The County Role in Public Health
Counties play a critical role in promoting and protecting the health of people and the communities in which they live, learn, work and play. As administrators and operators of the local health safety net, county agencies employ a wide range of public health services that protect resident health and well-being through the prevention of illness, injury and other adverse health outcomes.
A robust public health system centers equity and actively promotes policies, systems and overall community conditions that drive optimal health.
Public health is an intersectional field that works to address the underlying causes of health outcomes. This work requires both intergovernmental collaboration between federal, state and local governments, as well as multisectoral partnership across local government agencies.
This brief provides an overview of how counties provide integral public health services for all Americans, describes their public health authority, their role in preparedness and response efforts, and local public health efforts to address social determinants of health (SDOH) in our communities. The brief also outlines key federal policy recommendations for our federal partners to safeguard funding and authority for local public health services and programs.
DEA announces temporary scheduling of synthetic kratom substances
On July 1, the U.S. Drug Enforcement Administration (DEA) filed two Notices of Intent to temporarily place highly concentrated and synthetic kratom-related substances into Schedule I of the Controlled Substances Act. Additionally, the Office of the Assistant Secretary for Health (OASH) issued a Request for Information seeking public comment on scientific data on the proposed threshold level.
Minnesota county library addresses public health
Dakota County, Minn. identified libraries as trusted accessible spaces to be used as community health hubs.
Partnerships drive better community health, leaders say
Participants in NACo's Public Health Leadership Academy focused on building trust between public health professionals and elected leaders.
CMS Issues Interim Final Rule on Medicaid Community Engagement Requirements
On June 1, 2026, the Centers for Medicare & Medicaid Services (CMS) issued an Interim Final Rule with Comment Period (IFR) establishing binding standards for how states must implement Medicaid community engagement ("work") requirements enacted under the One Big Beautiful Bill Act (P.L. 119-21), also referred to as H.R. 1.
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