SCOTUS BLOCKS FEDERAL VACCINE MANDATE

After a long road of legal challenges and in a much-anticipated ruling, moments ago, the United States Supreme Court blocked the COVID-19 Vaccine Mandate.

In the final blow to the sweeping requirements set to impact over 80 million workers across the nation and their employers, SCOTUS found that the Emergency Temporary Standard (ETS) issued by the Occupational Safety and Health Administration (OSHA) exceeded the power given to them by Congress. This means that the requirements for employers with 100+ employees to implement policies that required employees to receive the COVID vaccine or wear masks and test weekly is dead in the water.

"Although Congress has indisputably given OSHA the power to regulate occupational dangers, it has not given that agency the power to regulate public health more broadly," the court's majority said. "Requiring the vaccination of 84 million Americans, selected simply because they work for employers with more than 100 employees, certainly falls in the latter category."

Further, the court ruled that OSHA lacked the authority to impose such a mandate because the law that created OSHA "empowers the Secretary to set workplace safety standards, not broad public health measures."

"Although COVID-19 is a risk that occurs in many workplaces, it is not an occupational hazard in most," the Court ruled. "COVID–19 can and does spread at home, in schools, during sporting events, and everywhere else that people gather. That kind of universal risk is no different from the day-to-day dangers that all face from crime, air pollution, or any number of communicable diseases."

Alongside the ruling on the OSHA ETS case, the U.S. Supreme Court will allow a portion of the CMS mandate impacting an estimated 10 million health care workers to be enforced. The allowable portion of the CMS mandate requires vaccinations for health care workers who treat Medicare and Medicaid patients at facilities that receive federal funding.

In this ruling, the Court noted that "healthcare facilities that wish to participate in Medicare and Medicaid have always been obligated to satisfy a host of conditions that address the safe and effective provision of healthcare, not simply sound accounting."

Please check back with us as we work to source additional information and resources, particularly next steps for employers who may have already implemented requirements for their workforce, and taking the necessary steps to ensure you continue to meet your state requirements in your workplace.


SCOTUS Decision On Vaccine Mandate: How it Works

At 12 a.m. on January 13th, SCOTUS published a post that they would be live blogging as the court released opinions in one or more argued cases from the current term. Many experts quickly jumped to the conclusion that there was a high likelihood that the ruling on both the OSHA and CMS cases may be the highlight only to be very quickly disappointed. This early speculation led to a frustrating letdown today as SCOTUS did not release an opinion on the vaccine mandate.

If like many, you are watching the play-by-play in the news and just want a direct line to the ruling when it comes, here is some information, resources, and quick tips that may help you!

Decision Day

With SCOTUS decisions, it is not as simple as saying we will be able to tune in for X decision on X date. The U.S. Supreme Court does not set dates for releasing opinions but rather posts digitally to a public calendar when opinions will be released without noting what opinions will be included in that release. For example, SCOTUS updated its calendar yesterday for the remainder of January including the note that one new opinion would be released today. Of course, speculation began to fly as to whether the opinion released would be that on the OSHA/ETS cases.

SCOTUS Opinion Releases: How It Works

SCOTUS opinions are often accompanied by a public reading of at least part of the final decision read aloud by the Justice that authored the majority opinion. Opinions are often available for public consumption either via the live SCOTUS blog and/or a live stream (audio and/or video) on the SCOTUS website homepage. Opinion days are posted to the SCOTUS calendar and released at 10am EST on the posted calendar date. If you are watching the releases live there are a couple of good things to know:

  1. How do I know they have finished releasing opinions for a given day? Opinions are released with an associated number. These are the numbers that correspond to opinions in the left-most column on the court's opinion page. When the court releases multiple opinions on a single day, the R numbers don't appear until the court has released its final opinion of the day. So when an R number DOES appear (as it did for Babcock today), we can be sure the court is done for the day.
  2. Are there any exceptions? White flags of impatience were being raised across the SCOTUS blog this morning with many expecting and not getting the decision for the OSHA/CMS cases. Given that there are no additional opinion issuance dates on the SCOTUS calendar for the month of January, questions and frustrations began to fly. However, just because you don't see it on the calendar now, doesn't mean a decision is not imminent. 
    1. Opinion issuance days tend to only be scheduled a few days out. And with the opinion announcements purely electronic, we could theoretically get them even when the justices are theoretically on their winter recess -- a change from non-pandemic times.   
    2. Emergency applications are different: Rulings on the vaccine cases could technically come at any time (because they are on the emergency docket, so the court might not announce in advance when they are coming). 

Resources to Stay Up-To-Date with SCOTUS

SCOTUS Live Audio Feed

SCOTUS Official Opinions

SCOTUS Live Blog

SCOTUSBlog on Twitter

What Employers Should Do While Mandate Is In Limbo?

Make no mistake that both the OSHA ETS and the CMS Healthcare Mandate already have compliance obligations in effect, and you can’t wait until the Court decides in order to act.

