Familiar Faces Initiative
Improving Outcomes Through Coordinated Heath & Justice Systems
Sections
Familiar faces—individuals with complex behavioral health needs who frequently cycle through jails, homeless shelters, emergency departments and other local crisis services—often do not have the support needed to ensure treatment engagement and successful outcomes. Counties and cities’ complex social services systems can be fragmented, leaving vulnerable individuals to fall through the cracks. The Familiar Faces Initiative empowered communities to share data and integrate care options between health and justice systems. While this program concluded in 2024, counties continue to pursue early intervention, improved outcomes and reduced incarceration and hospitalization rates for community members.
U.S. House reintroduces legislation to address the Medicaid Inmate Exclusion Policy with NACo support
Two bipartisan bills aimed at addressing the Medicaid Inmate Exclusion Policy (MIEP) were recently reintroduced in the U.S. House of Representatives.
U.S. House of Representatives re-establishes Bipartisan Mental Health Caucus with NACo support
On May 7, members of the U.S. House of Representatives appointed new leadership to the Bipartisan Mental Health Caucus, reaffirming their commitment to addressing the nation’s mental health crisis through cross-party collaboration. This renewed focus is a welcome development for counties, which serve on the frontlines of the behavioral health system. Bipartisan initiatives like this help elevate mental health as a national priority, support counties in advancing meaningful policy change and strengthen partnerships across all levels of government.
House passes SUPPORT Act reauthorization
On June 4, the U.S. House of Representatives passed the SUPPORT for Patients and Communities Reauthorization Act of 2025 (H.R. 2483) by a strong bipartisan vote of 366–57. The bill, which reauthorizes billions of dollars for critical programs that target overdose prevention, now heads to the Senate Committee on Health, Education, Labor and Pensions, where a version of the bill was overwhelmingly advanced with bipartisan support in the 118th Congress.
CMS increases oversight on states’ use of Medicaid funds for undocumented immigrants
On May 27, the Centers for Medicare & Medicaid Services (CMS) announced it is increasing federal oversight of state Medicaid programs to ensure compliance with federal law regarding the use of Medicaid funds for undocumented immigrants.
New disaster recovery grants now open to support county economic development
The U.S. Economic Development Administration has launched the Fiscal Year 2025 Disaster Supplemental Grant Program, making $1.45 billion available to help communities recover from natural disasters and build long-term economic resilience. Counties affected by major disaster declarations in 2023 or 2024 are eligible to apply for funding to rebuild infrastructure, strengthen local economies and prepare for future disruptions. This program goes beyond immediate recovery, aiming to transform local economies and foster sustainable, long-term economic growth.
County Strategies to Provide Supportive Housing for Familiar Faces
Join NACo for a panel discussion with experts and county leaders who have developed innovative funding models to support housing programs and facilities for familiar faces within their communities.
County Strategies to Recruit and Retain a Strong Behavioral Health Workforce
Join NACo for a panel discussion of innovative solutions to behavioral health workforce challenges.
911 Dispatch: Innovations for Addressing Behavioral Health Crisis Calls
This webinar will feature a presentation on The Pew Charitable Trust’s recent research on 911 call centers’ capabilities to handle behavioral health crises and highlight localities that have developed innovations in 911 dispatch centers.
Coordinating a System Response to 911 Dispatch
Join NACo, in collaboration with our Stepping Up partners and Data Driven Justice network for a discussion on 911 dispatch intervention strategies with a special emphasis on data collection, screening and practical local approaches to resolving 911 calls safely without unnecessary justice system involvement.
DDJ Virtual Panel Discussion: Lessons Learned from Pilot Projects
Join Data-Driven Justice (DDJ) for an engaging virtual panel discussion on the outcomes of the two-year DDJ pilot program with three communities: Johnson County, Iowa; Long Beach, Calif. and Middlesex County, Mass.
Data-Driven Justice National Listening Session: COVID-19 Impacts and Innovations Across Justice and Behavioral Health Systems
Please join Data-Driven Justice on Friday, May 22 at 2 p.m. EDT for a discussion on national and federal justice and behavioral health resources as communities continue to navigate the COVID-19 pandemic.