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Delaware County oversight board approves one-year Wellpath extension and $25 monthly inmate stipend

2251921 · January 14, 2025
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Summary

At its January meeting, the Delaware County Jail Oversight Board approved a one-year extension of the county's contract with health-care vendor Wellpath and authorized a $25 monthly deposit from the inmate welfare fund to qualifying incarcerated persons.

The Delaware County Jail Oversight Board on its January meeting approved a one-year extension to the county's contract with Wellpath, the facility's correctional health-care vendor, and authorized a monthly $25 deposit to incarcerated persons' trust accounts for those housed more than 15 days.

The extension to Wellpath's contract, which the presenter said carries a projected one-year cost of $12,000,000, will be reviewed by the county solicitor and presented to County Council for approval. The board voted to approve the contract extension during the meeting; Warden (name not specified) told the board the county had budgeted projected health-care spending for 2025 and that the extension would not require an additional funding request to the county because the estimated amounts were already included in the county's operating projections.

The oversight board also voted to direct monthly deposits of $25 to each incarcerated person's trust account for people who have been housed at the facility for more than 15 days; the deposit will post on the second Wednesday of each month. Board staff said deposits are placed in each individual's trust account and would be spendable on commissary, phones, or tablet services; remaining balances at release will follow the board's existing release procedures (fees may be deducted, otherwise the remaining funds are released to the person). Officials projected the stipend would cost roughly $375,000 annually based on an estimate of about 1,250 qualifying individuals a month and noted the inmate welfare fund balance of over $4,000,000 as of the meeting.

Board members discussed funding sustainability; presenters noted the inmate welfare fund has historically received commissary commissions and vending revenues, but that the 2024 Federal Communications Commission (FCC) ruling removing phone-call commissions had reduced one revenue source. The presenters noted the board previously reduced commissary commission rates to lower item prices for incarcerated persons and said the oversight board will monitor contributions to the fund as the stipend proceeds.

Votes at a glance - Motion to approve minutes from December 2024: approved (yes:2, no:0). The meeting record shows a motion and two affirmative responses; no formal roll-call tally was transcribed. - Motion to approve reports from December 2024: approved (yes:1, no:0). - Motion to approve a one-year contract extension with Wellpath for health-care services: approved (yes:3, no:0). Board presenters said the initial contract began March 2022 with a 36-month term and two 1-year options; the extension will include the contract's yearly 3% increases and proposed staffing/wage adjustments noted to address vacancies. - Motion to authorize a $25 monthly deposit from the inmate welfare fund to each incarcerated person housed more than 15 days: approved (yes:2, no:0). The board set the deposit day (second Wednesday each month) and the eligibility cutoff (housed more than 15 days).

Why it matters The Wellpath extension maintains the facility's continuity of medical and behavioral-health services; presenters said staffing and higher patient acuity (including a rising medication-assisted treatment population) prompted proposed increases in LPN staffing, adjusted LPN wages, and added psychiatry hours. The monthly stipend redirects inmate welfare funds to direct-benefit uses for incarcerated persons (phones, tablets, commissary) and will be monitored for fiscal sustainability by the board.

Details and context Presenters told the board the county negotiated the original Wellpath contract effective March 2022 with a 36-month initial term and two 12-month options; the contract applies a 3% year-over-year increase to personnel wages and management fees. The presenter described proposed augmentations: more full-time licensed practical nurses (LPNs), wage adjustments for LPNs to reduce vacancies, and additional psychiatry hours (including hiring nurse practitioners) to reduce wait times. The presenter said those changes reflect an increase in patient acuity and a growth in the medication-assisted treatment (MAT) caseload.

Regarding the stipend, staff said the deposit would be made into each individual's trust account and would not be withheld at release except to satisfy existing fees. Presenters said the projected annual cost was approximately $375,000 based on their population estimate and that the inmate welfare fund had a balance of over $4,000,000 at the end of the year. Board members asked staff to continue monitoring the fund and the effect of reduced phone-call commissions following the FCC ruling.

Board comments and next steps Board members thanked staff and outside partners for their work to implement the stipend and for negotiating the health-care contract terms; the extended Wellpath arrangement and the stipend will proceed to the county solicitor and County Council for their review and any required approvals. The board also directed staff to continue providing monthly updates on the capital projects and fund contributions that support the inmate welfare fund.

Ending The board's actions leave the facility with continuity of its correctional health-care vendor while directing a new monthly benefit from the inmate welfare fund intended for incarcerated persons' direct use; board members said they will monitor fiscal impacts as the stipend and contract changes are implemented.