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% of the US population.

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U.S. Congress passes reconciliation bill: What it means for counties

On July 3, the U.S. Congress passed sweeping budget reconciliation legislation. 

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As awareness of social isolation spreads, Sen. Chris Murphy (D-Conn.) and Loudoun County, Va. Chair Phyllis Randall discuss the role of government in combatting the problem.

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Fluoride in drinking water: History, safety and benefits for community health

The EPA sets and regulates a maximum level of fluoridation in public water systems, but the federal government cannot require states or localities to fluoridate their water, nor can it remove fluoridation in jurisdictions where it is already policy.

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Advocacy

U.S. Senate passes amended reconciliation bill text: What it means for counties

On July 1, the U.S. Senate narrowly passed their version of sweeping budget reconciliation legislation.

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Advocacy

County Countdown – June 30, 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 the Senate reconciliation debate, transparency on sanctuary designations and more.

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Advocacy

DHS releases list identifying sanctuary jurisdictions; includes nearly 400 counties

NACo, along with the National League of Cities, and the International Municipal Lawyers Association, requested additional clarification on the methodology used to create the list, and noted concerns around the legal challenges that localities face when complying with ICE detainers. As of this time, NACo has yet to hear of a county receiving a formal notification that they were included on the list.