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DOC: inmate medical costs driving shortfalls; hospital invoices and MOUs cited
Summary
Department of Corrections leaders told the legislature that inmate medical and behavioral health care are the largest drivers of DOC costs, that GMHA staff assigned to DOC cost roughly $4 million annually, and that DOC owed GMHA about $5 million for inpatient care as of 9/30/2023.
At a June 17 public hearing on Bill 44‑38 COR, Department of Corrections Director Fred E. Bordalli Jr. told the Committee on Finance and Government Operations that inmate medical care is the agency's highest recurring cost and a primary source of budget shortfalls.
"The highest cost incurred by the Department of Corrections are inmate medical expenses," Bordalli said, noting DOC coordinates medical and behavioral health services through a tri‑party memorandum of understanding (MOU) with Guam Memorial Hospital Authority (GMHA) and Guam Behavioral Health and Wellness.…
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