Cynthia Lord v. State of Alaska ( 2021 )


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    IN THE COURT OF APPEALS OF THE STATE OF ALASKA
    CYNTHIA LORD,
    Court of Appeals No. A-12213
    Appellant,                Trial Court No. 3AN-09-04469 CI
    v.
    OPINION
    STATE OF ALASKA,
    Appellee.                    No. 2702 — April 23, 2021
    Appeal from the Superior Court, Third Judicial District,
    Anchorage, Philip R. Volland, Judge.
    Appearances:      Susan Orlansky, Reeves Amodio LLC,
    Anchorage, under contract with the Office of Public Advocacy,
    for the Appellant. Nancy R. Simel, Assistant Attorney General,
    Office of Criminal Appeals, Anchorage, and Jahna Lindemuth,
    Attorney General, Juneau, for the Appellee.
    Before: Allard, Chief Judge, Harbison, Judge, and Smith,
    Senior Superior Court Judge.*
    Judge HARBISON, writing for the Court.
    Judge ALLARD, with whom Judge SMITH joins, concurring.
    Judge SMITH, concurring and dissenting.
    *
    Sitting by assignment made pursuant to Article IV, Section 11 of the Alaska
    Constitution and Administrative Rule 23(a).
    Cynthia Lord appeals the dismissal of her application for post-conviction
    relief for failure to state a prima facie claim for relief. In this appeal, Lord contends that
    her application established a prima facie case that her trial attorneys provided her with
    ineffective assistance of counsel. She also contends that her application established a
    prima facie case that Alaska’s “guilty but mentally ill” (GBMI) statutes violate the equal
    protection rights of defendants found GBMI by denying them the more appropriate and
    higher quality mental health treatment that defendants found not guilty by reason of
    insanity (NGI) receive.
    For the reasons we explain in this opinion, we reject Lord’s claims and
    affirm the decision of the superior court.
    Facts and proceedings
    Cynthia Lord was convicted, following a bench trial, of three counts of
    first-degree murder for killing her three teenage sons in 2004.1 It was uncontested during
    the investigation and throughout trial that Lord was severely mentally ill. Several
    witnesses, including Lord, testified that she believed that a force called “Evil” was taking
    over the world and specifically her sons, and that the only way to save her sons was to
    kill them and cause them to be sent to heaven.
    Lord was represented by the Public Defender Agency at trial and on direct
    appeal. The Agency assigned five different attorneys to represent her prior to her trial.
    Lord’s first attorney filed a motion for a competency evaluation. After the
    trial court granted the motion and found Lord competent to stand trial, her attorney filed
    a notice of intent to rely on the defense that Lord was not guilty by reason of insanity.
    That attorney also filed a motion challenging the constitutionality of Alaska’s insanity
    1
    AS 11.41.100(a)(1)(A).
    –2–                                         2702
    statute, arguing it impermissibly precluded defendants who lacked the ability to
    appreciate the wrongfulness of their conduct from raising an insanity defense. The trial
    court rejected Lord’s constitutional claim, concluding that there was no federal right to
    an insanity defense and that the statutory scheme did not violate the Alaska Constitution.
    The State then filed notice that if Lord presented an insanity defense at trial,
    it would seek a verdict of guilty but mentally ill (GBMI).2 Lord’s counsel did not
    respond to the GBMI notice.
    Lord waived her right to a jury trial. At her bench trial, she argued that she
    was not guilty by reason of insanity. The court rejected the insanity defense and instead
    found her guilty but mentally ill. Specifically, the court found that, because of the
    severity of her mental illness, Lord lacked the substantial capacity to appreciate the
    wrongfulness of her actions.
    Lord appealed her conviction, raising due process and cruel and unusual
    punishment challenges to the insanity and GBMI statutes.3 This Court affirmed her
    convictions, upholding the constitutionality of both statutes.4
    Lord also filed an application for post-conviction relief. In her application
    for post-conviction relief, Lord argued that her trial attorneys provided ineffective
    assistance of counsel by failing to challenge the constitutionality of the GBMI statutes
    and by failing to interview Dr. Sperbeck, one of the State’s witnesses, as to how the
    Department of Corrections treats GBMI inmates. Lord also argued that the GBMI
    statutes unconstitutionally deny equal protection to GBMI inmates, as compared to
    2
    See AS 12.47.030-.050.
    3
    Lord v. State, 
    262 P.3d 855
    , 861 (Alaska App. 2011).
    4
    
    Id. at 862
    .
    –3–                                          2702
    individuals found not guilty by reason of insanity, by requiring GBMI inmates to be
    confined in prison rather than in a mental hospital.5
    The State filed a motion to dismiss the application for failure to state a
    prima facie claim for relief. The superior court accepted Lord’s factual allegations but
    nevertheless granted the State’s motion, and this appeal followed.
    Lord’s application did not state a prima facie claim for relief
    On appeal, Lord first contends that the superior court erred in dismissing
    her application for failure to state a prima facie claim that her trial attorneys were
    ineffective for: (1) failing to challenge the constitutionality of the GBMI statutes, and
    (2) failing to interview Dr. Sperbeck. Lord argues that she presented a prima facie case
    of ineffective assistance of counsel in each instance.
    To establish a prima facie claim of ineffective assistance of counsel, an
    applicant must establish: (1) that counsel’s conduct did not “fall within the range of
    competence displayed by [an attorney] of ordinary training and skill in the criminal law”
    and (2) that there is a reasonable possibility that, but for counsel’s deficient performance,
    the outcome would have been different.6 As part of this first showing, the applicant must
    rebut the presumption that trial counsel’s actions reflected sound tactical considerations.7
    Lord also contends that the superior court erred in dismissing her free­
    standing equal protection claim that the GBMI statutes unconstitutionally deny equal
    5
    In her initial application for post-conviction relief, Lord provided two other free­
    standing constitutional arguments against the GBMI statutes. She does not renew these
    arguments on appeal.
    6
    Risher v. State, 
    523 P.2d 421
    , 424-25 (Alaska 1974).
    7
    State v. Jones, 
    759 P.2d 558
    , 569-70 (Alaska App. 1988); see also Simeon v. State,
    
