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Jail health services outline CalAIM rollout, early billing returns and care strategies
Summary
Chief of Jail Health Services described CalAIM implementation, new billing for Medi‑Cal services, staffing and capacity, and care models that link people leaving custody to community treatment.
Dr. Michelle Pratt, chief of Jail Health Services, presented a detailed update to the San Francisco Health Commission on the section's work, the CalAIM justice‑involved implementation and early billing results since launch.
Pratt explained why DPH provides jail health care and cited legal precedent: "The only people who have a constitutional right to health care are people who are incarcerated," referencing Estelle v. Gamble and California Title 15 requirements that regulate jail health care. She described the department's mission to mitigate structural inequities and provide integrated clinical services in partnership with the Sheriff's Office.
Pratt said the jail population has risen since mid‑2023, with roughly 15,000 bookings last year representing about 10,000 unique patients and…
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