New rule means people on community supervision now qualify for Medicare
Under this new rule, more than 340,000 people over the age of 65 who are on probation or parole will have access to healthcare coverage.
by Mike Wessler, December 2, 2024
Last month, the federal government approved an important new rule that makes people on probation or parole, out on bail, or living in a halfway house eligible to receive Medicare benefits. Medicare is the federal health insurance program for people who are age sixty-five or older or who have certain disabling medical conditions. Under this new rule, more than 340,000 people over the age of 65 who are on probation or parole, along with countless others who are under other forms of community supervision, will now qualify for Medicare.
Medicare does not provide care for people who are “in custody.” However, prior to this rule change, Medicare’s definition of “in custody” was much broader than the average person would assume. Rather than applying only to people behind bars, it also applied to anyone who was on bail, probation, parole, in a halfway house, or otherwise under the supervision of correctional authorities but not necessarily behind bars — excluding them from accessing health insurance benefits from the program.
The federal government based its previous Medicare policy on the flawed notion that people on community supervision received medical care from a correctional authority, which we heard time and time again is not the case. Prisons and jails often don’t provide adequate care to people behind bars, and they certainly don’t provide it to people living in the community.
This change is important because older people and people with disabilities are tangled in the criminal legal system at disproportionately high rates. Additionally, people on community supervision have dramatically higher rates of serious medical conditions, including Hepatitis B or C, kidney disease, and other disabilities — they’re also more likely to be uninsured.
We submitted public comment, along with dozens of other groups, including the Health and Reentry Project (HARP), Justice in Aging (JIA) and the Legal Action Center (LAC), in September urging the federal government to make this change. These new rules go into effect on January 1, 2025.
This is a significant victory won by the work of advocates from all across the nation that will significantly improve healthcare access for hundreds of thousands of people.
