FEMA’s Role in the COVID-19 Federal Pandemic Response

Congressional research reportFeb 10, 2022

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FEMA’s Role in the COVID-19 Federal

Pandemic Response

February 10, 2022

Congressional Research Service

https://crsreports.congress.gov

R47048

SUMMARY

FEMA’s Role in the COVID-19 Federal

Pandemic Response

On March 13, 2020, President Donald J. Trump declared a nationwide emergency under the

Robert T. Stafford Disaster Relief and Emergency Assistance Act (the Stafford Act, P.L. 93-288

as amended), authorizing assistance administered by the Federal Emergency Management

Agency (FEMA). Five days later, the President notified then-FEMA Administrator Peter Gaynor

that the agency would assume leadership of the federal pandemic response effort—the first

known instance of FEMA serving in such a role for a public health incident.

The Stafford Act declarations and FEMA’s role in the pandemic response changed the scope of

the statute and the agency. Both President Donald J. Trump and President Joseph R. Biden Jr.

activated the Stafford Act and FEMA resources in unprecedented ways to respond to the

COVID-19 pandemic. Former President Trump issued the first unilateral, nationwide Stafford

Act emergency declaration. Soon after, President Trump issued the first Stafford Act major

disaster declaration for an infectious disease incident, and directed FEMA to lead the federal

response. Within weeks, President Trump declared concurrent major disasters in every state and

territory, marking the first time in history that the Stafford Act was activated to simultaneously

deliver assistance for major disasters across the entire country. After assuming office in January

of 2021, President Biden expanded the scope of assistance FEMA could provide for the

pandemic, including full federal reimbursement for a wide range of ongoing emergency response

measures undertaken by state, local, tribal, and territorial (SLTT) governments and healthcare

providers.

FEMA, in turn, undertook unprecedented agency-level measures to respond. FEMA activated the

National Response Coordination Center (NRCC) from which it coordinates federal response

efforts, for the longest duration in its history (ongoing as of the date of publication). FEMA also

established an interagency Unified Coordination Group (UCG) to lead the response—the first

time the agency reported using such a team to manage nationwide federal response planning,

logistics, and operations. To meet the extraordinary demands of a nationwide disaster, FEMA

adapted foundational elements of its regionalized response framework, including changes to the

deployment of federal assets, the prioritization and fulfillment of requests for emergency

supplies, and communication with SLTTs. FEMA additionally coordinated novel applications of

the Defense Production Act (DPA) for pandemic response, including contracting for and

allocating scarce medical supplies, identifying anti-price-gouging and hoarding actions, and

entering agreements to coordinate information-sharing with medical supply manufacturers and

distributors. These extraordinary strains and innovations have prompted FEMA to rethink how

the agency currently responds to disasters.

R47048

February 10, 2022

Erica A. Lee, Coordinator

Analyst in Emergency

Management and Disaster

Recovery

Diane P. Horn

Analyst in Flood Insurance

and Emergency

Management

Bruce R. Lindsay

Specialist in American

National Government

William L. Painter

Specialist in Homeland

Security and

Appropriations

Lauren R. Stienstra

Section Research Manager

Shawn Reese

Analyst in Emergency

Management and

Homeland Security Policy

Elizabeth M. Webster

Analyst in Emergency

Management and Disaster

Recovery

President Trump, President Biden, and FEMA also made significant pandemic-specific changes to its flagship response and

recovery grant programs, Public Assistance and Individual Assistance. These programs are generally activated in response to

sudden-onset hazards that strike a defined geographic area, such as hurricanes or fires. Their pandemic adaptations enabled

the programs to finance assistance across the country over an extended period of time for pandemic-related lost wages, new

sheltering options, emergency food distribution, COVID-19 diagnostic testing, vaccination programs, and facility reopening

costs. The expansions of these grant programs well exceeded previous demands on the Disaster Relief Fund (DRF) that funds

Stafford Act assistance. As of the end of the first quarter of FY2022, FEMA reports spending approximately $90 billion from

the DRF on the pandemic response.

FEMA’s role in the COVID-19 pandemic has raised basic questions about the purpose and capacity of the agency and the

Stafford Act. Policy issues facing Congress in the wake of these events include whether, and how, FEMA and the Stafford

Act should be activated for long-term public health incidents, the consequences of pandemic-specific activations of Stafford

Act authorities for the Disaster Relief Fund, and to what extent FEMA operational innovations should revert or continue.

Congress additionally faces questions about the nature of FEMA’s role in coordinating and implementing DPA activities for

ongoing supply-chain issues and future public health incidents.

Congressional Research Service

FEMA’s Role in the COVID-19 Federal Pandemic Response

Contents

Introduction ..................................................................................................................................... 1

Federal Response Doctrine: FEMA’s Planned Role in Infectious Disease Incidents ..................... 3

FEMA’s Role in COVID-19 Pandemic Response .......................................................................... 6

FEMA’s Role Prior to March 13, 2020 ..................................................................................... 6

FEMA’s Role Following Stafford Act Declarations for the Pandemic ..................................... 9

Response Organizational Structure after FEMA’s Assumption of Leadership................. 12

Stakeholder Commentary on Leadership Transition ......................................................... 13

FEMA’s Pandemic Response: Key Lines of Effort ................................................................ 16

Lead Federal Agency (LFA) of the Federal Pandemic Response ..................................... 16

SLTT Emergency Management Operational Support ....................................................... 16

Public Assistance (PA) for SLTT and Nonprofit Response Efforts................................... 16

Individual Assistance (IA) for Funeral Costs, Lost Wages, and Crisis Counseling .......... 17

Supply Chain Stabilization ............................................................................................... 19

Critical Medical Supply Distribution ................................................................................ 20

National Guard Mobilization ............................................................................................ 20

Vaccination Assistance ...................................................................................................... 21

Considerations for Congress.......................................................................................................... 23

Stafford Act Legislative Considerations.................................................................................. 23

Applicability of Stafford Act to Public Health Incidents .................................................. 23

Clarification of Roles and Leadership for Public Health Incidents .................................. 24

Adaptation of Stafford Act Public Assistance for the Pandemic ....................................... 27

Adaptation of Stafford Act Individual Assistance for the Pandemic ................................ 29

Hazard Mitigation Funding for Pandemic Stafford Act Declarations ............................... 31

FEMA Preparedness and Response Operations ...................................................................... 33

FEMA’s Public Health Preparedness Coordination.......................................................... 33

FEMA’s Preparedness Grants for Public Health Incidents ............................................... 35

Validating National Readiness: Exercises ......................................................................... 36

Pandemic Response and the Limits of FEMA’s Capacity and Expertise ......................... 37

Adapting FEMA’s Regionalized Response Structure to a Nationwide Disaster .............. 41

FEMA-Led Critical Supply Distribution .......................................................................... 42

Equity and FEMA’s Pandemic Response ......................................................................... 44

FEMA and the Defense Production Act .................................................................................. 46

Defense Production Act Coordination Issues.................................................................... 47

FEMA, the Defense Production Act, and Supply Distribution ......................................... 49

COVID-19 Spending Patterns from the Disaster Relief Fund (DRF) ..................................... 51

The COVID-19 Pandemic Disaster Declarations and Tapping into the DRF ................... 51

Lost Wages Assistance and Boosting FEMA’s Pandemic Involvement ........................... 54

A Catastrophic Disaster Like No Other ............................................................................ 56

Conclusion ..................................................................................................................................... 61

Figures

Figure 1. Agency Leadership Designations in Domestic Incident Response .................................. 5

Figure 2. Authorization of Stafford Act Assistance for Pandemic-Related Costs .......................... 11

Figure 3. Organization of the Federal Coordinated Pandemic Response ...................................... 15

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FEMA’s Role in the COVID-19 Federal Pandemic Response

Figure 4. Duration of Select FEMA Lines of Effort in Federal Pandemic Response .................... 22

Figure 5. HMGP Funding for COVID-19 Disaster Declarations .................................................. 33

Figure 6. DRF Unobligated Balances and Projections, December 2019-June 2021 ..................... 52

Figure 7. Monthly Obligations for COVID-19 Disaster Declarations .......................................... 54

Figure 8. Cumulative Allocations, Obligations, and Expenditures from the DRF for

COVID-19 .................................................................................................................................. 57

Figure 9. COVID-19 DRF Obligations by Program and Quarter.................................................. 57

Figure 10. Hurricane Sandy DRF Obligations by Program and Quarter ....................................... 59

Figure 11. Hurricane Harvey DRF Obligations by Program and Quarter ..................................... 59

Figure 12. Hurricane Irma DRF Obligations by Program and Quarter ......................................... 60

Figure 13. Hurricane Maria DRF Obligations by Program and Quarter ....................................... 60

Tables

Table 1. Key Leadership Designations for Federal COVID-19 Pandemic Response ..................... 7

Table 2. Major Disaster Program Obligation Ratios ..................................................................... 55

Table A-1. Select FEMA Authorities Relevant to Federal Pandemic Response ............................ 62

Appendixes

Appendix A. Key FEMA Authorities for Pandemic Response ...................................................... 62

Appendix B. Bibliography—Selected Resources.......................................................................... 65

Contacts

Author Information........................................................................................................................ 67

Congressional Research Service

FEMA’s Role in the COVID-19 Federal Pandemic Response

Introduction

On January 20, 2020, the United States documented its first known case of the disease caused by

the novel coronavirus SARS-CoV-2.1 In the weeks and months following, federal officials

activated multiple emergency powers, established interrelated response task forces and decisionmaking bodies, and enacted a series of relief bills that together constituted what is referred to as

the coordinated federal response, or whole-of-government response, to the Coronavirus Disease

2019 (COVID-19) outbreak and eventual pandemic.2 These actions included historic declarations

of emergency and major disaster under the Robert T. Stafford Disaster Relief and Emergency

Assistance Act (the Stafford Act, P.L. 93-288, as amended).3 The pandemic marked the first

instance in the history of the United States in which the President activated the Stafford Act to

provide nationwide assistance for the same incident; it also generated the first major disaster

declarations for a public health incident. Contrary to historical precedent, existing federal incident

response doctrine, and the primary scenarios outlined in federal pandemic response plans, the

Federal Emergency Management Agency (FEMA) assumed leadership of this coordinated

response at the direction of President Donald J. Trump on March 19, 2020.4

President Trump, and later President Joseph R. Biden, Jr., deployed FEMA and the Stafford Act in

unprecedented ways to provide nationwide assistance during the pandemic, ranging from the

distribution of personal protective equipment (PPE), to the development of a new unemployment

assistance program, to the establishment of federal vaccination sites. As lead agency for

government-wide DPA planning and coordination, FEMA Administrators also helped to

implement selected presidential invocations of the Defense Production Act of 1950 (DPA, P.L.

81-774, as amended)5 to respond to pandemic-related supply constraints. The use of DPA during

the pandemic—including by FEMA—at times underwhelmed expectations and raised concerns

among policy experts, Members of Congress, and governors.6

1 U.S. Department of Health and Human Services (HHS), PanCAP Adapted: U.S. Government COVID-19 Response

Plan, Mar. 13, 2020, p. 1, https://int.nyt.com/data/documenthelper/6819-covid-19-response-plan/

d367f758bec47cad361f/optimized/full.pdf (hereinafter HHS, PanCap-Adapted).

2 For an explanation of the sequence of federal emergency declarations, see CRS Report R46809, Federal Emergency

and Major Disaster Declarations for the COVID-19 Pandemic, coordinated by Erica A. Lee and Sarah A. Lister. A

compilation of hundreds of CRS products on various federal relief measures is available at

https://crsreports.congress.gov/resources/covid19/; U.S. Government Accountability Office (GAO) references are

available at https://www.gao.gov/coronavirus. For an agency description of the initial federal response, see Federal

Emergency Management Agency (FEMA), Pandemic Response to Coronavirus Disease 2019 (COVID-19): Initial

Assessment Report, Jan. 2021, https://www.fema.gov/sites/default/files/documents/fema_covid-19-initial-assessmentreport_2021.pdf (hereinafter FEMA, Initial Assessment Report); for a perspective from nonfederal stakeholders, see

National Homeland Security Consortium (NHSC), COVID-19 Pandemic: After-Action Report, June 2021,

https://www.astho.org/COVID-19/NHSC-COVID-19-Pandemic-After-Action-Report/ (hereinafter NHSC, Pandemic

After-Action Report).

3 The Stafford Act is codified at 42 U.S.C. §§5121 et seq.

4 FEMA, Initial Assessment Report, pp. 4, 7, 24.

5 The Defense Production Act of 1950 (DPA, 50 U.S.C. §§4501 et seq.) confers on the President authorities to mobilize

domestic industry in service of national defense, broadly defined, including emergency preparedness and response to

natural hazards like the pandemic. For recent information on the use of the DPA for the pandemic, see FEMA, The

Defense Production Act Committee Report to Congress, Sept. 20, 2021, https://www.fema.gov/sites/default/files/

documents/fema_DPAC-report-Defense-production-act-committee_2020.pdf. See also CRS In Focus IF11767, The

Defense Production Act Committee (DPAC): A Primer, by Michael H. Cecire.

6 FEMA, Initial Assessment Report, pp. 4 and 7. See also testimony by then-FEMA Administrator Peter Gaynor in U.S.

Congress, Senate Homeland Security and Governmental Affairs Committee, Evaluating the Federal Government’s

Procurement and Distribution Strategies in Response to the COVID-19 Pandemic, hearings, 116th Cong., 2nd sess., June

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FEMA’s Role in the COVID-19 Federal Pandemic Response

As noted in the following report, the pandemic compelled FEMA to rapidly adapt longstanding

components of its response operations, flagship response and recovery programs, and

coordination with state, local, tribal, and territorial governments. In the words of then-FEMA

Administrator Peter Gaynor, who led FEMA in its first year of pandemic response, these

innovations reflected “tremendous creativity, ... [and] also laid bare gaps and shortcomings in [the

agency’s] plans, procedures, and policies.”7 To identify areas to improve, FEMA assessed its

initial response to the pandemic in a January 2021 report.8 Additionally, the U.S. Government

Accountability Office (GAO) and Department of Homeland Security’s Office of Inspector

General have published multiple reports examining aspects of FEMA’s pandemic response (a list

of resources may be found in Appendix B).

The 117th Congress faces questions regarding the scope and purpose of the Stafford Act, FEMA,

and the agency’s use of the DPA as all three continue to shape the coordinated federal pandemic

response. Should the Stafford Act and FEMA play central roles in future U.S. responses to

infectious disease events? How should the Stafford Act and FEMA operate in conjunction with

other emergency authorities and public health agencies in the future? How should FEMA deploy

or coordinate the DPA to manage future supply chain constraints posed by biological incidents?

Where should Congress locate responsibility for the challenges faced in the federal COVID-19

pandemic response, and how should those challenges be redressed? What, if any, authorities

should Congress provide or revise given the course of the federal response?

This report first examines FEMA’s planned and actual role in the federal COVID-19 pandemic

response. It then presents considerations for Congress focused on the Stafford Act and its public

health adaptations, FEMA’s public health preparedness and response operations, the Disaster

Relief Fund that finances Stafford Act assistance, and FEMA’s use of the DPA during the

pandemic. A comprehensive account of FEMA’s many individual lines of effort and challenges

faced during the COVID-19 pandemic exceeds the scope of this report; however, Appendix B

includes relevant resources.

Terms

Within this report, the term “state” refers to states and territories. For purposes of the Stafford Act, “‘State’

means any State of the United States, the District of Columbia, Puerto Rico, the Virgin Islands, Guam, American

Samoa, and the Commonwealth of the Northern Mariana Islands” (42 U.S.C. §5122(4)).

The term “tribe” refers to Indian tribal governments. Per the Stafford Act, “[t]he term ‘Indian tribal government’

means the governing body of any Indian or Alaska Native tribe, band, nation, pueblo, village, or community that

the Secretary of the Interior acknowledges to exist as an Indian tribe under the Federally Recognized Indian Tribe

List Act of 1994” (42 U.S.C. §5122(6)).

6, 2020, p. 3, https://www.hsgac.senate.gov/imo/media/doc/Testimony-Gaynor%20&%20Polowczyk-2020-06-09.pdf

(hereinafter, HSGAC, Federal Procurement and Distribution). See Shayan Karbassi, “Understanding Biden’s

Invocation of the Defense Production Act,” Mar. 4, 2021, Law Fare Blog, https://www.lawfareblog.com/

understanding-bidens-invocation-defense-production-act; H.Res. 906, Calling on the President to invoke the Defense

Production Act to respond to COVID-19, 116th Cong., 2nd sess.; and Ariel Cohen, “Pharmacies, Governors Say Biden

Test Program Is Depleting Supply,” CQ News, Jan. 27, 2022, https://plus.cq.com/doc/news-6440599?0. For

background, see GAO, Defense Production Act: Opportunities Exist to Increase Transparency and Identify Future

Actions to Mitigate Medical Supply Chain Issues, GAO-21-108, Nov. 2020, https://www.gao.gov/assets/gao-21108.pdf, and CRS Report R43767, The Defense Production Act of 1950: History, Authorities, and Considerations for

Congress, by Heidi M. Peters.

7 Then-FEMA Administrator Peter Gaynor, Introductory Letter, Initial Assessment Report, p. i.

8 FEMA, Initial Assessment Report.

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FEMA’s Role in the COVID-19 Federal Pandemic Response

Generally, Stafford Act assistance is requested by the “governor” (i.e., “the chief executive of any State” (42 U.S.C.

§5122(5)), or the “chief executive” (i.e., “the person who is the Chief, Chairman, Governor, President, or similar

executive official of an Indian tribal government” (42 U.S.C. §5122(12)).

The term “Recipient” in this report refers to “[a] non-Federal entity that receives a Federal award directly from a

Federal awarding agency to carry out an activity under a Federal program”; and the term “Applicant” or “PA

Applicant” refers to “the responsible entity for a [Public Assistance] project,” per FEMA, Public Assistance Program

and Policy Guide (PAPPG), FP 104-009-2, June 1, 2020, pp. 21-22, https://www.fema.gov/sites/default/files/documents/

fema_pappg-v4-updated-links_policy_6-1-2020.pdf (hereinafter FEMA, PAPPG 2020).

