Author

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Blaire Bryant

Senior Legislative Director, Health | Large Urban County Caucus
Naomi Freel

Naomi Freel

Associate Director for Grassroots & Legislative Advocacy

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County Behavioral Health Landscape

America’s 3,069 counties are integral to America’s behavioral health system. Counties annually invest over $130 billion in community health systems, including behavioral health services. Through 750 behavioral health authorities and community providers, county governments plan and operate community-based services for persons with mental illnesses and substance use conditions. County-based behavioral health systems exist in 23 states that represent 75 percent of the U.S. population.

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(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.

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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.