T32 Amendment (3)  ARPA: DOD may provide up to 1,000 personnel to assist state to execute emergency protective measures to mitigate the impacts of COVID-19 for operations through July 1, 2022. Additional funding requirements, if required, will be provided by NGB J8 thereafter.

T32 Amendment (2)  ARPA: DOD may provide up to 1,000 personnel to assist state to execute emergency protective measures to mitigate the impacts of COVID-19, operations beginning January 1, 2022 through April 1, 2022. At this time no additional funds requested.  Additional funding requirements, if required, may will be provided by NGB J8 thereafter.

T32 Amendment (1)  ARPA: DOD may provide up to 1,000 personnel to assist state to execute emergency protective measures to mitigate the impacts of COVID-19, operations beginning October 1, 2021 through December 31, 2021. At this time no additional funds requested.  Additional funding requirements, if required, may will be provided by NGB J8 thereafter.

T32  ARPA: This is a continuation of MA#1509-343780 and is being issued to address the change in funding through the American Rescue Plan Act of 2021. DOD may provide up to 200 personnel to assist state to execute emergency protective measures to mitigate the impacts of COVID-19. Missions will be incrementally funded with initial cost estimated at $3,168,000 for operations beginning May 1, 2021 through June 30, 2021. Additional funding requirements will be provided by NGB J8 thereafter.


Title 32-Amendment (4 ) ARPA Request de-obligation of (-$1,344,819.01) per NGB.
T32 Amendment (3)  ARPA: DOD may provide up to 1,000 personnel to assist state to execute emergency protective measures to mitigate the impacts of COVID-19 for operations through July 1, 2022. Additional funding requirements, if required, will be provided by NGB J8 thereafter.
T32 Amendment (2)  ARPA: DOD may provide up to 1,000 personnel to assist state to execute emergency protective measures to mitigate the impacts of COVID-19, operations beginning January 1, 2022 through April 1, 2022. At this time no additional funds requested.  Additional funding requirements, if required, may will be provided by NGB J8 thereafter.
T32 Amendment (1)  ARPA: DOD may provide up to 1,000 personnel to assist state to execute emergency protective measures to mitigate the impacts of COVID-19, operations beginning October 1, 2021 through December 31, 2021. At this time no additional funds requested.  Additional funding requirements, if required, may will be provided by NGB J8 thereafter.
T32  ARPA: This is a continuation of MA#1509-343780 and is being issued to address the change in funding through the American Rescue Plan Act of 2021. DOD may provide up to 200 personnel to assist state to execute emergency protective measures to mitigate the impacts of COVID-19. Missions will be incrementally funded with initial cost estimated at $3,168,000 for operations beginning May 1, 2021 through June 30, 2021. Additional funding requirements will be provided by NGB J8 thereafter.

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 submitted to FEMA no later than 09/30/2030.
Consistent with Presidential Memorandum Providing Federal Support for Governors Use of the National Guard to Respond to COVID-19, dated [1/21/2021], to assist the State of Iowa to respond to the threats and hazards caused by COVID-19, FEMA requests DoD provide essential assistance support to the State of Iowa. Pursuant to President Bidens Memoranda, FEMA can fully reimburse DoD for this support if DoD requests that States order National Guard Forces to perform duty to fulfill this mission assignment. DOD will execute the MA as directed by and in coordination with FEMA, and will:
Provide essential assistance to meet the immediate threats to life resulting from the COVID-19 outbreak as authorized by Sections 403 (42 U.S.C. 5170b) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act, Public Law 93-288, as amended, 42 U.S.C. 5121 et seq., to support COVID-19 operations in Iowa. National Guard units under state control will execute critical missions to save lives and protect the public health and safety. Eligible activities are limited to Emergency Protective Measures, as outlined in COVID-19 specific Public Assistance policy or otherwise authorized by FEMA.
Safety and security missions, not to include law enforcement activities, are authorized as part of this MA. Effective 8/22/2020, eligible costs under this MA include pay, allowances, travel to place National Guard personnel on Title 32 orders, and per diem. Eligible expenses will also include:
1. Operating costs for DoD equipment already in DoD stocks necessary to fulfill the MA; and
2. Equipment and supplies that only DoD can purchase and that are necessary to fulfill the requirements of the MA, and pre-approved by the FEMA project Manager,
3. Lastly, additional eligible expenses authorized in writing by ORR leadership Employment costs (supplies, equipment, etc.) will be the responsibility of the state, and ineligible MA expenses may be submitted for reimbursement consideration to FEMA via a Public Assistance Project Worksheet.
DOD will deploy with appropriate command and control, support personnel, and equipment as required. In support of this activity, the State will develop a transition plan for this support that will reflect the current mission sets, the conditions required to either terminate or transition the missions, the means of transition (i.e., contracted, other state agency, or National Guard in state active-duty), and the projected timeline to transition. States will provide an update on the status of transition no later than 60 days prior to final date T-32 authorized via Presidential Memoranda.
All local, State, and non-DoD national assets are exhausted or do not have the capacity to meet this requirement.
- 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.


Title 32-Amendment (5) ARPA Request de-obligation of (-$73,638.72) per NGB.
Title 32-Amendment (4) ARPA Request de-obligation of (-$1,344,819.01) per NGB.
T32 Amendment (3) ARPA: DOD may provide up to 1,000 personnel to assist state to execute emergency protective measures to mitigate the impacts of COVID-19 for operations through July 1, 2022. Additional funding requirements, if required, will be provided by NGB J8 thereafter.
T32 Amendment (2)  ARPA: DOD may provide up to 1,000 personnel to assist state to execute emergency protective measures to mitigate the impacts of COVID-19, operations beginning January 1, 2022 through April 1, 2022. At this time no additional funds requested.  Additional funding requirements, if required, may will be provided by NGB J8 thereafter.
T32 Amendment (1)  ARPA: DOD may provide up to 1,000 personnel to assist state to execute emergency protective measures to mitigate the impacts of COVID-19, operations beginning October 1, 2021 through December 31, 2021. At this time no additional funds requested.  Additional funding requirements, if required, may will be provided by NGB J8 thereafter.
T32  ARPA: This is a continuation of MA#1509-343780 and is being issued to address the change in funding through the American Rescue Plan Act of 2021. DOD may provide up to 200 personnel to assist state to execute emergency protective measures to mitigate the impacts of COVID-19. Missions will be incrementally funded with initial cost estimated at $3,168,000 for operations beginning May 1, 2021 through June 30, 2021. Additional funding requirements will be provided by NGB J8 thereafter.


Title 32-Amendment (5) ARPA Request de-obligation of (-$20,761.82) per 10-1-23 quarterly ULO; change PM to Robert Stegner.
Title 32-Amendment (5) ARPA Request de-obligation of (-$73,638.72) per NGB.
Title 32-Amendment (4) ARPA Request de-obligation of (-$1,344,819.01) per NGB.
T32 Amendment (3) ARPA: DOD may provide up to 1,000 personnel to assist state to execute emergency protective measures to mitigate the impacts of COVID-19 for operations through July 1, 2022. Additional funding requirements, if required, will be provided by NGB J8 thereafter.
T32 Amendment (2)  ARPA: DOD may provide up to 1,000 personnel to assist state to execute emergency protective measures to mitigate the impacts of COVID-19, operations beginning January 1, 2022 through April 1, 2022. At this time no additional funds requested.  Additional funding requirements, if required, may will be provided by NGB J8 thereafter.
T32 Amendment (1)  ARPA: DOD may provide up to 1,000 personnel to assist state to execute emergency protective measures to mitigate the impacts of COVID-19, operations beginning October 1, 2021 through December 31, 2021. At this time no additional funds requested.  Additional funding requirements, if required, may will be provided by NGB J8 thereafter.
T32  ARPA: This is a continuation of MA#1509-343780 and is being issued to address the change in funding through the American Rescue Plan Act of 2021. DOD may provide up to 200 personnel to assist state to execute emergency protective measures to mitigate the impacts of COVID-19. Missions will be incrementally funded with initial cost estimated at $3,168,000 for operations beginning May 1, 2021 through June 30, 2021. Additional funding requirements will be provided by NGB J8 thereafter.


Activate TVA to requested location to support COVID-19 Recovery Operations for R07 IA COVID-19/SARS-CoV-2 (4483-DR-IA).

As directed by and in coordination with FEMA, Tennessee Valley Authority (TVA) /Bicentennial Volunteers, Inc. will provide appropriate personnel to support FEMA disaster operations. Expertise required may include, but is not limited to the following:

Expertise required may include, but is not limited to, the following:
� Responsibilities associated with the Program Delivery Manager (PDMG) and Site Inspector, Program Delivery Task Force Leader (PDTFL), Site Inspector Task Force Leader (SITFL), or Site inspector Crew Leader (SICL) positions
� The Development of the PA Project Worksheet using Grants Manager and supporting documentation
� Debris operations
� Power restoration, transmission, and distribution operations
� Waste water facilities operations
� Road, Bridge, or Structural Analysis

- 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 to de-obligate $172,471.38 per 7/1/21 quarterly ULO report.

