Lori Tremmel Freeman

Chief Executive Officer

Lori freeman

Lori Tremmel Freeman has been the Chief Executive Officer for the National Association of County and City Health Officials (NACCHO) since May 2018, having returned to the organization after previously serving as its Associate Executive Director from 2010-2014.

In the CEO role, Ms. Freeman works to ensure our country's more than 3,300 local health departments have the capacity to deliver essential health services to their communities, advocates for local public health within the U.S. governmental public health system and assures strategic alliances and partnerships with a wide variety of federal, state, local, public and private agencies and organizations to advance the health of our nation. Prior to joining NACCHO, she served as Chief Executive Officer for the Association of Maternal and Child Health Programs (AMCHP) where she provided direction and leadership to protect and promote the optimal health of women, children, and families and actively advocated for long-term funding for maternal, child, and adolescent health through the federal Title V grant program. While at AMCHP, she received the distinguished HHS Maternal and Child Health Bureau Director’s Award for noteworthy contributions to the health of infants, mothers, children, adolescents and children with special health care needs.

Lori Tremmel Freeman is a career non-profit executive, having enjoyed three decades of working in senior association leadership and management roles. Lori Tremmel Freeman’s career includes holding additional CEO and senior leadership positions with the International Test and Evaluation Association (ITEA); Association for the Advancement of Medical Instrumentation (AAMI); the Society of Nuclear Medicine and Molecular Imaging (SNMMI); the American Public Health Association (APHA); and Grant Thornton LLP. She also serves on numerous national advisory groups and Boards related to public health. She received a Bachelor of Science degree in Management Science from Lock Haven University and a Master’s Degree in Business Administration and Marketing minor from Indiana University of Pennsylvania and currently resides in Haymarket, Virginia with her husband and twin children.