While some employers are taking a more conservative approach opting to 'slow roll' plans, policies and issuance of guidance for employees, other employers are moving forward with full compliance anticipating the ETS surviving the Supreme Court. No matter which camp you are in, one of the most vital things needed is consistent and clear communications to your employees on what they can expect in the coming days and where the company stands in regard to implementation and requirements for Vax-or-Test policies.

Currently, OSHA is looking for good faith efforts that employers are beginning to take steps towards compliance with full implementation of the requirements beginning February 1, 2022. To better understand the implications of OSHA's timeline and the definition of 'good faith', please take a look at our more detailed post better outlining what employers need to know.


Vaccine Mandate Status: Mid-Week Update

Here we are mid-week, and employers across the nation impatiently await word from the U.S. Supreme Court as to whether they will allow the OSHA ETS requiring employers with 100 or more employees to implement vaccinate-or-test policies in the workplace.

Here's What We Know

The Supreme Court's decision is pending. Since hearing the oral arguments on Friday, January 7th, there has been plenty of speculation regarding where the ruling may land, or if the court will issue a brief administrative stay until a decision can be made. In the meantime, the first compliance deadline of the ETS is here, so what does that mean for employers awaiting this decision?

What Employers Need to Know

OSHA's initial deadline of January 10th is based upon good-faith efforts being made by employers. So, what is considered 'good-faith efforts'?

  • Employers should show that they are beginning to make efforts to comply with the mandate.
  • Company leadership should be communicating a clear approach to how they plan to comply with this new policy.
  • OSHA-covered employers must begin moving forward with a Vax-or-Test policy by
    • Determining the vaccination status of all its employees by obtaining acceptable proof of vaccination,
    • Maintain a roster of employee vaccination status,
    • Unvaccinated employees should be wearing face coverings,
    • Instate a policy for paid time off for vaccination and vaccination side effects,
    • Provide guidance on how employees should provide (prompt) notice of a positive COVID-19 test or diagnosis,
    • Ensure you are in compliance with not only the OSHA ETS, but also any state laws or mandates regarding testing, masking, vaccination, and PTO.

Senate Passes Bill to Overturn Biden Vaccine Mandate

Yesterday, in the latest blow to Biden's vaccine mandate for businesses, the United States Senate passed a bill that would overturn President Joe Biden's COVID-19 vaccine mandate for private businesses. The legislation will now go to the House of Representatives, where it potentially faces strong opposition. If it passes in the House, Biden has threatened to veto it. While this is significant in terms of the ongoing battle to prove the legality of the mandate itself, it doesn't change much for employers. So what does it all mean and what happens next?

Quick Catch Up:

  • All three orders of the vaccine mandate, (employers with over 100 employees, federal contractors and subcontractors, and health care workers), have been temporarily blocked from being enforced via separate court rulings. These rulings have effectively barred any implementation nationwide.

  • For now, there are no deadlines related to the original ETS or Executive Orders that employers are required to meet regarding COVID-19 vaccination policies or enforcement of vaccination or testing amongst employees. 

The Vaccine Mandate Timeline: 

  • 9/9/21: Biden Administration announces new COVID-19 Action plan, the first portion of which involved:
    • The signing of two new Executive Orders that would require vaccinations for all federal workers and contractors.
    • Instructed the Department of Labor's (DOL) Occupational Safety and Health Administration (OSHA) to develop a rule requiring employers with 100 or more employees to ensure their workforce is fully vaccinated to require unvaccinated workers to produce weekly negative test results leveraging the use of an emergency temporary standard (ETS).
    • Instructed the Centers for Medicare and Medicaid Services (CMS) to develop a rule requiring workers in health care settings that receive Medicare and Medicaid reimbursements to implement vaccination and testing protocols.
  • 11/4/21: The U.S. Department of Labor's Occupational Safety and Health Administration (OSHA) issued an emergency temporary standard (ETS) requiring large employers (100+ employees) to develop, implement and enforce a COVID-19 vaccination policy or institute a policy to allow employees to choose between vaccination and weekly testing.
    • 11/5/21: ETS took effect on 11/5/21.
    • 12/5/21: Employers were to have vaccination policies in place.
    • 1/4/22: Deadline for employers to be in compliance; employees to be fully vaccinated or begin regular testing.
  • 11/5/21: The 5th U.S. Circuit Court of Appeals issued a stay on the ETS, citing challenges the plaintiffs brought against the ETS "show a great likelihood of success on the merits."
  • 11/12/21: The 5th Circuit Court of Appeals extended the original order made on 11/5/21.
  • 11/16/21: The 6th U.S. Circuit Court of Appeals was selected in a lottery held by the Judicial Panel on Multidistrict Litigation to hear 34 consolidated challenges to the ETS.
    • The date for this hearing has not yet been scheduled. It has been noted that the court is not expected to rule on the stay until December 10th at the earliest.
  • 11/30/21: U.S. District Court issued a nationwide preliminary injunction to halt the start of President Biden's national vaccine mandate for health care workers.
  • 12/2/21: Centers for Medicare and Medicaid Services (CMS) issued a memo announcing it was suspending enforcement of the mandate due to U.S. District Court ruling while it appeals the court decisions.
  • 12/7/21: U.S. District Court issued a nationwide stay barring the enforcement of Executive Order 14042 for federal government contractors and subcontractors until further notice.

