The Rules Are Strict, Unless Medical Says Otherwise
Many inmates in low and medium security federal prisons are required to wear a khaki uniform and approved boots during work hours – at some institutions, even when you’re at your own bunk.
But, there are exceptions. If you’re a diabetic with neuropathy, or can prove you have back problems that are alleviated by wearing soft shoes like tennis shoes, you can get a soft shoe pass from the medical department. The soft shoe pass is supposed to stay with you during any time when you are wearing tennis shoes at an irregular time.
Founder of Federal Prison Tips, Kyle Sandler, is a diabetic and anemic. Of couse, he had plenty of passes in federal prison.
He had a jacket pass because of the anemia, which allowed him to wear his winter jacket all year long.
At Butner Low in North Carolina, he was the only inmate on the compound with a wool hat pass, which allowed him to wear a hat no matter what the temperature. Normally, inmates are only allowed to wear winter hats during colder months, and the institution will announce when the dress code makes the switch.
You can also get “bottom bunk” passes. If you have mobility issues that prevent you from climbing a ladder to bed, you can qualify for this pass.
There’s another pass that will let staff members know you have metal in your body from prior surgeries, so you might make metal detectors go off without having a weapon or other contraband.
There’s a lot of rules in federal prison, but if you have the right medical conditions and a decent medical provider in prison, you can find exemptions to make your life a little bit easier.

