Happy Holidays and Good Will to All
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The holidays come to county courthouses: Saline County, Ark. celebrates the holiday season at the courthouse, where county employees take about three months to decorate the courthouse and lawn with lights. Santa visits with local residents there during the holiday season. Photo courtesy of Arkansas Tourism Office
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CMS releases new guidance on Medicaid provider tax provisions in OBBBA
The Centers for Medicare & Medicaid Services (CMS) has released new guidance outlining how it will implement significant Medicaid financing changes enacted in the One Big Beautiful Bill Act (OBBBA). These provisions restrict states’ ability to use health care-related taxes, commonly known as provider taxes, to help finance the non-federal share of Medicaid.
House Natural Resources Committee advances Standardizing Permitting and Expediting Economic Development (SPEED) Act
On November 20, the U.S. House Committee on Natural Resources advanced the Standardizing Permitting and Expediting Economic Development (SPEED) Act (H.R. 4776), which would make important changes to streamline federal permitting and strengthen county involvement in decision-making by amending the National Environmental Policy Act. Counties support commonsense permitting reforms, and NACo secured provisions in the SPEED Act that would guarantee counties a seat at the table during federal environmental reviews.