Depending on the nature of the MAA, a state legislator must formally approve a state`s participation in the agreement and commit it to the status, as in the case of the EMAC (see below). State law or regulation may also set out legal requirements governing the creation and operation of aid and assistance agreements in the state in general. These state-specific requirements may affect internal agreements between localities and other parties, as well as intergovernmental agreements between the state and other parties. The federal government, states, municipalities and other organizations involved in assistance agreements have developed specific guidelines, protocols and definitions for typing resources that prescribe aid. In addition to the legal requirements for aid management, ongoing training, implementation and updating of the assistance agreements and policies and protocols they implement is a key element in ensuring effective mutual assistance. In addition to EMAC, other mutual assistance pacts and agreements have been concluded in some regions. These include the Pacific Northwest Emergency Management Agreement and the California, Nevada, and Oregon Chempack Sharing Procedures. 7 Other cooperation agreements covering public health activities in general, but also on prevention and response to emergencies, include the Great Lakes Border Health Initiative Public Health Data Sharing Agreement and the Guidelines for U.S.-Mexico Coordination on Epidemiologic Events of Mutual Interest. 7 Model Intrastate Mutual Aid Legislation was developed by NEMA to facilitate intra-state mutual assistance between legal systems within a state.4 The issue of public health and emergency-related AAAs may include emergency management and emergency management in the area of public health and focus on issues such as the exchange of public health data, preparedness for the influenza pandemic, influenza surveillance, sharing of laboratory resources, tb treatment and control, and animal health emergency management. Intergovernmental agreements that meet the needs of certain categories of the population (e.g.

B, people with mental or physical disabilities, the elderly) or issues that may be outside the organizational control of a public health authority (for example. (B) can also provide important resources and skills to respond to public health and other emergencies. There are also private companies in certain sectors, such as water and energy suppliers and health facilities.8,9 In the past, agencies have felt that the responding agency would not require reimbursement from the Agency requesting assistance, unless the requesting agencies received public and/or federal assistance. This type of understanding is no longer possible. Under current federal guidelines, reimbursement cannot be subject to state or federal assistance. IPWMAN was therefore faced with a dilemma. If a responding agency does not charge the requesting agency for its staff, equipment and equipment, the response agency may not receive funds from FEMA for the work done by the neighbouring municipality. If the agency responding to the request is billed, the agency may be placed in an economic emergency following a disaster that was not eligible for state or state assistance. It was also learned that invoices that were submitted with a wink and a nod, to informally indicate that the bill is not payable, receive the same response from FEMA – they are not paid. The Agency intends to review current practice to verify performance on demand for written agreements. As part of a grant granted by FEMA to NEMA in 2003, NEMA agreed to develop and commercialize state aid legislation and several other related tasks.

Mutual assistance agreements (MAA) and other types of support agreements before, during and after an emergency event facilitate rapid mobilization