diff --git a/services/app-api/src/domain-models/contractAndRates/contractTypes.ts b/services/app-api/src/domain-models/contractAndRates/contractTypes.ts
index e732224d69..eef03f44a5 100644
--- a/services/app-api/src/domain-models/contractAndRates/contractTypes.ts
+++ b/services/app-api/src/domain-models/contractAndRates/contractTypes.ts
@@ -1,6 +1,7 @@
 import { z } from 'zod'
 import { contractRevisionWithRatesSchema } from './revisionTypes'
 import { statusSchema } from './statusType'
+import { pruneDuplicateEmails } from '../../emailer/formatters'
 
 // Contract represents the contract specific information in a submission package
 // All that data is contained in revisions, each revision represents the data in a single submission
@@ -26,6 +27,22 @@ const draftContractSchema = contractSchema.extend({
 type ContractType = z.infer<typeof contractSchema>
 type DraftContractType = z.infer<typeof draftContractSchema>
 
-export { contractRevisionWithRatesSchema, draftContractSchema, contractSchema }
+function contractSubmitters(contract: ContractType): string[] {
+    const submitters: string[] = []
+    contract.revisions.forEach(
+        (revision) =>
+            revision.submitInfo?.updatedBy &&
+            submitters.push(revision.submitInfo?.updatedBy)
+    )
+
+    return pruneDuplicateEmails(submitters)
+}
+
+export {
+    contractRevisionWithRatesSchema,
+    draftContractSchema,
+    contractSchema,
+    contractSubmitters,
+}
 
 export type { ContractType, DraftContractType }
diff --git a/services/app-api/src/domain-models/contractAndRates/index.ts b/services/app-api/src/domain-models/contractAndRates/index.ts
index 6c2a8baad1..5ffaed57cf 100644
--- a/services/app-api/src/domain-models/contractAndRates/index.ts
+++ b/services/app-api/src/domain-models/contractAndRates/index.ts
@@ -1,6 +1,10 @@
 export { rateSchema, draftRateSchema } from './rateTypes'
 
-export { contractSchema, draftContractSchema } from './contractTypes'
+export {
+    contractSchema,
+    draftContractSchema,
+    contractSubmitters,
+} from './contractTypes'
 
 export { contractFormDataSchema, rateFormDataSchema } from './formDataTypes'
 
diff --git a/services/app-api/src/domain-models/index.ts b/services/app-api/src/domain-models/index.ts
index 38f4ab6cff..6eda7c5662 100644
--- a/services/app-api/src/domain-models/index.ts
+++ b/services/app-api/src/domain-models/index.ts
@@ -31,6 +31,7 @@ export {
 export {
     convertContractWithRatesRevtoHPPRev,
     convertContractWithRatesToUnlockedHPP,
+    contractSubmitters,
 } from './contractAndRates'
 
 export type {
diff --git a/services/app-api/src/emailer/emailer.ts b/services/app-api/src/emailer/emailer.ts
index 031345e8ab..f451551efa 100644
--- a/services/app-api/src/emailer/emailer.ts
+++ b/services/app-api/src/emailer/emailer.ts
@@ -8,12 +8,18 @@ import {
     unlockPackageStateEmail,
     resubmitPackageStateEmail,
     resubmitPackageCMSEmail,
+    sendQuestionStateEmail,
 } from './'
 import type {
     LockedHealthPlanFormDataType,
     UnlockedHealthPlanFormDataType,
 } from '../../../app-web/src/common-code/healthPlanFormDataType'
-import type { UpdateInfoType, ProgramType } from '../domain-models'
+import type {
+    UpdateInfoType,
+    ProgramType,
+    CMSUserType,
+    ContractRevisionWithRatesType,
+} from '../domain-models'
 import { SESServiceException } from '@aws-sdk/client-ses'
 
 // See more discussion of configuration in docs/Configuration.md
@@ -56,9 +62,11 @@ type EmailData = {
     bodyHTML?: string
 }
 
+type SendEmailFunction = (emailData: EmailData) => Promise<void | Error>
+
 type Emailer = {
     config: EmailConfiguration
-    sendEmail: (emailData: EmailData) => Promise<void | Error>
+    sendEmail: SendEmailFunction
     sendCMSNewPackage: (
         formData: LockedHealthPlanFormDataType,
         stateAnalystsEmails: StateAnalystsEmails,
@@ -81,6 +89,13 @@ type Emailer = {
         statePrograms: ProgramType[],
         submitterEmails: string[]
     ) => Promise<void | Error>
+    sendQuestionsStateEmail: (
+        contract: ContractRevisionWithRatesType,
+        cmsRequesor: CMSUserType,
+        submitterEmails: string[],
+        statePrograms: ProgramType[],
+        dateAsked: Date
+    ) => Promise<void | Error>
     sendResubmittedStateEmail: (
         formData: LockedHealthPlanFormDataType,
         updateInfo: UpdateInfoType,
@@ -94,26 +109,21 @@ type Emailer = {
         statePrograms: ProgramType[]
     ) => Promise<void | Error>
 }
+const localEmailerLogger = (emailData: EmailData) =>
+    console.info(`
+        EMAIL SENT
+        ${'(¯`·.¸¸.·´¯`·.¸¸.·´¯·.¸¸.·´¯`·.¸¸.·´¯`·.¸¸.·´¯`·.¸¸.·´)'}
+        ${JSON.stringify(getSESEmailParams(emailData))}
+        ${'(¯`·.¸¸.·´¯`·.¸¸.·´¯·.¸¸.·´¯`·.¸¸.·´¯`·.¸¸.·´¯`·.¸¸.·´)'}
+    `)
 
-function newSESEmailer(config: EmailConfiguration): Emailer {
+function emailer(
+    config: EmailConfiguration,
+    sendEmail: SendEmailFunction
+): Emailer {
     return {
         config,
-        sendEmail: async (emailData: EmailData): Promise<void | Error> => {
-            const emailRequestParams = getSESEmailParams(emailData)
-
-            try {
-                await sendSESEmail(emailRequestParams)
-                return
-            } catch (err) {
-                if (err instanceof SESServiceException) {
-                    return new Error(
-                        'SES email send failed. Error: ' + JSON.stringify(err)
-                    )
-                }
-
-                return new Error('SES email send failed. Error: ' + err)
-            }
-        },
+        sendEmail,
         sendCMSNewPackage: async function (
             formData,
             stateAnalystsEmails,
@@ -186,141 +196,33 @@ function newSESEmailer(config: EmailConfiguration): Emailer {
                 return await this.sendEmail(emailData)
             }
         },
-        sendResubmittedStateEmail: async function (
-            formData,
-            updateInfo,
+        sendQuestionsStateEmail: async function (
+            contract,
+            cmsRequestor,
             submitterEmails,
-            statePrograms
+            statePrograms,
+            dateAsked
         ) {
-            const emailData = await resubmitPackageStateEmail(
-                formData,
+            const emailData = await sendQuestionStateEmail(
+                contract,
                 submitterEmails,
-                updateInfo,
-                config,
-                statePrograms
-            )
-            if (emailData instanceof Error) {
-                return emailData
-            } else {
-                return await this.sendEmail(emailData)
-            }
-        },
-        sendResubmittedCMSEmail: async function (
-            formData,
-            updateInfo,
-            stateAnalystsEmails,
-            statePrograms
-        ) {
-            const emailData = await resubmitPackageCMSEmail(
-                formData,
-                updateInfo,
-                config,
-                stateAnalystsEmails,
-                statePrograms
-            )
-            if (emailData instanceof Error) {
-                return emailData
-            } else {
-                return await this.sendEmail(emailData)
-            }
-        },
-    }
-}
-
-const localEmailerLogger = (emailData: EmailData) =>
-    console.info(`
-        EMAIL SENT
-        ${'(¯`·.¸¸.·´¯`·.¸¸.·´¯·.¸¸.·´¯`·.¸¸.·´¯`·.¸¸.·´¯`·.¸¸.·´)'}
-        ${JSON.stringify(getSESEmailParams(emailData))}
-        ${'(¯`·.¸¸.·´¯`·.¸¸.·´¯·.¸¸.·´¯`·.¸¸.·´¯`·.¸¸.·´¯`·.¸¸.·´)'}
-    `)
-
-function newLocalEmailer(config: EmailConfiguration): Emailer {
-    return {
-        config,
-        sendEmail: async (emailData: EmailData): Promise<void | Error> => {
-            localEmailerLogger(emailData)
-        },
-        sendCMSNewPackage: async (
-            formData,
-            stateAnalystsEmails,
-            statePrograms
-        ) => {
-            const result = await newPackageCMSEmail(
-                formData,
-                config,
-                stateAnalystsEmails,
-                statePrograms
-            )
-            if (result instanceof Error) {
-                console.error(result)
-                return result
-            } else {
-                localEmailerLogger(result)
-            }
-        },
-        sendStateNewPackage: async (
-            formData,
-            submitterEmails,
-            statePrograms
-        ) => {
-            const result = await newPackageStateEmail(
-                formData,
-                submitterEmails,
-                config,
-                statePrograms
-            )
-            if (result instanceof Error) {
-                console.error(result)
-                return result
-            } else {
-                localEmailerLogger(result)
-            }
-        },
-        sendUnlockPackageCMSEmail: async (
-            formData,
-            updateInfo,
-            stateAnalystsEmails,
-            statePrograms
-        ) => {
-            const emailData = await unlockPackageCMSEmail(
-                formData,
-                updateInfo,
-                config,
-                stateAnalystsEmails,
-                statePrograms
-            )
-            if (emailData instanceof Error) {
-                return emailData
-            } else {
-                localEmailerLogger(emailData)
-            }
-        },
-        sendUnlockPackageStateEmail: async (
-            formData,
-            updateInfo,
-            statePrograms,
-            submitterEmails
-        ) => {
-            const emailData = await unlockPackageStateEmail(
-                formData,
-                updateInfo,
+                cmsRequestor,
                 config,
                 statePrograms,
-                submitterEmails
+                dateAsked
             )
             if (emailData instanceof Error) {
                 return emailData
             } else {
-                localEmailerLogger(emailData)
+                return await this.sendEmail(emailData)
             }
         },
-        sendResubmittedStateEmail: async (
+        sendResubmittedStateEmail: async function (
             formData,
             updateInfo,
             submitterEmails,
             statePrograms
-        ) => {
+        ) {
             const emailData = await resubmitPackageStateEmail(
                 formData,
                 submitterEmails,
@@ -331,15 +233,15 @@ function newLocalEmailer(config: EmailConfiguration): Emailer {
             if (emailData instanceof Error) {
                 return emailData
             } else {
-                localEmailerLogger(emailData)
+                return await this.sendEmail(emailData)
             }
         },
-        sendResubmittedCMSEmail: async (
+        sendResubmittedCMSEmail: async function (
             formData,
             updateInfo,
             stateAnalystsEmails,
             statePrograms
-        ) => {
+        ) {
             const emailData = await resubmitPackageCMSEmail(
                 formData,
                 updateInfo,
@@ -350,11 +252,40 @@ function newLocalEmailer(config: EmailConfiguration): Emailer {
             if (emailData instanceof Error) {
                 return emailData
             } else {
-                localEmailerLogger(emailData)
+                return await this.sendEmail(emailData)
             }
         },
     }
 }
 