    90 P.3d 181
    , 184-85 (Alaska App. 2004).
    –4–                                         2702
    protection to GBMI inmates, as compared to individuals found not guilty by reason of
    insanity.
    We will now address each of these three claims in turn.
    The failure to raise a constitutional challenge to the GBMI statutes
    Lord argues that her application for post-conviction relief set out facts that,
    if proven, would establish that a minimally competent attorney would have challenged
    the GBMI statutes as violative of the Eighth Amendment, Alaska’s reformation clause,
    and the equal protection clauses of the state and federal constitutions.
    As an initial matter, we note that although there is a presumption that trial
    counsel’s actions reflected sound tactical considerations, Lord’s application clearly
    established a prima facie case that her attorneys’ failure to file constitutional claims
    against the GBMI statutes was not due to any tactical decisions. As we have explained,
    Lord was given a series of attorneys before her trial. In their affidavits, these pretrial
    attorneys alleged that they either relied on those before them to have completed the
    necessary motion work in the case or expected the case to be quickly reassigned.
    Likewise, the affidavits stated that Lord’s trial attorney was inexperienced and deferred
    to his co-counsel, who in turn saw his role only as assisting in conducting the trial.
    As we have also explained, the superior court accepted Lord’s factual
    allegations but nevertheless dismissed Lord’s application as deficient. The court
    concluded that while a “high caliber [trial] attorney” might have raised the Eighth
    Amendment, right of reformation, and equal protection claims that Lord raised for the
    first time in her application for post-conviction relief, Lord’s application did not establish
    that any of her attorneys fell “‘below the nadir’ of the range of minimally competent
    attorneys for their failure to raise th[ose] complex and nuanced arguments.”
    –5–                                          2702
    On appeal, Lord argues that the superior court erred in parsing each of her
    constitutional arguments and finding them “complex and nuanced.” She asserts that the
    fundamental incompetence of her attorneys was in failing to raise any of the challenges
    to the GBMI verdict that she listed.
    But Lord’s arguments are significantly undermined by the fact that,
    although her trial attorneys did not directly challenge the constitutionality of the GBMI
    verdict, Lord’s appellate attorney did raise many of these challenges in Lord’s direct
    appeal. As the State notes, Lord’s appellate attorney filed a lengthy brief attacking
    Alaska’s insanity and GBMI statutes as violative of due process and the prohibition
    against cruel and unusual punishment. This Court reached the merits of those arguments,
    rejecting the arguments and adhering to our prior decisions in Hart v. State and Barrett
    v. State, where we rejected similar constitutional challenges to the insanity and GBMI
    statutes more than thirty years ago.8 In other words, Lord cannot show that she was
    prejudiced by her trial attorneys’ failure to raise certain constitutional challenges when
    her appellate attorney raised and argued (albeit unsuccessfully) those same constitutional
    challenges in her direct appeal.
    Moreover, we do not see a material difference between the due process and
    cruel and unusual punishment claims that Lord argued (and lost) in her direct appeal, and
    the equal protection claims she attempted to raise in her post-conviction relief
    application. The central assertion of any equal protection claim is the assertion that
    “similarly situated” persons are being treated differently. Fundamentally, therefore,
    Lord’s equal protection claim in this appeal is an argument that no reasonable basis
    exists for distinguishing between defendants found not guilty by reason of insanity (i.e.,
    8
    Lord v. State, 
    262 P.3d 855
    , 861-62 (Alaska App. 2011) (first citing Hart v. State, 
    702 P.2d 651
    , 653-59 (Alaska App. 1985); then citing Barrett v. State, 
    772 P.2d 559
    , 573 (Alaska
    App. 1989)).
    –6–                                          2702
    defendants who, because of their mental illness, are “unable . . . to appreciate the nature
    and quality of their conduct”) and defendants found GBMI (i.e., defendants who, because
    of their mental illness, lack “the substantial capacity either to appreciate the wrongfulness
    of [their] conduct or to conform that conduct to the requirements of law”). But this is
    essentially the same argument as the due process argument that Lord’s appellate attorney
    made, and this Court rejected, in Lord’s direct appeal.
    We also agree with the State that Lord was not prejudiced by her trial
    attorneys’ failure to challenge the conditions of her confinement as violative of her right
    to reformation and the prohibition against cruel and unusual punishment. As the State
    correctly points out, such claims can still be raised by Lord in a separate civil lawsuit,
    and they are not dependent on her trial attorneys raising these constitutional grounds at
    sentencing.9
    Lastly, we conclude that Lord has failed to show that she was prejudiced
    by the failure to challenge the restrictions on mandatory parole under the GBMI verdict.
    9
    See Rust v. State, 
    582 P.2d 134
    , 143 (Alaska 1978) (recognizing the court’s authority
    to enforce the right to necessary medical and mental health services in an independent
    action); Abraham v. State, 
    585 P.2d 526
    , 531-34 (Alaska 1978) (recognizing that an
    independent civil action is the proper vehicle for seeking rehabilitative treatment while in
    custody); LaBarbera v. State, 
    598 P.2d 947
    , 949 (Alaska 1979) (noting that an inmate’s right
    to receive rehabilitative services does not confer on a court the authority to furlough a
    prisoner for a particular treatment program); State v. Hiser, 
    924 P.2d 1024
     (Alaska App.
    1996) (holding that the particulars of a prisoner’s care and treatment are entrusted to the
    Department of Corrections, and if they are inadequate, a prisoner may bring suit against the
    Department); State, Dep’t of Corr. v. Lundy, 
    188 P.3d 692
    , 696 (Alaska App. 2008) (finding
    that the superior court did not have subject matter jurisdiction to address the legality of the
    Department of Corrections’ treatment decisions in a sentencing decision and could only do
    so in an independent civil action filed by the prisoner against the Department); Twogood v.
    State, 
    223 P.3d 641
    , 649 (Alaska App. 2010) (finding that the Department of Corrections’
    denial of rehabilitative sex offender treatment was not cognizable on direct appeal from a
    criminal proceeding).
    –7–                                           2702
    (Alaska Statute 12.47.050(d) precludes a GBMI defendant from being released on
    furlough or parole unless they are no longer receiving the treatment required by
    AS 12.47.050(b). That treatment, in turn, is required “until the defendant no longer
    suffers from a mental disease or defect that causes the defendant to be dangerous to the
    public peace or safety.”10)
    Thirty years ago, in Barrett v. State, this Court rejected an equal protection
    challenge to the restrictions on furloughs and discretionary parole inherent in the GBMI
    statutory scheme.11 We found that, as a practical matter, “[n]o responsible correctional
    official or parole board member would release a person into the community if he or she
    felt that that person was dangerous.”12 We reaffirmed this holding in a later case,
    Monroe v. State.13 However, at the time of Lord’s case, we had not explicitly addressed
    any constitutional challenges to the restrictions on mandatory parole.
    But this is no longer true. Two years after Lord’s direct appeal, this Court
    issued our decision in State v. Clifton.14 In Clifton, we rejected an argument that
    AS 12.47 unconstitutionally equated “mental illness” with “dangerousness” because we
    concluded that the statute did not make such an equivalency.15 Instead, we emphasized
    that the requirement of mandatory mental health treatment (and the restriction of parole
    that accompanies such treatment) only applies to defendants who “continue to suffer
    10
    AS 12.47.050(b).
    11
    Barrett, 
    772 P.2d at 573-74
    .
    12
    
    Id. at 573
    .
    13
    Monroe v. State, 
    847 P.2d 84
    , 89 (Alaska App. 1993).
    14
    State v. Clifton, 
    315 P.3d 694
     (Alaska App. 2013).
    15
    
    Id. at 703
    .
    –8–                                         2702
    from a ‘mental disease or defect that causes [them] to be dangerous to the public peace
    or safety.”’16 We also rejected an argument that there was “no good reason to impose
    additional restrictions on the parole eligibility of [GBMI defendants] — no good reason
    to conclude that [GBMI defendants] pose a greater danger to the public than [non-GBMI
    defendants].”17 This Court held that the legislature could reasonably conclude that a
    GBMI defendant’s mental disease or defect was “important to any assessment of whether
    the defendant can be safely released on parole or furlough” and that GBMI defendants
    “will be significantly less receptive to parole supervision and control.”18
    In his dissent, Judge Smith argues that Clifton was wrongly decided. But
    even if we were to agree with Judge Smith, we could not find that Lord suffered any
    prejudice by her attorneys’ failure to raise a legal argument that we expressly rejected
    two years after her direct appeal.
    The failure to interview Dr. Sperbeck
    Lord’s application for post-conviction relief alleged that Dr. David
    Sperbeck was an expert for the State at Lord’s trial, and that because of his employment
    at the Alaska Psychiatric Institute as well as the Department of Corrections from 1982­
    2005, Sperbeck was in a unique position to answer questions about the differences in
    care that mentally ill people experienced in Department of Corrections custody versus
    at the Alaska Psychiatric Institute before Lord’s case went to trial. According to Lord’s
    application, an interview with Dr. Sperbeck would have provided information regarding
    the disparate care given to mentally ill individuals in Department of Corrections custody
    16
    
