Public Health Emergency Preparedness (PHEP) Cooperative Agreement - Montana’s Public Health Emergency Preparedness and Response Readiness is vital to being capable of responding to and recovering from the next public health crisis. We recognize that emergency preparedness is a team sport, and it takes a community to build capacity and resiliency. Moreover, preparedness is a journey and not a destination. Montana is a large rural state with pockets of urban infrastructure where 75% of the state’s communities have a population of less than 20K residents. Adding to the challenge is the fact over 50% of the health care professionals in Montana have less than 5 years of experience. Across the state, workforce improvements are essential to increasing capacity to meet jurisdictional administrative, budget, and public health surge management needs in addition to improving public health response workforce, retention, resilience, and the responder’s mental health. To say the least, Montana has a lot of work to do, and we look forward to the collaborative effort required to meet this 5-year objective. Building upon CDC’s 15 preparedness and response capabilities and incorporating strategies to advance the response readiness framework remains Montana’s priority to strive for excellence over the next 5 years. Our purpose is to strengthen Montana’s public health preparedness, response, and recovery capacity and capability through an on-going cycle of planning, organizing, training, equipping, exercising, evaluating, and implementing corrective actions. We remain hopeful through our collective endeavors that we can help prevent or reduce morbidity and mortality from public health threats and emergencies and facilitate the speedy recovery process. Montana expects to show measurable progress towards achieving the outcomes outlined in the logic model during the 5-year period of performance. Our aim is to review lessons learned and shape a contemporary workplan to advance a better understanding of public health emergency preparedness and response readiness framework.