Activate TVA to requested location to support COVID-19 Recovery Operations for R07 IA COVID-19/SARS-CoV-2 (4483-DR-IA).


ARPA - This MA is a continuation of MA #1509-333491 and is being issued to address the change in funding through the American Rescue Plan Act of 2021. Continue TVA staff  to requested location to support COVID-19 Recovery Operations for R07 IA COVID-19/SARS-CoV2 (4483-DR-IA)

As directed by and in coordination with FEMA, Tennessee Valley Authority (TVA) /Bicentennial Volunteers, Inc. will provide appropriate
personnel to support FEMA disaster operations. Expertise required may include, but is not limited to, the following:
 Responsibilities associated with the Program Delivery Manager (PDMG) and Site Inspector, Program Delivery Task Force Leader (PDTFL), Site Inspector Task Force Leader (SITFL), or Site inspector Crew Leader (SICL) positions
 The Development of the PA Project Worksheet using Grants Manager and supporting documentation
 Debris operations
 Power restoration, transmission, and distribution operations
 Waste water facilities operations
 Road, Bridge, or Structural Analysis

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.


ARPA -Amendment #1 Continue TVA staff to requested location to support COVID-19 Recovery Operations for R-7 IA COVID-19/SARS-CoV-2 (4483DR-IA).  Add additional funds of $196,263.04 and extend POP until April 21, 2022.

ARPA - This MA is a continuation of MA #1509-333491 and is being issued to address the change in funding through the American Rescue Plan Act of 2021. Continue TVA staff  to requested location to support COVID-19 Recovery Operations for R07 IA COVID-19/SARS-CoV2 (4483-DR-IA)


ARPA -Amendment #2 Change Period of Performance (PoP) end date to April 21, 2022.

ARPA -Amendment #1 Continue TVA staff to requested location to support COVID-19 Recovery Operations for R-7 IA COVID-19/SARS-CoV-2 (4483DR-IA).  Add additional funds of $196,263.04 and extend POP until April 21, 2022.

ARPA - This MA is a continuation of MA #1509-333491 and is being issued to address the change in funding through the American Rescue Plan Act of 2021. Continue TVA staff  to requested location to support COVID-19 Recovery Operations for R07 IA COVID-19/SARS-CoV2 (4483-DR-IA)


ARPA-Amendment #3: No-cost extension until 6-21-2022
Continue TVA to requested location to support COVID-19 Recovery Operations for R07 IA COVID-19/SARS-CoV2 (4483-DR-IA).

ARPA -Amendment #2 Change Period of Performance (PoP) end date to April 21, 2022.

ARPA -Amendment #1 Continue TVA staff to requested location to support COVID-19 Recovery Operations for R-7 IA COVID-19/SARS-CoV-2 (4483DR-IA).  Add additional funds of $196,263.04 and extend POP until April 21, 2022.

ARPA - This MA is a continuation of MA #1509-333491 and is being issued to address the change in funding through the American Rescue Plan Act of 2021. Continue TVA staff  to requested location to support COVID-19 Recovery Operations for R07 IA COVID-19/SARS-CoV2 (4483-DR-IA)


ARPA-Amendment#4: Request de-obligation (-$116,312.60) per quarterly ULO; change PM to Adrian Walker.

ARPA-Amendment#3: No-cost extension until 6-21-2022
Continue TVA to requested location to support COVID-19 Recovery Operations for R07 IA COVID-19/SARS-CoV2 (4483-DR-IA).

ARPA -Amendment #2 Change Period of Performance (PoP) end date to April 21, 2022.

ARPA -Amendment #1 Continue TVA staff to requested location to support COVID-19 Recovery Operations for R-7 IA COVID-19/SARS-CoV-2 (4483DR-IA).  Add additional funds of $196,263.04 and extend POP until April 21, 2022.

ARPA - This MA is a continuation of MA #1509-333491 and is being issued to address the change in funding through the American Rescue Plan Act of 2021. Continue TVA staff  to requested location to support COVID-19 Recovery Operations for R07 IA COVID-19/SARS-CoV2 (4483-DR-IA)


VHA will assist State of Iowa COVID-19 outbreak response operations by providing up to twenty (20) acute care (M/S) or intensive care (ICU) beds, as necessary, at either the Des Moines VA Medical Center (VAMC) or Iowa City VAMC for non-COVID and COVID-positive patients who are not eligible for such benefits. Facility assignment to be determined at time of transfer and is dependent on availability.

NOTE: bed costs are determined by $6,485/bed/day

As directed by and in coordination with FEMA in support of State of Iowa request, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) will provide acute care (M/S) or intensive care (ICU) beds, as necessary, for residents/patients from the Iowa Veterans Home in Marshalltown, IA. 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 non-COVID and COVID-positive patients. State of Iowa to provide PPE and ventilators, as available.
VHA cannot accept Pediatric or OB/GYN patients.
State of Iowa 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. State of Iowa will be responsible for any damages or repairs.
COST ESTIMATE: $3,891,000.00
Daily bed costs $6,485/bed/day
Estimated Daily Bed - 20 Beds
Period of Performance - 30 Days

MA task orders may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s). All equipment and supply purchases must be coordinated with FEMA. Prior Federal Approving Official (FAO) approval is necessary to ensure reimbursement. Work that falls within the statutory authority of the performing Federal agency is not eligible for FEMA reimbursement, per 44 CFR 206.208(c)(2). Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
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 agencies. MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157 and MA Policy 1040102. 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 extend Period of Performance to 6/24/20202.  No additional funding needed.

VHA will assist State of Iowa COVID-19 outbreak response operations by providing up to twenty (20) acute care (M/S) or intensive care (ICU) beds, as necessary, at either the Des Moines VA Medical Center (VAMC) or Iowa City VAMC for non-COVID and COVID-positive patients who are not eligible for such benefits. Facility assignment to be determined at time of transfer and is dependent on availability.

NOTE: bed costs are determined by $6,485/bed/day


Amendment #2: De-obligate all funds of (-$3,891,000) per 1/1/2021 ULO validation.

Amendment #1

Amend to extend Period of Performance to 6/24/20202.  No additional funding needed.

VHA will assist State of Iowa COVID-19 outbreak response operations by providing up to twenty (20) acute care (M/S) or intensive care (ICU) beds, as necessary, at either the Des Moines VA Medical Center (VAMC) or Iowa City VAMC for non-COVID and COVID-positive patients who are not eligible for such benefits. Facility assignment to be determined at time of transfer and is dependent on availability.

NOTE: bed costs are determined by $6,485/bed/day


The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Services Network 23: VA Midwest Health Care Network will assist State of Iowa COVID-19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residents/patients in the Iowa Veterans Home. This request includes up to four (4) Registered Nurses (RNs), sixteen (16) Licensed Practical Nurses (LPNs), and twenty-seven (27) Nursing Assistants or Health Technicians per day. Services to be provided at the Iowa Veterans Home in Marshalltown, IA. The state has exhausted all other options for providers. Services to be provided until such support is obtained.

As directed by and in coordination with FEMA in support of State request, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) will provide staff at the Iowa Veterans Home in Marshalltown, IA. The number and specialty of the deploying personnel, not to exceed the MA total estimated cost, will be determined by conditions observed at the site and will be made by Subject Matter Experts (SMEs) from VHA long term care operations providing the staff. State of Iowa has provided assurances that Iowa Veterans Home will provide/ensure staffing as needed by this date at each facility covered in this tasking for them to operate on their own.
State of Iowa to provide PPE, as available.
VHA cannot provide services for Pediatric or OB/GYN patients.
State of Iowa will reimburse for overtime, transportation costs, supplies, and ancillary fees and costs, as applicable. MA task orders may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s). All equipment and supply purchases must be coordinated with FEMA. Prior Federal Approving Official (FAO) approval is necessary to ensure reimbursement. Work that falls within the statutory authority of the performing Federal agency is not eligible for FEMA reimbursement, per 44 CFR 206.208(c)(2). Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
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 agencies. MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157 and MA Policy 1040102. 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 extend Period of Performance to 6/24/2020 and add $337,484.73 additional funding.

The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Services Network 23: VA Midwest Health Care Network will assist State of Iowa COVID-19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residents/patients in the Iowa Veterans Home. This request includes up to four (4) Registered Nurses (RNs), sixteen (16) Licensed Practical Nurses (LPNs), and twenty-seven (27) Nursing Assistants or Health Technicians per day. Services to be provided at the Iowa Veterans Home in Marshalltown, IA. The state has exhausted all other options for providers. Services to be provided until such support is obtained.


