Legal Issues and Resources

Regionalization: A Guide for Sharing Public Services in Massachusetts

This web article provides insight into thinking about regionalization of public services by focusing on municipal public health services in Massachusetts. It includes links to statutory requirements, types of sharing agreements, and other resources. Available online:

A Roadmap for Government Transformation

This report provides the results of facilitated research and discussion about ways for governmental leaders to transform governmental service delivery within Wisconsin by 1) determining whether having fewer governments is truly more efficient and cost effective than having more local governments; 2) understanding how existing regional government organizations synthesize local and regional interest to get […]

Local Government Collaboration In Wisconsin: Case Studies

This report provides a collection of Wisconsin-based case studies focused on collaborative and cooperative initiatives among public sector providers. Service areas covered include public health and safety and infrastructure services — including fire, medical, animal control, dispatch, highway service, water, sanitation, etc. The report also include cross-cutting findings about the obstacles to collaboration and lessons […]

Intergovernmental Agreement (San Luis Valley Public Health Partnership in Colorado)

This document provides an example of a four-year intergovernmental agreement among six counties in Colorado officially recognizing the collaborative efforts of their jurisdictions to develop regional agreements, activities, and infrastructure for shared public health services in an effort to increase capacity, contain costs, maximize assets and effectively impact health outcomes.

Memorandum of Understanding: Northwoods Preparedness Collaborative

This document is a memorandum of understanding (MOU) template for the Northwoods Preparedness Collaborative in Wisconsin, which consists of ten local public health departments that contribute a percentage of their annual public health emergency preparedness (PHEP) allocation from the Centers for Disease Control and Prevention that is administered through the State of Wisconsin Department of […]

Letter of Agreement Public Health Shared Services Pilot Project

This Letter of Agreement for a Public Health Shared Services Pilot Project is between two New York counties outlining their commitment to provide quality essential public health services effectively to their residents but acknowledges that fiscal pressures necessitate collaborative measure. The parties agree to share a public health director and deputy public health director and […]