FILED FEBRUARY 26, 2026 In the Office of the Clerk of Court WA State Court of Appeals, Division III
IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON DIVISION THREE
In the Matter of the Personal Restraint of ) ) No. 40545-1-III ) Ralph Howard Blakely, ) ) ) Petitioner. ) UNPUBLISHED OPINION )
COONEY, J. — Ralph Blakely has been in prison for over 20 years after being
convicted of two counts of solicitation to commit murder in the first degree. He is
approaching 90 years of age and suffers from several ailments. Mr. Blakely has been
referred for extraordinary medical placement (EMP) multiple times, with the Department
of Corrections (DOC) denying each application.
Through this personal restraint petition (PRP), Mr. Blakely contends the DOC
failed to comply with Washington law when it denied his EMP applications and failed to
implement procedures to prevent the erroneous denial of his applications. Mr. Blakely’s
appointed counsel also contends a competency hearing should be held to assess whether No. 40545-1-III In re Personal Restraint of Blakely
Mr. Blakely is able to aid in his postconviction proceedings. Because Mr. Blakely has
failed to show his restraint is unlawful, we deny his PRP. We also reject Mr. Blakely’s
request for a competency hearing.
BACKGROUND
Mr. Blakely was sentenced on March 22, 2005, to 420 months in prison after
being convicted of two counts of solicitation to commit murder in the first degree. His
current early release date is November 3, 2036. Mr. Blakely’s convictions stem from his
attempt to hire a fellow inmate to kill his ex-wife and daughter while he was in jail
awaiting trial for kidnapping his ex-wife. State v. Blakely, noted at 134 Wn. App. 1043
(2006).
Mr. Blakely will turn 90 years old in June 2026 and has many health problems.
He has applied for an EMP under RCW 9.94A.728(1)(c)(i) multiple times, with the DOC
denying his request each time. Currently, RCW 9.94A.728 provides:
(1) No incarcerated individual serving a sentence imposed pursuant to this chapter and committed to the custody of the department shall leave the confines of the correctional facility or be released prior to the expiration of the sentence except as follows: ....
(c)(i) The secretary may authorize an extraordinary medical placement for an incarcerated individual when all of the following conditions exist:
(A) The incarcerated individual has been assessed by two physicians and is determined to be one of the following:
2 No. 40545-1-III In re Personal Restraint of Blakely
(I) Affected by a permanent or degenerative medical condition to such a degree that the individual does not presently, and likely will not in the future, pose a threat to public safety; or
(II) In ill health and is expected to die within six months and does not presently, and likely will not in the future, pose a threat to public safety;
(B) The incarcerated individual has been assessed as low risk to the community at the time of release; and
(C) It is expected that granting the extraordinary medical placement will result in a cost savings to the state.
Whereas from July 2021 until July 2023, the statute read, in relevant part:
(c)(i) The secretary may authorize an extraordinary medical placement for an offender when all of the following conditions exist:
(A) The offender has a medical condition that is serious and is expected to require costly care or treatment;
(B) The offender poses a low risk to the community because he or she is currently physically incapacitated due to age or the medical condition or is expected to be so at the time of release; and
(C) It is expected that granting the extraordinary medical placement will result in a cost savings to the state.
Former RCW 9.94A.728 (2021). Though the DOC’s written policy regarding EMP may
have been outdated, 1 the DOC followed the current statute’s prescribed procedures when
it considered Mr. Blakely’s EMP requests.
1 The DOC has since updated their EMP policy. See Extraordinary Medical Placement, Policy, No. DOC 350.270, (Wash. Dep’t of Corr. Mar. 27, 2025) https://doc.wa.gov/sites/default/files/data/files/350270.pdf.
3 No. 40545-1-III In re Personal Restraint of Blakely
According to Denette Wagner, the statewide EMP coordinator, the EMP process
begins with a referral. Anyone, from inmates themselves to community members, may
refer an inmate for an EMP. When Ms. Wagner receives a referral, she obtains the forms
and supporting documents needed for the EMP application. The documents that
comprise the EMP packet include the EMP screening form and the inmate’s medical
records. Each prison in Washington has a facility medical doctor who oversees medical
operations for that facility. The facility medical doctor, or their designee, is responsible
for completing the screening form.
The screening form is a four-page document that requires the facility medical
doctor or their designee to consider: (1) whether the inmate has a permanent physical or
mental disability, their mobility level, whether they have cognitive or behavioral
impairments, (2) if they need assistance with daily living activities including bathing,
grooming, transferring, eating, or toileting, (3) whether they “have a permanent or
degenerative medical condition,” and (4) whether they are expected to die within six
months. DOC’s Resp. to Amend. Petition, Ex. 3, Attach. A at 4. The facility medical
doctor or their designee then signs the form and states whether they believe the inmate
meets the EMP eligibility requirements.