Title Source Date
What’s Next for US Healthcare? Ask Oklahoma The Nation 02/18/2026
Macomb County Health Department achieves recognition for emergency preparedness Macomb County Michigan 02/05/2026
One State’s Sprint for its Share of $50 Billion for Rural Health: Part 2 Tradeoffs 1/29/2026
New US dietary guidelines urge less sugar, more protein – and make a nod to beef tallow CNN 01/08/2026
Who Will Get Money From HHS's Rural Health Transformation Grants? MedPage Today 01/02/2026
CDC advisers vote in support of major change to childhood vaccination CNN 12/05/2025
Cook Co. sees dramatic decrease in fentanyl deaths; advocates warn against false sense of security ABC News 7 11/17/2025
5 From the Field: Q&A with NACCHO CEO Lori Freeman Healthbeat 11/11/2025
The ‘hard, slow work’ of reducing overdose deaths is having an effect Stateline 11/03/2025
Where Do We Go From Here? The Way Forward for State and Local Public Health JPHMP 10/22/2025
Local health departments worry about government shutdown’s effects on staffing, disease outbreaks and nutrition services CNN 10/02/2025
Shutdown’s Shadow: How the Government’s Standoff Threatens US Health Services, from Outbreaks to Nutrition Miami Daily Life 10/02/2025
Trump’s CDC cuts could threaten chronic illness and national security, experts warn The Guardian 09/25/2025
CDC data show declines in sexually transmitted infections, rise in newborn syphilis CIDRAP 09/24/2025
Report featuring ADPH head highlights threats to public health funding Alabama Political Reporter 09/19/2025
Alabama health officer expresses concern over federal cuts to public health in new report Alabama Reflector 09/18/2025
US states and medical societies chart new paths forward amid turmoil at CDC and ACIP The Lancet 09/10/2025
Vaccine disinformation motivated gunman's attack on US CDC headquarters The Lancet 08/21/2025
Health department nonprofit NACCHO slashes workforce amid uncertain federal support Washington Business Journal 08/08/2025
Congressman Crow Leads Bipartisan Bill to Address Public Health and Infectious Disease Workforce Shortages. Congressman Jason Crow 7/23/2025
Health department recognized for emergency preparedness. Culpeper Star Exponent 7/10/2025
Navigating Public Health Challenges: Insights from NACCHO’s CEO Domestic Preparedness Journal 7/7/2025
With federal support uncertain, states and nonprofits scramble to safeguard access to vaccines. CNN 6/30/2025
RFK Jr. is coming for your vaccines. The Verge 6/18/2025
Measles cases are in 34 states with North Dakota now the focus. Stateline 6/13/2025
More measles exposures are happening at airports and tourist destinations. Here’s what travelers need to know. CNN 6/5/2025
Deep cuts erode the foundations of US public health system, end progress, threaten worse to come. The Associated Press 5/31/2025
They’re the backbone’: Trump’s targeting of legal immigrants threatens health sector. Politico 5/31/2025
Public Health Under Pressure: Lori Freeman on Trump’s Cuts and Mental Health U.S. News & World Report 5/28/2025
Not just measles’: Whooping cough cases are soaring as vaccine rates decline. CNN 04/14/2025
Not Just Measles”: Whooping Cough Cases Are Soaring as Vaccine Rates Decline ProPublica 4/11/2025
Anti-vaccine sentiment may derail vaccines already awaiting FDA approval, experts fear CNN 4/8/2025
A city responding to a lead crisis in schools reached out to the CDC for help. The agency’s lead experts were just fired CNN 4/3/2025
HHS extreme heat programs hollowed out by Trump staff cuts E&E News Politico 4/3/2025
Public Health Groups Decry HHS Firings, Grant Cuts MedPage Today 4/2/2025
Inside yesterday’s anxiety-inducing, ‘crude and callous’ HHS cuts STAT News 4/2/2025
Mass layoffs are underway at the nation’s public health agencies The Associated Press 4/1/2025
50 canceled measles clinics, and other local impact from HHS cuts STAT News 4/1/2025
All Politics Is Local -- Including HHS Funding Cuts MedPage Today 3/31/2025
NACCHO and Metopio Announce Partnership to Empower Local Health Departments with Data-Driven Solutions to Improve Health Outcomes HTV 10 3/31/2025
Trump administration pulls back billions in Covid-era funding for state, local health departments CNN 03/26/2025
Trump administration says it will pull back billions in COVID funding from local health departments The Associated Press 03/26/2025
Measles outbreak challenges Trump's public health vision The Lancet 02/26/2025
Upheaval and firings at CDC raise fears about disease outbreak response NPR 02/25/2025
Suppressing essential health information’: Some officials frustrated by Trump administration’s limits on health agencies CNN 02/17/2025
New bird flu variant in cattle adds to concerns about federal response under Trump NPR 02/06/2025
Judge temporarily blocks part of Trump administration’s plans to freeze federal aid CNN 01/28/2025
Two dead, dozens sickened in Kansas tuberculosis outbreak CNN 01/28/2025
Task of making sure restaurants are safe; How Iowa health officials can improve state's food inspections The Des Moines Register 01/26/2025
Moldy tomatoes and rodent droppings: Can Iowa can improve food inspections for consumers The Des Moines Register 01/21/2025
The Importance of Local Health Departments in Combating HAIs and AMR Contagion Live 01/20/2025
