Monday, March 10, 2014
"Little-Known Health Act Fact: Prison Inmates Are Signing Up"
The title of this post is the headline of this front-page New York Times article. Here is how it gets started and additional excerpts:
In a little-noticed outcome of President Obama’s Affordable Care Act, jails and prisons around the country are beginning to sign up inmates for health insurance under the law, taking advantage of the expansion of Medicaid that allows states to extend coverage to single and childless adults — a major part of the prison population.
State and counties are enrolling inmates for two main reasons. Although Medicaid does not cover standard health care for inmates, it can pay for their hospital stays beyond 24 hours — meaning states can transfer millions of dollars of obligations to the federal government.
But the most important benefit of the program, corrections officials say, is that inmates who are enrolled in Medicaid while in jail or prison can have coverage after they get out. People coming out of jail or prison have disproportionately high rates of chronic diseases, especially mental illness and addictive disorders. Few, however, have insurance, and many would qualify for Medicaid under the income test for the program — 138 percent of the poverty line — in the 25 states that have elected to expand their programs....
Opponents of the Affordable Care Act say that expanding Medicaid has further burdened an already overburdened program, and that allowing enrollment of inmates only worsens the problem. They also contend that while shifting inmate health care costs to the federal government may help states’ budgets, it will deepen the federal deficit. And they assert that allowing newly released inmates to receive could present new public relations problems for the Affordable Care Act. “There can be little doubt that it would be controversial if it was widely understood that a substantial proportion of the Medicaid expansion that taxpayers are funding would be directed toward convicted criminals,” said Avik Roy, a senior fellow at the Manhattan Institute, a conservative policy group....
In the past, states and counties have paid for almost all the health care services provided to jail and prison inmates, who are guaranteed such care under the Eighth Amendment. According to a report by the Pew Charitable Trusts, 44 states spent $6.5 billion on prison health care in 2008.
In Ohio, health care for prisoners cost $225 million in 2010 and accounted for 20 percent of the state’s corrections budget. Extended hospital stays — treatment for cancer or heart attacks or lengthy psychiatric hospitalizations, for example — are particularly expensive Stuart Hudson, managing director of health care for Ohio’s Department of Rehabilitation and Correction, said his department, which plans to start enrolling inmates in Medicaid when they have been in the hospital for 24 hours, expects to save $18 million a year through the practice, “although it’s hard to know for sure, because there’s other eligibility factors we have to keep in mind.”
Nancy Griffith, Multnomah County’s director of corrections health, said the county expected to save an estimated $1 million annually in hospital expenses by enrolling eligible inmates and passing the costs to the federal government. More money could be saved over the long term, she added, if connecting newly released inmates to services helps to keep them out of jail and reduces visits to emergency rooms, the most expensive form of care. “The ability for us to be able to call up a treatment provider and say, ‘We have this person we want to refer to you and guess what, you can actually get payment now,’ changes the lives of these people,” Ms. Griffith said.
Rick Raemisch, executive director of Colorado’s Department of Corrections, said that billing Medicaid for hospital care would save “several million dollars” each year. But as important, he said, was the chance to coordinate care for prisoners after their release. About 70 percent of prison inmates in the state have problems with addiction, he said, and 34 percent suffer from mental illness.
Recent related posts:
- Might Obamacare end up reducing prison populations "more than any reform in a generation"?
- "Obamacare Is a Powerful New Crime-Fighting Tool"
- "Healthcare Not Handcuffs": Will ACA help end the drug war?
- "Can Obamacare Reduce the Cost of Corrections?"
Man called "walking crime spree" gets 14 years in federal prison to pointing laser at helicopter
A reader alerted me to this notable federal sentencing story from California, which perhaps highlights why folks with significant criminal histories ought not be messing around with dangerous pranks:
A Central California man convicted of pointing a high-powered laser at a police helicopter was sentenced Monday to spend 14 years in federal prison.
Sergio Patrick Rodriguez, a 26-year-old Clovis resident, was accused of pointing a green laser 13 times more powerful than common pointers at a Fresno Police Department helicopter in 2012. The helicopter had been called to an apartment complex where an emergency helicopter for a children's hospital also reported being targeted by a laser. "This is not a game," U.S. Attorney Benjamin B. Wagner said in a statement. "It is dangerous, and it is a felony."
A jury found Rodriguez guilty of attempting to interfere with safe operation of aircraft and aiming a laser pointer at an aircraft. While handing down the sentence, U.S. District Judge Lawrence J. O'Neill described Rodriguez as a "walking crime spree," carrying out an act with deadly potential. Rodriguez has a significant criminal history, prosecutors said, that includes several probation violations and gang affiliations.
Authorities say such laser strikes can blind pilots and lead to crashes. In 2013, there were 3,960 reports of people shining lasers at aircraft over the United States, according to the Federal Aviation Administration. The same Fresno jury found Rodriguez and his 23-year-old girlfriend, Jennifer Lorraine Coleman, guilty of charges in the case in December. Coleman is scheduled to be sentenced in May.
Should the feds reallocate all drug war resources away from marijuana to heroin now?
The question in the title of this post was my first thought in reaction to this notable news release from the US Department of Justice headlined "Attorney General Holder, Calling Rise in Heroin Overdoses ‘Urgent Public Health Crisis,’ Vows Mix of Enforcement, Treatment. Here are excerpts from the press release:
Calling the rise in overdose deaths from heroin and other prescription pain-killers an “urgent public health crisis,” Attorney General Eric Holder vowed Monday that the Justice Department would combat the epidemic through a mix of enforcement and treatment efforts. As an added step, the Attorney General is also encouraging law enforcement agencies to train and equip their personnel with the life-saving, overdose-reversal drug known as naloxone.
Speaking in a video message posted on the Justice Department’s website, Holder noted that between 2006 and 2010, heroin overdose deaths increased by 45 percent. “When confronting the problem of substance abuse, it makes sense to focus attention on the most dangerous types of drugs. And right now, few substances are more lethal than prescription opiates and heroin,” Holder said....
The complete text of the Attorney General’s video message [includes these passages]:
“When confronting the problem of substance abuse, it makes sense to focus attention on the most dangerous types of drugs. And right now, few substances are more lethal than prescription opiates and heroin.
“Addiction to heroin and other opiates – including certain prescription pain-killers – is impacting the lives of Americans in every state, in every region, and from every background and walk of life – and all too often, with deadly results. Between 2006 and 2010, heroin overdose deaths increased by 45 percent. Scientific studies, federal, state and local investigations, addiction treatment providers, and victims reveal that the cycle of heroin abuse commonly begins with prescription opiate abuse. The transition to — and increase in — heroin abuse is a sad but not unpredictable symptom of the significant increase in prescription drug abuse we’ve seen over the past decade....
