State Standards for Pregnancy-Related Health Care and Abortion for Women in Prison - Map

State Standards for Pregnancy-Related Health Care in Prison
(Click on states for more details)

Introduction
I. National Standards for Pregnancy-Related Health Care in Correctional Settings
II. How The States Measure Up
III. State-by-State Directory
 

 

Introduction

On any given day, more than 200,000 women are living behind prison or jail walls. Thousands of these women are pregnant and dependent on correctional authorities for their health care, and correctional authorities are legally obligated to meet those needs. Whether an incarcerated woman decides to continue her pregnancy to term or have an abortion, she has a constitutionally protected right to obtain appropriate medical care.

To what extent, if any, a prison's policies address pregnancy-related services is one important indicator of how that facility treats pregnant women in its custody. Presented here are the results of research to identify pregnancy-specific correctional policies posted on state department of corrections websites, or contained in databases of state laws and regulations. This is not an exhaustive survey of all state standards that may relate to the treatment of pregnant inmates, but a resource guide identifying such standards as are readily available online.

This resource guide includes three sections: First, it provides a short summary of minimum national standards that correctional facilities should meet as one important step for addressing the health needs of pregnant inmates. Second, it offers a general overview of the ways that the state policies located meet or fail to meet those national standards. Third, it provides a state-by-state directory to help you directly retrieve online, or request by phone or mail, individual state department of corrections' policies addressing pregnancy-related care, including abortion.

I. National Standards for Pregnancy-Related Health Care in Correctional Settings

Two well known sets of standards for correctional health care come from the National Commission on Correctional Health Care (NCCHC) and the American Public Health Association (APHA). The NCCHC publishes Standards for Health Services as a set of best practices for the provision of health services in correctional settings and to govern its accreditation program for prisons and jails. The APHA is not, as is NCCHC, an accreditation program. However, it is the oldest national organization of public health professionals, it has long led the movement to establish prisoners' right to adequate and humane medical care, and it publishes its own comprehensive Standards for Health Services in Correctional Institutions (2003).

Both the NCCHC and APHA standards specifically address the care and treatment of pregnant inmates. Along with other sources [1], these standards provide some guidance on minimum policies and practices correctional facilities should implement in order to meet the needs of pregnant inmates.

The NCCHC standard titled "P-G-O7: Care of the Pregnant Inmate" directs that "[p]regnant inmates receive timely and appropriate prenatal care, specialized obstetrical services when indicated, and postpartum care." [2] This standard also discusses the need for facilities to be prepared to handle the prevalence of high-risk pregnancies among incarcerated women, and sets forth specific compliance indicators for pregnancy care generally, including:

• Prenatal medical examinations
• Prenatal laboratory and diagnostic tests, including HIV testing and prophylaxis when indicated
• Advising inmates on levels of activity and safety precautions during pregnancy
• Prenatal nutritional guidance and counseling
• Maintaining a list of specialized obstetrical services
• Written agreement with a community facility for delivery
• Documented, appropriate postnatal care
• Keeping a list of all pregnancies and their outcomes
• Having a written policy and defined procedures addressing compliance with this standard

The NCCHC standard titled "P-G-09: Pregnancy Counseling," additionally recommends that a pregnant inmate receive counseling and assistance appropriate to her intentions, whether she wants to continue to term and then keep her child, place the baby in an adoption home, or have an abortion.

The APHA standards for the care of pregnant women overlap in some respects with those set forth by NCCHC, but also address important issues not mentioned in the NCCHC standards. For instance, APHA standards prohibit the use of restraints during labor and delivery, while the NCCHC standards are silent on this issue. The APHA standards include:

• A "sensitive and dignified" reproductive system examination as part of initial health screening
• Prenatal screening tests
• Prenatal health education
• Special housing and diet when necessary
• Identification and proper referral of high-risk pregnancies
• Treatment to prevent perinatal transmission of HIV for HIV-positive women
• Prohibition of shackling during labor and delivery
• Training of health care staff in jails and prisons for labor and delivery in case of emergency
• Standing arrangement for deliveries that allow mother and infant to spend time together after birth
• Ongoing access to newborns after delivery
• Access to family planning services, including abortion counseling and services

For more information about the NCCHC and APHA standards, or to obtain their most current publications, you can find more information at each organization's website:

http://www.apha.org/publications/bookstore/

http://www.ncchc.org/pubs/catalog.html#standards

NCCHC has also posted online its position statement on "Women's Health Care in Correctional Settings," available at:
http://www.ncchc.org/resources/statements/womenshealth2005.html.

II. How The States Measure Up

We found pregnancy-specific laws or correctional policies for over half of the states and the District of Columbia. We could not locate relevant pregnancy or reproductive health care correctional standards for sixteen states.[3] Of the policies or laws located for thirty-four states plus the District of Columbia:

• Twenty-one have standards that mention both health care for pregnant inmates planning to carry to term and for those who seek an abortion; [4]
• Fourteen have standards that mention prenatal health care but not abortion access. [5] However, three of those fourteen merely note that inmates do not have to pay for pregnancy testing and/or pregnancy care, without any further details regarding what that care entails; [6]
• One has an administrative regulation on correctional health care that addresses abortion access, but not other pregnancy-related health care; [7]

Of the thirty-five jurisdictions for which we found some type of law or policy regarding pregnancy or reproductive health care for inmates, very few included standards that closely tracked the NCCHC or APHA standards and recommendations. More often, the law or policy we found failed to specifically address most of those standards. For example, out of these 35 jurisdictions, only:

• Eight explicitly state that medical examinations shall be included as a component of prenatal care. [8]
• Four mention HIV testing. [9]
• Six include advice on appropriate levels of activity and safety. [10]
• Nineteen mention prenatal nutrition counseling or the provision of appropriate nutrition. [11] However, only ten of those require the actual provision of appropriate nutrition to pregnant inmates. [12]
• Seven explicitly require an agreement with a specific community facility for delivery. [13]
• Two require that institutions keep a list of all pregnancies and their outcomes. [14]
• Seventeen explicitly provide for screening or special treatment for high-risk pregnancies. [15]
• Ten follow the NCCHC standard that recommends counseling for pregnant women "whether they elect to keep the child, use adoption services, or have an abortion." [16]
• Ten, as a matter of statute, restrict the use of restraints on pregnant women during labor and delivery. [17]

For Amnesty International's survey of each state department of corrections policy on shackling women during pregnancy go to: http://www.amnestyusa.org/violence-against-women/abuse-of-women-in-custody/page.do?id=1108288&n1=3&n2=39&n3=720".

