(APRA) Requesting GSA support the CVC mission in Baton Rouge, LA.  The Bon Carre center has been identified as the CVC location for a Type 2 vaccination site.  Baton Rouge City and GOHSEP do not believe they will be able to meet the time requirements for a lease on the facility and the parking lot for the vaccinations

As directed by and in coordination with FEMA, General Services Administration (GSA) will provide appropriate personnel to the RRCC, IOF, JFO, or other teams and facilities as requested in support of disaster operations.

Activities may include, but are not limited to, the following:
- ESF-7 support
- Emergency leasing services for needed space/facilities as requested by FEMA
- GSA Lease Contracting Officers (LCOs) and others as needed

This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030.

-MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
-Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
-All equipment and supply purchases must be coordinated with FEMA Project Manager.  If approved, documentation is necessary to ensure reimbursement.
-Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
-The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
-MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


(APRA) Amendment#1: At the request of GSA increase funds by $229,900.00 to execute the lease for CVC site.   Extend MA to 9.1.21. Change PM to Christine Hanson.

(APRA) Requesting GSA support the CVC mission in Baton Rouge, LA.  The Bon Carre center has been identified as the CVC location for a Type 2 vaccination site.  Baton Rouge City and GOHSEP do not believe they will be able to meet the time requirements for a lease on the facility and the parking lot for the vaccinations


(APRA) Amendment#2: At the request of OSC amend to de-crease funds by $229,900.00 funds to transfer to 146. MA end date has been changed to 6.28.21. Change PM to Jamison Megahee. Documentation is attached

(APRA) Amendment#1: At the request of GSA increase funds by $229,900.00 to execute the lease for CVC site.   Extend MA to 9.1.21. Change PM to Christine Hanson.

(APRA) Requesting GSA support the CVC mission in Baton Rouge, LA.  The Bon Carre center has been identified as the CVC location for a Type 2 vaccination site.  Baton Rouge City and GOHSEP do not believe they will be able to meet the time requirements for a lease on the facility and the parking lot for the vaccinations


Amendment#3: At the request of GSA and concurrence with PM, extend MA to 12/31/21.  Change PM to Eddie Pack.

(APRA) Amendment#2: At the request of OSC amend to de-crease funds by $229,900.00 funds to transfer to 146. MA end date has been changed to 6.28.21. Change PM to Jamison Megahee. Documentation is attached

(APRA) Amendment#1: At the request of GSA increase funds by $229,900.00 to execute the lease for CVC site.   Extend MA to 9.1.21. Change PM to Christine Hanson.

(APRA) Requesting GSA support the CVC mission in Baton Rouge, LA.  The Bon Carre center has been identified as the CVC location for a Type 2 vaccination site.  Baton Rouge City and GOHSEP do not believe they will be able to meet the time requirements for a lease on the facility and the parking lot for the vaccinations


ARPA   Amend #4: Amend to extend end date through 3-31-2022 per GSA and PM concurrence.  No additional funding required per GSA.

Amendment#3: At the request of GSA and concurrence with PM, extend MA to 12/31/21.  Change PM to Eddie Pack.

(APRA) Amendment#2: At the request of OSC amend to de-crease funds by $229,900.00 funds to transfer to 146. MA end date has been changed to 6.28.21. Change PM to Jamison Megahee. Documentation is attached

(APRA) Amendment#1: At the request of GSA increase funds by $229,900.00 to execute the lease for CVC site.   Extend MA to 9.1.21. Change PM to Christine Hanson.

(APRA) Requesting GSA support the CVC mission in Baton Rouge, LA.  The Bon Carre center has been identified as the CVC location for a Type 2 vaccination site.  Baton Rouge City and GOHSEP do not believe they will be able to meet the time requirements for a lease on the facility and the parking lot for the vaccinations


ARPA  Amend #5:   Amend to de-obligate remaining funds in amount of $6801.60 (BFY 21) per GSA in coord with 4-1-22 Consolidated ULO Report and in concurrence with IFMIS report and financially close MA.

ARPA   Amend #4: Amend to extend end date through 3-31-2022 per GSA and PM concurrence.  No additional funding required per GSA.

Amendment#3: At the request of GSA and concurrence with PM, extend MA to 12/31/21.  Change PM to Eddie Pack.

(APRA) Amendment#2: At the request of OSC amend to de-crease funds by $229,900.00 funds to transfer to 146. MA end date has been changed to 6.28.21. Change PM to Jamison Megahee. Documentation is attached

(APRA) Amendment#1: At the request of GSA increase funds by $229,900.00 to execute the lease for CVC site.   Extend MA to 9.1.21. Change PM to Christine Hanson.

(APRA) Requesting GSA support the CVC mission in Baton Rouge, LA.  The Bon Carre center has been identified as the CVC location for a Type 2 vaccination site.  Baton Rouge City and GOHSEP do not believe they will be able to meet the time requirements for a lease on the facility and the parking lot for the vaccinations


Activate and deploy 4 Level One DMAT Teams to staff & run FMS (Field Medical Stations) w/ capability to handle 250 patient capacity @ ea. FMS location to increase hospital capacity in Louisiana's Region 1, New Orleans area were COVID-19 patient count is rapidly increasing.

In support of a request from the State of Louisiana, as directed by and in coordination with FEMA, Health & Human Services (HHS) will deploy NDMS Disaster Medical Assistance Team (DMAT) medical response teams, personnel, and equipment to augment State and local medical response resources. NDMS team capabilities include the following: - Primary and acute care, mass casualties triage, initial resuscitation and stabilization, advanced life support, and preparing the sick or injured for evacuation - Mass casualty decontamination; medical triage following a nuclear, biological, and/or chemical incidents. Teams are composed of non-Federal volunteers who are placed on intermittent Federal appointments to facilitate activation, when necessary. When activated, NDMS response team members are Federalized employees of the HHS. Teams are normally deployed for 10 to 14 days. FEMA logistical support needed: Teams may require some level of base operating support (food, shelter, laundry, etc.). - MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s). - Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement. - All equipment and supply purchases must be coordinated with FEMA Project Manager. If approved, documentation is necessary to ensure reimbursement. - Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA. - The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency - MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amendment#1: MA cancelled as DMAT not received de-ob all funds to operationally and financially close MA.

Activate and deploy 4 Level One DMAT Teams to staff & run FMS (Field Medical Stations) w/ capability to handle 250 patient capacity @ ea. FMS location to increase hospital capacity in Louisiana's Region 1, New Orleans area were COVID-19 patient count is rapidly increasing.


Four (4) Field Medical Stations (250 patient capacity each) to be set up and occupy existing facilities at the Ernest N. MoriaI Convention Center in New Orleans, La. This request is to increase the hospital capacity in the region 1 area where current COVID -19 patient count is increasing rapidly.

At the request of the State of Louisiana, and in coordination with FEMA, Health & Human Services (HHS) will provide Federal Medical Station(s) (FMS) in 250-bed configurations with medical supplies to support acute, non-surgical, non-traumatic, non-chronic patients. This support will augment State and local medical response resources for immediate and short-term medical needs.

Support personnel with FMS may include, but are not limited to, the following::
 - A 2- to 3-person FIT to assist with installation/medical resupply
 - One RDF Team to provide primary medical care. RDF Team includes 105 Public Health Service Officers (clinical, mental health and applied public health staff) who can report within 12 hours notice.
FEMA Logistics support may be required for:
 - On-site material handling equipment with trained personnel
 - Secure, climate-controlled warehouse space
 - Billeting, fuel, and other support as required.
Product inventory dispensed through FMS will flow through normal supply chain distribution; FEMA will not be responsible for physical possession, storage, or distribution of product inventory.

ADDITIONAL NOTES from FEMA:
- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amendment#1: De-obligate all funds to operationally and financially close out mission.  This MA was replaced by VA-01.

Four (4) Field Medical Stations (250 patient capacity each) to be set up and occupy existing facilities at the Ernest N. MoriaI Convention Center in New Orleans, La. This request is to increase the hospital capacity in the region 1 area where current COVID -19 patient count is increasing rapidly.


Amendment#2: Re-open to extend end date 4 June and fund MA in the amount of $4,288,000.00 and change PM to Eddie Pack.
Amendment#1: De-obligate all funds to operationally and financially close out mission.  This MA was replaced by VA-01.

Four (4) Field Medical Stations (250 patient capacity each) to be set up and occupy existing facilities at the Ernest N. MoriaI Convention Center in New Orleans, La. This request is to increase the hospital capacity in the region 1 area where current COVID -19 patient count is increasing rapidly.


Amend #3: Amend to fully de-obligate $4,288,000.00 and financially close mission per FEMA HQ COT.
MA is being de-obligated due to inactivity.  HHS may find valid expenses after an audit of the MA later this year.  IF valid expenses are found, funds will need to be added to cover those expenses.

