In September 2004, a federal court issued an order requiring further improvements in CDC’s inmate health care delivery system. We believe the Governor’s budget year proposal is consistent with the court order. However, the state continues to face significant challenges in providing better access to quality health care for inmates, including attracting qualified health professionals to work in the prison system, and implementing a health information system that enables the department to oversee the delivery of health care. We recommend a number of modifications to the Governor’s budget proposal that would result in state General Fund savings.