On March 18, 2020,  the rapidly evolving COVID-19 pandemic prompted PHAB to issue a 90-day extension to help alleviate the stress of accreditation-related deadlines for health departments currently engaged in the initial and reaccreditation processes. To inform planning accreditation activities after that extension, PHAB fielded a survey of health departments and site visitors in May/June 2020. Based on the results of that survey and in order to provide flexibility for health departments during the response to COVID-19 pandemic, PHAB has incorporated several changes in the accreditation process and requirements that will be in effect from August 1, 2020 through June 30, 2021.