“Confronting this crisis will require a combination of enforcement and treatment. The Justice Department is committed to both.
“On the enforcement side, we’re doing more than ever to keep illicit drugs off the streets – and to bring violent traffickers to justice. With DEA as our lead agency, we have adopted a strategy to attack all levels of the supply chain to prevent pharmaceutical controlled substances from getting into the hands of non-medical users. DEA proactively investigates the diversion of controlled substances at all levels of the supply chain. This includes practitioners that illegally dispense prescriptions, pharmacists that fill those prescriptions, and distributors that send controlled substances downstream without due diligence efforts. DEA also uses its regulatory authority to review and investigate new pharmacy applications in targeted areas to identify and prevent storefront drug traffickers from obtaining DEA registrations. And they’re also going after “pill mills.”...
“Of course, enforcement alone won’t solve the problem. That’s why we are enlisting a variety of partners – including doctors, educators, community leaders, and police officials – to increase our support for education, prevention, and treatment. DEA engages in widespread education of pharmacists, doctors, and other health practitioners in the identification and prevention of controlled substance diversion during the healthcare delivery process. In the Northern District of Ohio, for example, the U.S. Attorney convened a summit at the Cleveland Clinic, bringing together health and law enforcement professionals to address that area’s 400-percent rise in heroin-related deaths. And nationwide, the Justice Department is supporting more than 2,600 specialty courts that connect over 120,000 people convicted of drug-related offenses with the services they need to avoid future drug use and rejoin their communities.
Should death penalty abolitionists or proponents be more troubled by "Wild West" response to troubles with execution drugs?
The question in the title of this post is the prompted by this lengthy new USA Today article headlined "Death penalty in U.S. spurs Wild West scramble for drugs; Capital punishment in the USA is in decline as states wrestle to find drugs for lethal injections." Here is how the piece starts:
Prison guards meet in the desert to hand off chemicals for executions. A corrections boss loaded with cash travels to a pharmacy in another state to buy lethal sedatives. States across the country refuse to identify the drugs they use to put the condemned to death.
This is the curious state of capital punishment in America today. Manufacturers are cutting off supplies of lethal injection drugs because of opposition to the death penalty, and prison officials are scrambling to make up the deficit — sharing drugs, buying them from under-regulated pharmacies or using drug combinations never employed before in putting someone to death.
At the same time, growing numbers of states are ending capital punishment altogether. Others are delaying executions until they have a better understanding of what chemicals work best. And the media report blow-by-blow details of prisoners gasping, snorting or crying out during improvised lethal injection, taking seemingly forever to die.
Legal challenges across this new capital punishment landscape are flooding courts, further complicating efforts by states that want to keep putting people to death. "I've done everything I can do to carry out the executions that have been ordered in my state, and if somebody has an idea of how we can do that, I'd like to hear it," says Arkansas Attorney General Dustin McDaniel.
The state has 33 people on death row, no executions since 2005 and a death penalty sidelined last month by a state judge complaining that the Arkansas law for lethal injection isn't clear about what drugs should be used. "I don't know where it will all end up," says an exasperated McDaniel. "I know that in the near future we will see more litigation. We will see fewer executions. We will see states scrambling to come up with alternative methods. And there will be a lot of finger-pointing."
Regular readers know that the difficulties states have had securing execution drugs, combined with the consistent efforts of capital defense lawyers to legally challenge the ways states plan to kill their clients, has produced a remarkable legal and practical hash of the application of the death penalty in nearly all states with death row defendants who have exhausted all other means of appeals. This lethal injection protocol capital hash has been going strong for nearly a decade now, and I do not see any end in sight.
I am inclined to guess that death penalty proponents are most troubled by all the new litigation and practical barriers in the way of carrying out death sentences. But I suspect lots of death penalty abolitionists are likewise troubled by how hard (and with questionable means) some states are trying to go forward with untried methods for ending like. So, I suppose this post is meant to suggest both a descriptive and normative question: who is most troubled with what is going on, and should be?
Sunday, March 9, 2014
This week's review of marijuana reform news and notes
I continue to make a habit of doing a weekly round up of posts from Marijuana Law, Policy and Reform because here continue to be so many developments in that realm that ought to be of great interest to senencing fans. For example, Alex Kreit has a new post at MLP&R, Race, marijuana enforcement and legalization, which astutely observes that "though the criminalization of marijuana has disproportionately impacted people of color, it seems the emerging marijuana industry is largely white." For more discussion of this insight and others, here are links to some notable recent posts:
LDF releases latest, greatest accounting of death row populations
As reported here by the Death Penalty Information Center, the NAACP Legal Defense Fund has just released its latest version of its periodic accounting of capital punishment developments in the United States. This document, available here, is titled simply "Death Row, USA," and reports on data though July 1, 2013. Here is how DPIC summarizes some of its key findings:
The latest edition of the NAACP Legal Defense Fund's Death Row, USA shows the total death row population continuing to decline in size. The U.S. death-row population decreased from 3,108 on April 1, 2013, to 3,095 on July 1, 2013. The new total represented a 12% decrease from 10 years earlier, when the death row population was 3,517. The states with the largest death rows were California (733), Florida (412), Texas (292), Pennsylvania (197), and Alabama (197). In the past 10 years, the size of Texas's death row has shrunk 36%; Pennsylvania's death row has declined 18%; on the other hand, California's death row has increased 17% in that time.
The report also contains racial breakdowns on death row. The states with the highest percentage of minorities on death row were Delaware (78%) and Texas (71%), among those states with at least 10 inmates. The total death row population was 43% white, 42% black, 13% Latino, and 2% other races.
Saturday, March 8, 2014
Notable talk of sentencing reform at CPAC conference
As highlighted in this Washinton Post article, headlined "Conservatives try to make criminal justice reform a signature issue," this year's Conservative Political Action Conference included a notable panel on criminal justice reform. Here are excerpts:
[Rick] Perry appeared alongside several other conservatives, including Grover Norquist, on a panel about criminal justice reform and how those reforms are being pushed by several Republican states.
While it was sandwiched between better-attended sessions, the discussion of Republican progress on reforming the criminal justice system was one of the few CPAC sessions that laid out a true pathway forward for a party that desperately wants to expand demographically....
[O]n issues of sentencing reform and prison recidivism, Republicans — especially several governors in Southern states — have been the leaders, earning praise from prison reform groups on both sides of the aisle for efforts to save money by implementing rehabilitation programs and curbing skyrocketing prison costs....
