Justice & Public Safety

Join the National Association of Medicaid Directors and NACo for a deep dive into CMS’s latest guidance on extending Medicaid and CHIP services to incarcerated youth. This policy shift opens up new opportunities for state and county partnerships to ensure continuous healthcare coverage for young people in the justice system. Discover practical approaches for collaboration between Medicaid agencies and county jails to facilitate successful enrollment, improve health outcomes, and support youths’ transitions back into the community. This session will include insights from county health leaders, best practices for cross-system coordination, and strategies for leveraging federal support to enhance service delivery.

Counties increasingly handle direct mental health services, acting as the safety net for vulnerable residents and operating crisis lines, hospitals and detention centers. NACo’s Commission on Mental Health and Wellbeing unites county leaders to address the mental health crisis through four key policy priorities.

The Stepping Up Initiative is a data-driven framework that aims to reduce the overincarceration of people with mental illnesses in jails through training, resources, and support that are tailored to local needs.

The County Officials Advancing Racial Equity Justice Network is a group of 15 county officials working to drive change in the criminal legal system. The cohort focuses on addressing racial inequality from the county perspective, exploring policies, practices, and programs to identify and eliminate racial and ethnic disparities.

Reaching Rural is a 1-year initiative designed for rural justice and public safety practitioners.

The Familiar Faces Initiative aims to reduce incarceration and hospitalization rates for individuals frequently cycling through jails, shelters, and emergency services. The program encourages communities to share data and integrate care between health and justice systems for earlier intervention, improving outcomes for these "familiar faces."

NACo's Opioid Solutions Center empowers local leaders to invest resources in effective treatment, recovery, prevention and harm reduction practices that save lives and address the underlying causes of substance use disorder.