Amendment #2: De-obligate remaining funds of (-$430,376.56) per 1/1/2021 ULO validation.

Amendment #1 Amend to extend Period of Performance to 6/24/2020 and add $337,484.73 additional funding.

The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Services Network 23: VA Midwest Health Care Network will assist State of Iowa COVID-19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residents/patients in the Iowa Veterans Home. This request includes up to four (4) Registered Nurses (RNs), sixteen (16) Licensed Practical Nurses (LPNs), and twenty-seven (27) Nursing Assistants or Health Technicians per day. Services to be provided at the Iowa Veterans Home in Marshalltown, IA. The state has exhausted all other options for providers. Services to be provided until such support is obtained.


Amendment #3: The State Cost Share is amended to 100% federal funding in accordance with memorandum 100% Federal Cost Share for COVID-19 Direct Federal Assistance Mission Assignments, dated March 29, 2021; effective 20 January 2020 through 30 September 2021.

Amendment #2: De-obligate remaining funds of (-$430,376.56) per 1/1/2021 ULO validation.

Amendment #1 Amend to extend Period of Performance to 6/24/2020 and add $337,484.73 additional funding.

The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Services Network 23: VA Midwest Health Care Network will assist State of Iowa COVID-19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residents/patients in the Iowa Veterans Home. This request includes up to four (4) Registered Nurses (RNs), sixteen (16) Licensed Practical Nurses (LPNs), and twenty-seven (27) Nursing Assistants or Health Technicians per day. Services to be provided at the Iowa Veterans Home in Marshalltown, IA. The state has exhausted all other options for providers. Services to be provided until such support is obtained.


The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Services Network 23: VA Midwest Health Care Network will assist State of Iowa COVID-19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residents/patients in the Iowa Veterans Home. This request includes up to twenty-one (21) Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR any combination thereof, per day. Services to be provided at the Iowa Veterans Home in Marshalltown, IA. The state has exhausted all other options for providers. Services to be provided until such support is obtained.

As directed by and in coordination with FEMA in support of State request, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) will provide staff at the Iowa Veterans Home in Marshalltown, IA. The number and specialty of the deploying personnel, not to exceed the MA total estimated cost, will be determined by conditions observed at the site and will be made by Subject Matter Experts (SMEs) from VHA long term care operations providing the staff. State of Iowa has provided assurances that Iowa Veterans Home will provide/ensure staffing as needed by this date at each facility covered in this tasking for them to operate on their own.

State of Iowa to provide PPE, as available.

VHA cannot provide services for Pediatric or OB/GYN patients.

State of Iowa will reimburse for overtime, transportation costs, supplies, and ancillary fees and costs, as applicable. MA task orders may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s). All equipment and supply purchases must be coordinated with FEMA. Prior Federal Approving Official (FAO) approval is necessary to ensure reimbursement. Work that falls within the statutory authority of the performing Federal agency is not eligible for FEMA reimbursement, per 44 CFR 206.208(c)(2). Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
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 agencies. MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157 and MA Policy 1040102. 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 extend MA#1509-325589 for fourteen days, beginning August 22, 2020 to September 04, 2020 and add funding. The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Services Network 23: VA Midwest Health Care Network will assist State of Iowa COVID19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residents/patients in the Iowa Veterans Home. This request includes up to ten (10) Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR any combination thereof, per day. Services to be provided at the Iowa Veterans Home in Marshalltown, IA. The state has exhausted all other options for providers. Services to be provided until such support is obtained.


Amendment #2: De-obligate excess funds of (-$186,842.53 ) per 1/1/2021 ULO validation.

Amendment#1:Amend to extend MA#1509-325589 for fourteen days, beginning August 22, 2020 to September 04, 2020 and add funding. The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Services Network 23: VA Midwest Health Care Network will assist State of Iowa COVID19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residents/patients in the Iowa Veterans Home. This request includes up to ten (10) Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR any combination thereof, per day. Services to be provided at the Iowa Veterans Home in Marshalltown, IA. The state has exhausted all other options for providers. Services to be provided until such support is obtained.


Amendment #3 The State Cost Share is amended to 100% federal funding in accordance with memorandum 100% Federal Cost Share for COVID-19 Direct Federal Assistance Mission Assignments, dated March 29, 2021; effective 20 January 2020 through 30 September 2021.

Amendment #2: De-obligate excess funds of (-$186,842.53 ) per 1/1/2021 ULO validation.

Amendment#1:Amend to extend MA#1509-325589 for fourteen days, beginning August 22, 2020 to September 04, 2020 and add funding. The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Services Network 23: VA Midwest Health Care Network will assist State of Iowa COVID19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residents/patients in the Iowa Veterans Home. This request includes up to ten (10) Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR any combination thereof, per day. Services to be provided at the Iowa Veterans Home in Marshalltown, IA. The state has exhausted all other options for providers. Services to be provided until such support is obtained.


ARPA-Amendment#4-De-obligate (-$9,001.87) per ULO report; change PM to Adrian Walker

Amendment #3 The State Cost Share is amended to 100% federal funding in accordance with memorandum 100% Federal Cost Share for COVID-19 Direct Federal Assistance Mission Assignments, dated March 29, 2021; effective 20 January 2020 through 30 September 2021.

Amendment #2: De-obligate excess funds of (-$186,842.53 ) per 1/1/2021 ULO validation.

Amendment#1:Amend to extend MA#1509-325589 for fourteen days, beginning August 22, 2020 to September 04, 2020 and add funding. The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Services Network 23: VA Midwest Health Care Network will assist State of Iowa COVID19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residents/patients in the Iowa Veterans Home. This request includes up to ten (10) Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR any combination thereof, per day. Services to be provided at the Iowa Veterans Home in Marshalltown, IA. The state has exhausted all other options for providers. Services to be provided until such support is obtained.


ARPA-VHA will assist State of Iowa COVID19 outbreak response operations by providing up to six (6) acute care (Medical/Surgical (M/S) and/or two (2) intensive care (ICU) beds, as necessary, at Veterans Integrated Service Network 23 facilities for critical or noncritical, non-COVID or COVID-positive, patients who are not eligible for such benefits. Facility assignment to be determined at time of transfer and is dependent on availability.

NOTE: bed costs are determined by M/S beds are $3,835 each per day and ICU are $6,485 each per day.

ARPA-As directed by and in coordination with FEMA in support of the State of Iowa request, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) will provide up to, but not limited to, two (2) total acute care (ICU) beds and up to six (6) total acute care (Medical/Surgical (M/S)) beds for immediate and short-term medical treatment, as available at the time of the request, at VA Medical Centers to be identified and assigned via MATO.
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, COVID+ and non-COVID 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 Iowa is responsible:
- To appoint/provide a bed coordinator to adjudicate and prioritize potential patients for transfer from local hospitals to VAMC(s).
- For all transportation of non-beneficiary patients.
- To 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 9/30/25. Any expenditures
under this MA must be submitted to FEMA no later than 9/30/30.

- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
- Requesting Agency is responsible for coordinating for the certification of hazardous goods and ensures items shipped are safe for flight (includes Medical oxygen, generators, etc.).
- 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.

Total Cost Estimate - $1,079,400.00 (Calculated at worse case 2 ICU beds x 30 days and 6 M/S beds x 30 days)
Cost - M/S beds are $3,835 each per day and ICU are $6,485 each per day.


ARPA-Amendment#1-Request three (3) additional ICU Beds for 10 days 10-13-21 to 10-23-21, at Veterans Integrated Service Network 23 facilities for critical or noncritical, non COVID or COVID positive patients who are are not eligible for such benefits Facility assignment to be determined at time of transfer and is dependent on availability. Change PM to Adrian Walker.

NOTE: ICU bed cost per day $6,485 x 10 = $194,550.00

ARPA-VHA will assist State of Iowa COVID19 outbreak response operations by providing up to six (6) acute care (Medical/Surgical (M/S) and/or two (2) intensive care (ICU) beds, as necessary, at Veterans Integrated Service Network 23 facilities for critical or noncritical, non-COVID or COVID-positive, patients who are not eligible for such benefits. Facility assignment to be determined at time of transfer and is dependent on availability.

NOTE: bed costs are determined by M/S beds are $3,835 each per day and ICU are $6,485 each per day.