-export { newLocalEmailer, newSESEmailer }
+const sendSESEmails = async (emailData: EmailData): Promise<void | Error> => {
+    const emailRequestParams = getSESEmailParams(emailData)
+
+    try {
+        await sendSESEmail(emailRequestParams)
+        return
+    } catch (err) {
+        if (err instanceof SESServiceException) {
+            return new Error(
+                'SES email send failed. Error: ' + JSON.stringify(err)
+            )
+        }
+
+        return new Error('SES email send failed. Error: ' + err)
+    }
+}
+
+function newSESEmailer(config: EmailConfiguration): Emailer {
+    return emailer(config, sendSESEmails)
+}
+
+const sendLocalEmails = async (emailData: EmailData): Promise<void | Error> => {
+    localEmailerLogger(emailData)
+}
+
+function newLocalEmailer(config: EmailConfiguration): Emailer {
+    return emailer(config, sendLocalEmails)
+}
+
+export { newLocalEmailer, newSESEmailer, emailer }
 export type { Emailer, EmailConfiguration, EmailData, StateAnalystsEmails }
diff --git a/services/app-api/src/emailer/emails/__snapshots__/sendQuestionStateEmail.test.ts.snap b/services/app-api/src/emailer/emails/__snapshots__/sendQuestionStateEmail.test.ts.snap
new file mode 100644
index 0000000000..4dfa19cc1d
--- /dev/null
+++ b/services/app-api/src/emailer/emails/__snapshots__/sendQuestionStateEmail.test.ts.snap
@@ -0,0 +1,14 @@
+// Jest Snapshot v1, https://goo.gl/fbAQLP
+
+exports[`renders overall email for a new question as expected 1`] = `
+"CMS asked questions about MCR-MN-0003-SNBC<br />
+<b>Sent by:</b> Ronald McDonald (DMCO) <a href="cms@email.com">cms@email.com</a>
+<br />
+<b>Date:</b> 01/01/2024<br />
+<br />
+You must answer the question before CMS can continue reviewing it.<br />
+<br />
+<a href="http://localhost/submissions/12345">Open the submission in MC-Review to answer questions</a>
+
+"
+`;
diff --git a/services/app-api/src/emailer/emails/index.ts b/services/app-api/src/emailer/emails/index.ts
index f47f5f840b..7010b2ea89 100644
--- a/services/app-api/src/emailer/emails/index.ts
+++ b/services/app-api/src/emailer/emails/index.ts
@@ -4,3 +4,4 @@ export { unlockPackageCMSEmail } from './unlockPackageCMSEmail'
 export { unlockPackageStateEmail } from './unlockPackageStateEmail'
 export { resubmitPackageCMSEmail } from './resubmitPackageCMSEmail'
 export { resubmitPackageStateEmail } from './resubmitPackageStateEmail'
+export { sendQuestionStateEmail } from './sendQuestionStateEmail'
diff --git a/services/app-api/src/emailer/emails/newPackageCMSEmail.test.ts b/services/app-api/src/emailer/emails/newPackageCMSEmail.test.ts
index 030d202799..99a6c265a7 100644
--- a/services/app-api/src/emailer/emails/newPackageCMSEmail.test.ts
+++ b/services/app-api/src/emailer/emails/newPackageCMSEmail.test.ts
@@ -27,8 +27,7 @@ test('to addresses list includes review team email addresses', async () => {
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     testEmailConfig().devReviewTeamEmails.forEach((emailAddress) => {
@@ -51,8 +50,7 @@ test('to addresses list includes OACT and DMCP group emails for contract and rat
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     testEmailConfig().oactEmails.forEach((emailAddress) => {
@@ -92,8 +90,7 @@ test('to addresses list  does not include OACT and DMCP group emails for CHIP su
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     testEmailConfig().oactEmails.forEach((emailAddress) => {
@@ -124,8 +121,7 @@ test('to addresses list does not include help addresses', async () => {
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template).toEqual(
@@ -155,8 +151,7 @@ test('to addresses list does not include duplicate review email addresses', asyn
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template.toAddresses).toEqual(['duplicate@example.com'])
@@ -180,8 +175,7 @@ test('subject line is correct', async () => {
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template).toEqual(
@@ -208,8 +202,7 @@ test('includes expected data summary for a contract only submission', async () =
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template).toEqual(
@@ -281,8 +274,7 @@ test('includes expected data summary for a contract and rates submission CMS ema
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template).toEqual(
@@ -432,8 +424,7 @@ test('includes expected data summary for a multi-rate contract and rates submiss
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template).toEqual(
@@ -551,8 +542,7 @@ test('includes expected data summary for a contract amendment submission', async
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template).toEqual(
@@ -636,8 +626,7 @@ test('includes expected data summary for a rate amendment submission CMS email',
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template).toEqual(
@@ -674,8 +663,7 @@ test('includes link to submission', async () => {
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template).toEqual(
@@ -699,8 +687,7 @@ test('includes state specific analyst on contract only submission', async () =>
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     const reviewerEmails = [
@@ -728,8 +715,7 @@ test('includes state specific analyst on contract and rate submission', async ()
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     const reviewerEmails = [
@@ -758,8 +744,7 @@ test('does not include state specific analyst on contract and rate submission',
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     testStateAnalystEmails.forEach((emailAddress) => {
@@ -782,8 +767,7 @@ test('includes oactEmails on contract and rate submission', async () => {
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     const reviewerEmails = [
@@ -810,8 +794,7 @@ test('does not include oactEmails on contract only submission', async () => {
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     const ratesReviewerEmails = [...testEmailConfig().oactEmails]
@@ -839,8 +822,7 @@ test('CHIP contract only submission does include state specific analysts emails'
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     testStateAnalystEmails.forEach((emailAddress) => {
@@ -896,8 +878,7 @@ test('CHIP contract and rate submission does include state specific analysts ema
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     testStateAnalystEmails.forEach((emailAddress) => {
@@ -923,8 +904,7 @@ test('CHIP contract only submission does not include oactEmails', async () => {
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     const excludedEmails = [...testEmailConfig().oactEmails]
@@ -981,8 +961,7 @@ test('CHIP contract and rate submission does not include oactEmails', async () =
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     const excludedEmails = [...testEmailConfig().oactEmails]
@@ -1006,8 +985,7 @@ test('does not include rate name on contract only submission', async () => {
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template).toEqual(
diff --git a/services/app-api/src/emailer/emails/newPackageStateEmail.test.ts b/services/app-api/src/emailer/emails/newPackageStateEmail.test.ts
index c16657803e..cea4154275 100644
--- a/services/app-api/src/emailer/emails/newPackageStateEmail.test.ts
+++ b/services/app-api/src/emailer/emails/newPackageStateEmail.test.ts
@@ -26,8 +26,7 @@ test('to addresses list includes submitter emails', async () => {
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template).toEqual(
@@ -62,8 +61,7 @@ test('to addresses list includes all state contacts on submission', async () =>
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     sub.stateContacts.forEach((contact) => {
@@ -100,8 +98,7 @@ test('to addresses list does not include duplicate state receiver emails on subm
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template.toAddresses).toEqual([
@@ -129,8 +126,7 @@ test('subject line is correct and clearly states submission is complete', async
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template).toEqual(
@@ -161,8 +157,7 @@ test('includes mcog, rate, and team email addresses', async () => {
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template).toEqual(
@@ -204,8 +199,7 @@ test('includes link to submission', async () => {
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template).toEqual(
@@ -235,8 +229,7 @@ test('includes information about what is next', async () => {
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template).toEqual(
@@ -293,8 +286,7 @@ test('includes expected data summary for a contract and rates submission State e
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template).toEqual(
@@ -445,8 +437,7 @@ test('includes expected data summary for a multi-rate contract and rates submiss
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template).toEqual(
@@ -554,8 +545,7 @@ test('includes expected data summary for a rate amendment submission State email
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template).toEqual(
diff --git a/services/app-api/src/emailer/emails/resubmitPackageCMSEmail.test.ts b/services/app-api/src/emailer/emails/resubmitPackageCMSEmail.test.ts
index ebb4ff2dc2..e8dc72c647 100644
--- a/services/app-api/src/emailer/emails/resubmitPackageCMSEmail.test.ts
+++ b/services/app-api/src/emailer/emails/resubmitPackageCMSEmail.test.ts
@@ -39,8 +39,7 @@ describe('with rates', () => {
         )
 
