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Blaire Bryant

Legislative Director, Health | Large Urban County Caucus

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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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Members of the Delta County, Mich. Ice Rescue Task Force participate in a training exercise.
News

County officials moonlight in search and rescue roles

For some county officials, participating in search and rescue operations is another way to serve their communities, and make it safer for people to enjoy natural creation resources.

Medicines in hand
Advocacy

Congress passes SUPPORT Act reauthorization

On September 18, the U.S. Senate passed the SUPPORT for Patients and Communities Reauthorization Act of 2025 (SUPPORT Act Reauthorization) (H.R. 2483) by voice vote, following House passage earlier this year. With strong bipartisan backing in both chambers, the legislation now heads to the President’s desk for signature. 

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Advocacy

SUPPORT Reauthorization Act of 2025: What it means for counties

On December 1, the bipartisan SUPPORT for Patients and Communities (SUPPORT) Reauthorization Act of 2025  (H.R. 2483) was signed into law. The reauthorization renews vital federal funding for programs that seek to prevent opioid overdoses and expand treatment and recovery options.

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Advocacy

CMS releases new guidance on Medicaid provider tax provisions in OBBBA

The Centers for Medicare & Medicaid Services (CMS) has released new guidance outlining how it will implement significant Medicaid financing changes enacted in the One Big Beautiful Bill Act (OBBBA). These provisions restrict states’ ability to use health care-related taxes, commonly known as provider taxes, to help finance the non-federal share of Medicaid.

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Advocacy

DHS releases FY 2026 funding opportunities for World Cup and Counter-UAS grants

The U.S. Department of Homeland Security (DHS) and the Federal Emergency Management Agency (FEMA) have released the FY 2026 Notices of Funding Opportunity (NOFOs) for two major new homeland security grant programs: the FIFA World Cup Grant Program and the Counter-Unmanned Aircraft Systems (C-UAS) Grant Program. 

Bernadette Smith attends the vigil in honor of her sister Nicole, who was murdered in 2017.
County News

Sacramento County partners with tribe to solve Indigenous cases

The Sacramento County Sheriff’s Office and District Attorney’s Office are teaming up with the Wilton Rancheria Tribe to address the crisis through the creation of a Regional Missing and Murdered Indigenous Persons Task Force.