Amendment#2: Re-open to extend end date 4 June and fund MA in the amount of $4,288,000.00 and change PM to Eddie Pack.
Amendment#1: De-obligate all funds to operationally and financially close out mission.  This MA was replaced by VA-01.

Four (4) Field Medical Stations (250 patient capacity each) to be set up and occupy existing facilities at the Ernest N. MoriaI Convention Center in New Orleans, La. This request is to increase the hospital capacity in the region 1 area where current COVID -19 patient count is increasing rapidly.


Amendment#4: Per FFC re-open MA obligated funds by $2,469,510.18 to cover bills.  Email attached for justification.

Amend #3: Amend to fully de-obligate $4,288,000.00 and financially close mission per FEMA HQ COT.
MA is being de-obligated due to inactivity.  HHS may find valid expenses after an audit of the MA later this year.  IF valid expenses are found, funds will need to be added to cover those expenses.

Amendment#2: Re-open to extend end date 4 June and fund MA in the amount of $4,288,000.00 and change PM to Eddie Pack.
Amendment#1: De-obligate all funds to operationally and financially close out mission.  This MA was replaced by VA-01.

Four (4) Field Medical Stations (250 patient capacity each) to be set up and occupy existing facilities at the Ernest N. MoriaI Convention Center in New Orleans, La. This request is to increase the hospital capacity in the region 1 area where current COVID -19 patient count is increasing rapidly.


Amend #5:  Amend to change state cost share to 0% per POTUS MEMOS attached.

Amendment#4: Per FFC re-open MA obligated funds by $2,469,510.18 to cover bills.  Email attached for justification.

Amend #3: Amend to fully de-obligate $4,288,000.00 and financially close mission per FEMA HQ COT.
MA is being de-obligated due to inactivity.  HHS may find valid expenses after an audit of the MA later this year.  IF valid expenses are found, funds will need to be added to cover those expenses.

Amendment#2: Re-open to extend end date 4 June and fund MA in the amount of $4,288,000.00 and change PM to Eddie Pack.
Amendment#1: De-obligate all funds to operationally and financially close out mission.  This MA was replaced by VA-01.

Four (4) Field Medical Stations (250 patient capacity each) to be set up and occupy existing facilities at the Ernest N. MoriaI Convention Center in New Orleans, La. This request is to increase the hospital capacity in the region 1 area where current COVID -19 patient count is increasing rapidly.


****This is a re-issue of 3459EM-LA-HHS-03-00 under 4484DR-LA****

Louisiana is requesting an Epidemiology Team from CDC to assist the States team to address rapidly developing spread in several facilities across
the state, including but not limited to nursing homes. LA has seen the fastest rate of growth in new cases of COVID-19 in the world. Please see
attached for more

In support of a request from the State of Louisiana, as directed by and in coordination with FEMA, Health & Human Services (HHS) will assist State and local staff in responding to COVID-19 by conducting activities which may include but are not limited to evaluating environmental conditions and impacts on human health, and where possible, working to initiate public health interventions and control measures to lessen impacts in the affected areas.

FEMA logistical support: Teams may require some level of base operating support (food, shelter, laundry, etc.).

HHS may subtask other Federal agencies for disaster medical support requirements as needed.

- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
 - Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
 - All equipment and supply purchases must be coordinated with FEMA Project Manager. If approved, documentation is necessary to ensure reimbursement.
 - Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
 - The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
 - MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided


Amend #1: De-obligate full amount and close per HHS.  Resource has alternate pay method.

****This is a re-issue of 3459EM-LA-HHS-03-00 under 4484DR-LA****

Louisiana is requesting an Epidemiology Team from CDC to assist the States team to address rapidly developing spread in several facilities across
the state, including but not limited to nursing homes. LA has seen the fastest rate of growth in new cases of COVID-19 in the world. Please see
attached for more


Louisiana request, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) provide 16 med/surgical beds and 2 intensive care (ICU) beds at the Overton Brooks VA Medical Center in Shreveport, LA for immediate and short-term acute medical treatment.  The work should include any or all the following VHA capabilities: 24 hour medical/administrative/support staff, medical/nonmedical equipment, sustenance, pharmaceuticals, supplies and ancillary serviced to care for critical, non-critical, COVID positive and non-COVID positive, non-Veteran patients.

As directed by and in coordination with FEMA in support of Louisiana request, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) will provide up to 16 acute care (med/surg) and 2 Intensive Care Unit (ICU) beds at the Shreveport (Overton Brooks) VAMC for immediate and short-term medical treatment. The work will include any or all the following VHA capabilities: 24-hour medical/administrative/support staff, medical/nonmedical equipment, sustenance, supplies, pharmaceuticals, and ancillary services to care for critical and non-critical, non-COVID and COVID positive, non-Veteran patients.

HHS/Louisiana to provide PPE and ventilators, as available.
VHA cannot accept Pediatric or OB/GYN patients.
HHS/Louisiana will return the beds/space to the original condition and all necessary disinfection/decontamination will be completed to ensure a rapid and completed return to Veteran occupancy as soon as possible. HHS/Louisiana will be responsible for any damages or repairs.

ADDITIONAL NOTES from FEMA:
--- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
--- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
--- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
--- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
--- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
--- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amendment#1: De-obligate all funds to operationally and financially close out mission.  MA issued in error.
Louisiana request, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) provide 16 med/surgical beds and 2 intensive care (ICU) beds at the Overton Brooks VA Medical Center in Shreveport, LA for immediate and short-term acute medical treatment.  The work should include any or all the following VHA capabilities: 24 hour medical/administrative/support staff, medical/nonmedical equipment, sustenance, pharmaceuticals, supplies and ancillary serviced to care for critical, non-critical, COVID positive and non-COVID positive, non-Veteran patients.


The State of Louisiana is requesting the below staff to help augment the shortages in hospitals across Louisiana due to the COVID-19 pandemic.

200  RNs (Med Surge/ICU Step Down/ER experience required)
250 - ICU Nurses (ICU experienced required)
150  Patient Care Attendants/ Certified Nursing Assistance
30  LPNs
10 - Lab Technicians
40 - Respiratory Therapy Technicians
10  Phlebotomist

Justification:

These numbers are based on our upward framing of hospital request.  Total staff requested will assist our four greatest impacted parishes augment staff lost due to COVID infections and increase their bed capacity to provide care for the increasing COVID admissions.  The nature of this pandemic has called for health care facilities to creatively support surge in COVID positive and PUIs patients, higher acuity levels with decreased nurse-patient ratios, Personal Protective Equipment Donning/Doffing requirements and limitations, frequency in environmental cleaning and decontamination.

Hospitals in Regions 2, 4, 5 (East Baton Rouge Parish, Lafayette Parish, Iberia Parish and Calcasieu Parish) need staffing for an additional 90 floor beds and an additional 66 ICU beds. Since July 1, 2020, Louisiana has added 23,953 COVID-19 cases, 570 hospitalizations with 65 additional on ventilators, and an additional 221 deaths. Our statewide numbers continue to rise daily and we anticipate possible additional healthcare staff shortages.

As requested by the State of Louisiana and in coordination with FEMA, HHS will provide NDMS and PHS resources to assist with medical staffing across the State.

ADDITIONAL NOTES from FEMA:
--- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
--- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
--- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
--- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
--- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
--- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amendment#1: Amend to increase funds by $870,000.00. Documentation is attached to justify action.

The State of Louisiana is requesting the below staff to help augment the shortages in hospitals across Louisiana due to the COVID-19 pandemic.

200  RNs (Med Surge/ICU Step Down/ER experience required)
250 - ICU Nurses (ICU experienced required)
150  Patient Care Attendants/ Certified Nursing Assistance
30  LPNs
10 - Lab Technicians
40 - Respiratory Therapy Technicians
10  Phlebotomist

Justification:

These numbers are based on our upward framing of hospital request.  Total staff requested will assist our four greatest impacted parishes augment staff lost due to COVID infections and increase their bed capacity to provide care for the increasing COVID admissions.  The nature of this pandemic has called for health care facilities to creatively support surge in COVID positive and PUIs patients, higher acuity levels with decreased nurse-patient ratios, Personal Protective Equipment Donning/Doffing requirements and limitations, frequency in environmental cleaning and decontamination.

Hospitals in Regions 2, 4, 5 (East Baton Rouge Parish, Lafayette Parish, Iberia Parish and Calcasieu Parish) need staffing for an additional 90 floor beds and an additional 66 ICU beds. Since July 1, 2020, Louisiana has added 23,953 COVID-19 cases, 570 hospitalizations with 65 additional on ventilators, and an additional 221 deaths. Our statewide numbers continue to rise daily and we anticipate possible additional healthcare staff shortages.


Amendment#2: At the request of HHS, extend MA to 9/2/20.  No additional funding required. (Email justification is attached).

Amendment#1: Amend to increase funds by $870,000.00. Documentation is attached to justify action.