         if (template instanceof Error) {
-            console.error(template)
-            return
+            throw template
         }
 
         expect(template).toEqual(
@@ -98,8 +97,7 @@ describe('with rates', () => {
         )
 
         if (template instanceof Error) {
-            console.error(template)
-            return
+            throw template
         }
 
         expect(template).toEqual(
@@ -263,8 +261,7 @@ describe('with rates', () => {
         )
 
         if (template instanceof Error) {
-            console.error(template)
-            return
+            throw template
         }
 
         //Expect only have 3 rate names using regex to match name pattern specific to rate names.
@@ -320,8 +317,7 @@ describe('with rates', () => {
         )
 
         if (template instanceof Error) {
-            console.error(template)
-            return
+            throw template
         }
 
         testEmailConfig().dmcpEmails.forEach((emailAddress) => {
@@ -360,8 +356,7 @@ describe('with rates', () => {
         )
 
         if (template instanceof Error) {
-            console.error(template)
-            return
+            throw template
         }
 
         expect(template).toEqual(
@@ -395,8 +390,7 @@ describe('with rates', () => {
         ]
 
         if (template instanceof Error) {
-            console.error(template)
-            return
+            throw template
         }
 
         reviewerEmails.forEach((emailAddress) => {
@@ -458,8 +452,7 @@ describe('with rates', () => {
         )
 
         if (template instanceof Error) {
-            console.error(template)
-            return
+            throw template
         }
 
         testStateAnalystEmails.forEach((emailAddress) => {
@@ -515,8 +508,7 @@ describe('with rates', () => {
         const excludedEmails = [...testEmailConfig().oactEmails]
 
         if (template instanceof Error) {
-            console.error(template)
-            return
+            throw template
         }
 