The term “COVID-19 pandemic” refers to the public health disaster caused by the COVID-19 virus in the U.S.,

including the domestic outbreak that predated the World Health Organization’s designation of pandemic on

March 11, 2020. World Health Organization, “WHO Director-General's opening remarks at the media briefing on

COVID-19,” March 11, 2020, https://www.who.int/director-general/speeches/detail/who-director-general-sopening-remarks-at-the-media-briefing-on-covid-19—11-march-2020.

Federal Response Doctrine: FEMA’s Planned Role in

Infectious Disease Incidents

This section summarizes federal plans for FEMA’s involvement in infectious disease incidents

prior to the outbreak of the COVID-19 virus in the United States to contextualize the actual role

of the agency in the COVID-19 pandemic response.

Multiple overlapping and interrelated authorities govern U.S. federal responses to domestic

hazards, including public health incidents. This report focuses on those that activate or involve

FEMA, including those tailored to biological incidents and specifically infectious disease

incidents (see Appendix A for a select list of relevant authorities).

Under these authorities, U.S. domestic incident response is organized according to a federalist

“bottom-up” framework. Federal policy envisions a “whole-of-community” approach to domestic

incident response, involving the authorities of individuals, SLTTs, private partners, and, when

warranted, federal agencies. Federal authorities provide for federal involvement only if an

incident exceeds state, local, tribal, and territorial (SLTT) response capacity,9 and generally only

after one or more state, tribal, or territorial authorities request such involvement or assistance.10

FEMA articulates these principals in its assertion that incident preparedness, mitigation, response

and recovery are ideally “locally executed, state, tribe, and territory-managed, and federally

supported.”11

The Department of Homeland Security identifies relevant roles and responsibilities of SLTTs,

federal agencies, and private sector partners in the National Response Framework (NRF), a

strategic guide to intergovernmental incident response.12 The NRF recognizes that incidents—

9 See, for example, the President’s authority to authorize major disaster assistance under the Stafford Act following a

request from a governor or tribal chief executive “based on a finding that the disaster is of such severity and magnitude

that effective response is beyond the capabilities of the State and the affected local governments and that Federal

assistance is necessary” (the Stafford Act, Section 401(a); 42 U.S.C. §5170(a)).

10 One exception, invoked for COVID-19, is the power of the President to declare an emergency under the Stafford Act

Section 501(b) absent a request for assistance. Previously, this authority had been invoked for incidents involving

federal property. See CRS Insight IN11251, The Stafford Act Emergency Declaration for COVID-19, by Erica A. Lee,

Bruce R. Lindsay, and Elizabeth M. Webster.

11 See, for example, FEMA, Initial Assessment Report, p. 9.

12 The NRF was developed by the Secretary of Homeland Security, as required by the Post-Katrina Emergency

Management Reform Act of 2005 (PKEMRA, as amended, P.L. 109-295); PKEMRA amended the Homeland Security

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FEMA’s Role in the COVID-19 Federal Pandemic Response

particularly nationally significant, severe incidents, such as the COVID-19 pandemic—transcend

the authorities of a single federal statute, response framework, or agency.13

Under the NRF and related domestic response plans, federal disaster response activities generally

fall under the leadership of one agency—what is referred to as the lead federal agency.14

According to the Public Health Service Act15 and federal response operations plans,16 the

Department of Health and Human Services (HHS) is to lead federal public health response efforts

for public health incidents. Meanwhile, the Homeland Security Act and the Stafford Act identify

leadership and coordination roles for FEMA in domestic incidents that warrant federal assistance,

particularly those with Stafford Act declarations.17 FEMA interpretations of these authorities and

related presidential policy appear in Figure 1.18

Federal guidance detailing pandemic response activities, including the Pandemic Crisis Action

Plan (PanCAP; updated by FEMA in 2018) and its adaptation for the COVID-19 pandemic,

PanCAP-Adapted (released by HHS on March 13, 2020), envisioned HHS leading the federal

response.19 In its initial self-assessment, FEMA underscored

Act of 2002 (P.L. 107-296) in order to enhance domestic incident response. Section 509 of Post-Katrina Emergency

Management Reform Act, P.L. 109-295 (6 U.S.C. §319); U.S. Department of Homeland Security (DHS), National

Response Framework, Fourth Edition, Oct. 28, 2019, pp. 22, 45, https://www.fema.gov/sites/default/files/2020-04/

NRF_FINALApproved_2011028.pdf, (hereinafter DHS, NRF 2019); FEMA, “National Response Framework,”

https://www.fema.gov/emergency-managers/national-preparedness/frameworks/response. For more information, see

CRS Report R46696, National Preparedness: A Summary and Select Issues, by Shawn Reese and Lauren R. Stienstra.

13 GAO, Biodefense: After-Action Findings and COVID-19 Response Revealed Opportunities to Strengthen

Preparedness, GAO-21-513, Aug. 2021, p. 9, https://www.gao.gov/products/gao-21-513, (hereinafter GAO,

Biodefense: After-Action Findings).

14 DHS, NRF 2019, p. 22.

15 The Public Health Service Act (PHSA, P.L. 78-409) provides emergency authorities the HHS Secretary may activate

in response to threat of disease or disorder. Under the PHSA, the HHS Secretary “shall lead all Federal public health

and medical response to public health emergencies and incidents covered by the National Response Plan” [succeeded

by the NRF]. Public Health Service Act §2801; 42. U.S.C. §300hh. For more information, see CRS Report R46809,

Federal Emergency and Major Disaster Declarations for the COVID-19 Pandemic, coordinated by Erica A. Lee and

Sarah A. Lister.

16 DHS defines a biological incident as one which has “the potential to overwhelm state and local resources and for

which the Department of Health and Human Services (HHS), to lead all federal public health and medical efforts,

deems that, in consultation with other relevant agencies, interagency support is or will be required” in interagency

guidance detailing a federal response plan for biological incidents. DHS, Biological Incident Annex to the Response

and Recovery Federal Interagency Operations Plans, Final—January 2017, https://www.fema.gov/sites/default/files/

2020-07/fema_incident-annex_biological.pdf, p. vii. Additionally, according to FEMA, Presidential Policy Directive 44

(PPD-44) outlines agency leadership of domestic incidents in the absence of Stafford Act declarations; under this

directive, HHS served as lead federal agency and FEMA lent support through late March, 2020. FEMA, Initial

Assessment Report, p. 23. CRS has not reviewed PPD-44, as it is not publicly available.

17 Notably, FEMA has not served as the lead federal agency in incidents with Stafford Act declarations, particularly

those relevant to the expertise of other federal agencies. For example, the President declared emergencies in New York

and New Jersey under the Stafford Act for the West Nile Virus, but the CDC served as the lead federal agency. U.S.

Congress, Committee on Government Reform, Subcommittee on Criminal Justice, Drug Policy, and Human Resources,

“Responding to the West Nile Virus: Public Health Implications and Federal Response,” hearing, 107th Cong., 2nd sess.,

Oct. 3, 2002, no. 107-233.

18 See, for example, Sections 402 and 502 of the Stafford Act (42 U.S.C. §§5170a and 5192), which authorize the

President to “direct any Federal agency, with or without reimbursement, to utilize its authorities and the resources

granted to it under Federal law (including personnel, equipment, supplies, facilities, and managerial, technical, and

advisory services)” to support state and local response and recovery efforts following a Stafford Act major disaster or

an emergency, respectively. These authorities were delegated to FEMA in Executive Order 12148 and subsequent

amendments. Executive Order 12148, “Federal Emergency Management,” 44 Federal Register 43239, July 24, 1979.

19 The PanCAP and PanCAP-Adapted are not publicly available. CRS may share the documents with Members of

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FEMA’s Role in the COVID-19 Federal Pandemic Response

[t]he 2018 Pandemic Crisis Action Plan (PanCAP) did not envision FEMA as the agency

leading federal response for a whole-of-government response under the Stafford Act, or its

role in managing health and medical supplies and equipment for SLTT partners nationally.

FEMA regional pandemic plans either did not exist or did not account for jurisdictionspecific capabilities or deficiencies.20

However, federal pandemic plans did allow for the possibility that a situation could evolve to

warrant a different leadership structure, including one co-led by HHS and FEMA. In particular,

the PanCAP-Adapted stipulated that HHS may “request FEMA coordination support to the

overall federal response while HHS continues to lead the public health and medical response.”21

Further, the PanCAP-Adapted noted that widespread domestic transmission of the COVID-19

virus or a Stafford Act declaration might require the activation of an interagency Unified

Coordination Group (UCG) at FEMA’s National Response Coordination Center (NRCC).22

FEMA and HHS implemented variations of these proposed leadership structures in March 2020.

Figure 1. Agency Leadership Designations in Domestic Incident Response

According to FEMA’s Interpretation of Presidential Policy

Source: FEMA’s interpretation of Presidential Policy Directive 44 (PPD-44), FEMA, Initial Assessment Report, p.

32. See also DHS, National Response Framework, Fourth Edition, October 28, 2019, p. 43.

Congress and congressional staff upon request.

20 FEMA, Initial Assessment Report, p. 11.

21 HHS, PanCAP-Adapted, p. 7.

22 Ibid., p. 10.

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FEMA’s Role in the COVID-19 Federal Pandemic Response

NRF and Supporting Interagency Operations Plans

The NRF organizes federal response capabilities responsibilities under “Emergency Support Functions” (ESFs),

each of which pertains to a particular response function and designates a lead agency and supporting agencies. 23

For example, ESF-8—Public Health and Medical Services “[c]oordinates the mechanisms for assistance in response

to an actual or potential public health and medical disaster or incident.”24 The agency designated as ESF-8

Coordinator is HHS. Additional federal interagency plans and systems translate the doctrine of the NRF into

operational structures and procedures. These include:

 the National Incident Management System (NIMS), which outlines a flexible response management structure

and vocabulary that may be used at local, state, regional, or national levels.25 NIMS reflects the Incident

Command System (ICS), which standardizes chains of command, organizational hierarchies, resource

management and communication processes, and functional areas for field-level incident management

operations;26

 the Federal Interagency Operational Plans (FIOPs) align federal response tasks to specific agency roles and

responsibilities;27 FIOP “annexes,” like the Biological Incident Annex, tailor FIOPs to outline federal responses

to specific types of hazards; and

 the Pandemic Crisis Action Plan (PanCAP), authored by FEMA in 2018, which adapts existing authorities and

interagency response plans to specifically address a pandemic, including the PanCAP-Adapted, which HHS

adapted specifically to guide response to the COVID-19 pandemic.

FEMA’s Role in COVID-19 Pandemic Response

FEMA’s Role Prior to March 13, 2020

To coordinate the response, President Trump first established the White House Coronavirus Task

Force, led by then-HHS Secretary Alex Azar.28 Two days later, on January 31, 2020, then-HHS

Secretary Alex Azar declared a Public Health Emergency under the Public Health Service Act

(PHSA), under which the Secretary “shall lead all Federal public health and medical response to

public health emergencies.”29 Thereafter, leadership of the expanding federal response evolved,30

as summarized in Table 1. During this time, FEMA reported that it was lending support to HHS

in its role as lead federal agency for public health response.31 According to FEMA, this support

23 DHS, NRF 2019, pp. 21-22.

24 Ibid., p. 40.

25 FEMA, National Incident Management System, Third Edition, Oct. 2017, https://www.fema.gov/sites/default/files/

2020-07/fema_nims_doctrine-2017.pdf.

26 Emergency Management Institute, ICS Review Document, Mar. 2018, https://training.fema.gov/emiweb/is/

icsresource/assets/ics%20review%20document.pdf.

27 See, for example, DHS, Response Federal Interagency Operational Plan, Second Edition, Aug. 2016,

https://www.fema.gov/sites/default/files/documents/fema_response-fiop.pdf; and DHS, Recovery Federal Response

Federal Interagency Operational Plan, Second Edition, Aug. 2016, https://www.fema.gov/sites/default/files/2020-07/

Recovery_FIOP_2nd_aug2016.pdf.

28 Stefanie Grisham, “Statement from the Press Secretary Regarding the President’s Coronavirus Task Force,” Jan. 29,

2020, https://trumpwhitehouse.archives.gov/briefings-statements/statement-press-secretary-regarding-presidentscoronavirus-task-force/.

29 PHSA, P.L. 78-410, as amended; 42 U.S.C. §§201-300mm–61; HHS, “Public Health Emergency Declarations,”

2020: Determination that a Public Health Emergency Exists Nationwide as the Result of the 2019 Novel Coronavirus,

January 31, 2020, https://www.phe.gov/emergency/news/healthactions/phe/Pages/default.aspx. The declaration was

made retroactive to January 27, 2020, and has been renewed several times.

30 For more information, see FEMA, Initial Assessment Report, pp. 23-25.

31 FEMA, “FEMA Support to Coronavirus Response,” fact sheet, Mar. 4, 2020. Provided to CRS from FEMA Office of

Congressional Research Service

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FEMA’s Role in the COVID-19 Federal Pandemic Response

included “crisis action planning, situational awareness reporting, interagency coordination, course

of action development and logistics supply chain analysis.”32 Additionally, FEMA and HHS

collaborated to “quickly adapt” the federal government’s general pandemic response plan to

COVID-19.33 However, FEMA’s overall role appeared relatively narrow. When invited to testify

at a hearing on the federal response efforts before the Subcommittee on National Security of the

U.S. House Oversight and Reform Committee FEMA declined, responding “the Agency does not

feel as if there is much that we would be able to testify to.”34

In February, FEMA began to identify personnel to deploy for pandemic incident management,

and on March 4, 2020, FEMA reported that it was readying more than 50 teams to support

SLTTs.35 However, the agency reported that it was not preparing for a Stafford Act declaration

and reasserted that HHS was the lead federal agency for the federal government’s public health

response to the pandemic.36 Additionally, FEMA indicated to Congress that it was not a part of

the White House Coronavirus Task Force at this time.37

Table 1. Key Leadership Designations for Federal COVID-19 Pandemic Response

Relevant to FEMA’s Role

Date

Authority

Jan. 29,

2020

Various, including

explicitly the

National

Biodefense

Strategy, National

Security

Presidential

Memorandum

(NSPM) 14.38

Leadership

Designation

Secretary of HHS to lead

federal response as chair

of White House

Coronavirus Task Force.

Summary

President Trump announced the formation of the

White House Coronavirus Task Force, which was

“charged ... with leading the United States

Government response,” and was to be “led by

Secretary of Health and Human Services Alex Azar,

and ... coordinated through the National Security

Council.”39 The announcement referenced the

National Biodefense Strategy, which along with NSPM14 established a leadership structure chaired by the

HHS Secretary for implementing the Strategy.40

Congressional and Legislative Affairs.

32 Ibid.

33 FEMA, Initial Assessment Report, p. 23.

34 U.S. Congress, House Committee on Oversight and Reform, “FEMA Briefs Oversight Committee on

Administration’s Coronavirus Response,” Mar. 20, 2020, https://oversight.house.gov/news/press-releases/fema-briefsoversight-committee-on-administration-s-coronavirus-response.

35 FEMA, Initial Assessment Report, p. 83; FEMA, “FEMA Support to Coronavirus Response,” fact sheet, Mar. 4,

2020.

36 FEMA, “FEMA Support to Coronavirus Response,” fact sheet, Mar. 4, 2020.

37 U.S. Congress, House Committee on Oversight and Reform, “FEMA Briefs Oversight Committee on

Administration’s Coronavirus Response,” Mar. 20, 2020, https://oversight.house.gov/news/press-releases/fema-briefsoversight-committee-on-administration-s-coronavirus-response.

38 HHS, “Posting of the National Security Presidential Memorandum 14, ‘Support for National Biodefense,’” notice, 83

Federal Register 52841-52843, Oct. 18, 2018.

39 Stefanie Grisham, “Statement from the Press Secretary Regarding the President’s Coronavirus Task Force,” Jan. 29,

2020, https://trumpwhitehouse.archives.gov/briefings-statements/statement-press-secretary-regarding-presidentscoronavirus-task-force/.

40 HHS, National Biodefense Strategy, https://www.phe.gov/Preparedness/biodefense-strategy/Pages/goals-andobjectives.aspx; Multiple Agencies, National Biodefense Strategy, Sept. 2018, https://trumpwhitehouse.archives.gov/

wp-content/uploads/2018/09/National-Biodefense-Strategy.pdf; HHS, “National Security Presidential Memorandum

14, ‘Support for National Biodefense,’” notice, 83 Federal Register 52841-52843, Oct. 18, 2018.

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FEMA’s Role in the COVID-19 Federal Pandemic Response

Date

Authority

Leadership

Designation

Summary

The establishment of the White House Coronavirus

Task Force modified the incident response

structures established in federal pandemic response

plans.41

Jan. 31,

2020

The Public Health

Service Act.42

Secretary of HHS to lead

federal public health and

medical response to

COVID-19 public health

emergency.

Then-Secretary of Health and Human Services (HHS)

Alex Azar declared a Public Health Emergency under

the Public Health Service Act (PHSA) for the

COVID-19 pandemic, which provides that the HHS

Secretary “shall lead all Federal public health and

medical response to public health emergencies and

incidents covered by the National Response Plan”

[succeeded by the NRF].43

Feb. 26,

2020

Various, including

NRF.44

Vice President to lead

whole-of-government

response.

President Trump announced that Vice President

Michael Pence would lead the coordinated federal

response and ESF-8.45 Secretary Azar confirmed in

the same remarks that he would continue to serve as

Chairman of the White House Coronavirus Task

Force.46

March

13,

2020

The Stafford Act;

Public Health

Service Act,

PanCap-Adapted:

Biological Incident

Annex to NRF.

FEMA to lead provision

of Stafford Act

assistance; HHS to lead

overall federal pandemic

response.

