A mix and match series composed of any combination ofFDA-approved, FDA-authorized, or WHO-EUL COVID-19 vaccines. LA County's COVID emergency ends March 31. Booster dose at least 2 months and no more than 6 months after 1st dose, World Health Organization (WHO) emergency use listing COVID-19 vaccine, Booster dose at least 2 months and no more than 6 months after getting all recommended doses. Unvaccinated persons are more likely to get infected and spread the virus, which is transmitted through the air. HCP who have completed their primary series who provide proof of subsequent COVID-19 infection may defer this booster administration for up to 90 days after infection. Upon returning to work, workers shall immediately be provided written instructions to comply with mandatory COVID-19 vaccine, booster and testing requirements as follows. These workers shall be in compliance no later than 15 days after the expiration of their deferral, or they shall be subject to progressive discipline, up to and including adverse action. In addition, 88% of Skilled Nursing Facility healthcare personnel have received at least one booster doseand 71% of staff at the California Department of Corrections and Rehabilitation have completed their primary series. The Delta variant is highly transmissible and causes more severe illness. COVID-19 vaccines are effective in reducing infection and serious impacts including hospitalization and death. "Worker" refers to all paid and unpaid individuals who work in indoor settings where (1) care is provided to individuals, or (2) persons in care have access for any purpose. a. If the worker still refuses to comply within this timeframe, HAs shall initiate or continue corrective or disciplinary action. This State Public Health Officer Order will takeeffect onApril 3, 2023. b. access to online resources providing up to date information on COVID-19 science and research. If the accommodation request is denied, the worker has 15 calendar days to initiate a vaccination/booster. The one-dose vaccine is: Johnson and Johnson [J&J]/Janssen. Covered facilities should maintain capacity at their worksite, to continue to test as recommended during outbreaks and in the event it is required again at a future date. Alternatively, workers may select another no-cost community clinic listed on the California COVID-19 website or their personal health care provider and follow the process for submitting proof of testing outlined in Attachment B of the January 28, 2022, memorandum. Citing the evolution of the pandemic and the expiration of the state's emergency health order, the L.A. County Board of Supervisors voted unanimously . COVID-19 vaccination and boosters continue to remain the most important strategy to prevent serious illness and death from COVID-19. If a worker prefers a particular vaccination brand, they should make arrangements to get that vaccination brand timely. In addition, at the federal level, QSO-23-02-ALL (Revised Guidance for Staff Vaccination Requirements) currently requires all Medicare- and Medicaid-certified providers ensure that all applicable staff are vaccinated with COVID19 primary series. Thus CDPH is updating its order requiring health care workers to be fully vaccinated and boosted by March 1, 2022 to allow delay of the March 1, 2022 deadline for receiving a booster for covered workers with proof of a recent infection for up to 90 days from date of infection. For the most current testing requirements for the incarcerated, refer to the COVID-19 Interim Guidance. HAs can look up workers vaccination status on the COVID-19 Staff Vaccine Registry. Note: During a COVID-19 outbreak, all workers may be subject to more frequent and regular intervals of COVID-19 testing regardless of vaccination status. The timing of required booster doses has been amended to reflect current CDC recommendations. k The COVID-19 pandemic remains a significant challenge in California. At present, 80% of Californians 12 years of age and older have completed their primary series of COVID-19 vaccines, and 62% have also received at least their first booster dose. Workers who fail to comply with the LOI, on the next workday, after the seven calendar day compliance period has expired, shall be subject to disciplinary action for non-compliance. The mandate required them to receive their second dose by Sept. 30.. Increasing evidence shows that a combination of infection after completing the primary series of vaccination can build strong hybrid immunity. On December 22, the California Department of Public Health issued an order that requires health care workers working at certain facilities to be fully vaccinated against COVID-19 and to receive boosters by February 1 unless an exemption applies. Yes, if they are regularly assigned to work in the areas, institutions, posts and locations specified in the August 23, 2021 and January 28, 2022, memoranda. The employer must provide such records to the local or state Public Health Officer, the California Department of Social Services, or their designee promptly upon request, and in any event no later than the next business day after receiving the request. Workers shall not be removed from their assigned posts or positions. As we continue to learn more about post-Omicron infection immunity, hybrid immunity, waning immunity in general, and what new variants may evolve, we will continue to reassess COVID-19 vaccine requirements and recommendations. Compliance with CDCR/CCHCS masking requirements is considered an essential function of all classifications and is mandatory. Since March 2022, healthcare personnel booster rates reached 90%. CDPH continues to assess conditions on an ongoing basis. Any of the COVID-19 vaccines authorized in the United States may be used for the booster dose, but either Moderna or Pfizer-BioNTech are preferred. Workers may obtain no-cost COVID-19 vaccination/booster from CDCR/CCHCS vaccine clinics. Based on the appropriate timeframes as specified above, the first step is issuing an LOI to non-compliant workers. On December 22, 2021, this Order was amended to make boosters mandatory for covered workers and to require additional testing of workers eligible for boosters who are not yet boosted. New and current registry/contract assignments and onboarding processes have been updated to reflect CDPH order requirements. Consequently, current vaccine requirements of staff in health care settings are not proving sufficient to prevent transmission of the more transmissible Omicron variant. Workers as defined above shall not be subject to discipline or assignment termination. The timing of required booster doses has been amended to reflect current CDC recommendations. Consequently, although COVID-19 remains with us, I am rescinding the September 28, 2021 State Public Health Officer Order effective April 