The State of Louisiana is requesting the below staff to help augment the shortages in hospitals across Louisiana due to the COVID-19 pandemic.

200  RNs (Med Surge/ICU Step Down/ER experience required)
250 - ICU Nurses (ICU experienced required)
150  Patient Care Attendants/ Certified Nursing Assistance
30  LPNs
10 - Lab Technicians
40 - Respiratory Therapy Technicians
10  Phlebotomist

Justification:

These numbers are based on our upward framing of hospital request.  Total staff requested will assist our four greatest impacted parishes augment staff lost due to COVID infections and increase their bed capacity to provide care for the increasing COVID admissions.  The nature of this pandemic has called for health care facilities to creatively support surge in COVID positive and PUIs patients, higher acuity levels with decreased nurse-patient ratios, Personal Protective Equipment Donning/Doffing requirements and limitations, frequency in environmental cleaning and decontamination.

Hospitals in Regions 2, 4, 5 (East Baton Rouge Parish, Lafayette Parish, Iberia Parish and Calcasieu Parish) need staffing for an additional 90 floor beds and an additional 66 ICU beds. Since July 1, 2020, Louisiana has added 23,953 COVID-19 cases, 570 hospitalizations with 65 additional on ventilators, and an additional 221 deaths. Our statewide numbers continue to rise daily and we anticipate possible additional healthcare staff shortages.


Amend #3: Amend to fully de-obligate $2,375,300.00 and financially close mission per FEMA HQ COT.
MA is being de-obligated due to inactivity.  HHS may find valid expenses after an audit of the MA later this year.  IF valid expenses are found, funds will need to be added to cover those expenses.

Amendment#2: At the request of HHS, extend MA to 9/2/20.  No additional funding required. (Email justification is attached).

Amendment#1: Amend to increase funds by $870,000.00. Documentation is attached to justify action.

The State of Louisiana is requesting the below staff to help augment the shortages in hospitals across Louisiana due to the COVID-19 pandemic.

200  RNs (Med Surge/ICU Step Down/ER experience required)
250 - ICU Nurses (ICU experienced required)
150  Patient Care Attendants/ Certified Nursing Assistance
30  LPNs
10 - Lab Technicians
40 - Respiratory Therapy Technicians
10  Phlebotomist

Justification:

These numbers are based on our upward framing of hospital request.  Total staff requested will assist our four greatest impacted parishes augment staff lost due to COVID infections and increase their bed capacity to provide care for the increasing COVID admissions.  The nature of this pandemic has called for health care facilities to creatively support surge in COVID positive and PUIs patients, higher acuity levels with decreased nurse-patient ratios, Personal Protective Equipment Donning/Doffing requirements and limitations, frequency in environmental cleaning and decontamination.

Hospitals in Regions 2, 4, 5 (East Baton Rouge Parish, Lafayette Parish, Iberia Parish and Calcasieu Parish) need staffing for an additional 90 floor beds and an additional 66 ICU beds. Since July 1, 2020, Louisiana has added 23,953 COVID-19 cases, 570 hospitalizations with 65 additional on ventilators, and an additional 221 deaths. Our statewide numbers continue to rise daily and we anticipate possible additional healthcare staff shortages.


Amend #4:  Amend to adjust state cost share to 0% per POTUS MEMOS attached.

Amend #3: Amend to fully de-obligate $2,375,300.00 and financially close mission per FEMA HQ COT.
MA is being de-obligated due to inactivity.  HHS may find valid expenses after an audit of the MA later this year.  IF valid expenses are found, funds will need to be added to cover those expenses.

Amendment#2: At the request of HHS, extend MA to 9/2/20.  No additional funding required. (Email justification is attached).

Amendment#1: Amend to increase funds by $870,000.00. Documentation is attached to justify action.

The State of Louisiana is requesting the below staff to help augment the shortages in hospitals across Louisiana due to the COVID-19 pandemic.

200  RNs (Med Surge/ICU Step Down/ER experience required)
250 - ICU Nurses (ICU experienced required)
150  Patient Care Attendants/ Certified Nursing Assistance
30  LPNs
10 - Lab Technicians
40 - Respiratory Therapy Technicians
10  Phlebotomist

Justification:

These numbers are based on our upward framing of hospital request.  Total staff requested will assist our four greatest impacted parishes augment staff lost due to COVID infections and increase their bed capacity to provide care for the increasing COVID admissions.  The nature of this pandemic has called for health care facilities to creatively support surge in COVID positive and PUIs patients, higher acuity levels with decreased nurse-patient ratios, Personal Protective Equipment Donning/Doffing requirements and limitations, frequency in environmental cleaning and decontamination.

Hospitals in Regions 2, 4, 5 (East Baton Rouge Parish, Lafayette Parish, Iberia Parish and Calcasieu Parish) need staffing for an additional 90 floor beds and an additional 66 ICU beds. Since July 1, 2020, Louisiana has added 23,953 COVID-19 cases, 570 hospitalizations with 65 additional on ventilators, and an additional 221 deaths. Our statewide numbers continue to rise daily and we anticipate possible additional healthcare staff shortages.


Request one (1) HHS REC to coordinate LDH and federal operations and 3-5 person HHS assessment team for one week to determine resources needed to support LDH in requesting medical personnel with skill sets that match identified needs by the state to supplement medical system; FEMA/AMR resources to supplement medical operations as needed.  HHS will manage all HHS assets including overhead support.

At the request of the State of Louisiana, and in coordination with FEMA, HHS will deploy Medical Assessment Teams, including but not limited to personnel and equipment necessary to provide assessments for medical care at the direction of Louisiana Department of Health.

ADDITIONAL NOTES from FEMA:
--- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
--- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
--- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
--- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
--- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
--- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amend #1: This MA is being fully de-obligated and will be re-issued under ARPA funding in current disaster but with adjusted SOW and Cost Share to 100%.

Request one (1) HHS REC to coordinate LDH and federal operations and 3-5 person HHS assessment team for one week to determine resources needed to support LDH in requesting medical personnel with skill sets that match identified needs by the state to supplement medical system; FEMA/AMR resources to supplement medical operations as needed.  HHS will manage all HHS assets including overhead support.


Request medical staff to support multiple hospitals in Louisiana due to a shortage in staff because of the COVID-19 pandemic. See attached documents for justifications.

At the request of the State of Louisiana, and in coordination with FEMA, HHS will provide NDMS, including but not limited to DMAT, TCCT, IMT, REC, associated support personnel, equipment, and PPE to provide medical care at the direction of the Louisiana Department of Health.
Medical care locations and teams will be specified on Mission Assignment Tasking Orders (MATO) based on the priority set by the State and availability of medical resources.

ADDITIONAL NOTES from FEMA:
--- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
--- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
--- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
--- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
--- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
--- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amend #1: This MA is being fully de-obligated and will be re-issued under ARPA funding in current disaster but with adjusted SOW and Cost Share to 100%.

Request medical staff to support multiple hospitals in Louisiana due to a shortage in staff because of the COVID-19 pandemic. See attached documents for justifications.


ARPA: This MA is being issued with funding through the American Rescue Plan Act of 2021.
This MA replaces 4484DR-LA-HHS-ASPR-01 due to adjustments in SOW and Cost Share to 100%.

Request one (1) HHS REC to coordinate LDH and federal operations and 3-5 person HHS assessment team for one week to determine resources needed to support LDH in requesting medical personnel with skill sets that match identified needs by the state to supplement medical system; FEMA/AMR resources to supplement medical operations as needed.  HHS will manage all HHS assets including overhead support.

At the request of the State of Louisiana, and in coordination with FEMA, HHS will deploy Medical Assessment Teams, including but not limited to personnel and equipment necessary to provide assessments for medical care at the direction of Louisiana Department of Health.

This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any
expenditures under this MA must be submitted to FEMA no later than 09/30/2030***

ADDITIONAL NOTES from FEMA:
--- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
--- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
--- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
--- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
--- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
--- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


ARPA   Amend #1:  Amend to extend end date through 31 OCT 21 with state concurrence.   No additional funding at this time.

ARPA: This MA is being issued with funding through the American Rescue Plan Act of 2021.

This MA replaces 4484DR-LA-HHS-ASPR-01 due to adjustments in SOW and Cost Share to 100%.

Request one (1) HHS REC to coordinate LDH and federal operations and 3-5 person HHS assessment team for one week to determine resources needed to support LDH in requesting medical personnel with skill sets that match identified needs by the state to supplement medical system; FEMA/AMR resources to supplement medical operations as needed.  HHS will manage all HHS assets including overhead support.


ARPA  Amend #2:  Amend to fully de-obligate funds in amount of $10,000.00  (BFY 21) due to inactivity per FEMA HQ.  Change PM to Juan "Johnny" Jaimez.

ARPA   Amend #1:  Amend to extend end date through 31 OCT 21 with state concurrence.   No additional funding at this time.