President Trump declared a Stafford Act emergency

nationwide, specifying that “Administrator Gaynor

shall coordinate and direct other Federal agencies in

providing needed assistance under the Stafford Act,

subject to the Department of Health and Human

Services’ role as the lead Federal agency for the

Federal Government’s response to COVID-19.”47

March

18-20,

2020

The Stafford Act.

FEMA to serve as lead

federal agency of the

whole-of-government

pandemic response.

President Trump and Vice President Pence notified

then-FEMA Administrator Peter Gaynor that the

agency would assume the role of LFA of the

coordinated federal response. HHS would continue

to lead the public health response.48

41 GAO, Biodefense: After-Action Findings, p. 26; FEMA, Initial Assessment Report, p. 34.

42 PPD-44 is not a public document and was not available for CRS review for the writing of this report. However,

FEMA reported that “PPD-44 enhances the ability of the federal government to respond to domestic incidents by

providing for the timely identification of a lead federal agency (LFA) to oversee the federal response prior to a national

disaster declaration and by ensuring that an appropriate incident management capability is available. Under this

authority, FEMA supported HHS with incident management capability for the COVID-19 response,” prior to the

Stafford Act declarations. FEMA, Initial Assessment Report, p. 23.

43 Public Health Service Act §2801; 42. U.S.C. §300hh.

44 The National Response Framework specifies that “[r]egardless of the type of incident, the President leads the Federal

Government response effort to ensure that the necessary resources are applied quickly and efficiently to large-scale and

catastrophic incidents.” (DHS, NRF 2019, p. 34).

45 The White House, “Remarks by President Trump, Vice President Pence, and Members of the Coronavirus Task

Force in Press Conference,” Feb. 27, 2020, https://trumpwhitehouse.archives.gov/briefings-statements/remarkspresident-trump-vice-president-pence-members-coronavirus-task-force-press-conference/.

46 Ibid.

47 Letter from Donald J. Trump, President of the United States, to then-Acting Secretary Chad Wolf, then-Secretary

Steven Mnuchin, Secretary Azar, and then-Administrator Peter Gaynor, Mar. 13, 2020,

https://trumpwhitehouse.archives.gov/briefings-statements/letter-president-donald-j-trump-emergency-determinationstafford-act/ (hereinafter President Trump, “Letter on Stafford Act Emergency Declaration for COVID-19”).

48 FEMA, Initial Assessment Report, p. 7.

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FEMA’s Role in the COVID-19 Federal Pandemic Response

Date

Authority

Leadership

Designation

March

20,

2020

National Response

Framework;

PanCap-Adapted;

Biological Incident

Annex to NRF.

Unified Coordination

Group (UCG) to serve

as interagency decisionmaking body for federal

pandemic response.

Following FEMA’s assumption of the role of LFA,

FEMA and HHS established the UCG “for decisionmaking.” Principals included the FEMA Administrator,

the HHS Assistant Secretary for Preparedness and

Response (ASPR), the HHS Assistant Secretary for

Health, and Director of the Influenza Division in the

National Center for Immunization and Respiratory

Diseases at the U.S. Centers for Disease Control and

Prevention (CDC).49

January

20,

2021

Various, including

NRF.50

President Joseph R.

Biden establishes the

White House COVID19 Response Team.

President Biden established the White House

COVID-19 Response Team, coordinated by

appointee Jeffrey Zients.51

Summary

Source: CRS Analysis of Federal Pandemic Response structure leadership designations, and relevant authorities

identified in Table A-1.

FEMA’s Role Following Stafford Act Declarations for the Pandemic

On March 13, 2020, President Trump unilaterally declared an emergency pursuant to Stafford Act

Section 501(b), authorizing assistance for COVID-19 response efforts for all U.S. states,

territories, and the District of Columbia.52 This emergency declaration for the pandemic

authorized a single form of FEMA assistance: Public Assistance (PA) for emergency protective

measures.53 Subsequently, governors and tribal chief executives submitted requests for major

disaster declarations pursuant to Stafford Act Section 401 for the COVID-19 pandemic, and

President Trump declared major disasters for all 50 states, five territories, the District of

Columbia, and the Seminole Tribe of Florida. President Biden later approved the major disaster

declaration requests of the Navajo Nation and the Poarch Band of Creek Indians for the COVID19 pandemic.54

49 Ibid., pp. 24-25, 32.

50 The National Response Framework specifies that “[r]egardless of the type of incident, the President leads the Federal

Government response effort to ensure that the necessary resources are applied quickly and efficiently to large-scale and

catastrophic incidents.” (DHS, NRF 2019, p. 34).

51 President Joseph R. Biden Jr., “Executive Order on Organizing and Mobilizing the United States Government to

Provide a Unified and Effective Response to Combat COVID-⁠19 and to Provide United States Leadership on Global

Health and Security,” Executive Order 13987, Jan. 20, 2021, 86 Federal Register 7019-7021.

52 President Trump, “Letter on Stafford Act Emergency Declaration for COVID-19.”

53 PA provides supplemental grants or direct assistance (e.g., personnel, materials, operations) on a cost-share basis to

subfederal governments and eligible nonprofits for costs incurred for specific activities, in this case, eligible emergency

response measures. FEMA developed multiple iterations of guidance outlining eligible costs and measures. Current

guidance is available at FEMA. Eligible measures are available in pandemic-specific guidance at FEMA, “Public

Assistance Disaster-Specific Guidance,” https://www.fema.gov/media-collection/public-assistance-disaster-specificguidance-covid-19-declarations. PA for emergency assistance is authorized pursuant to Section 502 of the Stafford Act

(P.L. 93-288); 42 U.S.C. §5192. President Trump, “Letter on Stafford Act Emergency Declaration for COVID-19.”

54 Specific presidential declarations of major disaster for COVID-19 are listed at FEMA, “COVID-19 Disaster

Declarations,” https://www.fema.gov/coronavirus/disaster-declarations, and the FEMA “Disasters” webpage, available

at https://www.fema.gov/disasters. For more information, see CRS Insight IN11229, Stafford Act Assistance for Public

Health Incidents, by Erica A. Lee and Bruce R. Lindsay; and CRS Report R46809, Federal Emergency and Major

Disaster Declarations for the COVID-19 Pandemic, coordinated by Erica A. Lee and Sarah A. Lister.

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FEMA’s Role in the COVID-19 Federal Pandemic Response

All major disaster declarations reauthorized PA for emergency protective measures, and most

major disaster declarations authorized Individual Assistance (IA)—Crisis Counseling Assistance

and Training Program (CCP) in the President’s initial declaration.55 Subsequently, President

Trump authorized the FEMA Administrator to approve CCP requests, and through the program,

46 states, Washington, DC, and four territories applied for and received CCP awards.56 Later, on

August 8, 2020, President Trump invoked IA statutory authorities to authorize FEMA to expend

up to $44 billion from the Disaster Relief Fund (DRF) for the Lost Wages Assistance (LWA)

program to provide supplemental lost wages payments to individuals receiving unemployment

insurance.57 Congress also later authorized Funeral Assistance for the pandemic under the

Stafford Act declarations.58 Upon assumption of office in January 2021, President Biden

increased the federal cost share for PA-eligible activities from 75% to 100% and expanded the

range of work eligible for reimbursement. Figure 2 provides a chronology of the activation of

Stafford Act authorities for the pandemic.

55 The Crisis Counseling Program (CCP) provides community-based outreach and psycho-educational services to

support individuals and communities recovering from disasters. FEMA, “FEMA Administrator Authority to Approve

Crisis Counseling During Coronavirus,” press release, Apr. 28, 2020, https://www.fema.gov/fact-sheet/femaadministrator-authority-approve-crisis-counseling-during-coronavirus; FEMA, “FEMA Administrator Approves 30

States for Crisis Counseling,” Release HQ-20-129, May 2, 2020, https://www.fema.gov/news-release/20200726/femaadministrator-approves-30-states-crisis-counseling.

56 According to the GAO, FEMA awarded “about $467 million to 46 states, Washington, DC, and four U.S. territories

[Guam, the Commonwealth of the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands] via the Crisis

Counseling Assistance and Training Program.” The states of Alaska, Kentucky, Mississippi, and Wyoming did not

apply for CCP assistance (Alaska also withdrew its application for the CCP Regular Service Program). The Navajo

Nation’s CCP Regular Services Program application is under review (as of December 2021), and the Poarch Band

Creek Indians did not apply for CCP assistance (GAO, Behavioral Health and COVID-19: Higher-Risk Populations

and Related Federal Relief Funding, GAO-22-104437, December 2021, pp. 74-76 (Appendix V), https://www.gao.gov/

assets/gao-22-104437.pdf).

57 The Lost Wages Assistance (LWA) program includes a 25% nonfederal cost sharing requirement funded by states

and territories. It was authorized as a form of Other Needs Assistance under Stafford Act Section 408(e)(2) (42 U.S.C.

§5174(e)(2)). President Donald J. Trump, “Memorandum on Authorizing the Other Needs Assistance Program for

Major Disaster Declarations Related to Coronavirus Disease 2019,” Aug. 8, 2020,

https://trumpwhitehouse.archives.gov/presidential-actions/memorandum-authorizing-needs-assistance-program-majordisaster-declarations-related-coronavirus-disease-2019/. For additional information on LWA, see CRS Insight

IN11492, COVID-19: Supplementing Unemployment Insurance Benefits (Federal Pandemic Unemployment

Compensation vs. Lost Wages Assistance), by Katelin P. Isaacs and Julie M. Whittaker.

58 Congress authorized Funeral Assistance first through the Consolidated Appropriations Act, 2021 and then in the

American Rescue Plan Act of 2021 (ARPA); on the date of ARPA’s enactment, the President amended the declarations

for the COVID-19 pandemic to add Funeral Assistance for the declared states, territories, and District of Columbia. For

additional information on COVID-19 Funeral Assistance, see CRS Insight IN11582, FEMA Funeral Assistance for

COVID-19, by Elizabeth M. Webster.

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FEMA’s Role in the COVID-19 Federal Pandemic Response

Figure 2. Authorization of Stafford Act Assistance for Pandemic-Related Costs

Sources: CRS interpretation of pandemic-specific PA and IA guidance, Stafford Act declarations, and relevant

presidential memoranda.

Notes:

a. The President granted multiple extensions of the 100% federal cost share for PA and may issue additional

extensions. FEMA announced that PA will be available for eligible pandemic-related measures indefinitely; the

agency will provide at least thirty days’ notice prior to the program’s conclusion. According to current policy,

FEMA will cover 100% of eligible costs through July 1, 2022, after which it will cover 90% of eligible costs.

b. Congress authorized Funeral Assistance first through the Consolidated Appropriations Act, 2021 and then in

the American Rescue Plan Act of 2021 (ARPA); on the date of ARPA’s enactment, the President amended the

declarations for the COVID-19 pandemic to add Funeral Assistance for the declared states, territories, and

District of Columbia.

The emergency and major disaster declarations for the pandemic were unprecedented in several

respects. The emergency declaration marked the first time that a President had declared a Stafford

Act emergency for all jurisdictions nationwide. Additionally, the COVID-19 nationwide

emergency declaration marked the first time the president issued such an expansive declaration

absent a governor or tribal chief executive’s request, as is generally required for Stafford Act

declarations except for very rare incidents determined to be of “primary Federal responsibility.”59

Additionally, while Presidents have occasionally declared emergencies under Stafford Act for

public health incidents, the major disaster declarations for the pandemic were the first to be issued

for any public health incident under current law.60

Initially, in the March 13, 2020 Stafford Act declaration of emergency, President Trump explained

that:

[FEMA] Administrator Gaynor shall coordinate and direct other Federal agencies in

providing needed assistance under the Stafford Act, subject to the Department of Health

59 Stafford Act Section 501(b); 42 U.S.C. §5170. For discussion, see Elizabeth Goiteen, “Emergency Powers, Real and

Imagined: How President Trump Used and Failed to Use Presidential Authority in the COVID-19 Crisis,” Journal of

National Security Law and Policy, vol. 11, no. 27 (2020), pp. 51-53; for background, see CRS Insight IN11229,

Stafford Act Assistance for Public Health Incidents, by Erica A. Lee and Bruce R. Lindsay; and CRS Report R46809,

Federal Emergency and Major Disaster Declarations for the COVID-19 Pandemic, coordinated by Erica A. Lee and

Sarah A. Lister.

60 Ibid.

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FEMA’s Role in the COVID-19 Federal Pandemic Response

and Human Services’ role as the lead Federal agency for the Federal Government’s

response to COVID-19.61

However, on March 18, 2020, President Trump and Vice President Pence then directed FEMA to

assume leadership of the coordinated federal response. FEMA assumed this role on March 19,

2020.62 The following description of FEMA’s planned and observed role in the federal pandemic

response draws upon a number of interrelated authorities in statute, regulations, and interagency

guidance, as summarized in Appendix A.

Response Organizational Structure after FEMA’s Assumption of Leadership

On March 20, 2020, FEMA and HHS established the Unified Coordination Group, consisting of

four principals (representing FEMA and HHS) whose responsibility included “operational

command, leadership, and decision making for the coordinated federal response,” according to

the GAO.63 FEMA reported that, as lead federal agency for the coordinated federal response, the

agency also led the UCG.64 The FEMA Administrator and HHS Secretary additionally served on

the White House Coronavirus Task Force, which oversaw the coordinated federal response.

Following FEMA’s assumption of leadership, HHS transferred eight operational task forces it had

established to support the federal response from the HHS Secretary’s Operations Center to the

National Response Coordination Center (NRCC) at FEMA headquarters.65 The task forces

represented interagency efforts dedicated to:

Community Based Testing;

Data Management;

Laboratory Diagnostics;

Healthcare System Resilience;

Medical Countermeasures;

Supply Chain Stabilization;

Community Mitigation Measures;

and Continuity of Operations.66

Each task force was responsible for securing resources to support the federal pandemic response

and to coordinate specific lines of effort. For example, the Community Based Testing Task Force,

led by HHS with support from FEMA, was responsible for the creation of federally-supported

community-based testing sites to increase COVID-19 testing nationwide.67 According to FEMA,

these task forces were initially led by HHS and Department of Defense (DOD) subject matter

experts. The task forces did not correspond to the existing structure and functions of the NRCC,

61 President Trump, “Letter on Stafford Act Emergency Declaration for COVID-19.”

62 FEMA, Initial Assessment Report, p. 7.

63 Note that the GAO identified three principals in its June 2020 report on the federal pandemic response; FEMA later

identified four principals in its Initial Assessment Report. GAO, COVID-19: Opportunities to Improve Federal

Response and Recovery Efforts, pp. 12-13 (hereinafter GAO, COVID-19: Opportunities); FEMA, Initial Assessment

Report, p. 25.

64 FEMA, Initial Assessment Report, p. 35.

65 Ibid., p. 37.

66 For a thorough description of the responsibilities and key tasks of each task force, see GAO, COVID-19:

Opportunities, pp. 91-92.

67 GAO, COVID-19: Opportunities, p. 91; FEMA, Initial Assessment Report, pp. 38-39.

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FEMA’s Role in the COVID-19 Federal Pandemic Response

which is modeled off of the NRF and NIMS (National Incident Management System) guidance

(see textbox on p. 6 for more information). As a result, existing NRCC response functions and the

pandemic-specific task forces operated in parallel.68 See Figure 3 for a visualization of the

federal pandemic response organization according to FEMA.69

As FEMA describes, “[f]or any given incident, FEMA disaster response begins and ends with the

affected [FEMA] Region in the lead.”70 In line with this posture, FEMA’s ten Regional Response

Coordination Centers (RRCCs) all activated to support the federal pandemic response, led by

FEMA Regional Administrators. FEMA regional staff coordinated with SLTT representatives,

relayed information from the NRCC to SLTT partners, and deployed regional FEMA personnel to

directly assist SLTT emergency management and public health offices.71 However, FEMA found

that certain functions typically coordinated out of regional offices required adaptation. For

example, FEMA designed national Mission Assignments (or “work orders” for federal personnel)

to reduce the burdens on FEMA regions and provide the NRCC better situational awareness

nationwide.72

In May and June, 2020, FEMA’s role in the federal pandemic response changed to enable FEMA

to “prepare and support the upcoming hurricane season and other potential disasters Americans

may face.”73 The remaining response task forces were converted into working groups, over which

HHS reassumed oversight.74 HHS and the Defense Logistics Agency assumed responsibility for

certain FEMA lines of effort related to medical supply chain management and procurement,

respectively.75 However, FEMA retains an active and leading role in the federal pandemic

response as of the date of publication of this report.

Stakeholder Commentary on Leadership Transition

Perceived delays in FEMA’s assumption of a leadership role in the federal response prompted

concern among some Members of Congress, news media, and academic sources.76 For example,

Representative Xochitl Torres Small noted in a July 2020 hearing that a congressional evaluation

of lessons learned should

68 FEMA, Initial Assessment Report, pp. 32-40.

69 Ibid., pp. 23-24.

70 FEMA, Incident Management and Support Keystone, Jan. 2011, p. 47, https://www.fema.gov/sites/default/files/

2020-07/fema_incident_management_and_support_keystone-Jan2011.pdf.

71 Ibid., pp. 25-26, 33-34, 80-85.

72 FEMA, Initial Assessment Report, pp. 57-59.

73 Submitted testimony of then-FEMA Administrator Gaynor and Real Admiral Polowcyzk, HSGAC, Federal

Procurement and Distribution, p. 7.

74 FEMA, Initial Assessment Report, p. 5.

75 GAO has noted that the scope and nature of the transition of FEMA supply chain management responsibilities to

HHS lacked clarity. See GAO, COVID-19: Federal Efforts, pp. 19-20; See also submitted testimony of then-FEMA

Administrator Gaynor and Real Admiral Polowcyzk, HSGAC, Federal Procurement and Distribution, p. 7.

