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The program will prioritize care by disease severity, using diagnostic criteria and a re-established sentence tail, requiring inmates to have at least 18 months remaining. Liver biopsies will be used for genotype 1a/b to determine progression and treatment candidacy, and the new approach follows NIH and conference 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Diseases.…2U.S.PanelCites Need ForMenta Health Treatment.….2South Carolina Director BacksAlternative Sentences……3llinois Governor VetoesCapital Penalty Reform Bill.3Alabama Mental Health ProgramInspects Private Facilitie....3Oklahoma Finds 45%Of FemalesAre Drug Offenders…………4Comment On Drug Grants...4Drug Abuse Data ………………4Juvenile Court Data………4Youth Court Trends…………4  \nLEGISLATION  \nHouse Hikes Alien Aid 61%5Drug Care Get Increase…….5House Votes 114%IncreaseTo Reduce DNA Backlogs..5Rape Prevention Gets $60M 5  \nIN THE COURTS  \n8th CircuitOn Probation……69th Circuit On Juveniles……6  \nACROSS THE STATESArk.,Ind.,Ky.,N.Y.,N.C..7  \nDEATH ROW  \nAlabama………………7  \n# CorrectionSDIGEST\n\nThe only independent news service for the corrections professional  \n# Pennsylvania Plans To Reduce Nation'sMost Liberal Hepatitis Care Program\n\nThe Pennsylvania Department of Corrections this fall plans to re- vise and modify the nation's most comprehensive hepatitis C treat- ment protocol to improve cost man-agement.  \nFor the past three years,Penn-sylvania has operated a programwith fewer exclusionary criteriathan other correctional systems,which provided treatment for 1,100inmates.  \nBut in recent months the intro-duction of pegylated interferon,amore effective and expensive medi-cation than standard interferon,sparked dramatic increases in HCVtreatment costs,leading to signifi-cant cost overruns that became un-tenable in an era of tight budgetsand budget cutbacks.  \nPennsylvania officials plan toput in place more diagnostic criteriathat will prioritize treatment basedon the severity of disease while tak-ing into consideration the length ofincarceration before initiating treat-ment.  \n\"We have finite funds,no one isdisputing that,\"said Health CareDirector Cathy McVey.  \n\"To be good stewards of that fi-nite funding and to still be medi-cally responsible in our approach,   \nwe have created a protocol,similarto other DOCs,that identifies wherein the progression of disease these individuals are.We have prioritizedtreatment based on their progres-sion.\"  \nUnder the new protocol,offi-cials will re-impose a sentence tail,meaning inmates with HCV musthave at least 18months left on theirsentences to access care.  \nPennsylvania abolished sen-tence criteria last year,thus elimi-nating one of the biggest pre-requisites precluding treatment.  \n\"The sentence tail was re-established to ensure that inmateswho start treatment are going to beable to complete treatment prior torelease due to the uncertainty of in-mates completing treatment oncethey are released to the commu-nity,\"McVey said.  \nThe Corrections Departmenthouses about 41,500 inmates andtests every inmate entering the sys-tem.One of five is HCV positive.  \nOnly five percent of HCV posi-tive inmates,however,qualified fortreatment.  \nThe DOC is currently treating about550 inmates for HCV;another 500have completed treatment during the past three years.  \nThe new protocol will probablyreduce the number of treated in-mates to about two percent of thoseinfected  \nThe new system will require atleast 18 months remaining on a sen-tence and the use of liver biopsies togauge disease progression for pa-tients with genotype 1 a/b and to de-termine whether these patients aretreatment candidates.The currentprotocol does not require liver biop-sies.  \nDepartment officials said thenew protocol would follow the out-line of a consensus statement a Na-tional Institutes of Health panel re-leased last year and the recommen-dations of experts speaking at theHCV in corrections conference inSan Antonio in January.  \nInf:Positive Populations,202-518-7768.  \n## INMATES PRESS OREGONTO EXPAND HCV CARE\n\nA federal judge has authorizedprisoners to seek a class actionjudgment against the Oregon Cor-rections Department to expand ac-cess to hepatitis C care.  \nCurrent and former inmates al-leged that HCV t","cbCaipctxPUu931v","https://ap.wps.com/l/cbCaipctxPUu931v","pdf",2595164,"English","# Pennsylvania Plans To Reduce Nation's Most Liberal Hepatitis Care Program\n## INMATES PRESS OREGON TO EXPAND HCV CARE\n## 33% IN MARYLAND HAVE INFECTIOUS DISEASES\n## U.S. PANEL CITES NEED FOR CARE OF MENTAL ILL","[{\"question\":\"What prompted Pennsylvania to change its hepatitis C treatment protocol?\",\"answer\":\"Rising HCV treatment costs after the introduction of pegylated interferon made expenses increase sharply and become difficult to sustain under tight budgets.\"},{\"question\":\"What is the “sentence tail” requirement under the new protocol?\",\"answer\":\"Inmates with HCV must have at least 18 months left on their sentences to access treatment so they can complete care before release.\"},{\"question\":\"How will liver biopsies be used in the new system?\",\"answer\":\"Liver biopsies will be required to gauge disease progression and determine whether patients with genotype 1a/b are treatment candidates.\"}]","Pennsylvania Plans To Reduce Nation's Most Liberal Hepatitis Care Program | PDF",1790649968,23]