ARPA: This MA is being issued with funding through the American Rescue Plan Act of 2021.

This MA replaces 4484DR-LA-HHS-ASPR-01 due to adjustments in SOW and Cost Share to 100%.

Request one (1) HHS REC to coordinate LDH and federal operations and 3-5 person HHS assessment team for one week to determine resources needed to support LDH in requesting medical personnel with skill sets that match identified needs by the state to supplement medical system; FEMA/AMR resources to supplement medical operations as needed.  HHS will manage all HHS assets including overhead support.


Amend #3:  Amend to re-obligate $10,310.89 per HHS to cover incoming bills for travel.  Change PM to Shannon Moran.
ARPA  Amend #2:  Amend to fully de-obligate funds in amount of $10,000.00  (BFY 21) due to inactivity per FEMA HQ.  Change PM to Juan "Johnny" Jaimez.
ARPA   Amend #1:  Amend to extend end date through 31 OCT 21 with state concurrence.   No additional funding at this time.
ARPA: This MA is being issued with funding through the American Rescue Plan Act of 2021.
This MA replaces 4484DR-LA-HHS-ASPR-01 due to adjustments in SOW and Cost Share to 100%.
Request one (1) HHS REC to coordinate LDH and federal operations and 3-5 person HHS assessment team for one week to determine resources needed to support LDH in requesting medical personnel with skill sets that match identified needs by the state to supplement medical system; FEMA/AMR resources to supplement medical operations as needed.  HHS will manage all HHS assets including overhead support.


AMEND #4: De-obligate remaining funds in amount of $10,310.89 (BFY 23) (06) to financially close MA per CFO #157 and MA Policy #104-010-2.  No activity over 180 days.  Change PM to Eddie Pack.
Amend #3:  Amend to re-obligate $10,310.89 per HHS to cover incoming bills for travel.  Change PM to Shannon Moran.
ARPA  Amend #2:  Amend to fully de-obligate funds in amount of $10,000.00  (BFY 21) due to inactivity per FEMA HQ.  Change PM to Juan "Johnny" Jaimez.
ARPA   Amend #1:  Amend to extend end date through 31 OCT 21 with state concurrence.   No additional funding at this time.
ARPA: This MA is being issued with funding through the American Rescue Plan Act of 2021.
This MA replaces 4484DR-LA-HHS-ASPR-01 due to adjustments in SOW and Cost Share to 100%.
Request one (1) HHS REC to coordinate LDH and federal operations and 3-5 person HHS assessment team for one week to determine resources needed to support LDH in requesting medical personnel with skill sets that match identified needs by the state to supplement medical system; FEMA/AMR resources to supplement medical operations as needed.  HHS will manage all HHS assets including overhead support.


ARPA: This MA is being issued with funding through the American Rescue Plan Act of 2021.
This MA replaces 4484DR-LA-HHS-ASPR-02 due to adjustments in SOW and Cost Share to 100%.

Request medical staff to support multiple hospitals in Louisiana due to a shortage in staff because of the COVID-19 pandemic. See attached documents for justifications.

At the request of the State of Louisiana, and in coordination with FEMA, HHS will provide NDMS, including but not limited to DMAT, TCCT, IMT, REC, associated support personnel, equipment, and PPE to provide medical care at the direction of the Louisiana Department of Health.
Medical care locations and teams will be specified on Mission Assignment Tasking Orders (MATO) based on the priority set by the State and availability of medical resources.

This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any
expenditures under this MA must be submitted to FEMA no later than 09/30/2030***

ADDITIONAL NOTES from FEMA:
--- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
--- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
--- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
--- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
--- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
--- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


ARPA   Amend #1: Amend to extend end date to 30 SEP 21 and increase funding by additional $1,075,000.00 with state concurrence.

ARPA: This MA is being issued with funding through the American Rescue Plan Act of 2021.
This MA replaces 4484DR-LA-HHS-ASPR-02 due to adjustments in SOW and Cost Share to 100%.

Request medical staff to support multiple hospitals in Louisiana due to a shortage in staff because of the COVID-19 pandemic. See attached documents for justifications.


ARPA   Amend #2:  Amend to fully de-obligate funds in amount of $3,175,000.00 (BFY 21)  due to inactivity and per FEMA HQ notice. Change PM to Juan "Johnny" Jaimez.

ARPA   Amend #1: Amend to extend end date to 30 SEP 21 and increase funding by additional $1,075,000.00 with state concurrence.

ARPA: This MA is being issued with funding through the American Rescue Plan Act of 2021.
This MA replaces 4484DR-LA-HHS-ASPR-02 due to adjustments in SOW and Cost Share to 100%.

Request medical staff to support multiple hospitals in Louisiana due to a shortage in staff because of the COVID-19 pandemic. See attached documents for justifications.


Louisiana request, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) provide 16 med/surgical beds and 2 intensive care (ICU) beds at the Overton Brooks VA Medical Center in Shreveport, LA for immediate and short-term acute medical treatment. The work should include any or all the following VHA capabilities: 24 hour medical/administrative/support staff, medical/nonmedical equipment, sustenance, pharmaceuticals, supplies and ancillary serviced to care for critical, non-critical, COVID positive and non-COVID positive, non-Veteran patients.

As directed by and in coordination with FEMA in support of Louisiana request, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) will provide up to 16 acute care (med/surg) and 2 Intensive Care Unit (ICU) beds at the Shreveport (Overton Brooks) VAMC for immediate and short-term medical treatment.  The work will include any or all the following VHA capabilities: 24-hour medical/administrative/support staff, medical/nonmedical equipment, sustenance, supplies, pharmaceuticals, and ancillary services to care for critical and non-critical, non-COVID and COVID positive, non-Veteran patients.

HHS/Louisiana to provide PPE and ventilators, as available.
VHA cannot accept Pediatric or OB/GYN patients.
HHS/Louisiana will return the beds/space to the original condition and all necessary disinfection/decontamination will be completed to ensure a rapid and completed return to Veteran occupancy as soon as possible.  HHS/Louisiana will be responsible for any damages or repairs


Amend #1:  Amend to fully de-obligate $5,400,000.00 (BFY 20) and close mission per VA and FEMA HQ MA.

Louisiana request, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) provide 16 med/surgical beds and 2 intensive care (ICU) beds at the Overton Brooks VA Medical Center in Shreveport, LA for immediate and short-term acute medical treatment. The work should include any or all the following VHA capabilities: 24 hour medical/administrative/support staff, medical/nonmedical equipment, sustenance, pharmaceuticals, supplies and ancillary serviced to care for critical, non-critical, COVID positive and non-COVID positive, non-Veteran patients.


VHA healthcare personnel from Shreveport and Alexandria VAMCs to support COVID-19 vulnerable residents/patients in the Southwest LA State Veterans Home. Request is for 4 Certified Nursing Assistants, 4 Licensed Practical Nurses, 2
Registered Nurses. Services to be provided at the Southwest LA State Veterans Home in Jennings, LA. The state has exhausted all other options for providers. Services to be provided but not limited to 14 days.

As directed by and in coordination with FEMA, in support of State of LA request, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) will provide Certified Nursing Assistants, Licensed Practical Nurses, and Registered Nurses at the Southwest LA State Veterans Home in Jennings, LA.

ADDITIONAL NOTES from FEMA:
--- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
--- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
--- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
--- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
--- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
--- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amend #1: Amend to backdate start date one day to 5 July 2020 as per VA request and concurrence by the State of LA, as travel costs incurred by VA personnel on 5 July 2020. Both agreed to note the correction here in block II with FEMA concurrence.

VHA healthcare personnel from Shreveport and Alexandria VAMCs to support COVID-19 vulnerable residents/patients in the Southwest LA State Veterans Home. Request is for 4 Certified Nursing Assistants, 4 Licensed Practical Nurses, 2
Registered Nurses. Services to be provided at the Southwest LA State Veterans Home in Jennings, LA. The state has exhausted all other options for providers. Services to be provided but not limited to 14 days.


Amend #2: Amend to extend end date to 2 AUG 2020 and add additional funding of $105,000.00 per VA and concurrence by state of LA.  Change PM to Chris Hanson.

Amend #1: Amend to backdate start date one day to 5 July 2020 as per VA request and concurrence by the State of LA, as travel costs incurred by VA personnel on 5 July 2020. Both agreed to note the correction here in block II with FEMA concurrence.

VHA healthcare personnel from Shreveport and Alexandria VAMCs to support COVID-19 vulnerable residents/patients in the Southwest LA State Veterans Home. Request is for 4 Certified Nursing Assistants, 4 Licensed Practical Nurses, 2
Registered Nurses. Services to be provided at the Southwest LA State Veterans Home in Jennings, LA. The state has exhausted all other options for providers. Services to be provided but not limited to 14 days.


Amend #3: Amend to de-obligate remaining funds in amount of $142,900.22 (BFY 20) and financially close MA per VA and FEMA HQ MA program.  Change state cost share to 0% per POTUS memo and change PM to Eddie Pack.

