Health & Human Services Programming
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
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.
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.
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.
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.
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
- Applications launch June 29 for a no-cost peer exchange event convening county teams to explore best practices in supporting families impacted by substance use. Learn more here.
- 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
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
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.
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.
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.
U.S. Department of Agriculture announces reorganization
On July 24, U.S. Secretary of Agriculture Brooke Rollins announced a major reorganization of the U.S. Department of Agriculture (USDA) that will relocate thousands of federal employees, restructure regional offices and consolidate administrative services and operations. The changes are expected to reduce USDA’s footprint in Washington, D.C. and shift more personnel to regional hubs across the country.
Partnerships drive better community health, leaders say
Participants in NACo's Public Health Leadership Academy focused on building trust between public health professionals and elected leaders.
CMS Issues Interim Final Rule on Medicaid Community Engagement Requirements
On June 1, 2026, the Centers for Medicare & Medicaid Services (CMS) issued an Interim Final Rule with Comment Period (IFR) establishing binding standards for how states must implement Medicaid community engagement ("work") requirements enacted under the One Big Beautiful Bill Act (P.L. 119-21), also referred to as H.R. 1.
Allegheny County, Pa.'s Forward with Families supports childcare providers
Allegheny County, Pa.'s Forward with Families initiative aims to create an additional 5,000 childcare and after-school slots across the county over the next five years.
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.
Colorado county and city team up to address local food accessibility
Boulder County, Colo.’s HEAL team collaborated with the City of Boulder’s planning department to build a stronger comprehensive plan department to build a stronger comprehensive plan.
Rural Resilience & Strategic Responses to the Opioid Epidemic
This webinar will highlight how rural counties are leveraging these resources to build coordinated, sustainable opioid response strategies.
Strategies for Sustainable Retiree Health Benefits
This session will provide practical guidance for navigating the rapidly evolving Group Medicare landscape while balancing affordability, compliance, and retiree satisfaction.
Program Lead
