Compassionate Release and COVID-19: Analyzing Inconsistent Applications of the First Step Act by Federal Courts

The COVID-19 pandemic has posed a significant health threat to people in corrections facilities due to communal living, inability to social distance, and high rates of comorbidity among incarcerated populations. Combined with the First Step Act of 2018, which granted incarcerated individuals seeking compassionate release access to the courts, the pandemic increased the number of people in federal prisons petitioning for early release due to health risk. Analysis of federal compassionate release case law throughout the pandemic reveals inconsistent judicial reasoning related to COVID-19-based requests. Inconsistently interpreted compassionate release factors include vaccination status, COVID-19 reinfection, and the "degree" of extraordinary circumstances considered. Varied application among federal districts produced inequitable access to compassionate release. Therefore, this analysis provides insight into how an unclear policy can create disparate public health outcomes and considerations for compassionate release determinations in future times of uncertainty, such as a pandemic.

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Publication Details

Journal
The Journal of Law Medicine & Ethics
Published
2025-01-01
DOI
https://doi.org/10.1017/jme.2025.10127
Primary Topic
Healthcare Policy and Management
Type
article
Field-Weighted Citation Impact
0.00
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article

Compassionate Release and COVID-19: Analyzing Inconsistent Applications of the First Step Act by Federal Courts

Helen Mooney, Mara Howard-Williams, Kayla Larkin
The Journal of Law Medicine & Ethics
Healthcare Policy and Management
article

Compassionate Release and COVID-19: Analyzing Inconsistent Applications of the First Step Act by Federal Courts

Helen Mooney, Mara Howard-Williams, Kayla Larkin
article en

Abstract

The COVID-19 pandemic has posed a significant health threat to people in corrections facilities due to communal living, inability to social distance, and high rates of comorbidity among incarcerated populations. Combined with the First Step Act of 2018, which granted incarcerated individuals seeking compassionate release access to the courts, the pandemic increased the number of people in federal prisons petitioning for early release due to health risk. Analysis of federal compassionate release case law throughout the pandemic reveals inconsistent judicial reasoning related to COVID-19-based requests. Inconsistently interpreted compassionate release factors include vaccination status, COVID-19 reinfection, and the "degree" of extraordinary circumstances considered. Varied application among federal districts produced inequitable access to compassionate release. Therefore, this analysis provides insight into how an unclear policy can create disparate public health outcomes and considerations for compassionate release determinations in future times of uncertainty, such as a pandemic.

The Journal of Law Medicine & EthicsVol. 53(3)
Centers for Disease Control and Prevention (US), Yale University (US), Centers for Disease Control and Prevention (UG), Yale New Haven Health System (US)
Good health and well-being
Openalex Percentile: Top 72%
Healthcare Policy and Management
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Compassionate Release and COVID-19: Analyzing Inconsistent Applications of the First Step Act by Federal Courts — Helen Mooney, Mara Howard-Williams, et al. · The Journal of Law Medicine & Ethics (2025) | TGRS Research Map | TGRS