Once the screening form is finalized, Ms. Wagner reviews the form for
completeness and then sends it to the DOC’s chief medical officer. The chief medical
officer or a designated physician then “repeats the review that [the facility medical
4 No. 40545-1-III In re Personal Restraint of Blakely
doctor] completed” and “makes the final determination of statutory medical criteria.”
DOC’s Resp. to Amend. Petition, Ex. 3 at 4. If the chief medical officer determines the
criteria for an EMP are not met, then Ms. Wagner notifies the inmate. If the chief
medical officer determines an EMP is appropriate, then Ms. Wagner sends the EMP
packet to the Headquarters Community Screening Committee (HCSC) for preliminary
review. Ms. Wagner initiates a plan for an EMP if the HCSC believes the inmate can be
safely placed in the community. If the HCSC determines, given the tentative EMP
placement plan, that the inmate meets the other statutory requirements for EMP, the
HCSC sends the EMP packet to the assistant secretary for community corrections, the
indeterminate sentencing review board (if applicable), the assistant secretary for prisons,
the deputy assistant secretary for health services, and the deputy secretary for review and
input. Their recommendations are then forwarded to the DOC secretary for final
approval or denial of the EMP request. The inmate may reapply if their EMP application
is denied.
Mr. Blakely was screened for an EMP in February 2024, July 2024, October 2024,
and February 2025. Each time, the facility medical doctor determined he did “not meet
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FILED FEBRUARY 26, 2026 In the Office of the Clerk of Court WA State Court of Appeals, Division III
IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON DIVISION THREE
In the Matter of the Personal Restraint of ) ) No. 40545-1-III ) Ralph Howard Blakely, ) ) ) Petitioner. ) UNPUBLISHED OPINION )
COONEY, J. — Ralph Blakely has been in prison for over 20 years after being
convicted of two counts of solicitation to commit murder in the first degree. He is
approaching 90 years of age and suffers from several ailments. Mr. Blakely has been
referred for extraordinary medical placement (EMP) multiple times, with the Department
of Corrections (DOC) denying each application.
Through this personal restraint petition (PRP), Mr. Blakely contends the DOC
failed to comply with Washington law when it denied his EMP applications and failed to
implement procedures to prevent the erroneous denial of his applications. Mr. Blakely’s
appointed counsel also contends a competency hearing should be held to assess whether No. 40545-1-III In re Personal Restraint of Blakely
Mr. Blakely is able to aid in his postconviction proceedings. Because Mr. Blakely has
failed to show his restraint is unlawful, we deny his PRP. We also reject Mr. Blakely’s
request for a competency hearing.
BACKGROUND
Mr. Blakely was sentenced on March 22, 2005, to 420 months in prison after
being convicted of two counts of solicitation to commit murder in the first degree. His
current early release date is November 3, 2036. Mr. Blakely’s convictions stem from his
attempt to hire a fellow inmate to kill his ex-wife and daughter while he was in jail
awaiting trial for kidnapping his ex-wife. State v. Blakely, noted at 134 Wn. App. 1043
(2006).
Mr. Blakely will turn 90 years old in June 2026 and has many health problems.
He has applied for an EMP under RCW 9.94A.728(1)(c)(i) multiple times, with the DOC
denying his request each time. Currently, RCW 9.94A.728 provides:
(1) No incarcerated individual serving a sentence imposed pursuant to this chapter and committed to the custody of the department shall leave the confines of the correctional facility or be released prior to the expiration of the sentence except as follows: ....
(c)(i) The secretary may authorize an extraordinary medical placement for an incarcerated individual when all of the following conditions exist:
(A) The incarcerated individual has been assessed by two physicians and is determined to be one of the following:
2 No. 40545-1-III In re Personal Restraint of Blakely
(I) Affected by a permanent or degenerative medical condition to such a degree that the individual does not presently, and likely will not in the future, pose a threat to public safety; or
(II) In ill health and is expected to die within six months and does not presently, and likely will not in the future, pose a threat to public safety;
(B) The incarcerated individual has been assessed as low risk to the community at the time of release; and
(C) It is expected that granting the extraordinary medical placement will result in a cost savings to the state.
Whereas from July 2021 until July 2023, the statute read, in relevant part:
(c)(i) The secretary may authorize an extraordinary medical placement for an offender when all of the following conditions exist:
(A) The offender has a medical condition that is serious and is expected to require costly care or treatment;
(B) The offender poses a low risk to the community because he or she is currently physically incapacitated due to age or the medical condition or is expected to be so at the time of release; and
(C) It is expected that granting the extraordinary medical placement will result in a cost savings to the state.
