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              Researh Sevice






COVID-19 Alternate Care Sites (ACSs):

Role and Activities of the U.S. Army Corps of

Engineers



May 15, 2020
The U.S. Army Corps of Engineers (USACE) provides engineering services and capabilities in support of
national interests. As part of its overall mission, USACE prepares for and responds to national
emergencies in support of the Department of Defense and other federal agencies and efforts. In response
to the Coronavirus Disease 2019 (COVID- 19) pandemic emergency, the Federal Emergency Management
Agency (FEMA) had assigned USACE missions totaling $1.8 billion as of mid-May 2020, which have
led to USACE
    *  assessing over 1,000 sites for potential use as alternate care sites (ACSs, also called
       alternate care facilities) that can function as temporary health care facilities;
    *  developing standardized designs for ACSs (with other federal agencies' input); and
    *  contracting to convert structures into ACSs.
Congressional oversight of the COVID-19 response may include ACSs. Some USACE-converted ACSs
reportedly are expected to close shortly after their conversions or are to be put on standby (referred to as
warm sites). Others have served fewer patients than the facilities' capacity, but there is some reporting
that health care professionals have found that ACSs provided relief for hospitals and their staff.
Legislation also may address ACS topics, such as changes to the nonfederal cost share for many ACS
activities, which is typically 25% under the Stafford Act's requirement for public assistance. For example,
H.R. 6800 would make the costs 100% federal for Stafford Act Public Assistance provided under the
President's COVID-I 9 emergency declaration.








                                                              Congressional Research Service
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