Behavioral Health Matters to Counties
Author
Blaire Bryant
Upcoming Events
Related News
America’s 3,069 counties are integral to America’s behavioral health system. Counties annually invest $83 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% of the US population.
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.