To learn more about how your state measures up, use the state-by-state directory to find information and resources for each state department of corrections and its policies.

III. State-by-State Directory

You can access laws and policies referenced below either by downloading them directly from the url link provided, or by looking up the state law citation provided. For a few states, there are additional instructions on how to retrieve a policy from a linked site. This is a directory of information publicly available online or in legal databases. Because much information is not posted online, we have provided other helpful contacts and resources for each state department of corrections. Another useful resource for locating and contacting women's prison facilities in each state is the Amnesty International survey at http://www.amnestyusa.org/violence-against-women/abuse-of-women-in-custody/page.do?id=1108288&n1=3&n2=39&n3=720.

For more information, please contact the Reproductive Freedom Project at 212-549-2633.
Information provided here was last updated in April 2010.

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ALABAMA

DOC Website:

• http://www.doc.state.al.us

DOC Policies and/or State Laws Related to Pregnant Inmates:

• None posted.

Contact Information and Resources:

• Associate Commissioner for Health Services: (334) 353-3887
• General Contact Information ("Contact Us"): http://www.doc.state.al.us/contact.asp
• All posted DOC Regulations: http://www.doc.state.al.us/adminregs.asp

 

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ALASKA

DOC Website:

• http://www.correct.state.ak.us/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• http://www.correct.state.ak.us/corrections/pnp/pdf/807.02.pdf
  (Policy 807.2: Access to Health Care Services)
• http://www.correct.state.ak.us/corrections/pnp/pdf/807.02aa.pdf
  (Policy 807.02 Attachment A: Prisoner Health Plan)
• http://www.correct.state.ak.us/corrections/pnp/pdf/808.06.pdf
  (Policy 808.06: Requirements Relating to Female Prisoners)
• http://www.correct.state.ak.us/corrections/pnp/pdf/807.10.pdf
  (Policy 807.10: Special Health Care programs)
• http://www.touchngo.com/lglcntr/akstats/aac/title22/chapter005/section121.htm
  (Alaska Administrative Code title 22, § 05.121)

Contact Information and Resources:

• Assistant Medical Director
  Inmate Health Care
  4500 Diplomacy Dr.
  Suite 207
  Anchorage, AK 99508-5918
  (907) 268-7350
• State Employee Directory: http://www.state.ak.us/local/whtpage1.html (Type "director inmate health" into the search box to view more detailed contact information for current director).
• General Contact Information: http://www.correct.state.ak.us/ (Contact information for the central offices located at the bottom of the page)

 

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ARIZONA

DOC Website:

• http://www.adc.state.az.us/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• http://www.azcorrections.gov/Policies/1100/1101.pdf
  (Department Order 1101: Inmate Access to Health Care, "Health Care Fees". Go to the "Definitions" Section – states health care fee may be waived for pregnant inmates.)
   
• http://www.azcorrections.gov/Policies/700/0705.pdf
  (restricting use of restraints during pregnancy)

Contact Information and Resources:

• Health Services Administrator: (602) 364-0295
  http://www.azcorrections.gov/adc/divisions/health/Health_Svcs_Division.aspx#Health
• ADC Contact Information: http://www.azcorrections.gov/email.aspx

 

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ARKANSAS

DOC Website:

• http://www.adc.arkansas.gov/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• http://www.state.ar.us/doc/adcar_pdf/AR829.pdf
  (Department of Corrections Regulation 829: Prenatal Care/Pregnant Inmates/Residents)
• http://www.dcc.arkansas.gov/pdfs/policies/prenatalcare_ar.pdf
  (Similar policy for Department of Community Corrections)

Contact Information and Resources:

• Medical Services: (870) 267-6331
• General Contact Information ("Directory"): http://www.adc.arkansas.gov/directory.html

 

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CALIFORNIA

DOC Website:

• http://www.cdcr.ca.gov/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• Prisons:
  • California Penal Code §§ 3405, 3406, 3409, 3423, 3424, 5007.7, 6030
    • http://law.justia.com/california/codes/pen/3400-3409.html
    • http://law.justia.com/california/codes/pen/3410-3424.html
    • http://law.justia.com/california/codes/pen/5000-5030.1.html
    • http://law.justia.com/california/codes/pen/6024-6031.6.html

• California Code of Regulations
  • Title 15, § 3030: Issuance and Possession of State Clothing and Linen
  • Title 15, § 3050: Regular Meals
  • Title 15, § 3268.2: Use of Restraints
  • Title 15, § 3355: Health Care Examinations
  • Title 15, § 3355.1: Dental Examinations
  • Title 15, § 3355.2: Treatment for Pregnant Inmates

• Operations Manual Chapter 5, Article 45: Care, Treatment, and Security of Pregnant Offenders (Note especially § 54045.3, .4, .7, .9)
  • http://www.cdcr.ca.gov/Regulations/Adult_Operations/docs/DOM/Ch_5_Printed_Final_DOM.pdf

• Jails:
  • California Penal Code §§ 4023.5, 4023.6, 4028
    • http://law.justia.com/california/codes/pen/4000-4030.html

Contact Information and Resources:

• Ombudsman
  Women's Institutions
  (916) 323-2994
  http://www.cdcr.ca.gov/Ombuds/OOContact.html
• General Contact Information ("Contact Us"): http://www.cdcr.ca.gov/Contact_Us/index.html

 

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COLORADO

DOC Website:

• http://www.doc.state.co.us/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• http://www.doc.state.co.us/sites/default/files/ar/0700_12.pdf
  (Administrative Regulation No. 700-12: Birth Control, Pregnancy, Child Placement, and Abortion)

Contact Information and Resources:

• Medical Services
  Colorado Dept of Corrections
  2862 South Circle Dr
  Colorado Springs, CO 80906-4195
  P: (719) 579-9580
  F: (719) 226-4755
• General Contact Info ("Contacts"):http://www.doc.state.co.us/contacts
• To find the contact information for the current medical services contact, look under "Medical Services" on the contacts page listed above. Clicking on the hyperlinked name will allow you to send an email. You can also use the online State Employee Directory to look up further information: http://www.colorado.gov/apps/oit/directory/start.jsf.

