NC H108

Department of Public Safety must maintain detailed records of prisoners transferred to state custody under safekeeping orders, including transfer dates, statutory basis, facility location, and health services provided.

Counties must reimburse the state for prisoner maintenance at the per day, per inmate rate charged to local jails, plus costs for extraordinary medical care including hospitalizations, outpatient expenses exceeding $35, and sick call encounters.

Health care providers must submit charges for safekeeper prisoners to the Inmate Medical Costs Management Plan through the North Carolina Sheriffs' Association rather than directly to the Department for cost negotiation and overpayment avoidance.

Department must update its medical services schedule of charges annually, considering actual service rates and current Medicaid rates, and submit the updated schedule to the Joint Legislative Oversight Committee on Justice and Public Safety by December 1, 2019.

Medical or mental health treatment transfers are limited to an initial 30-day period with mandatory reassessment by attending professionals and judicial determination required to extend beyond 30 days.