Comment on FR Doc # 2010-11214

With regard to your designation for correctional institutions, I believe your current policy determines status based on physical location by town where the facility is housed. However, underserved communities supply a disproportionate degree of the incarcerated population. They come into incarceration with less utilization of healthcare, more complex diagnoses, more advanced complications from lack of treatment, more dual-diagnosis conditions such as mental health issues and HIV, HIV/addiction. They bring histories of sexual, emotional and physical abuse. Many correctional facilities try to build relationships with heallthcare in the communities to which the incarcerated population will return. It would improve the pool of interested medical providers in the correctional facilities if designation of correctional centers reflected the population within the walls rather than outside in the streets. Please reconsider your stance in this matter.