The California Department of Corrections and Rehabilitation’s telemedicine program allows the department to deliver health care services to inmates without transporting them to outside medical facilities. Our review finds that opportunities exist for the department to significantly expand its use of telemedicine, thereby improving public safety and reducing the cost of providing inmate health care. We recommend legislation be enacted that requires the department to take steps to expand the use of telemedicine in prisons, which would potentially reduce transportation and medical guarding costs by several million dollars.