In early 2019, the National Association of Counties (NACo) and National Sheriffs’ Association (NSA) convened the task force to meet and to hold countless discussions with local criminal justice system stakeholders and county officials to facilitate the development of this report and subsequent recommendations. This report is aimed at criminal justice system stakeholders at all levels of government. It is divided into four sections: recommendations for government entities, an overview of pretrial detainees and jail health care, best practices in jail health care and strengthening the care continuum, and legal implications and recommendations. This report outlines methodologies to improve health outcomes for justice-involved individuals and ultimately break the cycle of recidivism that has burdened local jails and the county systems that support this population.