What's Next?

Keep an eye out for updates, particularly from the 6th Circuit Court of Appeals which is the next decision expected before we wrap 2021. However, no matter the outcome at the 6th Circuit Court, this is very likely to eventually make its way to the Supreme Court. Stay tuned and stay well!


OSHA Suspends Implementation and Enforcement of ETS

On November 16, 2021, OSHA (Occupational Safety and Health Administration) published that the COVID-19 vaccination and testing ETS (Emergency Temporary Standard) is being put on hold due to pending litigation.

What We Know

  • The OSHA ETS went into effect on November 5th, 2021.
  • The ETS has two compliance dates important to employers with 100 or more employees.
  • December 5th: Employers were to finalize their policies on vaccine mandates and weekly testing requirements
  • January 4th: Employers were to be in compliance with weekly testing by this date.
  • The vaccine mandate has met legal challenges wherein on November 12, 2021, the 5th Circuit Court of Appeals upheld a stay. The stay order issued by the three-judge panel directs OSHA to “take no steps to implement or enforce” the ETS.
  • Until the stay is lifted or a ruling is reached, the ETS is not in effect and employers do not need to comply with the January 4, 2022 deadline. 
  • On November 16th, a federal appeals court in Cincinnati (the 6th Circuit Court of Appeals) has won the lottery to handle the consolidated case challenging the ETS. No date has been set on when this court will make a ruling.

The 5th Circuit Court of Appeals Ruling

On Nov. 12, 2021, the 5th Circuit Court of Appeals ruled to extend the stay of the OSHA ETS, stating the ETS imposes financial burdens on private employers. The court also claimed that the ETS fails to account for the different elements present between workplaces. Overall, the court raised substantial questions on whether OSHA has proven that COVID-19 presents a “grave danger” to workers and if the ETS is “necessary.”

Circuit Court Lottery

Attorneys general, employers, unions, and other organizations filed 34 petitions seeking review of the OSHA rule in 12 different circuit courts, according to the U.S. Judicial Panel on Multidistrict Litigation. All of the lawsuits concerning the ETS for all Circuit court districts were then consolidated and, through a "lottery drawing" the Judicial Panel on Multidistrict Litigation randomly determined which Circuit court would review the arguments.

On November 16th, a federal appeals court in Cincinnati (the 6th Circuit Court of Appeals) has won the lottery to handle the consolidated case challenging the ETS. No date has been set on when this court will make a ruling.

While the Sixth Circuit won the random draw, the lottery doesn’t necessarily end the jockeying over which court will ultimately hear the case. Parties can petition circuit courts to transfer the case elsewhere.

And no matter what happens at the circuit court level, the U.S. Supreme Court is likely to have the final say on the vaccinate-or-test emergency temporary standard. Yet the appeals court’s decision could set the table for the justices by framing the debate and raising which legal questions will determine the rule’s fate.

Next Steps for Employers

  1. Continue to monitor updates for changes in status to OSHA's ETS
  2. Be prepared in the event the ETS survives the upcoming litigation
  3. Remember employers still have a continued duty to make their workplaces safe for employees.

Statement from OSHA

OSHA released a statement on its website. The statement reads:

“On Nov. 12, 2021, the U.S. Court of Appeals for the 5th Circuit granted a motion to stay OSHA’s ETS, published on Nov. 5, 2021 (86 Fed. Reg. 61402). The court ordered that OSHA ‘take no steps to implement or enforce’ the ETS ‘until further court order.’ While OSHA remains confident in its authority to protect workers in emergencies, OSHA has suspended activities related to the implementation and enforcement of the ETS, pending future developments in the litigation.”


OSHA ETS: Vaccination & Testing Requirements Published

OSHA ETS: Vaccination & Testing Requirements Published

UPDATE 11/5: OSHA has issued an extensive FAQ (https://www.osha.gov/coronavirus/ets2/faqs) to help employers navigate the newly published ETS. Employers are expected to comply with most provisions regarding the vaccination and testing of employees by December 5th.

ETS for COVID-19 Vaccination and Testing Released

 

Over the last several weeks, employers have been waiting for the official ETS to be released to provide clarity on the timeline for implementation, associated fines for non-compliance, as well as documentation and reporting requirements.

Today, November 4, 2021, OSHA (Occupational Safety and Health Administration) announced a federal emergency temporary standard (ETS) to address the health and safety risks associated with COVID-19 in the workplace. Currently, the document is unpublished and is offered for public review. The ETS is scheduled to be published on November 5, 2021.

With the official release of the unpublished ETS, requirements are now made clear. We would expect additional guidance and FAQs to be released in the coming days to provide crucial insight for employers navigating the new requirements.

 

 Who does the ETS impact?

  • Private employers with 100 or more employees
    • This is a company-wide employee count and not a per location count.

