In this week’s podcast, NACCHO Government Affairs team members Adriane Casalotti and Kerry Allen provide an update on the status of federal funding and discuss NACCHO’s priorities for a possible Fiscal Year 2023 omnibus appropriations bill. They also review the progress made on legislation to establish a public health loan repayment program, and ongoing NACCHO efforts to get that across the finish line before the 117th Congress ends, including an upcoming opportunity for NACCHO members to engage with their federal lawmakers in support of the program. Adriane describes the implications of and discussion around the recent CDC Advisory Committee on Immunization Practices recommendations on the COVID-19 vaccine. Finally, the team reminds listeners that many public health policy decisions will hinge on the outcome of the upcoming midterm elections and urges everyone to vote. Later in the program, we talk about one of the latest outbreaks – monkeypox (MPX) – with Dr. Philip Huang, Director of the Dallas County Health and Human Services, Andy Meléndez Salgado, MPH, Manager of the Public Health Emergencies and Environmental Health Unit of the New Orleans Health Department, and Dr. Judith Shlay, Associate Director of the Public Health Institute at Denver Health. We discuss how local health departments are working to reach populations at risk for MPX and how lessons learned from COVID-19 response are helping local jurisdictions to address MPX.