Counties are diverse in structure and the ways we deliver services to our residents, yet we all share a common vision: building healthy, safe, and vibrant communities across America.

This module explores the vital roles and responsibilities counties fulfill within our communities. These include connecting communities through transportation and infrastructure, safeguarding public health, fostering economic prosperity, ensuring public safety and supporting our nation’s veterans. rom maintaining roads and bridges to ensuring public safety and advancing environmental stewardship, counties provide the essential services that millions of Americans rely on every day.

As the third module in Counties 101, this builds on topics covered in earlier modules, such as What Are Counties and County Structure, Authority and Finances. To revisit these modules or to explore what's next in Counties 101, click here.

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SECTION 1

Connecting Communities

Transportation and infrastructure are core public sector responsibilities that impact everything from our daily commutes to shipping goods around the globe.

From building and maintaining roads and bridges to providing efficient transit options, counties are a driving force connecting communities and strengthening our economy. Counties play a major role in other essential community infrastructure like hospitals, jails, courthouses, parks, schools and water purification and sewage systems.

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  • 45%
    of public road miles
    Counties own 45 percent of public road miles and 38 percent of bridges
  • 34%
    of airports
    Counties support 34 percent of airports and more than 40 percent of transit agencies
  • $134B
    in infrastructure investments
    Counties invest $134 billion in building, maintaining and operating physical infrastructure and public works.
  • 11.5%
    of houses without broadband
    11.5 percent of households lack access to high-speed broadband. Often, access does not account for quality or speed.

Roads & Bridges

Roads
  • There are 4.1 million public road miles within county boundaries across the nation where most trips both start and end. Counties own nearly 45 percent of these public road miles – 1.8 million road miles in total – more than any other level of government.
  • County governments invest $30 billion annually towards the maintenance, operation, repair and construction of toll and non-toll highways.
Bridges
  • Counties own and maintain 38 percent of the 607,000 bridges that compose the National Bridge Inventory, and 61 percent of our nation's 280,000 off-system bridges.
  • According to the American Society of Civil Engineers, 7.5 percent of the nation’s bridges are considered structurally deficient. With the bipartisan infrastructure law, counties are investing funds to improve bridge conditions.

Airports, Seaports & Transit Agencies

Airports & Seaports
  • Counties are involved in the operation of 34 percent of airports.
  • Counties invest over $6 billion in air transportation for the provision, operation, construction and support of airport facilities 
  • Counties invest over $550 million in the operation, maintenance and support of sea and inland port facilities
Transit Agencies
  • Counties are involved in 40 percent of public transit systems across the nation
  • Annually, counties invest more than $23 billion in the operation, maintenance and construction of public mass transit systems, including subways, surface rails, ferries and buses.

Bridging the Digital Divide

County officials play a crucial role in pursuing sustainable broadband access, affordability and reliability solutions.

Approximately 13 percent of Americans in rural areas and 17 percent of Americans in tribal lands still lack access to broadband that meets the federal definition for minimum standards.

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SECTION 2

Keeping America Healthy

Counties invest heavily in local residents’ health and well-being, often serving as a safety net for low-income and indigent residents.

County health departments protect our residents and communities by offering a wide range of services like administering flu shots, providing health information, and preventing and responding to public health emergencies.

From hospitals and emergency rooms to clinical care facilities, many counties operate the systems that keep us healthy from the time we are born to the time we grow old. Counties also often have significant responsibilities for behavioral and mental health services and care.

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  • 1,900
    local public health departments
    Manage and govern more than 1,900 local public health departments and authorities which support
    the health and safety of our residents
  • 533,000
    hospital and health care workers
    Counties employ over 533,000 hospital and health care workers
  • 900
    hospitals
    Counties support more than 900 hospitals that provide inpatient medical care and specialized care
  • 700
    long-term care facilities
    Counties also own and support more than 700 long-term care facilities

County Investments in Health

Counties play a direct role in the health and well-being of residents, investing more than $163 billion in community health, hospitals and human services annually, investing:

  • $62.8 billion to serve as a safety net for millions of residents and deliver vital services to our nation’s most vulnerable populations. 
  • $100 billion in community health and hospitals annually, including more than $41 billion for the provision of community and public health services, and more than $59 billion in operating county-owned hospital facilities

Additionally, counties play a critical role in protecting public health through overseeing more than 1,900 local public health departments.

