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New York Healthcare Worker Vaccination Mandate

New York Healthcare Worker Vaccination Mandate

The New York State Department of Health has issued emergency temporary regulations requiring healthcare workers in various settings to receive the COVID-19 vaccine. The healthcare worker vaccination mandate includes most employees of hospitals and nursing homes. Employees and other personnel of some additional healthcare facilities and programs are also subject to the mandate. Covered workers who don’t become vaccinated in time could lose their positions.

Given the emergency nature of the regulations, they are only in effect for 90 days. They will expire in late November 2021 unless extended or adopted as permanent regulations.

Covered Entities

The New York healthcare worker vaccination mandate applies to personnel working for all of the following:

  • Hospitals
  • Nursing Homes
  • Diagnostic and Treatment Centers
  • Home Health Agencies
  • Long Term Home Health Care Programs
  • AIDS Home Care Programs
  • Licensed Home Care Services Agencies
  • Hospices
  • Adult Care Facilities

Most of the above terms are more specifically defined by law or regulations.

Generally, private “doctor’s offices” are not directly subject to the vaccination mandate. However, given the array of practice arrangements, providers should carefully consider whether they are covered.

Covered Personnel

The vaccine mandate extends beyond employees of these healthcare providers.

It applies to “all persons employed or affiliated with a covered entity, whether paid or unpaid, including but not limited to employees, members of the medical and nursing staff, contract staff, students, and volunteers, who engage in activities such that if they were infected with COVID-19, they could potentially expose other covered personnel, patients or residents to the disease.”

This definition is extensive. It may allow healthcare companies some flexibility in who must receive the vaccine. However, it would seem to cover most people (other than patients/visitors) who would come into contact with anyone else.

Vaccination Requirement

Covered personnel must eventually become fully vaccinated to continue to work/participate in their healthcare positions. They must at least obtain a first dose by September 27, 2021, if they work in hospitals, or by October 7, 2021, if they work in any other covered entity.

Healthcare entities must obtain proof of documentation for each worker and retain a copy in personnel or similar files. Employers must comply with privacy requirements. For example, medical documentation must be maintained separately from general employment records under the Americans with Disabilities Act.

Exemptions

The Department of Health regulations only permit a medical exception to the healthcare worker vaccination mandate. The Commissioner of Health had previously suggested a religious exemption would be available, but that was dropped.

A covered entity may excuse personnel from the vaccine requirement “if any licensed physician or certified nurse practitioner certifies that immunization with COVID-19 vaccine is detrimental to the health” of a person “based upon a pre-existing health condition.”

Healthcare companies may make any “reasonable accommodation” for workers with a medical exemption. Any exemption or accommodation must be documented in personnel records, again in compliance with applicable privacy laws.

The DOH regulations do not necessarily require companies to make exemptions or accommodations in every instance. They also don’t specify which accommodations are reasonable. These questions must be analyzed on a case-by-case basis.

Compliance

The regulations add requirements that covered entities must provide proof of documentation and exemptions to the Department of Health upon request. The regulations do not specify penalties for non-compliance. However, fines or potential loss of license may be possible for violations.

 

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NY HERO Act Amendments

NY HERO Act Amendments Reduce Employer Burdens

When Governor Cuomo originally signed the New York HERO Act into law, he indicated he expected the Legislature to make changes before the effective date to address concerns from the business community. On June 11, 2021, he approved the anticipated NY HERO Act amendments. While still creating new employee rights and employer obligations, the amendments provide some relief from originally overbroad legislation.

(Click here for a detailed analysis of the original legislation.)

We’ll look at the changes to the two distinct subjects of the NY HERO Act in turn.

Airborne Infectious Disease Exposure Prevention Plans

The NY HERO Act amendments include clarifications regarding the airborne infectious disease exposure prevention plans that employers must adopt.

Covered “Work Sites”

As amended, the law will take a more narrow view of what constitutes a “work site” where companies must police safety measures during a disease outbreak. The previous definition–“any physical space, including a vehicle, that has been designated as the location where work is performed”–is now limited by the phrase “over which an employer has the ability to exercise control.”

There is also a new (redundant?) proviso that “[t]he term shall not include a telecommuting or telework site unless the employer has the ability to exercise control of such site.”

Model Plans

The original legislation required the NYS Departments of Labor and Health to create model airborne infectious disease exposure prevention standards by industry. Some new wording expands on that requirement. It indicates that different standards may exist among “industries representing a significant portion of the workforce, or those with unique characteristics requiring distinct standards. . . .” The amendments also require “a general model airborne infectious disease exposure prevention standard applicable to all worksites not included in the specific industry standards.”

Implementation

The amendments expressly address important timing issues. The model standards are due by July 5, 2021, from the State. But employers will not have to implement them immediately. Instead, they will have 30 days after the applicable standard is available.

Once a company adopts the model plan (or its own version), it will have 30 days to provide a copy to every employee. Employers must also provide the plan to new hires at the beginning of employment.

Litigation and Penalties

The NY HERO Act amendments reduce the potential penalties for violations of the airborne infectious disease exposure prevention requirements. They also now require employees to give their employer notice of potential violations before commencing a lawsuit. In most cases, the employer will have 30 days to cure the alleged deficiency.

