Hudson County commissioners on Dec. 22 advanced a resolution to accept, if awarded, $688,548 in FY2026 state funds to support medication-assisted treatment (MAT) programs in the Hudson County Correctional Facility and pressed county staff for more medical oversight after several recent in-custody deaths.
Director Mazza described the medications the program would support: “So it's suboxone, methadone, and there are medications that help treat opiate addiction. so some of them block the ability to get high and some of them treat withdrawals and help maintain them through treatment,” she said. The board indicated support for the treatment approach but several commissioners said they wanted follow-up from medical providers about care protocols and medical staffing.
Commissioner William O'Dea said his review of facility deaths raised questions about whether the jail's medical contract includes cardiac expertise. “In doing research, it's been suggested to me that the medical contract should have a cardiologist as part of the contract, and currently there is no cardiologist,” he said, and asked staff to bring a representative from the county's new medical contractor to the next caucus. Chairman Anthony Romano directed staff to schedule that appearance in January.
County staff agreed to follow up. Mr. Salzar, who manages the county's mental health court and related timelines, said the county had submitted a revised budget to the State and that “the State has it. I can follow up with the state and find out what their timeline is, but they have everything that they needed this morning.” The board asked staff to provide a timeline update on the mental health court and to arrange the medical contractor briefing.
No formal vote on the MAT award was recorded in the discussion beyond moving the resolution forward; commissioners asked for additional detail on clinical staffing and how MAT will be integrated with off-site care and mental-health diversion options. The matter will return to the board after staff meet with the medical contractor and report back at the January caucus meeting.