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Justice Policy Institute;
Maryland leads the nation in incarcerating young Black men, sentenced to the longest prison terms, at a rate 25% higher than the next nearest state — Mississippi.
State has incarcerated the highest percentage of people who are Black in the country, more than twice the national average.
Punitive sentencing policies and restrictive parole release practices in Maryland have resulted in a deeply racially disproportionate criminal justice system that is acutely impacting those serving the longest prison terms. This is true despite a declining prison population and state leadership in Maryland having undertaken criminal justice reform in recent years. As recently as July 2018, more than 70 percent of Maryland's prison population was black, compared to 31 percent of the state population. The latest data from the Department of Justice show that the proportion of the Maryland prison population that is black is more than double the national average of 32 percent. These disparities are rooted in decades of unbalanced policies that disproportionately over-police under-resourced communities of color, and a criminal justice system focused on punitive sentencing and parole practices.
Disparity Most Pronounced Among Emerging Adults, Especially Those with Long Sentences
Racial disparities persist despite the fact that the Maryland prison population has declined by 13 percent since 2014, resulting in nearly 2,700 fewer people incarcerated. These inequalities affect the entire population, but are most pronounced among those individuals who were incarcerated as emerging adults (18 to 24 years old) and are serving long prison terms. Nearly eight in 10 people who were sentenced as emerging adults and have served 10 or more years in a Maryland prison are black. This is the highest rate of any state in the country.
To be Effective, Solutions Must Focus on the Emerging Adult Population
To reverse these racially disparate outcomes—the result of decades of failed policies—Maryland needs to rethink its approach to 18- to 24-year-olds and join a growing number of jurisdictions exploring reforms related to emerging adults. This policy brief will provide perspective on why this population is unique and reforms are critical to improving outcomes in the justice system. Going forward, Maryland's leadership can look toward examples of successful, evidence-based, and promising alternatives in other jurisdictions that can reduce the impact on emerging adults, racial disparities, and criminal justice involvement.
What do we mean by "emerging adults"?
The United States justice system is divided into two separate entities: the adult criminal justice system and the juvenile justice system. With the creation of the juvenile court in 1899, the vast majority of youth under the age of 18 are served in the juvenile system. But the choice of 18 as the cutoff age is arbitrary and subject to specific state statutes. For example, in four states, 17-year-olds are automatically prosecuted and sentenced as an adult. However, most states have chosen 18 as the age of adulthood. Some states, such as New York and North Carolina, have recently taken steps to raise the age of juvenile jurisdiction from 16 to 18 years old.
The reason this age threshold matters is because the juvenile justice system's underlying philosophy differs radically from that of the adult system. The juvenile justice system was explicitly developed as an alternative to the adult system, which is primarily focused on punishment. The juvenile system is based on an understanding that children have a less developed sense of right and wrong, reduced impulse control, and, as such, a different level of culpability for their actions. The juvenile system is not focused on absolving children of responsibility for their actions. However, it offers education, personal development, and rehabilitation rather than punishment.
Rutgers University Bloustein School of Planning and Public Policy;
For more than a decade, states and cities across the country have served a leadership role in advancing science-informed climate policy through city, state and multi-state efforts. The rapid pace by which state climate policy is emerging is evidenced by the number of new laws, directives and policies adopted in 2018 and the first half of 2019 alone. Currently, there is an active ongoing dialogue across the U.S. regarding the intersection of climate and equity objectives with efforts targeted at addressing needs of disadvantaged communities and consumers. This climate/equity intersection is due to several factors, including recognition by many cities and states that climate change is and will continue to have a disproportionate impact on certain populations and will exacerbate existing stressors faced by disadvantaged communities and consumers. Research indicates that a greater proportion of environmental burden exists in geographic areas with majority populations of people of color, low-income residents, and/or indigenous people. It is well known that certain households (including some that are low-income, African American, Latino, multi-family and rural) spend a larger portion on their income on home energy costs. States and stakeholders are realizing that a transition to a low-carbon future by mid-century will require significantly increased participation of disadvantaged communities and households in the benefits of climate and clean energy programs.
W.K. Kellogg Foundation;
As the country becomes more diverse, schools that successfully engage all families will transform learning and leadership. This executive summary captures "takeways" from partnerships forged by the W.K. Kellogg Foundation (WKKF) to create environments where teachers, families and community members can effectively collaborate and share power.
Issue: Managed care organizations (MCOs) are integral to Medicaid payment and delivery reform efforts. In states that expanded Medicaid eligibility under the Affordable Care Act, MCOs have experienced a surge in enrollment of adults with complex needs.
Goal: To understand MCO experiences in Medicaid expansion states and learn about innovations related to access to care, care delivery, payment, and integration of health and social services to address nonmedical needs.
Methods: Interviews with leaders of 17 MCOs in 10 states that have seen large Medicaid enrollment growth and have undertaken payment and delivery reforms.
Findings and Conclusions: MCO leaders regard their ability to enroll and serve the Medicaid expansion populations as a signal achievement. They have focused on identifying and helping high-risk populations and addressing the social determinants of health. MCOs are testing value-based payment strategies that link payment with performance and are increasingly focused on engaging patients in their care. Leaders report common challenges: setting appropriate payment rates; managing members whose needs differ from traditional Medicaid beneficiaries; ensuring access to specialty care; and effectively implementing payment reform and practice transformation. All point to the need for a stable policy environment and a strong working relationship with state Medicaid agencies.