    Id.
     (alteration in original).
    17
    
    Id. at 704
    .
    18
    
    Id.
    –9–                                       2702
    as compared to those who are found not guilty by reason of insanity— information that
    would have supported a constitutional attack on the GBMI statutes.
    We agree with the superior court that Lord’s trial attorneys were not
    incompetent for failing to interview Dr. Sperbeck regarding Lord’s conditions of
    confinement if she were found GBMI. Dr. Sperbeck was an expert witness on Lord’s
    competency to stand trial and whether Lord’s psychiatric illness prevented her from
    appreciating the “nature and quality” of her conduct — i.e., whether Lord qualified as
    legally insane under Alaska law.19 Questioning Dr. Sperbeck about the conditions of
    Lord’s confinement if she were found GBMI was not clearly within the scope of the trial
    attorneys’ duties. Nor is Lord prejudiced by her trial attorneys’ failure to challenge her
    future conditions of confinement, as she may still challenge her current conditions of
    confinement through a separate civil law suit.20
    Lord’s free-standing equal protection claim
    In addition to arguing that Lord’s trial attorneys were ineffective for failing
    to interview Dr. Sperbeck to prepare a robust equal protection argument regarding the
    treatment of GBMI defendants as compared to the treatment of defendants found not
    guilty by reason of insanity, Lord’s post-conviction relief application also raised a free­
    standing equal protection claim, relying on the affidavit from Dr. Sperbeck.
    The superior court found that this constitutional challenge could have been
    raised on direct appeal, and it accordingly dismissed this claim pursuant to
    AS 12.72.020(a)(2). Lord now appeals this dismissal.
    19
    See AS 12.47.010(a).
    20
    See cases cited in footnote 9.
    – 10 –                                       2702
    Lord argues that the court erred in finding that this equal protection
    challenge could have been raised on direct appeal. Specifically, she contends that the
    claim depended upon Dr. Sperbeck’s affidavit, which was only obtained after the trial
    and sentencing.
    The State argues that the equal protection claim could have been raised on
    direct appeal without Dr. Sperbeck’s affidavit and that res judicata therefore applies.21
    We agree. Indeed, as already noted, the underlying basis of Lord’s equal protection
    claim — that GBMI defendants are “similarly situated” to NGI defendants and therefore
    require equal treatment — was essentially argued, and rejected by this Court, in Lord’s
    direct appeal.22 Accordingly, given our established case law — which Lord is not
    challenging in this appeal — we find no error in the superior court’s dismissal of the
    free-standing equal protection claim.
    We also agree with the State that Dr. Sperbeck’s affidavit supports an
    Eighth Amendment conditions of confinement civil lawsuit, which Lord is still entitled
    to pursue.
    Conclusion
    The judgment of the superior court is AFFIRMED.
    21
    Res judicata not only precludes the relitigation of claims that were actually raised in
    the prior proceedings, but it also precludes litigation of “related claims arising out of the
    same transaction that could have been raised in that proceeding.” White v. State, Dep’t of
    Nat. Res., 
    14 P.3d 956
    , 959 (Alaska 2000).
    22
    Lord, 
    262 P.3d at 861-62
    .
    – 11 –                                        2702
    Judge ALLARD, with whom Senior Superior Court Judge SMITH joins, concurring.
    Although I join the majority opinion, I write separately to express concerns
    with some of our prior case law and to address what I believe to be colorable
    constitutional claims against Alaska’s “guilty but mentally ill” verdict based on the
    United States Supreme Court’s recent decision in Kahler v. Kansas.1 As I explain in this
    concurrence, Alaska is a clear outlier in its harsh treatment of defendants who have been
    found guilty but mentally ill, and no other jurisdiction has an insanity scheme like
    Alaska’s.
    Some background history on Alaska’s GBMI verdict and the ways it differs
    from GBMI verdicts in other jurisdictions
    From statehood until 1972, Alaska followed a version of the M’Naghten
    rule of legal insanity.2 The M’Naghten rule is derived from a 1843 British case, and it
    has historically been “the primary test of criminal responsibility in the United States, and
    the exclusive test in a majority of American jurisdictions and in England and Canada.”3
    The first prong of the M’Naghten test (sometimes referred to as the
    “cognitive incapacity” prong) asks whether the defendant knew what they were doing
    — i.e., whether the defendant understood the “nature and quality” of their conduct. The
    second prong (sometimes referred to as the “moral incapacity” or “wrongfulness” prong)
    1
    Kahler v. Kansas, 
    140 S.Ct. 1021
     (2020).
    2
    Pope v. State, 
    478 P.2d 801
    , 808-09 (Alaska 1970) (Connor, J., concurring in part and
    dissenting in part) (explaining history of insanity defense in Alaska); Schade v. State, 
    512 P.2d 907
    , 910-12 (Alaska 1973) (explaining legislature’s amendments to M’Naghten rule).
    3
    Chase v. State, 
    369 P.2d 997
    , 1001-02 (Alaska 1962), overruled on other grounds by
    Schade, 512 P.2d at 910-12.
    – 12 –                                       2702
    asks whether the defendant had the capacity to understand that their conduct was wrong
    — i.e., whether the defendant appreciated the wrongfulness of their actions.4
    In 1972, Alaska’s M’Naghten insanity test was amended to add the
    American Law Institute’s (A.L.I.) insanity test set forth in the Model Penal Code, which
    considered a defendant legally insane if, as a result of mental disease or defect, they
    lacked “substantial capacity either to appreciate the wrongfulness of their conduct or to
    conform [their] conduct to the requirements of the law.”5 The addition of this latter
    “volitional incapacity” language represented an expansion of the legal test for insanity.
    Notably, when the Alaska legislature amended the Alaska statutes to add
    the A.L.I. definition of insanity, it retained only the moral incapacity/wrongfulness prong
    of the M’Naghten test. Presumably the cognitive incapacity prong was not included in
    deference to Alaska Supreme Court case law that had held that the two prongs were
    functionally the same.6
    In 1982, the Alaska legislature revised Alaska’s insanity laws.7 These
    revisions were part of a national trend that occurred in response to several high-profile
    cases in which defendants had been found not guilty by reason of insanity under the
    4
    See Kahler, 140 S.Ct. at 1025 (explaining M’Naghten test).
    5
    Former AS 12.45.083(a) (1972) (emphasis added); see also Model Penal Code § 4.01
    (Proposed Official Draft 1962). In Schade v. State, the Alaska Supreme Court adopted the
    A.L.I. test as a matter of law for application to crimes committed prior to the effective date
    of former AS 12.45.083. Schade, 512 P.2d at 912.
    6
    See Chase, 369 P.2d at 1002.
    7
    SLA 1982, ch. 143, § 22.
    – 13 –                                        2702
    expanded definitions of insanity that some jurisdictions had adopted in the 1960’s and
    1970’s.8
    For the most part, the revisions in other jurisdictions were relatively
    modest. Some jurisdictions eliminated the “volitional prong” from their insanity tests,
    and instead created a new verdict for “guilty but mentally ill” (GBMI) defendants who,
    because of their mental illness, were incapable of conforming their conduct to the
    requirements of the law. However, these jurisdictions retained the central moral
    incapacity/wrongfulness prong of the M’Naghten test in some form. Indeed, as of today,
    forty-five states plus the federal criminal justice system, the military justice system, and
    the District of Columbia provide an affirmative insanity defense that encompasses the
    defendant’s lack of moral culpability.9
    A few jurisdictions went farther, eliminating the insanity defense altogether.
    Currently, four jurisdictions — Kansas, Montana, Utah, and Idaho — do not have an
    affirmative insanity defense.10
    8
    See, e.g., Christopher Slobogin, An End to Insanity: Recasting the Role of Mental
    Disability in Criminal Cases, 
    86 Va. L. Rev. 1199
    , 1203 & n.16, 1214 (2000) (discussing the
    significance of the not guilty by reason of insanity acquittal of John Hinckley — who
    attempted to assassinate President Ronald Reagan as a result of delusions involving actress
    Jodie Foster — in relation to a nationwide push to narrow the scope of the insanity defense);
    Wallace Turner, New Law on Insanity Plea Stirs Dispute in Alaska, N.Y. Times, June 22,
    1982, at D27 (discussing the significance of the Charles Meach case in Alaska).
    9
    See Kahler, 140 S.Ct. at 1051-59 (Breyer, J., dissenting) (appendix surveying forty-
    five states, the District of Columbia, and the federal test for insanity); 10 U.S.C. § 850a(a)
    (2018) (military test for insanity).
    10
    An affirmative insanity defense in this context means a defense that is “distinct from,
    and in addition to, a claim that by virtue of mental illness a person either acted unconsciously
    or involuntarily or was unable to formulate the necessary mens rea to be guilty of an
    offense.” See Hart v. State, 
    702 P.2d 651
    , 656 (Alaska App. 1985) (citing Leland v. Oregon,
    (continued...)
    – 14 –                                         2702
    Alaska took an entirely unique approach. Although it ostensibly did not
    eliminate the insanity defense, it eliminated the moral incapacity/wrongfulness prong of
    the M’Naghten test and restricted its definition of insanity to only the first prong — the
    cognitive incapacity prong. Alaska also created a GBMI verdict that included not only
    those defendants who would have been found legally insane under the A.L.I. test, but
    also those defendants who would have been found legally insane under the second prong
    of the M’Naghten test even though, under Alaska Supreme Court case law, the two
    prongs were considered indistinguishable.11 No other jurisdiction has taken this
    approach to its insanity defense.
    Cynthia Lord’s case puts these differences between jurisdictions into stark
    relief. At her trial, the superior court judge found that, because of the severity of her
    mental illness and psychotic delusions, Lord lacked the substantial capacity to appreciate
    the wrongfulness of her actions. Such a finding would result in a not guilty by reason
    of insanity (NGI) verdict in forty-five states, the federal criminal justice system, the
    military justice system, and the District of Columbia. Having been found not guilty by
    reason of insanity in those jurisdictions, a defendant like Lord would then be committed
    to the state mental hospital until such time as she could prove that she was no longer
    dangerous as a result of her mental illness, subject to a maximum term that represented
    the maximum sentence that she could have received if she had been found guilty and not
    legally insane.
    Moreover, even if Lord had been tried in one of the jurisdictions that has
    abolished the insanity defense, she would still likely have ended up in a state mental
    10
    (...continued)
    