That’s why the criminal justice discussion at CPAC surpasses the practice-run stump speeches of 2016 hopefuls in importance if the GOP’s stated desire to re-brand is for real. “This is our chance to show we can provide solutions to affect significant problems,” said Norquist, president of Americans for Tax Reform.
The renewed focus on cost-saving reforms marks a dramatic, decade-long shift by Republican governors, many of whom previously won election by stumping on tough-on-crime platforms. But, as many of those governors have noted, one way to cut state costs is to decrease the number of people being locked up for nonviolent offenses and rid the law books of mandatory minimum sentences for such offenses.
In addition to Perry, prominent Republicans who once trumpeted tough-on-crime stances and now call for sentencing changes and rehabilitation programs for drug and other nonviolent offenders include former Florida governor Jeb Bush and former House speaker Newt Gingrich. Sen. Rand Paul (R-Ky.), a tea party hero, has made reform of mandatory minimum sentences a major focus in recent months. “We’re not a soft-on-crime state, you know what I’m saying? . . . We’re tough on crime,” Perry said. “But I hope we are also seen as a smart-on-crime state.”
While the room emptied out a little right before the panel — which followed a speech by former Arkansas governor Mike Huckabee — many CPAC attendees did stick around, which should be encouraging for center-right Republicans who have called for a more solutions-oriented message from the party. On Thursday, New Jersey Gov. Chris Christie declared that “our ideas are better than their ideas.”
This article from The Nation provides some additional information about the CPAC discussion of criminal justice reform, and it starts this way:
Pat Nolan strode to the podium and rattled off the facts: more than 2 million Americans are in prison, meaning one in every hundred adults is incarcerated. Fewer than half of those in prison are there for violent crimes; most are drug offenders; and state budgets are badly strained by maintaining this system. Then he read a quote: “Only a nation that’s rich and stupid would continue to pour billions into a system that leaves prisoners unreformed, victims ignored and communities still living in fear of crime.”
This wasn’t an ACLU convention nor an academic confab, however — it was the Conservative Political Action Conference, the infamous annual showcase of the far-right boundaries of the Republican Party. Just before this panel on criminal justice reform began, former governor and presidential candidate Mike Huckabee was onstage accusing President Obama of lying about Benghazi and pronouncing that “the IRS is a criminal enterprise.”
But the panel was far more substantive. Texas Governor Rick Perry spoke at length about unnecessarily punitive mandatory minimum sentencing guidelines, as well as the wisdom of drug courts that divert addicts out of the penal system and into treatment. During his time as governor, Perry has become one of the more aggressive prison reformers in the country. In 2011, the state actually closed a prison because it couldn’t be filled thanks in large part to the declining incarceration rate. (Before Perry, George W. Bush oversaw the construction of thirty-eight new prisons.) “You want to talk about real conservative governance? Shut prisons down. Save that money,” Perry said. “Stop the recidivism rates—lower them. That’s what can happen with these drug courts.”
Then there was former New York City Police Chief Bernie Kerik, who no doubt has a unique view on the criminal justice system: aside from being police chief and running Rikers Island, he also was incarcerated for three years on conspiracy and tax fraud charges. Kerik spoke passionately about the number of people he met in federal prison who who were there for nonviolent drug offenses—people who got ten years for drugs “the weight of a nickel.”
Some older and recent posts on the "new politics" of sentencing reform:
- Notable inside-the-Beltway discussion of modern sentencing politics
- Rand Paul begins forceful pitch in campaign against federal mandatory minimums
- Another notable GOP member of Congress advocating for federal sentencing reform
- Conservative group ALEC joins the growing calls for sentencing refom
- Will Tea Party players (and new MMs) be able to get the Smarter Sentencing Act through the House?
- Effective Heritage analysis of federal MMs and statutory reform proposals
- "Holder and Republicans Unite to Soften Sentencing Laws"
- "Right on Crime: The Conservative Case for Reform" officially launches
- "NAACP, right-wing foes get friendly" when it comes to prison costs
- "Conservatives latch onto prison reform"
March 8, 2014 in Elections and sentencing issues in political debates, Who Sentences? | Permalink | Comments (3) | TrackBack (0)
"The New Normal? Prosecutorial Charging in California after Public Safety Realignment"
The title of this post is the title of this massive new article reflecting massively important research by W. David Ball and Robert Weisberg about the ways in which new sentencing/corrections reform in California may be impacting prosecutorial practices. Here is the article's massive abstract:
California’s Public Safety Realignment Act (“Realignment” or “AB 109”) shifts the responsibility of supervising, tracking and imprisoning specified non-serious, non-violent, non-sexual (“triple-nons” or “N3 felonies” or “non-non-nons”) offenders previously bound for state prison to county jails and probation. The implementation of Realignment in California is the largest correctional experiment of its kind. The advent of Realignment has, of course, affected the decisionmaking of all the official actors in the criminal justice system. But the prosecutor’s role is unique in one clear sense: Prosecutors have, in formal legal terms, virtually unreviewable autonomy in the choice to charge or not charge (so long as any charge matches provable facts with statutory elements).
How does this power operate in the wake of AB 109? Our hypothesis was that many aspects of AB 109 were likely to affect prosecutors’ charging and sentence recommendation choices. The most salient aspects were the change in site and de facto length of incarceration, as well as the secondary effects of new county responsibilities for post-release supervision of many prison parolees. In particular, in exercising discretion, prosecutors might be influenced by their views on the differences in the severity of experience of incarceration in jail as opposed to prison, or by their concerns about jail crowding or the extra costs that county jails and other county agencies might have to absorb under AB 109.
We explored this hypothesis through three study components. First, we established a rough charging baseline through an empirical study. With obtained data from the Attorney General’s office, we examined arrest-to-charging ratios by year and by crime category before and after Realignment. We found very few and small differences, including insignificant differences across counties, and very few differences across crimes.
Second, we exhaustively analyzed the statutory elements of certain very common crimes that fall within AB 109, especially drug and property crimes, and we consulted in great depth with two distinguished California prosecutors, both involved in AB 109 training. Our aim was to find parts of the penal code that applied to similar fact patterns that, nevertheless, would result in significantly different sentencing outcomes. These parts of the code isolate various fault lines in AB 109, which both served as a foundation for the third part of our study and served as a significant roadmap to AB 109 itself.
Third, we surveyed District Attorneys themselves, using a factorial approach that isolates various statutory and extralegal factors. Our questions focused on whether the new sentencing structure might alter prosecutorial decisionmaking in terms of tilting borderline charges towards prison-eligible crimes or recommending especially long jail sentences. We again found no significant differences, although, for reasons we explain in the paper, these conclusions must be read as tentative.
