Michigan PHEP - The Division of Emergency Preparedness and Response (DEPR) within the Bureau of Emergency Preparedness, EMS, and Systems of Care (BEPESoC) in the Michigan Department of Health and Human Services (MDHHS) maintains responsibilities for the Public Health Emergency Preparedness (PHEP) and Healthcare Preparedness Program (HPP). These two programs have been programmatically aligned since 2002 and continue to function together to support healthcare and public health initiatives throughout Michigan. Additionally, the integration of State Laboratory, Epidemiology, Immunizations and Environmental Health ensures a cohesive public health preparedness program at the state-level. Lastly, Michigan’s preparedness programs work closely with other state agencies, academic institutions and community-based organizations. These established partnerships have led to improved outcomes in preparedness planning and response. Michigan is a home ruled state and therefore DEPR establishes annual contracts with 45 local health departments (LHDs), 12 federally recognized tribes, and medical control authorities (MCA) who serve as the fiduciary for the healthcare coalitions (HCC) and their healthcare organizations. Collaborative planning to identify program deliverables occurs through an established state and local public health team, the Michigan Association of Local Public Health (MALPH), as well as quarterly meetings with the local health departments, tribal health, and other partners. Annually, DEPR facilitates a hybrid Face 2 Face meeting, an opportunity for program personnel from PHEP and HPP to collaborate and share best practices, lessons learned, and network with those in their regions. The PHEP cooperative agreement supports preparedness and response capabilities and activities across Michigan’s state and local preparedness partners. This application provides clear expectations and priorities that continue to strengthen and enhance readiness to prepare for, respond to and recover from public health incidents. Michigan continues to invest in strategies based on the Public Health Emergency Preparedness and Response Capabilities and with documented data from JRA assessments, strategic planning and lessons learned from exercises and the four major incident responses that have occurred in Michigan over the last five years. Overarching goals for this five-year period will focus on establishing new and strengthening existing communities of practice, ensuring whole community inclusion at the state and local level, and continuing to plan, train and exercise to the 15 capabilities.