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Tennessee corrections officials describe rising inmate health costs as committee approves contract

Fiscal Review · November 5, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Elizabeth Foy, chief of staff for the Tennessee Department of Correction, told the Fiscal Review Committee that the department is statutorily required to provide medical and mental-health services to all people in its custody and described rising pharmacy and chronic-care costs.

Elizabeth Foy, chief of staff for the Tennessee Department of Correction, told the Fiscal Review Committee that the department is statutorily required to provide medical and mental-health services to all people in its custody and now oversees care for just over 20,000 individuals.

"The department is statutorily required to provide health care to all individuals in our custody," Foy said, summarizing intake screening, sick-call access, chronic-care clinics, infirmaries and inpatient hospitalization available to incarcerated people.

Assistant Commissioner Jillian Bresnahan, who oversees clinical services, said the system is handling increasing demand and cost pressures. She told members pharmacy utilization rose 5.4% since 2023 and that average pharmacy costs…

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