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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.

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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.

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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.

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Video: Governing in a Time of Change

By Linda Strean

Governor Jerry Brown’s chief aide, Nancy McFadden, outlined the administration’s top priorities at a PPIC event in Sacramento.

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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.

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Video: Rating Realignment

By Linda Strean

Local law enforcement and corrections officials have risen to the challenge of California’s public safety realignment, a panel of local and state officials concluded last week. They also concurred that big challenges remain.

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What Do We Know about Realignment’s Impact So Far?

About the Program
The fourth anniversary of California’s historic public safety realignment offers an opportunity to assess its major impacts. Has the shift of responsibility for lower-level felons from the state to counties eased prison overcrowding and contained costs? How are county jails coping, and have reoffending rates declined? Has crime increased, as critics predicted? PPIC researcher Magnus Lofstrom will outline the findings of a new report and a panel of state and local experts will discuss realignment’s effect on crime, costs, and incarceration.

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