Amend #2: Amend to extend end date to 2 AUG 2020 and add additional funding of $105,000.00 per VA and concurrence by state of LA.  Change PM to Chris Hanson.

Amend #1: Amend to backdate start date one day to 5 July 2020 as per VA request and concurrence by the State of LA, as travel costs incurred by VA personnel on 5 July 2020. Both agreed to note the correction here in block II with FEMA concurrence.

VHA healthcare personnel from Shreveport and Alexandria VAMCs to support COVID-19 vulnerable residents/patients in the Southwest LA State Veterans Home. Request is for 4 Certified Nursing Assistants, 4 Licensed Practical Nurses, 2
Registered Nurses. Services to be provided at the Southwest LA State Veterans Home in Jennings, LA. The state has exhausted all other options for providers. Services to be provided but not limited to 14 days.


Veterans Health Administration (VHA) to provide short term acute care (med/surg) and/or intensive care (ICU) beds at:

	New Orleans VAMC-5 Beds-3 M/S and 2 ICU
	Alexandria VAMC-5 Beds-5 M/S
	Shreveport VAMC-4 Beds-4 M/S

for non-COVID and COVID-positive patients who are not eligible for such benefits.

As directed by and in coordination with FEMA in support of a State of Louisiana request, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) will provide acute care (med/surg) and/or Intensive Care Unit (ICU) beds.

The work will include any or all the following VHA capabilities: 24 hour medical/administrative/support staff, medical/nonmedical equipment, sustenance, supplies, pharmaceuticals, and ancillary services to care for critical and noncritical, non-COVID and COVID-positive, patients who are not eligible for the care from VA.

HHS/State to provide PPE and ventilators, as available.
VHA cannot accept Pediatric or OB/GYN patients.
State of Louisiana will appoint/provide a bed coordinator to adjudicate and prioritize potential patients for transfer from local hospitals to the previous mentioned VAMCs.
HHS/State will return the beds/space to the original condition and all necessary disinfection/decontamination will be completed to ensure a rapid and completed return to Veteran occupancy as soon as possible. HHS/State will be responsible for any damages or repairs.

ADDITIONAL NOTES from FEMA:
--- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
--- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
--- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
--- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
--- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
--- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amend #1: Amend to extend end date 30 days through 20 Sep 2020.  No additional funding required.  State concurrence obtained.

Veterans Health Administration (VHA) to provide short term acute care (med/surg) and/or intensive care (ICU) beds at:

	New Orleans VAMC-5 Beds-3 M/S and 2 ICU
	Alexandria VAMC-5 Beds-5 M/S
	Shreveport VAMC-4 Beds-4 M/S

for non-COVID and COVID-positive patients who are not eligible for such benefits.


Amend #2:  Amend to fully de-obligate $2,776,140.00 (BFY 20) and close mission per VA and HQ Closeout Team.

Amend #1: Amend to extend end date 30 days through 20 Sep 2020.  No additional funding required.  State concurrence obtained.

Veterans Health Administration (VHA) to provide short term acute care (med/surg) and/or intensive care (ICU) beds at:

	New Orleans VAMC-5 Beds-3 M/S and 2 ICU
	Alexandria VAMC-5 Beds-5 M/S
	Shreveport VAMC-4 Beds-4 M/S

for non-COVID and COVID-positive patients who are not eligible for such benefits.


VHA to provide seven (7) registered nurses to support vulnerable residents/patients at the Iberia Medical Center in New Iberia, Louisiana.  The state has exhausted all other options for providers.

As directed by and in coordination with FEMA in support of State of Louisiana request, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) will provide clinical and/or non-clinical staff at the Iberia Medical Center in New Iberia, Louisiana.
.
HHS/State to provide PPE, as available.
VHA cannot provide services for Pediatric or OB/GYN patients.
HHS/State will reimburse for overtime, lodging, per diem, transportation costs, supplies, and ancillary fees and costs, as applicable.

ADDITIONAL NOTES from FEMA:
--- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
--- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
--- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
--- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
--- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
--- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amend #1: Amend to de-obligate remaining funding in amount of $71,649.90 (BFY 20) and close mission per VA and HQ Closeout Team.

VHA to provide seven (7) registered nurses to support vulnerable residents/patients at the Iberia Medical Center in New Iberia, Louisiana.  The state has exhausted all other options for providers.


VHA to provide housekeeping services to the Northwest Louisiana Veterans Home in Bossier, LA to provide a one-time terminal room cleaning of COVID and Non-COVID rooms. The State Veterans Home is experiencing a shortage of cleaning staff due to a COVID outbreak among staff.

ADDITIONAL COMMENTS: VHA to provide 4 Housekeeping Aids and 1 Supervisor to the Northwest Louisiana Veterans Home in Bossier, LA to provide a one-time terminal room cleaning of COVID and Non-COVID rooms. The State Veterans Home is experiencing a shortage of cleaning staff due to a COVID outbreak among staff. Calculated as follows: Overtime cost for 4 Housekeepers and1 Supervisor for 8 days - $5,500.00 Standard cleaning supplies used for non-COVID Rooms - $1500.00 Standard cleaning supplies for COVID Rooms - $1,500.00

As directed by and in coordination with FEMA in support of State of Louisiana request, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) will provide cleaning staff, cleaning supplies and needed PPE to provide terminal room cleaning for COVID and Non-COVID rooms at Louisiana State Veterans Home. . HHS/State will reimburse for overtime, lodging, per diem, transportation costs, supplies, and ancillary fees and costs, as applicable.

MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration
of assignment(s). Agency will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation
is required for reimbursement.
All equipment and supply purchases must be coordinated with FEMA Project Manager. If approved, documentation
is necessary to ensure reimbursement.Activation of agency command center(s), if required, must be coordinated
with FEMA as a separate MA.
The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received,
services are provided, and that costs are reasonable and supported by documentation maintained by the respective
agency MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA
CFO Bulletin #157.
For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation,
or additional justification has been provided.


Amend #1: Amend to extend end date 7 days through 18 Aug 2020 per VA request and state concurrence.  No additional funds required.

VHA to provide housekeeping services to the Northwest Louisiana Veterans Home in Bossier, LA to provide a one-time terminal room cleaning of COVID and Non-COVID rooms. The State Veterans Home is experiencing a shortage of cleaning staff due to a COVID outbreak among staff.

ADDITIONAL COMMENTS: VHA to provide 4 Housekeeping Aids and 1 Supervisor to the Northwest Louisiana Veterans Home in Bossier, LA to provide a one-time terminal room cleaning of COVID and Non-COVID rooms. The State Veterans Home is experiencing a shortage of cleaning staff due to a COVID outbreak among staff. Calculated as follows: Overtime cost for 4 Housekeepers and1 Supervisor for 8 days - $5,500.00 Standard cleaning supplies used for non-COVID Rooms - $1500.00 Standard cleaning supplies for COVID Rooms - $1,500.00


Amend #2: Amend to extend end date to 8.31.2020. No additional funds needed.

Amend #1: Amend to extend end date 7 days through 18 Aug 2020 per VA request and state concurrence.  No additional funds required.

VHA to provide housekeeping services to the Northwest Louisiana Veterans Home in Bossier, LA to provide a one-time terminal room cleaning of COVID and Non-COVID rooms. The State Veterans Home is experiencing a shortage of cleaning staff due to a COVID outbreak among staff.

ADDITIONAL COMMENTS: VHA to provide 4 Housekeeping Aids and 1 Supervisor to the Northwest Louisiana Veterans Home in Bossier, LA to provide a one-time terminal room cleaning of COVID and Non-COVID rooms. The State Veterans Home is experiencing a shortage of cleaning staff due to a COVID outbreak among staff. Calculated as follows: Overtime cost for 4 Housekeepers and1 Supervisor for 8 days - $5,500.00 Standard cleaning supplies used for non-COVID Rooms - $1500.00 Standard cleaning supplies for COVID Rooms - $1,500.00


Amend #3: Amend to extend end date 30 days through 30 Sep 2020, no additional funding required per VA.  State concurrence obtained.

Amend #2: Amend to extend end date to 8.31.2020. No additional funds needed.

Amend #1: Amend to extend end date 7 days through 18 Aug 2020 per VA request and state concurrence.  No additional funds required.

VHA to provide housekeeping services to the Northwest Louisiana Veterans Home in Bossier, LA to provide a one-time terminal room cleaning of COVID and Non-COVID rooms. The State Veterans Home is experiencing a shortage of cleaning staff due to a COVID outbreak among staff.

