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Dear Dr. Navarro, Administrator Gaynor and Assistant Secretary Kadlec:

The more than 200 undersigned organizations representing patients, health care providers, and public health professionals write to ask that the Administration take immediate action to alleviate the critical shortage across the nation of ventilators and personal protective equipment (PPE), such as masks, face shields and gowns, resulting from the COVID-19 pandemic. We are appreciative of the initial steps that the Administration has taken in recent days to address this shortage. However, it is already clear that current policy is not sufficient to fully address this crisis and additional, urgent action is required to protect the public’s health and save lives.

This nation’s hospitals are experiencing a crisis-level shortage of medical equipment, and the Administration has acted in recent days to address this need. On Friday, March 27, President Trump invoked the Defense Protection Act (DPA) to compel General Motors Company to accelerate production of ventilators.1 The President then invoked the DPA again on Thursday, April 2, with the aim of securing additional supplies from 3M Company as well as others.2 The Administration, working with private partners, has also arranged for shipments of medical supplies from China to areas most affected by the COVID-19 virus.3 The Federal Emergency Management Agency (FEMA) has established a supply-chain task force that is collaborating with private companies.4 The Food and Drug Administration (FDA) has issued emergency approval of the use of certain devices that can be converted into ventilators.5 Additionally, FDA has allowed emergency use authorization of new sterilization techniques that allow for certain PPE to be reused.

Despite these important actions, there are still far too many providers on the front lines without the protection needed to save lives without unduly endangering their own.7 Patient health is jeopardized as well when providers cannot access the supplies they need. In the midst of this shortage, providers have been forced to resort to potentially dangerous tactics, such as splitting ventilators between two different individuals or reusing masks, that exacerbate the risk for everyone involved, including patients.8 Policy interventions thus far have also largely been limited to increasing the manufacture of needed supplies. Increasing the supply only helps, however, if there are clear, fair, efficient and predictable ways to purchase and distribute both current stockpiles and supply that will be manufactured. Reports from governors, healthcare providers, public health professionals and first responders across the nation have made clear there are not.

Our organizations urge the federal government to do significantly more to facilitate the timely manufacturing and distribution of ventilators and PPE through a process that is transparent, equitable, based on need and is non-competitive. A streamlined and predictable supply chain must emerge that is capable of lasting the duration of the pandemic. Whether that is through further use of the Defense Production Act to coordinate and set nationwide priorities and distribution chains or enhancing and accelerating current work, action is needed now. Our nation is relying on healthcare providers to carry us through this crisis and they, in turn, are relying on the federal government to equip them to do so.

As coronavirus continues to spread and the infection incidence rises, time is of the essence. It is paramount that the Administration act immediately to ensure the safety of our healthcare workforce and patients.


American Lung Association

American Heart Association

Academy of Integrative Health and Medicine (AIHM)


Adult Congenital Heart Association

Advocates for Better Children's Diets

AIDS Action Baltimore 

AIDS Alabama

AIDS Foundation of Chicago

Allergy & Asthma Network

Alliance of Nurses for Healthy Environments

ALPHA-1 Foundation

ALS Association 

American Academy of Allergy, Asthma & Immunology 

American Academy of Pediatrics

American Academy of Physical Medicine & Rehabilitation

American Association for Clinical Chemistry

American Association for Respiratory Care

American Association for the Study of Liver Diseases

American Association of Colleges of Nursing 

American Association of Colleges of Osteopathic Medicine

American Association of Colleges of Pharmacy

American Association of Neuromuscular & Electrodiagnostic Medicine

American Association on Health and Disability

American Cancer Society Cancer Action Network

American College of Allergy, Asthma, and Immunology

American College of Clinical Pharmacy (ACCP)

American College of Gastroenterology

American College of Lifestyle Medicine

American College of Obstetricians and Gynecologists

American College of Osteopathic Internists

American College of Preventive Medicine

American Dental Education Association

American Family Voices American Federation of Teachers

American Geriatrics Society 

American Kidney Fund American Liver Foundation

American Medical Student Association

American Medical Women's Association

American Medical Women's Association

American Music Therapy Association 

American Network of Community Options & Resources (ANCOR)

American Physical Therapy Association

American Podiatric Medical Association

American Public Health Association

American School Health Association

American Society for Clinical Pathology

American Society for Reproductive Medicine

American Society of Hematology

American Society of Transplantation

American Therapeutic Recreation Association

American Thoracic Society Arthritis Foundation

Association for Clinical and Translational Science

Association for Professionals in Infection Control & Epidemiology 

Association of American Cancer Institutes

Association of Asthma Educators

Association of Departments of Family Medicine

Association of Family Medicine Residency Directors

Association of Maternal & Child Health Programs

Association of Pathology Chairs

Association of Schools Advancing Health Professions

Association of Schools and Programs of Public Health

Association of University Centers on Disabilities (AUCD)

Association of Women's Health, Obstetric and Neonatal Nurses

Asthma and Allergy Foundation of America

Autism Society of America

Autistic Self Advocacy Network

Big Cities Health Coalition

Breast Cancer Prevention Partners

CAEAR Coalition

California Thoracic Society 

Callen-Lorde Community Health Center

Caring Ambassadors Program, Inc.