Timeline for employers to comply with the ETS

  • Most provisions will require compliance by December 5, 2021
  • Testing requirements must be met by January 4, 2021
  • State plans will have 30 days to adopt the federal ETS or implement their own standard. Those states are:
    • Alaska | Arizona | California | Hawaii | Indiana | Iowa | Kentucky | Maryland | Michigan | Minnesota | New Mexico | Nevada | North Carolina | Oregon | Puerto Rico | South Carolina | Tennessee | Utah | Vermont | Virginia | Washington | Wyoming

 

What are the ETS Requirements?

  • Develop, implement and enforce a mandatory COVID-19 vaccination policy; OR
  • Develop, implement and enforce a policy allowing employees to choose to either
    • get a vaccination or
    • wear a face-covering in the workplace and have weekly COVID-19 testing done.

Employer Responsibility Under the ETS

  • Determine the vaccination status of each employee
  • Obtain acceptable proof of vaccination
    • The record of immunization from a health care provider or pharmacy
    • A copy of the COVID-19 Vaccination Record Card
    • A copy of medical records documenting the vaccination
    • A copy of immunization records from a public health, state or tribal immunization information system
    • A copy of any other official documentation that contains the type of vaccine administered, date administered and name of the health care professional or clinic
    • Retain a roster of each employee’s vaccination status. These documents are considered to be employee medical records and must be maintained in accordance with 29 CFR 1910.1020. These records are not subject to regular retention requirements but must be retained while the ETS is in effect.
  • Any employee not able to provide one of the acceptable forms of proof of vaccination must be treated as not fully vaccinated for the purpose of the ETS. In instances where the employee is unable to produce acceptable proof of vaccination, per above a signed and dated statement by the employee, subject to criminal penalties for knowingly providing false information, including:
    • Attesting to their vaccination status (full or partial vaccination)
    • Attesting that they have lost or are otherwise unable to produce proof required by the ETS
  • The employer must report to OSHA:
    • Each work-related COVID-19 fatality within 8 hours of employer learning of the fatality
    • Each work-related COVID-19 in-patient hospitalization within 24 hours of the employer learning about the in-patient hospitalization.

 

ETS Weekly Testing Requirements

A COVID-19 test means a test for SARS-CoV-2 that is:

  • cleared, approved or authorized by the FDA
  • administered in accordance with authorized instructions
  • not self administer and self-read unless observed by the employer or an authorized telehealth proctor.

Testing Timeline and Who Must Test

  • An employee who reports at least once every 7 days to a workplace where others are present
    • Must be tested once every 7 days
    • Must provide documentation of the most recent COVID-19 test result to the employer no later than the 7th day following the date on which the employee last provided test results
  • Employees who do not report during a period of 7 or more days to a workplace where other individuals are present
    • Must be tested within seven days prior to returning to the workplace
    • Must provide documentation of that test result to the employer upon return to the workplace
  • Employers are not required to cover the cost of the testing*
    • *Note: Employer payment for testing may be required by other laws, regulations, collective bargaining agreements or other collectively negotiated agreements.

Who is Exempt from the ETS?

  • Employees who do not work with others present
  • Employees working from home
  • Employees who work exclusively outdoors
  • Employees covered under the Safer Federal Workforce Task Force
  • Employees under the Health Care ETS
  • Employers with fewer than 100 employees
  • Public employers in states without state plans
  • Employees holding a sincerely held religious belief must be allowed reasonable accommodation under the Equal Employment Opportunity Commission’s guidelines (https://www.eeoc.gov/wysk/what-you-should-know-about-covid-19-and-ada-rehabilitation-act-and-other-eeco-laws).
  • Employees for whom a vaccine is medically contraindicated
  • Employees for whom medical necessity requires a delay in vaccination

 

What Paid Leave Provisions are in the ETS?

  • Employers are required to provide reasonable time for each employee to obtain each of their primary vaccination series and allow up to four hours of paid time at the employee’s regular rate of pay for this purpose
  • Reasonable time and paid sick leave are required for recovery from side effects of the vaccination
  • Employees must provide immediate notice of a positive COVID-19 test/diagnosis and must meet criteria before being allowed to return to work
    • No weekly testing will be required for 90 days following the date of their positive COVID-19 test or diagnosis
    • The employer must maintain a record of each test result provided by each employee
    • The employer must keep the employee removed from the workplace until the employee:
      • receives a negative result on a COVID-19 nucleic acid amplification test (NAAT) following a positive result on a COVID-19 antigen test if the employee chooses to seek a NAAT test for confirmatory testing;
      • meets the return to work criteria in CDC’s “Isolation Guidance”; or
      • receives a recommendation to return to work from licensed healthcare provider
      • The ETS does not require employers to provide paid time off to any employee for removal from the workplace due to a positive COVID-19 test or diagnosis

What Other Clarifications are in the ETS?

