In the face of declining resources and increasing demand for services, many local health departments (LHDs) are exploring innovative ways to improve efficiency, meet accreditations standards, and reduce costs by sharing service delivery and other functions with other LHDs, agencies and entities.
One method for such cross-jurisdictional collaboration is the utilization of state interlocal agreement acts. These acts permit localities to enter into agreements with other entities to provide health and other services, and govern the terms of those agreements. Many permit the creation of new entities to accomplish public health goals.
The Network for Public Health Law, with assistance from pro bono attorneys at McDermott Will & Emery LLP along with the Iowa Health System, conducted a survey of intergovernmental cooperation laws currently in effect in all 50 states. Click on a state to view that state’s laws.
Please be advised that each state laws table should be used only as a guide. While we do not know the tables to contain any errors, we do know that they may be incomplete. We also caution that in many cases other laws and regulations may be used to share services and personnel between organizations and such actions may be permissible even without explicit enabling legislation. We strongly suggest that interested persons and entities contact us for assistance in this complicated area of law.