    343 U.S. 790
     (1952)).
    11
    See id. at 657; see also Chase, 369 P.2d at 1002.
    – 15 –                                    2702
    hospital receiving treatment rather than incarcerated in prison. Under Kansas law, for
    example, a sentencing judge has the authority to commit a convicted defendant to a
    mental health facility rather than prison if “the defendant is in need of psychiatric care,”
    “such treatment may materially aid in the defendant’s rehabilitation,” and if “the
    defendant and society are not likely to be endangered” by permitting the defendant to
    receive psychiatric care in lieu of imprisonment.12 Evidence of mental illness can also
    be used at sentencing to mitigate culpability and lessen the defendant’s punishment.13
    Montana law also has provisions that seek to lessen the punishment that
    severely mentally ill defendants face in a jurisdiction that no longer has an affirmative
    insanity defense.14 For example, mandatory minimum sentences do not apply to such
    defendants, and they are entitled to yearly reviews of their sentence.15 Severely mentally
    ill defendants can also be committed to a mental health facility, residential facility, or
    developmental disabilities facility for treatment, in lieu of incarceration in a correctional
    institution.16
    12
    
    Kan. Stat. Ann. § 22-3430
    (a).
    13
    Kahler, 140 S.Ct. at 1031; 
    Kan. Stat. Ann. § 21-6625
    (a)(6) (including among
    mitigating circumstances that “[t]he capacity of the defendant to appreciate the criminality
    of the defendant’s conduct or to conform the defendant’s conduct to the requirements of law
    was substantially impaired”).
    14
    See, e.g., State v. Korell, 
    690 P.2d 992
    ,1002 (Mont. 1984) (“Our legislature has acted
    to assure that the attendant stigma of a criminal conviction is mitigated by the sentencing
    judge’s personal consideration of the defendant’s mental condition and provision for
    commitment to an appropriate institution for treatment, as an alternative to a sentence of
    imprisonment.”).
    15
    
    Mont. Code Ann. § 46-14-312
    (2)-(4).
    16
    
    Mont. Code Ann. § 46-14-312
    (2); see also Korell, 
    690 P.2d at 996-97
     (“[W]hile
    Montana has abolished the traditional use of insanity as a defense, alternative procedures
    (continued...)
    – 16 –                                       2702
    Utah law contains similar provisions. Like Alaska, Utah has a GBMI
    verdict — called “guilty with a mental illness” — for persons who would have been
    found NGI under its prior laws.17 But Utah’s GBMI verdict, which focuses on
    hospitalization and mitigation for defendants found GBMI, is markedly different from
    Alaska’s GBMI verdict, which contains no mitigation measures and does not directly
    provide for hospitalization of these defendants. Upon a plea or verdict of “guilty with
    a mental illness,” the Utah court will order the defendant committed to the state hospital
    until the defendant is no longer mentally ill or can be safely treated in prison.18 Utah law
    also gives the court the authority to resentence a defendant who has been found “guilty
    with a mental illness” following treatment and stabilization in the state hospital.19 In
    addition, Utah law provides for special mitigation measures for severely mentally ill
    defendants like Lord who commit homicides while suffering from a delusion that made
    them believe that their actions were justified.20
    Idaho also has statutory protections for defendants with severe mental
    illnesses. Under Idaho’s sentencing scheme, a trial court must consider a defendant’s
    16
    (...continued)
    have been enacted to deal with insane individuals who commit criminal acts.”).
    17
    See 
    Utah Code Ann. §§ 77
    -16a-102, 76-2-305; State v. Herrera, 
    895 P.2d 359
    , 362
    (Utah 1995) (explaining Utah’s approach to the insanity defense).
    18
    
    Utah Code Ann. §§ 77
    -16a-104, -202 to -203. The court also has the authority to
    extend such placement or to order re-commitment to the state hospital if appropriate. 
    Utah Code Ann. § 77
    -16a-202.
    19
    
    Utah Code Ann. § 77
    -16a-202(1)(b). This provision does not apply to capital crimes.
    
    Utah Code Ann. § 77
    -16a-202(2).
    20
    
    Utah Code Ann. § 76-5-205.5
    . Specifically, this section reduces the level of criminal
    culpability from aggravated murder to murder or from murder to manslaughter. 
    Utah Code Ann. § 76-5-205.5
    (5).
    – 17 –                                       2702
    mental illness, including their ability to appreciate the wrongfulness of their actions, as
    a mitigating factor when fashioning a sentence.21 Additionally, a trial court may order
    a defendant to receive mental health treatment during the period of confinement or
    probation.22 Indeed, the existence of these sentencing safeguards was integral to the
    Idaho Supreme Court’s decision to uphold its legislature’s abolition of the insanity
    defense.23
    In contrast, there are no provisions in Alaska law that give the courts the
    authority to place a GBMI defendant in a therapeutic hospital setting. But when Alaska’s
    GBMI verdict was originally enacted in 1982, the assumption appears to have been that
    GBMI defendants would be treated in a state hospital, just as they would have been
    under the prior law which would have found them not guilty by reason of insanity.
    Contemporary documents from the time reflect this assumption that GBMI defendants
    would be treated at the Alaska Psychiatric Institute. In an article about Alaska’s new
    insanity laws, Dr. Richard R. Parlour and Dr. David J. Sperbeck warned that more
    needed to be done to ensure that the hospital would be prepared to care for these
    defendants:
    Almost two years after the new mentally ill offender
    statute became law in Alaska, the first [GBMI] convicts are
    presenting themselves for the mandatory treatment at the state
    hospital. No special program or facility has been designated
    for this purpose. The already over-utilized maximum
    21
    
    Idaho Code § 19-2523
    (1); see also 
    Idaho Code § 19-2522
    .
    22
    
    Idaho Code § 19-2523
    (2); see also 
    Idaho Code § 19-2524
    .
    23
    See State v. Delling, 
    267 P.3d 709
    , 718 (Idaho 2011).
    – 18 –                                      2702
    security unit at the hospital is expected to serve this new
    patient population.[24]
    The shift from hospital placement for GBMI defendants to placement in a
    correctional facility appears to have been a (perhaps unintended) consequence of an
    administrative restructuring. In 1982, when the legislation was first enacted, the
    treatment of GBMI defendants was committed to the authority of a unitary Department
    of Health and Social Services, which administered both the Alaska Psychiatric Institute
    and the Division of Corrections.25 In 1984, however, the department was restructured
    to create a separate Department of Corrections, and GBMI defendants were then placed
    under the authority of this new department. This change took place through an executive
    order, without legislative debate or discussion.26
    There are also no provisions under Alaska law that treat a finding of GBMI
    as a mitigating factor that serves to lessen the defendant’s culpability or punishment. To
    the contrary, as this Court has recognized, a finding of GBMI under Alaska law actually
    serves to aggravate a defendant’s sentence.27 Under AS 12.47.050(d), a GBMI
    defendant is ineligible for parole while they are receiving mental health treatment in
    prison for their mental illness. They also cannot be released on furlough except to a
    secured setting. Because the restrictions on parole and furlough essentially serve to
    24
    Richard R. Parlour & David J. Sperbeck, The Straits of Insanity in Alaska, 32
    Corrective and Social Psychiatry and Journal of Behavior Technology Methods and Therapy
    109, 113 (1986).
    25
    See SLA 1982, ch. 143, § 22.
    26
    See Executive Order No. 55, §§ 3-4, 46 (1984).
    27
    State v. Clifton, 
    315 P.3d 694
    , 702 (Alaska App. 2013) (holding that a finding of
    GBMI is an aggravator that must be found by the jury under Blakely v. Washington, 
    542 U.S. 296
     (2004)).
    – 19 –                                     2702
    increase an Alaska GBMI defendant’s incarceration above what would otherwise apply
    to a non-GBMI defendant, this Court held in State v. Clifton that Blakely v. Washington
    required that the finding of “guilty but mentally ill” be made beyond a reasonable doubt
    by a jury.28
    In short, Alaska stands in the clear minority of jurisdictions in eliminating
    moral culpability/wrongfulness from its insanity defense. And Alaska stands virtually
    alone in failing to provide mitigation to, and hospitalization of, severely mentally ill
    defendants like Cynthia Lord who have been found to lack the capacity to appreciate the
    wrongfulness of their actions.
    Prior constitutional challenges to Alaska’s GBMI statutes
    The first time this Court addressed the constitutionality of the 1982
    revisions to the insanity defense was in 1985, in Hart v. State.29 Unlike Lord, the
    defendant in Hart was not so mentally ill that he was incapable of appreciating the
    wrongfulness of his conduct. However, his mental illness did mean that he lacked the
    capacity to conform his conduct to the requirements of the law. In other words, Hart
    would have qualified as insane under the A.L.I. “volitional prong” definition of insanity
    but he would not have qualified as insane under the M’Naghten rule.30 Hart argued that
    a statutory scheme that held a person who lacked substantial capacity to conform their
    conduct to the requirements of the law criminally responsible violated, inter alia, the due
    28
    
