Implementing the Medicaid Reentry Waiver in California Counties: Key Policy and Operational Insights
This webinar is available on-demand. If you have trouble accessing the recording, please email nacomeetings@naco.org.
Counties have access to new resources to improve community safety and reduce overdose deaths as a result of recent changes to federal Medicaid policy. Twenty-three states and the District of Columbia have applied for the Medicaid Reentry Demonstration waiver so far and eleven state proposals have been approved as of August 2024.
How will these changes affect your county? Join us to learn what is happening across the country as states and counties begin implementing these substantial systems changes. Key learnings from the MacArthur Foundation’s Safety and Justice Challenge work with 11 counties in California – the first approved waiver state -- will be shared along with implications for counties across the country.
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House draft bill text proposes FEMA reform package with major wins for counties
This week, the U.S. House Transportation and Infrastructure Committee’s Economic Development, Public Buildings and Emergency Management Subcommittee released draft bill text for a sweeping Federal Emergency Management Agency (FEMA) reform package aimed at improving disaster response, streamlining aid and increasing local flexibility—reflecting many long-standing county priorities.
DOJ terminates justice and public safety-focused grants
On April 22, the U.S. Department of Justice’s largest grant-making arm—the Office of Justice Programs—abruptly cancelled hundreds of grants awarded to county governments and other local jurisdictions and organizations. Approximately 365 grants have been identified for termination, which were estimated to be valued at $811 million at the time of awarding; it is unclear how much funding remained at the time of termination.
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.