Bail is the practice of using money or property as an assurance that a person charged with a criminal offense will return for their scheduled court dates and not engage in criminal activity during the pretrial period. However, there is limited evidence supporting bail as an intervention in these ways, despite the steady increase in both the use and amount of bail since the late 1980s. Instead, bail is widely criticized for emphasizing resource-based decisions that have unnecessarily increased rates of pretrial detention in the United States and have contributed to cumulative and disproportionate disadvantage for people of color and low-income people involved in the American legal system. Consequently, there is widespread agreement that bail reform is needed and, yet, what this means in policy and practice is widely contested. In this chapter, we review bail decision-making practices, their impact overall and for marginalized groups, and bail reform efforts over time, including ongoing challenges or concerns.