justice system. (7) President Trump has endorsed the goal of making addiction treatment available to those in prison. (8) A study published in the International Journal of Law and Psychiatry states that 68 percent of untreated SUD and dual diagnosis (SUD and mental disorder) offenders returned to prison with an average annual cost of incarceration of $31,977. (9) With a repeal of the Medicaid inmate exclusion, nearly all inmates would be eligible for the Medicaid program in States that expanded Medicaid through the Patient Protection and Affordable Care Act