76 See, for example, Daniel Kaniewski, “Coronavirus Is a Disaster. Why Hasn’t FEMA Been Brought In?” Politico,

Mar. 10, 2020, https://www.politico.com/news/agenda/2020/03/10/coronavirus-crisis-fema-125076; Eric Lipton, Zolan

Kanno-Youngs, and Helene Cooper, “Trump Slowly Enlisting More Agencies in ‘Whole of Government’ Response to

Virus,” New York Times, Mar. 17, 2020, https://www.nytimes.com/2020/03/17/us/politics/coronavirus-governmentarmy-corps.html; and William Shields, “The COVID-19 Pandemic: Early Lessons for Public Governance: The United

States Experience,” in Good Public Governance in a Global Pandemic, Paul Joyce, Fabienne Maron and Purshottama

Sivanarain Reddy, eds., IIAS public Governance Series, vol. 1, no. 1, pp. 429-442.

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FEMA’s Role in the COVID-19 Federal Pandemic Response

includ[e] revisiting the appointment of FEMA as the lead of the federal response effort in

mid-March, more than six weeks after the White House Coronavirus Task Force was

formed; a delay that unquestionably put the agency at a disadvantage of executing such a

formidable task.77

Despite these concerns, FEMA’s response also garnered praise from some subfederal

stakeholders. In July 2020, the Director of California’s Office of Emergency Services testified

that

[g]iven the complexity of the situation and how late into the response they took over federal

responsibility, FEMA was both challenged and worked to be incredibly responsive. FEMA

did the best they could to organize information and operations to assist our state. FEMA

Region IX is still embedded in the SOC and has played a critical role in the state’s Logistics

and Commodity Movement Task Force and in communicating across the entire federal

family. Particularly, the FEMA Region IX Administrator and liaison officers have been

highly communicative and supportive.”78

77 Testimony of Rep. Xochitl Torres Small, Chairman of House Committee on Homeland Security, Subcommittee on

Oversight, Management and Accountability, in U.S. Congress, House Homeland Security Subcommittees on Oversight,

Management and Accountability and Emergency Preparedness, Response and Recovery, House Committee on

Homeland Security, Federal and State Pandemic Supply Preparedness and Response, hearing, 116th Cong., 2nd sess.,

July 14, 2020 (hereinafter House Homeland Security Committee, Federal And State Pandemic Supply Preparedness

and Response).

78 Submitted testimony of Director, California Governor’s Office of Emergency Services and Governor’s Homeland

Security Advisor Mark Ghilarducci, in House Homeland Security Committee, Federal and State Pandemic Supply

Preparedness and Response, p. 4.

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Figure 3. Organization of the Federal Coordinated Pandemic Response

According to FEMA

Source: CRS adaptation of FEMA, “Revised UCG Structure in COVID-19 Response,” Initial Assessment Report, p. 36.

Notes: Not all task forces are pictured. Color codes indicate agency leadership of different functions. ASPR = Assistant Secretary of Preparedness and Response; OASH

= Office of the Assistant Secretary for Health and Response; CDC = U.S. Centers for Disease Control and Prevention; SOC = HHS Secretary’s Operations Center, the

primary emergency operations center for HHS; ESF = Emergency Support Functions as described in the National Response Framework; JIC = Joint Information Center.

CRS-15

FEMA’s Role in the COVID-19 Federal Pandemic Response

FEMA’s Pandemic Response: Key Lines of Effort

This section identifies FEMA’s key lines of effort during its expanded role in the pandemic

response following the Stafford Act declarations for the COVID-19 pandemic (see Figure 4).

This overview is not intended to offer an exhaustive catalogue of FEMA’s actions during the

pandemic (see Appendix B for resources that comprehensively detail FEMA’s pandemic

response efforts).

Lead Federal Agency (LFA) of the Federal Pandemic Response

In this role, FEMA coordinated resources across the federal government and helped to establish

and served on the Unified Coordination Group (UCG), an interagency decision-making body. On

March 19, 2020, as FEMA assumed leadership of the coordinated response, federal pandemic

response operations moved to the National Response Coordination Center (NRCC), an

interagency response operations room inside FEMA headquarters.79 The NRCC activated to Level

1, its highest activation level, for 426 days—an activation of unprecedented duration.80 FEMA’s

10 Regional Response Coordination Centers (RRCCs) also all activated and coordinated SLTT

support and communications.81

SLTT Emergency Management Operational Support

FEMA’s national and regional offices provided technical assistance and communications support

and deployed federal personnel to SLTT emergency management offices. For example, according

to FEMA, over 100 FEMA Integration Team (FIT) members—already embedded in state

emergency management offices prior to the pandemic—supported pandemic response

communication and planning across all levels of government. FEMA regional offices also

deployed Incident Management Assessment Teams-Advance (IMAT-As) and liaison officers to

support state, territorial, and tribal requests for direct and financial assistance.82

Public Assistance (PA) for SLTT and Nonprofit Response Efforts

Since March 13, 2020, FEMA has provided reimbursement through the PA program for the

eligible costs of specific emergency protective measures incurred by eligible PA Applicants (e.g.,

SLTTs and eligible nonprofits) responding to the pandemic. The wide range of costs eligible for

reimbursement includes pandemic-related purchase and distribution of food; the provision of

emergency medical care and diagnostic and screening testing; non-congregate sheltering for

eligible individuals; the purchase of medical supplies; the construction and operation of

alternative care facilities; the reopening of eligible public and nonprofit facilities; and

compensation of overtime and surge staff needed to execute the above measures.83

79 Ibid., pp. 25, 32.

80 Initial activation to Level 1 reported in FEMA, Initial Assessment Report, p. 32. FEMA reported that the NRCC

reduced activation to Level III on May 19, 2021. FEMA, “FEMA Daily Ops Briefing,” May 19, 2021.

81 FEMA, Initial Assessment Report, pp. 158-159.

82 Ibid., pp. 10, 25-26, 77, 81-85.

83 See FEMA, “Public Assistance Disaster-Specific Guidance—COVID-19 Declarations,” https://www.fema.gov/

media-collection/public-assistance-disaster-specific-guidance-covid-19-declarations, for a collection of guidance

delineating eligible work, particularly FEMA, “Eligible Emergency Protective Measures,” August 27, 2021,

https://www.fema.gov/fact-sheet/eligible-emergency-protective-measures.

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FEMA’s Role in the COVID-19 Federal Pandemic Response

Additionally, FEMA provided direct federal assistance (e.g., federal personnel, materials, space,

operations) when PA Applicants were found unable to execute eligible response activities. FEMA

mission assignments—or “work orders”—for FEMA and other agencies reflect provision of

direct assistance ranging from the provision of temporary medical facilities to the deployment of

federal personnel to perform vaccination to the establishment of quarantine housing. 84 Most

recently, in January 2022, FEMA released guidance stipulating how the agency would support the

expansion of healthcare facilities, including with direct federal assistance.85

Under the emergency and major disaster declarations issued by President Trump, Applicants

could receive reimbursement for 75% of the eligible costs of specific response measures.

Subsequently, President Biden increased the federal cost share to 100%.86 Under current

presidential directive, FEMA shall reimburse 100% of costs incurred from January 20, 2020,

through July 1, 2021.87 Thereafter, FEMA has announced that PA may be available to cover at

least 90% of eligible costs incurred.88 The agency will provide at least thirty days’ notice prior to

the conclusion of the program for the pandemic.89 As of December 2021, FEMA has obligated

more than $34 billion through the PA program for pandemic-related expenses, an unprecedented

sum for a single incident.90

Individual Assistance (IA) for Funeral Costs, Lost Wages, and Crisis

Counseling

The President and Congress authorized FEMA to provide select forms of IA to support recovery

from the COVID-19 pandemic. Specifically, President Trump authorized FEMA to provide

assistance through the Crisis Counseling Assistance and Training Program (CCP) and the Lost

Wages Assistance (LWA) program. Subsequently, Congress authorized FEMA to provide

COVID-19 Funeral Assistance.

CCP is a type of IA that can be authorized pursuant to a major disaster declaration under the

Stafford Act.91 It provides grants to state, local, territorial, or tribal government agencies that

allow them to deliver—or contract with local mental health services to deliver—communitybased outreach and psycho-educational services to support individuals and communities

84 OpenEFMA, “OpenFEMA Dataset: Mission Assignments,” reflecting obligations made through January 7, 2022,

https://www.fema.gov/openfema-data-page/mission-assignments.

85 FEMA and Assistant Secretary for Preparedness and Response (ASPR), Healthcare Facility Expansion Assistance

Playbook, Dec. 2021, https://www.fema.gov/sites/default/files/documents/fema_healthcare-facility-expansionassistance-playbook.pdf.

86 President Joseph R. Biden, “Memorandum to Extend Federal Support to Governors’ Use of the National Guard to

Respond to COVID-⁠19 and to Increase Reimbursement and Other Assistance Provided to States,” Jan. 21, 2021,

https://www.whitehouse.gov/briefing-room/presidential-actions/2021/01/21/extend-federal-support-to-governors-useof-national-guard-to-respond-to-covid-19-and-to-increase-reimbursement-and-other-assistance-provided-to-states/.

87 President Joseph R. Biden., Jr. “Memorandum on Maximizing Assistance to Respond to COVID-⁠19,” Mar. 1, 2022,

https://www.whitehouse.gov/briefing-room/presidential-actions/2022/03/01/memorandum-on-maximizing-assistanceto-respond-to-covid-19-2/; FEMA Advisory: “COVID-19 Cost Share Extension,” Mar. 1, 2022.

88 FEMA Advisory: “COVID-19 Cost Share Extension,” Mar. 1, 2022.

89 See, “Time Limitations for the Completion of Work,” in FEMA, “Coronavirus (COVID-19) Pandemic: Work

Eligible for Public Assistance (Interim),” FEMA Policy FP 104-009-19, Sept. 1, 2021, p. 6, https://www.fema.gov/

sites/default/files/2020-09/fema_public-assistance-eligibility-for-covid_policy_9-1-2020.pdf.

90 CRS Analysis of FEMA, “Public Assistance Funded Projects—Details,” as of Dec. 5, 2021, https://www.fema.gov/

openfema-data-page/public-assistance-funded-projects-details-v1.

91 42 U.S.C. §5183; 44 C.F.R. §206.171.

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recovering from disasters.92 The majority of the jurisdictions that received major disaster

declarations for the COVID-19 pandemic were authorized to receive assistance through the

CCP.93 President Trump authorized some CCP requests, and on April 28, 2020, the FEMA

Administrator was authorized to approve COVID-19-related requests for CCP to expedite

assistance.94

Invoking ONA’s general statutory authority, President Trump issued a presidential memorandum

that authorized the LWA program and allowed FEMA to provide grants to states, territories, and

the District of Columbia for supplemental lost wages payments to individuals receiving

unemployment insurance.95 ONA typically provides financial assistance for uninsured disasterrelated necessary expenses and serious needs (e.g., assistance to replace disaster-damaged

personal property and vehicles, and funeral assistance); LWA was a novel use of ONA.96

Funeral Assistance is another form of ONA that helps with eligible funeral expenses and is

typically available when the President authorizes the Individuals and Households Program

(IHP)—a type of Individual Assistance—pursuant to a declaration of emergency or major disaster

under the Stafford Act.97 In the case of the COVID-19 pandemic, however, Congress authorized

FEMA to provide COVID-19 Funeral Assistance.98 Specifically, Section 201 of the Coronavirus

Response and Relief Supplemental Appropriations Act, 2021 (Division M of the Consolidated

Appropriations Act, 2021, P.L. 116-260), and Section 4006 of the American Rescue Plan Act of

92 42 U.S.C. §5183; 44 C.F.R. §206.171.

93 The Crisis Counseling Program requests submitted by American Samoa and the Seminole Tribe of Florida had not

been approved as of Aug. 24, 2021 (email to CRS from FEMA Office of External Affairs, Aug. 24, 2021, noting

“American Samoa and Seminole Tribe of Florida have not been declared for IA with CCP”).

94 FEMA, “FEMA Administrator Authority to Approve Crisis Counseling During Coronavirus,” release, Apr. 28, 2020,

https://www.fema.gov/fact-sheet/fema-administrator-authority-approve-crisis-counseling-during-coronavirus; and

FEMA, “FEMA Administrator Approves 30 States for Crisis Counseling,” Release HQ-20-129, May 2, 2020,

https://www.fema.gov/news-release/20200726/fema-administrator-approves-30-states-crisis-counseling. According to

the GAO, FEMA awarded “about $467 million to 46 states, Washington, DC, and four U.S. territories [Guam, the

Commonwealth of the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands] via the Crisis Counseling

Assistance and Training Program.” The states of Alaska, Kentucky, Mississippi, and Wyoming did not apply for CCP

assistance (Alaska also withdrew its application for the CCP Regular Service Program). The Navajo Nation’s CCP

Regular Services Program application is under review (as of December 2021), and the Poarch Band Creek Indians did

not apply for CCP assistance (GAO, Behavioral Health and COVID-19: Higher-Risk Populations and Related Federal

Relief Funding, GAO-22-104437, December 2021, pp. 74-76 (Appendix V), https://www.gao.gov/assets/gao-22104437.pdf).

95 President Donald J. Trump, “Memorandum on Authorizing the Other Needs Assistance Program for Major Disaster

Declarations Related to Coronavirus Disease 2019,” Aug. 8, 2020, https://trumpwhitehouse.archives.gov/presidentialactions/memorandum-authorizing-needs-assistance-program-major-disaster-declarations-related-coronavirus-disease2019/. See also, FEMA, “Lost Wages Supplemental Payment Assistance Guidelines,” https://www.fema.gov/disaster/

coronavirus/governments/supplemental-payments-lost-wages-guidelines. LWA was subject to a 25% nonfederal cost

sharing requirement.

96 Section 262(b) of the Consolidated Appropriations Act, 2021 (P.L. 116-260) authorized states to waive the

requirement that individuals repay Lost Wages Assistance (LWA) that they were not entitled to receive if the state

determines: “(1) the payment of such covered assistance [LWA] was without fault on the part of the individual; and (2)

such repayment would be contrary to equity and good conscience.” Additionally, pursuant to Section 262(c), a state’s

debt waiver issued under Section 262(b) also waives a debt owed to the United States.

97 42 U.S.C. §5174(e)(1); 44 C.F.R. §206.119(b)(1).

98 Only Funeral Assistance, and not all forms of Individuals and Households Program (IHP) assistance, has been

authorized for the COVID-19 pandemic Stafford Act declarations.

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FEMA’s Role in the COVID-19 Federal Pandemic Response

2021 (P.L. 117-2) authorized FEMA to provide financial assistance for COVID-19-related funeral

expenses at 100% federal cost share.99

Supply Chain Stabilization

In coordination with DOD and HHS, FEMA led efforts to stabilize critical domestic supply

chains, particularly medical supply chains, upon assuming the role of LFA in March 2020.100

FEMA initiated several efforts in this capacity. First, FEMA began working with HHS and DOD

to assess and stabilize the PPE supply chain after forming the Supply Chain Task Force.101 The

Supply Chain Task Force supported PPE distribution efforts, analyzed supply chain

vulnerabilities, and transported privately purchased PPE from manufacturers abroad to domestic

airports through Project Air Bridge.102

Second, as designated lead of the federal government’s Joint DPA Office, FEMA coordinated and

vetted invocations of the statute in support of the federal pandemic response.103 In this role,

FEMA released guidance in coordination with Customs and Border Protection on the use of DPA

to allocate and federal prioritize orders for scarce medical supplies.104 FEMA’s DPA actions

included procuring critical medical supplies through priority-rated contracts, seizing and

distributing PPE under anti-hoarding and price-gouging authorities, restricting exports of certain

critical medical supplies, and establishing a voluntary agreement with private medical distributors

to share price, cost, supply, distribution, and capacity utilization information, among other data,

on certain critical health supplies.105

99 On the date of the enactment of the American Rescue Plan Act of 2021 (P.L. 117-2), the declarations for the COVID-

19 pandemic for the declared states, territories, and District of Columbia (but not the three tribes) were amended to

authorize Funeral Assistance under Other Needs Assistance (ONA) (the amendments limit IHP-ONA to Funeral

Assistance).

100 See CRS Report R46628, COVID-19 and Domestic PPE Production and Distribution: Issues and Policy Options,

coordinated by Michael H. Cecire, pp. 12-17; GAO, COVID-19: Federal Efforts Could Be Strengthened by Timely and

Concerted Actions, Sept. 2020, pp. 10-24, https://www.gao.gov/assets/gao-20-701.pdf (hereinafter GAO, Federal

Efforts); FEMA, Initial Assessment Report, pp. 24-25.

101 Submitted testimony of then-FEMA Administrator Peter Gaynor and Rear Admiral John Polowczyk, HSGAC,

Federal Procurement and Distribution, pp. 4-5.

102 Ibid.; GAO, Federal Efforts, pp. 10-12; FEMA, Initial Assessment Report, pp. 45-76; CRS Report R46628, COVID19 and Domestic PPE Production and Distribution: Issues and Policy Options, coordinated by Michael H. Cecire, pp.

7-16.

103 FEMA, “Defense Production Act Authority and Functions of the FEMA Administrator,” https://www.fema.gov/

disaster/defense-production-act/dpa-authority-and-functions. For detailed discussion of pandemic-specific organization

of DPA authorities across the government, see GAO, Defense Production Act: Opportunities Exist to Increase

Transparency and Identify Future Actions to Mitigate Medical Supply Chain Issues, GAO-21-2018, November 2020,

https://www.gao.gov/assets/gao-21-108.pdf; for a brief overview of DPA leadership and FEMA’s role see CRS In

Focus IF11767, The Defense Production Act Committee (DPAC): A Primer, by Michael H. Cecire.