  • Prior COVID-19 Infection:
    • OSHA determined workers who have been previously infected with COVID-19 still face grave danger from workplace exposure and without additional supporting scientific evidence of immunity will still be required to comply with the standards set forth.
  • The basis for OSHA’s ‘grave danger’ finding is that employees can be exposed to the virus in almost any work setting; that exposure can lead to infection and that infection can cause death or serious impairment of health, particularly in the unvaccinated.
  • Although this ETS does not impose a strict vaccination mandate, OSHA has determined that, to adequately address the grave danger that COVID-19 poses to unvaccinated workers, a more proactive approach is necessary than simply requiring employers to make vaccination available to employees.
  • Although the ETS does not require all covered employers to implement a mandatory vaccination policy, OSHA expects that employers that choose that compliance option will enjoy advantages that employers that opt-out of the vaccination mandate option will not.
  • Under the ETS, fully vaccinated means a person’s status 2 weeks after completing primary vaccination or the second dose of a two-dose series with a COVID-19 vaccine
  • Clarification on what employers are impacted by the ETS were provided by OSHA through a series of examples:
    • If an employer has 75 part-time employees and 25 full-time employees, the employer would be within the scope of this ETS because it has 100 employees.
    • If an employer has 150 employees, 100 of whom work from their homes full-time and 50 of whom work in the office at least part of the time, the employer would be within the scope of this ETS because it has more than 100 employees.
    • If an employer has 102 employees and only 3 ever report to an office location, that employer would be covered.
    • If an employer has 150 employees, and 100 of them perform maintenance work in customers’ homes, primarily working from their company vehicles (i.e., mobile workplaces), and rarely or never report to the main office, that employer would also fall within the scope.
    • If an employer has 200 employees, all of whom are vaccinated, that employer would be covered.
    • If an employer has 125 employees, and 115 of them work exclusively outdoors, that employer would be covered.
    • If a single corporation has 50 small locations (e.g., kiosks, concession stands) with at least 100 total employees in its combined locations, that employer would be covered even if some of the locations have no more than one or two employees assigned to work there.
    • If a host employer has 80 permanent employees and 30 temporary employees supplied by a staffing agency, the host employer would not count the staffing agency employees for coverage purposes and therefore would not be covered. (So long as the staffing agency has at least 100 employees, however, the staffing agency would be responsible for ensuring compliance with the ETS for the jointly employed workers.)
    • If a host employer has 110 permanent employees and 10 temporary employees from a small staffing agency (with fewer than 100 employees of its own), the host employer is covered under this ETS and the staffing agency is not.
    • If a host employer has 110 permanent employees and 10 employees from a large staffing agency (with more than 100 employees of its own), both the host employer and the staffing agency are covered under this standard, and traditional joint employer principles apply.
    • Generally, in a traditional franchisor-franchisee relationship, if the franchisor has more than 100 employees but each individual franchisee has fewer than 100 employees, the franchisor would be covered by this ETS but the individual franchises would not be covered.


ETS from OSHA on Vaccination and Testing Released

UPDATE 11/5:

OSHA has issued an extensive FAQ (https://www.osha.gov/coronavirus/ets2/faqs) to help employers navigate the newly published ETS. Employers are expected to comply with most provisions regarding the vaccination and testing of employees by December 5th.

ETS for COVID-19 Vaccination and Testing Released

Over the last several weeks, employers have been waiting for the official ETS to be released to provide clarity on the timeline for implementation, associated fines for non-compliance, as well as documentation and reporting requirements.

Today, November 4, 2021, OSHA (Occupational Safety and Health Administration) announced a federal emergency temporary standard (ETS) to address the health and safety risks associated with COVID-19 in the workplace. Currently, the document is unpublished and is offered for public review. The ETS is scheduled to be published on November 5, 2021.

With the official release of the unpublished ETS, requirements are now made clear. We would expect additional guidance and FAQs to be released in the coming days to provide crucial insight for employers navigating the new requirements.

Who does the ETS impact?

  • Private employers with 100 or more employees
    • This is a company-wide employee count and not a per location count.

Timeline for employers to comply with the ETS

  • Most provisions will require compliance by December 5, 2021
  • Testing requirements must be met by January 4, 2021
  • State plans will have 30 days to adopt the federal ETS or implement their own standard. Those states are:
    • Alaska | Arizona | California | Hawaii | Indiana | Iowa | Kentucky | Maryland | Michigan | Minnesota | New Mexico | Nevada | North Carolina | Oregon | Puerto Rico | South Carolina | Tennessee | Utah | Vermont | Virginia | Washington | Wyoming

What are the ETS Requirements?

  • Develop, implement and enforce a mandatory COVID-19 vaccination policy; OR
  • Develop, implement and enforce a policy allowing employees to choose to either
    • get a vaccination or
    • wear a face-covering in the workplace and have weekly COVID-19 testing done.