In sum, most charging or recommendation preferences remain consistent with traditional severity factors and do not manifest major alterations in light of AB 109. However, there remains a great deal of uncertainty and variation in the responses we received. This phenomenon manifested itself particularly when prosecutors had to choose from the menu of straight, split, and probation sentences. Recommended terms for split sentences — those involving a combination of jail terms and community supervision — were all over the map, ranging from short terms of both jail and supervision, to short jail and a long tail, to long jail and a short tail. At the same time, jail sentences, obviously available before Realignment but now extended to formerly prison-eligible sentences, were also wildly divergent on the same facts, ranging from a year or less to 20 years or more. Our conjecture is that the new regime of Realignment, introduced alongside the existing sentencing regime, might invite wide variation in sentencing recommendations (with possible attendant unjustified disparities).
Notable federal capital case about to begin in the Aloha State
As reported in this AP article, a "Honolulu courtroom is set to become the scene of a death penalty trial even though Hawaii abolished capital punishment in 1957." Here is more about how and why:
Opening statements are scheduled for Tuesday in the trial of a former Hawaii-based Army soldier accused of beating his 5-year-old daughter to death in 2005. But because the crime allegedly took place on military property, Naeem Williams is being tried in federal court — a system that does have the death penalty.
It's rare for the government to seek the death penalty in a state that doesn't allow it. Only seven of 59 inmates currently on federal death row are from states that didn't have the death penalty at the time the sentence was imposed, according to the Death Penalty Information Center in Washington, D.C.
While the Williams case hasn't received much publicity, the death penalty circumstance gives it something in common with a more high profile case for federal prosecutors: the Boston Marathon bombing. "You have a population in Massachusetts and in the city where they're not used to having the death penalty," said Richard Dieter, the Death Penalty Information Center's executive director. "It just makes it a little harder to get these kinds of death sentences."...
Talia Emoni Williams died in July 2005 after she was brought to a hospital unresponsive, vomiting and covered in bruises. A criminal complaint by federal investigators accuses her then-25-year-old father of beating the child to discipline her for urinating on herself. Federal investigators wrote that military law enforcement agents found blood splatters in the walls of the family's home at Wheeler Army Airfield from Talia being whipped with Williams' belt.
Delilah Williams, Talia's stepmother, was also charged with murder but pleaded guilty in a deal with prosecutors. She's expected to be sentenced to 20 years in prison after she testifies against Williams at his trial, said her federal public defender, Alexander Silvert. The Army agreed the case should be prosecuted in the civilian justice system so that the father and stepmother could appear in the same court....
Talia's biological mother, Tarshia Williams, is expected to testify for the prosecution, her attorneys said. She filed a civil lawsuit against the government over Talia's death. It has been put on hold until after the criminal trial. The mother's lawsuit claims the military didn't report to the proper authorities that Talia's father and stepmother "abused and tortured" her throughout the seven months she lived in Hawaii before she died.
Alberto Gonzales, the U.S. attorney general during President George W. Bush's administration, made the decision to seek the death penalty against Naeem Williams. "Under Bush's administration, the philosophy was the federal death penalty should be spread out among all the states," Dieter said....
The last time the federal death penalty was approved for a Hawaii case was against Richard "China" Chong. But before he went to trial in 2000, he agreed to plead guilty to a 1997 drug-related murder and was sentenced to life in prison without the possibility of parole. He died of an apparent suicide about three months later.
Hawaii's history with capital punishment goes back long before statehood. There were 49 executions dating in Hawaii dating to 1856, with the last one recorded in 1944, according to the Death Penalty Information Center. The final execution of Ardiano Domingo — a Filipino who was hanged for killing a woman with scissors in a Kauai pineapple field — helped prompt Hawaii's territorial lawmakers to abolish the death penalty in the state, said Williamson Chang, a University of Hawaii law school professor who teaches a course on the history of law in Hawaii.
Chang said before the law changed, Hawaii disproportionally executed people of color, mostly Filipinos, Japanese and Native Hawaiians. Because of that history, Chang said he believes Hawaii jurors will struggle with the Williams case. "We're used to a society which does not put people to death," he said. "It's a slap in the face to the values of Hawaii."
Friday, March 7, 2014
"Criminal Records, Race and Redemption"
The title of this post is the title of this notable paper I just noticed via SSRN authored by Michael Pinard. Here is the abstract:
Poor individuals of color disproportionately carry the weight of a criminal record. They confront an array of legal and non-legal barriers, the most prominent of which are housing and employment. Federal, State and local governments are implementing measures aimed at easing the everlasting impact of a criminal record. However, these measures, while laudable, fail to address the disconnection between individuals who believe they have moved past their interactions with the criminal justice system and the ways in which decision makers continue to judge them in the years and decades following those interactions. These issues are particularly pronounced for poor individuals of color, who are uniquely stigmatized by their criminal records.
To address these issues, this article proposes a redemption-focused approach to criminal records. This approach recognizes that individuals ultimately move past their interactions with the criminal justice system and, therefore, they should no longer be saddled by their criminal records. Thus, the article calls for greatly expanding laws that allow individuals to remove their criminal records from public access and, in the end, allow them to reach redemption.
Florida Supreme Court hears arguments on Miller retroactivity and application
As effectively reported in this lengty local article, the Florida Supreme Court on Thursday heard arguments on whether a teenage murderer given mandatory LWOP over a decade ago can now secure a resentencing because of the US Supreme Court's Miller ruling. Here are the basics:
Rebecca Lee Falcon, now 32, represents a group of more than 200 Florida prisoners serving life without the possibility of parole for murders committed while they were under the age of 18.
The issue before the state's highest court is whether a 2012 U.S. Supreme Court ruling — which held that mandatory life without parole sentences for juveniles are unconstitutional — should apply since Falcon and the other prisoners' sentences were final before the nation's highest court ruled.
The immediate matter is whether the ruling in Miller vs. Alabama is retroactive. But it also represents a broader issue at play in the Florida courts and state Legislature as judges and lawmakers struggle with conforming the state's laws with a series of U.S. Supreme Court rulings that have determined juveniles need to be treated differently than adults in the justice system....
Karen Gottlieb, a lawyer representing Falcon, argued that the Miller ruling should be retroactive since it represented a change in Florida law of "fundamental significance," when the federal court held mandatory life sentences for juveniles were unconstitutionally cruel and unusual and should be uncommon. "Post-conviction relief must be afforded to avoid obvious injustice," Gottlieb said.
