Disability Rights California (DRC), as the Protection and Advocacy system for the State of California, is committed to protecting the rights of all people with disabilities and to ensuring that people with disabilities can live and thrive in their community. More than seven (7) years ago, in 2015, Disability Rights California issued an investigative report on conditions in Sacramento County’s jails (the “Jail”). The report documented deeply harmful policies, practices, and conditions that adversely impact people in detention, and in particular people with serious mental health needs, medical conditions, and physical, sensory, and mental health disabilities. Our report detailed the Jail’s inadequate health care system, excessive use of solitary confinement, and extreme violations of disability antidiscrimination law.