I've read the comments and I guess its gotten me quite perplexed. All of the hospitals in the Saint Louis Metro are setting up radio rooms centered around HAM radio. Why would they do this if it were illegal? Why would most all EOC's be equipped with HAM Radio and have to test this equipment to reach the State EOC.
Whether this is a function of ARES/RACES or not, the "Great Shakout" is just 1 example of dozens of simulations which require Hospitals and EOC's to communicate with one another, from the Federal level down to the local level, and it all relies on HAM Radio, most of it HF. Hospitals ordering supplies from the National Strategic Stockpile sure sounds like "pecuniary interest" to me or at the least the hospital would be considered a "business".
As was stated above, Homeland Security is now requiring alternate means of communication to be readily available to Emergency Services.
Do people honestly think that in a situation such as is going in Japan, but say it happened on the New Madrid Fault here in the US, that the FCC would run around issuing fines and seizing equipment from first responders?? When emergencies strike all the rules are thrown out the window. The argument is usually "if i'm in an life-threatening emergency and I have a HAM radio programmed to public safety channels, and it was my only way of communication, could I transmit?" The answer would be yes. So why would anyone think that going the other way around, where the Public Safety folks would have no other means, that somehow they couldn't do it.
Most areas are implementing plans just like this at Fire Departments, Hospitals, and other Dispatching points and EOC's.... its a great idea if your place of employment can afford to do it. How quick do you think your agency could replace its primary transmitter in an emergency? Would they need to order a new one? Does the manufacturer have to build one from scratch and send it out via freight to you? Are parts available for your equipment? Its likely that it would take weeks even under normal conditions to get parts, and more like months otherwise. The HAM's in my community have repeaters laying around their houses that they could deploy within a few hours if the crisis called for it. And its been done before and it will be done again. And no the FCC didn't come screaming at us for it.
What the OP wants to do can be done, and is done in most areas, but yes it is coordinated through ARES/ RACES and the Emergency Management Agency. Work it out with them and they might put equipment in at your place for little to no cost if you can give them tower space for an antenna or two.
I will admit I am a new HAM but i've been full-time in Public safety for several years. I just have to wonder why the HAM class I took was filled with Fire Fighters, Hospital admins, Directors of County Health Departments, etc etc all of which were being paid by their employers to attend. It must be because their employers (the state/county/city) are just encouraging them to pursue a new hobby that had absolutely nothing to do with their profession. That was sarcasm.