CIS/Index 
Copyright © 2000, Congressional Information 
Service, Inc. 
1 CIS H 401106 
TITLE: Beyond 
Community Standards and a Constitutional Level of Care? A Review of Services, 
Costs, and Staffing Levels at the Corrections Medical Receiver for the D.C. Jail 
CIS-NO: 2001-H401-106   
SOURCE: Committee on Government Reform. 
House   
DOC-TYPE: Hearing Retrieve 
the full text of testimony   
DATE: June 30, 2000   
LENGTH: 
iii+180 p.   
CONG-SESS: 106-2   
ITEM-NO: 1016-A; 1016-B   
SUDOC: Y4.G74/7:ST2/26   
CIS DOCUMENT ON DEMAND: 1-800-227-2477 
(Full Text Reproductions)   
GPO-STOCK-NO: 552-070-27126-1.   
INCLUDED IN LEGISLATIVE HISTORY OF: P.L. 
106-397 
SUMMARY: 
Committee Serial No. 106-229. 
Hearing before the Subcom on D.C. to examine efforts of the court-appointed 
Corrections Medical Receiver for the D.C. Central Detention Facility, commonly 
known as the D.C. Jail, to improve delivery of jail medical and mental health 
services, in light of concerns about increased correctional health care costs 
under the receivership. 
  
Also examines Receiver issuance of a 
Request for Proposal (RFP) for a one-year contact to manage D.C. Jail medical 
services once the receivership ends in Sept. 2000, and reviews possible 
improprieties in Receiver award of the contract to individuals employed by the 
Receiver at the time the RFP was issued. 
  
The Corrections Medical 
Receiver for the D.C. Jail was appointed in 1995 by the U.S. District Court for 
D.C. in response to D.C. noncompliance with court orders issued in connection 
with consolidated class action lawsuits to address 
constitutional violations in the delivery of health care at the jail. 
  
Supplementary material (p. 174-180) includes a table and correspondence. 
CONTENT-NOTATION: DC Jail medical services 
receivership, issues review 
DESCRIPTORS:   
   SUBCOM ON D.C. HOUSE;  D.C.; FEDERAL DISTRICT COURTS; 
PRISONS; CIVIL RIGHTS; MEDICAL REGULATION; HEALTH FACILITIES AND SERVICES; 
MENTAL HEALTH FACILITIES AND SERVICES; JUDGMENTS, CIVIL PROCEDURE; CASE LAW; 
MEDICAL ECONOMICS; GOVERNMENT EFFICIENCY; CONFLICT OF INTERESTS; GOVERNMENT 
CONTRACTS AND PROCUREMENT; CONSTITUTIONAL LAW; CLASS ACTION 
LAWSUITS 
01-H401-106 TESTIMONY NO: 1     June 30, 2000 p. 
20-173 
  
WITNESSES (and witness notations): 
   EKSTRAND, LAURIE E. (Director, Administration of Justice 
Issues, General Government Division, GAO) 
   SHANSKY, RONALD 
M. (Dr.) (Corrections Medical Receiver, D.C. Jail) 
   SCHNEIDER, KAREN M. (Special Officer, U.S. District Court 
for D.C.) 
   CHRISTIAN, ERIK (Deputy Mayor, Public Safety and 
Justice, D.C) 
   CLARK, JOHN L. (Trustee, D.C. Department of 
Corrections) 
  
STATEMENTS AND DISCUSSION: 
   Perspectives on D.C. Jail medical and mental health 
services management reform efforts under receivership; evaluation of increase in 
correctional health care costs under receivership; comparison of D.C. Jail 
medical costs with medical costs of correctional facilities in other 
jurisdictions. 
   Accomplishments of Receiver administration 
of D.C. Jail medical services; differing views on RFP issuance and award of 
one-year contract for management of D.C. Jail medical services. 
   Background on judicial involvement in D.C. Jail provision 
of medical services (related court docs, p. 49-114); concerns about correctional 
health care costs under Receiver's administration; issues related to D.C. Jail 
medical services management. 
  
CONTENT NOTATION: 
   DC Jail medical services receivership, issues review 
  
TESTIMONY DESCRIPTORS: 
   D.C. DEPARTMENT OF 
CORRECTIONS; GENERAL ACCOUNTING OFFICE 
LOAD-DATE: 
September 25, 2001