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. Congress begins work on budget reconciliation process: What this means for counties

The House and Senate Budget Committees have marked up Fiscal Year (FY) 2025 budget resolutions to initiate the budget reconciliation process to enact policy priorities without garnering bipartisan support, although the two chambers differ in their approach to drafting the legislation. 

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Advocacy

Congress introduces bipartisan legislation to strengthen rural health care access and funding

Rural communities face unique health care challenges, from provider shortages to funding disparities. To address these concerns, the U.S. Senate recently introduced two bipartisan bills aimed at improving rural health care access and funding: the Rural Health Focus Act and the Fair Funding for Rural Hospitals Act.

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Advocacy

U.S. Senate reintroduces bipartisan disaster mitigation bill to support homeowners

On January 30, a bipartisan group of senators reintroduced the Disaster Mitigation and Tax Parity Act of 2025, a bill aimed at eliminating federal taxation of state-provided residential mitigation grants. NACo previously supported this legislation and continues to advocate for its passage to support county resilience efforts. 

Prince George’s County, Md. Air Boat 847 roams the Potomac River in the aftermath of the fatal Jan. 29 mid-air crash between a passenger jet and a military helicopter.
County News

Crash sets big stage for well-honed county mutual aid response effort

Local counties responded with practiced coordination to the deadly collision between an airplane and helicopter, offering help for search and rescue, recovery and support operations.

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Advocacy

County Countdown – February 11, 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 a first 100 days update, testimony on rural road safety and more.

U.S. Capitol
Advocacy

President Trump signs Laken Riley Act into law

On January 29, President Trump signed the bipartisan Laken Riley Act into law, requiring the U.S. Department of Homeland Security to detain any undocumented immigrant who has been arrested for violent or property-related crimes and giving states new authority to sue the federal government over certain immigration-related decisions.