Gottlieb noted that unlike adult prisoners who face the death penalty and receive extensive sentencing reviews, where many factors are weighed, the 200 juveniles — with mandatory life sentences after 1994 — received no review. "We have every child sentenced to life without parole in these cases with no review of any factor about their youth and the attendant circumstances, their lack of judgment and impetuousness, their maturity, the prospect for rehabilitation and reform, the outside influences, peer influences," Gottlieb said. "None of that has been considered."
Trisha Meggs Pate, an appellate lawyer representing the state, argued against retroactivity, saying the federal ruling did not abolish life without parole sentences for juveniles convicted of murder but only rejected mandatory sentencing. "It is not a substantive change in law that forbids the state from imposing a new sentence," Pate said. "It's not a categorical ban against life without parole sentencing. She may go back to the trial court and face the exact same punishment."
Pate also raised the issue of the burden on the state courts if the more than 200 prisoners had to return to court for resentencing hearings. "You're going to have to have witnesses. We're going to have to have facts about the crime scene, how the crime occurred, what happened, medical examiners," Pate said. "And some of these cases are 20 years old. They have been final for a long time."...
[Certain] justices seemed troubled by the prospect of letting the Miller ruling apply to cases that were under appeal at the time of the ruling and for future cases but not being applied to the 200 older cases. "So we just turn our backs on the fact that there are 200, even if you say 500, young people who are sitting in jail forever, and we just turn (our) backs on that when the Supreme Court has said clearly that that is not an appropriate sentence if they have not had an opportunity to have their situation looked at individually?" Justice Peggy Quince asked.
The justices seemed to move past the issue of retroactivity and were asking questions of both sides on what procedures Florida should use in sentencing juveniles under the Miller rulings.... The issue has been complicated by the fact that the state abolished parole in 1994, although the system is still used for prisoners who were incarcerated before that time. And the Florida Legislature has been unable to pass a new law taking into account Miller and other court rulings that impact the sentencing of juveniles. Bills are now pending in the 2014 session on those issues.
As noted in this recent post, the Michigan Supreme Court also heard arguments yesterday on Miller retroactivity issues. This coincidence sets up an interesting natural experiment concerning which state supreme court has reach a ruling on this importand and challenging issue first.
Importantly, the Michigan Supreme Court has the benefit of not having to sort completely through how Miller resentencings can and should be done because the Michigan legislature has already enacted a Miller fix statute. In contrast, the failure to date of Florida's legislature to formally respond to Miller essentially forces the Florida Supreme Court to have to make even more hard decisions about how Miller can and should get implemented.
Senate Judiciary Committee approves Recidivism Reduction and Public Safety Act
Yesterday the US Senate Judiciary Committee voted overwhelmingly in favor of a bill known as the Recidivism Reduction and Public Safety Act. This press release from Families Against Mandatory Minimums, headlined "FAMM Hails Continued Bipartisan Support for Criminal Justice Reforms," provides this information about the bill contents and context:
The bipartisan bill, a compromise negotiated by Senators Sheldon Whitehouse (D-RI) and John Cornyn (R-TX), is anticipated to help alleviate overcrowding in federal prisons — now at 138 percent of their capacity — and may help reduce federal prison costs, which consume a full quarter of the Department of Justice’s budget and threaten funding for other law enforcement programs. Among other things, the legislation passed today:
requires the federal Bureau of Prisons to classify all federal prisoners as being at high, moderate, or low risk of reoffending;
permits many prisoners to earn time credits for completing recidivism-reducing programs or “productive activities” like maintaining a prison job; and
allows low and moderate risk prisoners who earn a certain number of time credits to be released from prison early to serve the remainders of their sentences on prerelease custody in a halfway house, on home confinement, or under community supervision.
This article from Main Justice, headlined "DOJ Spends Too Much on Prisons, Leahy Says," reports than 15 Senators voted in support of this bill and that the only GOP member to vote against the bill was Senator Jeff Sessions.
For a variety of reasons, I expect bills to reform severe sentencing laws like the Justice Safety Valve Act and the Smarter Sentencing Act will continue to get a lot more attention than this Recidivism Reduction and Public Safety Act. But, for a variety of reasons, I think this bill, which may have the broadest support among the most important political players in Congress, could end up being the most important and consequential for helping to transform the nature and future of the federal sentencing system.
Thursday, March 6, 2014
Fascinating split Ninth Circuit ruling on prisoner 1983 suits
Because I obsess much more over sentencing matters rather than corrections, I am not likely to muster all the time and energy needed to fully consume and assess what an en banc Ninth Circuit panel did today in the prisoner rights case of Peralta v. Dilliard, No. 09-55907 (9th Cir. March 6, 2014) (available here). But I know enough to know the ruling is fascinating for various reasons, as this unofficial court-staff summary highlights:
The en banc court affirmed the district court’s judgment following a jury verdict in favor of a prison dentist and affirmed the district court’s judgment as a matter of law in favor of prison administrators in a 42 U.S.C. § 1983 action alleging deliberate indifference to medical needs in connection with a prisoner’s dental care.
The court held that a prison official sued for money damages under § 1983 may raise a lack of available resources as a defense. The court held that the district court’s challenged jury instruction in this case properly advised the jury to consider the resources that the prison dentist had available when determining if he was deliberately indifferent. The court held that to the extent the court’s prior decisions in Jones v. Johnson, 781 F.2d 769 (9th Cir. 1986), and Snow v. McDaniel, 681 F.3d 978 (9th Cir. 2012), could be read to apply to monetary damages against an official who lacks authority over budgeting decisions, they were overruled.
The court held that the jury had sufficient evidence on which to base a finding that a lack of resources caused any delay in providing care. The court further held that the district court did not err by granting judgment as a matter of law in favor of Dr. Fitter, the prison’s Chief Medical Officer and Dr. Dillard, the Chief Dental Officer.
The court held that the district court’s prior decision refusing to grant Fitter and Dillard summary judgment did not, under law of the case, preclude the district court from reconsidering its pretrial ruling.
Dissenting in part and concurring in part, Judge Christen, joined by Judges Rawlinson, M. Smith, and Hurwitz and Judge Bybee as to parts I, II, and III, stated that the decision overturned more than thirty years of circuit precedent by holding that lack of resources is a defense to providing constitutionally inadequate care for prisoners. She joined the majority in affirming the dismissal of plaintiff’s claims against Dr. Fitter, but she disagreed with the majority’s conclusion that a directed verdict was appropriate on plaintiff’s claims against Dr. Dillard.
Dissenting in part and concurring in part, Judge Hurwitz, joined by Judges Rawlinson, M. Smith and Christen, and Judge Bybee as to parts I and II, stated that the majority effectively held that a state can first choose to underfund the medical treatment of its wards, and then excuse the Eighth Amendment violations caused by the underfunding. Judge Hurwitz stated that as to Dr. Fitter, the majority correctly held that he was entitled to qualified immunity as he had relied on his staff’s medical judgment.
