Health Steering Committee

All matters pertaining to public health and healthy communities, including disease and injury prevention and health promotion, health disparities reduction, financing delivering health care, including services for the uninsured, underinsured, and medically indigent, Medicaid, Medicare, long-term care, behavioral health services, substance abuse prevention and treatment, and services for persons with developmental disabilities.

Policy Briefs

  • Policy Brief

    Support Counties in Improving Health Services for Justice-Involved Individuals

    Urge your members of Congress to pass legislation that supports counties’ efforts to improve health services for justice-involved individuals and reduce the number of people with mental illness in jails. Specifically, urge your members on health authorizing committees to support bills that would allow individuals in custody to continue receiving Medicaid and other federal benefits until they are convicted, sentenced and incarcerated, require states to suspend instead of terminate Medicaid for individuals in jails and allow for comprehensive behavioral health services and the recruitment of health professionals in county jails.
  • Policy Brief

    2018 NACo Policy Brief: Protect the Federal-State-Local Partnership for Medicaid

    KEY TALKING POINTS Urge your senators and representatives to support the federal-state-local partnership structure for financing and delivering Medicaid services and to oppose any measure that would further shift federal and state Medicaid costs to counties – including cuts, caps, block grants and new limits on counties’ ability to raise the non-federal match or receive supplemental payments.
  • Policy Brief

    Enhance Counties' Ability to Prevent and Treat Mental Illness and Substance Abuse Disorders

    Urge your members of Congress to maintain at least consistent funding for substance abuse and mental health services provided through the Substance Abuse and Mental Health Services Administration (SAMHSA) and pass legislation that enhances counties’ abilities to provide local systems of care. Funding in future appropriations bill should be held to at least FY 2017 levels, especially the Community Mental Health Services (CMHS) and Substance Abuse Prevention and Treatment (SAPT) block grants. 

Latest Resources

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Health Steering Committee


Clay Jenkins
County Judge
Dallas County, Texas


Vice Chair

Kenneth Dahlstedt
Skagit County, Washington


Nick Macchione
Health & Human Services Agency, Director
San Diego County, California


Toni Preckwinkle
Board President
Cook County, Illinois


Barbara Sharief
Broward County, Florida


Subcommittee Chair

Ronnie Beale (Public Health & Healthy Communities)
Macon County, North Carolina


Linda Higgins (Medicaid & Indigent Care)
Hennepin County, Minnesota


Gloria Whisenhunt (Longterm Health)
Forsyth County, North Carolina


Derek Young (Behavioral Health)
Pierce County, Washington



  • Associate Legislative Director – Health  
    (202) 942-4275