Large outbreaks of coronavirus infections occurred in several prisons in China in February 2020. Since then, the authorities on the national and local levels have introduced a series of measures to prevent more COVID-19 infections in correctional institutions. This article reviews those strategies and explores their ties to past prison reforms and their potential influences on future directions. First, it provides an overview of the changes in prison management and operation that foreshadowed some of China’s approaches to COVID-19 in the prison system. Second, it examines the strategies undertaken by the prison system to stop the spread of COVID-19. Finally, the article discusses the implications of the COVID-19 response for prison reforms and the challenges the Chinese prison system faces in its continuous efforts to contain COVID-19.