CHICAGO – It's been more than a month since legislation that would eliminate co-pays for doctor visits to prison inmates went to Gov. Bruce Rauner's desk for approval. Prison-reform advocates are calling for the governor to sign House Bill 5104 to get rid of the $5 fee inmates have to pay to get treatment.

Jennifer Vollen-Katz is executive director of the John Howard Association of Illinois, which independently monitors corrections facilities. She says many people who are incarcerated don't have the funds to pay for care.

"Many of the incarcerated people in Illinois are people that come from poverty, that do not have the means to see a doctor, to pay that $5," says Vollen-Katz.

People who work while they're serving prison sentences earn wages much lower than those on the outside, often less than a dollar a day. The Illinois Department of Corrections, which supports the charge, says its elimination would hurt those it aims to help by reducing the budget by $59 million over 10 years.

Inmates also must pay for essential items such as bars of soap and toilet paper, while sometimes only making nine cents per hour. Those in favor of the co-pay say it requires people in prison to share in their cost of care, for which the government pays thousands of dollars, and cuts down on unnecessary doctor visits.

But Vollen-Katz says the issue also impacts the general public, when those who can't afford preventive care leave the prison system.

"Ninety-eight percent of the people inside of our prisons are going to return to their communities. And living in environments where hygiene is difficult, where germs are spread easily, you create situations where health can be compromised."

According to the Prison Policy Initiative's 2017 study, the national average for states that charge a co-pay is $3.47, with Nevada leading the nation at $8 per visit.


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Cities and states are struggling with mounting homelessness, and West Virginia is no exception.

A recent report points to potential solutions and immediate actions local governments can take to reduce the number of people on the streets.

A different report, released this year by the state's Department of Human Services, found homelessness is up by 24% compared to 2021.

Providing jobs such as trash cleanup for homeless individuals, and managing public spaces, are effective - said Lisel Petis, senior fellow at the R Street Institute.

She said in several states local organizations are working with businesses to create safe designated places for people living in cars to go at night.

"One that I've spoken with where they have seen success in working with businesses and using parking lots and giving people some privacy," said Petis, "so that they can transition from their car back into houses."

According to the state report, nearly 60% of individuals experiencing homelessness were male, and nearly half were between the ages of 25 and 44.

Thirteen percent identified themselves as Black or African American.

Petis added that while encampment sweeps reduce the spread of disease and reduce pollution, they can also displace people without offering viable alternatives and destroy personal belongings and important documents - increasing barriers to long-term stability for unhoused people.

She said she believes the surge of anti-camping laws popping up across the nation is a knee-jerk reaction to a complex and long-simmering problem.

"Homelessness across the nation has been growing year over year since about 2016," said Petis, "so we know that just by kind of slapping a band aid on isn't going to stop this growing issue."

According to a 2019 report from the National Homelessness Law Center, 72% of the 187 cities surveyed had at least one law enforcing public camping bans, a 92% increase from 2006.




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New federal data show aggravated assaults are up in Kentucky by 7.2%, but other types of violent crime have gone down.

Overall, violent crime in Kentucky remains much lower compared to the nation as a whole, said Ashley Spalding, research director at the Kentucky Center for Economic Policy.

"When you compare 2023 to that 2021 peak for violent crime," she said, "we see it's come down significantly since then."

A 2022 Bureau of Justice Statistics survey found younger people and people with lower incomes are far more likely to report being the victim of a violent crime than are higher-income people.

Spalding said laws such as House Bill 5, which lawmakers passed earlier this year, will drive up the number of people in the state's prisons and jails without addressing the root cause of crime.

"High rates of incarceration in communities are associated with higher rates of overdose deaths," she said. "The more that states make harsher criminal penalties for opioids like fentanyl, can put communities more at risk."

She said the policies in the bill are expected to cost the state an estimated $1 billion over the next decade. That money, she contended, could go toward health care, shelters and other resources that help communities.

"It would be the wrong direction for Kentucky to pass more harmful, harsh, regressive criminal legal system policies in 2025," she said.

According to the Pew Research Center, at least 60% of U.S. adults have said they believe there is more crime nationally than there was the year before, despite an ongoing downward trend in crime rates.

Hundreds of people from across Michigan gathered in Lansing this week, urging House Speaker Joe Tate, D-Detroit and Senate Majority Leader Winnie Brinks, D-Grand Rapids, to advance the Second Look Sentencing Act to improve prison safety. The legislation allows people serving long sentences to have their cases reviewed for possible sentence reductions based on factors such as rehabilitation. The crowd included formerly incarcerated people who've turned their lives around and their families, victims of crime, prison staff and lawmakers.

Chuck Warpehoski, projects director with Michigan Collaborative to End Mass Incarceration, warned there is a prison staffing crisis in Michigan.

"We're seeing it in nursing, we're seeing it in child care, we're seeing it on the shop floor, we're seeing it with baristas. When it happens in a prison and people are forced to work mandatory double shifts, they're tired, they're not seeing their family -- it creates unsafe conditions for everyone," he said.

Warpehoski added they're urging lawmakers to pass the Second Look Act during this lame-duck session before they go home for the holidays.

He also pointed out the high costs of incarcerating people -- up to $48,000 per year, per person. He added that with the failed pay incentives to attract more staff, he believes it's clear a different solution is needed. Warpehoski shared some of the feedback they received.

"A lot of legislators and their staff said, hey, this makes sense -- and so it was a really, really positive response from not every office, but from a large number of offices we had meetings with," he continued.

Warpehoski stressed that Second Look legislation focuses on fairness by offering the possibility of release for individuals who have rehabilitated and are no longer a threat to society.