Counties Support Behavioral Health

America’s 3,069 counties are integral to the nation’s behavioral health system. Counties plan and operate community-based services for persons with mental illnesses and substance use conditions through 750 behavioral health authorities and community providers.

  • In 33 states, counties are actively engaged in delivering traditional mental health services to residents. In more than half of these states (18), counties have significant involvement in health and human services.
  • In 40 states plus the District of Columbia, there is at least one mental health facility operated by a regional/district authority or county, local or municipal government. 
  • Across 48 states plus the District of Columbia, there is at least one mental health facility that accepts county or local government funds as a source of payment for mental health treatment services.

County Role in Providing Mental Health Services, by State

Mental health services encompass a range of healthcare interventions aimed at promoting and enhancing individuals’ mental and emotional well-being, encompassing the diagnosis, treatment, and support for mental illnesses. Source: NACo Research 2023.

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SECTION 3

Creating Prosperous Communities

Counties are sources of innovation, exploring new opportunities to address challenges and piloting programs and initiatives that make residents’ lives better.

Counties employ over 3.6 million public servants, invest in our communities, and are key players in community planning, land use and zoning.

We implement local policies and intergovernmental initiatives that foster economic development, promote residential, commercial and industrial development, and support job creation and business retention

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  • 3.6M
    county employees
    County governments are collectively one of the largest employers in the nation, employing over 3.6 million Americans.
  • $103B
    education investments
    Counties collectively invest $103 billion annually to support the public education system
  • $12.8 billion
    housing investments
    Invest $12.8 billion annually in the construction, operation and support of housing and redevelopment projects
  • 4%
    national unemployment rate
    Nationally, the unemployment rate is 4 percent – 0.5 percentage points above pre-pandemic levels as of May, 2024

Counties Invest in Our Communities

In local communities, counties are prioritizing the needs of residents and constructing a foundation for sustained resiliency.

County leaders directly facilitate the implementation of public policy and services which have tangible ramifications in the lives of residents

Additionally, county leaders are leveraging the American Rescue Plan Act’s (ARPA) state and local fiscal recovery fund to bolster the local workforce.

Annual County Investments Using all Revenue Sources

The graph shows all investments by county governments, using funds generated from utilities, liquor stores, social insurance trust, and general revenues (which include property taxes). The figures shown represent FY 2017 data

Counties Support Education & Workforce Development

Counties support the public education system through various mechanisms, including an annual investment of $103 billion.

Total county education investments, including elementary and secondary education, higher education, current operations, construction, other capital outlay and intergovernmental transfers.

Counties also support workforce development in our communities and are involved in 90 percent of workforce development boards, and employ 1 in 50 Americans.

Counties Support Housing Affordability

Housing challenges are a longstanding issue. High housing costs are placing great financial stress on individuals and families.

Counties invest $12.8 billion annually in the construction, operation and support of housing and redevelopment projects. 

Additionally, counties are key players in community planning, land use, zoning and enacting policies and other regulations that affect housing.

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SECTION 4

Fostering Safe & Resilient Communities

Counties play a major role in fostering safe communities: emergency response and preparedness and the criminal justice system.

From patrolling the streets, to operating and maintaining county detention and court facilities, to employing innovative approaches to safely reduce jail populations, county sheriffs and other law enforcement departments are on the front lines of justice and public safety.

Similarly, counties engage in all aspects and phases of emergency management: planning, preparation, mitigation, response and recovery.

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  • $107B
    justice & public safety investments
    Counties invest $107 billion annually in justice and public safety
  • 91%
    local jails
    Counties operate 91% of all local jails
  • 849
    counties experiencing a national disaster in 2023
    In 2023, 849 counties experienced at least one Federally Declared Major Disaster
  • $92.9B
    damages from natual disasters in 2023
    In 2023, the nation experienced 28 separate billion-dollar disasters, totaling approximately $92.9 billion in damages.

The County Role in Justice & Public Safety

Counties are the backbone of the justice and public safety system, operating 91 percent of local jails, which processed 7.3 million admissions in 2022.

County elected officials influence the criminal justice system by passing ordinances, establishing policies, selecting program administrators and staff and making crucial funding decisions that directly and indirectly impact the system.

Annual County Investments in Justice & Public Safety

The graph shows all investments by county governments, using funds generated from utilities, liquor stores, social insurance trust, and general revenues (which include property taxes). The figures shown represent FY 2017 data

Emergency Response & Preparedness

Counties are the first line of response in an emergency, engaging in all aspects and phases of emergency
management: planning, preparation, mitigation, response and recovery. As the regularity and costs of disasters increase, counties are working hard to protect our residents, property, infrastructure.

