State & Local News
Walla Walla County Amends Jail Health Contract
March 25, 2026
Walla Walla County amended its jail health services contract in March 2026 to reduce costs by approximately $20,000 by replacing the on-site Registered Nurse (RN) with a Certified Medical Assistant (CMA), while maintaining telehealth RN support. This staffing change reflects the jail's current healthcare needs, focusing on less intensive medical tasks such as dressing changes and blood draws. The amendment reduces the total contract cost from about $560,000 to $540,000. Some county commissioners expressed concerns about potential liability and care quality differences between RNs and CMAs, highlighting the need for ongoing evaluation of the contract's effectiveness.
- Why this matters: Procurement professionals should note the trend toward cost-saving staffing adjustments in correctional healthcare contracts, balancing budget constraints with care quality and liability considerations.
- The contract amendment demonstrates flexibility in service delivery models, including telehealth integration, which may influence future jail healthcare procurements.
- Vendors offering correctional healthcare services should consider how staffing models and telehealth capabilities impact contract competitiveness.
- Agencies may benefit from closely monitoring outcomes of such staffing changes to inform risk management and contract performance assessments.
I was concerned when I read this because there is a huge difference between an MA and a nurse. That would be equivalent to an EMT and a paramedic. There's a massive difference between the two of those. I wonder about our liability exposure with an MA if something got missed, an MA would have a very easy defense to say, I didn't know because I'm not trained at that level.
— Commissioner Gunner Fulmer
Its almost overkill for (what that person is) doing. It's like dressing changes and a few blood draws an RN could easily do it, but it's not really necessary to have an RN here for that.
— Cmdr. Steve Barker
I think that we just we don't have enough data yet. I think we've been in this for less than 90 days. I'm going to vote no, but we'll see how it goes, and then I would encourage you, if this fails, to bring it back in another three months, but I'm a no for now.
— Commissioner Bertha Clayton
Agencies
Walla Walla County Jail, Walla Walla County Board of Commissioners
Vendors
Ivy Correctional Medicine, Blue Mountain Heart to Heart
Contracts
Approximately $20,000 cost savings in nursing line; total estimated contract cost reduced from $560,000 to $540,000