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Counties pivot as federal substance use funding shifts
Looming reforms include H.R. 1 cuts to Medicaid and restrictions to Substance Use Prevention, Treatment and Recovery Services Block Grants and an executive order’s restrictions on harm reduction initiatives and replacement of the “Housing First” approach to substance use disorder and homelessness with a treatment-first model.
County Countdown – Nov. 4, 2025
Every other week, NACo's County Countdown reviews top federal policy advocacy items with an eye towards counties and the intergovernmental partnership.