NACo health and human services programming elevates and drives county innovation in promoting the health and development of our residents throughout the lifespan. With expert and peer support, counties are championing effective PN-3 policies that support our youngest residents and their families, building the supply of quality childcare, strategically investing opioid settlement funds to reduce overdose deaths, championing public health and exploring the use of artificial intelligence to support our role in delivering public assistance programs. 

“The reason we went down the path of starting the home visitation project, which became Brighter Beginnings, was because of NACo’s Prenatal to Three initiative. We were able to hand off this program to our City/County Health Department when it was ready to fly. I remain so thankful to the Pritzker Children’s Initiative and to NACo[RF] for allowing us to participate in that initial cohort that led to this program. It is making a difference in people’s lives.”

– Janet Thompson, County Commissioner, Boone County, Missouri

“I came home thinking about how special this group of people are. I feel like some of the magic that happened is learning how to break down barriers across traditional lines, big counties to small counties, electeds to SMEs, and so much more. NACo has really raised a group of leaders.”

– Brad Finegood, Strategic Advisor, Public Health, Seattle and King County, Washington 

Current Health and Human Services Programming

1132313923
Program

Public Health Leadership Initiative

Applications to NACo’s inaugural Public Health Leadership Academy are now closed. We will be launching applications for the next cohort this fall. If you would like to be notified when applications launch, sign up here

A teacher sits with a small group of young students
Program

Childcare Supply Initiative

The Childcare Supply Network supports local leaders in addressing childcare challenges. Participating counties are working with national experts to co-create sustainable solutions and financing strategies to strengthen local childcare systems in response to workforce needs.

Image of GettyImages-701055002_1800px.jpg
Program

Early Childhood Development Initiative

Counties play a crucial role in fostering communities that support positive outcomes for young children. Resources and peer learning opportunities are available to help counties advance programs and policies for children from birth to age three. 

Image of opioidsolutioncenter_splash_alt_1800.jpg
Program

Opioid Solutions Center

NACo's Opioid Solutions Center empowers local leaders to invest resources in effective treatment, recovery, prevention and harm reduction practices that save lives and address the underlying causes of substance use disorder.

2170483722
Program

Transforming Human Services Initiative

County human services provide critical supports that serve as a foundation for moving individuals, children and families out of poverty and improving their immediate and long-term health outcomes.

How To Get Involved

  • A second Public Health Leadership Academy cohort will be held in Fall 2026. To be notified when the application launches, sign up here.
  • NACo will launch applications for a SNAP-focused cohort in Spring 2026 to help counties troubleshoot emerging challenges, identify AI-driven best practices and share innovations. Sign up here to receive notices for new human services opportunities.
  • Join the Healthy Counties Innovation Council.

Stay up-to-date

Key Resources

People walking outdoors

Building a Legacy of Health: Transforming the Health and Wellbeing of Our Communities

From designing neighborhoods and public spaces, maintaining the corridors that allow us to travel within and across communities, caring for our physical and mental health, ensuring public safety, and strengthening environmental stewardship, county leaders make decisions that impact our everyday lives.

Counties 4 Kids Initiative logo
Initiative

Counties 4 Kids Initiative

Resources for county officials to support children prenatal-to-three and their families.
Image of opioidsolutioncenter_splash_alt_1800.jpg

Opioid Solutions Strategy Briefs

NACo’s Opioid Solutions Strategy Briefs document 15 high-impact opioid abatement strategies from this list that are under county authority. Each brief summarizes the available evidence, best practices for implementation, county examples and links to additional resources, including opportunities for specialized technical assistance.

2186066830

Supporting Families Through Home Visiting Programs

Supporting Families Through Home Visiting Programs provides an overview of and several examples of how these programs address the development of both parents and children and are aimed at enhancing family well-being.

2032785127

Supporting the Whole Child: Counties Strengthening Prenatal-to-Three Wellbeing

The Supporting the Whole Child: Counties Strengthening Prenatal-to-Three Wellbeing issue brief defines the whole child model and provides county examples.

Related Analysis, Reports & Toolkits

Explore the Resource Library for our latest reports, analysis, toolkits and more.

Related News

(From left:) San Joaquin County, Calif. Health Care Services Director Genevieve Valentine and Supervisor Steven Ding and David Wetmore of Capri & Clay meet during the 2026 NACo Legislative Conference with U.S. Department of Housing and Urban Development Congressional Liaison Officer Geoffrey Smith, an unidentified staffer, former U.S. Interagency Council on Homelessness Executive Director Robert Marbut and Deputy Assistant HUD Bryan Horn. Photo by Nichole Goehring
County News

Counties eye potential Medicaid reimbursement remedies

Increasing the number of beds in mental health treatment facilities eligible for Medicaid reimbursement would empower counties to do more to help their residents.

bike
Press Release

Counties Recognize Mental Health Awareness Month

The National Association of Counties (NACo) again this year will mark Mental Health Awareness Month throughout the month of May with counties advocating for solutions that support the wellbeing of residents and address the nation’s mental health crisis.

1812264077
Advocacy

House passes the 2026 Farm Bill with key county priorities

On April 30, the House of Representatives passed the Farm, Food, and National Security Act of 2026 (H.R. 7567) by a vote of 224–200. 

1270843153
Advocacy

Bipartisan House bills aim to modernize the Chafee Program for foster youth

The House Ways and Means Subcommittee on Work and Welfare introduced five bipartisan bills aimed at modernizing the Chafee Foster Care Program.

Upcoming Events

call center
Webinar

Breaking the Cycle: Behavioral Health Diversion Strategies for Counties

This interactive fireside chat brings together county leaders and behavioral health experts to explore how communities are building the diversion infrastructure to change outcomes. 

Housing development
Webinar

Leveraging Opioid Settlement Funds for Housing Supports: Strategies for Counties

This webinar will highlight practical strategies for using opioid settlement funds to support housing initiatives at the local level.

Program Lead

Shalini Wickramatilake

Shalini Wickramatilake

Program Director, Health and Human Services