County Countdown – September 24, 2024

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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.

PILT Fly-In

NACo recently wrapped up its annual Payments In Lieu of Taxes (PILT) Fly-In in Washington, D.C., where county officials from across the country met with almost 60 Congressional offices to advocate for full PILT funding and swift reauthorization of the Secure Rural Schools program.

  • Why it matters: Counties with public lands rely on PILT and SRS funds to offset revenue losses from non-taxable federal land. Securing full funding is crucial for counties to maintain essential services and infrastructure.
  • Public lands forum: NACo's National Center for Public Lands Counties hosted the Intergovernmental Forum on Public Lands to learn more about public lands economies, land management, challenges and opportunities. Watch the livestream here.

Protecting America's Children by Strengthening Families Act

The U.S. House of Representatives recently passed the bipartisan Protecting America's Children by Strengthening Families Act, which reauthorizes a key child welfare program that supports counties in providing flexible services to at-risk children, youth and families involved with the child welfare system.

  • Legislation impact: This bill enhances counties' ability to deliver necessary resources and services to vulnerable families, furthering local efforts to improve child welfare outcomes.
  • Next steps: NACo is advocating for this bill's passage into law to ensure continued support for child welfare services. Click here to learn more.

Mental Health Parity

The U.S. Department of Treasury, Labor and Health and Human Services issued a final rule to further enforce provisions of the Mental Health Parity and Addiction Equity Act.

  • Enhancing county support: This update provides crucial guidance for local governments and adopts a collaborative approach to compliance enforcement. Click here to learn more.
  • Mental health parity was a pillar of NACo’s Commission on Mental Health and Wellbeing, and these measures mark significant progress in supporting counties' efforts to improve behavioral health outcomes for our communities.

Capitol Hill Briefing on PFAS

On September 16, NACo cohosted a briefing on Capitol Hill about PFAS, a group of synthetic chemicals of increasing concern from a public health standpoint.

  • Mitigation strategies: The briefing highlighted the recent EPA designation of certain PFAS compounds as hazardous and facilitated discussions with Congressional staff on effective ways to mitigate the impact of PFAS in our communities.
  • Key concerns: NACo emphasized the need for increased liability protections for counties as passive receivers of PFAS and addressed the compliance costs facing local governments.

Heavy Trucks

NACo is actively opposing proposed legislation that seeks to increase the size and weight of heavy trucks. With counties owning nearly half of all public road miles and one out of four bridges in America, this issue significantly impacts local infrastructure.

  • Infrastructure concerns: Currently, at the 80,000-pound threshold, heavy trucks already cause substantial wear and tear, with no funding to address these impacts.
  • Cost implications: A study by county engineers and partners revealed that upgrading local bridges to accommodate the new proposed weights would cost over $78 billion.

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Treasury, DOL and HHS release final rule on Mental Health Parity

On September 9, the U.S. Department of Treasury, Labor and Health and Human Services issued a final rule to further enforce provisions under the Mental Health Parity and Addiction Equity Act, a sweeping mental health parity rule enacted in 2008. The rule establishes equitable treatment limits for mental health and substance use, in line with medical and surgical benefits. 

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Legislative Analysis: Impact of PFAS Regulations on Counties

NACo's analysis provides an in-depth examination of current and proposed regulations on per- and polyfluoroalkyl substances (PFAS) and their implications for county governments.

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Endangered Species Committee convenes to exempt Gulf energy projects from Endangered Species Act requirements

On March 31, the Endangered Species Committee convened a meeting to discuss a national security exemption to Endangered Species Act (ESA) requirements for energy exploration and extraction projects in the Gulf. The Committee, which had only previously gathered 3 times since 1978, voted unanimously to grant the exemption.

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Congress examines reforms to endangered species management

On Mar. 18, the U.S. Senate Environment and Public Work held a hearing examining how to improve implementation of the Endangered Species Act (ESA). The hearing follows several legislative proposals to reform endangered species management that recently advanced in the U.S. House of Representatives.

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Gulf counties receive more than $92 million in revenue sharing from offshore energy projects

On March 27, the U.S. Department of the Interior (DOI)  announced hundreds of millions of dollars in revenue sharing from Gulf energy projects, including more than $92 million which will be distributed directly to 42 coastal counties and parishes and Texas, Louisiana, Alabama and Mississippi. The revenue is generated from offshore oil and gas projects on the federally managed Gulf Outer Continental Shelf, and a portion is redirected to states and counties.

Upcoming Events

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Webinar

Emerging Dynamics in the Pharmacy Marketplace: Direct-to-Consumer and Plan Sponsors’ Rx Benefits

Thursday, April 9, 2026 | 2:00 p.m. - 3:00 p.m. ET

This webinar will feature Josh Fredell, Senior Vice President, PBM, Payor and Life Science Solutions at CVS Health, who will provide an expert overview of the rapidly evolving world of pharmacy benefits. Key discussion points will include the impact of the Direct to Consumer marketplace and prominent entrants such as TrumpRx, Mark Cuban’s Cost Plus model, GoodRx, and others, with a particular focus on GLP‑1 therapies. 

The session will explore current industry trends, how plan sponsors are responding, and strategic considerations for navigating this shifting landscape. Attendees will gain valuable insight into market forces shaping consumer access, payer decision‑making, and future implications for benefit design.

This webinar is brought to you by NACo EDGE, establishing people, purchasing, and performance cost-saving solutions that can be applied to counties nationwide. EDGE is owned by NACo, advised by county leaders and 100% focused on solutions for U.S. Counties. Learn more about NACo EDGE here.

For more information, visit the event page!

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Webinar

National Stormwater Policy Forum Webinar

Learn about current policy issues driving the stormwater sector today.

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Conference

2026 NACo Energy Symposium

Armstrong, Carson and Potter Counties, Texas

Registration opening April 1: Join county leaders from across the country in the Texas Panhandle to engage with the most pressing energy issues shaping rural America today. Hear from experts, exchange ideas with peers and gain practical insights into the policies, projects and partnerships driving rural energy development.