THE FEDERAL BUREAU OF PRISONS HAS SOME JUDGES BELIEVING THAT THEY ARE EQUIPPED TO PROVIDE THE CARE THAT YOU NEED.

1. THANKFULLY THERE ARE JUDGES LIKE FEDERAL JUDGE JESSE M. FURMAN WHO KNEW THIS NOT TO BE TRUE, AND IN A RECENT CASE, QUOTED THIS TEXT, See, e.g., Sent’g Tr. at 19-21, United States v. Days, No. 19-CR-619 (CM) (S.D.N.Y. Apr. 29, 2021),  ECF No. 35

Another example of the importance of a 1) Comprehensive Presentence Report, and 2) Understanding the Administrative Remedy Process, and 3)How loved ones can assist your efforts from home.




 

Pregnant Prison Programs for Women

MINT Programs




Corrections Agencies Responses to Opioid Abuse in Facilities (CIC, 2017)


NEW Reentry Act legislation is introduced that expands access to health care, including mental health services and substance use disorder treatment, for Medicaid-eligible individuals 30 days before their release from jail or prison.

Senators Tammy Baldwin (D-WI) and Mike Braun (R-IN), 3/30/2023




  • ON-FORMULARY: WHEN VERIFIED IN THE PSR, THE ODDS ARE BETTER YOU WILL GET THEM
  • NON-FORMULARY: NOT IN PSR – NOT AVAILABLE,
  • NON-FORMULARY: DOCUMENTED IN PSR, STILL NOT AVAILABLE, BUT THE ODDS ARE BETTER THROUGH THE ADMINISTRATIVE REMEDY
  • NOT AVAILABLE, SIMILAR TO NON-FORMULARY: MAKE A PLAN THAT INCLUDES YOUR PHYSICIAN, ATTORNEY, AND SOMEONE WITH BOP KNOWLEDGE.

Inmate Copayment Program P6031.02

Published in the Bureau of Justice Statistics,’ The findings are clear: medical copays in prisons are associated with worse access to healthcare behind bars.


Medical Health CARE LEVEL I

  • Inmates are generally healthy but may have limited medical needs that can be easily managed by clinician evaluations every six months.
  • Inmates are less than 70 years of age.
  • Examples: mild asthma or diet-controlled diabetes not requiring medications.
  • Community Hospital Medical centers may be located over one hour away.

Medical Health CARE LEVEL II (the majority of BOP facilities)

  • Inmates are stable outpatients who require at least quarterly clinician evaluations.
  • It can be managed in chronic care clinics, including mental health issues.
  • Examples: medication-controlled diabetes, epilepsy, and emphysema.
  • Hospital Medical centers may be located within one hour of the facility.

Medical Health CARE LEVEL III

  • Inmates are fragile outpatients who require frequent clinical contact to prevent hospitalization.
  • They may require some assistance with activities of daily living (BOP Program Statement 5200.05, page 2) but do not need daily nursing care.
  • Examples: cancer in remission of less than one year, advanced HIV disease, severe mental illness in remission on medication, severe congestive heart failure, and end-stage liver disease.
  • The designation is done by BOP’s Office of Medical Determinations and Transportation (OMDT).

Medical Health CARE LEVEL IV

  • Functioning is severely impaired.
  • Cannot perform Activities of Daily Living (ADL), such as caring for oneself, performing manual tasks, eating, sleeping, walking, standing, sitting, reaching, lifting, bending, speaking, breathing, learning, reading, concentrating, thinking, communicating, bathing, and cleaning oneself.
  • Requires 24-hour skilled nursing care or nursing assistance.
  • Examples: cancer on active treatment, dialysis, quadriplegia, stroke or head injury patients, major surgical patients, acute psychiatric illness requiring inpatient treatment, and high-risk pregnancy.
  • BOP’s OMDT does the designation.
  • Federal Medical Centers.
    • FMC Butner (North Carolina), the BOP’s cancer center, provides inpatient medical/surgery, mental healthcare, and sex offender treatment programs, as well as housing at all security levels.
    • FMC Carswell (Texas) is the only facility just for women.
    • FMC Devens (Massachusetts) provides dialysis, one of several facilities that provide a residential sex offender program, along with inpatient mental healthcare.
    • FMC Forth Worth (Texas)
    • FMC Lexington (Kentucky) houses lower security.
    • FMC Rochester (Minnesota); contracted with the Mayo Clinic, providing all levels of complex medical care and inpatient mental healthcare.
    • FMC, Springfield (Missouri); higher security, dialysis, and inpatient mental healthcare.

  • Available- On Formulary (Which are they?)
  • Non-Formulary; Requires a lengthy Preauthorization Process. Which are they? How do you ensure their availability for your client upon their admission starting on day 1?
  • Just not available; what similar (equivalent) substitutions will be used? Now, what do or can you do if this impacts Continuity of Care and is not within the Standard of Care within the Medical Community?

BOP COVID-19 Modified Operational Level Indicators [9/2024, Not in operation]
Level 1 Minimal, No isolation required.
Level 2 {Yellow}, Medical isolation rate 2% to < 7%, or Facility vaccination rate 50% to < 65% or    the Community transmission rate is 50-99 per 100,000 over the last seven days
Level 3, Medical isolation rate ≥ 7%, Facility vaccination rate < 50%, or Community transmission rate ≥ 100 per 100,000 over the last seven days.