Disaster: Texas Severe Storms, Straight-line Winds, and Flooding (DR-4879-TX)
Year: 2025
Primary Jurisdictions Served: City of Kerrville & Kerr County (in coordination with TDEM)
ESF Supported: 5, 6, 7, 15
Mission Tasking: National EMR transitioned from event support to disaster operations, providing a Type 1 IMT for Unified Command plus buses, MCPs, logistics, and reunification/mental health teams to stabilize response and early recovery.

Disaster: Texas Hurricane Beryl (DR-4798-TX)
Year: 2024
Primary Jurisdictions Served: Texas Department of State Health Services / SMOC (state medical operations)
ESF Supported: 5, 6, 8
Mission Tasking: National EMR operated turnkey medical shelters, an MCP, and the state medical triage hotline, providing staffed beds, EMS transports, and shelter case management to support medical surge and post-shelter transitions.

Disaster:  Texas Panhandle Wildfires, Smokehouse Creek Fire (DR-5488-TX)
Year: 2024
Primary Jurisdictions Served: Texas Division of Emergency Management (TDEM)
ESF Supported:  6, 7
Mission Tasking: National EMR mobilized in under two hours and established and operated a 24-hour turnkey 250-bed base camp in Borger, TX, supporting wildfire response personnel through rapidly scalable lodging, life-support services, and full logistical and facilities management operations.

Disaster:  COVID-19 Pandemic (DR-4485-TX, DR-4490-MO, and DR-4529-NM)
Year: 2020 – 2023
Primary Jurisdictions Served: Texas Department of State Health Services (DSHS), CoxHealth Healthcare System (Missouri), and San Juan Regional Medical Center (New Mexico)
ESF Supported: 1, 5, 6, 7, 8
Mission Tasking: National EMR delivered large-scale medical, public health, and turnkey sheltering operations, providing medical surge staffing across Texas and to healthcare facilities in Missouri and New Mexico. In Texas, the team operated treatment and vaccination sites, mobile medical teams, alternate care sites, fatality management teams, and infection control squads, while deploying over 82,000 responders (over 10,000 personnel concurrently). National EMR administered 104,000+ infusion treatments and 117,000+ vaccines, staffed 251 hospitals, ran statewide testing and treatment operations, and operated a 400-bed general population shelter with full logistical support.

Disaster: Texas Hurricane Harvey (DR-4332-TX)
Year: 2017 – 2018
Primary Jurisdictions Served: Texas Department of State Health Services (DSHS)
ESF Supported: 5, 6, 8
Mission Tasking: National EMR mobilized in under 24 hours to establish and operate seven turnkey general population and medical emergency shelters (2,000 combined shelter beds), along with a 250-bed base camp to support response operations. The team delivered medical support and individual assistance services statewide, reaching 243,000 survivors through shelters, mobile and fixed case management teams, a dedicated hotline, and support at Disaster Recovery Centers.