Sample Agreements

The Center’s Spectrum of Cross-Jurisdictional Sharing Arrangements identifies four main types of CJS arrangements.

Generally, moving from left to right along the Spectrum, as the level of service integration increases, the level of jurisdictional autonomy decreases, and implementation becomes more complex, as can governance. The governance model, financial structure and decision-making process can be different for each type of arrangement on the Spectrum.

Because there is not a one-size-fits-all approach to CJS, it is important to refer to the Spectrum early and often during the CJS process that is outlined in the Center’s Roadmap to Develop Cross-Jurisdictional Sharing Initiatives.

List of Sample Agreements by Type

Assessment, Evaluation, & Quality Improvement

Governance and Fiscal Issues

Legal Issues and Resources

Spectrum of Cross-Jurisdictional Sharing Arrangements

Looser Integration

Tighter Integration

As-Needed Assistance

Information sharing

Equipment sharing

Assistance for surge capacity

Service-Related Arrangements

Service provision agreements (e.g., contract to provide immunization services)

Purchase of staff time (e.g., environmental health specialist)

Shared Programs or Functions

Joint programs and services (e.g., shared HIV program)

Joint shared capacity (e.g., epidemiology, communications)

Regionalization / Consolidation

New entity formed by merging existing local public health agencies

Consolidation of one or more local public health agencies into an existing local public health agency

Download a PDF of the Spectrum of Arrangements