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.  

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U.S. Department of Health and Human Services moves to reduce public comment in rulemaking

On February 28, the U.S. Department of Health and Human Services (HHS) announced a policy change limiting public comment opportunities to only those required by law. Published in the Federal Register on March 3, the decision rescinds the “Richardson Waiver,” a 1971 directive from then-HHS Secretary Elliot Richardson that encouraged broader public input on regulations related to public benefits, grants and healthcare policies.

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Advocacy

U.S. Department of Health and Human Services renews Public Health Emergency Declaration to address national opioid crisis

On March 18, the U.S. Department of Health and Human Services (HHS), under the direction of Secretary Robert F. Kennedy, Jr. renewed the public health emergency (PHE) declaration to address the ongoing opioid crisis, extending critical federal support for coordination, treatment expansion and research efforts. While overdose deaths have declined by 25.5 percent over the past year, synthetic opioids like fentanyl continue to drive fatalities, with approximately 150 Americans dying daily from overdoses.

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News

Join NACo in celebrating County Health Day on April 18, 2025

County Health Day, which falls during National County Government Month, honors the vital role counties play in supporting health and well-being across every stage of life — from infancy to older adulthood.

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Advocacy

CMS announces extended funding application period to improve the continuity of care for justice-involved individuals

On September 27, the Centers for Medicare & Medicaid Services announced $106.5 million in state planning grants aimed at improving healthcare continuity for individuals transitioning from incarceration.

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Press Release

National Association of Counties expands programming to address opioid crisis

New cohort, resources will strengthen intergovernmental collaboration and equip local leaders to invest opioid settlement dollars.

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County News

Measles outbreak underscores rural healthcare challenges

Texas and New Mexico counties are working to boost vaccination rates in response to the recent measles outbreak, which has included deaths in both states.

Related Events

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Webinar

Supported Mothers, Thriving Children: Connecting Maternal Health and Child Wellbeing

Counties can significantly improve children's health and wellbeing by supporting maternal mental health through a variety of key strategies. In this webinar, speakers will explore examples of local policies and programs that bolster county efforts to holistically address child wellbeing through focusing on maternal mental health and substance use. Participants will gain insights into local options for addressing maternal mental health needs and substance misuse, learn about the challenges and triumphs experienced by county programs, and discover new opportunities to strengthen their local children’s health services.

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