County News

Sheriffs’ association teams with NACo on Medicaid inmate exclusion policy

Jonathan Thompson, CEO and executive director, National Sheriff's Association, speaks during the general session at the Legislative Conference on Monday March 4. Photo by Denny Henry.

Error message

In order to filter by the "in queue" property, you need to add the Entityqueue: Queue relationship.
A NACo, National Sheriffs Association Task Force will tackle Medicaid exclusion.

NACo is teaming up with the National Sheriffs’ Association (NSA) to try to put a stop to a practice that leads to more problems — people who lose their Medicaid benefits when they’re locked up in jail, NACo President Greg Cox announced Monday.

Cox said that NACo is teaming up with the National Sheriffs’ Association to form a task force to tackle the problem.

Medicaid benefits are stripped from people “on admission to jail, not upon conviction, terminating federal benefits from those who are presumed innocent — it is a violation of their constitutional rights,” said Cox, a San Diego County supervisor, at Monday’s General Session at the NACo Legislative Conference. He introduced NSA Executive Director Jonathan Thompson to the crowd.

“We have a crisis before us,” Thompson told the audience. “Every day in this country, more than 300,000 individuals are in our jails for one reason — because they are mentally ill.”

“To me, the father of two children who have mental illnesses, we can’t do this alone,” he said. “We cannot arrest our way out of an opioid crisis, and we can’t arrest our way out of the mental illness crisis facing this country.”

Thompson said asking sheriffs, county officials and other local government officials and employees to “carry this burden” is “unconscionable.”

“This is our humanitarian obligation — we must treat these people with dignity,” he noted. “[We] must stop putting them in jails and put them where they belong,” he said to applause.

Thompson urged the audience to talk to members of Congress on Tuesday when they visit Capitol Hill. “Share those personal stories,” he said. “Tell them about the 17-year old who woke up one day with schizophrenia and couldn’t control his rage. Tell them about the 35-year old with PTSD who did nothing more than decide it was so hot out, he had to take his clothes off to stay cool.”

“We cannot do this anymore,” he said. “The most civilized nation in the world is locking people up … because they’re mentally ill or addicted to a drug.”

“Ladies and gentlemen together we can fix this crisis,” Thompson said.

The task force, made up of NACo and NSA members representing county leaders, law enforcement, judges, prosecutors, public defenders, behavioral health and veterans’ services, will explore the impacts of the national mental and behavioral health crisis and the Medicaid Inmate Exclusion Policy, which strips federal health and veterans’ benefits from individuals upon admission to jail – not upon conviction to conviction – leading to increased recidivism.

Members of the task force are:

Co-Chair: Nancy Sharpe, commissioner, Arapahoe County, Colo.

Co-Chair:Greg Champagne, sheriff, St. Charles Parish, La.

Delrice Adams, executive director, Cook County, Ill. Justice Advisory Council

Hon. Michael Adkinson, sheriff, Walton County, Fla.

Hon. Kathryn Barger, supervisor, Los Angeles County, Calif.

Hon. Roy Charles Brooks, commissioner, Tarrant County, Texas

Hon. Brett Clark, sheriff, Hendricks County, Ind.

Hon. Jerry Clayton, sheriff, Washtenaw County, Mich.

Hon. Thomas Dart, sheriff, Cook County, Ill.

Hon. Jerry Demings, mayor, Orange County, Fla.

Hon. John Flynn, district attorney, Erie County, N.Y.; Board of Directors member, National District Attorneys Association

Hon. Daron Hall, sheriff, Davidson County, Tenn.

Hon. Michael Heldman, sheriff, Hancock County, Ohio

Hon. David Hudson, judge, Sebastian County, Ark.

Hon. Clay Jenkins ,judge, Dallas County, Texas

Hon. Peter J. Koutoujian, sheriff, Middlesex County, Mass.

Hon. Steven Leifman, associate administrative judge, Eleventh Judicial Circuit of Florida, Miami-Dade County, Fla.

Nick Macchione, director, Health and Human Services Agency, San Diego County, Calif.

Hon. John McMahon, sheriff, San Bernardino County, Calif.

Hon. Gabriel Morgan Sr,. sheriff, Newport News, Va.

Hon. Christopher Moss, county executive, Chemung County, N.Y.

Hon. Eric Severson, sheriff, Waukesha County, Wisc.

Hon. Helen Stone, commissioner, Chatham County, Ga.

Hon. Tim Svenson, sheriff, Yamhill County, Ore.

Hon. Janet Thompson, commissioner, Boone County, Mo.

Hon. Errol Toulon, Jr., sheriff, Suffolk County, N.Y.

Hon. Jenny Wilson, mayor, Salt Lake County, Utah

Edward Zachary, director, Veterans Service Office, Medina County, Ohio

Hero 1

More From

  • The Stepping Up Initiative

    In May 2015, NACo and partners at the CSG Justice Center and APA Foundation launched Stepping Up: A National Initiative to Reduce the Number of People with Mental Illnesses in Jails.

    Learn More