    Id.
     (citing Blakely, 
    542 U.S. at 303-04
    ).
    29
    Hart v. State, 
    702 P.2d 651
     (Alaska App. 1985).
    30
    
    Id. at 658
    .
    – 20 –                                     2702
    process clauses of the United States and Alaska constitutions.31 We rejected this
    challenge, relying on the United States Supreme Court decision, Leland v. Oregon.32 In
    Leland, the Supreme Court held that Oregon could choose to adopt the “right and wrong”
    M’Naghten test rather than the “irresistible impulse” test without violating due process.33
    As the Supreme Court explained:
    Knowledge of right and wrong is the exclusive test of
    criminal responsibility in a majority of American
    jurisdictions.    The science of psychiatry has made
    tremendous strides since that test was laid down in
    M’Naghten’s Case, but the progress of science has not
    reached a point where its learning would compel us to require
    the states to eliminate the right and wrong test from their
    criminal law.[34]
    In Hart, this Court adopted this reasoning and concluded that “the state may
    constitutionally eliminate a separate insanity defense based on ‘irresistible impulse’ or
    inability to conform one’s conduct to the requirements of the law” without violating the
    state or federal constitutions.35    However, the Court withheld comment on the
    31
    
    Id. at 653
    . Hart additionally argued that the narrowed NGI defense violated equal
    protection and was cruel and unusual punishment, but this Court rejected those challenges
    without detailed analysis. 
    Id. at 653, 658-59
    .
    32
    
    Id. at 658-59
    .
    33
    Leland v. Oregon, 
    343 U.S. 790
    , 800-01 (1952).
    34
    
    Id.
    35
    Hart, 
    702 P.2d at 658-59
     (footnote omitted).
    – 21 –                                      2702
    legislature’s elimination of the wrongfulness prong of the M’Naghten test because that
    issue was not raised by the parties.36
    Two years later, the Court issued Patterson v. State, which made clear that
    this Court believed that “wrongfulness” was still part of Alaska’s insanity test.37 The
    Court cited to Chase v. State, in which the Alaska Supreme Court treated the two prongs
    of the M’Naghten test as essentially interchangeable.38 The Court also pointed out that
    the legislature had modified the cognitive incapacity prong of the M’Naghten test from
    “know” to “appreciate” and “act” to “conduct.”39 The Court therefore concluded this
    new language — that a defendant must be able “to appreciate the nature and quality of
    [their] conduct”40 — must be interpreted broadly rather than restrictively, and must refer
    both to the defendant’s bare awareness of their physical acts and also to their ability to
    “appreciat[e] the nature and quality of the mental state that accompanied [their] acts.”41
    In other words, this Court largely restored the “wrongfulness” component to Alaska’s
    definition of insanity.
    36
    
    Id.
     at 658 & n.9.
    37
    Patterson v. State, 
    708 P.2d 712
     (Alaska App. 1985), rev’d, 
    740 P.2d 944
     (Alaska
    1987).
    38
    
    Id.
     at 716 (citing Chase v. State, 
    369 P.2d 997
    , 1001-02 (Alaska 1962), overruled on
    other grounds by Schade v. State, 
    512 P.2d 907
    , 910-12 (Alaska 1973).
    39
    Id. at 716-17.
    40
    AS 12.47.010(a).
    41
    Patterson, 
    708 P.2d at 717
    ; cf. Joshua Dressler, Kahler v. Kansas: Ask the Wrong
    Question, You Get the Wrong Answer, 
    18 Ohio St. J. Crim. L. 409
    , 416 (2020) (noting that
    “[i]n early years, the term ‘mens rea’ simply meant that an actor committed the offense with
    a ‘morally blameworthy state of mind’”).
    – 22 –                                      2702
    The Alaska Supreme Court disagreed with this interpretation of the
    legislative intent. In State v. Patterson, the Alaska Supreme Court reversed the decision
    of the Court of Appeals, and held that Alaska’s definition of insanity incorporated only
    the first prong of the traditional M’Naghten insanity defense and did not include the
    second “wrongfulness” prong.42 The supreme court declined to decide, however,
    whether this statutory scheme violated due process, equal protection, or the prohibition
    against cruel and unusual punishment, concluding that these constitutional questions
    were not ripe because Patterson’s case had to be remanded for a new trial on other
    grounds.43     The Alaska Supreme Court has never subsequently ruled on the
    constitutionality of these issues.
    In 1989, in Barrett v. State, this Court addressed questions about the
    constitutionality of the GBMI verdict.44 In its analysis, the Court relied heavily on its
    belief that “a person found not guilty by reason of insanity and a person found guilty but
    mentally ill are treated substantially the same.”45 The Court found their treatment
    substantially similar because “each person is subjected to mental health treatment
    calculated to cure the mental illness or defect or to render the defendant less dangerous
    to the public” and “neither person may be released absent a finding that either the mental
    illness has been cured or that, despite the mental illness, the defendant is no longer
    42
    State v. Patterson, 740 P.2d at 949.
    43
    Id. at 949 n.18.
    44
    Barrett v. State, 
    772 P.2d 559
    , 570-74 (Alaska App. 1989). While Barrett raised due
    process, cruel and unusual punishment, and equal protection claims, his due process and
    cruel and unusual punishment claims were poorly framed and this Court summarily dismissed
    them. 
    Id. at 573
    .
    45
    
    Id. at 572
    .
    – 23 –                                     2702
    dangerous.”46 And in either case, “the defendant may not be subjected to compulsory
    mental health treatment beyond the limits of an appropriate criminal sentence unless the
    state successfully obtains civil commitment.”47 The Court did not acknowledge the
    obvious way in which the two classes of defendants were not treated the same — i.e.,
    that defendants found not guilty by reason of insanity are housed in a therapeutic hospital
    environment while GBMI defendants are incarcerated in prison.
    With this incomplete understanding of the GBMI verdict, the Court rejected
    Barrett’s argument that the restrictions on parole and furlough for GBMI defendants
    violated equal protection. The Court concluded that, as to furloughs and discretionary
    parole, the link between a GBMI defendant’s mental illness and their criminal conduct
    justified treating them like defendants found not guilty by reason of insanity (who are
    committed to the state hospital and can only be released prior to the expiration of their
    maximum possible sentence upon a showing of non-dangerousness).48 The Court noted
    that “the procedures at issue here simply require that a responsible trier of fact make an
    express finding regarding a particular defendant’s mental illness and danger before the
    defendant can be released into the community.”49 The Court also reasoned that these
    restrictions were not materially different from the obstacles that regular defendants faced
    when applying for furlough or discretionary parole because “[n]o responsible
    correctional official or parole board member would release a person into the community
    46
    
    Id. at 572-73
    .
    47
    
    Id. at 573
    .
    48
    
    Id. at 573-74
    .
    49
    
    Id. at 574
    .
    – 24 –                                      2702
    if he or she felt that that person was dangerous.”50 The Court did not directly address the
    restriction on mandatory parole in its decision.
    Four years later, the Court reaffirmed this reasoning in Monroe v. State.51
    In Monroe, the defendant argued that the statutory parole restrictions that applied to
    GBMI defendants violated equal protection because they did not apply to regular
    defendants. The Court held that the restrictions were constitutional because they further
    the legitimate and substantial state interest of “protect[ing] society from offenders who
    pose a continuing danger to the community.”52
    The Court noted, however, that Monroe “must be provided some procedural
    mechanism to seek eligibility for parole or furlough by demonstrating his lack of
    continued dangerousness.”53 The Court concluded that this issue was not yet ripe in
    Monroe’s case and it expressed optimism that “[i]n the interim, the Parole Board or the
    Department of Corrections may promulgate regulations addressing the problem.”54 (In
    recent years, the Department of Corrections has issued regulations granting GBMI
    defendants hearings in which they could demonstrate that they were no longer dangerous
    50
    
    Id. at 573
    .
    51
    Monroe v. State, 
    847 P.2d 84
     (Alaska App. 1993).
    52
    
    Id. at 89
    . “However, a person who stands to be sentenced upon conviction of a crime
    has no fundamental right to liberty. In such cases, ‘the individual interest affected . . . is the
    relatively narrow interest of a convicted offender in minimizing the punishment for an
    offense.’” 
    Id.
     (omission in original) (quoting Maeckle v. State, 
    792 P.2d 686
    , 689 (Alaska
    App. 1990)).
    53
    
