Federal Reforms to Medicaid Financing: What Counties Should Know (Part 2)
This webinar is available via Zoom Webinar. For registration questions, 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.
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.
NACo offers new Medicaid resources as Congress advances Budget Resolutions with major Medicaid reform implications
On April 10, the U.S. House of Representatives voted to adopt a Senate-passed budget resolution, marking the next step in the budget reconciliation process. The proposed funding levels therein represent significant potential cost shifts to counties, particularly in the area of Medicaid financing. To help county leaders understand what’s at stake, NACo has developed two new resources.
County Countdown – April 21, 2025
Every other week, NACo's County Countdown reviews top federal policy advocacy items with an eye towards counties and the intergovernmental partnership. This week features the ARPA reporting deadline, a budget reconciliation update and more
U.S. House reintroduces legislation to address the Medicaid Inmate Exclusion Policy
Two bipartisan bills aimed at addressing the Medicaid Inmate Exclusion Policy (MIEP) were recently reintroduced in the U.S. House of Representatives.
House E&C Committee advances SUPPORT Act reauthorization
On April 9, the U.S. House Energy and Commerce Committee marked up the SUPPORT for Patients and Communities Reauthorization Act of 2025. The bipartisan bill aims to reauthorize critical programs that target overdose prevention amid the renewal of the opioid crisis Public Health Emergency declaration.
Bird flu update: What county leaders should know
As of April 7, there have been 70 confirmed cases of bird flu in the United States, but no person-to-person spread has been detected.
HHS issues termination notices for health grant funding
On March 25, the U.S. Department of Health and Human Services (HHS) sent letters to state authorities and counties with direct grant funding announcing the immediate termination of several pandemic-related grants, which was previously set to run through September 2025.