Robina Institute of Criminal Law and Criminal Justice;
The Maryland Parole Commission (MPC) was created in 1976 to replace the Board of Parole, which had been established in 1968. The first Advisory Board of Parole was founded in 1914. Maryland has had advisory sentencing guidelines since 1983. A sentence pronounced under the guidelines represents the maximum time an offender may serve and the parole commission then determines when an inmate will be considered for release.
Hilltop Institute at the University of Maryland, Baltimore County;
This report describes the services The Hilltop Institute provided to the Maryland Department of Health (MDH) under the Master Agreement between Hilltop and MDH. The report covers fiscal year (FY) 2017 (July 1, 2016, through June 30, 2017). Hilltop's interdisciplinary staff provided a wide range of services, including: Medicaid program development and policy analysis; HealthChoice program support, evaluation, and financial analysis; long-term services and supports program development, policy analysis, and financial analytics; and data management and web-accessible database development.
Foundation for a Healthy Kentucky;
Creating a Culture of Health in Appalachia: Disparities and Bright Spots is an innovative research initiative sponsored by the Robert Wood Johnson Foundation (RWJF) and the Appalachian Regional Commission (ARC) and administered by the Foundation for a Healthy Kentucky. This multi-part health research project will, in successive reports: measure population health and document disparities in health outcomes in the Appalachian Region compared to the United States as a whole, as well as disparities within the Appalachian Region; identify "Bright Spots," or communities that exhibit better-than-expected health outcomes given their resources; and explore a sample of the Bright Spot communities through in-depth, field-based case studies. Taken together, these reports will provide a basis for understanding and addressing health issues in the Appalachian Region. This research initiative aims to identify factors that support a Culture of Health in Appalachian communities and explore replicable activities, programs, or policies that encourage better-than-expected health outcomes that could translate into actions that other communities can replicate.
This first report, Health Disparities in Appalachia, measures population health in Appalachia and documents disparities between the Region and the nation as a whole, as well as disparities within the Appalachian Region.
Hilltop Institute at the University of Maryland, Baltimore County;
The Medicaid Long-Term Services and Supports in Maryland Chart Book, Volume 1, The Autism Waiver is the first in a series of three that explores service utilization and expenditures for Medicaid-funded long-term services and supports in Maryland. Volume 2 explores service utilization and expenditures for Maryland Medicaid's Brain Injury Waiver. Volume 3 provides information on the state's Medicaid Model Waiver.
Hilltop Institute at the University of Maryland, Baltimore County;
The Medicaid Long-Term Services and Supports in Maryland Chart Book, Volume 2, The Brain Injury Waiver is the second in a series of three that explores service utilization and expenditures for Medicaid-funded long-term services and supports in Maryland. Volume 1 explores service utilization and expenditures for Maryland Medicaid's Autism Waiver. Volume 3 provides information on the states' Medicaid Model Waiver.
As the Greater Philadelphia region's metropolitan planning organization (MPO), DVRPC provides technical assistance and services to its member state, county, and local governments; the private sector; and the public. Delaware Valley Data is our periodic series of free data bulletins, data snapshots, and analytical reports. Regional Data Bulletin #098 presents residential building permit data for 2010 through 2015 in the extended 28-county data services area. Residential construction activity data is derived from current reports and publications compiled by the U.S. Census Bureau's Residential Construction Statistics Division. Municipalities provide the Census Bureau with tabulations of the number of housing units authorized, according to types of structures. In the few cases where municipalities reported building permit activity for some months but not for all 12 months, the Census Bureau estimates the total yearly number of building permits based on past building permit activity.
Health Care Cost Institute;
Children's Health Spending: 2010-2014 examines spending on health care for children covered by employer-sponsored insurance from 2010 to 2014. For the first time, HCCI analyzed children's health care spending trends at the state level, reporting on Arizona, Connecticut, Florida, Illinois, Maryland, Ohio, Texas, Virginia, and Wisconsin, as well as the District of Columbia.
Per capita spending on health care for children grew an annual average of 5.1% per year between 2010 and 2014, reaching $2,660 in 2014.
Rising prices were the chief driver of growth in spending for children's health care in 2014.
At the same time, there was a general decline in the use of health care services between 2012 and 2014.
Among the states studied, Arizona had the lowest per capita spending ($2,151 per child in 2014), while Wisconsin had higher per capita and out-of-pocket spending than the national average in every year studied – reaching $3,017 per capita in 2014.
Corporation for Enterprise Development (CFED);
The Assets & Opportunity Scorecard is a comprehensive look at Americans' financial security today and their opportunities to create a more prosperous future. It assesses the 50 states and the District of Columbia on 130 outcome and policy measures, which describe how well residents are faring and what states are doing to help them build and protect assets. The Scorecard enables states to benchmark their outcomes and policies against other states in five issue areas: Financial Assets & Income, Businesses & Jobs, Housing & Homeownership, Health Care, and Education.