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New Centurion contract faces steep staffing shortfalls and rising off-site medical costs, contractor tells legislators

Georgia House Appropriations Subcommittee (Corrections) · December 1, 2025
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Summary

Centurion, the Department of Corrections' new health-care contractor, told the appropriations subcommittee that mental-health caseloads have surged and that wage and FTE gaps hinder care; Centurion and GDC urged additional funding to close a roughly 160‑FTE gap in mental-health staffing and to cover rising off-site hospital costs.

Centurion, the state’s contracted correctional health provider for physical, mental and dental care, told the appropriations subcommittee that rising medical needs, an older and sicker incarcerated population, and marketplace wage pressure are driving health-care costs above initial contract assumptions.

Tim Harlan, Centurion’s CEO, and GDC health directors presented data showing a 30% increase in inmates classified as mental-health severity level 2–4 since 2022. Centurion said the contract’s approved staffing complement has not kept pace with caseload growth and that fill rates…

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