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Advocacy

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.

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Advocacy

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.  

Medicines in hand
Advocacy

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. 

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Advocacy

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. 

Business along San Carlos Boulevard that were damaged during Hurricane Ian
Advocacy

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. 

Bureau of Land Management Acting Director John Raby speaks to the WIR Board of Directors during the 2025 NACo Legislative Conference in March. He addressed a workshop remotely during the 2025 WIR Conference in Pennington County, S.D. in May. Photo by Denny Henry
County News

BLM, HUD target public lands for housing

A multi-agency push could open up hundreds of thousands of BLM acres near towns and cities to development for attainable housing.

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