Even though the ACA helped provide coverage for ex-prison inmates, gaps still remain, according to a study in the Journal of Internal General Medicine. “Given the high prevalence of mental illness and substance use disorders among justice-involved populations, persistently elevated rates of uninsurance and other barriers to care remain a significant public health concern,” the study states. “Sustained outreach is required to reduce health insurance disparities between individuals with and without justice involvement.”
Many inmates are eligible for Medicaid in states that opted to expand it under the ACA, but they are doing a spotty job. In addition, 19 states have not expanded Medicaid.