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WH sets new guidelines for Cabinet notifications after Austin’s secret hospitalization

The White House is laying out a new set of guidelines to ensure it will be informed any time a Cabinet head can’t carry out their job after Defense Secretary Lloyd Austin’s secret hospitalization this month was kept for days from President Joe Biden and his top aides.

Quick Read

  1. New White House Guidelines: The White House has introduced a new set of guidelines for Cabinet agencies to ensure timely notification of any situation where a Cabinet head is unable to perform their duties, prompted by Defense Secretary Lloyd Austin’s undisclosed hospitalization.
  2. Review of Notification Procedures: The review, initiated by White House chief of staff Jeff Zients, was a response to the Pentagon’s failure to inform the White House immediately about Austin’s condition.
  3. Standard Protocols for Delegation: The guidelines aim to standardize protocols across agencies for delegating authority in cases where Cabinet officials are unavailable due to medical issues, travel, or other circumstances.
  4. Notification Process: Agencies are required to notify the White House Office of Cabinet Affairs and Zients’ office both prior to and at the time of any delegation of authority, and to document such delegations in writing.
  5. Interim Leader Responsibilities: The interim leader assuming authority must establish contact with their primary White House counterpart and adhere to any additional legal notification requirements.
  6. Circumstances for Delegation: The memo specifies situations warranting the transfer of authority, including travel to areas with limited communication, hospitalization, or procedures requiring general anesthesia.
  7. Austin’s Hospitalization and Procedure: Defense Secretary Lloyd Austin underwent a prostatectomy on Dec. 22, with temporary authority transferred to Deputy Secretary of Defense Kathleen Hicks. Austin’s subsequent hospitalization in intensive care was not disclosed to the White House until Jan. 4.
  8. Pentagon’s Internal Review: Following the incident, both the Pentagon and its inspector general are reviewing their notification procedures to prevent future lapses in communication.
  9. Austin’s Health Update: Austin returned to Walter Reed for a follow-up appointment, with his doctors stating his prognosis as “excellent” and no further cancer treatment planned beyond physical therapy and regular check-ups.

The Associated Press has the story:

WH sets new guidelines for Cabinet notifications after Austin’s secret hospitalization

Newslooks- WASHINGTON (AP) —

The White House is laying out a new set of guidelines to ensure it will be informed any time a Cabinet head can’t carry out their job after Defense Secretary Lloyd Austin’s secret hospitalization this month was kept for days from President Joe Biden and his top aides.

The new guidelines include a half-dozen instructions for Cabinet agencies to follow when there is a “delegation of authority,” or when secretaries temporarily transfer their authority to a deputy when unreachable due to medical issues, travel or other reasons. White House chief of staff Jeff Zients launched a review of existing notification procedures earlier this month shortly after Austin’s hospitalization was disclosed, along with the Pentagon’s failure to immediately alert the White House.

In this Department of Defense video, Defense Secretary Lloyd Austin provides opening remarks at the Ukraine Defense Contact Group, Tuesday, Jan. 23, 2024 from his home in Great Falls, Va. Austin has been recuperating at home from complications from prostate cancer treatments. (Department of Defense via AP)

“Through your submissions, you demonstrated your commitment to notifying the White House in the event of a delegation – and upon assumption of a delegation, establishing contact with the White House,” White House chief of staff Jeff Zients wrote in a memo sent to the rest of the Cabinet on Friday. The memo was obtained by The Associated Press.

Zients noted that some existing guidelines among agencies differed because of various laws, regulations and executive orders.

But “through this process we are assured that all agencies have a set of standard protocols they must follow in the event of a delegation of authority,” he wrote.

FILE – White House COVID-19 Response Coordinator Jeff Zients speaks during a press briefing at the White House, April 13, 2021, in Washington. (AP Photo/Patrick Semansky, File)

From now on, Cabinet agencies must notify the White House Office of Cabinet Affairs and Zients’ office when they’re anticipating a delegation of authority and again when the delegation actually happens. It must also put in writing that the delegation is in effect and once that delegation has ended.

Once the interim leader has assumed authority, that person must contact his or her primary counterpart at the White House and the agency must follow any other notifications that are required under law — such as informing key lawmakers on Capitol Hill.

Agencies should ensure that authority is transferred when a Cabinet official is “traveling to areas with limited or no access to communication, undergoing hospitalization or a medical procedure requiring general anesthesia, or otherwise in a circumstance when he or she may be unreachable,” the memo reads.

The Pentagon said earlier this month that Austin had a prostatectomy to treat prostate cancer on Dec. 22, for which he underwent general anesthesia at Walter Reed National Military Medical Center. He did not tell the White House about the procedure, but he did temporarily transfer some of his authorities to Deputy Secretary of Defense Kathleen Hicks.

Austin returned to Walter Reed on Jan. 1 after being in severe pain and was admitted to intensive care. The next day, he again transferred some authorities to Hicks, who was on vacation in Puerto Rico. In both instances, Hicks was not told why she was having authorities delegated to her.

The Pentagon did not tell the White House about Austin’s hospitalization until Jan. 4, when national security adviser Jake Sullivan was informed and in turn told Biden. The Defense Department is conducting its own review of procedures after the lack of disclosure this month, as is the Pentagon’s inspector general.

Austin returned to Walter Reed on Friday for what his doctors called a “scheduled post-prostatectomy surveillance appointment.” His prognosis is “excellent,” according to his doctors, and he has no further treatment planned for his prostate cancer aside from physical therapy and regular follow-up appointments.

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