NACo briefs Congress on behavioral health issues

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On July 24, U.S. Secretary of Agriculture Brooke Rollins announced a major reorganization of the U.S. Department of Agriculture (USDA) that will relocate thousands of federal employees, restructure regional offices and consolidate administrative services and operations. The changes are expected to reduce USDA’s footprint in Washington, D.C. and shift more personnel to regional hubs across the country. 

Thurston County, Wash. Commissioner Carolina Mejia answers a question during NACo’s Public Health Leadership Academy June 4 in Washington, D.C. To her right is Dr. Jen Freiheit, director of the Thurston County Public Health and Social Services Department. Photo by Charlie Ban
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Participants in NACo's Public Health Leadership Academy focused on building trust between public health professionals and elected leaders.

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CMS Issues Interim Final Rule on Medicaid Community Engagement Requirements

On June 1, 2026, the Centers for Medicare & Medicaid Services (CMS) issued an Interim Final Rule with Comment Period (IFR) establishing binding standards for how states must implement Medicaid community engagement ("work") requirements enacted under the One Big Beautiful Bill Act (P.L. 119-21), also referred to as H.R. 1.