Former RCW 9.94A.728 (2021). Though the DOC’s written policy regarding EMP may
have been outdated, 1 the DOC followed the current statute’s prescribed procedures when
it considered Mr. Blakely’s EMP requests.
1 The DOC has since updated their EMP policy. See Extraordinary Medical Placement, Policy, No. DOC 350.270, (Wash. Dep’t of Corr. Mar. 27, 2025) https://doc.wa.gov/sites/default/files/data/files/350270.pdf.
3 No. 40545-1-III In re Personal Restraint of Blakely
According to Denette Wagner, the statewide EMP coordinator, the EMP process
begins with a referral. Anyone, from inmates themselves to community members, may
refer an inmate for an EMP. When Ms. Wagner receives a referral, she obtains the forms
and supporting documents needed for the EMP application. The documents that
comprise the EMP packet include the EMP screening form and the inmate’s medical
records. Each prison in Washington has a facility medical doctor who oversees medical
operations for that facility. The facility medical doctor, or their designee, is responsible
for completing the screening form.
The screening form is a four-page document that requires the facility medical
doctor or their designee to consider: (1) whether the inmate has a permanent physical or
mental disability, their mobility level, whether they have cognitive or behavioral
impairments, (2) if they need assistance with daily living activities including bathing,
grooming, transferring, eating, or toileting, (3) whether they “have a permanent or
degenerative medical condition,” and (4) whether they are expected to die within six
months. DOC’s Resp. to Amend. Petition, Ex. 3, Attach. A at 4. The facility medical
doctor or their designee then signs the form and states whether they believe the inmate
meets the EMP eligibility requirements.
Once the screening form is finalized, Ms. Wagner reviews the form for
completeness and then sends it to the DOC’s chief medical officer. The chief medical
officer or a designated physician then “repeats the review that [the facility medical
4 No. 40545-1-III In re Personal Restraint of Blakely
doctor] completed” and “makes the final determination of statutory medical criteria.”
DOC’s Resp. to Amend. Petition, Ex. 3 at 4. If the chief medical officer determines the
criteria for an EMP are not met, then Ms. Wagner notifies the inmate. If the chief
medical officer determines an EMP is appropriate, then Ms. Wagner sends the EMP
packet to the Headquarters Community Screening Committee (HCSC) for preliminary
review. Ms. Wagner initiates a plan for an EMP if the HCSC believes the inmate can be
safely placed in the community. If the HCSC determines, given the tentative EMP
placement plan, that the inmate meets the other statutory requirements for EMP, the
HCSC sends the EMP packet to the assistant secretary for community corrections, the
indeterminate sentencing review board (if applicable), the assistant secretary for prisons,
the deputy assistant secretary for health services, and the deputy secretary for review and
input. Their recommendations are then forwarded to the DOC secretary for final
approval or denial of the EMP request. The inmate may reapply if their EMP application
is denied.
Mr. Blakely was screened for an EMP in February 2024, July 2024, October 2024,
and February 2025. Each time, the facility medical doctor determined he did “not meet
medical eligibility requirements” for an EMP and the chief medical officer agreed.
DOC’s Resp. to Amend. Petition, Ex. 3, Attachs. B, C, D, E. Mr. Blakely was notified
each time his EMP applications were denied.
5 No. 40545-1-III In re Personal Restraint of Blakely
Based on the denials of his EMP referrals, Mr. Blakely filed a PRP alleging
numerous issues. One issue raised was that the DOC had “denied Blakely’s RCW
9.94A.728(4) motions for extraordinary medical release” numerous times. PRP at 3.
This court directed the DOC to respond solely to this claim. Thereafter, counsel was
appointed for Mr. Blakely, and an amended PRP was filed on his behalf.
ANALYSIS
UNLAWFUL RESTRAINT
Mr. Blakely argues the DOC is not complying with the amendments to RCW
9.94A.728 in considering his applications for an EMP. The DOC responds that because
the decision to grant or deny an EMP is subject to the discretion of the DOC secretary,
Mr. Blakely is unable to show his restraint is unlawful. We agree with the DOC.
A PRP offers relief from unlawful restraint. RAP 16.4(a). A petitioner is
restrained if they are “confined.” RAP 16.4(b). The parties do not dispute that Mr.
Blakely is in prison and therefore restrained. “Where the petitioner has not had a prior
opportunity for judicial review . . . the petitioner need show only that he is restrained
under RAP 16.4(b) and that the restraint is unlawful under RAP 16.4(c).” In re Pers.
Restraint of Isadore, 151 Wn.2d 294, 299, 88 P.3d 390 (2004). Under RAP 16.4(c)(6),
a restraint is unlawful if the “conditions or manner of restraint . . . are in violation of the
Constitution of the United States or the Constitution or laws of the State of Washington.”
