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Health Care Workers Required COVID-19 Vaccination from Emergency Rule

Wednesday, November 24, 2021
Health Care Workers Required COVID-19 Vaccination from Emergency Rule

The Centers for Medicare & Medicaid Services (CMS) issued an emergency regulation requiring COVID-19 vaccination of eligible staff at health care facilities that participate in the Medicare and Medicaid programs. CMS also issued a set of FAQs on the vaccination requirement. The emergency regulation is effective beginning Nov. 5, 2021.

A federal appeals court issued a stay on a similar rule from the Occupational Safety and Health Administration (OSHA). The CMS rule for health care workers is unaffected by the stay. However, 10 states have filed a separate lawsuit challenging the CMS vaccine mandate for health care workers.

COVID-19 Vaccination Requirement

These requirements apply to Medicare and Medicaid-certified provider and supplier types that are regulated under the Medicare health and safety standards, including hospitals, clinics and long-term care facilities. Facilities covered by this regulation must establish a policy ensuring that all eligible staff have received the first dose of a two-dose COVID-19 vaccine or a one-dose COVID-19 vaccine prior to providing any care, treatment or other services by Dec. 6, 2021. All eligible staff must have received the necessary shots to be fully vaccinated—either two doses of Pfizer or Moderna or one dose of Johnson & Johnson—by Jan. 4, 2022.

The regulation provides for exemptions based on recognized medical conditions or religious beliefs. Facilities must develop a similar process or plan for permitting exemptions in alignment with federal law. However, there is no weekly testing exception for unvaccinated workers.

Comment Period 

Stakeholders have 60 days to submit formal comments on the emergency regulation. However, since this is an emergency regulation, the requirements will go into effect immediately and before any additional response is provided on the comments by CMS. The comment period officially closes on Jan. 4, 2022. At that point, CMS will consider and respond to comments as a part of potential future rulemaking, if needed. 


Important Dates: 

  • November 5, 2021 – Publication and effective date of the rule requiring COVID-19 vaccines for health care workers. 
  • December 6, 2021– Deadline for health care facilities that participate in the Medicare and Medicaid programs to establish a policy requiring staff to be COVID-19 vaccinated.
  • January 4, 2022 – Deadline for eligible health care staff to be fully vaccinated against COVID-19.


Material posted on this website is for informational purposes only and does not constitute a legal opinion or medical advice. Contact your legal representative or medical professional for information specific to your legal or medical needs.

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