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Prisons and Jails Forcing Inmates To Cover Some Medical Care Costs

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By Michelle Andrews

 

Correctional facilities are responsible for providing health services to people who are jailed, but that doesn’t mean that prisoners don’t face financial charges for care. In most states, they may be on the hook for co-payments ranging from a few dollars to as much as $100 for medical care, according to a recent study.

 

At least 35 states authorize co-payments and other fees for medical services at state prisons or county jails, the analysis by the Brennan Center for Criminal Justice at New York University School of Law found.

 

The Federal Bureau Of Prisons also permits inmates to be charged co-payments for medical services. Some states and local governments require co-payments for emergency treatment and hospitalizations in addition to routine care, says Lauren-Brooke Eisen, senior counsel at the Brennan Center’s justice program who authored the study.

 

“It’s understandable why jurisdictions need to increase their revenue,” says Eisen. “From a public policy standpoint, however, the fees can serve as a deterrent to getting care.”

 

The practice is part of a larger trend of charging inmates for prison services, says Eisen. In addition to medical co-payments, more than half of states allow prisoners to be charged room and board while incarcerated. They generally also charge for incidentals like phone calls and Internet use.

 

In addition to raising money, prison officials hope that by imposing fees they’ll reduce demand for services, says Dr. Robert Greifinger, a former chief medical officer of the New York Department of Corrections who works as a correctional consultant.

 

But fees, even small ones, may not only deter prisoners from making requests for care that prison officials consider “frivolous,” they may also deter necessary care to keep chronic conditions in check or treat communicable diseases that could easily spread through crowded prisons.

 

An estimated 80 percent of prisoners are poor. Medical co-payments typically come out of their commissary accounts, which are often funded by money provided by their families and earnings from prison jobs.

 

“Prisoners don’t have money, they’re getting $20 a month from their family,” says Greifinger. “If they deplete that for medical care, they don’t have money for underwear, soap or food.”

 

In a landmark 1976 case, Estelle v. Gamble, the Supreme Court held that not providing adequate medical care to prisoners was a violation of the Constitution’s Eighth Amendment against cruel and unusual punishment. But courts have generally allowed prisons to attempt to recoup some of the costs of treating inmates by charging them for their care.

 

At the Bernalillo County Metropolitan Detention Center in Albuquerque, N.M., inmates can see a nurse on a walk-in basis rather than having to put in a written request first.

 

The process, implemented two years ago, is intended to give inmates better access to health care services, says Phillip Greer, chief of corrections at the center.

 

State spending on prison health care grew to $7.7 billion by 2011, with increases of more than 13 percent in half of states, according to an analysis by the Pew Charitable Trusts and the John D. and Catherine T. MacArthur Foundation.

 

In addition, half of the states saw their per inmate health care spending increase more than 10 percent during that time period. Prisoners are more likely to have chronic and infectious diseases than the general population, and overall the prison population is aging, leading to increased medical costs.

 

But inmates, many of whom are uninsured when they enter prison, often don’t get the care they need.

 

Among inmates with chronic medical problems, many didn’t receive a medical exam while incarcerated, including 68 percent of local jail inmates, 20 percent of state prison inmates and 14 percent of federal prison inmates, a 2009 study published in the American Journal of Public Health found.

 

Even if they could afford insurance, prisoners can’t buy a marketplace plan. The health law specifically excludes people in jail from the requirement to have insurance.

 

Dr. Josiah Rich, who conducts a weekly clinic at the Rhode Island Department of Corrections in Cranston, says, “Charging prisoners for health care is yet another way of kicking them when they’re down.”

 

Courtesy of Kaiser Health News at http://khn.org

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New Protections for Ticket Buyers: Gov. Newsom Signs Assemblymember Isaac Bryan’s Bill

OAKLAND POST — Assembly Bill 1349 expands state regulation of original ticket sellers, resellers and online resale marketplaces. The law targets deceptive sales practices, ticket-buying software and speculative listings — tickets advertised for sale by sellers who do not possess them or have authorization to sell them.

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Assemblymember Isaac Bryan (D-Ladera Heights). File photo.

Gov. Gavin Newsom signed legislation on Sept. 27 authored by Assemblymember Isaac Bryan (D-Ladera Heights) that strengthens consumer protections for Californians purchasing tickets to concerts, sporting events and other live entertainment.

Assembly Bill 1349 expands state regulation of original ticket sellers, resellers and online resale marketplaces. The law targets deceptive sales practices, ticket-buying software and speculative listings — tickets advertised for sale by sellers who do not possess them or have authorization to sell them.

“Buying a ticket shouldn’t come with hidden risks or unfair practices,” Newsom wrote on social media after signing the measure.

Under AB 1349, ticket sellers are prohibited from listing tickets before they have been officially released unless they have authorization or a legally enforceable right to receive them. Online marketplaces must also take reasonable steps to prevent speculative ticket sales on their platforms.

The law prohibits sellers from using bots, multiple accounts, email addresses or internet protocol addresses to circumvent ticket limits, presale restrictions, electronic queues and other controls. It also bans websites and advertisements designed to mislead buyers into believing they are purchasing tickets from an authorized seller, venue or event organizer.

