. Author manuscript; available in PMC: 2017 Aug 9.

Published in final edited form as: Disaster Med Public Health Prep. 2014 Mar 10;8(1):79–88. doi: 10.1017/dmp.2014.9

TABLE 3.

Concepts Consistent with the Principle of Federalism^1,2,23,24

Concept	Example
Accordance with commonly used formulas for providing state aid	CDC’s public health emergency preparedness²⁵ and ASPR’s hospital preparedness program²⁶ cooperative agreement funds are awarded in accordance with a statutory population-based formula in section 319C-1(i) of the Public Health Service Act
Promotion of cooperation among states	Emergency management assistance compact¹
Avoidance of unintended consequences	Ensure that population-based resource allocation does not exacerbate the condition of the worst-off state, or the condition of those who are worst off within a state
Facilitation of collaboration between federal and state efforts	National Response Framework² guides this interaction
Effective coordination with other federal agencies	Engaging with other federal agencies that have public health and medical assets so their available assets are factored into the allocation decisions to promote a synergistic impact
Promotion of capacities of local communities	Providing discretion to state and local leadership
Good stewardship of resources	Balance immediate resource allocation decisions against known ongoing missions and likely future requirements

Abbreviations: ASPR, Assistant Secretary for Preparedness and Response; CDC, Centers for Diseases Control and Prevention.