Healthy Counties Initiative
NACo’s Healthy Counties Initiative creates and sustains healthy counties by supporting collaboration and sharing evidence-informed approaches to pressing health issues. The initiative is centered on supporting and elevating best practices and county innovations in public health. By addressing key public health issues, Healthy Counties empowers county leaders with resources for promoting and advancing health policies and programs that meet the needs of their communities.
The Healthy Counties Initiative is supported by the Healthy Counties Advisory Board, a committee comprised of county elected officials, key county agency staff and corporate partners. These members work collaboratively to identify priorities and ensure that other county leaders receive timely and useful information to make appropriate health decisions for their communities.
Resource
Healthy Counties: Fostering Better Health Outcomes in Children and Older Adults
U.S. Congress passes reconciliation bill: What it means for counties
On July 3, the U.S. Congress passed sweeping budget reconciliation legislation.
Fluoride in drinking water: History, safety and benefits for community health
The EPA sets and regulates a maximum level of fluoridation in public water systems, but the federal government cannot require states or localities to fluoridate their water, nor can it remove fluoridation in jurisdictions where it is already policy.
U.S. Senate passes amended reconciliation bill text: What it means for counties
On July 1, the U.S. Senate narrowly passed their version of sweeping budget reconciliation legislation.
County Countdown – June 30, 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 Senate reconciliation debate, transparency on sanctuary designations and more.
NACo submits recommendations on the 2026 National Drug Control Strategy
On June 20, NACo submitted formal comments to the White House Office of National Drug Control Policy (ONDCP) to help shape the development of its 2026 National Drug Control Strategy. This strategy serves as the nation’s blueprint for reducing illicit drug use, and the ONDCP plays a central role in coordinating federal drug policy across government agencies.
U.S. House of Representatives introduces legislation to expand Medicaid coverage for behavioral health treatment facilities
On June 20, a bipartisan group of lawmakers introduced the Increasing Behavioral Health Treatment Act in the U.S. House of Representative. This bill aims to improve access to behavioral health care nationwide by removing long-standing Medicaid funding restrictions for behavioral health treatment in certain facilities, providing new flexibility for states and counties to meet growing behavioral health needs.