County Countdown – Nov. 20, 2023
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Every other week, NACo’s County Countdown reviews top federal policy advocacy items with an eye towards counties and the intergovernmental partnership.
Watch the video above and explore NACo resources below on some of the top issues we're covering this week.
1. Mental Health
NACo continues to champion mental health policies in Congress to support counties and residents.
- Continuity of care: A recent letter to leaders on Capitol Hill reiterated county priorities in mental health, including urging passage of the Due Process Continuity of Care Act, advocating for Medicaid benefits for pre-trial detainees.
- Workforce development: The letter also pushed for increased funding for programs to recruit and retain behavioral health workers.
- What’s next: NACo’s Commission on Mental Health and Wellbeing is working with Congress to reform mental health policies that exclude vulnerable populations.
2. Operation Green Light
Thank you to the hundreds of counties, plus our intergovernmental partners, businesses and individuals, who participated in Operation Green Light for Veterans.
- Bipartisan support: Congressional resolutions in both the House and Senate recognized Operation Greenlight and the vital role of County Veterans Services Officers (CVSOs).
- CVSO Act: In 29 states, county-funded CVSOs help veterans access over $50B annually in VA benefits. NACo urges the passage of the CVSO Act to secure federal resources to support this work.
- Explore highlights: Check out the Operation Green Light showcase for pictures submitted by counties – and submit yours!
3. Bipartisan Infrastructure Law
As we mark the two-year anniversary of the Bipartisan Infrastructure Law (BIL), NACo is ensuring that counties have a voice in its implementation.
- County guidance: Explore NACo’s BIL tools and best practices.
- Funding opportunities: Check out this tool for identifying current BIL funding opportunities.
4. Support for Rural America
U.S. Senators Bob Casey (D-Pa.) and Deb Fischer (R-Neb.) introduced the Rural Partnership and Prosperity Act.
- Addressing community needs: The bill would create a grant program to address needs like affordable child care, housing and job training, as well as providing guidance to help rural communities navigate existing funding opportunities.
- NACo's endorsement: NACo urges swift passage of this legislation, which will enable rural counties to optimize federal resources.
5. American Rescue Plan
The U.S. Treasury Department introduced a new rule clarifying counties' use of American Rescue Plan Act (ARPA) funds, further extending the reach of these resources.
Key points for counties: Counties can now allocate funds for administrative costs tied to ARPA reporting and compliance.
Clarifying responsibilities: Details on managing sub-recipient obligations offer counties more flexibility for effective resource utilization.
Dive deeper on ARPA: Explore all of NACo’s ARPA resources here.
NACo Commission on Mental Health and Wellbeing
(2023-2024) Counties increasingly handle direct mental health service. NACo’s Commission on Mental Health and Wellbeing developed reports and united county leaders to address the mental health crisis through key policy priorities.
Highlights from 2023 Operation Green Light for Veterans
Counties across the country joined 2023 Operation Green Light for Veterans to shine a light on the issues veterans face and highlight the resources available to veterans at the county, state and federal levels.
Implementing Infrastructure Investments at the County Level: The Bipartisan Infrastructure Law (P.L. 117-58)
The Bipartisan Infrastructure Law is a major victory for counties, who worked closely with our partners in Congress throughout the legislative process to ensure county priorities were included. NACo's implementation tracker highlights the latest information critical for counties.
Senators introduce bipartisan legislation to level playing field for rural communities
Senators introduced the Rural Partnership and Prosperity Act, bipartisan legislation intended to advance economic development in rural counties and overcome barriers to obtaining federal funding and resources.
MAHA Commission releases federal strategy outlining next steps in childhood chronic disease prevention
On September 9, the U.S. Department of Health and Human Services (HHS) released the Make America Healthy Again (MAHA) Commission’s new Make Our Children Healthy Again Strategy, following the earlier MAHA Report published in May 2025. The strategy builds on the assessment’s findings regarding four key drivers of childhood chronic disease: poor diet, chemical exposure, lack of physical activity and chronic stress and overmedicalization.
CMS releases details on the Rural Health Transformation Program
On September 2, the Centers for Medicare & Medicaid Services (CMS) released additional details on the Rural Health Transformation (RHT) Program, overviewing program goals, requirements and timelines.
NACo sends letter to USDOT urging support for county priorities in surface transportation reauthorization
On July 21, the U.S. Department of Transportation (USDOT) published a Request for Information to gather recommendations from stakeholders across transportation sectors as the agency works to develop its priorities for the upcoming surface transportation reauthorization bill.
Local government leaders meet with USDOT on surface transportation reauthorization
On August 15, NACo and the National Association of County Engineers (NACE), met with the U.S. Department of Transportation (USDOT) to discuss county transportation and infrastructure priorities.
CMS announces grant awards to improve the continuity of care for justice-involved individuals
On September 27, the Centers for Medicare & Medicaid Services announced $106.5 million in state planning grants aimed at improving healthcare continuity for individuals transitioning from incarceration.
SAMHSA releases new 2024 data on rates of mental illness and substance use disorder in the U.S.
On July 28, the U.S. Department of Health and Human Services’ (HHS) Substance Abuse and Mental Health Services Administration (SAMHSA) released the findings of its annual National Survey on Drug Use and Health (NSDUH), which provides data on rates of substance use and mental illness at the national, state and local level.
Public Education Strategies to Tackle County Challenges: Mental Health, Workforce, and Gun Violence
Join us for an insightful webinar with the Ad Council as they share their best practices on leveraging public education to help counties tackle three urgent challenges: the mental health crisis, workforce development, and gun violence prevention.
Securing Coverage: How Counties Can Navigate Cyber Insurance Hurdles
Safeguarding counties from cyber attacks in today's complex digital environment is a formidable challenge, especially when faced with tight budgets, limited resources, and the competing demands of diverse stakeholders. Cyber insurance offers a crucial safety net, but many counties find themselves grappling with the affordability and management of such coverage.
Join us for an exciting discussion with experienced county leaders as we uncover the hurdles governments face in securing cyber insurance. We will explore the evolving cyber threat landscape and reveal how a comprehensive cyber insurance assessment can offer practical solutions to bolster defenses and streamline coverage acquisition.
Putting Communities First: How Counties Leverage Tech to Improve Behavioral Health
In this webinar, we’ll explore how counties can harness behavioral health empower providers and community stakeholders to help streamline care collaboration and improve outcomes for the communities they serve.
Conference
2024 NACo Legislative Conference
The NACo Legislative Conference brings together nearly 2,000 elected and appointed county officials to focus on federal policy issues that impact counties and our residents.
