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Health Care for California’s Jail Population

About the Program
Now that the Affordable Care Act has expanded Medi-Cal eligibility, California’s county jail systems could become enrollment sites for their high-need, hard-to-reach populations. PPIC researcher Mia Bird will discuss the role of jail systems as health care providers and the potential benefits of enrolling inmates in health insurance coverage.

SPEAKER
Mia Bird, research fellow, PPIC

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.

blog post

California’s Jail Construction Needs

By Brandon Martin

The governor’s proposal to spend $500 million for local jail construction raised many questions at a hearing Thursday of the Senate Budget Subcommittee on public safety.

Report

Key Factors in California’s Jail Construction Needs

By Magnus Lofstrom, Brandon Martin

Now that California has shifted responsibility for many criminal offenders to the counties, county jail systems face greater capacity challenges. This report highlights two important factors in addressing jail capacity constraints: aging jail facilities and long-term needs. We show that a number of facilities are old and likely in need of costly updates or replacement and that growth in the state’s population is likely to exert significant pressure on the county jail system. Our analysis suggests that a thoughtful combination of further jail construction and decreased reliance on incarceration is needed, given the magnitude of the current and future jail needs.

interactive

California’s County Jails

These interactive maps illustrate data from before and after corrections realignment. They show monthly averages in areas such as the average daily population (ADP), the percent of unsentenced inmates, the percent of felony inmates, and the relation of ADP to the number of beds available, or "rated capacity.”

Report

Capacity Challenges in California’s Jails

By Magnus Lofstrom, Katherine Kramer

In an effort widely known as "realignment,” California has given its counties enormous new responsibilities for corrections—including authority over many new types of felony offenders and parolees. Rather than go to state prison, these offenders now go to county jail or receive an alternative sanction. In the first few months of realignment, California’s jail population increased noticeably—but many jails were already facing capacity concerns. We find that some offenders who would have been incarcerated prior to realignment are now either not locked up or are not spending as much time in jail. Going forward, counties will need to consider a wide variety of approaches for handling their capacity concerns and their expanded offender populations.

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