RCRC’s affiliate Golden State Finance Authority (GSFA), issued a Request for Proposals (RFP) on October 13, 2025 to conduct a feasibility study on long-term alternatives for jail medical care across one or more of five identified regions within California.

The submission period for RFP # 2025-GSFA-001 subsequently closed on December 12, 2025. Find the RFP in the “Documents” section below.

Proposals are currently in the review process. Thank you to all who submitted.

Please direct all questions via email to Jason Hansen (jhansen@rcrcnet.org) and Eric Will (ewill@rcrcnet.org)

Background

Counties throughout California are increasingly challenged by the rising cost and complexity of providing legally required medical care to individuals in county jails. Many counties are experiencing staffing shortages, rising contract costs, uneven access to behavioral health and specialty services, and difficulty maintaining compliance with state and national care standards. These issues are particularly pronounced in rural and medium-sized counties, where scale, geography, and resource limitations create barriers to service delivery.

In response to these concerns, GSFA has convened five regional task forces composed of County Executive and Administrative Officers (CEOs and CAOs) to explore long-term alternatives for delivering jail medical care. Each task force represents a distinct geographic region of California (See Exhibit A: Map) and includes counties that have expressed interest in exploring regional collaboration as a strategy for improving service delivery, quality of care, and cost-efficiency.