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State prison healthcare still needs independent oversight, report says
By latimesblogs.latimes.com
Published: 04/19/2012

California should allow independent oversight of inmate healthcare when the prison medical system is released from federal control, according to a report released Thursday by the Legislative Analyst's Office.

Without some form of monitoring, improvements could evaporate and the state could draw renewed scrutiny from federal courts, the report said.

The report also raised concerns about high spending on inmate health, citing a 2010 national survey showing California spent $16,000 per inmate for medical, mental and dental care -- at least three times the national average. Spending on medical care increased to a peak of nearly $2.3 billion in the 2008-09 fiscal year, but has declined to an estimated $1.8 billion in the upcoming fiscal year.

Prison medical care was placed under the control of a federal receiver in 2006 after a judge said poor healthcare was violating inmates' constitutional rights. Earlier this year, the judge said enough improvements have been made to begin exploring ways to return control back to the California Department of Corrections and Rehabilitation.

The legislative analyst said any transfer of control should be accompanied by independent monitoring.

"Given CDCR's poor track record in providing medical care to inmates, it would be unwise to return control of the inmate medical program to the department without first establishing independent oversight and evaluation," the report said. "Failure to establish effective oversight mechanisms could result in a failure of the state to recognize if the department begins to backslide on recent improvements in the quality of inmate medical care."

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