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
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 Programming and Resources
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.
Public Health Leadership Initiative
NACo’s Public Health Leadership Initiative will engage county leaders on their role in public health and equip them with the skills needed to become public health champions in their communities.
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
- NACo's first Public Health Leadership cohort will begin in Spring 2026 and applications will open in January. Sign up here to be notified when the Public Health Leadership cohort application launches.
- 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.
CMS issues new guidance on Medicaid Community Engagement Requirements
On December 8, the Centers for Medicare & Medicaid Services (CMS) released a Medicaid and CHIP Services Informational Bulletin (CIB) directing states on how to implement the Medicaid community engagement requirements enacted under Section 71119 of the One Big Beautiful Bill Act legislation (Public Law 119-21), or H.R. 1.
California county sales tax measure backfills federal healthcare cuts
Santa Clara County, Calif. will raise an estimated $330 million each year from a sales tax to backfill lose Medicaid funding.
County Countdown – Dec. 15, 2025
Every other week, NACo's County Countdown reviews top federal policy advocacy items with an eye towards counties and the intergovernmental partnership.
U.S. Department of Agriculture unveils $700 million for regenerative agriculture
On December 10, U.S. Secretary of Agriculture Brooke Rollins announced the launch of a $700 million pilot program to support regenerative agriculture practices across the country.
HHS releases rule repealing federal nursing home staffing mandate, supporting county long term care facilities
On December 2, the U.S. Department of Health and Human Services (HHS) published an interim final rule that repeals the federal nursing home staffing mandate, a regulation that would have required long-term care facilities to meet strict minimum staffing levels.
Program Lead
