The County Role in Public Health
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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.1
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 will also outline key federal policy recommendations for our federal partners to safeguard funding and authority for local public health services and programs.
State and Local Government Organizations Express Concern Over Proposed Changes to Medicaid Financing and Requirements
NACo, NLC, NCSL, USCM, CSG and ICMA emphasize the impact of policy changes to eligibility requirements and financing of Medicaid.
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.
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.
County Countdown – January 28, 2025
The first 100 days, Intergovernmental Disaster Reform Task Force fly-in, SALT deduction profiles released, reauthorization of Secure Rural Schools, and Medicaid and counties.
HRSA Releases Final Reentry Care Guidelines Following NACo Input
On November 29, the Health Resources and Services Administration (HRSA) released their final Policy Information Notice (PIN) with policy guidance for health centers who support transitions in care for justice-involved individuals reentering their communities.
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