Employer Responsibility Under the ETS

  • Determine the vaccination status of each employee
  • Obtain acceptable proof of vaccination
    • The record of immunization from a health care provider or pharmacy
    • A copy of the COVID-19 Vaccination Record Card
    • A copy of medical records documenting the vaccination
    • A copy of immunization records from a public health, state or tribal immunization information system
    • A copy of any other official documentation that contains the type of vaccine administered, date administered and name of the health care professional or clinic
    • Retain a roster of each employee's vaccination status. These documents are considered to be employee medical records and must be maintained in accordance with 29 CFR 1910.1020. These records are not subject to regular retention requirements but must be retained while the ETS is in effect.
  • Any employee not able to provide one of the acceptable forms of proof of vaccination must be treated as not fully vaccinated for the purpose of the ETS. In instances where the employee is unable to produce acceptable proof of vaccination, per above a signed and dated statement by the employee, subject to criminal penalties for knowingly providing false information, including:
    • Attesting to their vaccination status (full or partial vaccination)
    • Attesting that they have lost or are otherwise unable to produce proof required by the ETS
  • The employer must report to OSHA:
    • Each work-related COVID-19 fatality within 8 hours of employer learning of the fatality
    • Each work-related COVID-19 in-patient hospitalization within 24 hours of the employer learning about the in-patient hospitalization.

ETS Weekly Testing Requirements

A COVID-19 test means a test for SARS-CoV-2 that is:

  • cleared, approved or authorized by the FDA
  • administered in accordance with authorized instructions
  • not self administer and self-read unless observed by the employer or an authorized telehealth proctor.

Testing Timeline and Who Must Test

  • An employee who reports at least once every 7 days to a workplace where others are present
    • Must be tested once every 7 days
    • Must provide documentation of the most recent COVID-19 test result to the employer no later than the 7th day following the date on which the employee last provided test results
  • Employees who do not report during a period of 7 or more days to a workplace where other individuals are present
    • Must be tested within seven days prior to returning to the workplace
    • Must provide documentation of that test result to the employer upon return to the workplace
  • Employers are not required to cover the cost of the testing*
    • *Note: Employer payment for testing may be required by other laws, regulations, collective bargaining agreements or other collectively negotiated agreements.

Who is Exempt from the ETS?

  • Employees who do not work with others present
  • Employees working from home
  • Employees who work exclusively outdoors
  • Employees covered under the Safer Federal Workforce Task Force
  • Employees under the Health Care ETS
  • Employers with fewer than 100 employees
  • Public employers in states without state plans
  • Employees holding a sincerely held religious belief must be allowed reasonable accommodation under the Equal Employment Opportunity Commission's guidelines (https://www.eeoc.gov/wysk/what-you-should-know-about-covid-19-and-ada-rehabilitation-act-and-other-eeco-laws).
  • Employees for whom a vaccine is medically contraindicated
  • Employees for whom medical necessity requires a delay in vaccination

What Paid Leave Provisions are in the ETS?

  • Employers are required to provide reasonable time for each employee to obtain each of their primary vaccination series and allow up to four hours of paid time at the employee's regular rate of pay for this purpose
  • Reasonable time and paid sick leave are required for recovery from side effects of the vaccination
  • Employees must provide immediate notice of a positive COVID-19 test/diagnosis and must meet criteria before being allowed to return to work
    • No weekly testing will be required for 90 days following the date of their positive COVID-19 test or diagnosis
    • The employer must maintain a record of each test result provided by each employee
    • The employer must keep the employee removed from the workplace until the employee:
      • receives a negative result on a COVID-19 nucleic acid amplification test (NAAT) following a positive result on a COVID-19 antigen test if the employee chooses to seek a NAAT test for confirmatory testing;
      • meets the return to work criteria in CDC’s “Isolation Guidance”; or
      • receives a recommendation to return to work from licensed healthcare provider
      • The ETS does not require employers to provide paid time off to any employee for removal from the workplace due to a positive COVID-19 test or diagnosis

What Other Clarifications are in the ETS?

