Tuesday, November 12, 2013

Resources on the Impact of the Affordable Care Act on the Criminal Justice System - from NCJA

On March 23, 2010 President Barack Obama signed into law the Patient Protection and Affordable Care Act, more commonly known as the Affordable Care Act (ACA). Since that time there has been great speculation on how implementation would impact not only the many uninsured; but how access to health care services might impact our criminal justice system.  With an estimated 14 percent of men and 31 percent of women in jail and state prison suffering from chronic and persistent mental illness and an even higher percentage with a diagnosable substance abuse disorder, the need for increased treatment services is well established.  Despite this, individual offenders and criminal justice systems have lacked the resources to access intensive in/outpatient treatment, treatment alternatives to incarceration or the medically tailored reentry services needed to improve personal and public safety outcomes. While the ACA promises to provide millions of indigent and working poor with access to medical and behavioral health services, there is still great uncertainty around how justice populations will be able to take advantage of this expanded coverage. 
With ACA implementation unfolding differently in every state, understanding how this new law may impact state and local justice populations is complicated.  In addition, with every state standing up health insurance exchanges and more than half expanding Medicaid eligibility (as of October 2013) there is the added complexity of each system’s eligibility and coverage options.  Information provided below is intended to help keep justice system stakeholders informed on how ACA implementation may impact justice systems and client populations.

ACA Criminal Justice Resources
Webinar/Presentation Resources
Expanding Treatment: How the Affordable Care Act Can Impact Criminal Justice Systems (NCJA)
The Affordable Care Act: Implications for the Criminal Justice System (Council on State Governments)
Preparing for Medicaid Expansion: Ensuring Healthcare Access for Individuals with Criminal Justice Involvement (Center for Healthcare Strategies)
Leveraging National Health Reform to Reduce Ricidivism and Build Recovery (Center for Health and Justice at TASC)
 
On March 23, 2010 President Barack Obama signed into law the Patient Protection and Affordable Care Act, more commonly known as the Affordable Care Act (ACA). Since that time there has been great speculation on how implementation would impact not only the many uninsured; but how access to health care services might impact our criminal justice system.  With an estimated 14 percent of men and 31 percent of women in jail and state prison suffering from chronic and persistent mental illness and an even higher percentage with a diagnosable substance abuse disorder, the need for increased treatment services is well established.  Despite this, individual offenders and criminal justice systems have lacked the resources to access intensive in/outpatient treatment, treatment alternatives to incarceration or the medically tailored reentry services needed to improve personal and public safety outcomes. While the ACA promises to provide millions of indigent and working poor with access to medical and behavioral health services, there is still great uncertainty around how justice populations will be able to take advantage of this expanded coverage.
With ACA implementation unfolding differently in every state, understanding how this new law may impact state and local justice populations is complicated.  In addition, with every state standing up health insurance exchanges and more than half expanding Medicaid eligibility (as of October 2013) there is the added complexity of each system’s eligibility and coverage options.  Information provided below is intended to help keep justice system stakeholders informed on how ACA implementation may impact justice systems and client populations.
- See more at: http://ncja.org/issues-and-legislation/aca#sthash.wq7XB40o.dpuf