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Cross-Jurisdictional Public Health Service Sharing Agreements

posted on Wed, Aug 15 2018 12:20 pm by Brittney Crock Bauerly

To address limited resources and increasing demand for services, many local health departments (LHDs) often seek ways to improve efficiency and reduce costs by sharing service delivery and other functions with other LHDs, agencies and entities. A director of a health department recently contacted the Network to obtain examples of contracts in which a county engages with a city for public health services. The Network provided the following resources on cross-jurisdictional sharing.

The Center for Sharing Public Health Services features a number of sample legal sharing agreements, including several city-county agreements among other types of contracts. Below are examples of particular relevance:


Network attorneys are available to answer questions on this and other public health topics at no cost to you, and can assist you in using law to advance your public health initiatives. Contact a Network Attorney in your area for more information.

The legal information and assistance provided in this document does not constitute legal advice or legal representation. For legal advice, readers should consult a lawyer in their state.