    Id.
     at 90 n.4. This Court relied on an analogy to AS 12.47.090(e), which gives
    “persons who have been committed for treatment following a successful insanity defense the
    right to petition for review of their need for continued institutionalization.” 
    Id.
    54
    
    Id.
    – 25 –                                         2702
    as a result of their mental illness.55 To my knowledge, the adequacy of these regulations
    has not been tested and I express no opinion as to whether they address the due process
    problem we identified almost thirty years ago in Monroe.)
    The next time the Court addressed the constitutionality of the GBMI verdict
    was in Lord’s direct appeal. As mentioned in the majority opinion, Lord’s appellate
    attorney raised multiple constitutional challenges to Alaska’s insanity statutory scheme,
    including the GBMI verdict. Even though some of these arguments had not been raised
    by Lord’s trial attorneys, this Court responded to the arguments on the merits, albeit in
    a cursory manner. The Court provided very little analysis of Lord’s constitutional
    challenges other than to state that it was adhering to its prior decisions in Hart and
    Barrett.56
    But, as just explained, neither Hart nor Barrett addressed the real heart of
    Lord’s constitutional challenge — which was essentially that it was unconstitutional to
    find a defendant criminally culpable and to incarcerate that defendant in a prison setting
    when, because of the severity of the defendant’s mental illness, the defendant lacked the
    substantial capacity to appreciate the wrongfulness of their conduct.
    Indeed, the first part of this question — whether such defendants can be
    found criminally culpable — was not answered under the federal constitution until just
    recently, in Kahler v. Kansas.57 Moreover, in answering this question in the affirmative,
    55
    See Alaska Dep’t of Corr., Policies and Procedures 807.22, Due Process Hearings for
    Prisoners Adjudicated Guilty But Mentally Ill (2018).
    56
    Lord v. State, 
    262 P.3d 855
    , 861-62 (Alaska App. 2011) (citing Hart v. State, 
    702 P.2d 651
    , 653-59 (Alaska App. 1985); Barrett v. State, 
    772 P.2d 559
    , 573 (Alaska App. 1989)).
    57
    Kahler v. Kansas, 
    140 S.Ct. 1021
     (2020).
    – 26 –                                       2702
    the United States Supreme Court relied heavily on precisely those mitigating aspects of
    the Kansas statutory scheme that are absent from Alaska law.
    The United States Supreme Court’s decision in Kahler v. Kansas and the
    constitutional questions that it raises for Alaska’s statutory scheme
    In the 2019-2020 term, the United States Supreme Court granted certiorari
    to a Kansas Supreme Court case, Kahler v. Kansas, to decide whether Kansas’s abolition
    of the insanity defense violated the Eighth Amendment and the Fourteenth Amendment.58
    The case resulted in extensive briefing on the history of the insanity defense and the
    approaches followed by the different jurisdictions. Amicus briefs were filed by multiple
    organizations on both sides of the issue.
    Ultimately, the decision rested only on the question of whether Kansas’s
    abolition of the insanity defense violated the due process clause of the Fourteenth
    Amendment. The Supreme Court did not reach the Eighth Amendment question because
    that issue was not properly before it.59
    In a majority opinion authored by Justice Kagan, six members of the
    Supreme Court upheld the Kansas law as constitutional.60 But three justices dissented,
    essentially agreeing with the position advocated by Lord in her direct appeal — that is,
    the position that due process requires an insanity defense that acknowledges a
    defendant’s mental capacity to understand the wrongfulness of their actions.61 Justice
    Breyer authored the dissent, which was joined by Justices Ginsburg and Sotomayor. In
    58
    Id. at 1027.
    59
    Id. at 1027 & n.4.
    60
    Id. at 1027.
    61
    Id. at 1038 (Breyer, J., dissenting).
    – 27 –                             2702
    the dissent, Justice Breyer noted that “45 States, the Federal Government, and the District
    of Columbia continue to recognize an insanity defense that retains some inquiry into the
    blameworthiness of the accused.”62 And he further concluded that “[s]even hundred
    years of Anglo-American legal history, together with basic principles long inherent in
    the nature of the criminal law itself convince me that Kansas’ law ‘offends . . .
    principle[s] of justice so rooted in the traditions and conscience of our people as to be
    ranked as fundamental.’”63
    The majority opinion held otherwise, as we did in Lord. However, the
    majority opinion rested on different grounds than our opinion in Lord. Central to the
    majority’s holding was the fact that Kansas law allowed evidence of mental illness at
    sentencing “to mitigate culpability and lessen punishment” and the fact that Kansas law
    specifically gave the authority to the sentencing judge to “replace any prison term with
    commitment to a mental health facility.”64 As the majority opinion states:
    [S]ignificantly, Kansas permits a defendant to offer whatever
    mental health evidence he deems relevant at sentencing. . . .
    In other words, any manifestation of mental illness that
    Kansas’s guilt-phase insanity defense disregards —including
    the moral incapacity Kahler highlights — can come in later
    to mitigate culpability and lessen punishment. And that same
    kind of evidence can persuade a judge to replace any prison
    term with commitment to a mental health facility. So as
    noted above, a defendant arguing moral incapacity may well
    receive the same treatment in Kansas as in States that would
    62
    Id. at 1046.
    63
    Id. at 1038 (alterations in original) (quoting Leland v. Oregon, 
    343 U.S. 790
    , 798
    (1952)).
    64
    Id. at 1031 (majority opinion).
    – 28 –                                      2702
    acquit — and, almost certainly, commit — him for that
    reason.[65]
    In other words, the United States Supreme Court upheld Kansas’s abolition of the
    insanity defense, at least in part, because Kansas law still treated severely mentally ill
    defendants in a manner similar to how they would be treated if they had been found not
    guilty by reason of insanity.
    But this is not true in Alaska. As already explained, Alaska law does not
    contain the mitigating provisions that Kansas law contains. To the contrary, Alaska
    appears to be alone in treating severely mentally ill defendants who have been found to
    lack the capacity to understand the wrongfulness of their actions more harshly than it
    does non-mentally ill defendants who have been convicted of the same crimes.
    Alaska’s outlier status raises serious constitutional issues not answered by
    Kahler, and not generally addressed by our prior decisions finding Alaska’s insanity
    statutory scheme constitutional.
    In Barrett v. State, this Court held that Alaska’s GBMI statutes did not
    violate the constitution, but it did so, in part, under the erroneous belief that GBMI
    defendants were treated “substantially the same” as defendants who were found not
    guilty by reason of insanity.66 Barrett also failed to acknowledge the singular harshness
    of Alaska’s GBMI verdict and the absence of any mitigating measures in Alaska law for
    defendants like Cynthia Lord who would still be found not guilty by reason of insanity
    in the vast majority of jurisdictions in this country.
    But, when evaluating whether a punishment is categorically
    disproportionate for a particular type of offender, courts are required to look at “the
    65
    Id. (citations omitted).
    66
    See Barrett v. State, 
    772 P.2d 559
    , 573 (Alaska App. 1989).
    – 29 –                                     2702
    evolving standards of decency that mark the progress of a maturing society.”67 As a
    general matter, the “clearest and most reliable objective evidence of contemporary values
    is the legislation enacted by the country’s legislatures.”68 Given Alaska’s outlier status,
    I question whether Barrett and the cases that rely on Barrett (including Lord) are
    correctly decided.
    Application of these principles to Cynthia Lord’s case
    Given our current case law, I agree with the majority opinion that Lord’s
    trial attorneys were not incompetent for failing to raise constitutional claims that, for the
    most part, appeared to be resolved by our Court. I also agree with the majority that
    Lord’s free-standing equal protection claim can be litigated as an Eighth Amendment
    conditions of confinement claim in a separate civil suit. But as Judge Smith points out
    in his dissent, there are institutional obstacles that will make it difficult for Lord to bring
    such a lawsuit. Moreover, while a conditions of confinement lawsuit may be able to
    bring relief to Lord personally, it will do nothing to address the structural defects in
    Alaska’s GBMI verdict, which fails to provide hospitalization and mitigation to a class
    of offenders who would have been found not criminally culpable under long-standing
    and deeply rooted legal concepts of criminal culpability and moral blameworthiness.
    In recent years, the United States Supreme Court has strengthened the
    protections of the Eighth Amendment by imposing categorical limits on certain
    67
    Abraham v. State, 
    585 P.2d 526
    , 531 (Alaska 1978) (quoting Rust v. State, 
    582 P.2d 134
    , 142 (Alaska 1978)); see also Gray v. State, 
    267 P.3d 667
    , 670-71 (Alaska App. 2011)
    (discussing Graham v. Florida, 
    560 U.S. 48
    , 60-61, 74-75 (2010), and Roper v. Simmons,
    
