Counties play a critical role in promoting and protecting the health of people and the communities in which they live, learn, work and play. As administrators and operators of the local health safety net, county agencies employ a wide range of public health services that protect resident health and well-being through the prevention of illness, injury and other adverse health outcomes.

A robust public health system centers equity and actively promotes policies, systems and overall community conditions that drive optimal health.1

Public health is an intersectional field that works to address the underlying causes of health outcomes. This work requires both intergovernmental collaboration between federal, state and local governments, as well as multisectoral partnership across local government agencies.

This brief provides an overview of how counties provide integral public health services for all Americans, describes their public health authority, their role in preparedness and response efforts, and local public health efforts to address social determinants of health (SDOH) in our communities. The brief will also outline key federal policy recommendations for our federal partners to safeguard funding and authority for local public health services and programs.

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Upcoming Events

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Webinar

Understanding the Homelessness Executive Order: Federal Shifts, County Impacts and Next Steps

Join NACo on Tuesday, August 26 at 3:00 p.m. ET for a timely webinar outlining major changes to federal funding, grant conditions, and policy priorities that directly affect county homelessness programs, behavioral health systems and enforcement strategies.

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Innovative Health Plan Strategies for County Governments

Hosted by UnitedHealthcare, this session will explore alternative health plan approaches that prioritize price transparency and promote the use of high-value providers, including models like the Surest Health Plan.

Contact

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Blaire Bryant

Legislative Director, Health | Large Urban County Caucus
Naomi Freel

Naomi Freel

Legislative Associate