State (ESF-8) Emergency Management Plans

The State's role in disaster response is to maintain overall situational awareness and support community response, to provide guidance to local jurisdictions, and to coordinate securing and deploying federal and other resources if available when state and local assets are insufficient to meet the need. The Department of State Health Services (DSHS) serves as the primary agency for Emergency Support Function 8: Public Health and Medical Services; and is responsible for coordinating the public health and medical response during emergency situations.

Listed below are the plans that DSHS is the primary agency for. To view and download these, and other state plans and annexes, please visit the Texas Division of Emergency Management’s website at:

  • Annex D: Radiological Emergency Management – Revised September 2012 / Updated February 2013

Annex D outlines a concept of operations for a coordinated response to nuclear/radiological incidents in Texas. This plan is based upon a fundamental assumption that while the type of incident may result from either an inadvertent or a deliberate act, and may vary in severity from the small to the catastrophic, the critical tasks of local and state emergency responders will generally follow the same concept of operations.

  • Annex H: Health and Medical Services– Revised September 2006 / Updated February 2013

Annex H provides the mechanism for coordinated State assistance to supplement local resources in response to public health and medical care needs for potential or actual public health emergencies. 

  • Appendix 4 to Annex H: Mass Fatality Management Revised December 2009 / Updated February 2013

Appendix 4 is based upon a fundamental assumption that accomplishing identification of the decedent and determination of cause and manner of death will be essential.  Highlights of the plan include a thorough listing of applicable statutes, a Unified Command structure for state response to include DSHS, TDEM, and the local medico-legal authority (Justice of the Peace and/or Medical Examiner).

  • Appendix 5 to Annex H: Disaster Behavioral Health – Revised September 2009 / Updated February 2013

As the State Mental Health Authority, DSHS is responsible for responding to the behavioral health needs of individuals affected by local, state, or federally declared disasters.  These individuals include victims, survivors, and/or responders. This plan focuses on establishing a viable state/county/local interface that is grounded in the skill and knowledge of local providers who are intimately aware of the existing and emerging needs of their constituents.

  • Appendix 6 to Annex H: Biological Terrorism Response Plan Revised September 2011 / Updated February 2013

Appendix 6 establishes a concept of operations for response to a biological terrorism incident in the State of Texas.

  • Appendix 7 to Annex H: Pandemic Influenza Response Revised March 2007 / Updated February 2013

Appendix 7 assigns roles to DSHS as primary agency and to 26 supporting agencies due to the societal complexities involved and the duration of response required in a global outbreak of a new influenza strain.

  • Appendix 8 to Annex H: Medical Countermeasures Plan Revised October 2011 / Updated February 2013

Appendix 8 delineates organizational responsibilities for state level response agencies and recommend actions for local and regional level response agencies for the request, receipt, distribution, and dispensing of medical countermeasures when local and/or state resources have been overwhelmed.

Last updated May 13, 2013