Local Government ARPA Investment Tracker

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.

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

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

Since in March 2021, the American Rescue Plan Act (ARPA) authorized the $350 billion State and Local Coronavirus Fiscal Recovery Fund (SLFRF), which provided $65.1 billion in direct, flexible aid to every county, parish and borough in America. Now that we are four years into the program’s implementation, compliance with reporting requirements is of utmost importance.

As counties continue to implement projects under the American Rescue Plan Act’s (ARPA) State and Local Fiscal Recovery Funds (SLFRF) program, accurate and timely reporting remains critical. To support counties in preparing their 2025 Annual or Q1 Project and Expenditure (P&E) Reports – due April 30, 2025 – NACo has developed the below frequently asked questions (FAQs) guide.

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.

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.

Join NACo for week thirteen of a membership series providing timely updates and analysis on key developments during the first 100 days of the Trump administration. These calls will focus on policies and actions that directly impact counties, including federal funding, regulations and intergovernmental partnerships. Join us to stay informed on how these changes may shape county priorities and operations.

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

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.