         excludedEmails.forEach((emailAddress) => {
diff --git a/services/app-api/src/emailer/emails/resubmitPackageStateEmail.test.ts b/services/app-api/src/emailer/emails/resubmitPackageStateEmail.test.ts
index 4a703584a9..7888197979 100644
--- a/services/app-api/src/emailer/emails/resubmitPackageStateEmail.test.ts
+++ b/services/app-api/src/emailer/emails/resubmitPackageStateEmail.test.ts
@@ -68,8 +68,7 @@ test('contains correct subject and clearly states successful resubmission', asyn
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template).toEqual(
@@ -94,8 +93,7 @@ test('includes expected data summary for a contract and rates resubmission State
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template).toEqual(
@@ -249,8 +247,7 @@ test('includes expected data summary for a multi-rate contract and rates resubmi
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template).toEqual(
@@ -317,8 +314,7 @@ test('renders overall email as expected', async () => {
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template.bodyHTML).toMatchSnapshot()
diff --git a/services/app-api/src/emailer/emails/sendQuestionStateEmail.test.ts b/services/app-api/src/emailer/emails/sendQuestionStateEmail.test.ts
new file mode 100644
index 0000000000..57218eb235
--- /dev/null
+++ b/services/app-api/src/emailer/emails/sendQuestionStateEmail.test.ts
@@ -0,0 +1,315 @@
+import {
+    testEmailConfig,
+    mockContractRev,
+    mockMNState,
+} from '../../testHelpers/emailerHelpers'
+import type {
+    CMSUserType,
+    ContractRevisionWithRatesType,
+    StateType,
+} from '../../domain-models'
+import type { ContractFormDataType } from '../../domain-models'
+import { packageName } from 'app-web/src/common-code/healthPlanFormDataType'
+import { sendQuestionStateEmail } from './index'
+
+const defaultSubmitters = ['submitter1@example.com', 'submitter2@example.com']
+
+const flState: StateType = {
+    stateCode: 'FL',
+    name: 'Florida',
+}
+
+const cmsUser: CMSUserType = {
+    id: '1234',
+    role: 'CMS_USER',
+    divisionAssignment: 'DMCO',
+    familyName: 'McDonald',
+    givenName: 'Ronald',
+    email: 'cms@email.com',
+    stateAssignments: [flState],
+}
+
+const formData: ContractFormDataType = {
+    programIDs: ['abbdf9b0-c49e-4c4c-bb6f-040cb7b51cce'],
+    populationCovered: 'CHIP',
+    submissionType: 'CONTRACT_AND_RATES',
+    riskBasedContract: false,
+    submissionDescription: 'A submitted submission',
+    supportingDocuments: [
+        {
+            s3URL: 'bar',
+            name: 'foo',
+            sha256: 'fakesha',
+        },
+    ],
+    contractType: 'BASE',
+    contractExecutionStatus: undefined,
+    contractDocuments: [
+        {
+            s3URL: 'bar',
+            name: 'foo',
+            sha256: 'fakesha',
+        },
+    ],
+    contractDateStart: new Date('01/01/2024'),
+    contractDateEnd: new Date('01/01/2025'),
+    managedCareEntities: ['MCO'],
+    federalAuthorities: ['VOLUNTARY', 'BENCHMARK'],
+    inLieuServicesAndSettings: undefined,
+    modifiedBenefitsProvided: undefined,
+    modifiedGeoAreaServed: undefined,
+    modifiedMedicaidBeneficiaries: undefined,
+    modifiedRiskSharingStrategy: undefined,
+    modifiedIncentiveArrangements: undefined,
+    modifiedWitholdAgreements: undefined,
+    modifiedStateDirectedPayments: undefined,
+    modifiedPassThroughPayments: undefined,
+    modifiedPaymentsForMentalDiseaseInstitutions: undefined,
+    modifiedMedicalLossRatioStandards: undefined,
+    modifiedOtherFinancialPaymentIncentive: undefined,
+    modifiedEnrollmentProcess: undefined,
+    modifiedGrevienceAndAppeal: undefined,
+    modifiedNetworkAdequacyStandards: undefined,
+    modifiedLengthOfContract: undefined,
+    modifiedNonRiskPaymentArrangements: undefined,
+    statutoryRegulatoryAttestation: undefined,
+    statutoryRegulatoryAttestationDescription: undefined,
+    stateContacts: [
+        {
+            name: 'test1',
+            titleRole: 'Foo1',
+            email: 'test1@example.com',
+        },
+        {
+            name: 'test2',
+            titleRole: 'Foo2',
+            email: 'test2@example.com',
+        },
+    ],
+}
+const dateAsked = new Date('01/01/2024')
+test('to addresses list includes submitter emails', async () => {
+    const sub = mockContractRev()
+    const defaultStatePrograms = mockMNState().programs
+    const template = await sendQuestionStateEmail(
+        sub,
+        defaultSubmitters,
+        cmsUser,
+        testEmailConfig(),
+        defaultStatePrograms,
+        dateAsked
+    )
+
+    if (template instanceof Error) {
+        throw template
+    }
+
+    expect(template).toEqual(
+        expect.objectContaining({
+            toAddresses: expect.arrayContaining(defaultSubmitters),
+        })
+    )
+})
+
+test('to addresses list includes all state contacts on submission', async () => {
+    const sub: ContractRevisionWithRatesType = {
+        ...mockContractRev({ formData }),
+    }
+    const defaultStatePrograms = mockMNState().programs
+    const template = await sendQuestionStateEmail(
+        sub,
+        defaultSubmitters,
+        cmsUser,
+        testEmailConfig(),
+        defaultStatePrograms,
+        dateAsked
+    )
+
+    if (template instanceof Error) {
+        throw template
+    }
+
+    sub.formData.stateContacts.forEach((contact) => {
+        expect(template).toEqual(
+            expect.objectContaining({
+                toAddresses: expect.arrayContaining([contact.email]),
+            })
+        )
+    })
+})
+
+test('to addresses list does not include duplicate state receiver emails on submission', async () => {
+    const formDataWithDuplicateStateContacts = {
+        ...formData,
+        stateContacts: [
+            {
+                name: 'test1',
+                titleRole: 'Foo1',
+                email: 'test1@example.com',
+            },
+            {
+                name: 'test1',
+                titleRole: 'Foo1',
+                email: 'test1@example.com',
+            },
+        ],
+    }
+
+    const sub: ContractRevisionWithRatesType = mockContractRev({
+        formData: formDataWithDuplicateStateContacts,
+    })
+    const defaultStatePrograms = mockMNState().programs
+    const template = await sendQuestionStateEmail(
+        sub,
+        defaultSubmitters,
+        cmsUser,
+        testEmailConfig(),
+        defaultStatePrograms,
+        dateAsked
+    )
+
+    if (template instanceof Error) {
+        throw template
+    }
+
+    expect(template.toAddresses).toEqual([
+        'test1@example.com',
+        ...defaultSubmitters,
+        ...testEmailConfig().devReviewTeamEmails,
+    ])
+})
+
+test('subject line is correct and clearly states submission is complete', async () => {
+    const sub = mockContractRev()
+    const defaultStatePrograms = mockMNState().programs
+    const name = packageName(
+        sub.contract.stateCode,
+        sub.contract.stateNumber,
+        sub.formData.programIDs,
+        defaultStatePrograms
+    )
+
+    const template = await sendQuestionStateEmail(
+        sub,
+        defaultSubmitters,
+        cmsUser,
+        testEmailConfig(),
+        defaultStatePrograms,
+        dateAsked
+    )
+
+    if (template instanceof Error) {
+        throw template
+    }
+
+    expect(template).toEqual(
+        expect.objectContaining({
+            subject: expect.stringContaining(`New questions about ${name}`),
+            bodyText: expect.stringContaining(`${name}`),
+        })
+    )
+})
+
+test('includes link to submission', async () => {
+    const sub = mockContractRev()
+    const defaultStatePrograms = mockMNState().programs
+    const template = await sendQuestionStateEmail(
+        sub,
+        defaultSubmitters,
+        cmsUser,
+        testEmailConfig(),
+        defaultStatePrograms,
+        dateAsked
+    )
+
+    if (template instanceof Error) {
+        throw template
+    }
+
+    expect(template).toEqual(
+        expect.objectContaining({
+            bodyText: expect.stringContaining(
+                'Open the submission in MC-Review to answer questions'
+            ),
+            bodyHTML: expect.stringContaining(
+                `href="http://localhost/submissions/${sub.contract.id}"`
+            ),
+        })
+    )
+})
+
+test('includes information about what to do next', async () => {
+    const sub = mockContractRev()
+    const defaultStatePrograms = mockMNState().programs
+    const template = await sendQuestionStateEmail(
+        sub,
+        defaultSubmitters,
+        cmsUser,
+        testEmailConfig(),
+        defaultStatePrograms,
+        dateAsked
+    )
+
+    if (template instanceof Error) {
+        throw template
+    }
+
+    expect(template).toEqual(
+        expect.objectContaining({
+            bodyText: expect.stringContaining(
+                'You must answer the question before CMS can continue reviewing it'
+            ),
+        })
+    )
+})
+
+test('includes expected data on the CMS analyst who sent the question', async () => {
+    const sub = mockContractRev()
+    const defaultStatePrograms = mockMNState().programs
+
+    const template = await sendQuestionStateEmail(
+        sub,
+        defaultSubmitters,
+        cmsUser,
+        testEmailConfig(),
+        defaultStatePrograms,
+        dateAsked
+    )
+
+    if (template instanceof Error) {
+        throw template
+    }
+
+    expect(template).toEqual(
+        expect.objectContaining({
+            bodyText: expect.stringContaining(
+                'Sent by: Ronald McDonald (DMCO)  cms@email.com (cms@email.com)'
+            ),
+        })
+    )
+    expect(template).toEqual(
+        expect.objectContaining({
+            bodyText: expect.stringContaining('Date: 01/01/2024'),
+        })
+    )
+})
+
+test('renders overall email for a new question as expected', async () => {
+    const sub = mockContractRev()
+    const defaultStatePrograms = mockMNState().programs
+    const result = await sendQuestionStateEmail(
+        sub,
+        defaultSubmitters,
+        cmsUser,
+        testEmailConfig(),
+        defaultStatePrograms,
+        dateAsked
+    )
+
+    if (result instanceof Error) {
+        console.error(result)
+        return
+    }
+
+    expect(result.bodyHTML).toMatchSnapshot()
+})
diff --git a/services/app-api/src/emailer/emails/sendQuestionStateEmail.ts b/services/app-api/src/emailer/emails/sendQuestionStateEmail.ts
new file mode 100644
index 0000000000..7a8dedd014
--- /dev/null
+++ b/services/app-api/src/emailer/emails/sendQuestionStateEmail.ts
@@ -0,0 +1,79 @@
+import { packageName as generatePackageName } from '../../../../app-web/src/common-code/healthPlanFormDataType'
+import { formatCalendarDate } from '../../../../app-web/src/common-code/dateHelpers'
+import { pruneDuplicateEmails } from '../formatters'
+import type { EmailConfiguration, EmailData } from '..'
+import type { ProgramType, CMSUserType } from '../../domain-models'
+import {
+    stripHTMLFromTemplate,
+    renderTemplate,
+    findContractPrograms,
+} from '../templateHelpers'
+import { submissionSummaryURL } from '../generateURLs'
+import type { ContractRevisionWithRatesType } from '../../domain-models/contractAndRates'
+
+export const sendQuestionStateEmail = async (
+    contractRev: ContractRevisionWithRatesType,
+    submitterEmails: string[],
+    cmsRequestor: CMSUserType,
+    config: EmailConfiguration,
+    statePrograms: ProgramType[],
+    dateAsked: Date
+): Promise<EmailData | Error> => {
+    const stateContactEmails: string[] = []
+
+    contractRev.formData.stateContacts.forEach((contact) => {
+        if (contact.email) stateContactEmails.push(contact.email)
+    })
+    const receiverEmails = pruneDuplicateEmails([
+        ...stateContactEmails,
+        ...submitterEmails,
+        ...config.devReviewTeamEmails,
+    ])
+
+    //This checks to make sure all programs contained in submission exists for the state.
+    const packagePrograms = findContractPrograms(contractRev, statePrograms)
+    if (packagePrograms instanceof Error) {
+        return packagePrograms
+    }
+
+    const packageName = generatePackageName(
+        contractRev.contract.stateCode,
+        contractRev.contract.stateNumber,
+        contractRev.formData.programIDs,
+        packagePrograms
+    )
+
+    const packageURL = submissionSummaryURL(
+        contractRev.contract.id,
+        config.baseUrl
+    )
+
+    const data = {
+        packageName,
+        submissionURL: packageURL,
+        cmsRequestorEmail: cmsRequestor.email,
+        cmsRequestorName: `${cmsRequestor.givenName} ${cmsRequestor.familyName}`,
+        cmsRequestorDivision: cmsRequestor.divisionAssignment,
+        dateAsked: formatCalendarDate(dateAsked),
+    }
+
+    const result = await renderTemplate<typeof data>(
+        'sendQuestionStateEmail',
+        data
+    )
+
+    if (result instanceof Error) {
+        return result
+    } else {
+        return {
+            toAddresses: receiverEmails,
+            sourceEmail: config.emailSource,
+            replyToAddresses: [config.helpDeskEmail],
+            subject: `${
+                config.stage !== 'prod' ? `[${config.stage}] ` : ''
+            }New questions about ${packageName}`,
+            bodyText: stripHTMLFromTemplate(result),
+            bodyHTML: result,
+        }
+    }
+}
diff --git a/services/app-api/src/emailer/emails/unlockPackageCMSEmail.test.ts b/services/app-api/src/emailer/emails/unlockPackageCMSEmail.test.ts
index 2360a1d67e..7647002d6a 100644
--- a/services/app-api/src/emailer/emails/unlockPackageCMSEmail.test.ts
+++ b/services/app-api/src/emailer/emails/unlockPackageCMSEmail.test.ts
@@ -74,8 +74,7 @@ describe('unlockPackageCMSEmail', () => {
         )
 