I would be especially eager to know from people in the know if they think this case seems likely to end up before the Justices on the merits.
Florida conservatives now talking up nuanced positions on marijuana reform
As reported in this lengthy local article, headlined "Conservative committee opens door to medical marijuana for Florida," a notable swing/southern state now has a number of notable legislators talking in notable ways about marijuana reform. Here are excerpts:
One conservative Republican who has suffered from brain cancer talked about the deceit of the federal government in hiding the health benefits of marijuana for his cancer. Another legislator reluctantly met with a South Florida family, only to be persuaded to support legalizing the drug.
Then there was Rep. Charles Van Zant, the surly Republican from Palatka who is considered the most conservative in the House. He not only voted with his colleagues Wednesday to pass out the bill to legalize a strain of marijuana for medical purposes, he filed the amendment to raise the amount of psychoactive ingredients allowed by law — to make it more likely the drug will be effective.
The 11-1 vote by the House Subcommittee on Criminal Justice, was a historic moment for the conservatives in the GOP-dominated House. It was the first time in modern history that the Florida Legislature voted to approve any marijuana-related product. “That’s because people here in Tallahassee have realized that we can’t just have a bumper-sticker approach to marijuana where you’re either for it or against it,” said Rep. Matt Gaetz, R-Shalimar, the committee chairman and sponsor of the bill after the emotional hearing. “Not all marijuana is created equally.”
The committee embraced the proposal, HB 843, by Gaetz and Rep. Katie Edwards, D-Plantation, after hearing heart-wrenching testimony from families whose children suffer from chronic epilepsy. A similar bill is awaiting a hearing in the Senate, where Senate president Don Gaetz, a Niceville Republican and Matt’s father, has said he has heard the testimony from the families and he wants the bill to pass as a first step. “Here I am, a conservative Republican but I have to try to be humble about my dogma,” Senate President Don Gaetz told the Herald/Times....
For a committee known for its dense, often tedious scrutiny of legal text, the debate was remarkable. Rep. Dave Hood, a Republican trial lawyer from Daytona Beach who has been diagnosed with brain cancer, talked about how the federal government knew in 1975 of the health benefits of cannabis in stopping the growth of “brain cancer, of lung cancer, glaucoma and 17 diseases including Lou Gehrig’s disease” but continued to ban the substance. “Frankly, we need to be a state where guys like me, who are cancer victims, aren’t criminals in seeking treatment I’m entitled too,” Hood said.
Rep. Dane Eagle, R-Cape Coral, said he had his mind made up in opposition to the bill, then changed his mind after meeting the Hyman family of Weston. Their daughter, Rebecca, suffers from Dravet’s Syndrome. “We’ve got a plant here on God’s green earth that’s got a stigma to it — but it’s got a medical value,” Eagle said, “I don’t want to look into their eyes and say I’m sorry we can’t help you,” he said. “We need to put the politics aside today and help these families in need.”
The Florida Sheriff’s Association, which adamantly opposes a constitutional amendment to legalize marijuana for medical use in Florida, surprised many when it chose not to speak up. Its lobbyist simply announced the group was “in support.” The bi-partisan support for the bill was summed up by Rep. Dave Kerner, a Democrat and lawyer from Lake Worth. “We sit here, we put words on a piece of paper and they become law,” he said. “It’s very rare as a legislator that we have an opportunity with our words to save a life.”
The only opposing vote came from Rep. Gayle Harrell, R-Stuart, an advocate for the Florida Medical Association. Her husband is a doctor. She looked at the families in the audience and, as tears welled in her eyes, she told them: “I can’t imagine how desperate you must be and I want to solve this problem for you.” But, she said the bill had “serious problems.” It allowed for a drug to be dispensed without clinical trials and absent the kind of research that is needed to protect patients from harm. “I really think we need to address this using science,” Harrell said, suggesting legislators should launch a pilot program to study and test the effectiveness of the marijuana strain. “This bill takes a step in the right direction … but it’s not quite there.”
Cross-posted at Marijuana Law, Policy and Reform
"How to Lie with Rape Statistics: America's Hidden Rape Crisis"
The title of this post is the title of this intriguing new paper on SSRN authored by Corey Rayburn Yung. Here is the abstract:
During the last two decades, many police departments substantially undercounted reported rapes creating "paper" reductions in crime. Media investigations in Baltimore, New Orleans, Philadelphia, and St. Louis found that police eliminated rape complaints from official counts because of cultural hostility to rape complaints and to create the illusion of success in fighting violent crime. The undercounting cities used three difficult-to-detect methods to remove rape complaints from official records: designating a complaint as "unfounded" with little or no investigation; classifying an incident as a lesser offense; and, failing to create a written report that a victim made a rape complaint.
This study addresses how widespread the practice of undercounting rape is in police departments across the country. Because identifying fraudulent and incorrect data is essentially the task of distinguishing highly unusual data patterns, I apply a statistical outlier detection technique to determine which jurisdictions have substantial anomalies in their data. Using this novel method to determine if other municipalities likely failed to report the true number of rape complaints made, I find significant undercounting of rape incidents by police departments across the country. The results indicate that approximately 22% of the 210 studied police departments responsible for populations of at least 100,000 persons have substantial statistical irregularities in their rape data indicating considerable undercounting from 1995 to 2012. Notably, the number of undercounting jurisdictions has increased by over 61% during the eighteen years studied.
Correcting the data to remove police undercounting by imputing data from highly correlated murder rates, the study conservatively estimates that 796,213 to 1,145,309 complaints of forcible vaginal rapes of female victims nationwide disappeared from the official records from 1995 to 2012. Further, the corrected data reveal that the study period includes fifteen to eighteen of the highest rates of rape since tracking of the data began in 1930. Instead of experiencing the widely reported "great decline" in rape, America is in the midst of a hidden rape crisis. Further, the techniques that conceal rape complaints deprioritize those cases so that police conduct little or no investigation. Consequently, police leave serial rapists, who constitute the overwhelming majority of rapists, free to attack more victims. Based upon the findings of this study, governments at all levels must revitalize efforts to combat the cloaked rise in sexual violence and the federal government must exercise greater oversight of the crime reporting process to ensure accuracy of the data provided.
