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File #: DC-5436    Version: 1
Type: Regular Information Status: Presented
File created: 2/19/2026 In control: General Government and Policy Committee of the Whole
On agenda: 3/3/2026 Final action: 3/3/2026
Enactment date: Resolution #:
Title: Discussion Of Inmate Healthcare Management In County Jail
Sponsors: Office Of Risk Management
Attachments: 1. Presentation Slides
DEPARTMENT: Central Operations Administration
FILE TYPE: Regular Information

TITLE
title
Discussion Of Inmate Healthcare Management In County Jail
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PURPOSE/ACTION REQUESTED
Provide an overview and analysis of inmate healthcare delivery within the jail.

SUMMARY
Counties are responsible for providing healthcare to inmates housed in local jails. Inmates often present with complex needs, including existing physical and mental health conditions, as well as substance use disorders. These factors create a high-risk population for which Dakota County must ensure appropriate healthcare services during custody.

The County currently contracts with a third-party healthcare provider to deliver all healthcare services in the jail. That contract will expire at the end of 2026. Prior to the use of a third-party healthcare provider, the County operated the jail under a model of a contracted medical director with Dakota County employing nurses and other staff providing healthcare services in the jail. That model ended when the County's medical director retired, and a replacement could not be retained.

County staff have analyzed the risks and benefits of the various means of delivering healthcare in the jail. Staff will provide an overview and suggested course of action for consideration by the committee on inmate healthcare delivery within the jail.

RECOMMENDATION
recommendation
Information only; no action requested.
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EXPLANATION OF FISCAL/FTE IMPACTS
No fiscal impact. Depending on direction, there may potentially be fiscal impacts in the future.

? None ? Current budget ? Other
? Amendment Requested ? New FTE(s) requested

RESOLUTION
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Information only; no action requested.

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PREVIOUS BOARD ACTION
None.

ATTACHMENTS
Attachment: Presentation Slides

BOARD GOALS
? Thriving People ? A Healthy Environment with Quality Natural Resources
? A Successful Place for Business and Jobs...

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