ADDITIONAL COMMENTS: VHA to provide 4 Housekeeping Aids and 1 Supervisor to the Northwest Louisiana Veterans Home in Bossier, LA to provide a one-time terminal room cleaning of COVID and Non-COVID rooms. The State Veterans Home is experiencing a shortage of cleaning staff due to a COVID outbreak among staff. Calculated as follows: Overtime cost for 4 Housekeepers and1 Supervisor for 8 days - $5,500.00 Standard cleaning supplies used for non-COVID Rooms - $1500.00 Standard cleaning supplies for COVID Rooms - $1,500.00


Amend #4: Amend to de-obligate remaining funds in the amount of $3,500.00, per agency and HQ-MA-Closeout Team.

Amend #3: Amend to extend end date 30 days through 30 Sep 2020, no additional funding required per VA.  State concurrence obtained.

Amend #2: Amend to extend end date to 8.31.2020. No additional funds needed.

Amend #1: Amend to extend end date 7 days through 18 Aug 2020 per VA request and state concurrence.  No additional funds required.

VHA to provide housekeeping services to the Northwest Louisiana Veterans Home in Bossier, LA to provide a one-time terminal room cleaning of COVID and Non-COVID rooms. The State Veterans Home is experiencing a shortage of cleaning staff due to a COVID outbreak among staff.

ADDITIONAL COMMENTS: VHA to provide 4 Housekeeping Aids and 1 Supervisor to the Northwest Louisiana Veterans Home in Bossier, LA to provide a one-time terminal room cleaning of COVID and Non-COVID rooms. The State Veterans Home is experiencing a shortage of cleaning staff due to a COVID outbreak among staff. Calculated as follows: Overtime cost for 4 Housekeepers and1 Supervisor for 8 days - $5,500.00 Standard cleaning supplies used for non-COVID Rooms - $1500.00 Standard cleaning supplies for COVID Rooms - $1,500.00


Amend #5: Amend to change state cost share to 0% per POTUS memo dated 11-9-2021 stating FEMA will pick up 100% of cost.

Amend #4: Amend to de-obligate remaining funds in the amount of $3,500.00, per agency and HQ-MA-Closeout Team.

Amend #3: Amend to extend end date 30 days through 30 Sep 2020, no additional funding required per VA.  State concurrence obtained.

Amend #2: Amend to extend end date to 8.31.2020. No additional funds needed.

Amend #1: Amend to extend end date 7 days through 18 Aug 2020 per VA request and state concurrence.  No additional funds required.

VHA to provide housekeeping services to the Northwest Louisiana Veterans Home in Bossier, LA to provide a one-time terminal room cleaning of COVID and Non-COVID rooms. The State Veterans Home is experiencing a shortage of cleaning staff due to a COVID outbreak among staff.

ADDITIONAL COMMENTS: VHA to provide 4 Housekeeping Aids and 1 Supervisor to the Northwest Louisiana Veterans Home in Bossier, LA to provide a one-time terminal room cleaning of COVID and Non-COVID rooms. The State Veterans Home is experiencing a shortage of cleaning staff due to a COVID outbreak among staff. Calculated as follows: Overtime cost for 4 Housekeepers and1 Supervisor for 8 days - $5,500.00 Standard cleaning supplies used for non-COVID Rooms - $1500.00 Standard cleaning supplies for COVID Rooms - $1,500.00


VHA healthcare personnel to support COVID-19 vulnerable residents/patients in the Northeast LA State Veterans Home.  Request is for 3 Certified Nursing Assistants, 3 Licensed Practical Nurses, 2 Registered Nurses. Services to be provided at the Northeast LA State Veterans Home in Monroe, LA.  The state has exhausted all other options for providers.  Services to be provided but not limited to 30 days

As directed by and in coordination with FEMA in support of State of LA request, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) will provide Certified Nursing Assistants, Licensed Practical Nurses, and Registered Nurses at the Northeast LA State Veterans Home in Monroe, LA.

- HHS/State to provide PPE, as available.
- VHA cannot provide services for Pediatric or OB/GYN patients.
- HHS/State will reimburse for overtime, transportation costs, supplies, and ancillary fees and costs, as applicable.

ADDITIONAL NOTES from FEMA:
--- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
--- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
--- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
--- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
--- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
--- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amend #1: Amend to de-obligate remaining funds in the amount of $118,908.66, per agency and HQ-MA-Closeout Team.

VHA healthcare personnel to support COVID-19 vulnerable residents/patients in the Northeast LA State Veterans Home.  Request is for 3 Certified Nursing Assistants, 3 Licensed Practical Nurses, 2 Registered Nurses. Services to be provided at the Northeast LA State Veterans Home in Monroe, LA.  The state has exhausted all other options for providers.  Services to be provided but not limited to 30 days


Amend #2:  Amend to change state cost share to 0% per POTUS MEMO dated 11-9-2021.

Amend #1: Amend to de-obligate remaining funds in the amount of $118,908.66, per agency and HQ-MA-Closeout Team.

VHA healthcare personnel to support COVID-19 vulnerable residents/patients in the Northeast LA State Veterans Home.  Request is for 3 Certified Nursing Assistants, 3 Licensed Practical Nurses, 2 Registered Nurses. Services to be provided at the Northeast LA State Veterans Home in Monroe, LA.  The state has exhausted all other options for providers.  Services to be provided but not limited to 30 days


ARPA: This MA is being issued with funding through the American Rescue Plan Act of 2021.

Clinical Staff to provide support to a fixed MVU in Lake Charles for 31 days

(5 Clinical personnel)

3 Licensed Practical Nurses (LPNs)(labor category: vaccinators)

1 Pharmacist (Labor category: vaccine Preparation)

1 Pharmacy technician (Labor category: vaccine Preparation)

In support of the State of Louisiana request, as directed by and in coordination with the Federal Emergency Management Agency (FEMA), the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) will provide COVID-19 vaccination services to personnel, including people otherwise not eligible for care. Staffing numbers and support requirements will be determined by VHA and adjusted with FEMA approval.
VHA will provide but not limited to:
- Vaccine and ancillary supplies (needles, syringes, vaccination cards, educational materials, etc.).
- Appropriate PPE for all VA staff and patients.
- Medical waste removal.
- VHA cannot provide services for Pediatric or OB/GYN patients.
- Transportation and delivery of the vaccine to the vaccination site in accordance with CDC and manufacturer cold chain and transportation requirements.

FEMA will provide:
- Location and access, site security, external site traffic control, telecommunications support, trash/waste removal, language translation, and other site administration issues as needed.
- Storage of the vaccine at the vaccination site, and transportation and delivery to alternate sites, in accordance with CDC and manufacturer cold chain, storage, and transportation requirements.
- An ambulance and crew at each location for emergent events or adverse reactions to vaccine.

VHA will return any remaining vaccine and vaccine supplies to the appropriate VHA facility.

***State will provide first and second vaccination doses to FEMA employees, FEMA Corps members, Surge Capacity Force Members and/or FEMA-provided personnel (e.g., federally-contracted personnel, volunteer personnel deployed at FEMAs request, and personnel from other federal agencies) deployed in support of the vaccination effort.

This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030***

ADDITIONAL NOTES from FEMA:
--- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
--- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
--- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
--- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
--- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
--- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amend #1: This MA is being fully de-obligated and will be re-issued under ARPA funding in current disaster but with adjusted SOW per VA request.

ARPA: This MA is being issued with funding through the American Rescue Plan Act of 2021.

Clinical Staff to provide support to a fixed MVU in Lake Charles for 31 days

(5 Clinical personnel)

3 Licensed Practical Nurses (LPNs)(labor category: vaccinators)

1 Pharmacist (Labor category: vaccine Preparation)

1 Pharmacy technician (Labor category: vaccine Preparation)


ARPA: This MA is being issued with funding through the American Rescue Plan Act of 2021.

This MA replaces 4484DR-LA-VA-07 due to adjustments in SOW per VA.

Clinical Staff to provide support to a fixed MVU in Lake Charles for 31 days

(5 Clinical personnel)

3 Licensed Practical Nurses (LPNs)(labor category: vaccinators)

1 Pharmacist (Labor category: vaccine Preparation)

1 Pharmacy technician (Labor category: vaccine Preparation)

In support of the State of Louisiana request, as directed by and in coordination with the Federal Emergency Management Agency (FEMA), the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) will provide COVID-19 vaccination services to personnel, including people otherwise not eligible for care. Staffing numbers and support requirements will be determined by VHA and adjusted with FEMA approval.
VHA will provide but not limited to:
- Vaccine and ancillary supplies (needles, syringes, vaccination cards, educational materials, etc.).
- Appropriate PPE for all VA staff and patients.
- Medical waste removal.
- VHA cannot provide services for Pediatric or OB/GYN patients.
- Transportation and delivery of the vaccine to the vaccination site in accordance with CDC and manufacturer cold chain and transportation requirements.

FEMA will provide:
- Location and access, site security, external site traffic control, telecommunications support, trash/waste removal, language translation, and other site administration issues as needed.
- Storage of the vaccine at the vaccination site, and transportation and delivery to alternate sites, in accordance with CDC and manufacturer cold chain, storage, and transportation requirements.
- An ambulance and crew at each location for emergent events or adverse reactions to vaccine.

