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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Advocacy

U.S. House reintroduces legislation to address the Medicaid Inmate Exclusion Policy

Two bipartisan bills aimed at addressing the Medicaid Inmate Exclusion Policy (MIEP) were recently reintroduced in the U.S. House of Representatives.

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Advocacy

House E&C Committee advances SUPPORT Act reauthorization

On April 9, the U.S. House Energy and Commerce Committee marked up the SUPPORT for Patients and Communities Reauthorization Act of 2025. The bipartisan bill aims to reauthorize critical programs that target overdose prevention amid the renewal of the opioid crisis Public Health Emergency declaration.

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County News

Bird flu update: What county leaders should know

As of April 7, there have been 70 confirmed cases of bird flu in the United States, but no person-to-person spread has been detected. 

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Advocacy

FEMA halts disaster mitigation grant program

On April 4, the Federal Emergency Management Agency (FEMA) announced it will not allocate $750 million this year for the Building Resilient Infrastructure and Communities (BRIC) grant program. According to the press release, FEMA will also stop funding BRIC projects that were previously approved and are still underway.

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County News

Counties support youth with a second chance opportunity

A Riverside County, Calif. supervisor took experiences from his former life as a teacher to help create a program that serves students who had gone the juvenile justice system and were looking for a second chance.

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Advocacy

HHS issues termination notices for health grant funding

On March 25, the U.S. Department of Health and Human Services (HHS) sent letters to state authorities and counties with direct grant funding announcing the immediate termination of several pandemic-related grants, which was previously set to run through September 2025.