 

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CONNECTICUT

DOC Website:

• http://www.ct.gov/doc/site/default.asp

DOC Policies and/or State Laws Related to Pregnant Inmates:

• http://www.ct.gov/doc/LIB/doc/PDF/AD/ad0801.pdf
  (Administrative Directive No. 8.1, Scope of Health Services Care, p. 6)

Contact Information and Resources:

• Health and Addiction Services
  24 Wolcott Hill Road
  Wethersfield, CT 06109
  P: (860) 692-7645
  F: (860) 692-7646
  http://www.ct.gov/doc/cwp/view.asp?a=1503&q=265560
• Public Information Office
  24 Wolcott Hill Road
  Wethersfield, CT 06109
  P: (860) 692-7780
  F: (860) 692-7783
  DOC.PIO@po.state.ct.us
  http://www.ct.gov/doc/cwp/view.asp?a=1492&q=265470
• General Contact Information ("Contact Us"): http://www.ct.gov/doc/cwp/view.asp?a=1492&q=265470

 

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DELAWARE

DOC Website:

• http://doc.delaware.gov/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• http://doc.delaware.gov/pdfs/policies/policy_11-G-07.pdf
  (Ch. 11 Health Services, Policy No. G-07: Care of the Pregnant Inmate)
• http://doc.delaware.gov/pdfs/policies/policy_11-G-10.pdf
  (Ch. 11 Health Services, Policy No. G-10: Pregnancy Counseling)

Contact Information and Resources:

• Director of DOC Health Services Team: (302) 857-5236
• Treatment Service Administrators:
  • (302) 857-5372
  • (302) 857-5262
• General Contact Information: http://doc.delaware.gov/contact.shtml

 

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DISTRICT OF COLUMBIA

DOC Website:

• http://doc.dc.gov/doc/site/default.asp

DOC Policies and/or State Laws Related to Pregnant Inmates:

• http://doc.dc.gov/doc/frames.asp?doc=/doc/lib/doc/program_statements/6000/pm_6000_1c_medical_mgmt_11-15-06.pdf
  (Program Manual 6000.1C: Medical Management pp. 24-25)
• Vt. Stat. Ann. tit. 28, § 801a (2008)

Contact Information and Resources:

• General Contact Information ("How to Reach Us"):
  Dept. of Corrections
  Government of the District of Columbia
  1923 Vermont Avenue NW
  Suite 207
  Washington, DC 20001
  P: (202) 673-7316
  F: (202) 671-0169
  doc@dc.gov
  http://app.dc.gov/apps/about.asp?page=htru&type=dsf&referrer=doc.dc.gov&agency_id=1016
• Freedom of Information Act (FOIA) Requests:
  FOIA/Privacy Officer
  Dept. of Corrections
  1923 Vermont Avenue NW, Suite N216-B
  Washington, DC 20001
  P: (202) 671-2055
  F: (202) 671-1705
  http://app.dc.gov/apps/about.asp?page=foia&type=dsf&referrer=doc.dc.gov&agency_id=1016&docNav=|30829|

 

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FLORIDA

DOC Website:

• http://www.dc.state.fl.us/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• Prisons: Corrections Equality Act, Florida Statutes Annotated § 944.24
  http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=Ch0944/SEC24.HTM&Title=-%3E2007-%3ECh0944-%3ESection%2024#0944.24
  (Or go to: http://www.leg.state.fl.us/statutes. Select: TITLE XLVII . Select: Chapter 944. Select: 944.24)
   
• Jails: County Corrections Equality Act, Florida Statutes Annotated § 951.175
  http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=Ch0951/SEC175.HTM&Title=-%3E2007-%3ECh0951-%3ESection%20175#0951.175
  (Or go to: http://www.leg.state.fl.us/statutes. Choose: TITLE XLVII. Choose: Chapter 951. Choose 951.175)

Contact Information and Resources:

 

• Assistant Secretary of Health Services: (850) 922-6645
  http://www.dc.state.fl.us/orginfo/health.html
• General Contact Information ("Contact Us"): http://www.dc.state.fl.us/orginfo/contact.html
• Florida Manual for Incarcerated Parents (produced by Florida Institutional Legal Services): http://floridalawhelp.org/FL/StateChannelResults.cfm/County/%20/City/%20/demoMode/%3D%201/Language/1/State/FL/TextOnly/N/ZipCode/%20/LoggedIn/0/iSubTopicID/1/iProblemCodeID/1830000/sTopicImage/scales.gif/iTopicID/600/bAllState/0/ichannelid/75

 

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GEORGIA

DOC Website:

• http://www.dcor.state.ga.us/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• None posted.

Contact Information and Resources:

• Policy & Procedure: (404) 656-0962
  http://www.dcor.state.ga.us/ContactUs.html
• General Contact Information ("Contact Us"): http://www.dcor.state.ga.us/ContactUs.html

 

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HAWAII

DOC Website:

• http://hawaii.gov/psd/corrections

DOC Policies and/or State Laws Related to Pregnant Inmates:

• None posted.