VHA will return any remaining vaccine and vaccine supplies to the appropriate VHA facility.

This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030***

ADDITIONAL NOTES from FEMA:
--- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
--- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
--- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
--- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
--- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
--- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


ARPA Amend #1: Amend to de-obligate remaining funds in the amount of $39,488.41, per agency and HQ-MA-Closeout Team.

ARPA: This MA is being issued with funding through the American Rescue Plan Act of 2021.

This MA replaces 4484DR-LA-VA-07 due to adjustments in SOW per VA.

Clinical Staff to provide support to a fixed MVU in Lake Charles for 31 days

(5 Clinical personnel)

3 Licensed Practical Nurses (LPNs)(labor category: vaccinators)

1 Pharmacist (Labor category: vaccine Preparation)

1 Pharmacy technician (Labor category: vaccine Preparation)


ARPA Amend #2:  Amend to re-obligate funding in amount of $35,571.82 per FFC to cover billing.  De-obligation was incorrectly reported on QTRLY ULO.

ARPA Amend #1: Amend to de-obligate remaining funds in the amount of $39,488.41, per agency and HQ-MA-Closeout Team.

ARPA: This MA is being issued with funding through the American Rescue Plan Act of 2021.

This MA replaces 4484DR-LA-VA-07 due to adjustments in SOW per VA.

Clinical Staff to provide support to a fixed MVU in Lake Charles for 31 days

(5 Clinical personnel)

3 Licensed Practical Nurses (LPNs)(labor category: vaccinators)

1 Pharmacist (Labor category: vaccine Preparation)

1 Pharmacy technician (Labor category: vaccine Preparation)


ARPA  Amend #3: De-obligate $28,887.20 (BFY 22) (D1 funds) due to days aged over 180 no activity (CFO-157 Bulletin) and financially close MA.
ARPA Amend #2:  Amend to re-obligate funding in amount of $35,571.82 per FFC to cover billing.  De-obligation was incorrectly reported on QTRLY ULO.
ARPA Amend #1: Amend to de-obligate remaining funds in the amount of $39,488.41, per agency and HQ-MA-Closeout Team.
ARPA: This MA is being issued with funding through the American Rescue Plan Act of 2021.
This MA replaces 4484DR-LA-VA-07 due to adjustments in SOW per VA.
Clinical Staff to provide support to a fixed MVU in Lake Charles for 31 days
(5 Clinical personnel)
3 Licensed Practical Nurses (LPNs)(labor category: vaccinators)
1 Pharmacist (Labor category: vaccine Preparation)
1 Pharmacy technician (Labor category: vaccine Preparation)


ARPA    10 VA beds, 5 Shreveport and 5 New Orleans

This MA is being issued with funding through the American Rescue Plan Act of 2021.

As directed by and in coordination with FEMA in support of the State of Louisiana's request, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) will provide up to 5 total acute care (Med/Surg) and/or Intensive Care Unit (ICU) beds each at Shreveport, LA and New Orleans, LA for immediate and short-term medical treatment as available at the time of the request.

The work will include any or all the following VHA capabilities: 24 hour medical/administrative/support staff, medical/nonmedical equipment, sustenance, supplies, pharmaceuticals, and ancillary services to care for critical and noncritical, non-COVID and COVID-positive, patients who are not eligible for the care from VA.
- VHA cannot accept Pediatric or OB/GYN patients.
- VA-beneficiaries by law will take precedence for placement in VHA beds which could reduce the number of the beds available to support Non-Veteran status patients.
- VHA to provide PPE and ventilators, as available.

The State of Louisiana is responsible:
- To appoint/provide a bed coordinator to adjudicate and prioritize potential patients for transfer from local hospitals to VAMC(s).
- Identify a case manager or discharge planner from the transferring hospital to coordinate with the VA case manager or discharge planner on:
o the return travel for any transferred patient discharged,
o long term care arrangements for discharged patients,
o assistance required for case management/social work upon discharge,
o and decedent affairs for any transferred patients that may succumb, including transfer of remains back to home site of patient

This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 9/30/2025. Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030.

ADDITIONAL NOTES from FEMA:
--- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
--- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
--- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
--- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
--- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
--- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


ARPA Amend #1: Amend to fully de-obligate $2,000,000.00 and financially close this MA, per agency and HQ-MA-Closeout Team.

ARPA    10 VA beds, 5 Shreveport and 5 New Orleans

This MA is being issued with funding through the American Rescue Plan Act of 2021.


Activate Custom and Boarder Patrol representative to provide remote support for R6RRCC in response to COVD19.
Current requirements is for remote support only; if inperson
is required it will be identified in a new RRF. Cost estimate is $5,000.00 through 21 April, 2020

As directed by and in coordination with FEMA, CBP will provide remote support in response to COVID19 FEMA response operations.
Funding for CBP command center(s), if authorized by FEMA, will be provided under a separate MA.

-MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).

-Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
-All equipment and supply purchases must be coordinated with FEMA Project Manager. If approved, documentation is necessary to ensure reimbursement.
-Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
-The mission assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
-MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional
obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amendment#1: At the request of the agency de-ob all funds in the amount of $5,000 to operationally and financially close MA.

Activate Custom and Boarder Patrol representative to provide remote support for R6RRCC in response to COVD19.
Current requirements is for remote support only; if inperson
is required it will be identified in a new RRF. Cost estimate is $5,000.00 through 21 April, 2020


Activate CISA ESF-2 to RRCC, IOF, JFO, Virtual support

As directed by and in coordination with FEMA, DHS Cybersecurity & Infrastructure Security Agency (CISA) will provide appropriate personnel to the RRCC, IOF, JFO, Virtual or other teams and facilities to support ESF-2 in disaster operations.

- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
- All equipment and supply purchases must be coordinated with FEMA Project Manager. If approved, documentation is necessary to ensure reimbursement.
- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.

State will provide first and second vaccination doses to FEMA employees, FEMA Corps members, Surge Capacity Force Members and/or FEMA-provided personnel (e.g., federally-contracted personnel, volunteer personnel deployed at FEMA�s request, and personnel from other federal agencies) deployed in support of the vaccination effort.


Amend #1: To extend end date through 3/31/21 with no additional funding required. Change PM to Joe Garcia.

Activate CISA ESF-2 to RRCC, IOF, JFO, Virtual support


Amendment#2: At the request of CISA de-ob remaining funds of $3,000 for operational and financial closure.

Amend #1: To extend end date through 3/31/21 with no additional funding required. Change PM to Joe Garcia.

Activate CISA ESF-2 to RRCC, IOF, JFO, Virtual support


At the request of the State activate and deploy CNCS to provide personnel to support mega vaccination site at Fair Park, Dallas, TX currently operated by Dallas County.

In support of the State of Teas request, as directed by and in coordination with FEMA, Corporation for National Community Service (CNCS) will deploy personnel to support activities including, but not limited to, the following areas in support of FEMA disaster operations: shelter, feeding, donations and volunteer management, warehousing, non-hazardous disaster debris removal, tarping under the approved USACE program, chain-saw work (for qualified crews only), call centers, volunteer base camp, needs assessment, and long-term recovery committees.

CNCS will provide support in accordance with duties outlined in the FEMA/CNCS MOU and as directed by the FEMA ESF #6 assigned Regional Lead or designee.

State will provide first and second vaccination doses to FEMA employees, FEMA Corps members, Surge Capacity Force Members and/or FEMA-provided personnel (e.g., federally-contracted personnel, volunteer personnel deployed at FEMAs request, and personnel from other federal agencies) deployed in support of the vaccination effort.

ADDITIONAL NOTES from FEMA:
MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).

Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.

All equipment and supply purchases must be coordinated with FEMA.  If approved, documentation is necessary to ensure reimbursement.

Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.

The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency

MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157.

For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amendment#1: Amend to correct state cost share from 25% to 0% per POTUS memorandum attached.

At the request of the State activate and deploy CNCS to provide personnel to support mega vaccination site at Fair Park, Dallas, TX currently operated by Dallas County.


Amend #2: To extend end date to 4/27/2021 and add additional funding in the amount of $162,600.00 to cover additional operational period.  Change PM to Shannon Moran.

Amendment#1: Amend to correct state cost share from 25% to 0% per POTUS memorandum attached.

At the request of the State activate and deploy CNCS to provide personnel to support mega vaccination site at Fair Park, Dallas, TX currently operated by Dallas County.


Amend #3: Amend to de-obligate $200,000.00 (BFY 2021) per ULO consolidated report . Change PM to Eddie Pack.

Amend #2: To extend end date to 4/27/2021 and add additional funding in the amount of $162,600.00 to cover additional operational period.  Change PM to Shannon Moran.

Amendment#1: Amend to correct state cost share from 25% to 0% per POTUS memorandum attached.

