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Emergency managers in the United States face a challenging operating environment characterized by more-frequent and -intense storms, extended or year-round wildfire seasons, multiple simultaneous disasters, and an ongoing global pandemic. The sheer magnitude and growing frequency of weather and climate disasters are straining the capacities, capabilities, and systems that enable the United States to prepare for, respond to, and recover from disasters. To support the U.S. emergency management system, the Federal Emergency Management Agency (FEMA) and other entities have created constructs - programs, grants, assessments, doctrine, and coordination bodies - at different times and in response to various events and needs. The overall number of constructs has grown, and the poor integration among them can worsen emergency management services and disaster outcomes. Researchers reviewed 31 FEMA-selected constructs for opportunities to streamline, simplify, and strengthen the system, assessing how overlap, duplication, and fragmentation could affect implementation and outcomes. In this report, the researchers describe options for addressing the issues and impacts identified. Some options are designed to address specific impacts or individual constructs, while others propose broader solutions that would transform the emergency management system. Truly transformative changes generally require a broad consensus and engagement by multiple actors and would therefore likely be more difficult than smaller-scale changes to achieve. However, adoption of such options also offers the greatest opportunity for significant streamlining. The authors also discuss trade-offs in costs and unintended consequences.