ARPA-Amendment #2-Extend Period of Performance (PoP) to November 22, 2021, and additional funds of $1,663,050. This extension is for 11 beds - ICU Beds $6,485 5 ea x 30 days $972,750; Med/Surg Beds $3,835 6 ea x 30 days $690,300 GRAND TOTAL COSTS $1,663,050

ARPA-Amendment#1-Request three (3) additional ICU Beds for 10 days 10-13-21 to 10-23-21, at Veterans Integrated Service Network 23 facilities for critical or noncritical, non COVID or COVID positive patients who are are not eligible for such benefits Facility assignment to be determined at time of transfer and is dependent on availability. Change PM to Adrian Walker.

NOTE: ICU bed cost per day $6,485 x 10 = $194,550.00

ARPA-VHA will assist State of Iowa COVID19 outbreak response operations by providing up to six (6) acute care (Medical/Surgical (M/S) and/or two (2) intensive care (ICU) beds, as necessary, at Veterans Integrated Service Network 23 facilities for critical or noncritical, non-COVID or COVID-positive, patients who are not eligible for such benefits. Facility assignment to be determined at time of transfer and is dependent on availability.

NOTE: bed costs are determined by M/S beds are $3,835 each per day and ICU are $6,485 each per day.


ARPA-Amendment #3-Extend Period of Performance (PoP) to December  22, 2021, and add additional funds of $1,663,050. This extension is for 11 beds - ICU Beds $6,485 5 ea x 30 days $972,750; Med/Surg Beds $3,835 6 ea x 30 days $690,300 GRAND TOTAL COSTS $1,663,050

ARPA-Amendment #2-Extend Period of Performance (PoP) to November 22, 2021, and add additional funds of $1,663,050. This extension is for 11 beds - ICU Beds $6,485 5 ea x 30 days $972,750; Med/Surg Beds $3,835 6 ea x 30 days $690,300 GRAND TOTAL COSTS $1,663,050

ARPA-Amendment#1-Request three (3) additional ICU Beds for 10 days 10-13-21 to 10-23-21, at Veterans Integrated Service Network 23 facilities for critical or noncritical, non COVID or COVID positive patients who are are not eligible for such benefits Facility assignment to be determined at time of transfer and is dependent on availability. Change PM to Adrian Walker.

NOTE: ICU bed cost per day $6,485 x 10 = $194,550.00

ARPA-VHA will assist State of Iowa COVID19 outbreak response operations by providing up to six (6) acute care (Medical/Surgical (M/S) and/or two (2) intensive care (ICU) beds, as necessary, at Veterans Integrated Service Network 23 facilities for critical or noncritical, non-COVID or COVID-positive, patients who are not eligible for such benefits. Facility assignment to be determined at time of transfer and is dependent on availability.

NOTE: bed costs are determined by M/S beds are $3,835 each per day and ICU are $6,485 each per day.


ARPA-Amendment #4 Extend Period of Performance (PoP) to January 21, 2022, no additional funding needed; change PM to Robert Stegner.

ARPA-Amendment #3-Extend Period of Performance (PoP) to December  22, 2021, and add additional funds of $1,663,050. This extension is for 11 beds - ICU Beds $6,485 5 ea x 30 days $972,750; Med/Surg Beds $3,835 6 ea x 30 days $690,300 GRAND TOTAL COSTS $1,663,050

ARPA-Amendment #2-Extend Period of Performance (PoP) to November 22, 2021, and add additional funds of $1,663,050. This extension is for 11 beds - ICU Beds $6,485 5 ea x 30 days $972,750; Med/Surg Beds $3,835 6 ea x 30 days $690,300 GRAND TOTAL COSTS $1,663,050

ARPA-Amendment#1-Request three (3) additional ICU Beds for 10 days 10-13-21 to 10-23-21, at Veterans Integrated Service Network 23 facilities for critical or noncritical, non COVID or COVID positive patients who are are not eligible for such benefits Facility assignment to be determined at time of transfer and is dependent on availability. Change PM to Adrian Walker.

NOTE: ICU bed cost per day $6,485 x 10 = $194,550.00

ARPA-VHA will assist State of Iowa COVID19 outbreak response operations by providing up to six (6) acute care (Medical/Surgical (M/S) and/or two (2) intensive care (ICU) beds, as necessary, at Veterans Integrated Service Network 23 facilities for critical or noncritical, non-COVID or COVID-positive, patients who are not eligible for such benefits. Facility assignment to be determined at time of transfer and is dependent on availability.

NOTE: bed costs are determined by M/S beds are $3,835 each per day and ICU are $6,485 each per day.


ARPA-Amendment #5 Extend Period of Performance (PoP) to February 20, 2022, no additional funding needed; change PM to Adrian Walker

ARPA-Amendment #4 Extend Period of Performance (PoP) to January 21, 2022, no additional funding needed; change PM to Robert Stegner.

ARPA-Amendment #3-Extend Period of Performance (PoP) to December  22, 2021, and add additional funds of $1,663,050. This extension is for 11 beds - ICU Beds $6,485 5 ea x 30 days $972,750; Med/Surg Beds $3,835 6 ea x 30 days $690,300 GRAND TOTAL COSTS $1,663,050

ARPA-Amendment #2-Extend Period of Performance (PoP) to November 22, 2021, and add additional funds of $1,663,050. This extension is for 11 beds - ICU Beds $6,485 5 ea x 30 days $972,750; Med/Surg Beds $3,835 6 ea x 30 days $690,300 GRAND TOTAL COSTS $1,663,050

ARPA-Amendment#1-Request three (3) additional ICU Beds for 10 days 10-13-21 to 10-23-21, at Veterans Integrated Service Network 23 facilities for critical or noncritical, non COVID or COVID positive patients who are are not eligible for such benefits Facility assignment to be determined at time of transfer and is dependent on availability. Change PM to Adrian Walker.

NOTE: ICU bed cost per day $6,485 x 10 = $194,550.00

ARPA-VHA will assist State of Iowa COVID19 outbreak response operations by providing up to six (6) acute care (Medical/Surgical (M/S) and/or two (2) intensive care (ICU) beds, as necessary, at Veterans Integrated Service Network 23 facilities for critical or noncritical, non-COVID or COVID-positive, patients who are not eligible for such benefits. Facility assignment to be determined at time of transfer and is dependent on availability.

NOTE: bed costs are determined by M/S beds are $3,835 each per day and ICU are $6,485 each per day.


ARPA-Amendment #6 Request de-obligation of ($2,606,095.00) per the VA.
ARPA-Amendment #5 Extend Period of Performance (PoP) to February 20, 2022, no additional funding needed; change PM to Adrian Walker
ARPA-Amendment #4 Extend Period of Performance (PoP) to January 21, 2022, no additional funding needed; change PM to Robert Stegner.
ARPA-Amendment #3-Extend Period of Performance (PoP) to December  22, 2021, and add additional funds of $1,663,050. This extension is for 11 beds - ICU Beds $6,485 5 ea x 30 days $972,750; Med/Surg Beds $3,835 6 ea x 30 days $690,300 GRAND TOTAL COSTS $1,663,050
ARPA-Amendment #2-Extend Period of Performance (PoP) to November 22, 2021, and add additional funds of $1,663,050. This extension is for 11 beds - ICU Beds $6,485 5 ea x 30 days $972,750; Med/Surg Beds $3,835 6 ea x 30 days $690,300 GRAND TOTAL COSTS $1,663,050
ARPA-Amendment#1-Request three (3) additional ICU Beds for 10 days 10-13-21 to 10-23-21, at Veterans Integrated Service Network 23 facilities for critical or noncritical, non COVID or COVID positive patients who are are not eligible for such benefits Facility assignment to be determined at time of transfer and is dependent on availability. Change PM to Adrian Walker.
NOTE: ICU bed cost per day $6,485 x 10 = $194,550.00
ARPA-VHA will assist State of Iowa COVID19 outbreak response operations by providing up to six (6) acute care (Medical/Surgical (M/S) and/or two (2) intensive care (ICU) beds, as necessary, at Veterans Integrated Service Network 23 facilities for critical or noncritical, non-COVID or COVID-positive, patients who are not eligible for such benefits. Facility assignment to be determined at time of transfer and is dependent on availability.
NOTE: bed costs are determined by M/S beds are $3,835 each per day and ICU are $6,485 each per day.

ARPA-As directed by and in coordination with FEMA in support of the State of Iowa request, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) will provide up to, but not limited to, two (2) total acute care (ICU) beds and up to six (6) total acute care (Medical/Surgical (M/S)) beds for immediate and short-term medical treatment, as available at the time of the request, at VA Medical Centers to be identified and assigned via MATO.
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, COVID+ and non-COVID 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 Iowa is responsible:
- To appoint/provide a bed coordinator to adjudicate and prioritize potential patients for transfer from local hospitals to VAMC(s).
- For all transportation of non-beneficiary patients.
- To 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 9/30/25. Any expenditures
under this MA must be submitted to FEMA no later than 9/30/30.
- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
- Requesting Agency is responsible for coordinating for the certification of hazardous goods and ensures items shipped are safe for flight (includes Medical oxygen, generators, etc.).
- 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.
Total Cost Estimate - $1,079,400.00 (Calculated at worse case 2 ICU beds x 30 days and 6 M/S beds x 30 days)
Cost - M/S beds are $3,835 each per day and ICU are $6,485 each per day.