Disasters have profound impacts on communities across the U.S., highlighting the need for county government leadership and intergovernmental partnerships to ensure local communities are ready to respond when a disaster strikes.

Federally Declared Disasters

Number of Federally Declared Disasters by County Between 2000 and 2023

Over the past two decades, natural and man-made disasters have increased in frequency, severity and cost. In 2023, the nation experienced 28 separate billion-dollar disasters, totaling approximately $92.9 billion in damages.

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SECTION 5

Serving Our Nation's Veterans

Counties are home to more than 17 million veterans, comprising seven percent of residents living in our counties.

Counties fund and operate, almost exclusively through local tax revenues, County Veterans Service Officers (CVSOs) in 29 states and the District of Columbia, which help veterans claim more than $52 billion in federal VA benefits each year. CVSOs help our veterans access stable housing, employment and education opportunities, and deliver critical mental health services that treat trauma and prevent suicide.

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  • $17M
    veterans in counties
    Veterans comprise seven percent of residents living in counties
  • $273B
    federal funds distributed to veterans
    Veterans received $273 billion in federal funds in FY 2023, often with the assistance of CVSOs
  • 29
    states with CVSOs
    CVSOs operate in 29 states plus the District of Columbia, and are responsible for helping veterans access federal benefits

County Veteran Service Officers

County Veteran Service Officers (CVSOs) – which operate in 29 states plus the District of Columbia – help veterans access a range of service-connected federal benefits. These federal benefits include health care, disability, pension, compensation and transition assistance programs.

Though CVSOs’ primary focus is helping veterans navigate the federal benefits system, these offices are currently funded almost entirely by counties. CVSOs help veterans claim more than $52 billion in federal VA benefits each year.

Additional Resources

 
 
 

Below explore a curated selection from our resource library that further detail the critical roles and responsibilities of counties.

NACo Data on County Services

NACo's County Governance Project provides in-depth analysis of county roles and responsibilities. Click below for a selection of maps and charts highlighting county services, scroll down for deep dives by issue area and click here to access the full County Governance Project.

Key Resource for this Module

NACo produces original research and civic engagement tools to tell the county story, including a full suite of tools diving deep on county authority, structure and finances.

For all of NACo's civic enagement tools, click here.

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Program

County Governance Project

A comprehensive guide to county government structure, authority, services and finances

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Counties Matter: Stronger Counties. Stronger America.

Educate the public on the crucial role of counties with a national overview explaining key county functions

Colonial Map

America's County Governments: A Short Primer on Our History, Definitions, Structures and Authorities

An in-depth look into the history of counties, our authority and structure, key county services and responsibilities and the intergovernmental partnership

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The County Landscape

A detailed look at the role of counties through the lens of national and county-level data

Explore Counties 101

 
 
 

Each module is Counties 101 dives deep on a key facet how counties function, provide critical services and work with the other branches of government in our nation's system of federalism.

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What are counties?

This question is the first step in learning about county governments and our collective impact on our communities and the lives of residents. Counties are one of America’s oldest forms of government, are key partners in our nation's system of federalism and provide critical services.

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County structure, authority and finances

Counties are governed by locally elected officials, including more than 19,350 county elected executives and board members responsible for counties’ budgets, policies and oversight. In general, states authorize and set the roles and responsibilities of county governments. Explore how counties differ across the nation and how that affects the delivery of critical services to our residents.

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County Roles & Responsibilities

All counties share the vision of achieving health, safe and vibrant counties across America.  We are responsible for maintaining roads and bridges, caring for our physical and mental health, administering elections, ensuring public safety, strengthening environmental stewardship, and so much more.

Cap Hill Action Shot

Counties and the Intergovernmental Partnership

Counties are uniquely positioned to implement and administer vital intergovernmental systems, facilitate cooperation of all levels of government, and deliver results and impact for our residents and businesses at the community level.

Fellowship Meeting

Telling the County Story

Find tools to highlight the ways counties touch our everyday lives and act as key intergovernmental partners.

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Counties 101 for Students

Counties Work Game & Curriculum

NACo, together with iCivics, has created a full curriculum to educate students, grades 6 through 12, about the important role and functions of county government. The curriculum and online game assist teachers with preparing lessons on county government.

Learn More