 14 were presented to a Judge This also
includes multiple presentations for 42
individual offenders to the Board for MRIS
consideration
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MRIS FY13 Referral Status
ELIGIBLE REFERRALS ELIGIBLE REFERRALS INELIGIBLE REFERRALS INELIGIBLE REFERRALS
Presented to Board/Judge for consideration 333 Sex Offender HB2611 criteria not met 229
Clinical Criteria Not Met 477 3G / Not Long Term Care or Terminally Ill 116
Offender referred to unit medical provider 46 Parole Approved 61
Deceased prior to presentation for MRIS consideration 53 SAFPF / ISF Offender 2
Pending Presentation to Board/Judge at close of FY13 11 Pending Discharge 5
Active ICE Detainer 2 Not Legal US Citizen 4
Pending response from unit medical provider at close of FY13 20
Offender refused MRIS 3
Total Eligible 945 Total Ineligible 417
Total Referrals - 1362 Total Referrals - 1362 Total Referrals - 1362 Total Referrals - 1362 Total Referrals - 1362
Of the 333 presentations, 319 were presented to
the Board and 14 were presented to a Judge This
also includes multiple presentations for 42
individual offenders to the Board for MRIS
consideration Includes multiple referrals for
237 individual offenders Note Clinical
Criteria Not Met may include offenders who were
previously presented and denied MRIS with next
review indicating no change in offenders
condition.
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MRIS Referral Sources (Comparison by fiscal year)
Unit Direct of Total Referrals
44 42
40 39
Includes multiple referrals for 237
individual offenders
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MRIS Referrals for FY13Approved by Source
A total of 69 offenders were approved during
FY13. Of those, 69 of those cases were presented
for consideration during FY13 and 0 were pending
decision from presentation in FY12. .
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MRIS FY13 Presented for MRIS Consideration by
Diagnosis
Includes presentations for 288 individual
offenders to the Board (274)/Judge (14) for MRIS
consideration. Of those, 42 had multiple
presentations to the Board.
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MRIS Approvals by Diagnosis(Comparison by fiscal
year)
There were a total of 69 MRIS approvals during
FY13. Of those 59 were CID offenders approved
by the Texas Board of Pardons and Paroles. The
remaining 10 were State Jail Confinees approved
by sentencing Judges.
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Status of FY13 Presentations
A total of 359 cases were presented for MRIS
consideration during FY13. Of those, 333 were
referred in FY13 and 26 were FY12 referrals
pending presentation. The following reflects the
status of all cases presented for vote during
FY13.
FY13 TOTALS FY13 TOTALS FY13 TOTALS CID State Jail
Presented FY13 Presented FY13 359 345 14
Approved Approved 69 59 10
Consideration denied Consideration denied 268 268 0
Denied MRIS Denied MRIS 15 12 3
Deceased pending decision Deceased pending decision 3 2 1
Pending decision at close of FY13 Pending decision at close of FY13 4 4 0
Includes presentations for 288 individual
offenders to Board (274)/Judge (14) for MRIS
consideration. Of those, 42 had multiple
presentations to the Board
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Status of FY13 Approved Cases
A total of 69 offenders were approved during
FY13. All 69 cases were presented for
consideration during FY13.
FY13 TOTALS FY13 TOTALS FY13 TOTALS CID State Jail
Approved Approved Approved 69 59 10
Released Released Released 39 31 8
Deceased pending release Deceased pending release Deceased pending release 24 23 1
Vote withdrawn Vote withdrawn Vote withdrawn 6 5 1
Pending release at close of FY13 Pending release at close of FY13 Pending release at close of FY13 0 0 0
Reflects status of approved cases as of 08/31/2013
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FY13 Offender Deaths
There were 176 offenders referred during FY13 who
passed away while incarcerated. The following
reflects the status of those FY13 referrals.
Sex Offender Did not meet criteria as set for by House Bill 2611 36
MRIS Consideration Denied / Denied MRIS 32
Deceased after receipt of MRIS medical summary and during processing of case for presentation to Board of Pardons and Paroles / Presiding Judge 19
Deceased after referral prior to receipt of MRIS medical summary 13
Deceased within 48 hours of receipt of MRIS medical summary 10
Medical Summary indicated Clinical Criteria Not Met 6
Deceased pending decision 3
MRIS Approved Deceased pending release 20
No significant change in condition since prior denial Not presented for vote 9
Not eligible (Parole Approved / Pending Discharge / ISF / SAFPF) 13
Deceased after Withdrawal of MRIS Approval 1
Deceased within 24 hours of referral 10
Deceased in voting process on day of Approval 4
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Current Status of Offenders Released on MRIS
Since the programs inception on December 1,
1991, 1529 offenders have been released, seven of
whom have released twice for a total of 1536
actual releases. The following chart depicts
current status of each individual offender
released.
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