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

Request USACE Power Assessment at Federal CVC sites in Louisiana.

As directed by and in coordination with FEMA, USACE will activate and deploy teams to the FEMA supported CVC site in Louisiana. 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. 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.

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.

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: USACE requests full de-ob of $44,974.41. for operational and financial closure of the MA.

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

Request USACE Power Assessment at Federal CVC sites in Louisiana.


DoD provide 1,100 personnel not to exceed 3,000 and equipment to assist states to execute emergency protective measures to mitigate disaster operations for COVID-19 in the state of Louisiana

DFA) Consistent with President Trumps Memorandum Providing Federal Support for Governors Use of the National Guard to Respond to COVID-19, dated March 28, 2020, in response to a request from the Governor of Louisiana pursuant to 32 U.S.C. 502(f) that DOD request that States order National Guard Forces to perform duty to fulfill this mission assignment, on a fully reimbursable basis from FEMA, the Department of Defense (DOD) as directed by and in coordination with FEMA, will:
Provide essential assistance to meet the immediate threats to life resulting from the COVID-19 outbreak as authorized by Sections 403 (42 U.S.C. 5170b) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act, Public Law 93-288, as amended, 42 U.S.C. 5121 et seq., to support COVID-19 operations in the State of Louisiana for a period of 30-days. National Guard units under state control will execute critical missions to save lives and protect the public Safety and security missions, not to include law enforcement activities, are authorized as part of this mission assignment. Purchases of commodities is not authorized as part of this mission assignment. These missions, if necessary, should be handled through separate mission assignments.
FEMA can offer 100% reimbursement for this support, including pay and allowances, if it is executed with National Guard personnel under Title 32 pursuant to Section three of the Presidents March 28, 2020 proclamation on Providing Federal Support for DOD will deploy with appropriate command and control, support personnel, and equipment as required.

All local, State, and non-DoD national assets are exhausted or do not have the capacity to meet this requirement.
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.


(ARPA) The State of Louisiana is requesting one (1) Type II - Federally supported/ operated COVID-19 vaccination site. This site should come with support team and vaccinations. Site is located in East Baton Rouge Parish.

Department of Defense (DOD) will provide Vaccine Support Teams with medical and non-medical capabilities to vaccine sites in designated locations to support the state of Louisiana and federal vaccination efforts.  Requestor
will be responsible for providing COVID PPE for deployed DOD personnel. FEMA will issue MATOs to deploy and employ additional vaccine support teams to specific locations and to outline any unique site requirements.

Louisiana Department of Health in coordination with internal state entities will grant privileges to, and recognizes expanded scope of practice of Army Combat Medics/AF Med Techs/Navy Corpsmen and consents to the administration of vaccines and provision care, as necessary, to non-DOD recipients. Additional information outlined in Department of Health and Human Services (DHHS) PREP Act declaration and amendments describing expanded protections and categories of qualified persons authorized to administer vaccines.  Mission duration will include sufficient time to complete mandatory 14 days of restriction of movement (ROM) requirements.
Pharmacist and Pharmacy Technicians will be provided by State, local authorities or requested through Federal agreements. DOD WILL NOT PROVIDE ANY PHARMACY CAPABILITY FOR CVC TEAMS (Type 1 and Type 2 structure as agreed to between DOD and FEMA).
Ambulance and emergency medical technicians will be provided by State, local authorities or requested through Federal agreements.
Site security will be provided by State, local, or requested through Federal law enforcement agencies.
Jurisdictions requesting assistance will provide access to and training on IT systems used for record keeping and vaccination management.
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., federal personnel, volunteer personnel deployed at FEMAs request, and personnel from other federal agencies) deployed in support of the vaccination effort.
Jurisdictions requesting assistance, State of Louisiana and or FEMA will provide the site medical lead & site support.
Jurisdictions requesting assistance, State of Louisiana  and or FEMA will provide meals. DOD is prepared to staff 2 - 8 hour shifts per day.

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 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.


T32 National Guard: Amendment1: Request to increase funds by $11,070,000.  Change PM to Eddie Pack.
DoD provide 1,100 personnel not to exceed 3,000 and equipment to assist states to execute emergency protective measures to mitigate disaster operations for COVID-19 in the state of Louisiana


(APRA) Amendment#1: Per FFC, due internal errors within e-caps, MA to be fully de-ob & closed and replaced by new MA.  Please see attached email for justification.

(ARPA) The State of Louisiana is requesting one (1) Type II - Federally supported/ operated COVID-19 vaccination site. This site should come with support team and vaccinations. Site is located in East Baton Rouge Parish.


T32 National Guard: Amendment#2: State requests increase of personnel and funds by $11,620,000.00 Extend MA to 5/22.

T32 National Guard: Amendment1: Request to increase funds by $11,070,000.
DoD provide 1,100 personnel not to exceed 3,000 and equipment to assist states to execute emergency protective measures to mitigate disaster operations for COVID-19 in the state of Louisiana


T32NGB: Amendment#3: In accordance with Presidential Memo dated 4/20,T32 authorization is extended to 31May and the 31-day limit on individual orders no longer applies.

T32 National Guard: Amendment#2: State requests increase of personnel and funds by $11,620,000.00 Extend MA to 5/22.

T32 National Guard: Amendment1: Request to increase funds by $11,070,000.
DoD provide 1,100 personnel not to exceed 3,000 and equipment to assist states to execute emergency protective measures to mitigate disaster operations for COVID-19 in the state of Louisiana


T32NGB: Amendment#4: At the request of the NGB and with the approval of the State and FEMA, increase funds by $8,488,104.00 and per POTUS#9 memorandum extend end date to 24 June.
T32NGB: Amendment#3: In accordance with Presidential Memo dated 4/20,T32 authorization is extended to 31May and the 31-day limit on individual orders no longer applies.

T32 National Guard: Amendment#2: State requests increase of personnel and funds by $11,620,000.00 Extend MA to 5/22.

T32 National Guard: Amendment1: Request to increase funds by $11,070,000.
DoD provide 1,100 personnel not to exceed 3,000 and equipment to assist states to execute emergency protective measures to mitigate disaster operations for COVID-19 in the state of Louisiana


T32-Amendment#5: In accordance with Presidential Memorandum dated 2 June, extend end date to 21 August and cost increased by $3,642,057.00. Change PM to Dave Bell. While MA scope of work remains unchanged, see attached for further justification for extension.
T32NGB: Amendment#4: At the request of the NGB and with the approval of the State and FEMA, increase funds by $8,488,104.00 and per POTUS#9 memorandum extend end date to 24 June.
T32NGB: Amendment#3: In accordance with Presidential Memo dated 4/20,T32 authorization is extended to 31May and the 31-day limit on individual orders no longer applies.

T32 National Guard: Amendment#2: State requests increase of personnel and funds by $11,620,000.00 Extend MA to 5/22.

T32 National Guard: Amendment1: Request to increase funds by $11,070,000.
DoD provide 1,100 personnel not to exceed 3,000 and equipment to assist states to execute emergency protective measures to mitigate disaster operations for COVID-19 in the state of Louisiana


T32 Amend #6: Amend to add additional funding of $2,000,000.00 to fund applicable T32 activities through the current end date of 21 Aug 2020.Change PM to Eddie Pack.

T32-Amendment#5: In accordance with Presidential Memorandum dated 2 June, extend end date to 21 August and cost increased by $3,642,057.00. Change PM to Dave Bell. While MA scope of work remains unchanged, see attached for further justification for extension.
T32NGB: Amendment#4: At the request of the NGB and with the approval of the State and FEMA, increase funds by $8,488,104.00 and per POTUS#9 memorandum extend end date to 24 June.
T32NGB: Amendment#3: In accordance with Presidential Memo dated 4/20,T32 authorization is extended to 31May and the 31-day limit on individual orders no longer applies.

T32 National Guard: Amendment#2: State requests increase of personnel and funds by $11,620,000.00 Extend MA to 5/22.

T32 National Guard: Amendment1: Request to increase funds by $11,070,000.
DoD provide 1,100 personnel not to exceed 3,000 and equipment to assist states to execute emergency protective measures to mitigate disaster operations for COVID-19 in the state of Louisiana


T32 Amend#7: Increase funds by $204,763.62 to cover bills. Please see attached documentation attached

T32 Amend #6: Amend to add additional funding of $2,000,000.00 to fund applicable T32 activities through the current end date of 21 Aug 2020.Change PM to Eddie Pack.