Contact Information and Resources:

• Health Care Division:
  P: (808) 587-1250
  F: (808) 587-3378
  http://hawaii.gov/psd/administration/administration
• Corrections is a division of the Department of Public Safety; general contact information for DPS can be found here: http://hawaii.gov/psd/administration/administration

 

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IDAHO

DOC Website:

• http://corrections.state.id.us/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• http://www.idoc.idaho.gov/policy/int4010603055.pdf
  (Directive No. 401.06.03.055: Prenatal Care)
• http://www.idoc.idaho.gov/policy/int4010603058.pdf
  (Directive No. 401.06.03.058: Pregnancy Counseling and Testing)
• http://www.idoc.idaho.gov/policy/int4010603073.pdf
  (Directive No. 401.06.03.073: Abortion)

Contact Information and Resources:

• General Contact Information ("Contact Us"): http://corrections.state.id.us/contact_us.htm
• Chief of Division of Education and Treatment: (208) 658-2144
  (See http://corrections.state.id.us/about_us/orgchart1.pdf to find name of current chief; use directory at http://www2.state.id.us/search/phoneqry.htm to get phone and email)

 

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ILLINOIS

DOC Website:

• http://www.idoc.state.il.us/default.shtml

DOC Policies and/or State Laws Related to Pregnant Inmates:

• http://www.ilga.gov/commission/jcar/admincode/020/020004150000300R.html
  (Illinois Administrative Code title 20, § 415.30: Medical and Dental Examinations and Treatment)
• 55 Ill. Comp. Stat. 5/3-15003.6 (2008).
• 730 ILL. COMP. STAT. ANN. 125/17.5 (West 2008)
  (restricting use of restraints during pregnancy)

Contact Information and Resources:

• General Contact Information ("Contact Us"):
  P: (217) 558-2200, ext. 2008
  info@doc.illinois.gov
  http://www.idoc.state.il.us/subsections/contact/default.shtml
  • Springfield
    Illinois Department of Corrections
    1301 Concordia Court
    P.O. Box 19277
    Springfield, IL 62794-9277
  • Chicago
    Illinois Department of Corrections
    James R. Thompson Center
    100 West Randolph
    Chicago, IL 60601

 

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INDIANA

DOC Website:

• http://www.in.gov/idoc/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• http://www.in.gov/legislative/ic/code/title11/ar10/ch3.html
  (Indiana Code § 11-10-3-3: Prenatal and postnatal care, treatment)

Contact Information and Resources:

• Director of Medical Services: (317) 233-5735
  http://www.in.gov/idoc/2335.htm
• There is no general DOC contact information, but Reentry and Community Programs oversees medical and clinical services: http://www.in.gov/idoc/2335.htm
• Office of the Commissioner handles external relations: http://www.in.gov/idoc/2339.htm

 

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IOWA

DOC Website:

• http://www.doc.state.ia.us/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• None posted.

Contact Information and Resources:

• Director of Medical Services: (319) 665-6711
  Find name here: http://www.doc.state.ia.us/organization.asp
  Look up phone numbers here: http://www.doc.state.ia.us/StaffDirectory.asp

 

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KANSAS

DOC Website:

• http://www.dc.state.ks.us/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• http://www.dc.state.ks.us/kdoc-policies/impp/chapter-10/10122.pdf
  (Internal Management Policy and Procedure § 10-122: Access to and Availability of Health Care Services)

Contact Information and Resources:

• General Contact Information ("Contacts"): Kansas Department of Corrections
  900 SW Jackson - 4th Floor Landon State Office Building
  Topeka, KS 66612-1284
  P: (785) 296-3317
  P (Toll-free): (888) 317-8204
  kdocpub@doc.ks.gov
  http://www.dc.state.ks.us/contacts

 

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KENTUCKY

DOC Website:

• http://www.corrections.ky.gov/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• None posted.

Contact Information and Resources:

• Medical Division:
  P: (502) 564-2220
  F: (502) 564-1842
  http://www.corrections.ky.gov/deptdiv/#md
• General Contact Information ("About Us"): http://www.corrections.ky.gov/about/

 

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LOUISIANA

DOC Website:

• http://www.doc.louisiana.gov/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• None posted.

Contact Information and Resources:

• Medical/Mental Health Director:
  P: (225) 342-1224
  F: (225) 342-3349
  http://www.doc.louisiana.gov/view.php?cat=3&id=85
• Adult Services:
  P: (225) 342-9711
  F: (225) 342-3349
  http://www.doc.louisiana.gov/view.php?cat=3&id=85
• General Contact Information ("Contact Us" "Headquarters"): http://www.doc.louisiana.gov/view.php?cat=3&id=85

 

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MAINE

DOC Website:

• http://www.state.me.us/corrections/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• http://janus.state.me.us/legis/statutes/34-A/title34-Asec3031.html
  (Maine Revised Statutes Annotated title 34-A, § 3031)

Contact Information and Resources:

• The Associate Commissioner for Legislative/Legal and Policy/Programs Services oversees clinical and medical services. Locate current contact in the "Corrections" section of the Maine government directory at:
  http://mainegov-images.informe.org/phone/Organization_Directory.pdf
• General Contact Information ("Contact Us"): http://www.state.me.us/corrections/contactUs.htm

 

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MARYLAND

DOC Website:

• http://www.dpscs.state.md.us/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• Code of Maryland Regulations 12.02.09.01 and 12.02.09.01.02. Inmate Pregnancy, applies to Division of Corrections
• Code of Maryland Regulations 12.12.22.01 and 12.12.22.02. Inmate Pregnancy, applies to Patuxent Institution
  (publicly available by code number or word search at: http://www.dsd.state.md.us/comar/SearchTitle.aspx.)