Cascade AIDS Project

Center for Health Law and Policy Innovation 

Center for Science in the Public Interest

Children's Environmental Health Network

Chronic Disease Coalition 


Commissioned Officers Association of the U.S. Public Health Service, Inc. (COA) 


Community Education Group

Council of State and Territorial Epidemiologists

Crohn's & Colitis Foundation

Cystic Fibrosis Foundation

Digestive Disease National Coalition

Dorney-Koppel Foundation

Earth Day Network


Emergency Nurses Association

Endocrine Society

Epilepsy Foundation

Equality North Carolina

Fresno Madera Medical Society

GBS-CIDP Foundation

GBS-CIDP Foundation International

GLMA: Health Professionals Advancing LGBTQ Equality

Global Health Strategies

Global Liver Institute

GoodWorks: North Alabama Harm Reduction

Green & Healthy Homes Initiative

Health Care Without Harm

Health GAP

Health Resources in Action (HRiA)



Hemophilia Federation of America

Hep B United Philadelphia

Hep Free Hawaii

Hepatitis C Association

Hepatitis Education Project

HIV Dental Alliance

HIV Medicine Association

Housing Works, Inc.

Howard Brown Health Center

Immune Deficiency Foundation

Indiana Recovery Alliance

Infectious Diseases Society of America

Institute for Human and Planetary Health

International Foundation for Gastrointestinal Disorders (IFFGD)

Interstitial Cystitis Association

Lakeshore Foundation

Latino Commission on AIDS 

Leukemia & Lymphoma Society 

Long Beach Alliance for Children with Asthma

Lutheran Services in America

Maine Public Health Association

March of Dimes 

Mary Catherine Jones Consulting, LLC


Mended Hearts & Mended Little Hearts

METAvivor Research and Support, Inc

Muscular Dystrophy Association


National Alliance on Mental Illness

National Association of Councils on Developmental Disabilities

National Association of Nurse Practitioners in Women's Health

National Association of Pediatric Nurse Practitioners

National Association of School Nurses

National Black Leadership Commission on Health

National Black Nurses Association

National Center for Healthy Housing

National Disability Rights Network

National Environmental Health Association

National Forum for Heart Disease & Stroke Prevention

National League for Nursing

National Network of Public Health Institutes

National Nurse-Led Care Consortium

National Organization for Rare Disorders

National Viral Hepatitis Roundtable

National WIC Association

National Women's Health Network

National Working Positive Coalition

Necrotizing Enterocolitis Society 

Neighbors Together

NephCure Kidney International 

New Hampshire Medical Society

New York StateWide Senior Action Council

North American Primary Care Research Group

North Carolina Harm Reduction Coalition

Not One More Life, Inc. 

Oncology Nursing Society

Oregon Chapter of the Society of Critical Care Medicine

Oregon Thoracic Society Patient Services Incorporated

Physicians for Social Responsibility

Prevent Blindness

Prevent Cancer Foundation

Prevention Institute

Project Green Schools

Public Health Institute

Pulmonary Fibrosis Foundation

Regional Asthma Management and Prevention (RAMP)

Resource Center for Parents & Children, Inc. 

Respiratory Health Association

Restless Leg Syndrome Foundation

 Robert G Gish Consultants LLC

Scleroderma Foundation

Social Security Works

Society for Maternal-Fetal Medicine

Society for Pediatric Dermatology

Society for Public Health Education

Society of General Internal Medicine

Society of Teachers of Family Medicine

Southern AIDS Coalition

The AIDS Institute

The Gerontological Society of America

The Hepatitis C Mentor and Support Group, Inc. - HCMSG

The Marfan Foundation

The Myalgic Encephalomyelitis Action Network (#MEAction)

The Society for Healthcare Epidemiology of America

The Society of Thoracic Surgeons

The Well Project

Thrive Alabama

Treatment Action Group

U.S. Hereditary Angioedema Association

United Ostomy Associations of America

United States International Council on Disabilities


University of Maryland School of Nursing

University of MD School of Nursing 

University of New Mexico HSC

US COPD Coalition

Washington Thoracic Society