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Blaire Bryant

Legislative Director, Health | Large Urban County Caucus
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Julia Cortina

Associate Legislative Director, Human Services & Education | Immigration Task Force

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Advocacy

County Countdown – April 21, 2025

Among our numerous responsibilities, serving as the front line of the social safety net is a primary function of county governments to ensure healthy, safe and vibrant communities for our residents. County governments are steadfastly committed to protecting our residents’ quality of life, including by ensuring they can access the nutritious food they need to thrive. 

Food insecurity often corresponds with poor nutrition, which can negatively impact health, educational outcomes and productivity in all individuals, but especially in children. Meanwhile, diet-related diseases are some of the leading causes of death and disability in the U.S.

Counties are key partners with the federal government in developing, implementing and administering food and nutrition programs at the local level. Across the nation, county governments are leading efforts to combat hunger by transforming local food systems and often serve as conveners and/or key partners for local food councils. Counties sponsor programs in partnership with community organizations to increase access to fresh fruit and vegetables at farmers markets, organize food drives and support local food production. We are also investing significant portions of our American Rescue Plan Act (ARPA) State and Local Fiscal Recovery Fund (SLFRF) allocations to combat food insecurity.

However, the county role in supporting food security and nutrition extends far beyond the administration of federal nutrition programs. Counties are owners and operators of the services, resources and systems that shape the way our nation produces, delivers and provides access to healthy, nutritious food to all the nation’s residents. This includes building and maintaining critical infrastructure that supports transportation routes from food producers to providers, and investing in facilities that provide food to low-income and vulnerable populations such as schools and public libraries. Counties are also responsible for consumer protection, economic development, employment and workforce training, emergency management, land use planning and zoning, which all support the social, environmental and economic conditions that keep our nation’s food system running. 

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Advocacy

NACo offers new Medicaid resources as Congress advances Budget Resolutions with major Medicaid reform implications

On April 10, the U.S. House of Representatives voted to adopt a Senate-passed budget resolution, marking the next step in the budget reconciliation process. The proposed funding levels therein represent significant potential cost shifts to counties, particularly in the area of Medicaid financing. To help county leaders understand what’s at stake, NACo has developed two new resources.

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Advocacy

County Countdown – April 21, 2025

Every other week, NACo's County Countdown reviews top federal policy advocacy items with an eye towards counties and the intergovernmental partnership. This week features the ARPA reporting deadline, a budget reconciliation update and more

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Advocacy

U.S. House reintroduces legislation to address the Medicaid Inmate Exclusion Policy

Two bipartisan bills aimed at addressing the Medicaid Inmate Exclusion Policy (MIEP) were recently reintroduced in the U.S. House of Representatives.

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Advocacy

House E&C Committee advances SUPPORT Act reauthorization

On April 9, the U.S. House Energy and Commerce Committee marked up the SUPPORT for Patients and Communities Reauthorization Act of 2025. The bipartisan bill aims to reauthorize critical programs that target overdose prevention amid the renewal of the opioid crisis Public Health Emergency declaration.

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County News

Bird flu update: What county leaders should know

As of April 7, there have been 70 confirmed cases of bird flu in the United States, but no person-to-person spread has been detected. 

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County News

Insights from county leaders on the future of early childhood care and education

NACo's Prenatal-to-Three breakfast and listening session gathered county leaders to identify barriers, explore solutions and support local leaders advancing their priorities. 

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Webinar

Supported Mothers, Thriving Children: Connecting Maternal Health and Child Wellbeing

Counties can significantly improve children's health and wellbeing by supporting maternal mental health through a variety of key strategies. In this webinar, speakers will explore examples of local policies and programs that bolster county efforts to holistically address child wellbeing through focusing on maternal mental health and substance use. Participants will gain insights into local options for addressing maternal mental health needs and substance misuse, learn about the challenges and triumphs experienced by county programs, and discover new opportunities to strengthen their local children’s health services.

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Webinar

Federal Reforms to Medicaid Financing: What Counties Should Know (Part 2)

This two-part webinar series will examine the vital role Medicaid plays in supporting county-administered behavioral health and primary care services.

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Webinar

Ask a Public Health Expert: The Resurgence of Measles

Join NACo on Thursday, May 15 at 2 p.m. ET for a webinar on the resurgence of measles and what county leaders need to know. As outbreaks emerge across the U.S., this session will cover the history of measles, the importance of vaccination, current trends and how counties can respond effectively. The hour-long webinar will feature a 30-minute expert presentation followed by 20 minutes of audience Q&A. Don't miss this opportunity to hear from public health experts and get your questions answered.