ARPA Impact Report: An Analysis of How Counties are Addressing National Issues With Local Investments
America's nearly 40,000 county elected officials and 3.6 million county employees are on the frontlines of the nation's response to the coronavirus pandemic. As the country emerges from the pandemic and grapples with the toll it has taken on our citizens, counties are responding and rebuilding. At the same time, many counties are still confronting significant workforce shortage pressures at a time with growing, critical resident needs.
With American Rescue Plan funds, counties are strengthening America's workforce, addressing the nation's behavioral health crisis, expanding broadband access, improving housing affordability and building prosperous communities for the next generation.
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NACo Analysis of the American Rescue Plan Act
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County Investments of American Rescue Plan Recovery Funds
The Michelle Alyssa Go Act: Why Reforming the IMD Exclusion Matters for County Behavioral Health
Reintroduced in the U.S. House of Representatives in September 2025, the bipartisan Michelle Alyssa Go Act (H.R. 5462) aims to modernize the IMD exclusion and expand access to care.
White House issues Executive Order addressing barriers to housing construction
White House issues Executive Order addressing barriers to housing construction
CMS issues guidance on six-month Medicaid renewals
On March 6, the Centers for Medicare & Medicaid Services (CMS) released a letter to State Medicaid Directors with implementation guidance on six-month Medicaid renewals required under H.R. 1.
