Fulton County leaders are trying to rethink their approach to criminal justice. But in the meantime, they have to provide health care at the jail.

Leaders want to reduce the number of homeless, addicted and mentally ill people who crowd the public safety system.

But a new jail health care contract has to be in place before any changes to the system are made.

The current contract ends Dec. 31, and commissioners have been delaying a decision on the new one. The likelihood that any new contract won’t reflect future changes has been frustrating to commissioners.

To read more about what might happen to health care at the Fulton County jail, click here.

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Ceudy Gutierrez reads a book to her 2-year-old son, Matias, at their home in Buford, GA, on Tuesday, Nov. 18, 2025. Ceudy Gutierrez is struggling to make ends meet for herself and her three young kids following her husband’s ICE arrest earlier this fall. (Miguel Martinez/ AJC)

Credit: Miguel Martinez-Jimenez