Sellers who violate certain provisions and fail to provide a promised ticket may be held liable for twice the ticket’s contracted price. Buyers may also recover nonrefundable expenses incurred while attempting to attend an event, along with reasonable attorney’s fees and court costs.

Pastor Tecoy Porter Sr., president of the National Action Network’s Sacramento chapter, said the law establishes needed accountability.

“Buying a ticket to a concert or show shouldn’t mean entering a marketplace where the rules are stacked against you. This year, we worked with a coalition of consumers, civil rights advocates, community groups, and businesses to make AB 1349 stronger. Consumers deserve enforceable rules that protect them. We thank Assemblymember Bryan for his leadership, and we will keep working to make ticketing fair for every Californian.”

Jose L. Barrera, national vice president for the Far West Region of the League of United Latin American Citizens, also praised the measure.

“Californian families deserve certain protections when they buy tickets. Assemblymember Bryan listened to communities across California and delivered a bill that puts fans first. We thank him and Governor Newsom for making it law.”

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Zakiya Jendayi Arrested, Locked Out of Home by Sheriff’s Deputies

OALAND POST — On Tuesday, deputies followed Jendayi as she left her residence of 13 years to file documents in her case at the Appellate Court. Deputies arrested her upon arrival and transported her to Santa Rita Jail.

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Court-appointed administrator Philip Campbell outside Zendayi’s home on Randolph Avenue in Oakland. Photo by Tanya Dennis.

Yesterday, more than 10 Alameda County Sheriff’s deputies arrived to take possession of Zakiya Jendayi’s home on behalf of a court-appointed administrator. Jendayi was arrested at the courthouse and transported to Santa Rita Jail around the same time.

Jendayi, who has been embroiled in a probate court battle to retain the inheritance bestowed on her by a longtime friend and colleague who passed away in 2013, had received a notice of eviction last month.

With help from neighbors, friends and clergy, she was able to fend off the eviction from 3614 Randolph Ave. in Oakland and even obtained a reprieve when her bid to file bankruptcy was approved by a county court.

But Philip Campbell, the court-appointed administrator, had already placed Jendayi’s home in his name in October 2025.

On Tuesday, deputies followed Jendayi when she left her residence of 13 years to go to the Appellate Court to file documents in her case. Deputies arrested her upon arrival and transported her to Santa Rita jail.

Undersheriff April Luckett-Fahini said Jendayi was arrested for “safety reasons.” At this time, it is unknown what charges were used for the arrest.

In Jendayi’s absence, Campbell came to her residence accompanied by deputies, had the property taped off with yellow crime tape, and had the locks changed.

 Afterward, Campbell requested a police escort to his car amid several angry neighbors who had been advocating that officials pause the eviction pending Jendayi’s appeal.

“Zakiya Jendayi is a respected Black elder in our community,” said Alameda County Supervisor Nikki Fortunato Bas, who has been working with Jendayi to prevent her eviction. “It’s outrageous that she was arrested.  There needs to be more justice and equity in our probate system.” 

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Ask California: Golden State Releases New AI Chatbot

Gov. Gavin Newsom introduced the prototype as part of the state’s broader effort to use artificial intelligence to make government services easier to access. The launch follows his March 2026 executive order directing state agencies to responsibly implement generative AI while protecting privacy, security and civil liberties.

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California has launched AskCA, a new artificial intelligence-powered chatbot designed to help residents find and navigate state and local government services through a single online platform.

Developed by the state’s Office of Data and Innovation, AskCA is designed around major life events rather than individual government agencies. Californians can use the tool to find information about finding a job, starting a business, accessing family services and recovering from disasters.

Gov. Gavin Newsom introduced the prototype as part of the state’s broader effort to use artificial intelligence to make government services easier to access. The launch follows his March 2026 executive order directing state agencies to responsibly implement generative AI while protecting privacy, security and civil liberties.

“When a Californian needs help, they shouldn’t have to become an expert in government to find it,” said Newsom. “We’re using the best technology California has to offer to make the government more efficient, effective, and more engaged.”

The state is now seeking Californians age 18 and older to participate in the pilot and help test and refine AskCA’s responses. Officials said subject matter experts across state governments are helping inform the chatbot’s answers, which are designed to draw from verified government sources and provide actionable information.

The prototype grew out of California’s response to the January 2025 Los Angeles wildfires. Early testing included more than 140 fire recovery leaders and Altadena wildfire survivors, a dozen job seekers and more than 100 general users.

Jeffery Marino, director of the Office of Data and Innovation, said the tool is intended to remove the need for residents to understand how government agencies are organized before they can get help.

“Californians should not have to understand how the government is organized just to get basic help,” Marino said.

AskCA’s technology will also be used in a new job-skills matching feature that the California Department of Human Resources plans to launch Sept. 30 on CalCareers. Job seekers will be able to upload a resume and receive potential matches to state job classifications.

The state said the CalCareers pilot will not store personal information or require users to have a CalCareers account. California plans to continue testing AskCA as officials evaluate its accuracy, performance and usefulness before expanding the system.

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