Healthcare Ready is ENGAGED for this event. We are monitoring potential concerns for supply chain disruptions and impacts on healthcare services on our Alert Hub. This situation is evolving rapidly, and Healthcare Ready will provide major updates as needed.
Severe flash flooding across Central and Southeast Texas has resulted in at least 109 confirmed deaths, with the highest toll in Kerr County (87 fatalities), followed by Travis, Kendall, Burnet, Williamson, and Tom Green counties. Triggered by days of intense rainfall and rapid river surges—some rising over 25 feet within an hour—the flooding has devastated communities and prompted both federal and state disaster declarations. While the damage to infrastructure is extensive, power outages have been minimal and there are currently no reported disruptions to medication access or the healthcare supply chain. RxOpen is activated, displaying the operational status of pharmacies and healthcare facilities in the affected areas to help emergency managers, responders, and the public find care quickly.
On July 5, Governor Abbot expanded the declaration to include Bexar, Burnet, Caldwell, Guadalupe, Travis, and Williamson counties.
On July 4, Governor Abbott issued a disaster declaration for 15 counties. Counties include Bandera, Coke, Comal, Concho, Gillespie, Kendall, Kerr, Kimble, Llano, Mason, McCulloch, Menard, Reeves, San Saba, and Tom Green.
On July 2, the Texas Division of Emergency Management (TDEM) activated emergency response resources in anticipation of flooding in parts of West and Central Texas.
Transportation Waivers
On July 7, the Federal Motor Carrier Safety Administration (FMCSA) issued an extension of the Emergency Declaration to provide regulatory relief for commercial motor vehicle operations providing direct assistance in the State of Texas.
The Texas Department of Motor Vehicles (TxDMV) issued a Federal Disaster Relief Permit. This permit allows vehicles to transport emergency relief supplies or assist with debris removal within the affected areas in Texas and is valid for 120 days from the emergency declaration date.
Sheltering
All Hands and Hearts and Airbnb.org are providing free emergency housing for first responders, families with missing loved ones, and those displaced by flooding. They’re coordinating with local officials and nonprofits to connect those in need with safe shelter. Contact: texasflood@allhandsandhearts.org.
The Salvation Army: 855 Hays St., Kerrville, TX 78028
Power
According to PowerOutage.us, there are no widespread outages of 3pm on July 8.
Roadways
Updates to road closures in Texas can be found here.
Critical Healthcare Infrastructure
RxOpen Data
RxOpen is now active following extreme flooding in Texas.
Dialysis Centers: No facilities had been impacted by the flooding event as of the evening of July 6.
The table below provides a snapshot of pharmacy status across the potentially impacted areas:
If you would like your pharmacy to be apart of RxOpen please enroll here.
Impacts to Healthcare
As of 3pm on July 8, no major impacts to healthcare facilities have been reported.
Vulnerable Populations in Affected Counties
Populations with existing health, economic, or housing vulnerabilities may face disproportionate impacts during prolonged outages, flooding, or service disruptions.
Electricity-Dependent Individuals: Approximately 27,679 Medicare beneficiaries in the affected area rely on electricity-dependent durable medical equipment, placing them at increased risk during events that may cause power outages. (Source: emPOWER)
Children under 18: Over 1.16 million children and youth under 18 reside in the impacted region and may face disruptions to healthcare, education, and family services. (Source: ACS)
Unhoused Population: An estimated 73,600 individuals are experiencing homelessness and face heightened exposure risks and limited access to shelter or medical care. (Source: ACS)
Medicaid Enrollees: As of 2024 data, more than 538,000 individuals in the affected areas were enrolled in Medicaid. Low-income individuals often face heightened impacts during disasters, including challenges accessing care, replacing medications, and securing transportation to shelters or safe locations. (Source: Texas Health and Human Services)
Map of Medicare Enrollees: Electricity-Dependent Residents “At-Risk” During Power Outages (Source: emPOWER)
Impacts to Supply Chain
As of 3pm on July 8, no major manufacturing or distribution impacts have been reported.
About Healthcare Ready
Healthcare Ready is a 501(c)(3) nonprofit organization that works to ensure patient access to healthcare in times of disaster, emergency, and disease outbreaks. We leverage unique relationships with government, nonprofit and medical supply chains to build and enhance the resiliency of communities before, during and after disasters. Learn more about Healthcare Ready
Healthcare Ready leverages unique relationships with government, nonprofit and medical supply chains to build and enhance the resiliency of communities before, during and after disasters.
Healthcare Ready is approved by the Internal Revenue Service as a 501 (C)(3) tax-exempt organization, and all donations are tax deductible to the extent provided by law. Healthcare Ready's Federal Identification Number (EIN) is 46-3134601.
Healthcare Ready, 1325 G St NW Suite 500, Washington, DC 20005, United States
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