Intergovernmental cooperation is sought and facilitated by the interim objective of Directive 8 on internal security, which defines as a national priority the extension of regional cooperation through mutual assistance agreements (Table 1▶). The cooperation agreements concluded by the Centers for Disease Control and Prevention, which aim to improve and improve the capacity of the State and the country to prepare for public health, promote the development of mutual assistance agreements as a preparatory instrument. Finally, Congress made financial resources available and instructed the Secretary of DHHS, to establish a program to develop an emergency system for the pre-registration of volunteer health professionals (Table 1▶).13 Although the DHHS Health Resources and Services Administration allocates funds for the development of EsAR-VHP, states are able to design, develop and manage a national system of national registers of emergency volunteers. That speaks for itself. Cross-border cooperation is an obvious part of the system. The Pandemic and All-Hazards Preparedness Act, Public Law 109-417, is a new and important complement to the federal mutual aid structure. A consortium of states can be considered an organization eligible for funding under the law and section 201 requires “a description of the mechanism that the company will implement to use the Emergency Management Assistance Pact or other mutual assistance agreements for medical and public assistance.” These and other provisions of the Act on the Use of Mutual Assistance Agreements for the Coordination and Integration of Resources between These Entities at the Federal, Regional, Local and Tribal Levels are strong evidence of Congress` encouragement to enter into mutual assistance agreements. A participating political subdivision may request the assistance of other political subdivisions involved in the prevention, mitigation, response and recovery of disasters that cause locally declared emergencies, or in coordination with authorized exercises or exercises, as provided for in this legislation/convention. Requests for support shall be addressed to the Director General of a participating political sub-directorate or to his representatives. Requests may be addressed orally or in writing and should not be addressed directly to the public emergency management authority, but shall be reported to the Agency in all cases as soon as feasible.

Oral questions shall be followed by a written question as soon as possible or by the number of days that the State imposes at its discretion. Staff of a participating political sub-directorate who respond to or provide assistance to a request that suffers injuries or deaths during their employment and result therefrom shall be entitled to all applicable benefits normally available to staff, while performing their duties for their employer. Response forces receive any additional public and federal benefits they have for deaths on the service line. In mid-July 2003, the National Emergency Management Association (NEMA) sent a request to all public emergency management agencies requesting copies of existing mutual assistance legislation/agreements, enabling legislation and other supporting documentation. Preliminary responses were received from 16 states and the District of Columbia, which confirmed whether laws/agreements were in effect or not. . . .