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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Advocacy

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. 

Local leaders and healthcare workers rally for sales tax increase to cover healthcare costs in Santa Clara County, Calif.
County News

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.

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Advocacy

House Natural Resources Committee advances the Endangered Species Act Amendments Act of 2025

On December 17, the House Natural Resources Committee advanced the Endangered Species Act (ESA) Amendments Act of 2025 (H.R. 1897). The version passed by the committee adopted several changes from the initial bill and would address key county concerns by improving the implementation of the ESA. The legislation now awaits a floor vote before the whole U.S. House of Representatives.

Freight Train
News

Counties and Railroads: Shared Priorities for the Next Surface Transportation Bill

County leaders from across the country have a vital opportunity to ensure their infrastructure priorities are front and center.

Warren, Ohio
Advocacy

House reintroduces bipartisan legislation to level playing field for rural communities

House reintroduced the Rural Partnership and Prosperity Act, bipartisan legislation intended to advance economic development in rural counties and overcome barriers to obtaining federal funding and resources.