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.
House reintroduces bipartisan legislation to level playing field for rural communities
House reintroduced 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.
Federal district court issues ruling preventing the federal government from imposing immigration compliance mandates on grant recipients
On November 4, a federal judge in Rhode Island ruled that the U.S. Department of Transportation cannot condition federal grant funding on a recipient’s cooperation with federal immigration enforcement efforts.
SAMHSA cancels, reinstates thousands of behavioral health grants
Late on Wednesday, January 14, the Administration announced that thousands of Substance Abuse and Mental Health Services Administration (SAMHSA) grants that had been terminated just one day earlier would be reinstated.
U.S. House Appropriators release minibus funding package
The funding package includes key county priorities, including funding for community and economic development, election administration and security, taxpayer services and intergovernmental partnerships.
CMS requires state Medicaid suspension upon arrest versus termination
Effective January 1, 2026, federal law now requires states to suspend, rather than terminate, Medicaid coverage when an individual is incarcerated.
CMS announces Rural Health Transformation Program funding
On December 29, the Centers for Medicare & Medicaid Services (CMS) announced $50 billion in awards over 5 years to all 50 states under the Rural Health Transformation Program.
The Current State of Student Debt and Forgiveness
This webinar is designed for county HR and leadership teams seeking practical ways to support employees struggling with student debt.
Over 9 million public service workers, including full-time county employees, are eligible for Public Service Loan Forgiveness. Yet fewer than 3 percent have successfully received relief.
The issue is not eligibility. It is awareness, complexity, and follow-through.
Please join us as we speak with student debt forgiveness expert Tony Raffa, who will clarify today’s student debt landscape, including:
- What recent policy and executive actions mean for public sector employees
- How Department of Education changes affect forgiveness eligibility, timelines, and compliance
- Which student debt relief programs do employees actually qualify for today
- The current status of the SAVE program
- Common application errors that delay or derail forgiveness
- Rising delinquency and repayment restart risks
- What HR teams need to know about collections, wage garnishment notices, and employer responsibilities
Attendees will also see how a new student debt navigation tool helps employees estimate their potential forgiveness, avoid costly mistakes, and reduce annual payments by an average of $2,244.
For HR teams, this means a scalable way to offer meaningful financial support without adding administrative burden.
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.