T32-Amendment#5: In accordance with Presidential Memorandum dated 2 June, extend end date to 21 August and cost increased by $3,642,057.00. Change PM to Dave Bell. While MA scope of work remains unchanged, see attached for further justification for extension.
T32NGB: Amendment#4: At the request of the NGB and with the approval of the State and FEMA, increase funds by $8,488,104.00 and per POTUS#9 memorandum extend end date to 24 June.
T32NGB: Amendment#3: In accordance with Presidential Memo dated 4/20,T32 authorization is extended to 31May and the 31-day limit on individual orders no longer applies.

T32 National Guard: Amendment#2: State requests increase of personnel and funds by $11,620,000.00 Extend MA to 5/22.

T32 National Guard: Amendment1: Request to increase funds by $11,070,000.
DoD provide 1,100 personnel not to exceed 3,000 and equipment to assist states to execute emergency protective measures to mitigate disaster operations for COVID-19 in the state of Louisiana


T32   Amend #8:  Amend to de-obligate funds in amount of $982.28 (BFY 22) per DOD 7-1-22 QTRLY ULO.

T32 Amend#7: Increase funds by $204,763.62 to cover bills. Please see attached documentation attached

T32 Amend #6: Amend to add additional funding of $2,000,000.00 to fund applicable T32 activities through the current end date of 21 Aug 2020.Change PM to Eddie Pack.

T32-Amendment#5: In accordance with Presidential Memorandum dated 2 June, extend end date to 21 August and cost increased by $3,642,057.00. Change PM to Dave Bell. While MA scope of work remains unchanged, see attached for further justification for extension.
T32NGB: Amendment#4: At the request of the NGB and with the approval of the State and FEMA, increase funds by $8,488,104.00 and per POTUS#9 memorandum extend end date to 24 June.
T32NGB: Amendment#3: In accordance with Presidential Memo dated 4/20,T32 authorization is extended to 31May and the 31-day limit on individual orders no longer applies.

T32 National Guard: Amendment#2: State requests increase of personnel and funds by $11,620,000.00 Extend MA to 5/22.

T32 National Guard: Amendment1: Request to increase funds by $11,070,000.
DoD provide 1,100 personnel not to exceed 3,000 and equipment to assist states to execute emergency protective measures to mitigate disaster operations for COVID-19 in the state of Louisiana


T32 Amend #9:  Amend to de-obligate funds in amount of $203,781.34 (BFY 22) per HQ MAP and Consolidated ULO.
T32   Amend #8:  Amend to de-obligate funds in amount of $982.28 (BFY 22) per DOD 7-1-22 QTRLY ULO.
T32 Amend#7: Increase funds by $204,763.62 to cover bills. Please see attached documentation attached
T32 Amend #6: Amend to add additional funding of $2,000,000.00 to fund applicable T32 activities through the current end date of 21 Aug 2020.Change PM to Eddie Pack.
T32-Amendment#5: In accordance with Presidential Memorandum dated 2 June, extend end date to 21 August and cost increased by $3,642,057.00. Change PM to Dave Bell. While MA scope of work remains unchanged, see attached for further justification for extension.
T32NGB: Amendment#4: At the request of the NGB and with the approval of the State and FEMA, increase funds by $8,488,104.00 and per POTUS#9 memorandum extend end date to 24 June.
T32NGB: Amendment#3: In accordance with Presidential Memo dated 4/20,T32 authorization is extended to 31May and the 31-day limit on individual orders no longer applies.
T32 National Guard: Amendment#2: State requests increase of personnel and funds by $11,620,000.00 Extend MA to 5/22.

T32 National Guard: Amendment1: Request to increase funds by $11,070,000.
DoD provide 1,100 personnel not to exceed 3,000 and equipment to assist states to execute emergency protective measures to mitigate disaster operations for COVID-19 in the state of Louisiana


T32 Amend #10: De-obligate $2,400,000.00 per NGB (BFY 22) (06 funds).
T32 Amend #9:  Amend to de-obligate funds in amount of $203,781.34 (BFY 22) per HQ MAP and Consolidated ULO.
T32   Amend #8:  Amend to de-obligate funds in amount of $982.28 (BFY 22) per DOD 7-1-22 QTRLY ULO.
T32 Amend#7: Increase funds by $204,763.62 to cover bills. Please see attached documentation attached
T32 Amend #6: Amend to add additional funding of $2,000,000.00 to fund applicable T32 activities through the current end date of 21 Aug 2020.Change PM to Eddie Pack.
T32-Amendment#5: In accordance with Presidential Memorandum dated 2 June, extend end date to 21 August and cost increased by $3,642,057.00. Change PM to Dave Bell. While MA scope of work remains unchanged, see attached for further justification for extension.
T32NGB: Amendment#4: At the request of the NGB and with the approval of the State and FEMA, increase funds by $8,488,104.00 and per POTUS#9 memorandum extend end date to 24 June.
T32NGB: Amendment#3: In accordance with Presidential Memo dated 4/20,T32 authorization is extended to 31May and the 31-day limit on individual orders no longer applies.
T32 National Guard: Amendment#2: State requests increase of personnel and funds by $11,620,000.00 Extend MA to 5/22.

T32 National Guard: Amendment1: Request to increase funds by $11,070,000.
DoD provide 1,100 personnel not to exceed 3,000 and equipment to assist states to execute emergency protective measures to mitigate disaster operations for COVID-19 in the state of Louisiana


T32 AMEND #11: De-obligate $66,843.89 (BFY 22) per agency and QULO 10-1-23 and financially close MA.  Change PM to Johnny Jaimez.
T32 Amend #10: De-obligate $2,400,000.00 per NGB (BFY 22) (06 funds).
T32 Amend #9:  Amend to de-obligate funds in amount of $203,781.34 (BFY 22) per HQ MAP and Consolidated ULO.
T32   Amend #8:  Amend to de-obligate funds in amount of $982.28 (BFY 22) per DOD 7-1-22 QTRLY ULO.
T32 Amend#7: Increase funds by $204,763.62 to cover bills. Please see attached documentation attached
T32 Amend #6: Amend to add additional funding of $2,000,000.00 to fund applicable T32 activities through the current end date of 21 Aug 2020.Change PM to Eddie Pack.
T32-Amendment#5: In accordance with Presidential Memorandum dated 2 June, extend end date to 21 August and cost increased by $3,642,057.00. Change PM to Dave Bell. While MA scope of work remains unchanged, see attached for further justification for extension.
T32NGB: Amendment#4: At the request of the NGB and with the approval of the State and FEMA, increase funds by $8,488,104.00 and per POTUS#9 memorandum extend end date to 24 June.
T32NGB: Amendment#3: In accordance with Presidential Memo dated 4/20,T32 authorization is extended to 31May and the 31-day limit on individual orders no longer applies.
T32 National Guard: Amendment#2: State requests increase of personnel and funds by $11,620,000.00 Extend MA to 5/22.

T32 National Guard: Amendment1: Request to increase funds by $11,070,000.
DoD provide 1,100 personnel not to exceed 3,000 and equipment to assist states to execute emergency protective measures to mitigate disaster operations for COVID-19 in the state of Louisiana


T32 AMEND #12: Re-obligate $642.16 per FFC request due to IPAC received.
T32 AMEND #11: De-obligate $66,843.89 (BFY 22) per agency and QULO 10-1-23 and financially close MA.  Change PM to Johnny Jaimez.
T32 Amend #10: De-obligate $2,400,000.00 per NGB (BFY 22) (06 funds).
T32 Amend #9:  Amend to de-obligate funds in amount of $203,781.34 (BFY 22) per HQ MAP and Consolidated ULO.
T32   Amend #8:  Amend to de-obligate funds in amount of $982.28 (BFY 22) per DOD 7-1-22 QTRLY ULO.
T32 Amend#7: Increase funds by $204,763.62 to cover bills. Please see attached documentation attached
T32 Amend #6: Amend to add additional funding of $2,000,000.00 to fund applicable T32 activities through the current end date of 21 Aug 2020.Change PM to Eddie Pack.
T32-Amendment#5: In accordance with Presidential Memorandum dated 2 June, extend end date to 21 August and cost increased by $3,642,057.00. Change PM to Dave Bell. While MA scope of work remains unchanged, see attached for further justification for extension.
T32NGB: Amendment#4: At the request of the NGB and with the approval of the State and FEMA, increase funds by $8,488,104.00 and per POTUS#9 memorandum extend end date to 24 June.
T32NGB: Amendment#3: In accordance with Presidential Memo dated 4/20,T32 authorization is extended to 31May and the 31-day limit on individual orders no longer applies.
T32 National Guard: Amendment#2: State requests increase of personnel and funds by $11,620,000.00 Extend MA to 5/22.