104 Executive Office of the President, Executive Order 13911, “Delegating Additional Authority Under the Defense

Production Act With Respect to Health and Medical Resources to Respond to the Spread of COVID-19,” Mar. 27,

2020, 85 Federal Register 18403. Subsequent notices report that authorities delegated to the DHS Secretary have “in

turn been delegated to the FEMA Administrator in DHS Delegation 09052, Rev. 00.1 (Apr. 1, 2020).” See, for

example, FEMA, “Prioritization and Allocation of Certain Scarce or Threatened Health and Medical Resources for

Domestic Use,” temporary final rule, Apr. 10, 2020, 85 Federal Register 20195.

105 See CRS Report R46628, COVID-19 and Domestic PPE Production and Distribution: Issues and Policy Options,

coordinated by Michael H. Cecire; FEMA, Initial Assessment Report, pp. 69-73; GAO, Defense Production Act:

Opportunities Exist to Increase Transparency and Identify Future Actions to Mitigate Medical Supply Chain Issues,

GAO-21-108, November 2020, https://www.gao.gov/assets/gao-21-108.pdf; CRS Insight IN11470, Defense Production

Act (DPA): Recent Developments in Response to COVID-19, by Heidi M. Peters and Erica A. Lee; FEMA, “Pandemic

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FEMA’s Role in the COVID-19 Federal Pandemic Response

FEMA transferred certain medical supply chain responsibilities back to HHS and ASPR

beginning in June 2020, including management of the Supply Chain Task Force, which became

the Supply Chain Advisory Group under HHS’s management on June 15, 2020.106

Critical Medical Supply Distribution

Following its assumption of the role of lead federal agency, FEMA coordinated and often

executed federal efforts to distribute critical medical supplies, including PPE, testing supplies,

ventilators, and oxygen. As part of this effort, FEMA collaborated with ASPR and DOD to

provide and receive contracting support, including entering into an agreement with ASPR that

enabled FEMA to acquire and distribute critical medical supplies, including PPE, from the

Strategic National Stockpile (SNS).107 At the time of publication, FEMA continues to distribute

scarce medical supplies to states, tribes, and territories through its authorities to provide direct

assistance under the PA program. States, tribes, and territories may then distribute these resources

to localities and eligible nonprofits within their jurisdictions, including healthcare facilities.

National Guard Mobilization

The President has authorized FEMA to fund 100% of eligible costs of mobilizing the National

Guard under Title 32 of the U.S. Code to execute certain pandemic response measures, including

work related to vaccination, hospital and medical staffing (including “wraparound” hospital

support services like cleaning, security, and food preparation), testing, and food distribution,

among others.108 Under Title 32, FEMA issues fully-funded mission assignments to DOD for

National Guard mobilization; troops operate at the direction of governors. Funding covers troops’

salaries, allowances, travel expenses, and per diem.109 Barring any changes, FEMA’s 100%

Response Voluntary Agreement Under Section 708 of the Defense Production Act; Plans of Action To Respond to

COVID-19,” 86 Federal Register 28851-28884, May 28, 2021.

106 GAO, Federal Efforts, pp. 10-11.

107 Submitted testimony of Administrator Peter Gaynor and Rear Admiral John Polowczyk, HSGAC, Federal

Procurement and Distribution, p. 7; FEMA and HHS, “Memorandum of Understanding Between the Federal

Emergency Management Agency and the Department of Health and Human Services, Office of Assistant Secretary for

Preparedness Response,” executed Apr. 5, 2020, provided to CRS by FEMA Office of Congressional and Legislative

Affairs. Available to congressional members and staff upon request.

108 President Joseph R. Biden., Jr. “Memorandum on Maximizing Assistance to Respond to COVID-⁠19,” Mar. 1, 2022,

https://www.whitehouse.gov/briefing-room/presidential-actions/2022/03/01/memorandum-on-maximizing-assistanceto-respond-to-covid-19-2/; FEMA Advisory: “COVID-19 Cost Share Extension,” Mar. 1, 2022; White House,

“Memorandum for the Secretary of Homeland Security and the Administrator of the Federal Emergency Management

Agency on Maximizing Assistance to Respond to COVID-⁠19,” Nov. 9, 2021 (hereinafter White House, “Maximizing

Assistance,” Nov. 2021), https://www.whitehouse.gov/briefing-room/presidential-actions/2021/11/09/memorandumfor-the-secretary-of-homeland-security-and-the-administrator-of-the-federal-emergency-management-agency-onmaximizing-assistance-to-respond-to-covid-19/; FEMA, “FEMA Administrator Gives Remarks to Ongoing COVID-19

Response,” Jan. 14, 2022, https://www.fema.gov/press-release/20220114/icymi-fema-administrator-gives-remarksongoing-covid-19-response; FEMA, “Federal Support for Wraparound Medical Care and Services During COVID-19

Response,” Jan. 14, 2022.

109 FEMA will also reimburse states and territories for the costs of mobilizing the National Guard for eligible work

under Title 10 of the U.S. Code (State Active Duty), but mission assignments may help relieve economic and

administrative burdens associated with Title 10 mobilizations. FEMA, “National Guard Deployment Extended to

Support COVID-19 Response,” updated Jan. 14, 2022, https://www.fema.gov/fact-sheet/national-guard-deploymentextended-support-covid-19-response.

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funding for the eligible costs of National Guard mobilization is scheduled to expire on July 1,

2022, after which FEMA will cover 90% of eligible costs.110

Vaccination Assistance

FEMA provides 100% reimbursement and direct assistance through the PA program for

Applicants’ eligible vaccination work, currently available through July 1, 2022.111 Since January

2021, FEMA has provided enhanced vaccination assistance, including extensive direct assistance

(e.g., federal personnel, supplies, contract assistance, facilities) and the establishment of several

dozen federally-run mass vaccination sites that provided vaccine allocations in excess of those

distributed to individual states and territories.112 FEMA PA is available for a range of costs related

to vaccine administration and distribution, including operations and surge personnel costs, PPE,

facility support costs, vaccine storage and transportation, equipment, security, and transport for

individuals under certain circumstances.113 Applicants may also receive reimbursement and direct

assistance for vaccination community outreach (e.g., communications, personnel), booster

vaccination campaigns, and vaccination of children ages 5 through 11 years.114

110 President Joseph R. Biden., Jr. “Memorandum on Maximizing Assistance to Respond to COVID-⁠19,” Mar. 1, 2022,

https://www.whitehouse.gov/briefing-room/presidential-actions/2022/03/01/memorandum-on-maximizing-assistanceto-respond-to-covid-19-2/; FEMA Advisory: “COVID-19 Cost Share Extension,” Mar. 1, 2022.

111 President Joseph R. Biden., Jr. “Memorandum on Maximizing Assistance to Respond to COVID-⁠19,” Mar. 1, 2022,

https://www.whitehouse.gov/briefing-room/presidential-actions/2022/03/01/memorandum-on-maximizing-assistanceto-respond-to-covid-19-2/; FEMA Advisory: “COVID-19 Cost Share Extension,” Mar. 1, 2022; FEMA, “Vaccine

Support,” https://www.fema.gov/disaster/coronavirus/vaccine-support; and CRS Report R46715, FEMA Assistance for

Vaccine Administration and Distribution: In Brief, by Erica A. Lee and Kavya Sekar.

112 FEMA, “Vaccine Support,” https://www.fema.gov/disaster/coronavirus/vaccine-support; CRS Report R46715,

FEMA Assistance for Vaccine Administration and Distribution: In Brief, by Erica A. Lee and Kavya Sekar; FEMA,

“Federally Supported Community Vaccination Centers,” https://www.fema.gov/disaster/coronavirus/vaccine-support/

vaccine-center; and FEMA, “Community Vaccination Centers Playbook,” Final version, https://www.fema.gov/sites/

default/files/documents/fema_community-vaccination-centers_playbook_04-23-2021.pdf.

113 FEMA, “Coronavirus (COVID-19) Pandemic: Medical Care Eligible for Public Assistance (Interim) (Version 2),”

FEMA Policy #104-21-0004, pp. 6-9, https://www.fema.gov/sites/default/files/documents/fema_public-assistancecovid-19-medical-care-v2-with-equity-job-aid_policy_3-15-2021.pdf.

114 FEMA, “FEMA Funds Community Engagement for COVID-19 Vaccinations,” May 12, 2021,

https://www.fema.gov/fact-sheet/fema-funds-community-engagement-covid-19-vaccinations; FEMA, “FEMA Public

Assistance Supports COVID-19 Vaccine Administration to Children,” provided by FEMA Congressional and

Legislative Affairs, Nov. 3, 2021; and FEMA, “FEMA Support for COVID-19 Vaccination Efforts Continues,” Sept.

20, 2021, https://www.fema.gov/sites/default/files/documents/FEMA_Advisory_FEMA_Support_for_COVID19_Vaccination_Efforts_Continues_09202021.pdf.

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Figure 4. Duration of Select FEMA Lines of Effort in Federal Pandemic Response

Source: CRS Analysis of FEMA Pandemic-Specific Guidance and Documentation of Response Efforts.

Notes:

a. At any time, FEMA may announce an end to the “incident period” that marks the period during which the pandemic occurred. Separately, FEMA policy notes that

Public Assistance for pandemic-related costs will be available on an ongoing basis; FEMA will provide at least 30 days’ notice prior to its conclusion. For further discussion

on the duration of Stafford Act declarations and Public Assistance, see CRS Report R46809, Federal Emergency and Major Disaster Declarations for the COVID-19 Pandemic,

coordinated by Erica A. Lee and Sarah A. Lister.

b. The Community Based Testing Sites initiative involved multiple phases; this graph reflects phases in which FEMA was directly involved. The White House announced

the establishment of new federal surge testing sites in December 2021, supported in part by FEMA. The White House, “President Biden Announces New Actions to

Protect Americans and Help Communities and Hospitals Battle Omicron,” Dec. 21, 2021; FEMA, “FEMA Funding for the Safe Opening and Operating of Schools,

Including Testing,” Jan. 18, 2022.

c. FEMA began accepting applications for Funeral Assistance on Apr.12, 2021 for deaths attributed to COVID-19 since Jan. 20, 2020.

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FEMA’s Role in the COVID-19 Federal Pandemic Response

Considerations for Congress

The following section identifies considerations and policy options for Congress in four areas

critical to FEMA’s role in the federal pandemic response: the Stafford Act, FEMA’s operations

and organization, the Defense Production Act (DPA), and the Disaster Relief Fund.

Stafford Act Legislative Considerations

The following section identifies policy considerations specific to FEMA’s authorities under the

Stafford Act and their relevance to the federal COVID-19 pandemic response.

Applicability of Stafford Act to Public Health Incidents

The design of the Stafford Act might complicate activations for public health incidents. Presidents

generally activate the Stafford Act to respond to rapid-onset events that cause measurable losses

in a specific geographic area (e.g., tornadoes), in contrast to ongoing infectious disease incidents

that spread across whole regions.115 As noted above, the federal government mobilized and

adapted the Stafford Act in unprecedented ways to respond to the COVID-19 pandemic.

Under the Stafford Act, governors or tribal chief executives may request an emergency or major

disaster declaration only when an incident is “of such severity and magnitude” that state, local,

tribal, or territorial governments are unable to effectively respond without supplemental federal

assistance.116 FEMA defines the time interval during which the disaster-causing incident occurs as

the “incident period.”117 Per FEMA regulations, Stafford Act assistance shall only alleviate “the

damage or hardship ... which took place during the incident period or was in anticipation of that

incident.”118 FEMA weighs the monetary value of structural damages incurred during the incident

period when evaluating a state’s capacity to respond to an incident, and then makes a

recommendation to the President regarding the state’s request for a declaration.119

Infectious disease incidents are diffuse and develop over a significant period of time without

damaging infrastructure; they do not conform to the temporal and geographic limits built into

FEMA’s declaration process. The lack of measurable physical damage might make it difficult to

determine whether the infectious disease outbreak is beyond the state’s response capacity under

the current assessment framework. Similarly, it may be difficult for FEMA to determine the

geographic areas eligible for federal assistance and establish incident periods for pandemics.

Additionally, policymakers may be concerned that definitions within the Stafford Act limit

declarations for future infectious disease outbreaks and pandemics. Under the Stafford Act,

emergencies are defined broadly as follows:

any occasion or instance for which, in the determination of the President, federal assistance

is needed to supplement State and local efforts and capabilities to save lives and to protect

115 For more information, see CRS Report R42702, Stafford Act Declarations 1953-2016: Trends, Analyses, and

Implications for Congress, by Bruce R. Lindsay.

116 Stafford Act Sections 401 and 501; 42 U.S.C. §§5170, 5191.

117 44 C.F.R. §206.32(f).

118 Ibid.

119 For information on the damage assessment process, see CRS Report R44977, Preliminary Damage Assessments for

Major Disasters: Overview, Analysis, and Policy Observations, by Bruce R. Lindsay.

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property and public health and safety, or to lessen or avert the threat of a catastrophe in any

part of the United States.120

The broad definition of an emergency arguably provides the President with the discretion to

declare emergencies for a range of incidents, including infectious disease outbreaks and

pandemics. However, the scope of emergency assistance is fairly limited. By contrast, the

Stafford Act authorizes a wider range of federal assistance for major disasters, defined as:

any natural catastrophe (including any hurricane, tornado, storm, high water, wind-driven

water, tidal wave, tsunami, earthquake, volcanic eruption, landslide, mudslide, snowstorm,

or drought), or, regardless of cause, any fire, flood, or explosion, in any part of the United

States, which in the determination of the President causes damage of sufficient severity

and magnitude to warrant major disaster assistance under this chapter to supplement the

efforts and available resources of states, local governments, and disaster relief

organizations in alleviating the damage, loss, hardship, or suffering caused thereby.121

While President Trump and President Biden determined that pandemics could be included within

the definition of major disaster (which does not explicitly list infectious disease outbreaks or

pandemics), future administrations could view the list to more narrowly constrain the meaning of

“any natural catastrophe.” If so, requests for disease outbreaks and pandemics could be denied in

the future on the basis that they do not meet the legal definition of a major disaster.122

If Congress wants to broaden the applicability of the Stafford Act to include future infectious

disease incidents, it could require FEMA to update its regulations accordingly. The effort may

require identification of metrics that may accurately measure a state’s response capacity with

respect to infectious disease outbreaks. Towards this end, Congress might consider directing

FEMA to clearly measure hazard losses beyond structural damages. Congress could alternatively

consider amending the Stafford Act to include infectious disease outbreaks and pandemics.

Others may disagree and argue that such incidents should not be eligible for major disaster

assistance, and propose to amend the definition of major disasters to specifically exclude them.

Clarification of Roles and Leadership for Public Health Incidents

Federal planning, including a pandemic response plan adapted for COVID-19, envisioned HHS—

not FEMA—as the lead federal agency for pandemic response (for more detail, see “Federal

Response Doctrine: FEMA’s Planned Role in Infectious Disease Incidents”).123 When warranted,

these plans also allowed for parallel leadership, whereby HHS would lead federal public health

and medical response, and FEMA would coordinate intergovernmental consequence

management. The Public Health Service Act specifies that the HHS Secretary shall lead federal

public health response efforts for declared Public Health Emergencies.124 Separately, the

Homeland Security Act and the Stafford Act (by delegated authority) direct the FEMA

120 Stafford Act Section 102(1); 42 U.S.C. §5122(1).

121 Stafford Act Section 102(2); 42 U.S.C. §5122(2).

122 For example, FEMA explained that Governor Rick Snyder’s (Michigan) request for a major disaster declaration for

the Flint water contamination incident was denied based on the grounds that it did not meet the definition of a major

disaster. Letter from W. Craig Fugate, FEMA Administrator, to Rick Snyder, Governor of Michigan, Jan. 16, 2016;

reprinted in CRS Report R46665, Stafford Act and Selected Federal Recovery Programs for Civil Unrest: Historical

Perspectives and Policy Observations, coordinated by Bruce R. Lindsay.

123 HHS, PanCAP-Adapted.

124 Public Health Service Act Section 2801; 42 U.S.C. §300hh.

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Administrator to coordinate federal disaster response efforts.125 Officials issued declarations for

the pandemic under both statutes, introducing multiple leadership roles.126

In practice, the presence of multiple leadership roles generated confusion. GAO reported

confusion among nonfederal governments and healthcare providers; one local public health

official called the early federal response “incoherent, confusing, and uncoordinated.”127

Subsequently, FEMA reported that headquarters staff did not clearly understand the

responsibilities of the Unified Coordination Group directing the whole-of-government response

or interagency operational working groups that transitioned from HHS to FEMA.128 The National

Homeland Security Consortium (NHSC), a body comprising SLTT associations, emergency

management associations, and private-sector stakeholders, among others, identified an initial

problem of the federal response as follows:

The federal government’s messaging was neither unified nor consistent. The failure to

implement a national strategy or plan led to states, localities, tribes, and territories (SLTTs)

issuing guidance that was inconsistent with federal guidance. The guidance changed

constantly, which further confused the public and led to lost credibility.... This event tested

the limits of the national response doctrine—in particular NIMS/ICS—and agencies’

understanding of how to implement it, for prolonged, nontraditional, complex incidents. 129

These findings echoed those of pre-pandemic GAO and HHS assessments that unclear,

conflicting authorities persist in federal public health response plans, presidential directives, and

statutes.130 FEMA has acknowledged that HHS’s and FEMA’s “parallel and overlapping

authorities” in federal response doctrine challenged pandemic response planning and

operations.131

Additional challenges emerged following the establishment of the White House Coronavirus Task

Force led by the Vice President, which was not envisioned by pre-pandemic plans and

authorities.132 FEMA reported that the Task Force, which included the FEMA Administrator and

the HHS Secretary, effectively worked with FEMA senior officials.133 However, FEMA also

125 The Post-Katrina Emergency Management Reform Act amended the Homeland Security Act to specify that the

FEMA Administrator “shall ... lead the Nation’s efforts to prepare for, protect against, respond to, recover from, and

mitigate against the risk of natural disasters, acts of terrorism, and other manmade disasters, including catastrophic

incidents.” (Section 503(2)(A) of the Homeland Security Act, as amended); 6 U.S.C. §313(2)(A). Stafford Act Sections

402(1)-(2), 403(a), and 502(a)(1)-(2); 42 U.S.C. §§5170a(a)-(2), 5170b(a), and 5192(a)(1)-(2), provide the President

authority to direct and coordinate federal disaster and emergency response authorities. These authorities have been

delegated to FEMA as well as the Secretary of the Department of Homeland Security, who has then delegated them to

the FEMA Administrator. FEMA, Disaster Operations Legal Reference, V 4.0, Sept. 25, 2020, pp. xxv-xxxii, available

at https://oregondisasterlegalservices.org/wp-content/uploads/2020/10/DOLR_4_09252020.pdf.

