The State of Illinois has had a well established Emergency Medical System disaster response plan since the 1970s. In the case of a wide spread event the readily available provider resources could be quickly depleted. The concept of an extended statewide medical emergency response was conceived in the mid- 1990s. IMERT (Illinois Medical Emergency Response Team) was established. While it is well respected and a role model for other states, the organization is not without inadequacies. This paper is an evaluation of the IMERT program to date.