Contact Information and Resources:

• Inmate Health Services
  6776 Reisterstown Rd
  Suite 315
  Baltimore, MD 21215
  P: (410) 585-3367
  F: (410) 764-5112
  http://www.dpscs.state.md.us/contact_by_agency.shtml
• General Contact Information ("Contact Information by Agency"): http://www.dpscs.state.md.us/contact_by_agency.shtml

 

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MASSACHUSETTS

DOC Website:

• http://mass.gov/doc

DOC Policies and/or State Laws Related to Pregnant Inmates:

• http://www.mass.gov/Eeops/docs/doc/policies/620.pdf
  (Health Services Div., Dept. of Correction, Policy 103 DOC 620: Special Health Care Practices § 620.04)

Contact Information and Resources:

• General Contact Information:
  DOC Central Headquarters
  50 Maple Street, Suite 3
  Milford, MA 01757
  (508) 422-3300
  http://mass.gov/doc

 

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MICHIGAN

DOC Website:

• http://www.michigan.gov/corrections

DOC Policies and/or State Laws Related to Pregnant Inmates:

• http://www.michigan.gov/documents/corrections/03_04_100_180938_7.pdf
  (Policy Directive No. 03.04.100: Health Services p. 4)
• http://www.michigan.gov/documents/corrections/03_04_105_180940_7.pdf
  (Policy Directive No. 03.04.105: Informed Consent to Medical Care. Page 3 addresses ability of minors to consent to pregnancy-related care)

Contact Information and Resources:

• General Contact Information:
  Michigan Department of Corrections
  206 E. Michigan Ave.
  Grandview Plaza
  PO Box 30003
  Lansing, MI 48909
  (517) 335-1426
  http://www.mdoc.state.mi.us/edoc/

 

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MINNESOTA

DOC Website:

• http://www.corr.state.mn.us/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• http://www.doc.state.mn.us/DocPolicy2/Document/500.108.htm
  (Division Directive 500.108: Adult Offender Abortion)

Contact Information and Resources:

• Health Services
  P: (651) 361-7280
  F: (651) 523-7139
  http://www.corr.state.mn.us/aboutdoc/contactus.htm
• General Contact Information ("Contact Us"):
  http://www.corr.state.mn.us/aboutdoc/contactus.htm

 

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MISSISSIPPI

DOC Website:

• http://www.mdoc.state.ms.us/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• None posted.

Contact Information and Resources:

• Chief Medical Officer: (601) 359-5155
  http://www.mdoc.state.ms.us/contact_us.htm
• General Contact Information ("Contact Us"):
  http://www.mdoc.state.ms.us/contact_us.htm

 

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MISSOURI

DOC Website:

• http://doc.mo.gov/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• None posted.

Contact Information and Resources:

• Missouri Department of Corrections Medical Services Section
  Division of Offender Rehabilitative Services
  P.O. Box 236
  Jefferson City, Missouri 65102
  healthservices@doc.mo.gov
  http://doc.mo.gov/contactus.php
• General Contact Information ("Contact Us"): http://doc.mo.gov/contactus.php

 

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MONTANA

DOC Website:

• http://www.cor.mt.gov/default.mcpx

DOC Policies and/or State Laws Related to Pregnant Inmates:

• None posted.

Contact Information and Resources:

• Health Services Bureau Chief: (406) 846-1320, ext 2254
  http://www.cor.mt.gov/default.mcpxAbout/HPIS.asp
• General Contact Information ("Contact Us"):
  The Montana Department of Corrections
  1539 11th Avenue
  P.O. Box 201301 Helena, MT 59620-1301
  406-444-3930 (Tel.)
  406-444-4920 (Fax)
  http://cor.mt.gov/contact.mcpx

 

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NEBRASKA

DOC Website:

• http://www.corrections.state.ne.us/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• http://www.corrections.state.ne.us/policies/files/ar115.04.pdf
  (Administrative Regulation No. 115.04: Access to Health Services)

Contact Information and Resources:

• Nebraska Department of Correctional Services
  P.O. Box 94661
  Lincoln, NE 68509-4661
  (402) 471-2654

 

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NEVADA

DOC Website:

• http://www.doc.nv.gov/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• http://www.doc.nv.gov/ar/pdf/AR623.pdf
  (Administrative Regulation 623: Health Care for Women)

Contact Information and Resources:

• Medical Director: (775) 887-3205
  To confirm current information, go to the state directory at http://telephone.state.nv.us/directory/employees/LocalFrames.asp. Select "CORRECTIONS" under Department, then type "Medical" under Title.
• Public Information Office: http://www.doc.nv.gov/contact/pio.php
• General Contact Information ("Contact Us"): http://www.doc.nv.gov/contact/index.php

 

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NEW HAMPSHIRE

DOC Website:

• http://www.nh.gov/nhdoc/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• http://www.nh.gov/nhdoc/documents/6-19.pdf
  (Department of Corrections Policy and Procedure Directive Statement No. 6.19: Pregnancy Management and Planning for the Unborn Children of Female Inmates)
• http://www.gencourt.state.nh.us/rsa/html/LX/622/622-31-a.htm
  (N.H. Rev. Stat. Ann. § 622:31-a)

Contact Information and Resources:

• Administrative Chief of Forensic and Medical Services Division 105 Pleasant Street
  4th Floor
  PO Box 1806 (Mailing)
  Concord, NH 03302
  P: (603) 271-5563
  http://www.nh.gov/nhdoc/divisions/forensic/index.html
• Chief Medical Director of Health Services
  (603) 271-1955
  http://www.nh.gov/nhdoc/divisions/forensic/index.html
• General Contact Information ("Contact Us"):
  http://www.nh.gov/nhdoc/contactus.html

 

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NEW JERSEY

DOC Website:

• http://www.state.nj.us/corrections/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• N.J. Admin. Code § 10A:16-6.1 through 6.7
• N.J. Admin. Code § 10A:31-13.10 (county)
  Above available at: http://www.michie.com/newjersey/lpext.dll?f=templates&fn=main-h.htm&cp=

Contact Information and Resources:

• Health Services Unit: (609) 984-4102
  http://www.state.nj.us/corrections/contact_us/phonenumbers.html
• General Contact Information ("Contact Us"):
  http://www.state.nj.us/corrections/contactus.html

 

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NEW MEXICO

DOC Website:

• http://corrections.state.nm.us/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• http://corrections.state.nm.us/policies/current/CD-170100.pdf
  (CD-170100 Medical Clinical Services, Psychiatry Services, Detoxification, Intoxication and Withdrawal p. 6)
• N.M. STAT. ANN. § 33-1-21 (West 2009)
  (restricting use of restraints during pregnancy)

Contact Information and Resources:

• Deputy Director, Female Services - Adult Prisons
  P: (505) 827-8676
  http://corrections.state.nm.us/directory/centralofficedir.html
• Bureau Chief, Health Services
  P: (505) 827-8280
  F: (505) 827-8278
  http://corrections.state.nm.us/directory/centralofficedir.html
• General Contact Information ("Directory"):
  http://corrections.state.nm.us/directory/intro.html

 

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NEW YORK

DOC Website:

• http://www.docs.state.ny.us/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• N.Y. Comp. Codes R. & Regs. tit. 9, § 7651.17
  Available at: http://government.westlaw.com/linkedslice/default.asp?SP=nycrr-1000
  (Select: Title 9 Executive Department. Select: Subtitle AA State Commission of Correction. Select: Chapter V Minimum Standards and Regulations for Management of State Correctional Facilities. Select: Part 7651 Health Services. Select: Section 7651.17: Prenatal and infant care services)
• N.Y. CORRECT. LAW § 611 (McKinney 2009)
  Available at: http://public.leginfo.state.ny.us/LAWSSEAF.cgi?QUERYTYPE=LAWS+&QUERYDATA=$$COR611$$@TXCOR0611+ (restricting use of restraints during pregnancy)

Contact Information and Resources:

• General Contact Information:
  NYS Department of Correctional Services
  Building 2
  1220 Washington Ave
  Albany, New York 12226-2050
  (518) 457-8126
  http://www.docs.state.ny.us/contactus.htm
• Access to Reproductive Health Care in New York State Jails (NYCLU Survey):
  http://www.nyclu.org/node/1671

 

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NORTH CAROLINA

DOC Website:

• http://www.doc.state.nc.us/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• http://www.doc.state.nc.us/Publications/2007handbook.pdf (Department of Corrections, Handbook for Family and Friends of Inmates p. 50)

Contact Information and Resources:

• North Carolina Division of Prisons Health Service
  831 West Morgan St
  4278 Mail Service Center
  Raleigh, NC 27699-4278
  P: (919) 838-3850
  F: (919) 733-1415
  Courier # 53-71-00
  http://www.doc.state.nc.us/dop/health/index.html
• General Contact Information (on front page):
  North Carolina Department of Correction
  4201 Mail Service Center
  Raleigh NC 27699-4201
  (919) 716-3700
  info@doc.state.nc.us
  http://www.doc.state.nc.us/

 

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NORTH DAKOTA

DOC Website:

• http://www.nd.gov/docr/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• None posted.

Contact Information and Resources:

• General Contact Information:
  3100 Railroad Avenue
  Bismarck, ND 58501
  P:(701) 328-6362
  F:(701) 328-6651
  http://www.nd.gov/docr/misc/contact.html
• http://www.swmccc.com/dwcrc/default.html
  (Dakota Women's Correctional and Rehabilitation Facility)

 

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OHIO

DOC Website:

• http://www.drc.ohio.gov/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• For Information on Prisons:
  • http://codes.ohio.gov/orc/5120
    (Ohio Revised Code § 5120.65 et seq: Prison Nursery Program)
  • http://www.drc.state.oh.us/web/reports/NurseryProgram.pdf
    (Evaluation of the Achieving Baby Care Success Nursery Program pp. 1-2)
• For Information on Jails:
  • http://www.drc.state.oh.us/web/TwelveDayStandards2005-07.pdf
    (Minimum Standards for Jails in Ohio: Twelve Day Jails p. 31)
  • http://www.drc.state.oh.us/web/FullServiceMinimumSecurityStandards2003-01-20.pdf
    (Minimum Standards for Jails in Ohio: Full Service & Minimum Security Jails p. 30)

Contact Information and Resources:

• Bureau of Medical Services: (614) 752-1726
  http://www.drc.state.oh.us/web/PhoneDirectory.htm
   
• Office of Correctional Health Care: (614) 752-1697
  http://www.drc.state.oh.us/web/PhoneDirectory.htm
   
• Corrections Medical Center
  P. O. Box 23658
  Columbus, Ohio 43223
  (614) 445-5960
  http://www.drc.state.oh.us/Public/cmc.htm
   
• General Contact Information ("Phone Directory"):
  http://www.drc.state.oh.us/web/PhoneDirectory.htm

 

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OKLAHOMA

DOC Website:

• http://www.doc.state.ok.us/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• http://www.doc.state.ok.us/Offtech/op140145.pdf
  (OP-140145, Health Services: Female Offender Health Services)
• http://www.doc.state.ok.us/Offtech/140145h.pdf
  (Oklahoma Department of Corrections Pregnant Offender Guidelines)
• http://www.doc.state.ok.us/treatment/medical/msrm/140145-01.pdf
  (MSRM-140145-01, Office of Medical Services Resource Manual: Management of Pregnancy)

Contact Information and Resources:

• http://www.doc.state.ok.us/treatment/medical/index.html
• Oklahoma City Office:
  Cameron Building
  2901 N. Classen Blvd., Suite 100
  Oklahoma City, OK 73106-5493
  P: (405) 962-6130
  F: (405) 962-6146 or 962-6147
• Tulsa Office:
  440 South Houston, Suite 402
  Tulsa, OK 74127-8911
  P: (918) 581-2236
  F: (918) 581-2935
• General Contact Information ("About Us"): http://www.doc.state.ok.us/general/about.htm

 

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OREGON

DOC Website:

• http://www.doc.state.or.us/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• Health Services Section Policy and Procedure #P-G-07: Care of the Pregnant Inmate (Rev. Nov. 2006)
  (no longer available online)
• Health Services Section Policy and Procedure #P-G-10: Pregnancy Counseling (Rev. Nov. 2006)
  (no longer available online)
• DOC Policy 40.1.1 Escorting of Inmates
  http://www.oregon.gov/DOC/PUBSER/rules_policies/docs/40.1.1.pdf
• All other Policies and Procedures available online:
  http://www.oregon.gov/DOC/PUBSER/rules_policies/

