There are dynamics at the local, state and federal level that could lead to the Biden administration to wind down the COVID-19 public health emergency (PHE). At the same time, there may be reasons to continue the PHE, especially given that this virus has surprised us multiple times to date. Debbie Curtis, Brian Stimson and Rodney Whitlock gather for a discussion on the layers of legal, policy, and political issues that surround statutory and regulatory flexibilities on health services, treatments, vaccination and testing associated with the COVID-19 pandemic.