Author

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Blaire Bryant

Legislative Director, Health | Large Urban County Caucus
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Jonah Cunningham

President/CEO, National Association of County Behavioral Health and Developmental Disability Directors (NACBHDD)

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County Countdown – October 6, 2025

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Congress passes SUPPORT Act reauthorization

Behavioral health conditions affect millions of Americans. With demand for services increasing and a shortage of providers nationwide, it is critical to develop both interim and long-term solutions for enhancing the workforce to respond to the needs of local residents.

Counties across the nation are investing in programs and initiatives that both assist with and incentivize the recruitment, training and placement of behavioral health providers that will work within local and under resourced communities. Counties rely on intergovernmental partners to supplement these investments through the enhancement of existing programs and establishment of new programs that promote workforce recruitment and retention.

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County Countdown – October 6, 2025

Every other week, NACo's County Countdown reviews top federal policy advocacy items with an eye towards counties and the intergovernmental partnership. This week features a federal shutdown FAQ, overdose prevention funding and more.

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Michelle Alyssa Go Act reintroduced in the 119th Congress, a critical step for county behavioral health systems

On September 18, the Michelle Alyssa Go Act was reintroduced in the U.S. House of Representatives. This bipartisan legislation aims to increase the number of federal Medicaid-eligible in-patient psychiatric beds from 16 to 36, providing critical support for individuals seeking treatment for mental health and substance use disorders.  

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Advocacy

Congress passes SUPPORT Act reauthorization

On September 18, the U.S. Senate passed the SUPPORT for Patients and Communities Reauthorization Act of 2025 (SUPPORT Act Reauthorization) (H.R. 2483) by voice vote, following House passage earlier this year. With strong bipartisan backing in both chambers, the legislation now heads to the President’s desk for signature.