The Ministry of Tourism, Ministry of Public Health, Dominican Medical Association (CMD) and the Hotels & Tourism Association (Asonahores) have signed an inter-institutional cooperation agreement. The plan is to work together to draft a proposal with the legal framework for medical tourism in the Dominican Republic. The advocates of medical tourism believe it can contribute significantly to the economy. The goal is to offer world-class services and to promote them internationally. This would be a new niche segment for Dominican tourism.