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.

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Advocacy

House passes SUPPORT Act reauthorization

On June 4, the U.S. House of Representatives passed the SUPPORT for Patients and Communities Reauthorization Act of 2025 (H.R. 2483) by a strong bipartisan vote of 366–57. The bill, which reauthorizes billions of dollars for critical programs that target overdose prevention, now heads to the Senate Committee on Health, Education, Labor and Pensions, where a version of the bill was overwhelmingly advanced with bipartisan support in the 118th Congress. 

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Advocacy

CMS increases oversight on states’ use of Medicaid funds for undocumented immigrants

On May 27, the Centers for Medicare & Medicaid Services (CMS) announced it is increasing federal oversight of state Medicaid programs to ensure compliance with federal law regarding the use of Medicaid funds for undocumented immigrants. 

Business along San Carlos Boulevard that were damaged during Hurricane Ian
Advocacy

New disaster recovery grants now open to support county economic development

The U.S. Economic Development Administration has launched the Fiscal Year 2025 Disaster Supplemental Grant Program, making $1.45 billion available to help communities recover from natural disasters and build long-term economic resilience. Counties affected by major disaster declarations in 2023 or 2024 are eligible to apply for funding to rebuild infrastructure, strengthen local economies and prepare for future disruptions. This program goes beyond immediate recovery, aiming to transform local economies and foster sustainable, long-term economic growth. 

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Advocacy

Congress introduces Second Chance Act reauthorization

On May 22, the Second Chance Reauthorization Act of 2025 (H.R. 3552/S.1843) was introduced in the U.S. Senate and the U.S. House of Representatives with robust bipartisan support. NACo supports this legislation, which would reauthorize funding for Second Chance Act (P.L. 110-199) programs through 2030.

measles
County News

Measles on the rise: What county officials need to know

Vaccination is the most effective defense against measles, and county leaders can use their voices to encourage uptake of the MMR vaccine.