NACo invites county leaders to sign on to behavioral health advocacy letter to Congress
Author
Blaire Bryant
Upcoming Events
Related News
Key Takeaways
The National Association of Counties (NACo) is asking county leaders to sign on to a letter urging Congress to include key county behavioral health priorities in a bipartisan end-of-year legislative package that improves our ability to provide comprehensive behavioral health services in all settings, strengthens the behavioral health workforce and increases resident access to services.
Following the expiration of the current short-term funding measure in December, Congress will have the opportunity to consider and pass behavioral health policies that would improve the lives of millions of Americans before the end of the year. As key intergovernmental partners, counties are urging lawmakers to support the following policies on behalf of our residents in need of care:
- Amendment of the Medicaid Inmate Exclusion Policy (MIEP)
- Repeal of the Institutions for Mental Diseases (IMD) exclusion
- Direct and flexible grant programs to counties to support the recruitment, training and retention of a sufficient behavioral health workforce
- Sustained federal funding to support local crisis response infrastructures through Medicaid
- Enforce policies that ensure equal coverage of treatment for mental illness and addiction
Counties are integral to the nation’s behavioral health system, as both fiscal contributors and coordinators of behavioral health services within county-owned and operated community health facilities. By directing resources to community-based treatment and services, we can better serve residents with behavioral health conditions, reduce reliance on the criminal legal system and direct valuable resources toward improving stability and health.
Click here to view the full letter. To support our efforts to advance these policies, please sign on to the letter by clicking here.
ADDITIONAL RESOURCES
Resource
Behavioral Health Matters to Counties
Related News
CMS announces new funding opportunity for the Innovation in Behavioral Health Model
On October 16, the Centers for Medicare & Medicaid Services (CMS) released a Notice of Funding Opportunity (NOFO) for Cohort II of the Innovation in Behavioral Health (IBH) Model. This new round of funding builds on the initial IBH model announced in 2024 and continues CMS’s efforts to improve outcomes for individuals with moderate to severe mental health conditions and substance use disorders (SUDs) by advancing integration between behavioral and physical healthcare.
Michelle Alyssa Go Act reintroduced in the 119th Congress, a critical step for county behavioral health systems
On September 18, the Michelle Alyssa Go Act was reintroduced in the U.S. House of Representatives. This bipartisan legislation aims to increase the number of federal Medicaid-eligible in-patient psychiatric beds from 16 to 36, providing critical support for individuals seeking treatment for mental health and substance use disorders.
County Countdown – October 6, 2025
Every other week, NACo's County Countdown reviews top federal policy advocacy items with an eye towards counties and the intergovernmental partnership. This week features a federal shutdown FAQ, overdose prevention funding and more.