Montana: Cross-Jurisdictional Sharing

Background Information

Montana is served by a decentralized public health system. There are 58 independent local health agencies in the state that are led by local government staff.

The Center’s Resource Library contains resources on cross-jurisdictional sharing (CJS) in Montana. Click here for information about the legal basis for CJS in the state from the Network for Public Health Law. A specific example of CJS in Montana can be found below.

Example CJS Arrangement

Yellowstone/Carbon Counties, Montana
This grantee was part of the Center’s Shared Services Learning Community.

This initiative explored CJS as a potential strategy to improve effectiveness and efficiency at Carbon County Health Department and RiverStone Health (Yellowstone County’s health department). Select this link to read about this grantee and to access policies, procedures, tools and reports associated with their CJS initiative.

Note: This is not a complete list of all CJS arrangements in the state. If you have examples to submit, please contact us at