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.
Health Steering Committee
Policy Briefs
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Policy Brief
Support Repeal of the 40 Percent Excise Tax on Employer-Sponsored Health Insurance
Contact your members of Congress and urge them to support legislation to permanently repeal the 40 percent excise tax on employer-sponsored health insurance that was included in the Patient Protection and Affordable Care Act (ACA) passed in 2010. -
Policy Brief
Protect Funding for Core Local Public Health Services and Prevention Programs
Urge your members of Congress, especially those who serve on the U.S. House and Senate Appropriations Committees, to protect funding for local public health services and prevention programs made possible by the Prevention and Public Health Fund (PPHF). -
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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Press Release |
Dec. 13, 2018
Key county victories achieved in rural development, nutrition, conservation
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Reports & Toolkits |
Sep. 12, 2018
In order to educate federal policymakers on issues around Medicaid and justice-involved individuals, NACo recently released a new report titled, "Medicaid Coverage and County Jails: Understanding Challenges and Opportunities for Improving Health Outcomes for Justice-Involved Individuals."
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Advocacy |
Jun. 1, 2018
Stay up to date on the various proposals under consideration.
Join a steering committee and make a difference. Learn more about getting involved in NACo's Health Steering Committee:
More From
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The Stepping Up Initiative
In May 2015, NACo and partners at the CSG Justice Center and APA Foundation launched Stepping Up: A National Initiative to Reduce the Number of People with Mental Illnesses in Jails.
Learn More