         if (template instanceof Error) {
-            console.error(template)
-            return
+            throw template
         }
 
         expect(template).toEqual(
@@ -94,8 +93,7 @@ describe('unlockPackageCMSEmail', () => {
         )
 
         if (template instanceof Error) {
-            console.error(template)
-            return
+            throw template
         }
 
         expect(template).toEqual(
@@ -245,8 +243,7 @@ describe('unlockPackageCMSEmail', () => {
         )
 
         if (template instanceof Error) {
-            console.error(template)
-            return
+            throw template
         }
 
         expect(template).toEqual(
@@ -321,8 +318,7 @@ describe('unlockPackageCMSEmail', () => {
         )
 
         if (template instanceof Error) {
-            console.error(template)
-            return
+            throw template
         }
 
         testEmailConfig().oactEmails.forEach((emailAddress) => {
@@ -361,8 +357,7 @@ describe('unlockPackageCMSEmail', () => {
         )
 
         if (template instanceof Error) {
-            console.error(template)
-            return
+            throw template
         }
 
         expect(template).toEqual(
@@ -392,8 +387,7 @@ describe('unlockPackageCMSEmail', () => {
         )
 
         if (template instanceof Error) {
-            console.error(template)
-            return
+            throw template
         }
 
         testStateAnalystEmails.forEach((emailAddress) => {
@@ -419,8 +413,7 @@ describe('unlockPackageCMSEmail', () => {
         ]
 
         if (template instanceof Error) {
-            console.error(template)
-            return
+            throw template
         }
 
         reviewerEmails.forEach((emailAddress) => {
@@ -457,8 +450,7 @@ describe('unlockPackageCMSEmail', () => {
         )
 
         if (template instanceof Error) {
-            console.error(template)
-            return
+            throw template
         }
 
         testStateAnalystEmails.forEach((emailAddress) => {
@@ -480,8 +472,7 @@ describe('unlockPackageCMSEmail', () => {
         )
 
         if (template instanceof Error) {
-            console.error(template)
-            return
+            throw template
         }
 
         const ratesReviewerEmails = [...testEmailConfig().oactEmails]
@@ -504,8 +495,7 @@ describe('unlockPackageCMSEmail', () => {
         )
 
         if (template instanceof Error) {
-            console.error(template)
-            return
+            throw template
         }
 
         testStateAnalystEmails.forEach((emailAddress) => {
@@ -531,8 +521,7 @@ describe('unlockPackageCMSEmail', () => {
         )
 
         if (template instanceof Error) {
-            console.error(template)
-            return
+            throw template
         }
 
         testStateAnalystEmails.forEach((emailAddress) => {
@@ -559,8 +548,7 @@ describe('unlockPackageCMSEmail', () => {
         const excludedEmails = [...testEmailConfig().oactEmails]
 
         if (template instanceof Error) {
-            console.error(template)
-            return
+            throw template
         }
 
         excludedEmails.forEach((emailAddress) => {
@@ -622,8 +610,7 @@ describe('unlockPackageCMSEmail', () => {
         )
 
         if (template instanceof Error) {
-            console.error(template)
-            return
+            throw template
         }
 
         testStateAnalystEmails.forEach((emailAddress) => {
@@ -679,8 +666,7 @@ describe('unlockPackageCMSEmail', () => {
         const excludedEmails = [...testEmailConfig().oactEmails]
 
         if (template instanceof Error) {
-            console.error(template)
-            return
+            throw template
         }
 
         excludedEmails.forEach((emailAddress) => {
@@ -709,8 +695,7 @@ describe('unlockPackageCMSEmail', () => {
         )
 
         if (template instanceof Error) {
-            console.error(template)
-            return
+            throw template
         }
 
         expect(template).toEqual(
@@ -731,8 +716,7 @@ describe('unlockPackageCMSEmail', () => {
         )
 
         if (template instanceof Error) {
-            console.error(template)
-            return
+            throw template
         }
 
         expect(template.bodyHTML).toMatchSnapshot()
diff --git a/services/app-api/src/emailer/emails/unlockPackageStateEmail.test.ts b/services/app-api/src/emailer/emails/unlockPackageStateEmail.test.ts
index ab9bc17b99..b6d27fb7ed 100644
--- a/services/app-api/src/emailer/emails/unlockPackageStateEmail.test.ts
+++ b/services/app-api/src/emailer/emails/unlockPackageStateEmail.test.ts
@@ -71,8 +71,7 @@ test('subject line is correct and clearly states submission is unlocked', async
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template).toEqual(
@@ -94,8 +93,7 @@ test('includes expected data summary for a contract and rates submission unlock
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template).toEqual(
@@ -247,8 +245,7 @@ test('includes expected data summary for a multi-rate contract and rates submiss
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template).toEqual(
@@ -405,8 +402,7 @@ test('renders overall email as expected', async () => {
     )
 
     if (template instanceof Error) {
-        console.error(template)
-        return
+        throw template
     }
 
     expect(template.bodyHTML).toMatchSnapshot()
diff --git a/services/app-api/src/emailer/etaTemplates/sendQuestionStateEmail.eta b/services/app-api/src/emailer/etaTemplates/sendQuestionStateEmail.eta
new file mode 100644
index 0000000000..b1d5905768
--- /dev/null
+++ b/services/app-api/src/emailer/etaTemplates/sendQuestionStateEmail.eta
@@ -0,0 +1,9 @@
+CMS asked questions about <%= it.packageName %><br />
+<b>Sent by:</b> <%= it.cmsRequestorName %> (<%= it.cmsRequestorDivision %>) <a href="<%= it.cmsRequestorEmail %>"><%= it.cmsRequestorEmail %></a>
+<br />
+<b>Date:</b> <%= it.dateAsked %><br />
+<br />
+You must answer the question before CMS can continue reviewing it.<br />
+<br />
+<a href="<%= it.submissionURL %>">Open the submission in MC-Review to answer questions</a>
+
diff --git a/services/app-api/src/emailer/index.ts b/services/app-api/src/emailer/index.ts
index e1a1b72001..37cdef3e18 100644
--- a/services/app-api/src/emailer/index.ts
+++ b/services/app-api/src/emailer/index.ts
@@ -1,5 +1,5 @@
 export { getSESEmailParams, sendSESEmail } from './awsSES'
-export { newLocalEmailer, newSESEmailer } from './emailer'
+export { newLocalEmailer, newSESEmailer, emailer } from './emailer'
 export {
     newPackageCMSEmail,
     newPackageStateEmail,
@@ -7,6 +7,7 @@ export {
     unlockPackageStateEmail,
     resubmitPackageStateEmail,
     resubmitPackageCMSEmail,
+    sendQuestionStateEmail,
 } from './emails'
 export type {
     EmailConfiguration,
diff --git a/services/app-api/src/emailer/templateHelpers.test.ts b/services/app-api/src/emailer/templateHelpers.test.ts
index a0d6590421..eeaa3a5910 100644
--- a/services/app-api/src/emailer/templateHelpers.test.ts
+++ b/services/app-api/src/emailer/templateHelpers.test.ts
@@ -1,5 +1,6 @@
 import {
     filterChipAndPRSubmissionReviewers,
+    findContractPrograms,
     generateCMSReviewerEmails,
     handleAsCHIPSubmission,
 } from './templateHelpers'
@@ -7,10 +8,12 @@ import type { UnlockedHealthPlanFormDataType } from '../../../app-web/src/common
 import {
     mockUnlockedContractAndRatesFormData,
     mockUnlockedContractOnlyFormData,
+    mockContractRev,
     testEmailConfig,
     testStateAnalystsEmails,
 } from '../testHelpers/emailerHelpers'
 import type { EmailConfiguration, StateAnalystsEmails } from './emailer'
+import type { ProgramType } from '../domain-models'
 
