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.

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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. Learn More.

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Upcoming Events

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Webinar

Bridging Gaps: Collaborative Strategies for Supporting Youth Reentry Through Medicaid

Join the National Association of Medicaid Directors and NACo for a deep dive into CMS’s latest guidance on extending Medicaid and CHIP services to incarcerated youth. This policy shift opens up new opportunities for state and county partnerships to ensure continuous healthcare coverage for young people in the justice system. Discover practical approaches for collaboration between Medicaid agencies and county jails to facilitate successful enrollment, improve health outcomes, and support youths’ transitions back into the community. This session will include insights from county health leaders, best practices for cross-system coordination, and strategies for leveraging federal support to enhance service delivery.