Contact Information and Resources:

• Health Services Division
  2575 Center St. NE
  Salem, OR 97301-4667
  P: 503-378-5593
  F: 503-378-5597
  http://www.doc.state.or.us/DOC/OPS/HESVC/contact_us.shtml
• General Contact Information ("Contact Us"): http://www.doc.state.or.us/DOC/contact_us.shtml

 

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PENNSYLVANIA

DOC Website:

• http://www.cor.state.pa.us/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• http://www.portal.state.pa.us/portal/server.pt/gateway/PTARGS_0_129555_740292_0_0_18/13.02.01%20Access%20to%20Health%20Care.pdf
  (Policy Statement 13.2.1: Access to Health Care, Section 13 Management of Pregnant Inmates: §§13-1 through 13-5)

Contact Information and Resources:

• Bureau of Health Care Services: (717) 214-8449
  http://www.portal.state.pa.us/portal/server.pt/community/hide_healthcare/14515
• General Contact Information ("Department of Corrections Key Staff"):
  http://www.cor.state.pa.us/portal/server.pt/community/department_of_corrections/4604/key_doc_staff/617017

 

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RHODE ISLAND

DOC Website:

• http://www.doc.ri.gov/index.php

DOC Policies and/or State Laws Related to Pregnant Inmates:

• None posted.

Contact Information and Resources:

• Medical Program Director
  39 Howard Ave.
  Cranston, RI 02920
  P: (401) 462-2266
  F: (401) 462-2000
  http://www.doc.ri.gov/rehabilitative/health/index.php
• General Contact Information ("Contact Us"): http://www.doc.ri.gov/contact/index.php

 

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SOUTH CAROLINA

DOC Website:

• http://www.doc.sc.gov/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• None posted.

Contact Information and Resources:

• Director of Health Services: (803) 896-2707
  http://www.doc.sc.gov/contact.jsp
• Regional Directors of Clinical Services:
  • (803) 896-2728
  • (803) 896-2795
  • (803) 896-1235
  http://www.doc.sc.gov/contact.jsp
• General Contact Information ("Contacts"): http://www.doc.sc.gov/contact.jsp

 

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SOUTH DAKOTA

DOC Website:

• http://www.state.sd.us/corrections/corrections.html

DOC Policies and/or State Laws Related to Pregnant Inmates:

• None posted.

Contact Information and Resources:

• General Contact Information:
  Department of Corrections
  3200 East Highway 34
  c/o 500 East Capitol Ave
  Pierre, SD 57501
  (605) 773-3478
  http://www.state.sd.us/corrections/corrections.html

   

 

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TENNESSEE

DOC Website:

• http://www.state.tn.us/correction/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• http://www.tennessee.gov/correction/pdf/113-15.pdf
  (Administrative Policies and Procedures No. 113-15, Inmate Co-Payment for Health Services)
• Tenn. Code Ann. § 41-21-227(h)(1) (Grant of Furloughs to Inmates)
  Available at: http://www.michie.com/tennessee/lpext.dll?f=templates&fn=main-h.htm&cp=
  (Select the folder icon next to Tennessee Code. Select Title 41. Select Chapter 21. Select Part 2. Select 41-21-227)

Contact Information and Resources:

• Health Services: (615) 741-1000 x8196
  http://www.state.tn.us/correction/contact.html
• General Contact Information: http://www.state.tn.us/correction/contact.html

 

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TEXAS

DOC Website:

• http://www.tdcj.state.tx.us/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• http://www.cmhcc.state.tx.us/CMHC_Policy_Manual/G/G-55.1%20(0707).doc
  (Correctional Managed Health Care Policy Manual G-55.1: Pregnant Offenders)
• Texas Government Code § 501.059 (Screening for and Education Concerning Fetal Alcohol Exposure During Pregnancy), § 501.063 (Inmate Copayments for Certain Health Care Visits), ANN. § 501.066 (Vernon 2009)
  Available at http://www.statutes.legis.state.tx.us/Docs/GV/htm/GV.501.htm
• TEX. HUM. RES. CODE ANN. § 61.07611 (Vernon 2009)
  Available at http://www.statutes.legis.state.tx.us/Docs/HR/htm/HR.61.htm#61.07611
• TEX. LOC. GOV'T CODE ANN. § 361.082 (Vernon 2009)
  Available at http://www.statutes.legis.state.tx.us/Docs/LG/htm/LG.361.htm

Contact Information and Resources:

• Correctional Managed Health Care Committee (CMHCC)
  1300 11th Street, Suite 415
  Huntsville, TX 77340
  (936) 437-1972
  http://www.cmhcc.state.tx.us/index.htm
• Texas Department of Criminal Justice
  Health Services Division
  3009-A HWY 0 West
  Huntsville, Texas 77340-0769
  (936) 437-4271
  http://www.tdcj.state.tx.us/health/health-home.htm
• General Contact Information ("Web Directory"): http://www.tdcj.state.tx.us/directory/directory.htm
• Tex. Med. Found., An Evaluation of Correctional Health Care Services, App. E 309 (2005) (a publication assessing Texas DCJ health policies and practices).
  Available at: http://www.utsystem.edu/news/2005/BORMar2005-Presentations/PrisonHealthCare-TMFFullReport031005.pdf

 

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UTAH

DOC Website:

• http://corrections.utah.gov/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• Utah Code Annotated § 62A-7-403 (Care of Pregnant Youth Offender)
  Available at: http://le.utah.gov/~code/TITLE62A/htm/62A07_040300.htm

Contact Information and Resources:

• General Contact Information ("Contact Us"):
  Utah Department of Corrections
  14717 S Minuteman Dr
  Draper, UT 84020
  P: (801) 545-5500
  F: (801) 545-5670
  corrections@utah.gov
  http://corrections.utah.gov/mail/mailform.html (Contact the Utah Department of Corrections, Webmail Form)

