,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #fgfd  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,septemb] #aj1        
#bjah,ms4 ,ku/] ( ,new ,hamp%ire 7=     
h]self1 ,mr4 ,c>son ( ,indiana1 ,mr4    
,ryan ( ,ohio1 ,ms4 ,bass1 & ,mr4       
,cicill9e7 introduc$ ! foll[+ bill2 :i* 
0 ref]r$ to ! ,committee on ,en]gy &    
,comm]ce  ,a ,,bill  ,to am5d title     
,,xix ( ! ,social ,security ,act to     
provide a consi/5t /&>d ( heal? c>e to !
 inc>c]at$4  #a4 ,%ort title ,?is ,act  
may be cit$ z ! ,humane ,correctional   
,heal? ,c>e ,act4  #b4 ,f9d+s ,congress 
f9ds ! foll[+3  7#a7 ,accord+ to !      
,bureau ( ,ju/ice ,/ati/ics1 s9ce #aife1
 ! ,u4,s4 inmate population has gr[n by 
#fej p]c5t3 f approximately #bjj1jjj to 
#a4e million inmates4  7#b7 ,prison &   
jail heal? c>e is curr5tly !            
responsibility ( ! ,/ates1 c\nties1 &   
cities4 ,a /udy by ! ,pew ,*>itable     
,tru/ det]m9$ t heal? c>e sp5d+ 9 !     
prison sy/em has gr[n sub/antially ov] !
 pa/ sev]al decades1 driv5 l>gely by    

litigation1 & am\nt$ to #h4a billion 9  
#bjae4 ,prison heal? c>e sp5d+ v>ies    
dramatically f ,/ate to ,/ate1 b        
inconsi/5t approa*es to quality         
measurem5t & monitor+ make int]/ate     
comp>ison ( ! quality ( c>e n possible4 
7#c7 ,rese>* publi%$ by ! ,national     
,in/itutes ( ,heal? f\nd t jail & prison
 inmates h a high] occurr5ce ( mo/      
*ronic m$ical conditions ?an ! g5]al    
population4  7#d7 ,accord+ to !         
,univ]sity ( ,p5nsylvania ,public       
,policy ,c5t]1 ! quality ( prison heal? 
c>e is g5]ally kn[n to be poor1 has no  
/&>d ( c>e 7level at :i* ! av]age1      
prud5t provid] 9 a giv5 community w\ld  
practice71 & has be5 ! subject ( num]\s 
lawsuits4  7#e7 ,! ,bureau ( ,ju/ice    
,/ati/ics reports t #cg p]c5t ( prison]s
 h a m5tal heal? disord]1 yet only      
approximately a ?ird ( ^? receive       
treatm5t4  7#f7 ,! ,national ,c5t] =    
,addiction & ,sub/ance ,abuse at        
,columbia ,univ]sity e/imates #fe p]c5t 
( individuals 9 prisons or jails meet ! 

cl9ical crit]ia = sub/ance use disord]  
7,,sud71 yet ! use ( ,m$ical ,assi/$    
,treatm5t 7,,mat7 = ^? ) ,,sud is       
limit$4 ,!re is curr5tly no me*anism to 
pay = su/a9$ ,,mat 9 ! crim9al ju/ice   
sy/em4  7#g7 ,presid5t ,trump has       
endors$ ! goal ( mak+ addiction treatm5t
 available to ^? 9 prison4  7#h7 ,a /udy
 publi%$ 9 ! ,int]national ,j\rnal (    
,law & ,psy*iatry /ates t #fh p]c5t (   
untreat$ ,,sud & dual diagnosis 7,,sud &
 m5tal disord]7 (f5d]s return$ to prison
 ) an av]age annual co/ ( inc>c]ation ( 
#ca1igg4  7#i7 ,) a repeal ( ! ,m$icaid 
inmate exclusion1 ne>ly all inmates w\ld
 be eligible = ! ,m$icaid program 9     
,/ates t exp&$ ,m$icaid ?r\gh ! ,pati5t 
,protection & ,af=dable ,c>e ,act2 ?us1 
,m$icaid c\ld provide a su/a9$ me*anism 
to pay = ,,mat1 m5tal heal? treatm5t1 & 
g5]al heal? c>e = a l>ge portion ( !    
inc>c]at$ population4  #c4 ,repeal (    
,m$icaid inmate exclusion ,section      
#aije7;a7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acif;d7a77 is am5d$1 9 !

 matt] foll[+ p>agraph 7#bi71 by /rik+  
su* t]m does n include-- & all t foll[s 
?r\gh :o is a pati5t 9 an in/itution =  
m5tal diseases4 & ins]t+ su* t]m does n 
include any su* paym5ts ) respect to c>e
 or s]vices = any individual :o has n   
atta9$ #fe ye>s ( age & :o is a pati5t 9
 an in/itution = m5tal diseases44