March 6, 2014 in National and State Crime Data, Procedure and Proof at Sentencing, Race, Class, and Gender, Sex Offender Sentencing, Victims' Rights At Sentencing, Who Sentences? | Permalink | Comments (5) | TrackBack (0)
Wednesday, March 5, 2014
Kentucky GOP representative sets out "conservative arguments in favor of repeal" of the death penalty
I just cam across this recent op-ed by David Floyd, a Republican member of Kentucky's General Assembly, explaining why he has introduced a bill to repeal his state's death penalty. Here are some excerpts from the op-ed:
My initial opposition formed through a spiritual lens, so in 2007 I joined others in cosponsoring legislation to repeal the death penalty. But I was the only conservative legislator in a group of liberals. Over these last few years, “liberal” and spiritual arguments have failed to persuade other legislators to take up these bills.
How, then, might we bring other conservatives with us, and at last vote to abolish our death penalty? This can be done by exploring together conservative arguments in favor of repeal.
• Conservatives value innocent life and should not support a state government program that can kill innocent people....
• Conservatives are mindful of the potential to abuse power that has been granted by the people, and should not trust the government with the power to execute a person who is safely behind bars....
• Conservatives are the first to call out government programs that fail to meet intended goals and cost exorbitant amounts of money....
• Conservatives want a government that will balance budgets, cut waste and eliminate programs that do not make fiscal sense.
Kentucky’s death penalty is a program that costs a lot while accomplishing little. We’ve spent well more than $100 million on the death penalty since 1976 — and executed three people. Having a death penalty is clearly wasting taxpayer dollars, while a penalty of life without the possibility of parole makes much better economic sense....
Capital punishment in Kentucky is a broken government program that risks killing the wrongly convicted, risks abuse of power, wastes resources, is arbitrary and unjust. We’ve tried to make the death penalty work, but we have been unable to fix its many problems and reconcile it with our conservative principles. We should repeal the death penalty and replace it with life without parole. It’s the only way to ensure that no innocent people are killed by the Commonwealth of Kentucky, and that those impacted by the process get finality much sooner.
Michigan enacts Miller fix for current and future cases, just as its Justices are to consider past cases
As reported in this local article, headlined "Gov. Rick Snyder signs 'juvenile lifer' update as old cases head to Michigan Supreme Court," the Great Lakes State is busy this week working through all the fall-out from the U.S. Supreme Court's Miller Eighth Amendment ruling. Here are some of the details:
Michigan Gov. Rick Snyder on Tuesday signed legislation updating state sentencing guidelines in the wake of a 2012 U.S. Supreme Court decision that outlawed mandatory life terms without the possibility of parole for minors....
Senate Bill 319, sponsored by state Sen. Rick Jones (R-Grand Ledge), changes Michigan law for all pending and future cases involving juvenile defendants convicted of first-degree murder, felony murder or certain repeat sexual assault offenses. Instead of handing down mandatory life sentences in those cases, judges can also consider a term of between 25 and 60 years. Prosecutors may still file a request for a natural life sentence, but judges now have new authority to consider other options....
Michigan is home to some 360 juvenile lifers -- more than all but one other state -- but the new law will not have an immediate impact on most inmates already behind bars. The U.S. Supreme Court, in banning mandatory life sentences for minors, did not indicate whether the ruling should apply retroactively. The new law contains a "trigger" for resentencing hearings in case of a future court ruling.
The Michigan Supreme Court is set to consider the "retroactivity" question on Thursday, when justices are scheduled to hear oral arguments in three juvenile lifer cases. Two of the offenders, Raymond Carp and Cortez Davis, have exhausted the traditional appeals process but are seeking resentencing.
The third, Dakotah Eliason, is entitled to resentencing because his case is still on appeal, but his attorneys disputed the limited relief offered by the Michigan Court of Appeals, which told a sentencing judge to consider only two options: life with or without the possibility of parole. Michigan's new law, which also allows for a term of years less than life, makes that particular issue moot. The Eliason case asks the Michigan Supreme Court to consider other issues as well, however, so it's unclear how oral arguments will proceed.
It may be just coincidence that the Michigan legislature got a Miller fix enacted into law just before the Michigan Supreme Court considers retroactive application of Miller to past cases. But I have to think the Michigan Supreme Court might feel (consciously or unconsciously) at least a bit more comfortable concluding that Miller applies retroactively now that the state has a new sentencing scheme for juve murderers on the books.
Michigan media has been covering the Miller application/litigation story quite effectively in the run up to the state's Supreme Court hearing, and here are the headline links to some of the coverage in the last few weeks:
March 5, 2014 in Assessing Miller and its aftermath, Offender Characteristics, Procedure and Proof at Sentencing, Scope of Imprisonment, Sentences Reconsidered, Who Sentences? | Permalink | Comments (6) | TrackBack (0)
Just what is Ohio doing so right with respect to reentry and recidivism? Can it be replicated nationwide?
The question in the title of this post is my reaction to this wonderful new AP news from my own state, which carries the headline "State reports record-low Ohio prisoner return rate." Here are the details:
Fewer Ohio prisoners than ever are going back to prison after they’ve been released, the state announced Wednesday, attributing the drop to community programs that work with newly released prisoners, and new prison units that prepare people for life outside bars. The Department of Rehabilitation and Correction says the current inmate return rate of 27.1 percent, down from 28.7 percent a year ago, is far below the national rate of 40 to 44 percent.
The rate affects not just the prison system’s bottom line but the bigger goal of reducing crime in Ohio, prisons director Gary Mohr said. “If our people being released from prison are committing less offenses, then we have less crime victims,” Mohr told The Associated Press. “I think that’s the most important piece.” Saving money on prison operations also means more state dollars can be spent earlier in people’s lives on things like education, he added.
Going forward, the expansion of Medicaid is expected to help connect incarcerated people to needed resources as they come home. The state projects that roughly 366,000 residents will be newly eligible for coverage by the end of June 2015 by increasing the state-federal health care program for poor children and families. Mohr says a lower return rate will also help the state reduce its prisoner population, currently about 50,500.
A 2011 sentencing law meant to lower the number hasn’t had the desired impact, leading to fears that the state may need to spend millions to build a new prison after 2017, while pushing judges to rethink sentences and placing a greater emphasis on rehabilitation. The current prison population hasn’t changed much since 2011, despite projections that it would drop to 47,000 by 2015 and continue to decline.... Ohio’s prisoner population could grow to 52,000 in two years and top 53,000 in six years, Mohr warned last year....
It’s not that the 2011 law is failing. Challenges, including a recent increase in violent crime and an uptick in cases filed by prosecutors, are holding back promises that the law would lower the prisoner population. Ohio Supreme Court Chief Justice Maureen O’Connor has said the courts are also part of the problem and called on judges to be more diligent about reducing the number of offenders behind bars.