T32 National Guard: Amendment1: Request to increase funds by $11,070,000.
DoD provide 1,100 personnel not to exceed 3,000 and equipment to assist states to execute emergency protective measures to mitigate disaster operations for COVID-19 in the state of Louisiana


T32 AMEND #13: De-obligate $3,444.74 (BFY 24 - 6D Funds) per agency and 4-1-24 QULO.  MA will be financially closed. Change PM to Eddie Pack.
T32 AMEND #12: Re-obligate $642.16 per FFC request due to IPAC received.
T32 AMEND #11: De-obligate $66,843.89 (BFY 22) per agency and QULO 10-1-23 and financially close MA.  Change PM to Johnny Jaimez.
T32 Amend #10: De-obligate $2,400,000.00 per NGB (BFY 22) (06 funds).
T32 Amend #9:  Amend to de-obligate funds in amount of $203,781.34 (BFY 22) per HQ MAP and Consolidated ULO.
T32   Amend #8:  Amend to de-obligate funds in amount of $982.28 (BFY 22) per DOD 7-1-22 QTRLY ULO.
T32 Amend#7: Increase funds by $204,763.62 to cover bills. Please see attached documentation attached
T32 Amend #6: Amend to add additional funding of $2,000,000.00 to fund applicable T32 activities through the current end date of 21 Aug 2020.Change PM to Eddie Pack.
T32-Amendment#5: In accordance with Presidential Memorandum dated 2 June, extend end date to 21 August and cost increased by $3,642,057.00. Change PM to Dave Bell. While MA scope of work remains unchanged, see attached for further justification for extension.
T32NGB: Amendment#4: At the request of the NGB and with the approval of the State and FEMA, increase funds by $8,488,104.00 and per POTUS#9 memorandum extend end date to 24 June.
T32NGB: Amendment#3: In accordance with Presidential Memo dated 4/20,T32 authorization is extended to 31May and the 31-day limit on individual orders no longer applies.
T32 National Guard: Amendment#2: State requests increase of personnel and funds by $11,620,000.00 Extend MA to 5/22.

T32 National Guard: Amendment1: Request to increase funds by $11,070,000.
DoD provide 1,100 personnel not to exceed 3,000 and equipment to assist states to execute emergency protective measures to mitigate disaster operations for COVID-19 in the state of Louisiana


DoD medical staff to provide a deployable, temporary and scalable medical staff to the state of Louisiana to assist with medical care for 500 bed Alternate Care Facility in New Orleans in support of FEMA RVI and ESF8 response operations. Staffing should be equivalent to expanded medical surge operations to provide basic medical support treatment of low acuity COVID (+) patients discharged as a step-down unit to include nursing home patients unable to return to their residences.

As directed by FEMA in coordination with requests from HHS, DoD will provide a deployable, temporary and scalable medical staff to support a modular Federal Medical Station. Facilities will support medical surge operations to relieve COVID 19 impacted facilities or provide standalone medical support operations at a designated location. Operations will be conducted in support of the incident in New Orleans.  All local, state, and non DOD federal national assets are exhausted or do not have the capacity to meet this requirement.

Prepare a scalable medical staff to conduct clinical operations to include, but not limited to: Clinical Unit Leaders (physician), Nurse managers, Physicians, Charge Nurses, Physician Assistants, Registered Nurses, Licensed Practical Nurses, emergency medical technicians, Respiratory Therapists or Technicians, Occupational Therapists, Behavioral Health Providers, Epidemiologists, Environmental Health/Sanitarian or infection control Nurse Specialist, Food Safety/Nutritionist and or equivalents. Coordinate Pharmaceutical needs and requirements with local pharmacy networks.

Organic shelter equipment, mobile utilities, and vehicles not required and will be coordinated with Louisiana and HHS. HHS will coordinate credentialing of DoD medical personnel prior to
deployment if DoD personnel are not working in a Federal facility.

Wrap around services to include food, laundry, linen, trash, hazardous waste removal, security, custodial cleaning, and others shall be managed and supported by Local and State agencies.

All equipment and supply purchases must be coordinated with FEMA if determined that State and Local authorities cannot fulfill. Prior FEMA approval is necessary to ensure reimbursement.

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   Request a 20 Pax DoD Medical Team to augment hospital staff.  The team will consist of 4 medical providers, 14 registered nurses, and 2 respiratory therapists, plus appropriate command and control, sustainment, and other enabler support.

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

In support of the State of Louisiana request, as directed by and in coordination with FEMA, DOD will deploy one medical team capable of assisting and/or back-filling medical professionals, augmenting hospitals for COVID-19 care, to the state of Louisiana. The team will consist of 4 medical providers, 14 registered nurses, and 2 respiratory therapists, plus appropriate command and control, sustainment, and other enabler support. Medical facility location will be designated by the Governor's Office of Homeland Security and Emergency Preparedness. Employment of personnel will be oordinated with the Louisiana Department of Health.
ADVON should flow within 24 hours of deployment notification, with medical providers arriving NLT day 5, and IOC achieved on day 7, and FOC by 18 August.

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.


Amendment:1# At request of RCO - De-ob all funds to operationally and financially close-out MA.  Intent of MA changed in its entity.

DoD medical staff to provide a deployable, temporary and scalable medical staff to the state of Louisiana to assist with medical care for 500 bed Alternate Care Facility in New Orleans in support of FEMA RVI and ESF8 response operations. Staffing should be equivalent to expanded medical surge operations to provide basic medical support treatment of low acuity COVID (+) patients discharged as a step-down unit to include nursing home patients unable to return to their residences.


ARPA   Amend #1: Amend to de-obligate in full and re-issue for same amount and same SOW to correct label selected due to DOD label "DOD-" having been used as opposed to "DOD".  All else remains the same.

ARPA   Request a 20 Pax DoD Medical Team to augment hospital staff.  The team will consist of 4 medical providers, 14 registered nurses, and 2 respiratory therapists, plus appropriate command and control, sustainment, and other enabler support.

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


Provide a deployable, temporary and scalable medical staff to the state of Louisiana to assist with medical care for up to 250 bed Personal Housing Unit in New Orleans in support of FEMA RVI and ESF8 response operations. Staffing should be equivalent to expanded medical surge operations to provide basic medical support treatment of patients discharged as a low acuity, step-down unit to include patients unable to return to their residences, such as nursing home patients, individuals with high risk family members, etc.

As directed by FEMA in coordination with requests from HHS, DoD will provide a deployable, temporary and scalable medical staff to support a 250 bed Personal Housing Unit. Facilities will support medical surge operations to relieve COVID 19 impacted facilities or provide standalone medical support operations at a designated location. Operations will be conducted in support of the incident in Dallas.  All local, state, and non DOD federal national assets are exhausted or do not have the capacity to meet this requirement.

Prepare a scalable medical staff to conduct clinical operations to include, but not limited to: Clinical Unit Leaders (physician), Nurse managers, Physicians, Charge Nurses, Physician Assistants, Registered Nurses, Licensed Practical Nurses, emergency medical technicians, Respiratory Therapists or Technicians, Occupational Therapists, Behavioral Health Providers, Epidemiologists, Environmental Health/Sanitarian or infection control Nurse Specialist, Food Safety/Nutritionist and or equivalents. Coordinate Pharmaceutical needs and requirements with local pharmacy networks.

Organic shelter equipment, mobile utilities, and vehicles not required and will be coordinated with Texas and HHS. HHS will coordinate credentialing of DoD medical personnel prior to deployment if DoD personnel are not working in a Federal facility.

Wrap around services to include food, laundry, linen, trash, hazardous waste removal, security, custodial cleaning, and others shall be managed and supported by Local and State agencies.

All equipment and supply purchases must be coordinated with FEMA if determined that State and Local authorities cannot fulfill. Prior FEMA approval is necessary to ensure reimbursement.

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 de-obligate full amount and close.  Will re-open with corrected SOW and for same amount.

Provide a deployable, temporary and scalable medical staff to the state of Louisiana to assist with medical care for up to 250 bed Personal Housing Unit in New Orleans in support of FEMA RVI and ESF8 response operations. Staffing should be equivalent to expanded medical surge operations to provide basic medical support treatment of patients discharged as a low acuity, step-down unit to include patients unable to return to their residences, such as nursing home patients, individuals with high risk family members, etc.


As directed by FEMA in coordination with requests from HHS, DoD will provide a deployable, temporary and scalable medical staff to support a Personal Housing Unit. Facilities will support medical surge operations to relieve COVID 19 impacted facilities or provide standalone medical support operations at a designated location. Operations will be conducted in support of the incident in New Orleans.  All local, state, and non DOD federal national assets are exhausted or do not have the capacity to meet this requirement.

