80OAG048
80OAG048
Cite as 80 Md. Op. Att'y Gen. 48
48
CONSTITUTIONAL LAW
TREATIES ) STATE MAY ENTER AGREEMENT WITH WORLD
HEALTH ORGANIZATION TO PROVIDE CERTAIN ADVISORY
SERVICES
November 3, 1995
The Honorable Martha S. Klima
House of Delegates
You have requested our opinion whether a memorandum of
understanding (the “Memorandum”) between the World Health
Organization (“WHO”) and the Maryland Department of Health and
Mental Hygiene (“DHMH”) violates the federal Constitution. Our
opinion is that the Memorandum does not violate the Constitution.
I
Background
The World Health Organization was established in 1948 as one
of the specialized agencies of the United Nations. Pursuant to a joint
resolution of Congress, President Truman accepted membership on
behalf of the United States. See Public Law 80-643, 62 Stat. 441 (22
U.S.C. §290) and 62 Stat. 2679.
The Memorandum, which has a term of three years, was
executed on behalf of the State by Governor Glendening and on
behalf of DHMH by the Secretary of that Department, Dr. Martin P.
Wasserman. It was executed on behalf of WHO by Dr. Michel
Jancloes, Director of the Division of Intensified Cooperation with
Countries (“ICC”).
In relevant part, the Memorandum provides that the ICC is to
select appropriate public health projects in foreign countries and
invite DHMH to participate. Memorandum ¶¶I. 1 and 2. Projects
could include reorganization and decentralization of health care
systems, disease control and immunization strategies, and hospital
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1 We assume, without deciding, that the Governor and Secretary
acted within existing grants of authority under the Maryland Constitution
and statutes. See Article II, §1 of the Constitution; §2-102(b) of the
Health-General Article, Maryland Code; §3-302 of the State Government
Article, Maryland Code.
management. ¶I. 1. If DHMH agrees to participate in a project, it
is to recommend State employees who wish to serve voluntarily as
technical advisers on the project for a short period of time. ¶¶I. 2
and II. 1. Although such recommendations are subject to ICC
approval and the DHMH advisers would work under the direction of
WHO officials, the advisers would retain their status as State
employees. ¶¶II. 1a and 2.
There is no question of WHO’s authority to enter the
Memorandum. Among the functions defined by the organization’s
constitution is acting as the directing and coordinating authority on
international health work, collaborating with governmental health
agencies, furnishing appropriate technical assistance, and providing
counsel and assistance in the field of health. WHO Constitution,
Chapter II, Article 2(a), (b), (d) and (g), 62 Stat. 2681-82. WHO
also has express power to take all necessary action to attain its
objectives. Id. Thus, WHO undoubtedly has broad authority to
enter cooperative arrangements on health projects with public
authorities.
The issue here is whether, in adhering to such an arrangement,
the State and its health department acted in a way that is contrary to
the federal Constitution.1
II
Analysis
As an inherent attribute of its sovereignty, the State of
Maryland has the authority to enter agreements with other parties,
including sovereign powers, subject to the paramount power of the
National Government under the federal Constitution. See Poole v.
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Fleeger, 11 Pet. (36 U.S.) 185, 209 (1837). In the field of foreign
affairs, the authority to represent the Nation is exclusively reserved
to the federal government. United States v. Belmont, 301 U.S. 324,
330 (1937). As you noted in your letter, the federal Constitution
expressly forbids the states to enter “any Treaty, Alliance, or
Confederation.” Article I, §10, cl. 1. Moreover, no state may enter
“any Agreement or Compact with another State, or with a foreign
Power,” except with the consent of Congress. Article I, §10, cl. 3.
Given the flat constitutional prohibition on states’ entering
treaties, but only a qualified prohibition on their entering
agreements and compacts, the Supreme Court has recognized that
treaties differ from compacts and agreements. Although these words
were evidently used by the framers as terms of art, their 18th
Century meaning has been lost to time. See United States Steel
Corp. v. Multistate Tax Commission, 434 U.S. 452, 460-462 (1978).
For purposes of international law, a treaty broadly refers to
any international agreement concluded by sovereign powers.
However, under the federal Constitution, the term has a more limited
meaning. It generally refers only to those international agreements
that require the approval of the Senate under Article II, §2, cl. 2.
Weinberger v. Rossi, 456 U.S. 25, 29-30 (1982). Even for purposes
of the Supremacy Clause, Article VI, §2, it has been understood that
the word “treaty” is used in this narrow sense. Belmont, 301 U.S. at
331. Because the Supremacy Clause and the prohibition on the
states’ entering treaties complement one another, for purposes of the
prohibition the term “treaty” in the latter provision likewise should
be construed to refer only to those agreements requiring Senate
approval.
Although there is no well-defined legal test for determining
what agreements must be submitted to the Senate, the practice is
based on such factors as the extent to which the President is relying
on his own powers (for example, as commander in chief), the degree
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2 Chapter 700 of this publication appears as Appendix 4 to a study
prepared for the Senate Foreign Relations Committee. Congressional
Research Service, Treaties and Other International Agreements: The Role
of the United States Senate, Senate Comm. On Foreign Relations, 103d
Cong., 1st Sess. (Comm. Print 1993).
to which the Nation’s interests are affected, and the length of the
agreement. See Department of State, 11 Foreign Affairs Manual
Chapter 700, §721.2 and .3.2 Applying these standards, we conclude
that the Memorandum is not a “treaty” that the State is forbidden to
enter. Rather, it is as a short-term arrangement to provide technical
advisers that cannot accurately be said to affect the political power
of the President or the Congress.
Unlike the case of treaties, the federal Constitution does not
absolutely prohibit states from entering agreements and compacts
with foreign powers. Such agreements and compacts must simply
be approved by Congress. Moreover, in cases concerning
agreements among the states, it has been held that not all agreements
and compacts among the states are subject to congressional
approval. Congressional approval is required only for those
agreements directed at the forming a combination that tends to
increase the political power of the states and that tends to encroach
upon or interfere with the just supremacy of the United States.
Northeast Bancorp, Inc. v. Board of Governors, 472 U.S. 159, 175
(1985).
To the extent that similar considerations apply to international
agreements, an arrangement to provide advisory services to an
international organization cannot be said to increase the political
power of the State of Maryland or interfere with the just supremacy
of the United States. Indeed, because the United States is a member
of WHO and is represented in its policy-setting Assembly, see WHO
Constitution, Chapter V, Articles 10 and 18(a), 62 Stat. 2683-2684,
the United States is in a position to object to agreements between
WHO and the states of the United States. We are not aware that the
United States Government has objected to the Memorandum as
interfering with its role in representing the Nation in foreign affairs
or as being in conflict with the Constitution or any Treaty or Law of
the United States in violation of the Supremacy Clause. For these
reasons, we conclude that the Memorandum is not an “Agreement”
or “Compact” requiring the consent of Congress.
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III
Conclusion
In summary, it is our opinion that the memorandum of
understanding between the State of Maryland and the World Health
Organization to provide technical advisers for health projects in
foreign countries does not violate the federal Constitution.
J. Joseph Curran, Jr.
Attorney General
Richard E. Israel
Assistant Attorney General
Jack Schwartz
Chief Counsel
Opinions & Advice