County Countdown – Nov. 6, 2023

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.

 Nearly two dozen county leaders from 15 states are in attendance this week at a National Association of Counties (NACo) fly-in focused on disaster reform.

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

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.  

NACo today issued a statement encouraging a speedy, bipartisan end to the federal government shutdown.

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.

Participants will gain practical strategies and real-world examples of how counties are partnering with Stage CARES to enhance transparency, strengthen coordination, and sustain impact and benefits in their communities’ opioid response.

Join us for a fireside chat with Orleans County, NY, as they share how their team successfully transitioned from a traditional capital expense (CapEx) model to an operational expense (OpEx) model for network services.

When faced with rising maintenance costs and an expiring carrier contract, the county seized the opportunity to modernize its network and lock in predictable monthly costs. By bundling connectivity services with unified communications, they achieved immediate savings of over $124,000, eliminated recurring charges such as long-distance fees and third-party integration costs, and gained access to operational upgrades like call analytics and auto-attendants.

This shift not only strengthened financial planning through fixed monthly expenses but also freed up IT staff to focus on strategic initiatives.

Key takeaway: Rethinking your budget model can be just as impactful as upgrading your technology — delivering fiscal stability and enhanced services for your community.

This session explores the intersection where securing election operations meets digital realities. In an interconnected world, where officials face increased cyber threats and scrutiny, governance forms the backbone of order. This training unravels the fundamentals of governance to strengthen democracy in the digital age, with a particular focus on supply chain and data management.

The NACo AI Regional Forum series is convening local government elected officials, appointed officers, department heads, and staff across different geographical regions to provide an educational, hands-on symposium on the landscape of artificial intelligence.

Join NACo’s Government Affairs team for week twelve of a biweekly series on key developments from the White House and Congress. Discussions will focus on policies and actions that directly impact counties — from federal funding and regulatory changes to intergovernmental partnerships. Tune in for an inside look at how these evolving federal dynamics may shape county priorities, responsibilities and operations.

Artificial intelligence—especially generative AI—is no longer a “future trend” for county governments. It’s here, and its impact depends on how it’s implemented. Successful projects don’t start and end with the IT department; they require strong collaboration across communications, customer service, and business units to ensure technology delivers real outcomes for residents.

Hear from Wyandotte County, KS, where a community speaking 31 languages and handling 50,000 calls a year with just three staff members needed a smarter way to serve residents. Learn how the county partnered across departments to design and deploy conversational digital agents that address real service challenges—while safeguarding data, maintaining public trust, and ensuring equitable access.