3, 2023. Yes. Skilled Nursing Facilities (including Subacute Facilities), vi. Healthcare personnel staying up to date with COVID-19 vaccinations and boosters remains the most important strategy to prevent serious illness and death from COVID-19. c. For unvaccinated workers: signed declination forms with written health care provider's statement where applicable, as described in section (6) above. New York enforcement . To be eligible for a Qualified Medical Reasons exemption the worker must also provide to their employer a written statement signed by a physician, nurse practitioner, or other licensed medical professional practicing under the license of a physician stating that the individual qualifies for the exemption (but the statement should not describe the underlying medical condition or disability) and indicating the probable duration of the worker's inability to receive the vaccine (or if the duration is unknown or permanent, so indicate). Novavax is not authorized for use as a booster dose at this time, Booster dose at least 2 months and no more than 6 months after 1st dose, World Health Organization (WHO) emergency use listing COVID-19 vaccine, Booster dose at least 2 months and no more than 6 months after getting all recommended doses, Single booster dose of Moderna or Pfizer-BioNTech COVID-19 vaccine. At present, 63% of Californians 12 years of age and older are fully vaccinated with an additional 10% partially vaccinated. Early data also suggest the increased transmissibility of the Omicron variant is two to four times as infectious as the Delta variant, and there is evidence of immune evasion. [i]Workers who provide proof of COVID-19 infection after completion of their primary series[ii]may defer booster administration for up to 90 days from date of first positive test or clinical diagnosis, which in some situations, may extend the booster dose requirement beyond March 1st. All COVID-19 vaccines that are currently authorized for emergency use can be found at the following links: a. Workers who are newly coming into compliance with the State and Local healthcare worker vaccine requirements must receive their booster dose within 15 days after becoming eligible. Additionally, workers shall wear the appropriate mask at all times based on current masking guidelines as posted on the Lifeline COVID-19 page, and obtain twice-weekly COVID-19 testing (with 48-72 hours between each test), until compliant with the CDPH Order. Boosters have been available in California since September 2021. This State Public Health Officer Order will takeeffect onApril 3, 2023. Workers will need a booster within seven months of their second Pfizer or Moderna dose, or within three months of their Johnson & Johnson shot. Workers may also consider routine diagnostic screening testing if they have underlying immunocompromising conditions (e.g., organ transplantation, cancer treatment), due to the greater risks such individuals face if they contract COVID-19: a. No. Assignments shall not be terminated due to non-compliance with the, All unvaccinated, partially vaccinated, or booster-eligible but unboosted registry providers, contractors, and volunteers shall wear the appropriate mask at all times based on current masking guidelines as posted on the Lifeline COVID-19 page, and test twice-weekly (with 48-72 hours between each test) until they are compliant with the. Janssen). For example: 1st offense: 5% salary reduction (example: 3 or 6 qualifying pay periods), 2nd offense: 5% salary reduction for longer period of time than first (example: 9 or 12 qualifying pay periods), 3rd offense: suspension without pay (example: 1424 or 25-36 qualifying work days). In many of these settings, the consumers and residents are at high risk of severe COVID-19 disease due to underlying health conditions, advanced age, or both. The stay temporarily halts enforcement of the ruling last month from state Supreme Court Judge Gerald Neri in Syracuse that declared the health worker . Signs announcing COVID-19 testing at the campus of Chico State University in Chico on Nov. 4, 2021. California is currently experiencing the fastest increase in COVID-19 cases during the entire pandemic with 18.3 new cases per 100,000 people per day, with case rates increasing ninefold within two months. a. Progressive discipline shall not be initiated immediately. The facility must provide such records to the local or state Public Health Officer or their designee promptly upon request, and in any event no later than the next business day after receiving the request. The week begins Monday and ends on Sunday. In the interim, all health care staff that have not received their booster must test for COVID-19 twice weekly until they are up to date on their vaccines. Call 800-CDC-INFO (800-232-4636) to be routed to Infectious Diseases Society of America (IDSA) volunteer clinicians. At present, 80% of Californians 12 years of age and older have completed their primary series of COVID-19 vaccines, and 62% have also received at least their first booster dose. In many of these settings, the patients are at high risk of severe COVID-19 disease due to underlying health conditions, advanced age, or both. These measures can improve vaccination rates in these settings, which ensures that both the individuals being served as well as the workers providing the services, are protected from COVID-19. Additional statewide directed measures are necessary to protect particularly vulnerable populations, and ensure a sufficient, consistent supply of workers in high-risk care settings. Since March 2022, healthcare personnel booster rates reached 90%. Vaccines for children 5-11 years of age have been available since October 2021. On December 22, 2021, this Order was amended to make boosters mandatory for covered workers and to require additional testing of workers eligible for boosters who are not yet boosted. 2. California's path forward will be predicated on individual, smarter actions that will collectively yield better outcomes for our neighborhoods, communities, and state. 8. Healthcare personnel staying up to date with COVID-19 vaccinations and boosters remains the most important strategy to prevent serious illness and death from COVID-19. and based on concerning levels of transmission locally. Clinics & Doctor Offices (including behavioral health, surgical), xiii. No. Upon receipt of the approval or denial by the vendor/contractor/network contractor, DCCS shall forward to HAs at the location(s) the provider/contractor renders services. PO Box 997377 Direct Care Worker and information regarding the Pf-i19zer COVID Vaccine Boos ter. MS 0500 Since Thanksgiving, the statewide seven-day average case rate has increased by 34% and hospitalizations have increased by 17%. WHO COVID-19 Vaccines webpage. Kathy. Category: Health Detail Health