Prepare a scalable medical staff to conduct clinical operations to include, but not limited to: Clinical Unit Leaders (physician), Nurse managers, Physicians, Charge Nurses, Physician Assistants, Registered Nurses, Licensed Practical Nurses, emergency medical technicians, Respiratory Therapists or Technicians, Occupational Therapists, Behavioral Health Providers, Epidemiologists, Environmental Health/Sanitarian or infection control Nurse Specialist, Food Safety/Nutritionist and or equivalents. Coordinate Pharmaceutical needs and requirements with local pharmacy networks.

Organic shelter equipment, mobile utilities, and vehicles not required and will be coordinated with Louisiana and HHS. HHS will coordinate credentialing of DoD medical personnel prior to deployment if DoD personnel are not working in a Federal facility.

Wrap around services to include food, laundry, linen, trash, hazardous waste removal, security, custodial cleaning, and others shall be managed and supported by Local and State agencies.

All equipment and supply purchases must be coordinated with FEMA if determined that State and Local authorities cannot fulfill. Prior FEMA approval is necessary to ensure reimbursement.

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 de-obligate full amount and close MA and re-obligate full amount to DOD-05 which is a re-issue of this capability with a new SOW.

Provide a deployable, temporary and scalable medical staff to the state of Louisiana to assist with medical care for up to 250 bed Personal Housing Unit in New Orleans in support of FEMA RVI and ESF8 response operations. Staffing should be equivalent to expanded medical surge operations to provide basic medical support treatment of patients discharged as a low acuity, step-down unit to include patients unable to return to their residences, such as nursing home patients, individuals with high risk family members, etc.


***This is a re-issue of DOD-04 with an adjusted SOW***
Provide a deployable, temporary and scalable medical staff to the state of Louisiana to assist with medical care for up to 250 bed Personal Housing Unit in New Orleans in support of FEMA RVI and ESF8 response operations. Staffing should be equivalent to expanded medical surge operations to provide basic medical support treatment of patients discharged as a low acuity, step-down unit to include patients unable to return to their residences, such as nursing home patients, individuals with high risk family members, etc.

As directed by FEMA in coordination with requests from HHS, DoD will provide a deployable, temporary and scalable medical staff to support a modular Federal Medical Station. Facilities will support medical surge operations to
relieve COVID 19 impacted facilities or provide standalone medical support operations at a designated location. Facilities may treat COVID-19 patients in convalescent care status, i.e. not patients requiring acute care in a
hospital ICU.  Hospitalized patients in "convalescent care status" are ones who are on the road to recovery.  Relapse is possible.  If there is a relapse, they may be transferred back to a city hospital. Operations will be
conducted in support of the incident in Dallas.  All local, state, and non DOD federal national assets are exhausted or do not have the capacity to meet this requirement.

Prepare a scalable medical staff to conduct clinical operations to include, but not limited to: Clinical Unit Leaders (physician), Nurse managers, Physicians, Charge Nurses, Physician Assistants, Registered Nurses, Licensed
Practical Nurses, emergency medical technicians, Respiratory Therapists or
Technicians, Occupational Therapists, Behavioral Health Providers, Epidemiologists, Environmental Health/Sanitarian or infection control Nurse Specialist, Food Safety/Nutritionist and or equivalents. Coordinate
Pharmaceutical needs and requirements with local pharmacy networks.

Organic shelter equipment, mobile utilities, and vehicles not required and will be coordinated with Texas and HHS. HHS will coordinate credentialing of DoD medical personnel prior to deployment if DoD personnel are not working in a Federal facility.

Wrap around services to include food, laundry, linen, trash, hazardous waste
removal, security, custodial cleaning, and others shall be managed and supported by Local and State agencies.

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 de-obligate full amount and close. This MA will be re-issued under DOD-06 with a corrected SOW and for the same amount.

***This is a re-issue of DOD-04 with an adjusted SOW***
Provide a deployable, temporary and scalable medical staff to the state of Louisiana to assist with medical care for up to 250 bed Personal Housing Unit in New Orleans in support of FEMA RVI and ESF8 response operations. Staffing should be equivalent to expanded medical surge operations to provide basic medical support treatment of patients discharged as a low acuity, step-down unit to include patients unable to return to their residences, such as nursing home patients, individuals with high risk family members, etc.


***This is a re-issue of DOD-05 with an corrected SOW***
Provide a deployable, temporary and scalable medical staff to the state of Louisiana to assist with medical care for up to 250 bed Personal Housing Unit in New Orleans in support of FEMA RVI and ESF8 response operations. Staffing should be equivalent to expanded medical surge operations to provide basic medical support treatment of patients discharged as a low acuity, step-down unit to include patients unable to return to their residences, such as nursing home patients, individuals with high risk family members, etc.

As directed by FEMA in coordination with requests from HHS, DoD will provide a deployable, temporary and scalable medical staff to support a Personal Housing Unit (PHU). Facilities will support medical surge operations to
relieve COVID 19 impacted facilities or provide standalone medical support operations at a designated location. Facilities may treat COVID-19 patients in convalescent care status, i.e. not patients requiring acute care in a
hospital ICU.  Hospitalized patients in "convalescent care status" are ones who are on the road to recovery.  Relapse is possible.  If there is a relapse, they may be transferred back to a city hospital. Operations will be
conducted in support of the incident in New Orleans.  All local, state, and non DOD federal national assets are exhausted or do not have the capacity to meet this requirement.

Prepare a scalable medical staff to conduct clinical operations to include, but not limited to: Clinical Unit Leaders (physician), Nurse managers, Physicians, Charge Nurses, Physician Assistants, Registered Nurses, Licensed
Practical Nurses, emergency medical technicians, Respiratory Therapists or Technicians, Occupational Therapists, Behavioral Health Providers, Epidemiologists, Environmental Health/Sanitarian or infection control Nurse Specialist, Food Safety/Nutritionist and or equivalents. Coordinate Pharmaceutical needs and requirements with local pharmacy networks.

Organic shelter equipment, mobile utilities, and vehicles not required and will be coordinated with Louisiana and HHS. HHS will coordinate credentialing of DoD medical personnel prior to deployment if DoD personnel are not working in a Federal facility.

Wrap around services to include food, laundry, linen, trash, hazardous waste removal, security, custodial cleaning, and others shall be managed and supported by Local and State agencies.

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 full amount $667,114.22 and close MA as this mission and funding will transfer to LA DOD-08 which is including and replacing LA D0D-06.+++

***This is a re-issue of DOD-05 with an corrected SOW***
Provide a deployable, temporary and scalable medical staff to the state of Louisiana to assist with medical care for up to 250 bed Personal Housing Unit in New Orleans in support of FEMA RVI and ESF8 response operations. Staffing should be equivalent to expanded medical surge operations to provide basic medical support treatment of patients discharged as a low acuity, step-down unit to include patients unable to return to their residences, such as nursing home patients, individuals with high risk family members, etc.


The State of Louisiana requests medical team support to staff hospitals and other medical sites as needed and directed by the Louisiana Department of Health. (See attached)

As directed by and in coordination with FEMA and Health and Human Services (HHS) in support of the State of Louisiana's request, Department of Defense (DOD) will provide qualified and credentialed medical staff to the State of Louisiana at medical facilities designated by the State to assist with medical care in support of FEMA Region 6 and ESF8 disaster operations.

Prepare a scalable medical staff to conduct clinical operations to include, but not limited to: Clinical Unit Leaders (physician), Nurse managers, Physicians, Charge Nurses, Physician Assistants, Registered Nurses, Licensed Practical Nurses, emergency medical technicians, Respiratory Therapists or Technicians, Occupational Therapists, Behavioral Health Providers, Epidemiologists, Environmental Health/Sanitarian or infection control Nurse Specialist, Food Safety/Nutritionist and or equivalents.
Coordinate Pharmaceutical needs and requirements with local pharmacy networks.

Organic shelter equipment, mobile utilities, and vehicles not required and will be coordinated with Louisiana, FEMA, and HHS. HHS will coordinate credentialing of DoD medical personnel prior to deployment if DoD personnel are not working in a Federal facility.

Personal Protective Equipment (PPE) will be supplied by the State. Wrap around services to include food, laundry, linen, trash, hazardous waste removal, security, custodial cleaning, and others shall be managed and supported by Local and State agencies.

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:MA is being replaced by DOD-08 due to re-write of SOW by DoD. De-ob of all funds in the amount of $667,114.22.

The State of Louisiana requests medical team support to staff hospitals and other medical sites as needed and directed by the Louisiana Department of Health. (See attached)