Workplace Safety Committees

The second component of the NY HERO Act gives employees a new right to form workplace safety committees that employers must recognize.  The amendments prevent a broad interpretation that may have enabled workplace safety committees to control issues beyond health and safety.

Authorized Role

In addition to workplace health and safety tasks, the original NY HERO Act legislation would have permitted workplace safety committees to review any policy required by the New York Labor Law or Workers’ Compensation Law, without regard for whether the policy had anything to do with health or safety. This provision seemingly would have included vacation policies, sexual harassment policies, and paid family leave policies, among others. However, as amended, the law now limits the review to policies “relating to occupational safety and health.” It still remains to be seen, however, what that phrase will mean to the Department of Labor.

Multiple Worksites

In one respect the amendments potentially add more confusion than they do clarification. New language says that employers need only permit one workplace safety committee per worksite. This addition suggests that there may be multiple committees spread across worksites. Yet, “worksite” is not defined for this portion of the NY HERO Act. The definition in the airborne infectious disease exposure prevention section of the law doesn’t technically apply to the workplace safety committee section. And that definition probably wouldn’t be very helpful anyway. It suggests, for example, that each vehicle owned or controlled by the employer is a “work site.”

Quarterly Meetings

The law provides that workplace safety committees may meet at least once per quarter during work hours, presumably meaning with pay. In an apparent attempt to prevent abuses, the amendments say that the meetings “shall last no longer than two hours.”

The question remains, are the committees, therefore, only permitted to meet for two hours per quarter? Or multiple times per quarter, as long as no meetings last more than two hours?

Training

There’s also a new time limit on required training. The original legislation provided that committee “designees” could attend training “on the function of worker safety committees, rights established under this section, and an introduction to occupational safety and health” “without suffering a loss of pay.” The NY HERO Act amendments limit the training to four hours.

Many Unanswered Questions

Employers still can’t do much to begin complying with the NY HERO Act until the State issues model standards and additional regulatory guidance. But they must be prepared to act quickly when more information becomes available. The airborne infectious disease exposure prevention plan may need to be in place by early August. And employees can start workplace safety committees beginning November 1, 2021.

 

We’ll be presenting a complimentary webinar once the model airborne infectious disease exposure prevention standards are available. Register for our email newsletter to receive the webinar announcement and other updates regarding the New York HERO Act.

Mandatory Employee Vaccination

Mandatory Employee Vaccination? EEOC Updates Workplace Guidance

On May 28, 2021, the U.S. Equal Employment Opportunity Commission (EEOC) issued updated guidance for employers considering a mandatory employee vaccination requirement. The short answer? Your company probably can insist that most employees get vaccinated. But there may be limits and related compliance risks.

You Can Require On-Site Employees to Get the Shot

The new EEOC guidelines advise employers that they can, if they wish, require that their on-site workers be vaccinated against COVID-19 before returning to work.

If you decide to require your employees to get the vaccine, you will still need to keep a few things in mind.

First, the EEOC says that employers can only mandate vaccines for employees physically present at a worksite. If you still have staff working from home, and they don’t need to set foot in the office or other work location any time soon, then you shouldn’t require those workers to get the vaccine.

Second, the EEOC stresses that any vaccine mandate must comply with the ADA and Title VII. If you have an employee who wants to return to work but cannot receive the vaccine for health reasons or based on a sincerely held religious belief, you must consider reasonable accommodations for that person. For example, you may require that the unvaccinated employee wear a face mask or work physically distanced from other employees or customers. As is always the case, a worker requesting an accommodation doesn’t have to receive the exact one they want. The employer need only make an effective accommodation under the circumstances, if there is one that doesn’t create an undue hardship.

Be Cautious In Obtaining Medical Information

The EEOC says that asking for proof of vaccination is not a restricted disability-related inquiry under the ADA. But, remember, you must keep employee health information, including information on whether an employee has received the vaccination, confidential.

And you can’t require, or even incentivize, an employee to ensure that members of their family be vaccinated. By seeking proof of family member vaccination, you would be inquiring into an employee’s family health information. The Genetic Information Nondiscrimination Act (GINA) prohibits such inquiries for covered employers. The law allows some exceptions to this if your business administers vaccines to the general public and an employee’s family member chooses to get one from you. But for most companies, collecting any health information on the family members of its employees would violate GINA.

Incentives Are Fine (As Long As They Aren’t Coercive)

As far as the EEOC is concerned, you can offer all sorts of incentives to your employees to get the vaccine. Examples may include cash bonuses, gift cards, or various other prizes. (Note: There may be tax implications!) The EEOC also says that incentives can include penalties, although fewer companies are using this option.

Stay Tuned

Because everything having to do with COVID-19 has moved so quickly, expect further developments on mandatory employee vaccination issues. Remember that the EEOC only oversees specific federal discrimination laws. Other sources of law may have different implications. Individual states may interpret/apply existing laws differently or pass new restrictions surrounding this subject. But for now, the EEOC continues to endorse the view that as long as you follow the standard ADA, Title VII, and GINA rules, your company can do what it finds appropriate for the health of your workers and the safety of your business regarding COVID-19 vaccines. Just make sure you work with experienced employment counsel in implementing any vaccination requirements!

 

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