126 While previous incidents received declarations under both statutes, the scale of the pandemic and involvement of

every federal agency exacerbated confusion regarding agency roles and hierarchies.

127 See, for example, GAO, Federal Efforts, pp. 93-94.

128 FEMA, Initial Assessment Report, pp. 8; 25, 32-33; 36-37; 39; 80.

129 NHSC, Pandemic After-Action Report, p. 8.

130 GAO, Influenza Pandemic: Gaps in Pandemic Planning and Preparedness Need to Be Addressed, GAO-09-909T,

July 29, 2009, p. 8; GAO, Defense Civil Support: DOD, HHS, and DHS Should Use Existing Coordination

Mechanisms to Improve Their Pandemic Preparedness, GAO-17-150, Feb. 10, 2017, pp. 18-22; https://www.gao.gov/

products/gao-17-150; HHS, Crimson Contagion 2019 Functional Exercise After-Action Report 2020, Jan. 2020, pp. 17,

19, 24-25, 29-31, 34-35.

131 FEMA, Initial Assessment Report, p. 31.

132 FEMA, Initial Assessment Report, p. 34; GAO, Biodefense: After-Action Findings, p. 26.

133 Ibid.

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reported that daily engagement with the White House caused the agency to undertake additional

efforts to ensure communication was consistent across the agency and subfederal partners. The

GAO found that conflicting messaging from the White House Coronavirus Task Force and federal

agencies may have contributed to confusion among subfederal stakeholders.134

Members of Congress, oversight bodies, the news media, stakeholders from the healthcare

industry and state, local, tribal, and territorial governments have repeatedly called upon the

government to clarify agency roles and clearly identify responsibility and decision-making

authority for specific lines of effort and the federal response on the whole.135 In its initial selfassessment on the agency’s COVID-19 response efforts, FEMA also recommended that the

federal government clarify agency authorities, roles, and financial responsibilities for public

health incidents.136 The NHSC recommended that the federal government update and promulgate

a national strategy, framework, and plan for pandemics.137

Congress may consider clarifying statutory authorities and roles in large-scale public health

incidents declared under both the Public Health Service Act and the Stafford Act. Neither the

Stafford Act nor FEMA regulations currently specify how FEMA shall coordinate with HHS in

public health incidents declared under the Stafford Act; Congress could amend the statute or

direct the agencies to issue relevant rulemaking following analysis of agency after-action reports.

Notably, in September 2020, GAO recommended that HHS, in consultation with FEMA, clarify

roles and responsibilities with respect to pandemic supply chain management and supply gaps—

recommendations that remained open as of September 2021.138

Emergency managers, experts, and SLTT stakeholders have proposed possible leadership

structures.139 The International Association of Emergency Managers (IAEM) recommended that

President Biden, upon assuming office “formally designate FEMA as THE lead agency for all

hazards Incident Coordination across the federal government enterprise to include Stafford Act

and non-Stafford Act events” and reinstate the FEMA Administrator’s membership in the

134 GAO, Federal Efforts, pp. 76, 94.

135 See, for example, GAO, COVID-19: Opportunities, pp. 65-66; GAO, Federal Efforts, p. 94; GAO, “Priority Open

Recommendations: Department of Homeland Security,” Aug. 13, 2021, p. 4, https://www.gao.gov/assets/gao-21377pr.pdf; NHSC, Pandemic After-Action Report, pp. ii, 6; Testimonies of Rep. Payne and Rep. Thompson, in House

Homeland Security Committee, Federal And State Pandemic Supply Preparedness and Response; Priscilla Alvarez et

al., “Confusion and Frustration Still Reign a Week After FEMA Takes over Coronavirus Response,” CNN, Mar. 27,

2020; Testimony of Heather Krause, U.S. Congress, House Committee on Transportation and Infrastructure, “House

Transportation and Infrastructure Committee, Assessing the Federal Government’s COVID-19 Relief and Response

Efforts and Its Impact,” hearing, 117th Cong., 1st sess., July 29, 2021 (hereinafter House T&I, Federal Response

Efforts); IAEM, “IAEM Recommendations for Action During the First 100 Days of the Administration of PresidentElect Biden,” Dec. 2020, https://www.iaem.org/Portals/25/documents/IAEM-Recommendations-to-the-BidenTransition-Team.pdf (hereinafter IAEM, “Recommendations for Action”).

136 FEMA, Initial Assessment Report, pp. 22-23, 31-33.

137 NHSC, Pandemic After-Action Report, p. 8.

138 These GAO recommendations were most recently reviewed in September 2021. GAO, Federal Efforts, pp. 1-2.

These recommendations build on pre-pandemic GAO recommendations to clarify roles and responsibilities in national

biodefense strategy. See GAO, National Biodefense Strategy: Additional Efforts Would Enhance Likelihood of

Effective Implementation, GAO-20-273, Feb. 2020.

139 For scholarly analysis of these and other alternatives, see, for example, Daniel Gerstein, “Assessing the US

Government Response to the Coronavirus,” July 20, 2020, Bulletin of the Atomic Scientists, pp. 166-174; David Carter

and Peter May, “Making Sense of the U.S. COVID-19 Pandemic Response: A Policy Regime Perspective,”

Administrative Theory and Praxis, May 5, 2020, pp. 265-277; Roy Guharoy and Edward Krenzelok, “Lessons from the

Mismanagement of the COVID-19 Pandemic: A Blueprint to Reform CDC,” American Journal of Health-System

Pharmacy, vol. 78, iss. 18, Sept. 15, 2021, pp. 1739-1741.

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President’s cabinet.140 The National Homeland Security Consortium issued a similar

recommendation while noting that “[c]onsensus was not achieved ... on this recommendation. At

least one association maintained that as a public health disaster, public health at the state and

national level should be the lead coordinating agency.”141 Alternatively, prior to the COVID-19

pandemic, the Bipartisan Commission on Biodefense (a private organization assessing U.S.

biodefense efforts) identified deficiencies in historical iterations of agency leadership and

recommended that the Vice President lead federal biodefense efforts under the auspices of a

White House Biodefense Coordination Council.142

Adaptation of Stafford Act Public Assistance for the Pandemic

The President’s Stafford declarations for the pandemic authorized FEMA Public Assistance (PA)

for emergency protective measures for jurisdictions nationwide. Prior to the pandemic, no

President had ever mobilized the PA program, FEMA’s largest federal grant program, as a

primary instrument to respond to an infectious disease event.143

The PA program generally operates following incidents clearly delimited in time and space (e.g.,

hurricanes); the pandemic compelled FEMA to make rapid pandemic-specific adaptations for

long-term response efforts across the country.144 For example, federal regulations provide that

emergency response activities funded through PA be completed within six months of a

declaration, though extensions may be granted.145 For the pandemic, the President directed that

the PA program provide reimbursement and direct assistance for eligible measures from January

20, 2020 to beyond July 2022—more than two and a half years.146 The PA program may

additionally provide assistance beyond that time frame, subject to presidential and agency

discretion.147

The President and FEMA have also deployed PA to provide financial reimbursement and direct

assistance for novel uses. For the pandemic, FEMA will reimburse Applicants for eligible costs

incurred for work required to safely reopen and operate designated facilities (e.g., the purchase of

140 IAEM, “Recommendations for Action.” The FEMA Administrator was a member of the President’s Cabinet from

1996-2001. For more information, see DHS Office of Inspector General, FEMA: In or Out? OIG-09-25, Feb. 2009,

https://www.oig.dhs.gov/assets/Mgmt/OIG_09-25_Feb09.pdf.

141 NHSC, Pandemic After-Action Report, p. 19.

142 Bipartisan Report of the Blue Ribbon Study Panel on Biodefense (now Bipartisan Commission on Biodefense), A

National Blueprint for Biodefense, Oct. 2015, pp. 6-7, 9, 15, https://biodefensecommission.org/wp-content/uploads/

2015/10/NationalBluePrintNov2018-03.pdf.

143 See CRS Insight IN11229, Stafford Act Assistance for Public Health Incidents, by Erica A. Lee and Bruce R.

Lindsay.

144 See FEMA’s website “Public Assistance Disaster-Specific Guidance—COVID-19 Declarations,”

https://www.fema.gov/media-collection/public-assistance-disaster-specific-guidance-covid-19-declarations.

145 44 C.F.R. §206.205(c).

146 President Joseph R. Biden, Jr., “Memorandum for the Secretary of Homeland Security and the Administrator of the

Federal Emergency Management Agency on Maximizing Assistance to Respond to COVID-⁠19,” Nov. 9, 2021,

https://www.whitehouse.gov/briefing-room/presidential-actions/2021/11/09/memorandum-for-the-secretary-ofhomeland-security-and-the-administrator-of-the-federal-emergency-management-agency-on-maximizing-assistance-torespond-to-covid-19/; President Joseph R. Biden., Jr. “Memorandum on Maximizing Assistance to Respond to

COVID-⁠19,” Mar. 1, 2022, Memorandum on Maximizing Assistance to Respond to COVID-19 | The White House;

FEMA Advisory: “COVID-19 Cost Share Extension,” Mar. 1, 2022.

147 See, for example, “Time Limitations,” in FEMA, “Coronavirus (COVID-19) Pandemic: Work Eligible for Public

Assistance (Interim),” FEMA Policy FP 104-009-19, Sept. 1, 2020, https://www.fema.gov/sites/default/files/2020-09/

fema_policy_104-009-19_PA-eligibility-policy-covid.pdf.

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PPE for schools, disinfection, surveillance testing), provide ongoing non-congregate sheltering

for at-risk and exposed individuals, and execute a wide range of work related to vaccination

assistance.148 These novel applications may modify interpretations of what assistance FEMA may

provide under the Stafford Act’s nonexclusive list of emergency response measures.149

Further, President Biden increased the federal cost share that FEMA will reimburse for PAeligible costs from the statutory floor of 75% to 100% for all jurisdictions nationwide. Prior to

that, SLTT governments and eligible healthcare organizations, including nonprofits, noted the

challenge of meeting the fiscal burdens of the 25% cost share, as well as providing the up-front

costs of eligible work before requesting reimbursement.150 FEMA has observed that the increased

federal cost share for pandemic response and the expansion of PA-eligible work (to include

reopening costs and enhanced vaccination assistance) significantly increased projected

obligations in FY2021.151

These pandemic-era changes to PA raise questions about future uses of, and expectations for, the

PA program.152 Congress might consider challenges related to the program’s adaptation when

considering how, if at all, PA should be mobilized for hazards with nationwide impacts, like

infectious disease events and climate change. Should Congress affirm the program’s relevance for

future public health incidents, Congress may consider whether existing PA authorities for

response are sufficient or should be expanded,153 and whether to clarify the eligibility of certain

activities, including vaccination-related assistance, the costs of reopening and operating facilities

during infectious disease incidents, and the ongoing costs of non-congregate sheltering for

eligible populations. Alternatively, Congress might prefer narrower interpretations of the Stafford

Act’s list of eligible expenses and further limit the statute’s authorities.

Novel projects funded by PA during the pandemic may be relevant to these discussions. The state

of California used the PA program to create Project Roomkey, which provided hotel and motel

rooms to individuals experiencing homelessness in an effort to mitigate the risk of COVID-19

transmission associated with congregate shelters, and thereby reducing the strain on the health

care system.154 Similarly, FEMA and the President made PA available to reimburse food banks

and restaurants for 100% of the costs of purchasing and distributing meals to eligible

individuals.155 Evaluating such innovative uses of PA might help agency heads and Congress as

148 See FEMA’s website “Public Assistance Disaster-Specific Guidance - COVID-19 Declarations,”

https://www.fema.gov/media-collection/public-assistance-disaster-specific-guidance-covid-19-declarations.

149 Stafford Act Section 403(a); 42 U.S.C. §5170b(a).

150 See Testimony of J. Ryan McMahon II, County Executive, Onondaga County, New York, in U.S. Congress, House

Committee on Homeland Security, Confronting the Coronavirus: Perspectives on the COVID-19 Pandemic One Year

Later, 117th Cong., 1st sess., Feb. 24, 2021 (hereinafter House Homeland Security Committee, Confronting the

Pandemic).

151 FEMA, Disaster Relief Fund: Monthly Report as of April 30, 2021, May 11, 2021, Fiscal Year 2021 Report to

Congress, p. 24; Disaster Relief Fund: Monthly Report as of July 31, 2021, Aug. 10, 2021, p. 26; FEMA, Disaster

Relief Fund: Monthly Report as of September 30, 2021, Oct. 7, 2021, p. 27. Reports available at https://www.fema.gov/

about/reports-and-data/disaster-relief-fund-monthly-reports.

152 For background about the PA program, its scope, and expense, see CRS Report R46749, FEMA’s Public Assistance

Program: A Primer and Considerations for Congress, by Erica A. Lee.

153 See, for example, an expanded list of eligible measures in S. 4627/H.R. 8266, “FEMA Assistance Relief Act of

2020,” 116th Cong., 2nd sess.

154 California Department of Social Services, “Project Roomkey/Housing and Homelessness COVID Response,”

https://www.cdss.ca.gov/inforesources/cdss-programs/housing-programs/project-roomkey.

155 FEMA, “Coronavirus (COVID-19) Pandemic: Purchase and Distribution of Food Eligible for Public Assistance,”

FEMA Policy FP 104-010-03, Apr. 11, 2020, https://www.fema.gov/sites/default/files/2020-07/fema_covid_purchase-

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they determine whether and how the program may be deployed for future unconventional or longduration incidents.156

Congress may also note the logistical challenges posed by the program’s nationwide use during

the pandemic that may have delayed assistance and hampered SLTT response efforts. For

instance, many stakeholders expressed confusion and frustration attributed to regional

inconsistencies in program delivery and eligibility determinations.157 In response, GAO

recommended in October 2021 that FEMA clarify PA eligibility requirements nationwide and

require additional training for the agency’s PA employees to promote consistent policy

interpretations within and across FEMA regions.158 How, if at all, the regionally-administered PA

program should change in the wake of these challenges remains an open question.

Adaptation of Stafford Act Individual Assistance for the Pandemic

FEMA’s IA program was adapted to support the pandemic response, providing an unprecedented

amount of assistance through Other Needs Assistance (ONA) for COVID-19 Funeral Assistance

and the Lost Wages Assistance (LWA) program.159 In a July 19, 2021 press release, FEMA stated

that it “has provided over $710 million to more than 107,000 people to assist with COVID-19related funeral costs.”160 and, as of the publication of this report, there is no deadline to apply for

COVID-19 Funeral Assistance.161 Moreover, FEMA provided approximately $40 billion through

the LWA program to participating states, territories, and the District of Columbia.162 The agency’s

initial self-assessment lauded the speed with which it awarded LWA grants and the amount of

funding obligated through the program.163 FEMA also acknowledged that the CCP was authorized

and-distributions-of-food_policy.pdf; CRS Report R46432, Food Banks and Other Emergency Feeding Organizations:

Federal Aid and the Response to COVID-19, coordinated by Kara Clifford Billings.

156 See Karen Stabiner, “What If We Turned Restaurants into Government Contractors,” The Counter, Feb. 11, 2021,

https://thecounter.org/biden-fema-reimbursement-restaurants-food-aid/; FEMA, “COVID-19 Community Food

Distribution Community Innovations,” July 2020, https://www.fema.gov/sites/default/files/2020-07/fema_covid_fooddistribution_ci-story_june1.pdf; “New FEED Act to Address Food Insecurity with Help from Restaurants,” July 2020,

FoodTank, https://foodtank.com/news/2020/07/new-feed-act-to-address-food-insecurity-with-help-from-restaurants/.

157 GAO, COVID-19: Additional Actions Needed to Improve Accountability and Program Effectiveness of Federal

Response, GAO-22-105051, October 2021, pp. 23-24, 353-366, https://www.gao.gov/assets/gao-22-105051.pdf.

158 Ibid.

159 FEMA’s “Disaster Relief Fund Monthly Report” includes Individual Assistance program obligations for

catastrophic disasters. For the COVID-19 declarations, the estimated Individual Assistance total through FY2021 is

$41.8 billion (and financial assistance to individuals and households was only provided for ONA). By contrast, the

estimated total through FY2021 for Hurricanes Harvey, Irma, and Maria combined is $6.0 billion (and, for these

disasters, financial assistance was provided for both housing assistance and ONA) (FEMA, Disaster Relief Fund:

Monthly Report as of June 30, 2021, July 12, 2021, https://www.fema.gov/sites/default/files/documents/fema_july2021-disaster-relief-fund-report.pdf). See also Statement of Heather Krause, Director, Physical Infrastructure, and

Chris P. Currie, Director, Homeland Security and Justice, GAO, Testimony Before Committee on Transportation and

Infrastructure, House of Representatives, COVID-19 Pandemic: Actions Needed to Improve Federal Oversight of

Assistance to Individuals, Communities, and the Transportation Industry, GAO-21-105202, July 29, 2021, p. 3,

https://www.gao.gov/assets/gao-21-105202.pdf.

160 FEMA, “FEMA COVID-19 Funeral Assistance Tops $700 Million,” press release HQ-21-138, July 19, 2021,

https://www.fema.gov/press-release/20210719/fema-covid-19-funeral-assistance-tops-700-million.