NACCHO's Efforts to Combat Healthcare-Associated Infections and Antimicrobial Resistance Contagion Live 01/17/2025
How vending machines help states battle the opioid crisis: ‘You don’t know when you’re going to need these products' CNN 02/22/2024
Cumberland Plateau Health District Recognized Through the National “Project Public Health Ready” Program Virginia Department of Health 01/30/2024
CDC Report: Syphilis Incidence Rate Continues to Increase and Shows Rising Trend Over Several Years Contagion Live 01/30/2024
Health district recognized for emergency preparedness The Freelance-Star 01/30/2024
One city’s effort to cancel $2B in residents’ medical debt Route Fifty 01/23/2024
How governments are tackling medical debt Route Fifty 01/10/2024
How uninsured adults can still get vaccinated against COVID PBS Newshour 12/8/2023
Thousands more doses of RSV shot for infants expedited for release amid shortage CNN 11/17/2023
What is this new agreement between public health & county commissioners? KREX Western Slope Now 11/16/2023
Advocates fear GOP's proposed climate cuts would harm public health National Journal 10/24/2023
Despite rocky rollout, more than 7 million Americans have received updated Covid-19 vaccines, HHS says CNN 10/12/2023
Older adults still make up most Covid-19 hospitalizations, CDC report says, but concern grows over lack of vaccination CNN 10/9/2023
This year's chaotic vaccine rollout is wildly different than before. Can we fix it in time? Salon 09/28/2023
New COVID vaccine campaign off to a bumpy start The Hill 09/21/2023
The New COVID Vaccine Roll-Out Is Off to a 'Nightmare' Start The Western Journal 09/21/2023
Where to Find Free COVID Vaccines Right Now—No Matter Your Insurance Status Verywell Health 09/20/2023
Opponents of COVID restrictions took over a Michigan county. They want deep cuts to health funding Associated Press 09/14/2023
Opponents of COVID restrictions took over a Michigan county. They want deep cuts to health funding ABC News 09/14/2023
FDA signs off on updated Covid-19 vaccines that target circulating variants CNN 09/11/2023
FDA gives approval to updated COVID booster shots The Mercury News 09/11/2023
New Class of 40 Under 40 in Public Health Reflects Resilient and Impactful Workforce Associated Press 09/7/2023
CDC ends recommendations for social distancing and quarantine for Covid-19 control, no longer recommends test-to-stay in schools CNN 08/11/2022
Music Festivals Embrace Overdose Reversal Drugs, but Fentanyl Testing Kits Remain Taboo Kaiser Health News 08/03/2022
Slow response to monkeypox exposes ‘tired, overworked’ US health agencies The Guardian 08/01/2022
Public health addressing gender gap in workforce leadership The Nation's Health 08/01/2022
Monkeypox spreading in 'cluster events,' but vaccines can help stop it, local health officials say CNN 07/21/2022
Fighting Monkeypox, Sexual Health Clinics Are Underfunded and Ill-Equipped Kaiser Health News 07/19/2022
FDA advisers to consider whether Omicron-specific coronavirus vaccines are needed CNN 06/28/2022
FDA advisers to consider whether Omicron-specific coronavirus vaccines are needed CNN 06/23/2022
Ukrainians seeking shelter in US must have TB screenings and certain vaccinations CNN 05/19/2022
Public Health and America’s ‘Forgotten Governments’ Governing 05/16/2022
States prepare for summer launch of new 988 suicide prevention number CNN Health 05/06/2022
The US is in 'transition phase' of pandemic, Fauci says CNN Health 04/27/2022
As Pandemic Enters Third Year, Public Health Workers Are Suffering High Levels of Mental Distress< Public Health Watch 03/28/2022
When Will COVID Restrictions End? SELF Magazine 01/31/2022
Lori Tremmel Freeman on Rising COVID-19 Cases C-SPAN 07/07/2022

Additional Members of NACCHO Senior Leadership

Christopher Paquet

Chief Operating Officer

Christopher Paquet joined the National Association of County and City Health Officials (NACCHO) in 2023 as Chief Operating Officer. In this role, his priorities are focused on advancing our journey to make NACCHO a better workplace for staff by focusing on continuous quality improvement; looking deeply at our policies, practices, and processes; and offering solutions.

Adriane Casalotti

Chief of Government and Public Affairs

Adriane Casalotti is the Chief of Government and Public Affairs for the National Association of County and City Health Officials (NACCHO), whose mission is to improve the health of communities by strengthening and advocating for local health departments. There she leads the Association's efforts on policy development, communications, and federal advocacy.

Jerome Chester

Chief Financial Officer

As chief financial officer (CFO), Jerome is responsible for NACCHO’s financial functions including accounting, audit, contracts, and grants. As a member of the leadership team, he shares the responsibility for the attainment of the organization’s strategic and operational goals. His career spans more than 30 years of varied experience in financial management, Federal Government contracts, business leadership, and organizational strategy.

To reach out for an interview with Lori or another member of our senior leadership team, please email [email protected]

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