State Disaster Medical Advisory Committee (SDMAC)

During a period of limited medical resources the SDMAC is activated to develop guidance that is based on strong ethical principles, the rule of law, and to ensure the equitable and fair delivery of medical services.

The SDMAC is currently activated in response to the COVID-19 pandemic.

SDMAC Advisory Committee members are comprised of subject matter experts from healthcare facilities and public health organizations.

Additional members may be added depending upon incident specific response needs.

Subcommittees are established to address specific needs during a response. For example, during the COVID-19 response, a Therapeutics subcommittee and a Vaccine subcommittee developed recommendations on allocation of scarce resources to the DHS Secretary. There are currently no active subcommittees.

All SDMAC-related meetings are public meetings and posted to the Wisconsin Public Meeting Notices & Minutes website. Public meeting notices and materials are posted at least 24 hours before meetings.

SDMAC

Meets as needed.

SDMAC Vaccine Distribution Subcommittee

Meets as needed.

SDMAC Therapeutics Subcommittee

Meets as needed.

Current public meeting postings

Wisconsin Public Meeting Notices & Minutes website: to find an upcoming SDMAC meeting, filter by Upcoming Meetings and search for State Disaster Medical Advisory Committee. Public meeting notices and materials are posted at least 24 hours before meetings.

Past public meeting postings and reference material

Wisconsin Public Meeting Notices & Minutes webpage: to find a past SDMAC meeting, filter by Past Meetings and search for State Disaster Medical Advisory Committee.

Links for all recorded meetings

• SDMAC video webpage: (opens external video) to find past SDMAC, Ethics Subcommittee, Therapeutics Subcommittee, and Vaccine Subcommittee meetings.
• Long-Term Care Subcommittee videos: (opens external video) to find past Long-Term Care Subcommittee meetings.

Vaccine distribution

• Phase 1a Guidance for Vaccinating Entities to Prioritize COVID-19 Vaccine in Priority Populations, P-02858 (PDF)
• Recommendations for the Wisconsin Department of Health Services when Distributing Phase 1a COVID-19 Vaccine Allotments to Vaccinating Entities, P-02869 (PDF)

Ethical frameworks

For an example of a lottery-based policy that is consistent with the ethical principles underlying this document, please refer to Appendix A from the state of Pennsylvania, about halfway down the page. Note that while the Pennsylvania example involves a weighted lottery, SDMAC’s Ethical Framework to Guide the Allocation of COVID-19 Therapeutics and Vaccines provides that an unweighted lottery, as well as non-lottery allocation, can be ethically permissible in some circumstances.

SDMAC Ethics Subcommittee: Ethical Framework to Guide the Allocation of COVID-19 Therapeutics and Vaccines, P-02864 (PDF)

Other documents

SDMAC Long Term Memos: COVID-19 Health Care Providers webpage (under the Memos accordion, BCD 2020–19 to BCD 2020–21, June 9)

None at this time.