ABSTRACT
During the initial weeks of the COVID-19 pandemic in the United States, the Department of Health and Human Services implemented a little-known public health law, referred to as "Title 42." The law immediately received criticism from public health professionals and pandemic response experts around the country. Years after its initial implementation, however, the policy has been consistently maintained through numerous court decisions as necessary to prevent COVID-19. This article explores the perceived impact of Title 42 on COVID-19 containment and overall health security in the Rio Grande Valley, Texas, based on interviews conducted with public health professionals, medical professionals, nonprofit staff, and social workers. Our findings show that Title 42 was not perceived to prevent the spread of COVID-19 and likely decreased overall health security in this region.