Agenda 10-03-23; 8-j - Resolution Supporting Medicaid Availability Prior to Re-Entry for Incarcerated Individuals

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2 Additionally, the NC Department of Health and Human Services is currently seeking federal authority through the Medicaid Reform Section 1115 Demonstration Renewal Request to provide targeted pre-release Medicaid services to incarcerated individuals within 90 days of their release. The proposed federal legislation and the policy change request would dramatically improve healthier outcomes for the formerly-incarcerated by reducing disparities and improving care coordination and harm reduction strategies prior to and immediately upon re-entry. Orange County has a long, demonstrated commitment to reducing barriers to re-entry and supporting individuals returning to the community. Support for the legislation and policy change is aligned with the County's health and racial equity goals, as well as its social justice goals. FINANCIAL IMPACT: There is no financial impact associated with consideration of the resolution. SOCIAL JUSTICE IMPACT: The following Orange County Social Justice Goals are applicable to this item: • GOAL: FOSTER A COMMUNITY CULTURE THAT REJECTS OPPRESSION AND INEQUITY The fair treatment and meaningful involvement of all people regardless of race or color; religious or philosophical beliefs; sex, gender or sexual orientation; national origin or ethnic background; age; military service; disability; and familial, residential or economic status. • GOAL: ENSURE ECONOMIC SELF-SUFFICIENCY The creation and preservation of infrastructure, policies, programs and funding necessary for residents to provide shelter, food, clothing and medical care for themselves and their dependents. • GOAL: CREATE A SAFE COMMUNITY The reduction of risks from vehicle/traffic accidents, childhood and senior injuries, gang activity, substance use and domestic violence. ENVIRONMENTAL IMPACT: There are no Orange County Environmental Responsibility Goal impacts associated with this item at this time. RECOMMENDATION(S): The Manager recommends that the Board approve and authorize the Chair to sign the attached resolution. If adopted, the Manager further recommends that the Board direct the Clerk to the Board to send a copy of the resolution to: • US Representative Valerie P. Foushee; • US Senator Thom Tillis; • US Senator Ted Budd; • the members of Orange County's legislative delegation — Senator Graig Meyer, Representative Allen Buansi and Representative Renee Price; • North Carolina Department of Health and Human Services Secretary Kody H. Kinsley; and • The Towns of Hillsborough, Carrboro and Chapel Hill.