  • Prior COVID-19 Infection:
    • OSHA determined workers who have been previously infected with COVID-19 still face grave danger from workplace exposure and without additional supporting scientific evidence of immunity will still be required to comply with the standards set forth.
  • The basis for OSHA's 'grave danger' finding is that employees can be exposed to the virus in almost any work setting; that exposure can lead to infection and that infection can cause death or serious impairment of health, particularly in the unvaccinated.
  • Although this ETS does not impose a strict vaccination mandate, OSHA has determined that, to adequately address the grave danger that COVID-19 poses to unvaccinated workers, a more proactive approach is necessary than simply requiring employers to make vaccination available to employees.
  • Although the ETS does not require all covered employers to implement a mandatory vaccination policy, OSHA expects that employers that choose that compliance option will enjoy advantages that employers that opt-out of the vaccination mandate option will not.
  • Under the ETS, fully vaccinated means a person's status 2 weeks after completing primary vaccination or the second dose of a two-dose series with a COVID-19 vaccine
  • Clarification on what employers are impacted by the ETS were provided by OSHA through a series of examples:
    • If an employer has 75 part-time employees and 25 full-time employees, the employer would be within the scope of this ETS because it has 100 employees.
    • If an employer has 150 employees, 100 of whom work from their homes full-time and 50 of whom work in the office at least part of the time, the employer would be within the scope of this ETS because it has more than 100 employees.
    • If an employer has 102 employees and only 3 ever report to an office location, that employer would be covered.
    • If an employer has 150 employees, and 100 of them perform maintenance work in customers’ homes, primarily working from their company vehicles (i.e., mobile workplaces), and rarely or never report to the main office, that employer would also fall within the scope.
    • If an employer has 200 employees, all of whom are vaccinated, that employer would be covered.
    • If an employer has 125 employees, and 115 of them work exclusively outdoors, that employer would be covered.
    • If a single corporation has 50 small locations (e.g., kiosks, concession stands) with at least 100 total employees in its combined locations, that employer would be covered even if some of the locations have no more than one or two employees assigned to work there.
    • If a host employer has 80 permanent employees and 30 temporary employees supplied by a staffing agency, the host employer would not count the staffing agency employees for coverage purposes and therefore would not be covered. (So long as the staffing agency has at least 100 employees, however, the staffing agency would be responsible for ensuring compliance with the ETS for the jointly employed workers.)
    • If a host employer has 110 permanent employees and 10 temporary employees from a small staffing agency (with fewer than 100 employees of its own), the host employer is covered under this ETS and the staffing agency is not.
    • If a host employer has 110 permanent employees and 10 employees from a large staffing agency (with more than 100 employees of its own), both the host employer and the staffing agency are covered under this standard, and traditional joint employer principles apply.
    • Generally, in a traditional franchisor-franchisee relationship, if the franchisor has more than 100 employees but each individual franchisee has fewer than 100 employees, the franchisor would be covered by this ETS but the individual franchises would not be covered.

Pandemic drives business support for paid leave, study finds

new study has found strong support from U.S businesses for a national paid leave policy after months of navigating the coronavirus pandemic and the ensuing recession.

Researchers found that 75% of U.S. companies and U.K.-based companies with U.S. operations said they support a government leave plan to help cope with future public health and economic crises. So far during the COVID-19 outbreak, 1 in 5 U.S. workers have taken a leave of some kind.

More than 40 companies of various sizes were surveyed in the study conducted by the nonprofit groups Promundo and Paid Leave for the U.S., which promote gender equity and paid leave policies, respectively.

The U.S. is alone among 41 industrialized countries in not guaranteeing paid sick or parental leave, according to the Organization for Economic Cooperation and Development. President Joe Biden has introduced a $1.9 trillion stimulus bill featuring temporary paid leave amid signs that support is on the rise on Capitol Hill and in corporate America for paid leave legislation.

“We’re beginning to see is a real demand for a permanent public policy solution,” said Annie Sartor, senior director of business partnerships at Paid Leave for the U.S.

The Families First Coronavirus Response Act passed at the onset of the pandemic included two weeks of paid sick leave and as much as 10 weeks of paid family or medical leave for employers with fewer than 500 employees. It expired in December.

Biden’s current proposal includes provisions for as much as 14 weeks of paid sick, family and medical leave and a significant expansion of eligibility. The plan could reach as many as 106 million more Americans than the last emergency bill, expanding coverage to workers at companies with fewer than 50 employees.

Biden’s rescue plan is “a first step” toward permanent legislation, said Michelle McGrain, director of congressional relations at the National Partnership for Women & Families.

“The lack of paid leave in this country was a huge crisis,” she said. “That crisis has continued throughout the pandemic and will continue to exist if big, structural changes are not engaged.”

Almost 45% of companies said more than half of the employees who took leave were women, who often bear the brunt of household and care-giving responsibilities.

Gary Barker, chief executive officer and founder of Promundo, said companies with leave programs cut their job losses, especially for women. In December, women accounted for all of the net jobs lost in the U.S., with 156,000, while men gained 16,000 jobs, according to the U.S. Bureau of Labor Statistics.

“It points to the importance of making leave normal for women and men, and for us to achieve the equality in salaries that women deserve,” Barker said.

Barker said companies in nations with mandatory leave have built a workplace culture that doesn’t penalize taking time-off.

“Workers worry about taking it,” particularly in the U.S., Barker said. “European countries, because they’ve been doing this for a very long time, you’re not considered a slacker because you take leave.”

SOURCE: Gardner, A. (26 January 2021) "Pandemic drives business support for paid leave, study finds" (Web Blog Post). Retrieved from https://www.benefitnews.com/articles/pandemic-drives-business-support-for-paid-leave-study-finds


How the latest stimulus bill impacts student loan benefits

With passage of the COVID-19 stimulus bill in December, Congress granted a five-year extension to a temporary provision of the CARES Act that allows employers to contribute up to $5,250 annually toward each employee's student debt on a tax-free basis.

This tax exemption was set to expire on December 31, 2020. Congress has now extended that deadline through December 31, 2025. The legislation allows employers to help pay down their employees’ student loan debt without employer contributions being taxed, similar to a 401(k) match.

