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All Over the Map

Newly updated to include breast cancer, prostate cancer, and spine procedures, this CHCF-sponsored research shows that practice patterns vary dramatically from place to place.

Medi-Cal Transforms

Medi-Cal is the main source of health insurance for one in five Californians. An updated report gives an overview of the program's key features, describes how the program is evolving, and examines the challenges ahead.

Obama Care in the Second Term

CHCF is a long-time sponsor of the UC Irvine Forecast Conference. A webcast of this year's conference on health policy in President Obama's second term is now available.

Public Health

Thursday, September 06, 2012

Judge Denies Request To End Federal Oversight of Prison Health Care

On Wednesday, U.S. District Judge Thelton Henderson once again denied California's request to end federal oversight of its prison health care system, the Los Angeles Times reports (Megerian, Los Angeles Times, 9/6).

Background

About six years ago, Henderson appointed J. Clark Kelso to oversee the state's prison health care after determining that an average of one inmate per week died as a result of malpractice or neglect.

In May 2011, the U.S. Supreme Court ordered California to reduce its inmate population to help improve health care.

In response, the state began shifting low-level offenders to county jails to address prison overcrowding and building new health facilities at prisons.

In April, the California Department of Corrections and Rehabilitation released a plan for reorganizing the state's prisons and ending federal oversight (California Healthline, 5/9).

The following month, Henderson denied California's request to resume oversight of prison health care (California Healthline, 5/31).

Details of Henderson's New Order

In his new order, Henderson wrote, "Evidence of progress made under the direction and control of the [federal] receiver does not constitute evidence of (the state's) own will, capacity and leadership to maintain a constitutionally adequate system of inmate medical care."

In addition, Henderson wrote that California officials have "not always cooperated with, and have sometimes actively sought to block, the receiver's efforts" (Los Angeles Times, 9/6).

The order requires state officials to demonstrate that inmates are able to receive adequate health care at each of the state's 33 prisons. Assessments will be conducted by court-appointed medical experts. The Office of the Inspector General also will conduct ongoing medical audits at prisons, according to the order (Small, "KPCC News," KPCC, 9/5).

State Response

Terry Thornton -- a spokesperson for the California Department of Corrections and Rehabilitation -- in a statement said that state officials respectfully disagree with the judge's new order. She said, "The state has demonstrated through its progress in its medical delivery and recent success in mental and dental health delivery that it has the will, the leadership and capacity to resume full responsibility" (Los Angeles Times, 9/6).



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