As Congress considers changes to the nation’s health care system, NACo urges them to consider implications of reforms that would merely shift costs to counties. Counties stand ready to work with Congress to identify strategies to strengthen our nation’s health system and provide high-quality coverage and access to care for all of their residents while being responsible stewards of local taxpayer dollars.

Download Report on Medicaid and Counties

Medicaid 101

Established in 1965, Medicaid is a federal entitlement program paid for by taxpayers that provides health and long-term care insurance to low-income families and individuals. Medicaid operates and is jointly financed as a partnership between federal, state and local governments. 

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