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

Congress introduces legislation to restore critical public health funding

On November 14, the Public Health Funding Restoration Act (H. R. 10126/S. 5326) was introduced in both the U.S. Senate and House of Representatives. This legislation would address a pressing need to strengthen the nation’s public health infrastructure through direct and flexible funding to local health entities. By restoring critical funding to the Prevention and Public Health Fund (PPHF), the bill aims to equip communities with the tools needed to tackle modern public health challenges, from chronic disease prevention to emergency response. 

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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. The CY 2025 Medicare Hospital Outpatient Prospective Payment System final rule reflects significant updates to Medicare’s “custody” definition and Special Enrollment Period (SEP) for formerly incarcerated individuals. 

White House
Advocacy

White House submitted $100 billion disaster relief request; Counties are encouraged to advocate for essential funding

On November 18, the White House submitted a $98.6 billion disaster relief funding request to Congress, outlining resources needed to address recent disasters, including Hurricanes Helene and Milton, the Maui County wildfires and tornadoes in the Midwest.

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Press Release

National Association of Counties Launches Disaster Reform Task Force

Local government leaders will tackle questions of resiliency, response and recovery 

Panel discussion
News

Application deadline approaching for NACo's Criminal Justice Coordinating Councils Peer Exchange

This 1.5-day event is an opportunity for representatives from a criminal justice coordinating council (CJCC) or other similar county-level entity to take part in peer learning and networking, hear from experts in the field, share successes and brainstorm solutions to common criminal justice challenges.

Then-NACo President Mary Jo McGuire of Ramsey County, Minn. (far left) pauses for a photo with Guilford County, N.C. staff after announcing their win July 14 in the Best in Category NACo Achievement Award in the Human Services category, at the NACo Annual Conference in Hillsborough County, Fla. Photo by Denny Henry
County News

North Carolina county decreases 911 non-emergency calls by connecting residents to services they need

Guilford County, N.C. was inundated with 911 calls until the county connected residents to resources, including primary care physicians and access to food, so they don’t feel the need to call an emergency line.