PolicyBrief
H.R. 1961
119th CongressMar 6th 2025
CARE Act
IN COMMITTEE

The CARE Act mandates that the Department of Health and Human Services establish a comprehensive system for reviewing public health emergency responses, coordinating inter-agency efforts, and developing a clear, risk-focused communication strategy.

Ritchie Torres
D

Ritchie Torres

Representative

NY-15

LEGISLATION

CARE Act Mandates Post-Crisis Accountability: HHS Must Review Emergency Failures and Fix Communication Within Two Years

The Coordinated Agency Response Enhancement Act, or CARE Act, is the legislative equivalent of forcing the government to finally sit down and write a detailed list of every mistake made during the last few public health crises—and then make a plan to avoid them next time. This bill focuses squarely on forcing the Department of Health and Human Services (HHS) to build a permanent system for learning from its failures.

The Mandatory After-Action Review

Section 2 of the CARE Act mandates that HHS establish a department-wide “after-action program” within two years. Think of this as a mandatory, ongoing quality control audit for emergency response. The goal isn't just to point fingers; it’s to identify problems that popped up during a public health emergency and then implement actual fixes. This system has to combine all the internal reviews across HHS into one unified process, making sure that different agencies aren't operating in silos when the next crisis hits.

For people working in healthcare, logistics, or any essential service, this is a big deal. The mandated reports must cover granular details of the response, including how well information was shared, the strategies used for logistics and supply chain management for things like PPE, and how they handled the surge in patient loads across regions. If you were working overtime because your hospital was overwhelmed while the one down the road was half-empty, this review is designed to figure out why that coordination failed. The bill specifically authorizes $3.5 million to get this program off the ground and fund the first four reports. And just to make sure the homework gets done, the HHS Inspector General (IG) is tasked with continuous oversight, checking the program’s effectiveness and reporting directly to Congress.

Fixing the Communication Breakdown

Remember the confusion over masking, risk levels, and vaccine rollout messages? Section 3 of the CARE Act is designed to prevent that communication chaos from happening again. It requires the Secretary of HHS to develop a detailed, standing "risk communication strategy" within one year of the bill’s enactment. The plan must ensure that all federal health agencies, like the CDC, are sending crystal-clear, accurate messages.

Crucially, this strategy must prioritize the groups most at risk during an emergency. This means that instead of a one-size-fits-all press conference, the communication needs to be tailored and accessible to vulnerable populations. For instance, if you are a shift worker who doesn't have time to watch daily briefings, or if you live in a community with limited internet access, the new strategy is supposed to make sure you get the critical, life-saving information you need, delivered in a way that actually reaches you. This move acknowledges that during a crisis, confusing or delayed information can be just as dangerous as a lack of supplies.

The Real-World Impact

Ultimately, the CARE Act is about accountability and preparedness. It ensures that the government can't just move on after a crisis without a formal, mandated process for learning lessons. For the average person, this means that future public health emergencies should be handled with far better coordination, clearer communication, and a more robust supply chain. While this bill creates new administrative work for HHS agencies, the intent is to streamline future operations and save lives by replacing guesswork with documented, refined protocols. The IG’s broad authority to check the program whenever they see fit adds a layer of necessary scrutiny, ensuring that these new systems aren't just paper tigers.