County Behavioral Health Landscape

America’s 3,069 counties are integral to America’s behavioral health system. Counties annually invest $83 billion in community health systems, including behavioral health services. Through 750 behavioral health authorities and community providers, county governments plan and operate community-based services for persons with mental illnesses and substance use conditions. County-based behavioral health systems exist in 23 states that represent 75 percent of the U.S. population.

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Advocacy

HRSA Releases Final Reentry Care Guidelines Following NACo Input

On November 29, the Health Resources and Services Administration (HRSA) released their final Policy Information Notice (PIN) with policy guidance for health centers who support transitions in care for justice-involved individuals reentering their communities. 

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Advocacy

Congress advances Second Chance Act reauthorization

On December 4, the Senate passed the Second Chance Reauthorization Act (S.4477) by unanimous consent, a major milestone for supporting county reentry programs. NACo supports this legislation, which would reauthorize funding for Second Chance Act programs for five years. 

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Advocacy

CMS finalizes Medicare rule with key improvements for justice-involved populations

On November 1, the Centers for Medicare & Medicaid Services (CMS) published a final rule that, in a major advocacy win for counties, will improving access to Medicare for justice-involved individuals who are in pre-trial status or who are reentering the community.