DOD INSTRUCTION 6010.22
N
ATIONAL DISASTER MEDICAL SYSTEM (NDMS)
Originating Component: Office of the Under Secretary of Defense for Personnel and Readiness
Effective: April 14, 2016
Releasability: Cleared for public release. Available on the DoD Issuances Website at
http://www.dtic.mil/whs/directives.
Incorporates and cancels: DoD Directive 6010.22, “National Disaster Medical System (NDMS),”
January 21, 2003
Approved by: Robert O. Work, Deputy Secretary of Defense
Purpose: This issuance:
• Defines DoD roles, assigns responsibilities, and prescribes activation procedures in support of
Section 300hh-11 of Title 42, United States Code (U.S.C.) and Section 104 of Public Law 113-5, also
known and referred to in this issuance as the “Pandemic and All-Hazards Preparedness Reauthorization
Act of 2013.”
• 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, U.S. national emergency, or U.S. domestic disaster.
• Establishes DoD support to NDMS as outlined in Title 42, U.S.C., the Pandemic and All-Hazards
Preparedness Reauthorization Act, and the NDMS Federal Partners Memorandum of Agreement.