161 FEMA, “Funeral Assistance FAQ,” https://www.fema.gov/disaster/coronavirus/economic/funeral-assistance/faq.

162 FEMA, “By the Numbers: Coronavirus Pandemic Whole-of-America Response,” press release, Mar. 8, 2021. The

Lost Wages Assistance total of “[a]lmost $40 billion for those who were unemployed due to COVID-19 through Dec.

27, 2020” was provided as of the COVID-19 obligations as of Mar. 4, 2021. FEMA’s “By the Numbers: Lost Wages

Assistance Totals,” Feb. 9, 2021, lists the LWA total as $42.6 billion.

163 FEMA, Initial Assessment Report, p. 5.

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for all of the states, the District of Columbia, and Puerto Rico, Guam, and the U.S. Virgin Islands,

and that all tribal nation members were eligible for CCP services.164 Additional consideration of

the pandemic-caused needs of individuals and households is not addressed in FEMA’s selfassessment. Congress could consider requiring FEMA to evaluate whether the IA provided to

support COVID-19 pandemic recovery—which has been limited to ONA and CCP—has been

sufficient to meet the needs of affected individuals and households. Congress could also consider

whether FEMA may require additional authorities to meet the needs of disaster-affected

individuals and households following a future pandemic or infectious-disease incident.165

Disasters commonly create economic hardships for individuals and families, and the COVID-19

pandemic was no different. During the first few months of the pandemic response, Congress

considered the federal government’s options for providing housing assistance payments to

individuals experiencing financial hardship due to the pandemic. FEMA does not have the

statutory authority to provide temporary rental or mortgage payments when people experience

disaster-caused financial hardship. Currently, FEMA’s Rental Assistance program166 is premised

on an individual being displaced from their primary residence (e.g., because it is uninhabitable or

inaccessible).167 However, this has not always been the case. Prior to May 2002, the Stafford Act

authorized assistance to disaster survivors unable to make mortgage or rental payments. Section

206 of the Disaster Mitigation Act of 2000 (DMA2K; P.L. 106-390) amended the Stafford Act to

remove temporary mortgage and rental payments, and added the language predicating assistance

on displacement.168 DMA2K was generally intended to control the federal cost of disaster

assistance.169 Congress may require FEMA to evaluate whether its housing assistance programs

are adequate and appropriate to meet the needs of survivors following disasters that result in

economic (rather than physical) damages—as this was a gap that was revealed by the economic

effects of the COVID-19 pandemic.170

164 FEMA, Initial Assessment Report, pp. 26, 87.

165 For example, Congress may wish to consider whether there is a need to clarify the LWA program’s authority.

FEMA stated that they were using the LWA authority, rather than the existing Stafford Act Section 410 authority to

provide Disaster Unemployment Assistance (DUA), because “DUA is very limited and only available to individuals

who aren’t eligible for regular Unemployment Insurance (UI). The President’s authorization for a $300 lost wages

payment from FEMA is for a supplemental payment on top of UI paid by the state, territory and the District of

Columbia. Also, DUA is limited to what regular UI in the state, territory and the District of Columbia would pay out so

it can’t be used to supplement regular UI.” FEMA, “Frequently Asked Questions About Receiving Supplemental

Payments for Lost Wages,” Aug. 16, 2021, https://www.fema.gov/disaster/coronavirus/governments/supplementalpayments-lost-wages/frequently-asked-questions.

166 42 U.S.C. §5174(c)(1)(A).

167 42 U.S.C. §5174(b)(1); see also FEMA, IAPPG, pp. 80-81.

168 See the prior version of the Stafford Act’s provision of temporary rental or mortgage payments at 42 U.S.C.

§5174(b), (2001), https://www.govinfo.gov/content/pkg/USCODE-2001-title42/pdf/USCODE-2001-title42-chap68subchapIV-sec5174.pdf.

169 U.S. Congress, House Committee on Transportation and Infrastructure, Disaster Mitigation and Cost Reduction Act

of 1999, 106th Cong., 1st sess., Mar. 3, 1999, H.Rept. 106-40, pp. 1, 12, 17, https://www.congress.gov/106/crpt/hrpt40/

CRPT-106hrpt40.pdf; see also U.S. Congress, Senate Committee on Environment and Public Works, Subcommittee on

Clean Air, Climate Change, and Nuclear Safety, Review of the General Accounting Office Report on FEMA’s Activities

After the Terrorist Attacks on September 11, 2001, 108th Cong., 1st sess., Sept. 24, 2003, S.Hrg. 108-364, p. 253.

170 FEMA has evaluated its housing solutions following disasters, including following Hurricanes Harvey, Irma, and

Maria in its 2017 Hurricane Season FEMA After-Action Report, July 12, 2018, https://www.fema.gov/sites/default/

files/2020-08/fema_hurricane-season-after-action-report_2017.pdf. Additionally, in several of its reports on FEMA’s

housing assistance programs, the GAO has recommended FEMA evaluate its housing solutions (see, for examples,

GAO, Disaster Housing: Improved Cost Data and Guidance Would Aid FEMA Activation Decisions, GAO-21-116,

Dec. 2020, p. 21, https://www.gao.gov/assets/gao-21-116.pdf; and GAO, U.S. Virgin Islands Recovery: Additional

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Hazard Mitigation Funding for Pandemic Stafford Act Declarations

FEMA’s role in responding to the pandemic may prompt stakeholders, including Congress and

the agency itself, to consider the timeline and scale of Hazard Mitigation Assistance funding

available nationwide through the Stafford Act declarations for the pandemic.

The Hazard Mitigation Grant Program is authorized by Stafford Act Section 404—Hazard

Mitigation171 and is funded through the Disaster Relief Fund (DRF). HMGP funding is available

to all areas of a state, territory, or tribal lands where it is requested by a governor or tribal chief

executive following a major disaster declaration (or the approval of a Fire Management

Assistance Grant). At the state, tribe, or territory’s request, HMGP may also be available

statewide.

HMGP funding is awarded as a formula grant to a state. The amount of the grant is based on the

estimated total federal assistance per major disaster declaration or Fire Management Assistance

Grant, subject to a sliding scale formula. For each declaration, a state receives a percentage of the

total amount of FEMA assistance awarded to the state for that disaster; in other words, the state

receives

up to 15% of the first $2 billion of aggregate amount of disaster assistance,

up to 10% for aggregate amounts of assistance between $2 billion and $10

billion, and

up to 7.5% for aggregate amounts of assistance between $10 billion and $35.333

billion.172

States that have an Enhanced State Hazard Mitigation Plan173 under section 322(e) of the Stafford

Act can receive 20% of the total amount.174

HMGP-funded projects must provide a long-term solution to a problem, rather than immediate

disaster response or recovery activities. The state, territory, or tribal government can use HMGP

funding for mitigation projects for any type of natural hazard and for any eligible activity that

reduces risk and builds resilience. HMGP funding does not have to be used for the particular

disaster for which it was allocated, nor for the particular type of disaster. For example, funding

allocated for wildfires in one county could be used for flood mitigation activities in a different

county, if the state chooses to do so and the activity is eligible.

All 50 states, five territories, the District of Columbia, and three tribes175 requested HMGP

funding for the pandemic disaster declarations. FEMA announced on August 5, 2021, that every

state, tribe, and territory that received a major disaster declaration for COVID-19 will be eligible

to receive 4% of their total pandemic-related Stafford Act assistance in HMGP funding.176 Four

Actions Could Strengthen FEMA’s Key Disaster Recovery Efforts, GAO-20-54, Nov. 2019, p. 44,

https://www.gao.gov/assets/gao-20-54.pdf).

171 42 U.S.C. §5170c.

172 42 U.S.C. §5170c(a) and 44 C.F.R. §206.432(b).

173 44 C.F.R. §201.5.

174 As of June 31, 2021, 14 states have approved Enhanced State Hazard Mitigation Plans. See FEMA, Hazard

Mitigation Plan Status, https://www.fema.gov/emergency-managers/risk-management/hazard-mitigation-planning/

status.

175 The three tribes are the Navaho Nation, the Poarch Band of Creek Indians, and the Seminole Tribe of Florida.

176 FEMA, “COVID-19 Disaster Declarations, Hazard Mitigation Grant Program Allocations for COVID-19

Declarations,” Aug. 5, 2021, https://www.fema.gov/disaster/coronavirus/disaster-declarations.

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percent is a lower percentage than is usually awarded for HMPG, but the total funding of $3.46

billion represents the largest amount of HMGP funding in a single fiscal year.177 (The largest

amount previously was $2.29 billion in FY2005, following the extreme 2005 hurricane season.)178

As with all HMGP funding, the State determines where the funding can best be used and how to

allocate HMGP funds to sub-applicants, which means this funding does not have to be used for

pandemic-related mitigation activities. The largest amount of HMGP COVID-19 funding will go

to Texas, followed by California, New York, Florida, and New Jersey (see Figure 5).

The Stafford Act declarations for the pandemic also made more funding available for the FEMAadministered pre-disaster mitigation grants through the Building Resilience Infrastructure and

Communities (BRIC) program. BRIC is funded by a set-aside in the DRF equal to 6% of the

estimated aggregate amount of funding awarded under seven sections of the Stafford Act.179 As of

December 31, 2021, there was $1.81 billion set aside in the DRF for mitigation.180 This sum far

exceeds FEMA’s expectation that this fund would receive $300-500 million per year on average,

based on historical disaster expenditures.181 However, in its first year of operation, FY2020, BRIC

was over-subscribed, with over $3.6 billion requested from the $500 million available,182

suggesting that even the increased amount of pre-disaster mitigation funding due to the COVID19 disaster declarations is not sufficient to meet demands.

Congress might note the unusual availability of hazard mitigation funding across the country due

to the nationwide Stafford Act declarations. To be eligible for BRIC, applicants must have

received a major disaster declaration within the previous seven years. All jurisdictions are thus

currently eligible for BRIC due to the pandemic major disaster declarations, though that is

unlikely to be the case in the future. Normally, it would be unlikely for every jurisdiction to have

a major disaster declaration in the same year. Restricting pre-disaster mitigation funding to states

which have experienced a disaster recently could preclude communities with a clear risk under a

changing climate from receiving funding when that risk has not yet eventuated, and may make it

more difficult for locations facing major impacts of climate change to plan ahead. For this reason,

Congress may wish to consider whether these requirements should be relaxed. Congress may also

wish to consider the unusual situation where disaster declarations for a public health incident with

no physical damage has made funding available for physical mitigation activities.

177 CRS analysis of FEMA OpenFEMA data set on Hazard Mitigation Assistance Projects—v2, https://www.fema.gov/

openfema-data-page/hazard-mitigation-assistance-projects-v2. Accessed Nov. 21, 2021.

178 Ibid.

179 Stafford Act Sections 403 (essential assistance), 406 (repair, restoration and replacement of damaged facilities), 407

(debris removal), 408 (federal assistance to individuals and households), 410 (unemployment assistance), 416 (crisis

counseling assistance and training), and 428 (public assistance program alternative program procedures). See CRS

Report R45819, The Disaster Recovery Reform Act of 2018 (DRRA): A Summary of Selected Statutory Provisions, for

further details.

180 FEMA, Disaster Relief Fund: Monthly Report as of December 31, 2021. Fiscal Year 2022 Report to Congress, Jan.

7, 2022, p. 25, https://www.fema.gov/about/reports-and-data/disaster-relief-fund-monthly-reports.

181 U.S. Congress, House Committee on Transportation and Infrastructure, Subcommittee on Economic Development,

Public Buildings, and Emergency Management, Disaster Preparedness: DRRA Implementation and FEMA Readiness,

Serial No. 116-17, hearing, 116th Cong., 1st sess., May 22, 2019, p. 90, https://www.congress.gov/116/chrg/CHRG116hhrg40590/CHRG-116hhrg40590.pdf.

182 FEMA, Hazard Mitigation Assistance (HMA) Annual Grant Cycle Submissions Summary, Mar. 17, 2021,

https://www.fema.gov/fact-sheet/hazard-mitigation-assistance-hma-annual-grant-cycle-submissions-summary.

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FEMA’s Role in the COVID-19 Federal Pandemic Response

Figure 5. HMGP Funding for COVID-19 Disaster Declarations

Source: FEMA, COVID-19 Disaster Declarations, Hazard Mitigation Grant Program Allocations for COVID-19

Declarations, Aug. 5, 2021, https://www.fema.gov/disaster/coronavirus/disaster-declarations.

FEMA Preparedness and Response Operations

FEMA’s Public Health Preparedness Coordination

Persistent challenges related to acquisition and delivery of diagnostic tests, production and

management of PPE, and development and distribution of vaccines have introduced new

questions about the state of national readiness for pandemics, as well as for other emergencies

more broadly. This is not the first time the nation has evaluated its state of preparedness. In the

wake of the much-criticized response to Hurricane Katrina, Congress directed the President to

develop a stronger system for building national preparedness for all types of emergencies and

disasters. In February of 2011, President Barack Obama issued Presidential Policy Directive 8

(PPD-8),183 which established a National Preparedness Goal,184 System, and Report to provide the

nation with a framework for organizing preparedness activities. The strategies set forth in this

doctrine govern how individuals, families, communities, localities, tribal nations, territories,

states, and federal agencies can strengthen the security and resilience of the nation, even against

pandemics. PPD-8 defines preparedness as “actions taken to plan, organize, equip, train, and

exercise to build and sustain the capabilities necessary to prevent, protect against, mitigate the

effects of, respond to, and recover from those threats that pose the greatest risk to the security of

the Nation.”185

183 White House, “PPD-8: Announcing the National Preparedness Goal,” Oct. 7, 2011,

https://obamawhitehouse.archives.gov/blog/2011/10/07/ppd-8-announcing-national-preparedness-goal.

184 U.S. Department of Homeland Security, Federal Emergency Management Agency, National Preparedness Goal,

https://www.fema.gov/national-preparedness-goal.

185 White House, “PPD-8: Announcing the National Preparedness Goal,” Oct. 7, 2011,

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The United States’ national preparedness is based on capability planning186 and the 32 core

capabilities outlined by the National Preparedness Goal represent the critical competencies

needed to address all types of emergencies, from local incidents addressed with local resources to

national disasters involving presidential declarations under the Stafford Act.187 While FEMA

coordinates the federal government’s preparedness broadly, HHS is largely responsible for the

development of the national capability to perform public health, healthcare, and emergency

medical services activities. FEMA supports HHS with preparedness guidance, training, exercise

support for specific activities related to community resilience, information sharing, incident

management, and medical countermeasures.188

Although HHS generally takes the primary role for public health incident preparedness,

responding to a pandemic requires several other adjacent capabilities, including public

information and warning, logistics and supply chain management, situational assessment,

operational coordination, and economic recovery. FEMA is the coordinator for logistics and

information sharing activities at the federal level.189

In May 2020, GAO released a report that identified actions necessary to address shortcomings in

the nation’s emergency management capabilities.190 GAO stated that FEMA had yet to determine

what steps were needed to address capability gaps at the federal, state, local, tribal, and territorial

levels. GAO also concluded that FEMA had taken steps to strengthen national preparedness but

has not fully identified capability gaps and determined what actions were needed to enhance

national preparedness capabilities.191 To address these issues, GAO recommended the following:

Following the completion of the 2021 National Preparedness Report, 192 determine what

steps are needed to address the nation’s emergency management capability gaps across all

levels of government and inform key stakeholders, such as the Office of Management and

Budget and Congress, about what level of resources will be necessary to address the known

gaps.193

https://obamawhitehouse.archives.gov/blog/2011/10/07/ppd-8-announcing-national-preparedness-goal.

186 This planning includes developing and maintaining knowledge, skills, and abilities to address threats and hazards, in

lieu of preparing for every potential scenario. For more information on these capabilities and FEMA’s capability-based

planning process, see FEMA, Core Capabilities, https://www.fema.gov/core-capabilities.

187 For more information on responding to and recovering from major disasters, see CRS Report R41981,

Congressional Primer on Responding to and Recovering from Major Disasters and Emergencies, by Bruce R. Lindsay

and Elizabeth M. Webster. The core capabilities are not the exclusive responsibility of any one government agency or

organization. Instead, they require the combined efforts of the “whole community,” including individuals and families,

non-profit and religious organizations, private sector companies, schools, media outlets, as well as SLTT governments

and federal partners.

188 GAO, Biodefense: After-Action, p. 65.

189

DHS, NRF 2019, pp. 39-41.

190 U.S. Government Accountability Office, National Preparedness: Additional Actions Needed to Address Gaps in the

Nation’s Emergency Management Capabilities, GAO-20-297, May 4, 2020, (hereinafter GAO, National

Preparedness), https://www.gao.gov/products/GAO-20-297.

191 Ibid., p. 39.

192 In the DHS response to GAO’s report, FEMA stated that it does not believe that the cost of national resource gaps

can be estimated without first accounting for existing federal capabilities, which will be incorporated into the 2021

National Preparedness Report. The collection of necessary information was scheduled to begin in 2020, but was

delayed due to the response operations for the COVID-19 pandemic. As such, GAO’s recommendation has been

updated to reflect the updated timeframe following the publication of the 2021 National Preparedness Report.

193 GAO, National Preparedness, p. 39.

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GAO went further in an August 2021 report and stated that the U.S. emergency response

enterprise “lacked elements necessary for preparing for nationally significant biological

incidents,” including:

a set of defined capabilities that account for the unique elements specific to

responding to nationally significant biological incidents; and

a process at the interagency level for agencies to assess and communicate

priorities for exercising capabilities and consistently reporting on those

capabilities in after-action reviews.194

Congress may wish to monitor implementation of GAO’s recommendations, and may also

consider further clarifying the roles and responsibilities for pandemic preparedness between

FEMA and HHS.

FEMA’s Preparedness Grants for Public Health Incidents

FEMA also supports the development of preparedness capabilities nationally through a number of

grant programs. Some of these grants provide funding and resources for general emergency

management and preparedness activities (e.g., Emergency Management Performance Grants).

FEMA also administers grant programs that provide funding for preparedness equipment,

training, and activities through the Homeland Security Grant Program, which is primarily195

composed of the State Homeland Security Grant Program and the Urban Area Security Initiative.

