Tag: vaccination

OSHA Vaccine Mandate ETS

OSHA Vaccine Mandate Targets Majority of U.S. Workforce

On November 5, 2021, the U.S. Occupational Safety and Health Administration (OSHA) published an Emergency Temporary Standard (ETS) regarding COVID-19. The ETS establishes new requirements for covered employers with 100 or more employees. In total, OSHA estimates these rules will affect over 264,000 employers and 84 million employees. The ETS gives employers the option to require all employees to become vaccinated against COVID-19 or implement weekly testing and mask-wearing requirements for all unvaccinated workers. The ETS is already subject to litigation that could block the OSHA vaccine mandate from taking effect. But, if not, employers must begin complying with its provisions by December 6, 2021.

Coverage –  Who is subject to the ETS?

The OSHA vaccine mandate ETS doesn’t apply universally. And, unfortunately, who is or isn’t covered isn’t always a simple question.

Covered Employers

100 Employee Threshold

The employing entity must have at least 100 employees for the ETS to apply. But not all organizations with 100 or more employees are covered.

The 100 employee threshold is across all of the employer’s operations. There doesn’t have to be any single workplace with that many workers. Even separate legal entities can be treated as a single employer for this purpose if they handle safety matters collectively.

OSHA has identified special parameters when a staffing agency is involved. Only the staffing agency, and not the site operator, must count the workers it supplies to a worksite. However, if the staffing agency has 100 or more employees, the site operator would still have obligations as a joint employer to ensure those workers comply with the ETS.

In counting employees, part-time employees count equally as full-time employees. There is no calculation of full-time equivalents (FTEs). However, genuine independent contractors aren’t counted.

If an employer has 100 or more employees on any day during the effective period of the ETS, then the employer remains subject to the ETS as long as it remains in effect. A subsequent decline in headcount does not remove the employer from coverage.

Public Employees

The Occupational Safety and Health Act only applies directly to private-sector workplaces. However, many states have agreements to apply OSHA’s requirements or alternate more stringent standards on state and local governmental entities. Public employees in states with such plans in place would generally be expected to be subject to the ETS, provided their employing governmental entity has 100 or more employees and isn’t subject to another carveout. However, some states are likely to contest OSHA’s vaccine mandate, making the ultimate impact on public workers uncertain.

Federal Contractors

President Biden’s Executive Order 14042 subjects many federal contractors and subcontractors to alternate COVID-19 vaccine requirements. Workplaces subject to that more stringent vaccine mandate are not subject to the OSHA ETS. However, employers may be subject to both the federal contractor rules and the OSHA rules at separate workplaces or for different groups of employees.

Note that the vaccine mandate for federal contractors was previously set to take effect beginning December 8, 2021. However, as a slight concession for consistency, the White House has changed that date to January 4, 2022. That is the deadline for employees to be vaccinated under the OSHA ETS.

Healthcare Settings

On June 21, 2021, OSHA implemented an ETS addressing COVID-19 in certain healthcare settings. It’s not easy to describe which healthcare workplaces are subject to those rules. OSHA has prepared a complicated flowchart to help reach that determination.

Notably, the healthcare ETS does not require vaccination. Nonetheless, workplaces subject to the earlier, and still operable, healthcare ETS, such as acute care hospitals, are excluded from coverage under the November OSHA vaccine mandate ETS. But, healthcare providers with workplaces not covered by the healthcare ETS may be subject to the OSHA vaccine mandate for employees in those settings, if otherwise applicable based on employee count and other possible exclusions.

Covered Employees

Unless an express exception applies, the OSHA ETS applies to all employees of covered employers.

The OSHA requirements do not apply to employees:

  • who do not report to a workplace where other individuals, such as coworkers or customers, are present;
  • while working from home; or
  • who work exclusively outdoors.

Some exceptions are also permitted as accommodations to employees based on medical conditions or religious beliefs.

Vaccine Mandate

The OSHA ETS prefers that covered employers implement a mandatory vaccination policy for all covered employees. The deadline for employees to complete their vaccination sequence (one or two shots depending on the vaccine) is December 4, 2021. After that date, all new employees must become vaccinated “as soon as practicable.”

Employers who choose to require full vaccination of all employees may still make exceptions for employees:

  • for whom a vaccine is medically contraindicated;
  • for whom medical necessity requires a delay in vaccination; or
  • who are legally entitled to a reasonable accommodation under federal civil rights laws because they have a disability or sincerely held religious beliefs, practices, or observances that conflict with the vaccination requirements.

OSHA’s allowance of these exceptions does not necessarily mean that all such employees must be allowed to work without being vaccinated. The ETS only provides an available exception from the mandate in these instances. Employers must comply with any applicable legal obligations, such as making disability and religious accommodations. But there may be situations where an exception from the mandate would not be a reasonable accommodation or would pose an undue hardship.

Test/Mask Option

As an available alternative to a complete vaccination mandate, employers may enact a policy of allowing unvaccinated employees to continue working by testing for COVID-19 weekly and wearing face coverings while working.