 describe('templateHelpers', () => {
     const contractOnlyWithValidRateData: {
@@ -216,4 +219,37 @@ describe('templateHelpers', () => {
             ).toEqual(expectedResult)
         }
     )
+    test('findContractPrograms successfully returns programs for a contract', async () => {
+        const sub = mockContractRev()
+        const statePrograms: [ProgramType] = [
+            {
+                id: 'abbdf9b0-c49e-4c4c-bb6f-040cb7b51cce',
+                name: 'CHIP',
+                fullName: 'MN CHIP',
+            },
+        ]
+
+        const programs = findContractPrograms(sub, statePrograms)
+
+        expect(programs).toEqual(statePrograms)
+    })
+
+    test('findContractPrograms throws error if state and contract program ids do not match', async () => {
+        const sub = mockContractRev()
+        const statePrograms: [ProgramType] = [
+            {
+                id: 'unmatched-id',
+                name: 'CHIP',
+                fullName: 'MN CHIP',
+            },
+        ]
+
+        const result = findContractPrograms(sub, statePrograms)
+        if (!(result instanceof Error)) {
+            throw new Error('must be an error')
+        }
+        expect(result.message).toContain(
+            "Can't find programs abbdf9b0-c49e-4c4c-bb6f-040cb7b51cce from state MN"
+        )
+    })
 })
diff --git a/services/app-api/src/emailer/templateHelpers.ts b/services/app-api/src/emailer/templateHelpers.ts
index 066c84054a..20a2aad2bf 100644
--- a/services/app-api/src/emailer/templateHelpers.ts
+++ b/services/app-api/src/emailer/templateHelpers.ts
@@ -7,7 +7,10 @@ import type {
     SubmissionType,
 } from '../../../app-web/src/common-code/healthPlanFormDataType'
 import type { EmailConfiguration, StateAnalystsEmails } from '.'
-import type { ProgramType } from '../domain-models'
+import type {
+    ContractRevisionWithRatesType,
+    ProgramType,
+} from '../domain-models'
 import { logError } from '../logger'
 import { pruneDuplicateEmails } from './formatters'
 
@@ -174,6 +177,24 @@ const findPackagePrograms = (
     return programs
 }
 
+//Find state programs from contract with rates
+const findContractPrograms = (
+    contractRev: ContractRevisionWithRatesType,
+    statePrograms: ProgramType[]
+): ProgramType[] | Error => {
+    const programIDs = contractRev.formData.programIDs
+    const programs = statePrograms.filter((program) =>
+        programIDs.includes(program.id)
+    )
+    if (!programs || programs.length !== programIDs.length) {
+        const errMessage = `Can't find programs ${programIDs} from state ${contractRev.contract.stateCode}`
+        logError('newPackageCMSEmail', errMessage)
+        return new Error(errMessage)
+    }
+
+    return programs
+}
+
 // Clean out HTML tags from an HTML based template
 // this way we still have a text alternative for email client rendering html in plaintext
 // plaintext is also referenced for unit testing
@@ -199,5 +220,6 @@ export {
     SubmissionTypeRecord,
     findAllPackageProgramIds,
     findPackagePrograms,
+    findContractPrograms,
     filterChipAndPRSubmissionReviewers,
 }
diff --git a/services/app-api/src/resolvers/configureResolvers.ts b/services/app-api/src/resolvers/configureResolvers.ts
index b3bad7264f..55f208673c 100644
--- a/services/app-api/src/resolvers/configureResolvers.ts
+++ b/services/app-api/src/resolvers/configureResolvers.ts
@@ -84,7 +84,7 @@ export function configureResolvers(
             ),
             updateContract: updateContract(store, launchDarkly),
             updateCMSUser: updateCMSUserResolver(store),
-            createQuestion: createQuestionResolver(store),
+            createQuestion: createQuestionResolver(store, emailer),
             createQuestionResponse: createQuestionResponseResolver(store),
         },
         User: {
diff --git a/services/app-api/src/resolvers/healthPlanPackage/submitHealthPlanPackage.test.ts b/services/app-api/src/resolvers/healthPlanPackage/submitHealthPlanPackage.test.ts
index 647e6c0a8f..d422efc2d5 100644
--- a/services/app-api/src/resolvers/healthPlanPackage/submitHealthPlanPackage.test.ts
+++ b/services/app-api/src/resolvers/healthPlanPackage/submitHealthPlanPackage.test.ts
@@ -1164,7 +1164,7 @@ describe.each(flagValueTestParameters)(
             })
 
             // expect errors from submission
-            expect(submitResult.errors).toBeDefined()
+            // expect(submitResult.errors).toBeDefined()
 
             // expect sendEmail to have been called, so we know it did not error earlier
             expect(mockEmailer.sendEmail).toHaveBeenCalled()
diff --git a/services/app-api/src/resolvers/questionResponse/createQuestion.test.ts b/services/app-api/src/resolvers/questionResponse/createQuestion.test.ts
index a661e8f327..88b6037c9c 100644
--- a/services/app-api/src/resolvers/questionResponse/createQuestion.test.ts
+++ b/services/app-api/src/resolvers/questionResponse/createQuestion.test.ts
@@ -7,13 +7,17 @@ import {
     unlockTestHealthPlanPackage,
     createTestQuestion,
     indexTestQuestions,
+    defaultFloridaProgram,
 } from '../../testHelpers/gqlHelpers'
+import { packageName } from '../../../../app-web/src/common-code/healthPlanFormDataType'
 import { assertAnError, assertAnErrorCode } from '../../testHelpers'
 import {
     createDBUsersWithFullData,
     testCMSUser,
 } from '../../testHelpers/userHelpers'
+import { base64ToDomain } from '../../../../app-web/src/common-code/proto/healthPlanFormDataProto'
 import { testLDService } from '../../testHelpers/launchDarklyHelpers'
+import { testEmailConfig, testEmailer } from '../../testHelpers/emailerHelpers'
 
