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Video: County Jails and the ACA

By Linda Strean

Helping jail inmates get health care coverage could have multiple benefits, according to a new report presented in Sacramento.

Report

Expanding Health Coverage in California: County Jails as Enrollment Sites

By Shannon McConville, Mia Bird

In 2014, the first year of Affordable Care Act (ACA) implementation, the number of Californians with health insurance increased substantially. However, millions of state residents continue to lack comprehensive health coverage, and those who remain uninsured are likely more difficult to enroll through traditional strategies.

In this report, we find that uninsured rates are highest for young men and for those with low levels of education, income, and employment. The prevalence of these same characteristics among correctional populations suggests that the justice system—and, in particular, county jails—may offer points of contact for many uninsured individuals who would otherwise be hard to reach.

Outreach and enrollment efforts aimed at local jail populations are set within the policy context of California’s 2011 Public Safety Realignment, which created incentives and resources for local corrections agencies to improve reentry outcomes. With expansions in access to health insurance coverage under the ACA, nearly all counties are establishing programs to provide enrollment assistance to jail inmates as part of a more comprehensive reentry strategy. But resources and capacity are limited, so it is important to identify effective models to maximize the potential of county correctional systems as sites of insurance enrollment.

Report

How Has Proposition 47 Affected California’s Jail Population?

By Sonya Tafoya, Mia Bird, Ryken Grattet, Viet Nguyen

Passed by the voters in 2014, Proposition 47 reduced penalties for certain drug and property crimes. This change led to dramatic declines in the state's jail population, driven by decreases in arrests, convictions, and jail time for Proposition 47 offenders.

This research was supported with funding from The California Endowment.

blog post

Testimony: Bail and Pretrial Detention

By Sonya Tafoya

California’s median bail amount is five times higher than the rest of the nation. Its large urban counties are also more likely than similar counties in the US to hold unsentenced defendants in jail pending trial.

blog post

Putting the Governor’s Sentencing Proposal in Context

By Magnus Lofstrom, Brandon Martin

Governor Brown’s proposed ballot measure could significantly alter sentencing in California. It follows the path of decreased reliance on incarceration that the state has been on since 2009.

blog post

Proposition 47 and Crime

By Magnus Lofstrom, Brandon Martin

Reports of increases in violent crime in some areas have raised concerns. But it would be premature to blame Proposition 47.

Report

Public Safety Realignment: Impacts So Far

By Magnus Lofstrom, Brandon Martin

Prompted by a federal court order to reduce prison overcrowding, California’s 2011 historic public safety realignment shifted many correctional responsibilities for lower-level felons from the state to counties. The reform was premised on the idea that locals can do a better job, and it was hoped that incarceration rates and corrections costs would fall. At the same time, critics predicted crime would rise. Four years since its implementation, realignment has made several important impacts:

  • Realignment significantly reduced the prison population, but the state did not reach the court-mandated population target until after the passage of Proposition 47 in November 2014, which reduced penalties for many property and drug offenses.
  • The reform challenged county jails and probation departments by making them responsible for a greater number of offenders with a broader range of backgrounds and needs.
  • The county jail population did not rise nearly as much as the prison population fell, reducing the total number of people incarcerated in California.
  • Realignment did not increase violent crime, but auto thefts rose.
  • Research so far shows no dramatic change in recidivism rates.
  • State corrections spending remains high, but there is reason to believe expenditures could drop in the future.

Realignment has largely been successful, but the state and county correctional systems face significant challenges. The state needs to regain control of prison medical care, which is now in the hands of a federal receiver. And the state and counties together must make progress in reducing stubbornly high recidivism rates.

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