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Blaire Bryant

Legislative Director, Health | Large Urban County Caucus

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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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ICE hiring surge challenges county law enforcement

Something local governments have in their favor is that joining ICE is an agreement to uproot your life, which some people aren’t interested in.

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States submit Rural Health Transformation Program funding applications

On December 29, the Centers for Medicare & Medicaid Services (CMS) announced $50 billion in awards over 5 years to all 50 states under the Rural Health Transformation Program. 

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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.
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California county sales tax measure backfills federal healthcare cuts

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