    543 U.S. 551
    , 574-75 (2005)).
    68
    Graham, 560 U.S. at 62 (quoting Atkins v. Virginia, 
    536 U.S. 304
    , 312 (2002)).
    – 30 –                                        2702
    sentencing practices as they apply to juveniles.69 Although Kahler did not address the
    Eighth Amendment, its holding strongly suggests that, like juveniles, severely mentally
    ill defendants like Lord are less blameworthy than other defendants. Kahler also
    suggests that while such defendants can be held criminally responsible without offending
    the due process clause of the federal constitution, mitigation and placement in a
    therapeutic environment is nevertheless required.
    Accordingly, in my view, Kahler represents a substantive enough change
    to the law as to constitute good cause for allowing Lord to file a second application for
    post-conviction relief raising these constitutional claims under both the state and federal
    constitutions so that Alaska’s outlier status can finally be acknowledged and addressed
    by the courts.70
    69
    See Graham, 560 U.S. at 82; Roper, 
    543 U.S. at 578
    ; Miller v. Alabama, 
    567 U.S. 460
    , 489 (2012); Montgomery v. Louisiana, 
    136 S.Ct. 718
    , 734 (2016).
    70
    Cf. Hall v. State, 
    446 P.3d 373
    , 378 (Alaska App. 2019) (holding that a “due process
    exception exists for claims of newly discovered evidence of innocence”); Grinols v. State,
    
    74 P.3d 889
    , 896 (Alaska 2003) (holding that a “defendant must be given the opportunity to
    challenge the effectiveness of counsel in a second petition for post-conviction relief”).
    – 31 –                                      2702
    Senior Superior Court Judge SMITH, concurring and dissenting.
    I concur with the Court’s decision insofar as it rejects Lord’s equal
    protection claim and her claims regarding the failure to interview Dr. Sperbeck but write
    separately to highlight my concerns regarding the issues raised in Dr. Sperbeck’s
    affidavit. I dissent from the decision as it applies to whether Lord suffered prejudice due
    to her attorneys’ failure to file a constitutional challenge to the preclusion of mandatory
    parole for GBMI defendants. I will address each point in turn.
    Lord’s challenge to the conditions of confinement
    In a supporting affidavit, Lord’s expert witness Paul Maslakowski stated
    that he believed Lord’s attorneys should have filed a constitutional challenge to the
    requirement that GBMI defendants be placed in Department of Corrections custody. I
    concur with the Court’s holding that Lord was not prejudiced by the failure to file this
    motion (and the concomitant failure to interview Dr. Sperbeck). But I think that the
    issues raised by Dr. Sperbeck’s affidavit warrant attention. That affidavit raised
    significant issues regarding the disparate treatment of GBMI and NGI defendants, ones
    that clearly call into question the constitutionality of that disparate treatment — not to
    mention the efficacy of the treatment that GBMI defendants currently receive. It is
    unfortunate that under Alaska case law, Lord must challenge this disparity in a civil
    case,1 where she has no guarantee of finding either an attorney to represent her or the
    funding that probably would be required to maintain the suit, given the probable need for
    1
    See, e.g., Abraham v. State, 
    585 P.2d 526
    , 531-34 (Alaska 1978) (recognizing that an
    independent civil action is the proper vehicle for seeking rehabilitative treatment while in
    custody).
    – 32 –                                       2702
    expert witnesses. This in turn only underlines how profoundly the GBMI verdict is in
    no way of any value to a defendant found to be GBMI — it condemns them to treatment
    far worse than that afforded their counterparts who are not guilty by reason of insanity
    or in whose cases competence has never been raised. I note in this respect that perhaps
    the ultimate insult here is that Lord, like most GBMI defendants, did not raise this
    defense or acquiesce to the damaging verdict that resulted — it was thrust upon her by
    the State, once she raised an insanity defense.
    Lord’s claim of prejudice resulting from the failure to challenge the
    restriction on mandatory parole
    Maslakowski also stated in his affidavit that Lord’s attorneys should have
    filed a constitutional challenge to the preclusion of mandatory parole for GBMI
    defendants. The Court rejects Lord’s claim that she was not afforded effective assistance
    of counsel by her attorneys’ failure to file this motion because Lord suffered no prejudice
    due to its subsequent decision in State v. Clifton.2 I respectfully disagree, for I believe
    that, for the reasons that follow, the provision precluding mandatory parole is
    unconstitutional, and to the extent this Court’s ruling in Clifton upholds that provision,
    Clifton should be overruled.
    Lord contends that her ineligibility for mandatory parole as a GBMI
    defendant violates her right to equal protection because there are dangerous non-GBMI
    defendants who are eligible for mandatory parole even if they remain dangerous at the
    time of their release. The Court now holds that while Lord’s attorney incompetently
    failed to file a motion challenging the preclusion of mandatory parole, Lord nevertheless
    suffered no prejudice from her attorneys’ failure to raise this claim because this Court
    2
    State v. Clifton, 
    315 P.3d 694
    , 703-05 (Alaska App. 2013).
    – 33 –                                      2702
    subsequently concluded in Clifton that the preclusion of mandatory parole for GBMI
    defendants did not violate equal protection.
    Alaska Statute 12.47.050(d) precludes a GBMI defendant from being
    released on furlough or parole unless they are no longer receiving the treatment required
    by AS 12.47.050(b). That treatment, in turn, is required “until the defendant no longer
    suffers from a mental disease or defect that causes the defendant to be dangerous to the
    public peace or safety.”3 This means that a GBMI defendant cannot be released unless
    and until they no longer are dangerous, as determined by the Department of Corrections
    in the course of that defendant’s treatment. And since this prohibition applies to
    “parole,” it necessarily applies to both mandatory and discretionary parole.4
    As the Court notes, this Court did consider and reject a constitutional claim
    against the preclusion of parole in Clifton. The appellant in Clifton there contended that
    the statute equated mental illness with dangerousness. This Court rejected that argument
    for two reasons: (1) the statute required the State to prove both “that the defendant
    suffered from a mental illness and that, because of this mental illness, the defendant
    lacked the substantial capacity to appreciate the wrongfulness of their conduct or to
    confirm their conduct to the requirements of the law,” and (2) only defendants who were
    found to be dangerous are required to undergo treatment.5
    The Court also rejected Clifton’s argument that there was “no good reason
    to impose additional restrictions on the parole eligibility of [GBMI defendants] — no
    good reason to conclude that [GBMI defendants] pose a greater danger to the public than
    3
    AS 12.47.050(b).
    4
    AS 12.47.050(d)(2).
    5
    Clifton, 
    315 P.3d at 703
    .
    – 34 –                                      2702
    [non-GBMI defendants].”6 The Court reasoned that the legislature could reasonably
    conclude that the mental disease or defect suffered by a GBMI defendant was “important
    to any assessment of whether the defendant can be safely released on parole or furlough”
    and hence that GBMI defendants “will be significantly less receptive to parole
    supervision and control.”7 This Court did, however, point to a potential due process
    issue, noting that there was no procedure by which a GBMI defendant could prove that
    they were no longer dangerous and hence should be eligible for release on parole.8 This
    Court concluded, however, that this issue was not ripe for review, since Clifton would
    not be eligible for discretionary parole for several years.9
    Because Lord’s argument here is virtually identical to that raised in Clifton,
    it would appear to be precluded by the holding in that case. I note at the outset that it is
    not entirely clear that Clifton did in fact address the preclusion of mandatory parole;
    while the Court’s language appears to apply to both types of parole, the Court confined
    its due process discussion and analysis to discretionary parole.10 But even if Clifton did
    uphold the preclusion of mandatory parole against an equal protection challenge, I
    believe that the Court’s holding was erroneous and that this Court should conclude that
    AS 12.47.050(d) is unconstitutional to the extent that it precludes mandatory parole for
    GBMI defendants.
    Alaska Statute 33.16.010(c) provides, in relevant part, that an incarcerated
    individual serving a term of two or more years “shall be released on mandatory parole
    6
    
