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Committee weighs jail health care, 1115 waiver options and asks staff and stakeholders for study input
Summary
Lawmakers discussed whether Medicaid should pay for health care for people in jails or during the 90 days before release, heard that DHHS does not expect state savings from taking that route, and asked staff to design a study and survey local jail administrators about unmet health needs and costs.
Committee members debated whether to pursue the federal option of using Medicaid for incarcerated people in the 90 days before release and whether the state should study minimum standards and funding for jail health care.
DHHS staff summarized an initial assessment of using the federal 1115 waiver option: comparing costs for inmates in the last 90 days of incarceration against administrative and program costs, the department did not anticipate state cost savings and instead expected higher state costs and additional administrative burden for…
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