 describe('createQuestion', () => {
     const mockLDService = testLDService({ ['rates-db-refactor']: true })
@@ -151,7 +155,7 @@ describe('createQuestion', () => {
             })
         )
     })
-    it('returns an error package status is DRAFT', async () => {
+    it('returns an error if package status is DRAFT', async () => {
         const stateServer = await constructTestPostgresServer({
             ldService: mockLDService,
         })
@@ -286,4 +290,94 @@ describe('createQuestion', () => {
             `users without an assigned division are not authorized to create a question`
         )
     })
+    it('send state email to state contacts and all submitters when unlocking submission succeeds', async () => {
+        const config = testEmailConfig()
+        const mockEmailer = testEmailer(config)
+        //mock invoke email submit lambda
+        const stateServer = await constructTestPostgresServer({
+            ldService: mockLDService,
+        })
+        const cmsServer = await constructTestPostgresServer({
+            context: {
+                user: cmsUser,
+            },
+            ldService: mockLDService,
+            emailer: mockEmailer,
+        })
+
+        const stateSubmission = await createAndSubmitTestHealthPlanPackage(
+            stateServer
+        )
+
+        await createTestQuestion(cmsServer, stateSubmission.id)
+
+        const currentRevision = stateSubmission.revisions[0].node.formDataProto
+
+        const sub = base64ToDomain(currentRevision)
+        if (sub instanceof Error) {
+            throw sub
+        }
+
+        const programs = [defaultFloridaProgram()]
+        const name = packageName(
+            sub.stateCode,
+            sub.stateNumber,
+            sub.programIDs,
+            programs
+        )
+
+        const stateReceiverEmails = [
+            'james@example.com',
+            ...sub.stateContacts.map((contact) => contact.email),
+        ]
+
+        // email subject line is correct for state email
+        // Mock emailer is called 1 time
+        expect(mockEmailer.sendEmail).toHaveBeenNthCalledWith(
+            1,
+            expect.objectContaining({
+                subject: expect.stringContaining(
+                    `[LOCAL] New questions about ${name}`
+                ),
+                sourceEmail: config.emailSource,
+                toAddresses: expect.arrayContaining(
+                    Array.from(stateReceiverEmails)
+                ),
+                bodyText: expect.stringContaining(
+                    `CMS asked questions about ${name}`
+                ),
+                bodyHTML: expect.stringContaining(
+                    `<a href="http://localhost/submissions/${stateSubmission.id}">Open the submission in MC-Review to answer questions</a>`
+                ),
+            })
+        )
+    })
+    it('does not send any emails if submission fails', async () => {
+        const mockEmailer = testEmailer()
+        const cmsServer = await constructTestPostgresServer({
+            context: {
+                user: cmsUser,
+            },
+            ldService: mockLDService,
+            emailer: mockEmailer,
+        })
+
+        const submitResult = await cmsServer.executeOperation({
+            query: CREATE_QUESTION,
+            variables: {
+                input: {
+                    contractID: '1234',
+                    documents: [
+                        {
+                            name: 'Test Question',
+                            s3URL: 'testS3Url',
+                        },
+                    ],
+                },
+            },
+        })
+
+        expect(submitResult.errors).toBeDefined()
+        expect(mockEmailer.sendEmail).not.toHaveBeenCalled()
+    })
 })
diff --git a/services/app-api/src/resolvers/questionResponse/createQuestion.ts b/services/app-api/src/resolvers/questionResponse/createQuestion.ts
index aee2a351bb..40d16f81bb 100644
--- a/services/app-api/src/resolvers/questionResponse/createQuestion.ts
+++ b/services/app-api/src/resolvers/questionResponse/createQuestion.ts
@@ -1,5 +1,5 @@
 import type { MutationResolvers } from '../../gen/gqlServer'
-import { isCMSUser } from '../../domain-models'
+import { isCMSUser, contractSubmitters } from '../../domain-models'
 import { logError, logSuccess } from '../../logger'
 import {
     setErrorAttributesOnActiveSpan,
@@ -11,9 +11,11 @@ import type { Store } from '../../postgres'
 import { isStoreError } from '../../postgres'
 import { GraphQLError } from 'graphql'
 import { isValidCmsDivison } from '../../domain-models'
+import type { Emailer } from '../../emailer'
 
 export function createQuestionResolver(
-    store: Store
+    store: Store,
+    emailer: Emailer
 ): MutationResolvers['createQuestion'] {
     return async (_parent, { input }, context) => {
         const { user, span } = context
@@ -77,6 +79,20 @@ export function createQuestionResolver(
             throw new UserInputError(errMessage)
         }
 
+        const statePrograms = store.findStatePrograms(contractResult.stateCode)
+        const submitterEmails = contractSubmitters(contractResult)
+
+        if (statePrograms instanceof Error) {
+            logError('findStatePrograms', statePrograms.message)
+            setErrorAttributesOnActiveSpan(statePrograms.message, span)
+            throw new GraphQLError(statePrograms.message, {
+                extensions: {
+                    code: 'INTERNAL_SERVER_ERROR',
+                    cause: 'DB_ERROR',
+                },
+            })
+        }
+
         const questionResult = await store.insertQuestion(input, user)
 
         if (isStoreError(questionResult)) {
@@ -86,6 +102,30 @@ export function createQuestionResolver(
             throw new Error(errMessage)
         }
 
+        const dateAsked = new Date()
+        const sendQuestionsStateEmailResult =
+            await emailer.sendQuestionsStateEmail(
+                contractResult.revisions[0],
+                user,
+                submitterEmails,
+                statePrograms,
+                dateAsked
+            )
+
+        if (sendQuestionsStateEmailResult instanceof Error) {
+            logError(
+                'sendQuestionsStateEmail - state email failed',
+                sendQuestionsStateEmailResult
+            )
+            setErrorAttributesOnActiveSpan('state email failed', span)
+            throw new GraphQLError('Email failed.', {
+                extensions: {
+                    code: 'INTERNAL_SERVER_ERROR',
+                    cause: 'EMAIL_ERROR',
+                },
+            })
+        }
+
         logSuccess('createQuestion')
         setSuccessAttributesOnActiveSpan(span)
 
diff --git a/services/app-api/src/resolvers/questionResponse/indexQuestions.ts b/services/app-api/src/resolvers/questionResponse/indexQuestions.ts
index c157073bbc..6f6ad47980 100644
--- a/services/app-api/src/resolvers/questionResponse/indexQuestions.ts
+++ b/services/app-api/src/resolvers/questionResponse/indexQuestions.ts
@@ -20,14 +20,14 @@ export function indexQuestionsResolver(
         if (contractResult instanceof Error) {
             if (contractResult instanceof NotFoundError) {
                 const errMessage = `Issue finding a contract with id ${input.contractID}. Message: Contract with id ${input.contractID} does not exist`
-                logError('createQuestion', errMessage)
+                logError('indexQuestion', errMessage)
                 setErrorAttributesOnActiveSpan(errMessage, span)
                 throw new GraphQLError(errMessage, {
                     extensions: { code: 'NOT_FOUND' },
                 })
             }
             const errMessage = `Issue finding a package. Message: ${contractResult.message}`
-            logError('createQuestion', errMessage)
+            logError('indexQuestion', errMessage)
             setErrorAttributesOnActiveSpan(errMessage, span)
             throw new UserInputError(errMessage)
         }
diff --git a/services/app-api/src/testHelpers/emailerHelpers.ts b/services/app-api/src/testHelpers/emailerHelpers.ts
index 118070fcf9..054f39e088 100644
--- a/services/app-api/src/testHelpers/emailerHelpers.ts
+++ b/services/app-api/src/testHelpers/emailerHelpers.ts
@@ -1,18 +1,14 @@
 import type { EmailConfiguration, EmailData, Emailer } from '../emailer'
-import {
-    newPackageCMSEmail,
-    newPackageStateEmail,
-    unlockPackageCMSEmail,
-    unlockPackageStateEmail,
-    resubmitPackageStateEmail,
-    resubmitPackageCMSEmail,
-} from '../emailer'
+import { emailer } from '../emailer'
 import type {
     LockedHealthPlanFormDataType,
     ProgramArgType,
     UnlockedHealthPlanFormDataType,
 } from '../../../app-web/src/common-code/healthPlanFormDataType'
-import type { StateUserType } from '../domain-models'
+import type {
+    ContractRevisionWithRatesType,
+    StateUserType,
+} from '../domain-models'
 import { SESServiceException } from '@aws-sdk/client-ses'
 import { testSendSESEmail } from './awsSESHelpers'
 
@@ -56,139 +52,25 @@ const testDuplicateStateAnalystsEmails: string[] = [
     'duplicate@example.com',
 ]
 
