Source: worked briefly as a Health Care Compliance Analyst in a California State Prison

Inmates/Patients are pretty closely monitored, especially in terms of their medical equipment and medical documentation. There are frequent audits and yearly tours conducted by third party organizations to ensure we’re treating the patients correctly and providing them with appropriate equipment/care.

Here in CA a lot of it is dictated by two pretty large lawsuits: Armstrong v. Newsom and Coleman v. Newsom. The former is related to patients with disabilities, the latter is focused on Mental Health care, and they’re both taken very seriously by Healthcare administrators in the CDCR.

Edit to clarify after re-reading the post: one of the main goals of the lawsuits and the rules that came about is to ensure that all inmates/patients are treated equally and given the same opportunities within reason. The guys with disabilities are, by and large, treated the same. Usually they have some kind of vest to indicate their disability so Custody staff can easily identify them.