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A Menu of Suggested Provisions for Public Health Mutual Aid Agreements
Legal Scope or Effect
Descriptive Note
Well-crafted provisions addressing specific legal issues (e.g., liability, indemnification, reimbursement) will clearly and expressly state the intended legal scope or effect of the relevant provision. Nonetheless, on occasion, parties may, for various reasons, choose to incorporate a statement of an agreement’s general legal scope or effect.For example, states entering into agreements with one another (or possibly with a Canadian province or Mexican state) will obviously need to closely consult with legal counsel concerning the impact of U.S. Constitution, Article I, section 10, clause 3, which states that “No state shall, without the consent of the Congress, … enter into any agreement or compact with another state, or with a foreign power….” In the course of legal analysis, including consideration of court decisions interpreting the “compact clause”, counsel may wish to contemplate the advisability of the following sort of provision:
- Nothing in this Agreement is to be
construed as an encroachment on the full
and free exercise of U.S. federal
authority, as an interference with the
just supremacy of the U.S. or its
several states, as affecting the federal
structure of the United States or as
enhancing the political power of the
party states at the expense of each
other or other U.S. states.
Additional optional sample provisions
Articulating agreement’s compatibility with relevant laws:- Nothing in the Agreement shall be
interpreted to conflict with applicable
laws within the jurisdiction of any
Party. However, any Party may request
from any other Party the suspension of
such laws if their normal application
might lead to delay or difficulty in the
rapid execution of necessary public
health emergency measures.
- The Parties will comply with all
Federal and State laws relating to the
provision of services under this
Agreement and will maintain in effect
all permits, licenses, governmental
approvals and accreditations that may be
necessary for that purpose.
- The provisions of this Agreement are
severable. If any portion of this
Agreement is determined by a court to be
void, unconstitutional or otherwise
unenforceable, the remainder of this
Agreement will remain in full force and
effect.
- This Agreement shall be binding upon
the Parties and inure to the benefit of
any successor entity which may assume
the obligations of any Party. A Party,
however, may not assign this Agreement
without prior written consent of the
Parties.
- This Agreement is a voluntary, nonbinding agreement among the Parties. However, with its signature on this Agreement, each Party states its intent to cooperate with one another and coordinate response efforts in the event of a public health emergency. Each Party also agrees to incorporate the terms of this Agreement into its emergency management plans.
Contact Us:
- Centers for Disease Control and Prevention,
Public Health Law Program
Yale Building, Koger
Atlanta, GA 30341 - 800-CDC-INFO
(800-232-4636)
TTY: (888) 232-6348
24 Hours/Every Day - cdcinfo@cdc.gov



