NACo invites county leaders to sign on to behavioral health advocacy letter to Congress
Author

Blaire Bryant
Upcoming Events
Related News

Key Takeaways
The National Association of Counties (NACo) is asking county leaders to sign on to a letter urging Congress to include key county behavioral health priorities in a bipartisan end-of-year legislative package that improves our ability to provide comprehensive behavioral health services in all settings, strengthens the behavioral health workforce and increases resident access to services.
Following the expiration of the current short-term funding measure in December, Congress will have the opportunity to consider and pass behavioral health policies that would improve the lives of millions of Americans before the end of the year. As key intergovernmental partners, counties are urging lawmakers to support the following policies on behalf of our residents in need of care:
- Amendment of the Medicaid Inmate Exclusion Policy (MIEP)
- Repeal of the Institutions for Mental Diseases (IMD) exclusion
- Direct and flexible grant programs to counties to support the recruitment, training and retention of a sufficient behavioral health workforce
- Sustained federal funding to support local crisis response infrastructures through Medicaid
- Enforce policies that ensure equal coverage of treatment for mental illness and addiction
Counties are integral to the nation’s behavioral health system, as both fiscal contributors and coordinators of behavioral health services within county-owned and operated community health facilities. By directing resources to community-based treatment and services, we can better serve residents with behavioral health conditions, reduce reliance on the criminal legal system and direct valuable resources toward improving stability and health.
Click here to view the full letter. To support our efforts to advance these policies, please sign on to the letter by clicking here.
ADDITIONAL RESOURCES
Resource
Behavioral Health Matters to Counties

Related News

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.