The Texas Department of State Health Services (DSHS) serves as the primary public health agency for the State of Texas and coordinates mitigation, preparedness, response, and recovery, for public health threats and disasters. To coordinate these efforts, the Center for Health Emergency Preparedness and Response (CHEPR) collaborates with a variety of public health and healthcare preparedness and response partners, including public health regions (PHRs), trauma service regions, regional advisory councils (RACs), local health agencies, hospitals, and emergency management agencies. CHEPR also coordinates agency funds from the Public Health Emergency Preparedness (PHEP) award from the Centers for Disease Control and Prevention (CDC). CHEPR manages and disperses these funds to PHRs and local participating health agencies across the state. The Assistant Secretary for Preparedness and Response (ASPR) awards Hospital Preparedness Program (HPP) funds to DSHS. CHEPR also manages and disperses these funds through RACs for hospital and emergency medical services initiatives. DSHS provides an oversight function to ensure the funds are used within state and federal guidelines. The positioning of the DSHS’ Maternal and Child Health Section (MCHS) program staff at both the state and regional levels allows a broad and local approach in addressing current and emerging issues. MCHS offers assistance and subject matter expertise to agency-level planning and preparedness efforts as needed, and participates on agency and interagency workgroups. Within MCH, the Children with Special Health Care Needs (CSHCN) Systems Development Group (SDG) leads, funds, partners, and supports efforts to improve care coordination for CYSHCN and their families, increase the percentage of CYSHCN having a medical home, and help families establish emergency plans. Contractors will continue collaborating with first responders, sharing resource information, and assisting with writing preparedness plans to help families of CYSHCN be ready in the event of a natural disaster, a need to shelter in place, and other emergencies. Contractor surveys have specific questions to assess family experience with service plan development, emergency preparedness planning, and timeliness of follow-up. To ensure data integrity, families will send completed surveys directly to CSHCN SDG for analysis. CSHCN SDG will share results with contractors to review areas of strength and those needing improvement. Emergency planning and preparedness strategies and efforts are based on lessons learned from previous emergencies, and based on the most current evidence and best practices for emerging issues. MCH continues to advise on response efforts for new, emerging, and ongoing issues in Texas.