加州首次为刑满释放人员提供加州医疗保险服务​​ 

萨克拉门托- 加利福尼亚州卫生保健服务部（DHCS）宣布，加利福尼亚州的三个县--尼奥县、圣克拉拉县和尤巴县--自 10 月 1 日起获准开始向刑满释放后重返社区的人员提供一套有针对性的加州医疗保险服务，这是加州为实现健康公平而迈出的重要一步。加利福尼亚州所有县都必须在 10 月之前实施这一举措1 ，2026 。​​ 

The Justice-Involved Reentry Initiative provides crucial medical and behavioral health services for Medi-Cal eligible adults and youth in state prisons, county jails, and youth correctional facilities in the 90 days before their release. This initiative will help stabilize chronic and significant clinical health conditions, including mental illness and substance use disorders, and will facilitate a coordinated reentry to support smoother transitions and improve public health and safety. Further, the Justice-Involved Reentry Initiative will close equity gaps and improve health outcomes for people who are or have been incarcerated. Equity is a key driver of the initiative as Black, Indigenous, and People of Color (BIPOC) individuals are over-represented in California prisons and jails.​​ 

"DHCS 主任米歇尔-巴斯（Michelle Baass）说："这些变革性服务将对重返社区的人们产生持久影响，确保他们获得所需的护理。"通过提供重要的医疗保健服务，这一举措可以帮助人们在人生的关键时刻保持健康，并减少今后看急诊或住院的可能性"。​​ 

加州是全国第一个获得联邦批准并实施这一历史性举措的州。在加利福尼亚州获得批准之前，各州不得在州立监狱、县监狱和青少年管教所使用联邦医疗补助资金为准备重返社区的个人提供支持。根据最近的州立法，加利福尼亚州所有县都必须在 10 月之前实施这一举措，1 ，2026 ，并将在每个季度分阶段实施。​​ 

ABOUT THE PROGRAM: Pre-release services will focus on comprehensive care management and include physical and behavioral health consultations, lab and radiology services, medications and services for mental health and substance use disorders, community health worker services, and medications and durable medical equipment provided to the individual at the time of release.​​ 

The Justice-Involved Reentry Initiative is focused on ensuring Medi-Cal members have continuity of coverage and are supported to access key services to help them successfully return to their communities. Medi-Cal members who receive pre-release services in prison, jail, or a youth correctional facility will receive a comprehensive care transition plan to coordinate the medical, behavioral, and social services that will support them in the critical days and weeks following release.​​ 

此外，所有参与计划的成员在获释后都有资格接受其 Medi-Cal 管理性护理计划提供的强化护理管理(ECM)。有针对性的释放前服务以及释放后的持续服务和护理协调将共同改善 Medi-Cal 会员在这一重要过渡期间的健康状况，并进一步推进加州的健康公平目标。​​ 

"州医疗补助计划主任 Tyler Sadwith 说："这项计划是州政府为所有加州人制定以人为本、注重公平的护理新标准计划的重要组成部分。"这不仅关乎医疗保健，还关乎为人们提供所需的支持，帮助他们成功重返社会，重建有尊严的生活，并真正迈向稳定的未来"。​​ 

重要意义：每年有超过 350,000 名成年人和青少年进入或从加州监狱和看守所释放，其中至少有 80% 符合加州医疗保险的条件。曾被监禁的人员大多是有色人种，他们有大量的医疗保健需求，但在获释后往往得不到护理和药物。与从未被监禁过的人相比，曾被监禁过的人尤其面临健康状况不佳的风险，他们的身体和行为健康诊断率高得不成比例，因暴力、用药过量和自杀而受伤和死亡的风险也更高。​​ 

Individuals who are incarcerated with a behavioral health disorder are more likely than those without a disorder to have been homeless in the year prior to their incarceration, less likely to have been employed prior to their arrest, and more likely to report a history of physical or sexual abuse. From 2009 to 2019, the proportion of incarcerated people in California jails with an active mental health case rose 63 percent; in 2019, 15,500 out of 80,000 individuals in jail custody had an active mental health case.​​ 

Improving adverse health outcomes for previously incarcerated people is also a vital health equity issue. People from racial and ethnic minority groups are disproportionately incarcerated, often for mental health- and substance use disorder-related offenses. For example, 29 percent of the state’s male prison population is Black, despite only making up 6 percent of the state’s male population.​​ 

"DHCS 战略合作办公室副主任 Autumn Boylan 说："加州医疗保险将首次承担这些服务的费用，在个人获释前的关键时期为他们提供身体和行为健康服务。"有了加州医疗卡，他们就可以重新回到加州社区，少了一份后顾之忧，可以专注于保障住房、寻找工作和重建人际关系"。​​ 

"尤巴县监狱和三县拘留中心的卫生官员兼重新融入司法生活负责人 Phuong Luu 博士说："我们非常高兴能够扩大为从监狱返回社区的个人提供的服务和资格。"通过为精神和身体健康提供全面、协调的保障，我们不仅仅是在解决当下的需求，也是在为长期的福祉和社区稳定进行投资"。​​ 

支持获得释放前服务：所有符合释放前服务资格的 Medi-Cal 会员都将获得 ECM 护理经理提供的重返社会支持，无论是在个人仍被拘留期间，还是在个人从监狱、牢房或青少年管教所释放后的 12 个月内。ECM 护理经理将提供以人为本的全方位护理管理服务，确保个人能够及时获得所有必要的医疗和行为健康服务，并与个人建立信任，了解个人的健康需求，协调重要的支持服务，制定社区过渡计划。​​ 

###​​