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

NACo & NSA One-Pager: Reinstate Federal Health Care Benefits for Non-Convicted Justice-Involved Individuals

NACo & NSA One-Pager: Reinstate Federal Health Care Benefits for Non-Convicted Justice-Involved Individuals

PDF icon NACo Medicaid and Jails One-Pager_wNSA.pdf

Support Repeal of the 40 Percent Excise Tax on Employer-Sponsored Health Insurance


Contact your members of Congress and urge them to support legislation to permanently repeal the 40 percent excise tax on employer-sponsored health insurance that was included in the Patient Protection and Affordable Care Act (ACA) passed in 2010. 


When the ACA was enacted into law in March 2010, one of the provisions included in the law was an excise tax on employer-sponsored health coverage. The tax is levied on the aggregate amount of employer-sponsored coverage exceeding thresholds established in the law ($10,800 for individual coverage and $29,100 for family coverage). After Congress repeatedly delayed this provision, the excise tax is currently set to take effect in 2022.

NACo policy opposes the taxation of health benefits provided to county employees. There are 3.6 million county employees that serve over 308 million county residents and healthcare coverage is one of the primary benefits counties use to attract and maintain a quality workforce. If the excise tax on employer-sponsored health insurance is implemented, counties will face a significant impact on their budgets and workforce.

PDF icon 2019 Excise Tax Fact Sheet DRAFT.pdf

Protect Funding for Core Local Public Health Services and Prevention Programs


Urge your members of Congress, especially those who serve on the U.S. House and Senate Appropriations Committees, to protect funding for local public health services and prevention programs made possible by the Prevention and Public Health Fund (PPHF).


Counties support the majority of America’s 2,800 local health departments and protect our residents’ health, safety and quality of life. In fact, over two-thirds of local health departments are county-based and another eight percent serve multiple counties. Local health departments provide immunizations, conduct surveillance to detect and monitor emerging infectious diseases, protect the food and water supply and prepare for and respond to disasters, acts of bioterrorism and other health emergencies. In addition, local health departments work with community partners to help prevent the leading causes of death and disability and lower health care costs.

PDF icon Public Health and Prevention Fact Sheet - 2018 Leg Conference.pdf

Protect the Federal-State-Local Partnership for Medicaid


Urge your Members of Congress 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.

Quick Facts

  • Counties support the majority of America’s 2,800 local health departments in order to protect their resident’s health and safety and prevent the leading causes of death
  • Since 2008, local health departments have lost 55,590 jobs and budget cuts continue to affect 1 in 4 local health departments
  • Dedicated funding sources such as the Prevention and Public Health Fund (PPHF) are critical to helping counties support core local public health programs
  • Local public health programs help prevent chronic diseases such as heart disease, cancer, stroke and diabetes, which are responsible for 75% of all healthcare spending and 7 of 10 deaths in the United States


PDF icon Download PDF

Support Counties in Improving Health Services for Justice-Involved Individuals


Urge your members of Congress to support 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 legislation that would allow individuals in custody to continue receiving Medicaid and other federal health 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.


Counties nationwide annually invest $176 billion in community health systems and justice and public safety services, including the entire cost of medical care for all arrested and detained individuals. Counties are required by federal law to provide adequate health care for approximately 10.6 million individuals who pass through 3,100 local jails each year with an average length of stay of 25 days.

PDF icon Improving Health Services for Justice-Involved Individuals Policy Brief.pdf

Latest Resources

  • Press Release | Feb. 12, 2020

    NACo and the National Sheriffs’ Association (NSA) today commended President Trump’s 2021 proposed budget which includes provisions that would prevent the termination of Child Health Insurance Program (CHIP) benefits for inmates and Medicaid coverage for pre-trial inmates for six months

  • Reports & Toolkits | Jan. 13, 2020

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

  • Reports & Toolkits | Dec. 22, 2019

    Nearly three months after the start of fiscal year (FY) 2020, congressional leaders were able to reach an agreement on a two-part spending deal that will fund the federal government through September 30, 2020. President Trump signed the two packages (H.R. 1865; H.R.

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

Health Steering Committee


Phillip Serna
Sacramento County, California


Vice Chair

Christopher Constance
Charlotte County, Florida


Clay Jenkins
County Judge
Dallas County, Texas


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


Valerie Poindexter
Council Member
Hawaii County, Hawaii


Toni Preckwinkle
Board President
Cook County, Illinois


Gloria Whisenhunt
Forsyth County, North Carolina


Subcommittee Chair

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


Helen Stone (Behavioral Health)
Chatham County, Georgia


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


Shirlee Zane (Long Term Care)
Sonoma County, California


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


Dena Diorio (Behavioral Health)
County Manager
Mecklenburg County, North Carolina


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


Greg Hart (Medicaid and Indigent Care)
Board Member, District 3
DuPage County, Illinois


Patricia Jurjevich (Behavioral Health)
Regional Administrator
Douglas County, Nebraska


Carol Moehrle (Long Term Care)
Public Health Director - Idaho North Central District
Nez Perce County, Idaho


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


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


Adi Pour (Public Health and Healthy Communities)
Health Director
Douglas County, Nebraska


Julie Rogers (Medicaid and Indigent Care)
Commissioner, Chair
Kalamazoo County, Michigan


Barbara Sharief (Long Term Care)
Broward County, Florida


Kenneth Wilson (Public Health and Healthy Communities)
County Administrator
Franklin County, Ohio


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