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CMS Points Emergency Regulation Requiring COVID-19 Vaccination for Well being Care Employees – Alabama Rural Well being Affiliation


Yesterday, CMS launched the interim last laws requiring COVID-19 vaccination of eligible workers at well being care services that take part within the Medicare and Medicaid applications. These necessities will apply to roughly 76,000 suppliers and canopy over 17 million well being care employees throughout the nation.

Services lined by this regulation should set up a coverage making certain all eligible workers have obtained the primary dose of a two-dose COVID-19 vaccine or a one-dose COVID-19 vaccine previous to offering any care, therapy, or different companies by December 5, 2021All eligible workers will need to have obtained the mandatory photographs to be totally vaccinated – both two doses of Pfizer or Moderna or one dose of Johnson & Johnson – by January 4, 2022.  

At the moment, CMS is just not permitting for each day or weekly testing of unvaccinated people as a substitute for vaccination.  The regulation offers for exemptions primarily based on acknowledged incapacity, medical situations or spiritual beliefs, observances, or practices.  With regard to acknowledged medical contraindications to receiving a COVID-19 vaccine, services ought to check with the CDC informational doc, Abstract Doc for Interim Scientific Concerns for Use of COVID-19 Vaccines At the moment Approved in the USA, accessed at….  CMS directs suppliers and suppliers to the Equal Employment Alternative Fee (EEOC) Compliance Guide on Non secular Discrimination160 for info on evaluating and responding to requests associated to spiritual beliefs, observances, or practices. Whereas employers have the pliability to ascertain their very own processes and procedures, together with kinds, CMS factors to The Safer Federal Workforce Process Pressure’s “request for a religious exception to the COVID-19 vaccination requirement” template for example.

Services should develop the same course of or plan for allowing exemptions in alignment with federal legislation. CMS will guarantee compliance with these necessities via established survey and enforcement processes.  If a supplier or provider doesn’t meet the necessities, it will likely be cited by a surveyor as being non-compliant and have a possibility to return to compliance earlier than extra actions happen.

The necessities apply to: Ambulatory Surgical Facilities, Hospices, Packages of All-Inclusive Take care of the Aged, Hospitals, Lengthy Time period Care services, Psychiatric Residential Therapy Services, Intermediate Care Services for People with Mental Disabilities, House Well being Businesses, Complete Outpatient Rehabilitation Services, Important Entry Hospitals, Clinics (rehabilitation companies, and public well being companies as suppliers of outpatient bodily remedy and speech-language pathology companies), Group Psychological Well being Facilities, House Infusion Remedy suppliers, Rural Well being Clinics/Federally Certified Well being Facilities, and Finish-Stage Renal Illness Services.

NRHA will probably be reviewing the regulation and submitting feedback on behalf of our members expressing concern concerning the workforce and entry implications in rural areas.  Feedback on the interim last regulation have to be supplied inside 60 days of November 5th, 2021 to be thought-about. 

To view the interim last rule with remark interval, go to:…

To view an inventory of ceaselessly requested questions, go to:

NRHA will probably be sharing a extra detailed abstract of the regulation shortly.  In meantime, be happy to contact our authorities affairs staff at [email protected]. Thanks.


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