    Id. at 704
    .
    7
    
    Id.
    8
    
    Id. at 704-05
    .
    9
    
    Id.
    10
    
    Id. at 703-05
    .
    – 35 –                                       2702
    for the term of good time deductions credited under AS 33.20.” Alaska Statute
    33.20.010(a), in turn, governs the calculation of good time, stating that incarcerated
    prisoners are “entitled to a deduction of one-third of the term of imprisonment rounded
    off to the nearest day if the prisoner follows the rules of the correctional facility in which
    the prisoner is confined.”11 Alaska Statutes 33.20.030 and 33.20.040(a) then confirm
    that each such individual “shall be released at the expiration of the term of sentence less
    the time deducted for good conduct,” with individuals on mandatory parole released to
    the “custody and jurisdiction of the parole board.”
    The loss of good time is confined by both statute and regulation to whether
    the prisoner follows the rules of the facility in which they are housed. In particular,
    AS 33.20.050 provides that “[i]f during the term of imprisonment a prisoner commits an
    offense or violates the rules of the correctional facility, all or part of the prisoner’s good
    time may be forfeited under regulations adopted by the commissioner of corrections.”
    Those regulations, in turn, define more specifically the conduct for which good time may
    be forfeited and the procedures to be used to determine if good time should be forfeited.12
    All of the specified conduct relates to what the individual does at the facility.13
    The key point here is that an individual can lose the opportunity to be
    released on mandatory parole if and only if they do not follow the rules of the facility —
    there is no provision that allows the Department of Corrections to refuse to release an
    11
    (Emphasis added).
    12
    22 Alaska Administrative Code (AAC) 05.470 (describing the procedures and types
    of punishment available for infractions committed in a state facility, including the loss of
    good time).
    13
    22 AAC 05.400 (describing prohibited conduct punishable by disciplinary action).
    – 36 –                                        2702
    individual on mandatory parole because they present a danger to the public.14 Thus, all
    non-GBMI individuals must be released even if they are dangerous, provided they have
    not lost their good time, while GBMI defendants cannot be released if they remain
    dangerous, even if they have not lost their good time.
    Aside from GBMI defendants, there are four categories of incarcerated
    individuals who are not eligible for mandatory parole: (1) those sentenced to a
    mandatory 99-year term for first-degree murder; (2) those sentenced to a definite term
    of 99 years under AS 12.55.125(l); (3) those who committed certain sexual felonies; and
    (4) those sentenced for an unclassified felony under AS 11.41.100 or AS 11.41.110
    (first- or second-degree murder).15 All of these categories focus on individuals who have
    committed very serious crimes against a person, which suggests that they were adopted
    because the legislature believed that individuals who committed these crimes were too
    dangerous to be released on mandatory parole. That is, these categories are tied to the
    underlying crime of the defendant, not to their personality or any mental health issues
    they may have.
    GBMI defendants are treated very differently. They cannot be released on
    mandatory parole unless and until they are determined not to be dangerous.16 This
    indicates that the legislature presumed that, unless proved otherwise on a case-by-case
    basis, GBMI defendants are inherently dangerous due to the fact that they suffered from
    a mental defect or disease that caused them to lack the substantial capacity either to
    14
    
    Id.
     However, the Alaska Parole Board may refuse to release an individual on
    discretionary parole if, inter alia, they “pose a threat of harm to the public if released on
    parole.” AS 33.16.100(a)(3).
    15
    AS 33.20.010(a).
    16
    AS 12.47.050(b), (d); see also State v. Clifton, 
    315 P.3d 694
    , 703 (Alaska App. 2013).
    – 37 –                                       2702
    appreciate the wrongfulness of their conduct or to conform that conduct to the
    requirements of the law.17 Put differently, unlike all other defendants who are ineligible
    for mandatory parole, GBMI defendants are precluded from mandatory parole not by
    virtue of their conduct, but by virtue of their status as GBMI.
    In short, GBMI defendants are treated differently from all other defendants
    in two respects: (1) they cannot be released on mandatory parole if they remain
    dangerous, even if they otherwise qualify for release for good time, and (2) this
    preclusion is based not on their underlying crime, but on the fact that they suffer from
    a particular form of mental disease or defect.
    The Court’s reasons for rejecting similar arguments in Clifton were
    erroneous. As noted above, the Court first rejected the claim that the statute equated
    mental illness with dangerousness because the State must prove both that the defendant
    suffered from a mental illness and that that illness met the criteria set forth in
    AS 12.47.030(a).18 But this misses the point. The Court conceived the issue as relating
    to mental illness in general, but the statute actually defines a particular type of mental
    illness: a mental illness that causes a person to lack the substantial capacity either to
    appreciate the wrongfulness of their conduct or to conform that conduct to the
    requirements of the law.19 In so doing, the statute necessarily ties individuals suffering
    from a particular kind of mental illness to dangerousness, thereby equating such
    individuals with being dangerous.
    It is true that the Court implicitly addressed this problem in noting that only
    dangerous GBMI defendants may be precluded from being released on mandatory
    17
    See AS 12.47.030(a).
    18
    Clifton, 
    315 P.3d at 703
    .
    19
    AS 12.47.030(a).
    – 38 –                                       2702
    parole.20 But as noted above, only GBMI defendants are subject to a requirement that
    they affirmatively be found not to be dangerous while other defendants may be released
    even if they are still dangerous. The Court rejected an argument that these differences
    violated equal protection on the grounds that the legislature could reasonably determine
    that, by virtue of their mental defect or disease, GBMI defendants would be less
    amenable to supervision on parole.21 But there are four problems with this analysis.
    First, this reasoning misses the central point of mandatory parole: unlike
    discretionary parole, mandatory parole is based purely on an individual’s behavior in
    prison, not on their general amenability to supervision after release, and there is no
    reason why a GBMI defendant who follows the rules while in prison necessarily will fail
    on parole once released.
    Second, in relying solely on amenability to supervision, this analysis
    undercuts the Court’s reasoning in upholding the preclusion of mandatory parole. A
    GBMI defendant who is not dangerous can be released, notwithstanding the fact that they
    continue to suffer from the type of mental disease or defect that, in the legislature’s view,
    rendered them unamenable to supervision. And if that disease or defect is the bar to
    release, then there is no reason to confine the preclusion of mandatory parole to
    dangerous GBMI defendants.
    This suggests that the real issue for the legislature was its concern over the
    dangerousness of GBMI defendants, not their amenability to supervision, which leads
    to the third problem with respect to the entitlement to mandatory parole: there simply
    is no necessary link between dangerousness and success on mandatory parole. In
    particular, if the legislature was willing to let all defendants other than GBMI defendants
    20
    Clifton, 
    315 P.3d at 703
    .
    21
    
    Id. at 704
    .
    – 39 –                                       2702
    be released even if they are dangerous, provided that they complied with the rules of the
    institution, then there is no basis on which to find that dangerous GBMI defendants who
    would otherwise qualify for good time should not be released.
    The final problem relates to the requirement that GBMI defendants
    affirmatively be found not to be dangerous before they can qualify for release on
    mandatory parole. As noted above, this Court explained in Clifton that the lack of any
    statutory procedure by which a GBMI defendant could prove that they are no longer
    dangerous could present a violation of due process.22 The Department of Corrections
    subsequently promulgated a policy that, on its face at least, resolves that due process
    concern. It sets forth a process by which a GBMI defendant can request a hearing to
    determine whether they no longer are dangerous to public health and safety.23 I express
    no opinion as to whether these procedures in fact provide adequate due process, but they
    do not address the equal protection problem presented by the preclusion on mandatory
    parole. In particular, all incarcerated individuals who are not GBMI are released as a
    matter of right if they otherwise qualify for good time — they do not have to request a
    hearing, and not only are they free from the burden of proving they are not dangerous,
    they can be released even if they are dangerous. GBMI defendants who qualify for good
    time cannot be released unless they first request and participate in a hearing, and they
    must provide proof that they are no longer dangerous. And for the reasons identified
    above, there is no rational basis for requiring only GBMI defendants to participate in a
    hearing before they can be released.
    22
    
    Id. at 704-05
    .
    23
    Alaska Dep’t of Corr., Policies and Procedures 807.22, Due Process Hearings for
    Prisoners Adjudicated Guilty But Mentally Ill (2018).
    – 40 –                                     2702
    This last point is particularly significant given the broad range of
    defendants who may be found GBMI. The verdict of guilty but mentally ill is not
    confined to crimes against a person, much less to violent crimes. Rather, it broadly
    applies to all crimes, the vast bulk of which do not involve any violent behavior at all.
    For example, a defendant can be found GBMI in the context of an escape from prison,
    which is a victimless crime.24 Yet, all of these individuals must request a hearing before
    they can be released on mandatory parole. There simply is no reason why they should
    be required to do so.
    In short, there is no constitutional basis for the differential treatment GBMI
    defendants receive with respect to the preclusion of mandatory parole. Lord therefore
    was prejudiced by her attorneys’ failure to make this claim. I accordingly respectfully
    dissent from the Court’s conclusion to the contrary.
    24
    See Barrett v. State, 
    772 P.2d 559
     (Alaska App. 1989) (upholding GBMI statute in a
    case involving second-degree escape).
    – 41 –                                      2702