Federal Reforms to Medicaid Financing: What Counties Should Know (Part 2)
This webinar is available on-demand. If you have issues accessing the recording, please email nacomeetings@naco.org.
This two-part webinar series will examine the vital role Medicaid plays in supporting county-administered behavioral health and primary care services. It will also explore how proposed and ongoing federal financing reforms could impact counties—fiscally, operationally and in their ability to serve residents.
The series will highlight key areas for county engagement and advocacy, offering insights on how local leaders can help shape Medicaid’s future.
Watch Recording
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Speakers
Blaire Bryant
Naomi Freel
Advocacy
Federal cuts to Medicaid: What counties should know
Medicaid is a joint federal, state and local program that provides health coverage to low-income individuals, including children, pregnant women, elderly adults and people with disabilities. The program accounts for over half of all federal funding to states and is the largest source of federal funding in state budgets.
The Michelle Alyssa Go Act: Why Reforming the IMD Exclusion Matters for County Behavioral Health
Reintroduced in the U.S. House of Representatives in September 2025, the bipartisan Michelle Alyssa Go Act (H.R. 5462) aims to modernize the IMD exclusion and expand access to care.
CMS issues guidance on six-month Medicaid renewals
On March 6, the Centers for Medicare & Medicaid Services (CMS) released a letter to State Medicaid Directors with implementation guidance on six-month Medicaid renewals required under H.R. 1.
HHS Secretary Kennedy touts fixes for obesity, chronic illness, mental health issues
Counties can help improve health outcomes by prioritizing prevention over treatment, Robert F. Kennedy Jr., secretary of the U.S. Department of Health and Human Services told NACo Legislative Conference attendees.
Drug tracking software helps counties identify trends, save lives
Florida counties are using an artificial intelligence tool called Drug TRAC to track and report drug trends, with the aim of providing quicker outreach and saving lives.
White House Executive Order establishes national substance use disorder response
On January 29, the White House issued an Executive Order (EO) establishing the Great American Recovery Initiative, a new federal effort aimed at coordinating a national response to substance use disorder (SUD).
USDA and HHS release new dietary guidelines
On January 7, U.S. Department of Agriculture Secretary Brooke Rollins and U.S. Department of Health and Human Services Secretary Robert F. Kennedy, Jr. unveiled the new Dietary Guidelines for Americans, 2025–2030.