Medicaid and Counties: Understanding the Program and Why It Matters to Counties

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Reports & ToolkitsAs 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.Medicaid and Counties: Understanding the Program and Why It Matters to Counties
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Medicaid and Counties: Understanding the Program and Why It Matters to Counties
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.
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.2022-02-12Reports & Toolkits2022-02-12
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.

About Blaire Bryant (Full Bio)
Legislative Director – Health | Large Urban County Caucus
More from Blaire Bryant
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Feb. 2, 2023 , 2:00 pm – 3:00 pmReducing the number of people in jail for technical violations can help decrease jail populations and improve outcomes and compliance with supervision conditions. Counties can reduce this kind of incarceration by reducing case processing times and implementing specialized caseloads. -
Policy Brief
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Urge your members of Congress to maintain consistent funding for substance use and mental health services provided through the Substance Abuse and Mental Health Services Administration (SAMHSA) and pass legislation that enhances counties’ ability to provide local systems of care. Future appropriations bills should meet or exceed FY 2022 funding levels, particularly for the Community Mental Health Services (MHBG) and Substance Abuse Prevention and Treatment (SAPT) block grants, which allow counties to direct resources to those with the most need. -
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Protect Funding for Core Local Public Health Services and Prevention Programs
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Policy Brief
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Urge your members of Congress to support counties’ efforts to improve health services for justice-involved individuals and reduce the number of people with mental illness in jails. Specifically, urge your representatives on health-authorizing committees to support legislation that would allow individuals in custody to continue receiving Medicaid and other federal health benefits until they are convicted, sentenced and incarcerated; require states to suspend instead of terminate Medicaid for individuals in jails; and allow for comprehensive behavioral health services and the recruitment of health professionals in county jails. -
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Fund Local Crisis Response Efforts
Urge your members of Congress to appropriate Fiscal Year (FY) 2023 funding for the National Suicide Prevention Lifeline that is at or above the level of $101.6 million appropriated in FY 2022. -
County News
Hamilton County, Ohio creates ‘Safe Sleep’ Initiative to prevent infant deaths
Hamilton County, Ohio launched a Safe Sleep initiative in an attempt to curb infant deaths related to unsafe sleeping.
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Webinar
Reducing Jail Populations: Revisiting Technical Violations of Community Supervision to Decrease Jail Admissions and Length of Stay
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February 8, 2023 , 2:00 pm – 3:00 pmExperiencing homelessness in early childhood can have long-term impacts on health, education and well-being for both children and parents. Homelessness among young children is often hidden, making it harder to collect accurate data and ensure that these children are connected to the services and resources they need.02082:00 pm<p>Experiencing homelessness in early childhood can have long-term impacts on health, education and well-being for both children and parents.
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April 6, 2023 , 2:00 pm – 3:00 pmReducing recidivism through effective jail- and community-based services can decrease jail admissions and populations and improve outcomes for people with criminal histories.04062:00 pm<p>Reducing recidivism through effective jail- and community-based services can decrease jail admissions and populations and improve outcomes for people with criminal histories.</p>
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The Stepping Up Initiative
In May 2015, NACo and partners at the CSG Justice Center and APA Foundation launched Stepping Up: A National Initiative to Reduce the Number of People with Mental Illnesses in Jails.pagepagepage<table border="1" cellpadding="1" cellspacing="1" style="width:100%" summary="call-out">
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Reports & Toolkits
COVID-19 Recovery Clearinghouse
The COVID-19 Recovery Clearinghouse features timely resources for counties, including allocation estimations, examples of county programs using federal coronavirus relief funds, the latest news and more.Reports & Toolkitsdocument03127:15 pmReports & Toolkits<table border="1" cellpadding="1" cellspacing="1" style="width:100%" summary="ad-block no-top-margin no-bullets">
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Live Healthy U.S. Counties
The National Association of Counties (NACo) Live Healthy Prescription, Health & Dental Discount Program is a NO-COST program available to all member counties.pagepagepage<h1>With <a id="naco" name="naco">NACo</a>, Saving Feels Better</h1>
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Reports & Toolkits
Opioid Solutions Center
NACo’s Opioid Solutions Center empowers local leaders to invest resources in effective treatment, recovery, prevention and harm reduction practices that save lives and address the underlying causes of substance use disorder.Reports & Toolkitsdocument10123:30 pmReports & Toolkits<p>NACo's Opioid Solutions Center empowers local leaders to invest resources in effective treatment, recovery, prevention and harm reduction practices that save lives and address the underlying causes of substance use disorder.
Contact
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Legislative Director – Health | Large Urban County Caucus(202) 942-4246
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Related Resources
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Policy BriefEnhance Counties' Ability to Prevent and Treat Mental Illness and Substance Use DisordersFeb. 1, 2023
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Policy BriefSupport Counties in Improving Health Services for Justice-Involved IndividualsFeb. 1, 2023
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Upcoming Events
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2Feb2023Webinar
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