Testing

Covered employees who report at least once every 7 days to a workplace where other people are present must test weekly. In this scenario, each employee must provide documentation of the most recent COVID-19 test result to their employer by the 7th day following the date they last provided a test result.

Whenever an employee goes at least 7 days without reporting to a workplace where other people are present, the employee must be tested within 7 days before returning to the workplace and provide the test results upon return to work.

The OSHA ETS does not require employers to pay for COVID-19 testing. However, it acknowledges and permits that other laws or contractual obligations (such as union collective bargaining agreements) may impose such a requirement.

Whether vaccinated or not, any covered employee who tests positive must inform their employer and remain out of the workplace during any applicable isolation periods.

Face Coverings

Covered employees who are not fully vaccinated must wear a face covering at work whenever they are indoors or in a vehicle with another person.

There are several limited exceptions to the mask requirement:

  • When alone in a room with floor-to-ceiling walls and a closed door.
  • For a limited time while eating or drinking at the workplace or for identification purposes in compliance with safety and security requirements.
  • When wearing a respirator or facemask (technically different from a “face covering” for OSHA purposes).
  • Where the employer can show that the use of face coverings is infeasible or creates a greater hazard.

Employers must ensure that face coverings fully cover employees’ mouths and noses and are replaced when wet, soiled, or damaged.

OSHA does not require employers to pay for or provide face coverings. But it acknowledges and permits that employers may have independent legal obligations to do so.

Employee Vaccination Status

All covered employers must determine and keep a readily available roster of the COVID-19 vaccination status of all covered employees, regardless of whether they impose a strict vaccine mandate or permit the testing/masking option.

Employers must obtain acceptable proof of full or partial vaccination status of each covered employee.

Where the employee cannot provide a vaccination card or other official documentation, a signed statement from the employee may be accepted. The attestation must specifically include the following language:

I declare (or certify, verify, or state) that this statement about my vaccination status is true and accurate. I understand that knowingly providing false information regarding my vaccination status on this form may subject me to criminal penalties.

OSHA warns that employers who knowingly permit false documentation of vaccination status may also be subject to severe penalties.

Paid Leave

The OSHA ETS requires that all covered employers provide “a reasonable amount of time,” of up to 4 hours of paid leave, for employees to obtain each vaccination dose.

Moreover, employers must also provide “reasonable time and paid sick leave” for employees to recover from side effects experienced after a vaccination dose. OSHA comments that a reasonable time is up to two days in most cases. Employers may require employees to use available paid sick or PTO time for this purpose, if available. But employees who do not currently have such time available must still be granted time off with pay.

These requirements only cover the primary one or two-dose regimens, not any potential booster shots.

Written Policies

Whether employers impose a strict vaccine mandate or a testing option, they must prepare a written policy addressing all of the OSHA COVID-19 requirements.

Specifically, covered employers must inform all employees “in a language and at a literacy level the employee understands” about:

  • The requirements of the OSHA ETS and any employer policies and procedures established to implement it.
  • COVID-19 vaccine efficacy, safety, and benefits of being vaccinated, by providing the document “Key Things to Know About COVID-19 Vaccines”.
  • OSHA rules that prohibit employers from discharging or in any manner discriminating against an employee for reporting a work-related injury or illness and for exercising rights under the OSHA COVID-19 ETS.
  • Federal laws providing for criminal penalties associated with knowingly supplying false statements or documentation.

OSHA has provided sample policies on its website:

OSHA’s samples may provide a helpful starting point, but most employers will need to revise them carefully to match the relevant circumstances in their workplaces. And some employers may decide to adopt different policies for different facilities or categories of employees, which is generally an available option under the ETS.

Reporting Requirements

Employers must also report work-related COVID-19 in-patient hospitalizations and fatalities to OSHA. Hospitalizations must be reported with 24 hours of the employer learning of them. Fatalities must be reported within 8 hours.

Penalties

Covered employers could face penalties of up to $13,653 per violation of the OSHA ETS. Penalties for repeated and willful violations may reach up to $136,532 for each offense. Proposed legislation could increase those penalties by up to 10 times their current amounts.

Legal Challenges

As soon as President Biden announced that he was asking OSHA to work on a vaccine mandate, legal experts began questioning the agency’s authority to do so. Many interested parties have objected to this regulatory action, including numerous businesses and some states. The day after the OSHA ETS was published in the federal register, the U.S. Court of Appeals for the 5th Circuit issued a ruling preventing the ETS from taking effect pending further action by the court. The 5th Circuit found “cause to believe there are grave statutory and constitutional issues” with the OSHA vaccine mandate.

The 5th Circuit case is not the only one expected to be processed in an expedited manner given the ETS’s initial December 6th compliance date. Yet, at this point, it is unknown exactly when any final decision, potentially from the U.S. Supreme Court, will be rendered.

For now, covered employers must prepare for the possibility of having to comply on short notice. But there is also a reasonable chance that some or all of the OSHA ETS’s provisions will never become applicable.

 

For more analysis of the OSHA vaccine mandate ETS, register for our upcoming webinar.

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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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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