JP 3-28, page 86

Chapter V V-12 JP 3-28 domestic emergencies. Their mission is strictly to inform, and all CAIS efforts should be coordinated with ongoing military and LFA PA efforts. The LFA is the approval authority for all products conveying the lead agency messages. See JP 3-13.2, Military Information Support Operations, for additional information. 7. Health Services a. Health Services. As a supporting agency to the Department of Health and Human Services, DOD will coordinate mission assignments involving health services through the DCO. DOD may receive RFAs submitted to OSD Executive Secretary prior to establishing a DCO. These RFAs are approved by SecDef and will be coordinated with the DCO once established. Additionally, the department of Health and Human Services may request assistance from DOD without going through FEMA and the multiagency contract process IAW the Economy Act of 1932. DOD employs and integrates the medical response through the following joint medical capabilities: first responder care, forward resuscitative care, en route care, theater hospitalization, and definitive care. The focus of DOD medical support is to save lives and support restoration of essential health services in collaboration with the state and local health authorities. The scope of the medical response will vary with the type and scale of emergency. A clear focus must remain on transition to other medical support organizations. The Military Health System will, in most cases, have a scaled response to DSCA emergencies: first, under immediate response authority and mutual-aid agreements with local and state health care systems; second, through the National Disaster Medical System (NDMS); and finally, through SecDef-approved mission assignments. DOD is responsible for health services to DOD forces responding to the event. Health services include, but are not limited to, the management of health services resources, such as manpower, monies, and facilities; preventive and curative health measures; evacuation of the wounded, injured, or sick; selection of the medically fit and disposition of the medically unfit; blood management; medical supply, equipment, and maintenance thereof; combat and operational stress control; and medical, dental, veterinary, laboratory, optometry, nutrition therapy, and medical intelligence services. DODI 3025.24, DOD Public Health and Medical Services in support of Civil Authorities, establishes policy for DOD public health and medical support to civil authorities and outlines the Defense Health Agency’s role to support planning and preparedness activities for the Military Health System in response to natural disasters or man-made incidents. For more details, see JP 4-02, Joint Health Services. b. NDMS. DODI 6010.22, National Disaster Medical System (NDMS), establishes policy for DOD participation in the NDMS, a joint federal, state, and local mutual-aid response system to provide a coordinated medical response, patient movement, and definitive patient care during a military health emergency, US national emergency, or US domestic disaster. NDMS also establishes DOD support to NDMS as outlined in Title 42, USC, the Pandemic and All-Hazards Preparedness Reauthorization Act, and the NDMS Federal Partners Memorandum of Agreement. Acute situations may require response prior to detailed DOD and Department of Health and Human Services coordination. Imminently serious conditions resulting from any civil emergency may require immediate action to