Vaccine mandate to kick in for first wave of health workers

The Associated Press

Health care workers in about half the states, including Hawaii, face a deadline today to get their first dose of the COVID-19 vaccine under a Biden administration mandate that will be rolled out across the rest of the country in the coming weeks.

While the requirement is welcomed by some, others fear it will worsen already serious staff shortages if employees quit rather than comply.

And in some Republican-led states that have taken a stand against vaccine mandates, hospitals and nursing homes could find themselves caught between conflicting state and federal demands.

"We would like to see staff vaccinated. We think that it's the safest option for residents, which is our biggest concern," said Marjorie Moore, executive director of VOYCE, a St. Louis County, Missouri, nonprofit that works on behalf of nursing home residents. "But not having staff is also a really big concern, because the neglect that happens as a result of that is severe and very scary."

The mandate affects a wide swath of the health care industry, covering doctors, nurses, technicians, aides and even volunteers at hospitals, nursing homes, home-health agencies and other providers that participate in the federal Medicare or Medicaid programs.

It comes as many places are stretched thin by the omicron surge, which is putting record numbers of people in the hospital with COVID-19 while sickening many health workers.

Nationwide, about 81 percent of nursing home staff members already were fully vaccinated as of earlier this month, ranging from a high of 98 percent in Rhode Island to a low of 67 percent in Missouri, according to the federal Centers for Medicare & Medicaid Services. The data is unclear about the vaccination levels in hospitals and other health care sites.

The mandate ultimately will cover 10.4 million health care workers at 76,000 facilities.

It is taking effect first in jurisdictions that didn't challenge the requirement in court. Those include some of the biggest states, with some of the largest populations of senior citizens, among them: California, Florida, New York and Pennsylvania.

"There absolutely have been employee resignations because of vaccination requirements," said Catherine Barbieri, a Philadelphia attorney at Fox Rothschild who represents health care providers. But "I think it's relatively small."

The states affected today are: California, Colorado, Connecticut, Delaware, Florida, Hawaii, Illinois, Maine, Maryland, Massachusetts, Michigan, Minnesota, Nevada, New Jersey, New Mexico, New York, North Carolina, Oregon, Pennsylvania, Rhode Island, Tennessee, Vermont, Virginia, Washington and Wisconsin, along with the District of Columbia and U.S. territories.