In the past, SLTTs have used these grants to develop their preparedness for public health

emergencies by purchasing equipment such as PPE and by conducting training for biological

weapons attacks. According to a GAO report published in May 2020, DHS awarded over $52

billion in preparedness grants to SLTT partners to strengthen preparedness between FY2002 and

FY2019.196 Additionally, HHS also provides funding for public health preparedness through grant

programs such as the Public Health Emergency Preparedness (PHEP) program and Hospital

Preparedness Program (HPP). Prior to the pandemic, funding for preparedness grants from both

agencies declined several times.197

Given that Congress has appropriated funding for DHS preparedness grants for over 20 years,

Congress may wish to evaluate its continued investment. Congress may evaluate the need for

continued federal support and consider whether to reduce or eliminate funding. Some may argue

that states and localities should assume more responsibility for funding their preparedness, and

that the federal government should reduce its investment. Whether states and localities can

support this change may depend on their financial condition. Alternatively, Congress may choose

to maintain or increase present funding levels. Given the changing risk landscape, including the

presentation of novel threats such as COVID-19 and its variants, preparedness stakeholders may

need to develop new capacity and expand their capabilities. To support such changes, Congress

might consider expanding the eligible uses for FEMA’s preparedness grants beyond its traditional

aims to mitigate terrorism threats and redirect them towards public health applications.198

194 GAO, Biodefense: After-Action Findings, p. 30.

195 FEMA’s Homeland Security Grant Program also includes funding for nonprofit security and jurisdictions on the

U.S. southwest border. These two programs do not appear to provide funding that would support pandemic

preparedness.

196 GAO, National Preparedness, p. 3.

197 See CRS Report R44669, Department of Homeland Security Preparedness Grants: A Summary and Issues, by

Shawn Reese.

198 For more information and recommendations on shifting DHS’s mission towards nonmilitary threats, see Thomas

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Congress may consider assessing whether it is efficient and effective to have two separate

agencies administering preparedness grants, and the impact of this approach on capability

development and coordination.

Validating National Readiness: Exercises

FEMA recommends using simulated disaster scenarios, known as exercises, to validate

preparedness and test emergency plans, equipment, and training. Every two years, FEMA

conducts a National Level Exercise (NLE) to gauge readiness for catastrophic events and evaluate

the nation’s progress towards the National Preparedness Goal. These exercises have multiple

components, and generally culminate in a large, full-scale exercise with thousands of participants

from multiple federal agencies, state, local, tribal, and territorial (SLTT) governments, industry

partners, and nongovernmental organizations.

FEMA has never led an NLE that has focused on a pandemic scenario, although in the early

2000s, some of its “Top Officials” (TOPOFF) exercises explored national coordination for

response to certain types of public health emergencies, such as chemical or biological weapons

attacks.199 FEMA is also not the only agency conducting nationally scoped preparedness exercises

with broad stakeholder participation. For instance, the Department of Health and Human

Services’ Office of the Assistant Secretary for Preparedness and Response (ASPR) also conducts

major exercises involving multiple federal agencies, SLTT partners, private industry, and

nongovernmental participants. Some of these intergovernmental exercises have addressed

pandemic scenarios.200 Other departments and agencies that coordinate exercises are not required

to coordinate with the NLE, and their results and recommendations may not be integrated with

those from NLEs. Congress might consider mandates for better interagency coordination of

nationally scoped exercises as well as a more unified strategy for tracking outcomes. Congress

may also conduct oversight activities or mandate reporting on the results of these preparednessbuilding activities.

According to guidance published by FEMA, every exercise should yield lessons learned,

corrective actions, and an improvement plan for the participating stakeholders. These documents

provide a roadmap for closing gaps in core prevention, protection, response, recovery, and

mitigation capabilities. GAO has stated that FEMA lacks a formal mechanism to document and

track best practices, lessons learned, and corrective actions identified through after-action reports

(AARs), and lacks guidance on sharing AAR findings with stakeholders.201 The outputs and

benefits of NLEs, and other exercises may be lost without greater accountability for recording

and implementing the results. GAO recommended that DHS develop a better means of tracking

exercise outputs, and DHS officials concurred and planned to address them before March 31,

2022.202 Congress may consider oversight activities to ensure that the findings of NLEs are

properly leveraged to improve national capabilities.

Warrick and Caitlin Durkovich, “Future of DHS Project: Key Findings and Recommendations,” Atlantic Council,

August 2020, https://www.atlanticcouncil.org/content-series/future-of-dhs/future-of-dhs-project-key-findings-andrecommendations/.

199 For more information on National Level Exercises, see CRS In Focus IF11879, National Level Exercises: History,

Authorities, and Congressional Considerations, by Lauren R. Stienstra.

200 See, for example, the pandemic exercise conducted in 2019 and detailed in Office of the Assistant Secretary for

Preparedness and Response, Crimson Contagion 2019 Functional Exercise After-Action Report, January 2020.

201 GAO, National Preparedness, pp. 36-37.

202 GAO, National Preparedness.

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Additionally, while FEMA administers NLEs on behalf of the federal government as a whole, it

does not select the focus of these exercises directly. The design and development of NLEs is

guided by the strategic priorities set by the Principals Committee of the National Security Council

and builds on real-world incidents.203 Should Congress desire to shift the focus, frequency, or

scope of NLEs, it may consider more prescriptive legislative language or rulemaking.

Pandemic Response and the Limits of FEMA’s Capacity and Expertise

The FEMA Administrators who have led the agency during the nation’s response to the COVID19 pandemic (Peter Gaynor, under President Trump; Bob Fenton (Acting) and Deanne Criswell,

under President Biden) have acknowledged the challenges posed by the agency’s simultaneous

response to the pandemic and other concurrent disasters. They have noted that the magnitude and

nature of the incident necessitated a re-examination of its practices, and emphasized the need to

reduce the risk to staff while still enabling FEMA to perform its mission.204 To support pandemic

response, they have focused on expanding FEMA’s workforce,205 and supporting state, local,

tribal, and territorial response partners (“response works the best when it’s locally executed, statemanaged, and federally supported”).206 Additionally, they have acknowledged that Congress

provided FEMA and the DRF with sufficient financial resources to perform its mission.207

Although the Administrators lauded the work of FEMA in managing the whole-of-government

response to the COVID-19 pandemic, GAO determined that the pandemic overwhelmed existing

preparedness and response structures and resources at the agency.208 Further, in 2020, GAO

reported on FEMA’s staffing shortages and workforce challenges, noting “[t]he large number of

declared COVID-19 disasters coupled with hurricane and wildfire seasons adds other potential

challenges.”209 Challenges identified by GAO related to FEMA’s support of the pandemic

203 The priorities for 2021-2022 include continuity of essential functions; cybersecurity; economic recovery and

resilience; national security emergencies and catastrophic incidents; operational coordination; public health and

healthcare emergencies; shelter and housing solutions; and stabilization and restoration of community lifelines.

204 U.S. Congress, House Committee on Oversight and Reform, Subcommittee on Environment, FEMA’s Natural

Disaster Preparedness and Response Efforts During the Coronavirus Pandemic, Statement of Peter Gaynor, thenAdministrator, FEMA, DHS, 116th Cong., 2nd sess., July 24, 2020, no. 116-107, p. 5 (hereinafter Statement by

Administrator Gaynor, FEMA’s Natural Disaster Response During COVID-19). See also FEMA, Initial Assessment,

pp. 110, 112; U.S. Congress, House Committee on Transportation and Infrastructure, Subcommittee on Economic

Development, Public Buildings, and Emergency Management, FEMA’s Priorities for FY 2022 and Beyond:

Coordinating Mission, Vision, and Budget, Statement of Deanne Criswell, FEMA Administrator, 117th Cong., 1st sess.,

June 23, 2021, p. 2, https://transportation.house.gov/imo/media/doc/Criswell%20Testimony1.pdf (hereinafter

Statement by Administrator Criswell, FEMA’s Priorities for FY2022 and Beyond).

205 Statement by Administrator Gaynor, FEMA’s Natural Disaster Response During COVID-19, p. 6; Statement by

Administrator Criswell, FEMA’s Priorities for FY2022 and Beyond, p. 3.

206 Statement by Administrator Gaynor, FEMA’s Natural Disaster Response During COVID-19, pp. 16-17; see also

Statement of Robert Fenton, then-Senior Official Performing the Duties of the Administrator, FEMA, DHS, in U.S.

Congress, House Committee on Appropriations, Subcommittee on Homeland Security, The Role of FEMA and

Emergency Management in COVID-19 Response, 117th Cong., 1st sess., Mar. 16, 2021, https://www.fema.gov/factsheet/role-fema-and-emergency-management-covid-19-response (hereinafter Statement of Robert Fenton, The Role of

FEMA in COVID-19 Response).

207 Statement by Administrator Gaynor, FEMA’s Natural Disaster Response During COVID-19, p. 17.

208 Statement of Chris Currie, Director, Homeland Security and Justice, GAO, in House Homeland Security Committee,

Federal and State Pandemic Supply Preparedness and Response; see also GAO, FEMA Disaster Workforce: Actions

Needed to Address Deployment and Staff Development Challenges, GAO-20-360, May 4, 2020, https://www.gao.gov/

products/gao-20-360.

209 Statement by Chris Currie, Director, Homeland Security and Justice, GAO, in House Homeland Security

Committee, Federal and State Pandemic Supply Preparedness and Response, pp. 26, 32-33.

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FEMA’s Role in the COVID-19 Federal Pandemic Response

response include workforce-related challenges, such as staffing shortages; unreliable/incomplete

staffing information from the qualification and deployment process, contributing to an ineffective

use of the deployed workforce; the need for contract management improvements;210 and a dearth

of pandemic disaster management experience.211

Operational Capacity

Sufficient staffing is critical to FEMA’s ability to support its partners during disasters. The

President’s pandemic declarations required FEMA to support response efforts in every state and

territory, as well as the District of Columbia and several tribes, while also supporting the ongoing

response to natural disasters, such as hurricanes and wildfires.

FEMA has dedicated significant numbers of staff to the COVID-19 pandemic response. Prior to

standing up the NRCC to manage federal interagency COVID-19 coordination efforts, FEMA

was already “supporting 43 concurrent, open disaster declarations with over 5,000 personnel

deployed.”212 As of July 22, 2020, “FEMA ha[d] 2,245 employees supporting COVID-19

pandemic response out of a total of 20,831 agency employees ready to respond to any other

potential emergencies ... [and] FEMA [was] responding to 114 active disasters and 97 emergency

declarations concurrently.”213 As of March 12, 2021, a year after President Trump declared a

nationwide emergency for the COVID-19 pandemic, “FEMA ... deployed 1,842 staff across the

nation to support vaccination missions.”214 In addition to deploying to support disaster response

activities, FEMA’s staff also have steady-state responsibilities associated with their “day jobs,”

and the increasing number of Stafford Act declarations and nationwide events like the COVID-19

pandemic “will continue to put unsustainable pressure on FEMA personnel.”215

Some members of FEMA’s workforce that contribute to day-to-day operations and long-term

projects may be deployed at length for incidents like the COVID-19 pandemic. GAO explains

that a FEMA “staff member who works day-to-day in FEMA’s Office of Policy and Program

Analysis could hold a primary incident management title as a Facilities Manager in FEMA’s

Logistics cadre and a subordinate title of Logistics Specialist in the same cadre, and may be

certified to operate certain types of forklifts” for response purposes.216 Some may worry that the

deployment of staff in this way could diminish the agency’s capacity to advance its day-to-day

mission.217

210 See, for example, GAO, 2017 Disaster Contracting: Actions Needed to Improve the Use of Post-Disaster Contracts

to Support Response and Recovery, GAO-19-281, April 2019, https://www.gao.gov/assets/gao-19-281.pdf.

211 Statement by Chris Currie, Director, Homeland Security and Justice, GAO, in House Homeland Security

Committee, Federal and State Pandemic Supply Preparedness and Response, pp. 32-33.

212 FEMA, Initial Assessment Report, p. 11.

213 U.S. Congress, House Committee on Oversight and Reform, Subcommittee on Environment, FEMA’s Natural

Disaster Preparedness and Response Efforts During the Coronavirus Pandemic, 116th Cong., 2nd sess., July 24, 2020,

no. 116-107, p. 4.

214 Statement of Robert Fenton, The Role of FEMA in COVID-19 Response.

215 U.S. Congress, Senate Committee on Homeland Security and Governmental Affairs, Preparedness for COVID-19:

The Initial Pandemic Response and Lessons Learned, Statement of RADM Joseph L. Nimmich (USCG, ret.), 117th

Cong., 1st sess., Apr. 14, 2021, p. 3 (hereinafter Statement of RADM Joseph L. Nimmich, Preparedness for COVID19).

216 GAO, FEMA Disaster Workforce: Actions Needed to Address Deployment and Staff Development Challenges,

GAO-20-360, May 2020, p. 13.

217 See, for example, the testimony of GAO representative Chris Currie and former FEMA Administrator Craig Fugate

in U.S. Congress, House Homeland Security Subcommittees on Emergency Preparedness, Response, and Recovery and

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To enhance the agency’s capacity, then-FEMA Administrator Peter Gaynor noted that, since the

beginning of FY2020, FEMA on-boarded more than 2,300 disaster personnel (more than a 22%

increase over FY2019).218 Additionally, in her statement before the House Committee on

Transportation and Infrastructure, Subcommittee on Economic Development, Public Buildings,

and Emergency Management, Administrator Deanne Criswell stated that FEMA is prioritizing its

workforce’s health and safety, and noted FEMA is evaluating how to enhance operational

capacity as they prepare for a post-COVID-19 environment.219 Administrator Criswell also

emphasized the need to have the right staffing levels to ensure workforce readiness, as well as

appropriate training, tools, and resources.220

Still, FEMA reported that capacity constrained the agency’s posture towards the pandemic.

Despite the efforts discussed above, in June 2020, FEMA cited the need to adequately prepare for

hurricane and fire seasons as one reason it was reducing engagement in certain pandemic

response efforts (some of which transitioned to DOD and HHS in late spring through fall

2020).221 Further, FEMA’s January 2021 self-assessment noted that the agency was unprepared to

staff the NRCC for an incident of such scale and duration as the pandemic.222 Federal personnel

across the government that FEMA deploys to supplement SLTT capacity also appeared near

exhaustion during the healthcare worker shortage in fall 2021. FEMA instructed SLTTs seeking

supplemental federal personnel to first exhaust other means to build capacity, including

decompressing hospitals and recalling retirees, before requesting federal assistance given “the

possible scarcity of medical personnel resources.”223 A recent survey of federal civil servants

suggests that capacity constraints across agencies may have hindered the pandemic response.224

The ongoing COVID-19 pandemic and the disaster seasons (notably, floods, fires, and

hurricanes), and the potential for novel and emerging threats and hazards may continue to affect

FEMA’s workforce and future staffing needs.225 FEMA and Congress continually evaluate the

Oversight, Management, and Accountability, FEMA: Building A Workforce Prepared And Ready To Respond, hearing,

117th Cong., 1st sess., Jan. 20, 2022.

218 Statement by Administrator Gaynor, FEMA’s Natural Disaster Response During COVID-19, p. 6.

219 Statement by Administrator Criswell, FEMA’s Priorities for FY2022 and Beyond, p. 2.

220 Ibid., p. 3.

221 Statement of then-FEMA Administrator Peter Gaynor and Rear Admiral John Polowczyk, in HSGAC, Federal

Procurement and Distribution.

222 FEMA, Initial Assessment Report, pp. 12, 122.

223 FEMA, “Medical Staffing Requests Advisory,” Aug. 18, 2021, https://www.fema.gov/fact-sheet/medical-staffingrequests-advisory.

224 David Lewis, “Is the Failed Pandemic Response a Symptom of a Diseased Administrative State?” Daedalus, vol.

150, no. 3, Summer 2021, pp. 68-88; “Partnership for Public Service Releases Preliminary Federal Executive Survey

Data, Announces New Initiative to Renew the Federal Government,” Partnership for Public Service, Oct. 14, 2020,

https://ourpublicservice.org/wp-content/uploads/2020/10/Partnership-Survey-Reform-Release-2.pdf.

225 Statement of Elizabeth Zimmerman, Former Associate Administrator, FEMA Office of Response and Recovery, in

U.S. Congress, Senate Committee on Homeland Security and Governmental Affairs, Preparedness for COVID-19: The

Initial Pandemic Response and Lessons Learned, 117th Cong., 1st sess., Apr. 14, 2021, p. 8 (hereinafter Statement of

Elizabeth Zimmerman, Preparedness for COVID-19).

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agency’s funding and staffing needs,226 and Congress could also consider evaluating the need for

building staffing surge capacity to further support disaster response.227

Infectious Diseases Incident Experience/Expertise

As noted by GAO, “the response to the COVID-19 pandemic has relied on both public health and

emergency management capabilities, which are often governed by different authorities and

directed by different agencies at the Federal and non-Federal level.”228 HHS is the lead federal

agency for Emergency Support Function #8—Public Health and Medical Services, and has

statutory authority for health and medical events.229 Despite this, as described above, FEMA was

placed in charge of the federal response to the COVID-19 pandemic. In an earlier hearing, former

FEMA Administrator Craig Fugate noted that FEMA is

the ultimate support agency.... By putting FEMA in the lead role, I think we lost a lot of

the expertise that CDC should have had that FEMA could have supported. So I think

FEMA’s role as the Nation’s crisis manager should be enforced, but I think it should also

be seen that we want to make sure that the lead agencies with the jurisdiction, the legal

authority, and the expertise are taking that lead and FEMA is supporting it and hopefully

making them more successful.230

Emergency mangers commonly support overall incident coordination, and work with the lead

agencies that possess the subject matter expertise needed to manage the incident response efforts.

According to GAO, during previous health-related incidents in the United States, such as H1N1,

Ebola, and Zika, HHS and the CDC possessed the capacity to handle the pu

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