Health Steering Committee

All matters pertaining to public health and healthy communities, including disease and injury prevention and health promotion, health disparities reduction, financing delivering health care, including services for the uninsured, underinsured, and medically indigent, Medicaid, Medicare, long-term care, behavioral health services, substance abuse prevention and treatment, and services for persons with developmental disabilities.

Policy Briefs

  • Policy Brief

    Support Counties in Improving Health Services for Justice-Involved Individuals

    Urge your members of Congress to pass legislation that supports counties’ efforts to improve health services for justice-involved individuals and reduce the number of people with mental illness in jails. Specifically, urge your members on health authorizing committees to support bills that would allow individuals in custody to continue receiving Medicaid and other federal benefits until they are convicted, sentenced and incarcerated, require states to suspend instead of terminate Medicaid for individuals in jails and allow for comprehensive behavioral health services and the recruitment of health professionals in county jails.
  • Policy Brief

    2018 NACo Policy Brief: Protect the Federal-State-Local Partnership for Medicaid

    KEY TALKING POINTS Urge your senators and representatives to support the federal-state-local partnership structure for financing and delivering Medicaid services and to oppose any measure that would further shift federal and state Medicaid costs to counties – including cuts, caps, block grants and new limits on counties’ ability to raise the non-federal match or receive supplemental payments.
  • Policy Brief

    Enhance Counties' Ability to Prevent and Treat Mental Illness and Substance Abuse Disorders

    Urge your members of Congress to maintain at least consistent funding for substance abuse and mental health services provided through the Substance Abuse and Mental Health Services Administration (SAMHSA) and pass legislation that enhances counties’ abilities to provide local systems of care. Funding in future appropriations bill should be held to at least FY 2017 levels, especially the Community Mental Health Services (CMHS) and Substance Abuse Prevention and Treatment (SAPT) block grants. 

Latest Resources

  • Video | Feb. 11, 2019

    This week we recap includes the State of the Union address, 5G legislation and efforts by the Department of Health and Human Services's to combat the HIV epidemic. Watch the video and check out the resources below for more information.

  • Advocacy | Jan. 2, 2019

    NACo works to preserve local decision making, to protect counties from unfunded mandates and local preemption and to strengthen the federal-state-local partnership.

  • Press Release | Dec. 13, 2018

    Key county victories achieved in rural development, nutrition, conservation

Join a steering committee and make a difference. Learn more about getting involved in NACo's Health Steering Committee:

Health Steering Committee


Clay Jenkins
County Judge
Dallas County, Texas


Vice Chair

Christopher Constance
Charlotte County, Florida


Nick Macchione
Health & Human Services Agency, Director
San Diego County, California


Toni Preckwinkle
Board President
Cook County, Illinois


Barbara Sharief
Broward County, Florida


Subcommittee Chair

Kenneth Dahlstedt (Public Health and Healthy Communities)
Skagit County, Washington


Helen Stone (Behavioral Health)
Chatham County, Georgia


Gloria Whisenhunt (Long Team Care)
Forsyth County, North Carolina


Derek Young (Medicaid and Indigent Care)
Pierce County, Washington


Subcommittee Vice Chair

Lynn Canfield (Behavioral Health)
Executive Director, Mental Health Board/DD Board
Champaign County, Illinois


Christopher Coudriet (Medicaid and Indigent Care)
County Manager
New Hanover County, North Carolina


James Golgart (Behavioral Health)
Director Veterans Services
Le Sueur County, Minnesota


Lynn Hesselbrock (Behavioral Health)
County Clerk
Spencer County, Kentucky


Dave Lucas
Director of Finance and Intergovernmental Affairs
New York State Association of Counties


Gerald Michel (Long Team Care)
Terrebonne Parish Consolidated Government, Louisiana


Carol Moehrle (Public Health and Healthy Communities)
Public Health Director - Idaho North Central District
Nez Perce County, Idaho


Dotti Owens (Public Health and Healthy Communities)
Ada County, Idaho


Chester Pintarelli (Long Team Care)
Administrator, Medical Care
Iron County, Michigan


David Stout (Medicaid and Indigent Care)
El Paso County, Texas


Shirlee Zane (Behavioral Health)
Sonoma County, California


More From

  • 2019 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. As an attendee you’ll have the opportunity to participate in second-to-none educational sessions, interact with federal officials and participate in congressional briefings and meetings.

    Learn More