 

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VERMONT

DOC Website:

• http://www.doc.state.vt.us/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• http://www.doc.state.vt.us/about/policies/rpd/351%20Health%20Care%20Services.pdf
  (Policy 351, Health Care Services § 4.6.1)
• Vt. Stat. Ann. tit. 28, § 801a (Pregnant Inmates)
  Available at: http://law.justia.com/vermont/codes/title28/section00801a.html

Contact Information and Resources:

• Health Services
  (802) 241-2380
  http://www.doc.state.vt.us/about/contact-us/
• Women Offenders and Family Services
  (802) 241-2286
  http://www.doc.state.vt.us/about/contact-us/
   
• General Contact Information ("Contact the Vermont Department of Corrections"): http://www.doc.state.vt.us/about/contact-us/

 

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VIRGINIA

DOC Website:

• http://www.vadoc.state.va.us/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• 6 Va. Admin. Code § 15-31-260 (Specialized Health Care Programs)
  http://leg1.state.va.us/cgi-bin/legp504.exe?000+reg+6VAC15-31-260

Contact Information and Resources:

• Health Services
  (804) 674-3000
  http://www.vadoc.virginia.gov/about/directory/d-operations.shtm
• General Contact Information ("Contact Us"): http://www.vadoc.state.va.us/contact.shtm

 

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WASHINGTON

DOC Website:

• http://www.doc.wa.gov/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• http://www.doc.wa.gov/policies/showFile.aspx?name=610650
  (Policy DOC 610.650, Outpatient Services)
• http://www.doc.wa.gov/policies/default.aspx?show=600
  (Lists and links to all "Offender Health Care Policies")
• http://www.doc.wa.gov/family/offenderlife/docs/ohpcompletepdf6-19-09.pdf
  (Health Services Offender Health Plan)

Contact Information and Resources:

• Assistant Deputy Secretary for Health Services
  Washington State Department of Corrections
  Health Services Department
  P.O. Box 41123
  Olympia, WA 98504
  P: (360) 725–8700
  F: (360) 586–9060
• General Contact Information ("Contact Us"): http://www.doc.wa.gov/contact.asp
• General Health Services Info Page: http://www.doc.wa.gov/family/offenderlife/healthservices.asp

 

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WEST VIRGINIA

DOC Website:

• http://www.wvdoc.com/wvdoc/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• None posted.

Contact Information and Resources:

• WVDOC Central Office
  1409 Greenbrier Street
  Charleston, WV 25311
  (304) 558-2036 Phone

 

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WISCONSIN

DOC Website:

• http://www.wi-doc.com/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• None posted.

Contact Information and Resources:

• Director
  Bureau of Health Services
  3099 East Washington Avenue
  Madison, WI 53707
  P: (608) 240-5122
  http://www.wi-doc.com/index_adult.htm
• Public Information Director: (608) 240-5060
  http://www.wi-doc.com/index_adult.htm
• General Contact Information:
  3099 East Washington Avenue
  Post Office Box 7925
  Madison, WI 53707-7925
  P: (608) 240-5000
  F: (608) 240-3300
  docweb@doc.state.wi.us
  http://www.wi-doc.com/

 

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WYOMING

DOC Website:

• http://doc.state.wy.us/

DOC Policies and/or State Laws Related to Pregnant Inmates:

• None posted.

Contact Information and Resources:

• General Contact Information ("Contact Us"):
  Department of Corrections – Central Office
  700 West 21st Street
  Cheyenne, WY 82002-3427
  Main: (307) 777-7208
  Fax: (307) 777-7479
  http://doc.state.wy.us/doc/contact.html

 

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---

1. For example, the American College of Obstetricians and Gynecologists publication, Special Issues in Women's Health (2005), provides its guidelines for "Health and Health Care of Incarcerated Adult and Adolescent Females."

2. This standard also cross-references three other standards that are not focused specifically on pregnancy care but address general medical issues and services of particular importance for pregnant inmates. Those are: "P-A-08 Communication on Patients' Health Needs," "P-G-02 Patients With Special Health Needs," and "P-G-06 Intoxication and Withdrawal."

3. Alabama, Georgia, Hawaii, Iowa, Kentucky, Louisiana, Mississippi, Missouri, Montana, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, Wisconsin, Wyoming

4. Alaska, Arkansas, California, Colorado, Delaware, District of Columbia, Idaho, Kansas, Maryland, Massachusetts, Minnesota, Nebraska, Nevada, New Hampshire, New Jersey, Ohio, Oklahoma, Oregon, Pennsylvania, Texas, Washington

5. Arizona, Connecticut, Florida, Indiana, Maine, Michigan, New Mexico, New York, North Carolina, Tennessee, Utah, Vermont, Virginia, Washington

6. Arizona, Maine, Tennessee

7. Illinois

8. California, Massachusetts, New Hampshire, New York, North Carolina, Oklahoma, Pennsylvania, Texas

9. California, Oklahoma, Pennsylvania, Texas

10. Delaware, Massachusetts, New Jersey, New York, Oklahoma, Oregon

11. California, Connecticut, Delaware, Florida, Idaho, Kansas, Massachusetts, Nebraska, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Texas, Washington

12. California, Connecticut, Florida, New Hampshire, New Jersey, New Mexico, North Carolina, Oklahoma, Pennsylvania, Washington

13. Connecticut, Delaware, Indiana, New Jersey, North Carolina, Oklahoma, Pennsylvania

14. Delaware, Oregon

15. Alaska, Colorado, Delaware, District of Columbia, Florida, Idaho, Kansas, Massachusetts, Nebraska, New Hampshire, New Mexico, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Washington

16. California, Delaware, District of Columbia, Idaho, Kansas, Massachusetts, New Hampshire, New Jersey, Oklahoma, Oregon

17. California, Colorado, Illinois, Vermont, New Mexico, New York, Pennsylvania, Texas, Washington, West Virginia

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