6 No. 40545-1-III In re Personal Restraint of Blakely
Mr. Blakely argues that the DOC’s failure to assess his EMP application according
to the current version of RCW 9.94A.728 created an unlawful restraint. Here, as the
DOC points out, Mr. Blakely does not have a right to an EMP. Both the former and
current versions of RCW 9.94A.728(1)(c)(i) state the secretary “may” authorize an EMP
if certain conditions are met. (Emphasis added.) The decision to authorize an EMP
abides in the sole discretion of the DOC secretary. In other words, even if an inmate
meets all the conditions for an EMP, the DOC secretary may still deny the application.
Moreover, the DOC secretary may revoke an EMP at any time. RCW
9.94A.728(1)(c)(i)(C)(iv). Thus, Mr. Blakely has no right to an EMP. Even if Mr.
Blakely met all the conditions for an EMP, the DOC’s secretary’s denial of his
application would not be violative of the laws of the State of Washington. Mr. Blakely
cannot show his restraint is unlawful. RAP 16.4(c)(6).
COMPETENCY
Mr. Blakely argues he has a right to be competent to pursue relief in this PRP.
Mr. Blakely’s attorney contends that Mr. Blakely is not currently competent because “he
is fixated on the belief that he is the victim of pervasive conspiracies” and, as a result,
“insists on directing conversations” to his perceived misconduct on the part of law
7 No. 40545-1-III In re Personal Restraint of Blakely
enforcement and using tort actions of defamations and outrage to secure his release.
Amend. PRP at 23. He requests a competency hearing. 2
As an initial matter, we question whether this issue is properly before this court.
After Mr. Blakely filed his original PRP, this court requested the DOC respond only to
his claims regarding the DOC’s “denial of his motions/requests for [EMP].” Letter from
Tristen Worthen, Clerk of Court, In re Pers. Restraint of Blakely, No. 40545-1-III (Wash.
Ct. App. Aug. 7, 2024). The issue of Mr. Blakely’s competence was raised for the first
time in Mr. Blakely’s amended PRP drafted by his attorney.
Notwithstanding this procedural deficiency, we address the issue. No authority
exists to support Mr. Blakely’s contention that he is entitled to a competency evaluation
or competency restoration to challenge the DOC’s decisions in denying him an EMP.
This is likely due to the decision to grant or deny an EMP being wholly vested with the
DOC’s secretary. While an incarcerated individual’s competency may be relevant to the
2 Mr. Blakely’s competence argument is supported by a “Declaration of Counsel” in which his postconviction relief attorney stated, “I am concerned that Mr. Blakely may have valid claims concerning the lack of needed treatment and the DOC’s inability to provide for his basic necessities. However, I am unable to extract that information because of his focus on deluded claims. This information is not available from any other source.” Declaration of Counsel Supporting Amended Petition, In re Pers. Restraint of Blakely, No. 40545-1-III (Wash. Ct. App. Feb. 3, 2025) at 8.
8 No. 40545-1-III In re Personal Restraint of Blakely
physicians’ assessments, an individual does not have a right to undergo competency
restoration when applying for or challenging the denial of an EMP.
Mr. Blakely argues that RCW 2.70.020(2) provides a limited right to counsel and,
in order to give meaning to this statutory right, due process requires that he be able to
rationally communicate with counsel. Notably, he cites no Washington authority for this
proposition and his cited out-of-state authority is inapposite. Reid v. State, 197 S.W.3d
694 (Tenn. 2006) (discussing competence in the postconviction relief context for inmate
sentenced to death); Haraden v. State, 32 A.3d 448, 452 (Me. 2011 ) (competency
required because “[p]ost-conviction petitioners in Maine are expressly afforded a
statutory right to counsel”); see also In re Pers. Restraint of Jian Liu, 150 Wn. App. 484,
208 P.3d 1207 (2009) (competence in an extradition proceeding). Furthermore, RCW
2.70.020(2) does not confer a right to counsel for postconviction proceedings, but instead
“provide[s] access to counsel” for indigent persons subject to eligibility criteria and
prioritization.
CONCLUSION
We deny Mr. Blakely’s PRP as he is unable to show his current restraint is
unlawful and reject his argument that he has a right to a competency hearing to pursue
postconviction relief.
9 No. 40545-1-III In re Personal Restraint of Blakely
A majority of the panel has determined this opinion will not be printed in the
Washington Appellate Reports, but it will be filed for public record pursuant to RCW
2.06.040.
Cooney, J.
WE CONCUR:
Lawrence-Berrey, C.J.
Murphy, J.