Researchers have found that higher copays for health care obstruct access to receiving care behind bars, even as prison populations in Mississippi and nationwide face increasing rates of physical and mental health conditions.

One in 10 people with at least one chronic condition in state and federal prisons had not been seen by a clinician since they were incarcerated.

Wanda Bertram, communication strategist for the Prison Policy Initiative, said the copays are often less than $7 but they represent massive barriers to health care.

"If you want to be seen, you have to pay, typically anywhere from $2 to $5, or in the case of Mississippi prisons, $6,," Bertram outlined. "and if you can't pay that, either you can't see the doctor or that becomes a debt that you have to the prison."

The research found medical copays in prisons significantly impede health care access for more than 500,000 people with chronic conditions, from heart or kidney disease, to asthma and hepatitis C.

People in Mississippi prisons are not compensated for the jobs they may have while they are incarcerated, so Bertram pointed out it is up to their families to cover any medical costs. She added some states have dropped their copays for people behind bars. Her group thinks Mississippi should do the same.

"We have been advocating for years for states to abolish these copays," Bertram explained. "And some states are doing this, Nevada, I believe, abolished prison copays, either this year or last year. California has also abolished copays. To force people to pay to see a doctor, you know, causes people to not see doctors when they actually need help."

Bertram added the research revealed alarming gaps in mental health care access for incarcerated individuals. More than one-third of those with diagnosed chronic mental illnesses have not seen any mental health clinicians since entering prison.


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Indiana lawmakers are moving forward with plans to expand the state's Lifeline Law, which protects those seeking emergency help in alcohol-related crises.

A Senate committee unanimously approved a bill to extend immunity to individuals in distress due to excessive drinking, aiming to address hesitation among young people to call for help.

Rebecca Siner, student body vice president at Purdue University, said broader protections encourage people to seek assistance in dangerous situations without fearing legal repercussions.

"The Indiana Lifeline Law provides amnesty from arrest or prosecution to those seeking medical attention for underage drinking," Siner explained. "The parties protected under this law are the caller and those who assist the caller, staying on scene and remaining compliant. The person in need of medical attention is not protected to this day."

Critics, however, raised concerns expanding immunity might unintentionally encourage reckless behavior, such as excessive drinking, by reducing perceived consequences. Some also questioned whether the law's broader scope could create enforcement challenges or overwhelm emergency services with noncritical calls.

Jason Packard, student body president at Purdue, told lawmakers he supports the amendment to broaden protections. He said it will be imperative to educate the community about the changes to drive better outcomes.

"With this change, it gives them protection and it makes educating students on this topic much easier," Packard contended. "And it's a much more convincing message for them to remember when they're in that scary situation to take decisive action and call 911 to save a life."

The Lifeline Law was first enacted in 2012 and revised in 2014, giving immunity to minors reporting emergencies. If the latest amendment passes, it adds another layer of protection for Hoosiers while fueling debate over how best to balance safety and accountability.


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In Mississippi, where thousands of people are serving life sentences, the impact of long-term imprisonment falls disproportionately on Black communities. Their advocates are raising concerns about the state's sentencing practices. And they're urging legislative reforms to reduce what they call "extreme sentences" and to address racial inequities in the system.

Celeste Barry, program associate with The Sentencing Project, co-authored a new report on the effects of long-term imprisonment. She said in Mississippi, more than 2,300 people are serving life sentences - and nearly three-quarters have no opportunity for parole.

"We see in Mississippi some extreme racial disparities that are far greater than the national average. So, over 70% of the life sentence population is Black in Mississippi, and that's compared to the still troubling 45% nationally" she explained.

Groups like hers are pushing for reforms to address these disparities. Barry highlights Oklahoma as an example, where the state passed the Domestic Violence Survivors Justice Act, allowing incarcerated individuals to seek reduced sentences if they can prove that abuse played a role in their crime.

Barry believes similar reforms could offer significant relief in Mississippi, especially given the state's disproportionately high number of women serving life sentences without parole.

"And this has the power to bring relief to hundreds of survivors in the state, and could be particularly meaningful in a state like Mississippi, where they have the largest share of their female life-sentenced population serving life without parole," she continued.

In 2021, Mississippi lawmakers passed a bipartisan bill to reduce the prison population by expanding parole opportunities for nonviolent offenders, but Gov. Tate Reeves vetoed it, citing public safety concerns.

Services for North Carolinians affected by the justice system is going mobile.

The Recidivism Reduction Educational Program Services mobile resource center is hitting the road today to provide reentry support across the state. It is the first effort of its kind.

Kerwin Pittman, founder and executive director of the organization, said the center will meet North Carolinians where they are, literally.

"What we wanted to do was bring a plethora of resources into these communities," Pittman explained. "Particularly communities that are highly impacted by recidivism and incarceration, and bring a wealth of resources to them to hopefully curb the recidivism rate."

The center had its unveiling and ribbon cutting on Tuesday and is starting in the Raleigh-Durham area today. Pittman pointed out it is the first of four units he hopes to have running by the end of the year. They will be located in different parts of the state and rotate throughout their region each week.

Pittman emphasized the units will be able to provide a long list of services.

"Some of those services range from social-benefit assistance to employment assistance to education and skill development to offering support and mental health services, substance misuse treatment and services, housing assistance, legal support, family and community support, digital literacy," Pittman outlined.

He added they will also provide inclement weather supplies, hygiene kits and local reentry resources through the organization's call center.

Places like NC Works Career Centers and other state services are able to provide local resources. But Pittman noted the services can be hard to access without a car, which can deter people.

"It's hard to walk in the cold to NC Works Center to sit in there and have to go through no telling what the intake process is, just to get whatever benefit that you may be trying to apply for or a resume or try to find a job," Pittman observed.