Mourning v. Correctional Medical Services

692 A.2d 529, 300 N.J. Super. 213, 1997 N.J. Super. LEXIS 193
CourtNew Jersey Superior Court Appellate Division
DecidedApril 25, 1997
StatusPublished
Cited by9 cases

This text of 692 A.2d 529 (Mourning v. Correctional Medical Services) is published on Counsel Stack Legal Research, covering New Jersey Superior Court Appellate Division primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mourning v. Correctional Medical Services, 692 A.2d 529, 300 N.J. Super. 213, 1997 N.J. Super. LEXIS 193 (N.J. Ct. App. 1997).

Opinion

The opinion of the court was delivered by

KING, P.J.A.D.

I.

This is an appeal from a denial of injunctive relief and grant of summary judgment in the State’s favor in a prisoner’s action challenging the New Jersey medical copayment statute. We reject appellant’s constitutional challenge to the statutory scheme and affirm primarily for the reasons given by Judge Carchman in his oral opinion of May 20,1996.

II.

On November 1, 1995 the Legislature enacted L. 1995, c. 254, the prison inmate copayment statute (statute) codified as N.J.S.A. 30:7E-1 to -6, effective March 1,1996, to partially defray the cost of inmates’ health care and to reduce the incidence of overutilization and malingering among inmates in state and county correctional facilities.

N.J.S.A 30:7E-2 provides in pertinent part:

a. An inmate shall be liable for the cost of, and be charged a nominal fee for, any medical care, surgery, denial care, hospitalization or treatment provided to the inmate during the inmate’s term of incarceration or detention by the State or a county____
[216]*216b. An inmate may be charged either the full cost of or a nominal fee for any prescription or nonprescription drug or medicine provided to the inmate during the inmate’s term of incarceration or detention by the State or a county.

The statute provides that the State Treasurer will determine the amount of the “nominal fees” in accordance with guidelines promulgated by the Commissioner of the Department of Corrections (Commissioner) for inmates incarcerated or detained in a State correctional facility or a State-contracted half-way house, and by the county treasurer in accordance with guidelines promulgated by the county adjuster for inmates incarcerated or detained in a county jail. N.J.S.A 30:7E-2(a), (b). N.J.S.A 30:7E-4 allows the State or county to place a lien “on any and all property and income to which the person shall have or may acquire an interest,” for fees charged to cover the cost of “any medical care, dental care, surgery, hospitalization or treatment provided by the State or the county,” as well as “for the cost or any fee charged for the cost of any prescription or nonprescription drug or medicine.” The Governor’s press release anticipated savings of $600,000 annually for the Department of Corrections.

N.J.S.A. 30:7E-5 guarantees inmates unable to make copayments access to medical care; it states:

Notwithstanding the provisions of sections 2, 3 and 4 of this act, no inmate shall be denied medical care, surgery, dental care, hospitalization, treatment or prescription or nonprescription drugs or medicine because he is not covered under a health insurance plan or because the inmate is unable to reimburse the State or county for the costs of those services, drugs or medicine.

N.J.S.A. 30:7E-6 directs the Commissioner to promulgate regulations under the inmate copayment statute.

Pursuant to this directive, the Department of Corrections (DOC) circular HS-96-01 (DOC copayment system), established the “DOC policy for inmate copayment of eligible health and dental care treatment, while ensuring that all inmates will be provided the opportunity to receive necessary health care services regardless of their ability to pay.” The copayment system requires the DOC to properly notify both inmates and staff of the copayment system’s details. When seeking medical attention, the DOC copayment system requires inmates to complete a medical [217]*217request form (HS-01), which “informs the inmate that there may be a charge for services and that any charge assessed may be grieved.” The medical department will then “complete a daily medical log HS-02 indieating all inmates seen for the day and whether or not the services received are chargeable and the chargeable amount.” “In the event of emergency services the staff must initiate form HS-01 to document medical services received and the chargeable amount.” The health care staff will also document on the medical request form the appropriate charge at the time a prescription is written. “Once the prescription is written and acknowledged, the account will be charged $1.00.”

The copayment system imposes a $5 copayment on inmates for each inmate initiated visit for medical, dental, emergency and optometry services. Services excluded from the copayment requirement are:

1. Initial assessments [physical examinations] during the reception and classification process, classification physical and transfer evaluations, discharge physical examinations.
2. Prescribed laboratory work to include inmate requests for HIV testing.
3. Prescribed x-rays.
4. Immunizations, Tuberculosis (TB) testing, Hepatitis B vaccine, and other treatments instituted by NJDOC for public health reasons.
5. Prescribed psychiatric, psychological, substance abuse and social work services.
6. EKG’s, dressing changes and other ongoing treatments ordered by health care staff. If treatment is prescribed over the course of several days or weeks, the inmate should not be charged for each visit.
7. Medical visits initiated by medieal/mental health staff to comply with Department policy or regulations.
8. Provider scheduled follow-up visits related to the initial problem.
9. Written referrals from one provider to another.
10. Dental referrals made by health care staff.

These provisions govern copayments for prescriptions:

Regardless of whether it is dispensed to the inmate in quantity (Keep on Person) or by individual unit doses, all medical prescriptions will be ordered by qualified healthcare professionals in quantities and durations that are medically appropriate and in keeping with all applicable laws and regulations.
[218]*218Orders for chronic maintenance medications will be written for as large a supply as possible, in accordance with the standards noted above. Whenever a healthcare professional is required to reevaluate, renew, refill, approve or rewrite a medication order, that transaction will be viewed as a new prescription chargeable to the respective inmate.
a. Each prescription ordered will have a $1.00 co-pay.
b. Each prescribed over the counter medication will have a $1.00 co-pay.
c. Some over the counter medications for personal elective use may be available in the canteen at full retail price.

Using copayment log forms (HS-02), medical personnel will record the appropriate copayment charge and forward the log forms to the business office. “Upon receipt, medical copayments will be charged to an inmate’s account in accordance with Business Office procedures. Inmates will not be refused necessary medical treatment because of insufficient funds to cover the medical copayment.”

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Cite This Page — Counsel Stack

Bluebook (online)
692 A.2d 529, 300 N.J. Super. 213, 1997 N.J. Super. LEXIS 193, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mourning-v-correctional-medical-services-njsuperctappdiv-1997.