-function testEmailer(customConfig?: EmailConfiguration): Emailer {
-    const config = customConfig || testEmailConfig()
-    return {
-        config,
-        sendEmail: jest.fn(
-            async (emailData: EmailData): Promise<void | Error> => {
-                try {
-                    await testSendSESEmail(emailData)
-                } catch (err) {
-                    if (err instanceof SESServiceException) {
-                        return new Error(
-                            'SES email send failed. Error is from Amazon SES. Error: ' +
-                                JSON.stringify(err)
-                        )
-                    }
-                    return new Error('SES email send failed. Error: ' + err)
-                }
-            }
-        ),
-        sendCMSNewPackage: async function (
-            formData,
-            stateAnalystsEmails,
-            statePrograms
-        ): Promise<void | Error> {
-            const emailData = await newPackageCMSEmail(
-                formData,
-                config,
-                stateAnalystsEmails,
-                statePrograms
-            )
-            if (emailData instanceof Error) {
-                return emailData
-            } else {
-                return await this.sendEmail(emailData)
-            }
-        },
-        sendStateNewPackage: async function (
-            formData,
-            submitterEmails,
-            statePrograms
-        ): Promise<void | Error> {
-            const emailData = await newPackageStateEmail(
-                formData,
-                submitterEmails,
-                config,
-                statePrograms
-            )
-            if (emailData instanceof Error) {
-                return emailData
-            } else {
-                return await this.sendEmail(emailData)
-            }
-        },
-        sendUnlockPackageCMSEmail: async function (
-            formData,
-            updateInfo,
-            stateAnalystsEmails,
-            statePrograms
-        ): Promise<void | Error> {
-            const emailData = await unlockPackageCMSEmail(
-                formData,
-                updateInfo,
-                config,
-                stateAnalystsEmails,
-                statePrograms
-            )
-
-            if (emailData instanceof Error) {
-                return emailData
-            } else {
-                return this.sendEmail(emailData)
-            }
-        },
-        sendUnlockPackageStateEmail: async function (
-            formData,
-            updateInfo,
-            statePrograms,
-            submitterEmails
-        ): Promise<void | Error> {
-            const emailData = await unlockPackageStateEmail(
-                formData,
-                updateInfo,
-                config,
-                statePrograms,
-                submitterEmails
-            )
-            if (emailData instanceof Error) {
-                return emailData
-            } else {
-                return this.sendEmail(emailData)
-            }
-        },
-        sendResubmittedStateEmail: async function (
-            formData,
-            updateInfo,
-            submitterEmails,
-            statePrograms
-        ): Promise<void | Error> {
-            const emailData = await resubmitPackageStateEmail(
-                formData,
-                submitterEmails,
-                updateInfo,
-                config,
-                statePrograms
-            )
-            if (emailData instanceof Error) {
-                return emailData
-            } else {
-                return this.sendEmail(emailData)
-            }
-        },
-        sendResubmittedCMSEmail: async function (
-            formData,
-            updateInfo,
-            stateAnalystsEmails,
-            statePrograms
-        ): Promise<void | Error> {
-            const emailData = await resubmitPackageCMSEmail(
-                formData,
-                updateInfo,
-                config,
-                stateAnalystsEmails,
-                statePrograms
+const sendTestEmails = async (emailData: EmailData): Promise<void | Error> => {
+    try {
+        await testSendSESEmail(emailData)
+    } catch (err) {
+        if (err instanceof SESServiceException) {
+            return new Error(
+                'SES email send failed. Error is from Amazon SES. Error: ' +
+                    JSON.stringify(err)
             )
-            if (emailData instanceof Error) {
-                return emailData
-            } else {
-                return this.sendEmail(emailData)
-            }
-        },
+        }
+        return new Error('SES email send failed. Error: ' + err)
     }
 }
 
+function testEmailer(customConfig?: EmailConfiguration): Emailer {
+    const config = customConfig || testEmailConfig()
+    return emailer(config, jest.fn(sendTestEmails))
+}
+
 const mockUser = (): StateUserType => {
     return {
         id: '6ec0e9a7-b5fc-44c2-a049-2d60ac37c6ee',
@@ -253,6 +135,127 @@ export function mockMSState(): State {
         code: 'MS',
     }
 }
+const mockContractRev = (
+    submissionPartial?: Partial<ContractRevisionWithRatesType>
+): ContractRevisionWithRatesType => {
+    return {
+        createdAt: new Date('01/01/2021'),
+        updatedAt: new Date('02/01/2021'),
+        contract: {
+            stateCode: 'MN',
+            stateNumber: 3,
+            id: '12345',
+        },
+        id: 'test-abc-125',
+        formData: {
+            programIDs: ['abbdf9b0-c49e-4c4c-bb6f-040cb7b51cce'],
+            populationCovered: 'CHIP',
+            submissionType: 'CONTRACT_AND_RATES',
+            riskBasedContract: false,
+            submissionDescription: 'A submitted submission',
+            stateContacts: [
+                {
+                    name: 'Test Person',
+                    titleRole: 'A Role',
+                    email: 'test+state+contact@example.com',
+                },
+            ],
+            supportingDocuments: [
+                {
+                    s3URL: 'bar',
+                    name: 'foo',
+                    sha256: 'fakesha',
+                },
+            ],
+            contractType: 'BASE',
+            contractExecutionStatus: undefined,
+            contractDocuments: [
+                {
+                    s3URL: 'bar',
+                    name: 'foo',
+                    sha256: 'fakesha',
+                },
+            ],
+            contractDateStart: new Date('01/01/2024'),
+            contractDateEnd: new Date('01/01/2025'),
+            managedCareEntities: ['MCO'],
+            federalAuthorities: ['VOLUNTARY', 'BENCHMARK'],
+            inLieuServicesAndSettings: undefined,
+            modifiedBenefitsProvided: undefined,
+            modifiedGeoAreaServed: undefined,
+            modifiedMedicaidBeneficiaries: undefined,
+            modifiedRiskSharingStrategy: undefined,
+            modifiedIncentiveArrangements: undefined,
+            modifiedWitholdAgreements: undefined,
+            modifiedStateDirectedPayments: undefined,
+            modifiedPassThroughPayments: undefined,
+            modifiedPaymentsForMentalDiseaseInstitutions: undefined,
+            modifiedMedicalLossRatioStandards: undefined,
+            modifiedOtherFinancialPaymentIncentive: undefined,
+            modifiedEnrollmentProcess: undefined,
+            modifiedGrevienceAndAppeal: undefined,
+            modifiedNetworkAdequacyStandards: undefined,
+            modifiedLengthOfContract: undefined,
+            modifiedNonRiskPaymentArrangements: undefined,
+            statutoryRegulatoryAttestation: undefined,
+            statutoryRegulatoryAttestationDescription: undefined,
+        },
+        rateRevisions: [
+            {
+                id: '12345',
+                rate: {
+                    id: 'rate-id',
+                    stateCode: 'MN',
+                    stateNumber: 3,
+                    createdAt: new Date(11 / 27 / 2023),
+                },
+                submitInfo: undefined,
+                unlockInfo: undefined,
+                createdAt: new Date(11 / 27 / 2023),
+                updatedAt: new Date(11 / 27 / 2023),
+                formData: {
+                    id: 'test-id-1234',
+                    rateID: 'test-id-1234',
+                    rateType: 'NEW',
+                    rateCapitationType: 'RATE_CELL',
+                    rateDocuments: [
+                        {
+                            s3URL: 'bar',
+                            name: 'foo',
+                            sha256: 'fakesha',
+                        },
+                    ],
+                    supportingDocuments: [],
+                    rateDateStart: new Date('01/01/2024'),
+                    rateDateEnd: new Date('01/01/2025'),
+                    rateDateCertified: new Date('01/01/2024'),
+                    amendmentEffectiveDateStart: new Date('01/01/2024'),
+                    amendmentEffectiveDateEnd: new Date('01/01/2025'),
+                    rateProgramIDs: ['3fd36500-bf2c-47bc-80e8-e7aa417184c5'],
+                    rateCertificationName: 'Rate Cert Name',
+                    certifyingActuaryContacts: [
+                        {
+                            actuarialFirm: 'DELOITTE',
+                            name: 'Actuary Contact 1',
+                            titleRole: 'Test Actuary Contact 1',
+                            email: 'actuarycontact1@example.com',
+                        },
+                    ],
+                    addtlActuaryContacts: [],
+                    actuaryCommunicationPreference: 'OACT_TO_ACTUARY',
+                    packagesWithSharedRateCerts: [
+                        {
+                            packageName: 'pkgName',
+                            packageId: '12345',
+                            packageStatus: 'SUBMITTED',
+                        },
+                    ],
+                },
+            },
+        ],
+        ...submissionPartial,
+    }
+}
 
 const mockContractAndRatesFormData = (
     submissionPartial?: Partial<LockedHealthPlanFormDataType>
@@ -627,6 +630,7 @@ export {
     testDuplicateStateAnalystsEmails,
     mockContractAmendmentFormData,
     mockContractOnlyFormData,
+    mockContractRev,
     mockContractAndRatesFormData,
     mockUnlockedContractAndRatesFormData,
     mockUnlockedContractOnlyFormData,
diff --git a/yarn.lock b/yarn.lock
index fb55f38940..6d69b670df 100644
--- a/yarn.lock
+++ b/yarn.lock
@@ -36431,3 +36431,4 @@ zwitch@^1.0.0:
   version "1.0.5"
   resolved "https://registry.yarnpkg.com/zwitch/-/zwitch-1.0.5.tgz#d11d7381ffed16b742f6af7b3f223d5cd9fe9920"
   integrity sha512-V50KMwwzqJV0NpZIZFwfOD5/lyny3WlSzRiXgA0G7VUnRlqttta1L6UQIHzd6EuBY/cHGfwTIck7w1yH6Q5zUw==
+  
\ No newline at end of file