At the request of the State activate and deploy CNCS to provide personnel to support mega vaccination site at Fair Park, Dallas, TX currently operated by Dallas County.


Amendment#4: Per the 10.1.21 Quarterly ULO report, partial de-obligation of $14,567.00.  Change PM to Shannon Moran.

Amend #3: Amend to de-obligate $200,000.00 (BFY 2021) per ULO consolidated report . Change PM to Eddie Pack.

Amend #2: To extend end date to 4/27/2021 and add additional funding in the amount of $162,600.00 to cover additional operational period.  Change PM to Shannon Moran.

Amendment#1: Amend to correct state cost share from 25% to 0% per POTUS memorandum attached.

At the request of the State activate and deploy CNCS to provide personnel to support mega vaccination site at Fair Park, Dallas, TX currently operated by Dallas County.


Amendment#5: Per the 4.1.22 ULO report de-ob remaining funds of $37,820.90 and close MA.

Amendment#4: Per the 10.1.21 Quarterly ULO report, partial de-obligation of $14,567.00.  Change PM to Shannon Moran.

Amend #3: Amend to de-obligate $200,000.00 (BFY 2021) per ULO consolidated report . Change PM to Eddie Pack.

Amend #2: To extend end date to 4/27/2021 and add additional funding in the amount of $162,600.00 to cover additional operational period.  Change PM to Shannon Moran.

Amendment#1: Amend to correct state cost share from 25% to 0% per POTUS memorandum attached.

At the request of the State activate and deploy CNCS to provide personnel to support mega vaccination site at Fair Park, Dallas, TX currently operated by Dallas County.


Amendment#6: Per the 1.1.23 Qrtly ULO de-ob funds of $10,000.00.  Remaining balance for bills.

Amendment#5: Per the 4.1.22 ULO report de-ob remaining funds of $37,820.90 and close MA.
Amendment#4: Per the 10.1.21 Quarterly ULO report, partial de-obligation of $14,567.00.  Change PM to Shannon Moran.
Amend #3: Amend to de-obligate $200,000.00 (BFY 2021) per ULO consolidated report . Change PM to Eddie Pack.
Amend #2: To extend end date to 4/27/2021 and add additional funding in the amount of $162,600.00 to cover additional operational period.  Change PM to Shannon Moran.
Amendment#1: Amend to correct state cost share from 25% to 0% per POTUS memorandum attached.
At the request of the State activate and deploy CNCS to provide personnel to support mega vaccination site at Fair Park, Dallas, TX currently operated by Dallas County.


Amendment#7: Per the 4.1.23 Qrtly ULO de-ob remaining funds of $8,485.98 and close MA.

Amendment#6: Per the 1.1.23 Qrtly ULO de-ob funds of $10,000.00.  Remaining balance for bills.
Amendment#5: Per the 4.1.22 ULO report de-ob remaining funds of $37,820.90 and close MA.
Amendment#4: Per the 10.1.21 Quarterly ULO report, partial de-obligation of $14,567.00.  Change PM to Shannon Moran.
Amend #3: Amend to de-obligate $200,000.00 (BFY 2021) per ULO consolidated report . Change PM to Eddie Pack.
Amend #2: To extend end date to 4/27/2021 and add additional funding in the amount of $162,600.00 to cover additional operational period.  Change PM to Shannon Moran.
Amendment#1: Amend to correct state cost share from 25% to 0% per POTUS memorandum attached.
At the request of the State activate and deploy CNCS to provide personnel to support mega vaccination site at Fair Park, Dallas, TX currently operated by Dallas County.


At the request of FEMA, USACE shall provide planning and engineering support in Texas to address possible medical facilities shortages arising from the current COVID-19 situation to assist communities which may become overwhelmed

The U.S. Army Corps of Engineers shall provide initial planning and engineering support to address possible medical facility
shortages arising from the current COVID-19 situation in the United States to assist communities which may become
overwhelmed. Information must be obtained from medical professional and other experts regarding crisis standards
of care to provide support to state and local public health officials in this disaster situation and translated
by USACE into actionable facility engineering requirements. Initial analysis shall include but is not limited
to the following concepts:

The requirements or attributes to create Alternative Care Facilities in existing buildings e.g., college dorms or hotels/motels.

Identify three options for an Alternative Care Room- Essential requirements, important requirements, and nice to have
requirements.

A second alternative is the requirements/attributes to create Alternative Care Facilities in a large building area such
as a gym or stadium.

Additional analysis will consider what an equipping package for minimal ICU equipment should include. Analysis may also
include the evaluation of the use of modular/portable facilities/equipment.

Planning assumptions include another Federal agency or the State purchasing and maintaining any/all medical equipment.
Along with assistance from local and/or state government responsible for real estate and permitting actions.

MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration
of assignment(s). Agency will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation
is required for reimbursement.
All equipment and supply purchases must be coordinated with FEMA Project Manager. If approved, documentation
is necessary to ensure reimbursement.Activation of agency command center(s), if required, must be coordinated
with FEMA as a separate MA.

The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received,
services are provided, and that costs are reasonable and supported by documentation maintained by the respective
agency MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA
CFO Bulletin #157.
For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation,
or additional justification has been provided.


Amendment#1: Per the ULO and concurrence from agency, de-ob remaining funds of $284,975.55 for close-out. Change PM to James Rhodes.

At the request of FEMA, USACE shall provide planning and engineering support in Texas to address possible medical facilities shortages arising from the current COVID-19 situation to assist communities which may become overwhelmed


Activate and deploy USACE Teams to FEMA supported CVC sites located in various areas across the state of Texas such as  Fair Park, Dallas, Globe Life/ AT&T Stadium, Arlington, and NRG Stadium, Houston

As directed by and in coordination with FEMA, USACE will  activate and deploy teams to each of the FEMA supported CVC sites in Texas.  The team will assess and provide improvement courses of action to FEMA for the following, but not limited to, the power infrastructure, back-up power capabilities, connections and units receiving power at federally supported vaccine sites.

First and second vaccinations doses are available at CVC sites to FEMA employees, FEMA Corps members, Surge Capacity Force Members and/or FEMA-provided personnel (e.g., federally-contracted personnel, volunteer personnel deployed at FEMAs request, and personnel from other federal agencies) deployed in support of the vaccination effort.

MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).

Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.

All equipment and supply purchases must be coordinated with FEMA Project Manager. If approved, documentation is necessary to ensure
reimbursement.

Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.

The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency

 MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been
provided.


Amendment #1: Amend to de-obligate $22,798.84  (BFY 2021) per ULO consolidated report. Change PM to Eddie Pack.

Activate and deploy USACE Teams to FEMA supported CVC sites located in various areas across the state of Texas such as  Fair Park, Dallas, Globe Life/ AT&T Stadium, Arlington, and NRG Stadium, Houston


(ARPA) The State of Texas requests, 12 Non-Clinical Staff 2 Supply techs 2 IT Support 5 Admin staff 2 Greeters 1 form distributor Request 30 day extension for the Federal CVC site at Fair Park, Dallas. This site is currently staffed with DOD personnel with end of mission scheduled for 5/18/2021. Substitution with federal NVC contract personnel is acceptable. Request the site be down sized to a Type III.  Hours of operation: Mon, Fri, Sat 0800  1700 Wed 0800  2000 Tues, Thurs, Sun  Closed. Staffing Requirements:

As directed by and in coordination with FEMA, US Army Corps of Engineers (USACE) will provide appropriate personnel to Community Vaccination Sites at the request by the State of Texas. This support will be to provide the following support, but not limited to: Administrative assistance, monitoring throughput and traffic flow, data entry. Personnel requirements as identified by FEMA will be filled primarily, but not limited to, members of USACE's Rehired Annuitant Cadre.

State of Texas will provide first and/or second vaccination doses to FEMA employees, AmeriCorps and/or FEMA Corps members, Surge Capacity Force members, and/or FEMA's provided personnel (e.g., federally, contracted personnel, volunteer personnel deployed at FEMA's request, and personnel from other federal agencies) deployed in support of the vaccination efforts if individual so desires.

This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025.

 Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030. ADDITIONAL NOTES from FEMA:

MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).

Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.

 All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.

Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.

The mission assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency.

 MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157.

For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amendment#1: Amend to back date the start of this MA to  23 May 2021.

(ARPA) The State of Texas requests, 12 Non-Clinical Staff 2 Supply techs 2 IT Support 5 Admin staff 2 Greeters 1 form distributor Request 30 day extension for the Federal CVC site at Fair Park, Dallas. This site is currently staffed with DOD personnel with end of mission scheduled for 5/18/2021. Substitution with federal NVC contract personnel is acceptable. Request the site be down sized to a Type III.  Hours of operation: Mon, Fri, Sat 0800  1700 Wed 0800  2000 Tues, Thurs, Sun  Closed. Staffing Requirements: