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Committed to improving the health and safety of people and communities.

Access to health care is vital for successful second chances, yet many people returning to communities after incarceration do not get care when they need it. The Health and Reentry Project (HARP) builds safer, healthier communities by improving access to health care for people who are leaving incarceration. HARP advances this mission by providing policy analysis, helping governments implement policies, and convening diverse stakeholders and decision makers, including people who are directly impacted by the justice system, to drive collective progress. 

Featured Publications

This 2-page fact sheet provides an overview of groundbreaking new reentry policies that are taking place nationally through statutory changes made by Congress and in individual states through Medicaid 1115 demonstration waivers.

A deeper dive, highlighting seven key elements facilities need to consider to be ready to implement the new policies.

In January 2023, California became the first state in the nation to receive approval from CMS for a Medicaid Section 1115 demonstration request to amend Medicaid’s inmate exclusion. This paper highlights California’s implementation approach, focusing on the county-level impacts on jails, health care providers, and reentry processes. It also explores several implementation challenges and the steps the state and the counties have taken thus far to implement this change.

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Browse HARP's Resources

The HARP Team has developed and contributed to the following materials providing background on Medicaid, reentry, and related issues. Check back frequently for new briefs, reports, blogs, and other information from HARP.

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Over half of all states are advancing health and safety by developing innovations to improve access to health care. Click on the map to learn about how states are using Medicaid demonstration waivers to strengthen health care at reentry and find out what your state is doing.

Enhancing public safety. Improving lives.

Your support helps HARP build stronger access to health care and more successful second chances.