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Blaire Bryant

Legislative Director, Health | Large Urban County Caucus
Naomi Freel

Naomi Freel

Legislative Associate

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Advocacy

County Countdown – Dec. 15, 2025

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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Related News

Local leaders and healthcare workers rally for sales tax increase to cover healthcare costs in Santa Clara County, Calif.
County News

California county sales tax measure backfills federal healthcare cuts

Santa Clara County, Calif. will raise an estimated $330 million each year from a sales tax to backfill lose Medicaid funding.

County Countdown
Advocacy

County Countdown – Dec. 15, 2025

Every other week, NACo's County Countdown reviews top federal policy advocacy items with an eye towards counties and the intergovernmental partnership.

Soil
Advocacy

U.S. Department of Agriculture unveils $700 million for regenerative agriculture  

On December 10, U.S. Secretary of Agriculture Brooke Rollins announced the launch of a $700 million pilot program to support regenerative agriculture practices across the country.

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Advocacy

HHS releases rule repealing federal nursing home staffing mandate, supporting county long term care facilities

On December 2, the U.S. Department of Health and Human Services (HHS) published an interim final rule that repeals the federal nursing home staffing mandate, a regulation that would have required long-term care facilities to meet strict minimum staffing levels.

Medicines in hand
Advocacy

Congress passes SUPPORT Act reauthorization

On September 18, the U.S. Senate passed the SUPPORT for Patients and Communities Reauthorization Act of 2025 (SUPPORT Act Reauthorization) (H.R. 2483) by voice vote, following House passage earlier this year. With strong bipartisan backing in both chambers, the legislation now heads to the President’s desk for signature. 

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Advocacy

SUPPORT Reauthorization Act of 2025: What it means for counties

On December 1, the bipartisan SUPPORT for Patients and Communities (SUPPORT) Reauthorization Act of 2025  (H.R. 2483) was signed into law. The reauthorization renews vital federal funding for programs that seek to prevent opioid overdoses and expand treatment and recovery options.