Correctional health care in 2011 which was about 1 in 6 of their entire correctional budget. And that level of spending shouldnt be surprising. This is not a healthy population. That includes a loent of folks with chronic conditions, with Mental Illness, with addiction disorders, and its getting older as the population ages. Ad so its not surprising that states are trying a whole range of different strategies to get r handle on Correctional Health a spending, everything from contracting with third partiesag to deliver the care to having more services delivered on site to taking advantage of new Health Coverage opportunities for inmates. So today wereto going to take a look at how well those cov strategies and some others are working and what kinds of policy changes might be helpful to improve both the quality and the value of the care that this population receives. And as we examine these issues, were pleased to have as a partner in todays program the centine corporation which contract
In the district. And a onesentence question. Does the work they do in prison, does that count towards medicare . Social security, medicare. No, it does not. There is a statutory prohibition wow. For medicare paying for any Services Provided behind bars. Thst also a statutory provision that if youre on parole or probation, you cannot receive medicare benefit. On the medicaid side, theres something known as the inmate exception, which goes back again to the original finding of medicaid, which states if youre an inmate of a Public Institution as the exact statutory language, you cannot receive medicaid benefits at all. So again, one of the challenges going back to my comment about islands, and what im hearing you say is we need to figure out creatively how we build bridges to those islands. Obviously, medical records is a part of it. Thinking about bringing standards of care that medicaid brings is another part of it. But at this point, were all very much in the process of understanding i
What if those people are unable to vote . At me be clear about this. I want all of her people to come out and vote on election day. Republicans are worried thats going to happen, then they need to change the message. If they feel like they can get the hispanic vote, and republicans need to re message. [applause] but i want all eligible hispanics to come out and vote on election day. This is a bipartisan organization. The question would be is if the case to you as a republican that you think well, maybe ms. Wilson is right baggara people who fear sharing power. Theres no question of that and i think some of the resistance, perhaps a lot of resistance within our party would suspect Immigration Reform. People are fearful the way our country is changing. They are even more fearful of the fact that its change with any kind of thought or break election for guidance from our leaders. And i think thats been the source of some the problem we have with respect to not making progress in Immigrati
To treat. The challenge has been the Regulatory Framework in a postAffordable Care act world that limits our treatment. I want to make it clear that this is a bipartisan issue. Governor perry, governor deal of georgia, theyve been going out and promoting treatment of criminogen criminogenic behavior rather than incarceration. What changes is states who have enrolled in the Affordable Care act is to scale this at a level a state governor cannot necessarily do. Thank you very much. Well turn next to debra rowe. Thank you, ed. All right. Good afternoon. During my i witnessed the disheartening maltreatment of women who were ill and resided in my dorm. For example, the women who were sick we are kept at the very end of the dorm. This was during the time when h. I. V. And a. I. D. S. Became prevalent in communities and several of the women that i am referencing had h. I. V. Infections. During that period, i met my colleague here, jacqueline, you see, we, along with a few other sisters, were
They have several prisons within our state that take it so that the cost for that does not come out of our per diem there. So, again, heres our creativity. As you heard, i have a long history with managed Care Organizations and whether you like them or dont or whatever, its the world we live in and they are successful. So some of the principles that those managed Care Organizations have used, we have applied in the department of corrections. The first one being and im very proud of this is called the summer of Health Care Benefits and it is the same document or a similar document that you receive when you sign up for your own insurance. It basically tells you what is or is not covered and is or is not eligible and basically, what the Insurance Company will and will not pay for, but for us, it listsous what services are eligible to the inmates and which arent and it puts everyone on the same Playing Field because the inmates understand which services will be covered and which ones are n