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Land Transitions and Dust in the San Joaquin Valley

By Andrew Ayres, Jaymin Kwon, Joy Collins

Agricultural operations and wind erosion are two of the largest sources of dust in the San Joaquin Valley, and the valley’s air quality may decline with increased farmland fallowing and a warmer, drier climate. This will impact low-income, rural communities first and foremost, but proactive management can help identify high-risk areas and direct funding to cost-effective interventions.

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.

blog post

Expanding Health Insurance—to Jail Inmates

By David Lesher

At a recent event, PPIC researchers Mia Bird and Shannon McConville discussed how the federal Affordable Care Act provides an opportunity to help to lower costs and improve health conditions in local jails.

Report

Health Care for California’s Jail Population

By Shannon McConville, Mia Bird

The Affordable Care Act (ACA) has created a new opportunity for California to reach and enroll a medically vulnerable population—the jail population—in health insurance coverage. While inmates receive health care services from county jail systems while incarcerated, few have coverage after they are released from custody. Expansion of the state’s Medicaid program (Medi-Cal) under the ACA has extended insurance eligibility to much of the currently uninsured jail population. As a complement to the ACA, California recently signed into law Assembly Bill 720 (AB 720), which facilitates the use of jails as sites of health insurance enrollment. Increasing enrollment levels for the jail population holds the potential to reduce corrections costs, as well as improve public health and safety.

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