Tier 1 areas: Los Angeles/Long Beach, San Francisco Bay, the National Capital Region, Chicago, Boston, Jersey City/Newark, New York City, Philadelphia, Houston, and Dallas/Fort Worth/Arlington [REF].
The Metropolitan Medical Response System program supports, with a $39.36 million budget, integration of emergency management, health, and medical systems into an organized response to mass casualty incidents such as nuclear, biological or chemical terrorist incidents [REF].