Maintaining and improving the health status of prisoners, as well as providing preventive health care during incarceration, can substantially reduce the economic, social, and health care burden for parolees, their families, and the state. This report examines access to health care for women who are incarcerated in California state prisons, through quantitative and qualitative analysis of a large database of interviews, medical records, legal documents, and judicial reports assembled in conjunction with prisoner’s complaints during the past four years. The report’s recommendations compare the California correctional health care model with "best practice" models for health care delivery to offer an empirical foundation on which to base deliberations on correctional health options.