there are three tiers of health departments, the federal level, state level and local level. in relation with state and local government, the federal government provides states with funding to ensure that states are able to retain current programs and are able to implement new programs. the coordination between all three levels is critical to ensure the programs being implemented are well structured for each level. the health department at state level needs to safeguard good relations with legislators as well as governors in order to acquire legal and financial aid to guarantee the development and enhancements of the programs. assemblies are set up to guide the relationships between state and local heath departments. the state sets up the regulations and health policies whereas the local health departments are the ones implementing the health policies and services.