Healthy Counties Initiative
NACo’s Healthy Counties Initiative creates and sustains healthy counties by supporting collaboration and sharing evidence-informed approaches to pressing health issues. The initiative is centered on supporting and elevating best practices and county innovations in public health. By addressing key public health issues, Healthy Counties empowers county leaders with resources for promoting and advancing health policies and programs that meet the needs of their communities.
The Healthy Counties Initiative is supported by the Healthy Counties Advisory Board, a committee comprised of county elected officials, key county agency staff and corporate partners. These members work collaboratively to identify priorities and ensure that other county leaders receive timely and useful information to make appropriate health decisions for their communities.
Resource
Healthy Counties: Fostering Better Health Outcomes in Children and Older Adults
Federal cuts to Medicaid: What counties should know
Medicaid is a joint federal, state and local program that provides health coverage to low-income individuals, including children, pregnant women, elderly adults and people with disabilities. The program accounts for over half of all federal funding to states and is the largest source of federal funding in state budgets.
Counties play a crucial role in delivering Medicaid services by partnering with federal and state governments to manage local health systems and ensure access to care for vulnerable populations. Any reductions in Medicaid funding directly affect counties' ability to provide public health services, respond to crises and promote economic stability.
Medicaid cuts threaten home and community-based care
Roughly 40% of home care workers live in low-income households and the majority rely on some form of public assistance, with about one-third relying on Medicaid.
County Countdown – February 25, 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 budget reconciliation, FY 2025 funding deadline and more.
State and Local Government Organizations Express Concern Over Proposed Changes to Medicaid Financing and Requirements
NACo, NLC, NCSL, USCM, CSG and ICMA emphasize the impact of policy changes to eligibility requirements and financing of Medicaid.
U.S. Congress begins work on budget reconciliation process: What this means for counties
The House and Senate Budget Committees have marked up Fiscal Year (FY) 2025 budget resolutions to initiate the budget reconciliation process to enact policy priorities without garnering bipartisan support, although the two chambers differ in their approach to drafting the legislation.