AMO provided early feedback to the Ministry of Health on the voluntary merger process. AMO is supportive of voluntary mergers with incentives, as requested through the modernization consultation process in 2020. AMO is working with the Ministry to achieve common objectives to strengthen public health in a way that makes sense for local communities, local public health agencies, and municipal governments. Through correspondence to the Minister of Health, AMO has affirmed our recognition of the need for action and investment to enhance public health service delivery and population health outcomes. Further, AMO has outlined principles, based on input from our members, to guide the process.