Start Printed Page 61589 have also contained very encouraging preclinical data. Postvaccination SARS-CoV-2 Infections Among Skilled Nursing Facility Residents and Staff Members Chicago, Illinois, December 2020-March 2021. April 30, 2021. We will post acceptable comments from multiple unique commenters even if the content is identical or nearly identical to other comments. hbbd```b``u`D2Hi`q-6c >f'H3^%6``sbA?Xd1dH l29X~0[n@$c)Xd These findings have implications regarding occupational safety and health outcome equitynational data indicates that aides in nursing homes are disproportionately women and members of racial and ethnic communities with lower hourly wages than physicians and advance practice clinicians,[75] The President of the United States manages the operations of the Executive branch of Government through Executive orders. on N Engl J Med 2021; 385:1474-1484. . 203. COVID-19 vaccines require time after administration for the body to build an immune response. We do not have reliable dollar estimates for either costs or benefits of any alternatives, for the reasons already discussed in the RIA regarding the options we chose. According to Table 3, the IP's total hourly cost is $79. Further, the risks of unvaccinated health care staff may disproportionately impact communities who experience social risk factors and populations described under Executive Order 13985, Advancing Racial Equity and Support for Underserved Communities Through the Federal Government, including members of racial and ethnic communities; individuals with disabilities; individuals with limited English proficiency; Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ+) individuals; individuals living in rural areas; and others adversely affected by persistent poverty or inequality. One hundred percent success is unlikely. Dear Ms. Hunter: The CDC data collected under this requirement show that vaccination rates for LTC facility staff have stalled, with a 64 percent national average of vaccinated staff according to CDC data as of August 28, 2021, while the number of new LTC facility resident COVID-19 cases reported per week has risen by just over 1455 percent from recorded lows in June 2021 (323 cases in the week ending June 27, 2021; 4701 in the week ending August 22, 2021). Employers must also follow Federal laws protecting employees from retaliation for requesting an exemption on account of religious belief or disability status. In this IFC we are adding new 416.51(c) which requires ASCs to meet the same COVID-19 vaccination of staff requirements as those we are issuing for the other providers and suppliers identified in this rule. The ICRs for this section would require each CHMC to develop the policies and procedures needed to satisfy all of the requirements in this section. Therefore, we believe it would be impracticable and contrary to the public interest for us to undertake normal notice and comment procedures and to thereby delay the effective date of this IFC. 1. BLS. 553(b)(B), and section 1871(b)(2)(C) of the Act. [57] et al HHS uses an increase in costs or decrease in revenues of more than 3 to 5 percent as its measure of significant economic impact. The HHS standard for substantial number is 5 percent or more of those that will be significantly impacted, but never fewer than 20. Package inserts and fact sheets for health care providers administering COVID-19 vaccines are available for each licensed and authorized vaccine from the FDA. https://www.acpjournals.org/doi/10.7326/M21-3150. conjunction. accessed 10/18/2021. Accessed on August 30, 2021. Explanation: Explanation: Fewer infected staff and lower transmissibility equates to fewer opportunities for transmission to patients, and emerging evidence indicates this is the case. For all 5,556 hospices, the burden would be 44,448 hours (8 hours 5,556) at an estimated cost of $3,511,392 ($632 5,556). documents in the last year, 988 Start Printed Page 61602 1997; 175:1-6. Moreover, referring patients in need of suitable procedures to ASCs limits the overall number of individuals visiting the hospital setting, thereby inhibiting spread of infection. Explanation: 253. As discussed above, the revision and approval of these policies and procedures would also require activities by the DON and an administrator. However, such assisting staff will not be exempt from the newly added requirements in paragraph (n). We still aren't done with the report. Executive Order 13132 establishes certain requirements that an agency must meet when it promulgates a proposed rule (and subsequent final rule) that imposes substantial direct requirement costs on State and local governments, preempts State law, or otherwise has Federalism implications. Based on anecdotal reports, this new requirement has not significantly increased vaccination among ICFs-IID staff. We recognize that many infrequent services and tasks performed in or for a health care facility are conducted by one off vendors, volunteers, and professionals. 172. As of September 1, 2021, there were 5,556 hospices. This includes workers moving between various types of providers, such as from LTC facilities to HHAs and others, creating imbalances. Mandatory vaccination of health care workers: whose rights should come first? [878889] documents in the last year, by the Environmental Protection Agency Comments must be received on/by January 4, 2022. The providers and suppliers regulated under this rule are diverse in nature, management structure, and size. Standard: COVID-19 Vaccination of CAH staff. these messages gives importance to well-wishing. patients and other staff specified in paragraph (b)(1) of this section; and. The administrator would need to work with the RN to develop the policies and procedures, and then review and approve the changes. https://www.cdc.gov/coronavirus/2019-ncov/vaccines/fully-vaccinated.html. Furthermore, data on the health consequences of coinfection with influenza and SARS-CoV-2 are limited. It would have also, complicated administration and likely require standards that do not now exist for reliably measuring the declining levels of antibodies over time in relation to risk of reinfection. Collection of Information Requirements, A. ICRs Regarding the of Development of Policies and Procedures for ASCs 416.51(c), COVID-19 Vaccination of Staff, B. ICRs Regarding the Development of Policies and Procedures for Hospices 418.60(d), COVID-19 Vaccination of Facility Staff, C. ICRs Regarding the Development of Policies and Procedures for PACE Organizations 460.74(d), COVID-19 Vaccination of PACE Organization Staff, D. ICRs Regarding the Development of Policies and Procedures for Hospitals 482.42(g), COVID-19 Vaccination of Hospital Staff, E. ICRs Regarding the Development of Policies and Procedures for LTC Facilities 483.80(i), COVID-19 Vaccination of Facility Staff, F. ICRs Regarding the Development of Policies and Procedures for PRTFs 441.151(c), COVID-19 Vaccination of Facility Staff, G. ICRs Regarding the Development of Policies and Procedures for ICFs-IID 483.430(f), COVID-19 Vaccination of Facility Staff, H. ICRs Regarding the Development of Policies and Procedures for HHAs 484.70(d), COVID-19 Vaccination of Home Health Agency Staff, I. ICRs Regarding the Development of Policies and Procedures for CORFs 485.70(n), COVID-19 Vaccination of Facility Staff, J. ICRs Regarding the Development of Policies and Procedures for CAHs 485.640(f), COVID-19 Vaccination of CAH Staff, K. ICRs Regarding the Development of Policies and Procedures for Clinics, Rehabilitation Agencies, and Public Health Agencies as Providers of Outpatient Physical Therapy and Speech-Language Pathology Services (Organizations) 485.725(f), COVID-19 Vaccination of Organization Staff, L. ICRs Regarding the Development of Policies and Procedures for CMHCs 485.904(c), COVID-19 Vaccination of Center Staff, M. ICRs Regarding the Development of Policies and Procedures for HIT Suppliers 486.525(c), COVID-19 Vaccination of Facility Staff, N. ICRs Regarding the Development of Policies and Procedures for RHCs and FQHCs 491.8(d), COVID-19 Vaccination of Staff, O. ICRs Regarding the Development of Policies and Procedures for ESRD Facilities 494.30(b), COVID-19 Vaccination of Facility Staff, C. Anticipated Costs of the Interim Final Rule With Comment Period, D. 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