Hospital Preparedness Program (HPP) Cooperative Agreement - The California Department of Public Health (CDPH) provides comprehensive public health services for California. A key essential function includes support for the health care delivery system, the success of which is attributable to available funding and support from cooperative agreements such as the Administration for Strategic Preparedness and Response (ASPR) Hospital Preparedness Program (HPP). CDPH is responsible for the overall coordination of public health preparedness, mitigation, response, and recovery efforts in California including statewide planning for public health disasters and emergencies. In coordination with the California Emergency Medical Services Authority (EMSA), Local Health Jurisdictions (LHJs), Health Care Coalitions (HCCs), health and health care associations, and other strategic partners, California has a robust public health and medical preparedness and response structure through which to implement the proposed objectives and activities in support of the HPP key outcomes and core functions. California has 58 counties, 61 local health departments, and 41 HCCs serving a population of over 39 million. The county public health and medical system response support is coordinated through the Medical Health Operational Area Coordination (MHOAC) Program. The Regional Disaster Medical and Health Specialist (RDMHS) program provides support at the regional level. CDPH collaborates with the California Conference of Local Health Officers (CCLHO) and the County Health Executives Association of California (CHEAC) in the administration of local subrecipient resources and support, including the work plan activities and funding available under the HPP cooperative agreement. All entities play a crucial role in healthcare system preparedness and response capabilities in supporting the State’s public health systems and their ability to prepare for, respond to, and recover from public health threats and emergencies. HCCs play a critical role in the California healthcare system preparedness and response capabilities by serving as multiagency coordinators for healthcare and response organizations within a defined geographic area. The HCC structure coordinates diverse healthcare organizations before, during, and after emergencies and maintains collaboration between a variety of partners to ensure communities have access to necessary medical equipment and supplies, real-time information, communication systems, and trained and exercised personnel to respond to an emergency. Over the past 20 years, CDPH has demonstrated its ability to implement the requirements and expectations of the HPP cooperative agreement in support of the diverse people and communities of California. CDPH intends to align with and support the National Health Care Preparedness and Response Capabilities when released and will continue to establish, build, and sustain strategic and meaningful collaborative partnerships during the period of performance. This includes meaningful engagement with local, state, and federal entities, local subrecipients, tribes, and health care organizations, non-governmental organizations, and other strategic partners. CDPH looks forward to the continued opportunity to collaborate with ASPR, through the HPP cooperative agreement, in advancing health care delivery system within the State of California in support of the health and well-being of California’s diverse people and communities.