The rate announced Wednesday is based on a three-year study of inmates released in 2010.
The report/study on which this article is based is available at this link under the simple title "DRC Recidivism Rates." I would be grateful for any and all help figuring out if there are other big important conclusions or lessons (good or bad) to be drawn from this report beyond the one discussed above.
March 5, 2014 in Prisons and prisoners, Procedure and Proof at Sentencing, Purposes of Punishment and Sentencing, Reentry and community supervision, Scope of Imprisonment, Who Sentences? | Permalink | Comments (3) | TrackBack (0)
Intriguing SCOTUS mens rea ruling in Rosemond applying 924(c) gun charge
The Supreme Court handed down one criminal justice ruling this morning in Rosemond v. US, No. 12–895 (S. Ct. March 5, 2014) (available here). Here is the intriguing composition of the Court in this 7-2 ruling:
KAGAN, J., delivered the opinion of the Court, in which ROBERTS, C. J., and KENNEDY, GINSBURG, BREYER, and SOTOMAYOR, JJ., joined, and in which SCALIA, J., joined in all but footnotes 7 and 8. ALITO, J., filed an opinion concurring in part and dissenting in part, in which THOMAS, J., joined.
Here is how Justice Kagan's opinion for the Court gets started:
A federal criminal statute, § 924(c) of Title 18, prohibits “us[ing] or carr[ying]” a firearm “during and in relation to any crime of violence or drug trafficking crime.” In this case, we consider what the Government must show when it accuses a defendant of aiding or abetting that offense. We hold that the Government makes its case by proving that the defendant actively participated in the underlying drug trafficking or violent crime with advance knowledge that a confederate would use or carry a gun during the crime’s commission. We also conclude that the jury instructions given below were erroneous because they failed to require that the defendant knew in advance that one of his cohorts would be armed.
Here is how Justice Alito's partial dissent gets going:
I largely agree with the analysis in the first 12 pages of the opinion of the Court, but I strongly disagree with the discussion that comes after that point. Specifically, I reject the Court’s conclusion that a conviction for aiding and abetting a violation of 18 U.S.C. § 924(c) demands proof that the alleged aider and abettor had what the Court terms “a realistic opportunity” to refrain from engaging in the conduct at issue. Ante, at 13. This rule represents an important and, as far as I am aware, unprecedented alteration of the law of aiding and abetting and of the law of intentionality generally.
Tuesday, March 4, 2014
Might Obamacare end up reducing prison populations "more than any reform in a generation"?
The question in the title of this post is drawn from the headline of this new Newsweek article that purports to explain "How Obamacare May Lower the Prison Population More Than Any Reform in a Generation." Here are a few highlights:
[The] the Patient Protection and Affordable Care Act (ACA) ... may be the biggest piece of prison reform the U.S. will see in this generation.
On the face of it, there’s no direct connection between the ACA and what experts refer to as the “justice-involved population.” There’s no mention of prisons or jails or even crime in the language of the law. However, in what proponents of the act are considering a happy public policy accident, the ACA may inadvertently change the makeup of the U.S. prison population by getting early help to those with mental health and drug abuse issues, ultimately reducing recidivism rates and saving states millions, if not billions, of dollars annually....
The last major study on mental health in prisons, conducted by the Bureau of Justice Statistics, found that 64 percent of inmates in state and federal prisons met the criteria for mental illness at the time of their booking or during the twelve months leading up to their arrest. For comparison, the rate of mental disorders among U.S. citizens stands at around 25 percent, according to the NIH. Sixty-nine percent of the country’s prison population was addicted to drugs or alcohol prior to incarceration....
Health and crime have become inextricable in the U.S. Health issues such as drug addiction and severe mental health disorders directly lead to illegal activities and eventual imprisonment. A high percentage of those incarcerated are guilty of crimes directly related to medical issues, such as illegal drug use or theft to support an addiction.
This population — the poor, homeless, addicted, and mentally ill — has never had any health safety net. With no jobs or income, they are highly unlikely to have private insurance, and Medicaid — the federally-funded health coverage option meant to protect the poorest Americans — is actually only available to a select group of individuals. Though it varies state by state, eligibility is always categorical, which means besides having a low income, Medicaid is only available to five types of people: pregnant women, children below a certain age, parents of Medicaid-eligible children, the disabled, and seniors.
Essentially, Medicaid left out poor, single, male adults without dependant children – the same demographic most likely to end up arrested and incarcerated. Starting in January 2014, however, the categories have been eliminated (at least in the states that have chosen to take the medicaid expansion — it is an optional aspect of the ACA). “That means that a lot of people who are going to jail for mental illness or substance abuse related crimes could potentially avoid jail,” says Marsha Regenstein, a professor of health policy at George Washington University.
Of course, these people are hard to reach, and eligibility doesn’t ensure coverage or healthier behavior. That’s why the bigger opportunity, according to many health and justice policy experts, is to reach and help this population at the points where they do become involved with the justice system....
[T]he right to health care only applies to the length of a person’s sentence.... [A] 2013 report in California, for example, found that 90 percent of prisoners had no health care upon release. Once released, prisoners are likely to discontinue their meds, delay seeing primary care doctors (out of concern for costs), and, as a result, end up in emergency rooms — where high treatment costs are passed on to everyone else via insurance premiums.
This is not just a public health issue; it’s a public safety concern. Lack of care for chronic conditions creates additional long-term problems, like being physically or mentally unfit for employment. In conjunction with a lack of appropriate care for their drug problems and an inability to effectively medicate their mental health disorders, the formerly incarcerated are likely to return to a life of crime.
Many hope and believe that change is on its way. The Justice Department estimates suggest that with the expansion of Medicaid, 5.4 million ex-offenders currently on parole or probation could get the health care they need. (It’s important to note that 25 states plus Washington, D.C. have implemented the Medicaid expansion as of 2014. However, many policy experts expect the remaining states to fall in line, citing the historical example of how CHIP was initially rejected by many states when it rolled out in 1997, but is now utilized in every state in the country.)
Even with coverage, those ex-offenders will still need to actually utilize those health, and the key will be making the connection at the time of release. The biggest challenge will be getting state justice systems and health systems — not exactly happy bedfellows in past years — to work together to create coordinated discharge planning between jails and community healthcare....
The cost savings associated with keeping former prisoners out of the ER and out of prisons will likely lead leadership at the highest levels — state governors, for example — to push for the types of collaboration that will keep ex-offenders healthy and out of trouble....
Ultimately, because there is no precise directive in the ACA, the choice on how to handle these issues will be made independently in every state, and in every county. In some cases, reform will be swift; in others, life may go on as though Obamacare never happened.