By utilizing this benefit, both employers and employees avoid federal payroll and income taxes on employer payments to principal or interest on a qualified education loan, which is defined as a student loan in the name of the employee and used for their education. Federal, private and refinanced student loans are all eligible for pre-tax employer contributions. This tax exemption, however, does not apply to education loans for an employee’s spouse, children, or other dependents.

Addressing student debt at work has been a burgeoning trend in employee benefits in recent years. Even prior to this tax exemption, the number of employers offering student loan repayment benefits doubled from 4% to 8% of U.S. employers between 2018 and 2019. Providing student loan assistance has rapidly gained traction as an employee benefit because it’s often a win-win for employers and employees.

Some 47 million Americans collectively owe $1.7 trillion in student debt and that figure is not slowing down. The Congressional Budget Office estimates that over $1 trillion dollars in new student loan debt will be added by 2028. With 70% of college students graduating and beginning their careers with an average of $40,000 in debt that will take 22 years to pay off, employers have begun to recognize the social cost and impact such an astronomical level of debt has on recruiting, retention, and employee productivity.

By the age of 30, employees with student debt hold less than half the retirement savings of their peers without student loans. Student loan borrowers have delayed homeownership, getting married and having children because of their debt. Stress over how to repay student loans causes 65% of borrowers to report losing sleep at night and 1 out of 8 divorces are attributable to student debt.

When one takes that into consideration, it should not be surprising that many job seekers are drawn to employers that offer to help pay down their student loans. When young adult job seekers were asked “What percentage of your benefit compensation money would you allocate for student loan debt repayment versus an alternative benefit?” In all cases, respondents chose more money going toward student loan repayment, ahead of all other benefits, including 401(k) match, health insurance, and paid time off.

At Goodly, we work with employers to help them offer student loan repayment as an employee benefit. Across the hundreds of clients we work with, employers typically contribute between $50 to $200 per month, with the median employer contribution being $100 per month toward the employee’s student debt.

Many Goodly clients fund student loan benefits by simply redirecting existing benefits budgets, often from tuition assistance programs. This is a fairly straightforward proposition when one considers that roughly half of employers already offer tuition assistance benefits that allow employees to go back to school. Yet, these programs often see abysmal utilization with less than 10% of eligible workers taking advantage of a tuition benefit on an annual basis.

The most common approach to employer-sponsored student loan repayment is to have employees continue making their regular student loan payments. Employer payments are then made on top of that to the principal of the student loan, similar to a 401(k) match. By taking this approach, we’ve found that the average student loan borrower on Goodly can pay off their student loans 25% to 30% faster than they otherwise would with the help of their employer.

SOURCE: Poulin, G. (20 January 2021) "How the latest stimulus bill impacts student loan benefits" (Web Blog Post). Retrieved from https://www.benefitnews.com/opinion/how-the-latest-stimulus-bill-impacts-student-loan-benefits


Addicted: How employers are confronting the U.S. opioid crisis

The COVID-19 pandemic has killed more than 381,000 Americans, but the isolation and remote work environment caused by the rapidly spreading disease has exacerbated an already terrible opioid epidemic in the country.

In the 12 months prior to May 2020, the U.S. recorded 81,230 drug overdose deaths, an 18.2% increase over the previous 12-month period, according to the Centers for Disease Control and Prevention.

The CDC announced in December that overdose deaths had already accelerated in the months before the coronavirus came to the U.S., but sped up even more during the pandemic.

“The disruption to daily life due to the COVID-19 pandemic has hit those with substance use disorder hard,” says Robert Redfield, the director of the CDC. “As we continue the fight to end this pandemic, it’s important to not lose sight of different groups being affected in other ways. We need to take care of people suffering from unintended consequences.”

One way to do that is to better educate the public about the opioid crisis, the nature of addiction and how employees and their families can seek help during times of crisis. Congress acknowledged the problem in its latest pandemic relief bill, including $4.25 billion for mental health services to address the recent surge in substance abuse, anxiety, depression and suicidal thoughts.

Shatterproof, a nonprofit organization founded to help people better understand the nature of addiction, created an educational platform for employers to teach their employees about addiction and the many resources available to them. The goal is to destigmatize addiction so that people who are being negatively affected by it can continue to work and get help for themselves and their families.

“The problem with addiction and COVID is that drugs and alcohol are used to self-medicate people, to temporarily make them feel better when they are not feeling great,” says Stephen D’Antonio, executive vice president of Shatterproof.

Add the fear and anxiety associated with the coronavirus, or the economic hardship associated with losing their job or having their hours cut, and “it’s almost a perfect storm,” he said.

Employers are the first to admit that employee opioid and alcohol addiction costs them a lot of money every year in the form of healthcare treatments and missed work. But, before COVID-19, employees didn’t have a lot of free time to do drugs or drink while at work. With remote work, they are even more isolated from society and nobody is around to see them drinking or taking drugs.

“Employers, as the decision makers of health plan design, have the unique ability to educate and build support systems for employees, particularly those at-risk,” said Cigna’s Dr. Doug Nemecek, chief medical officer for behavioral health. “This not only improves the health of employees, it improves the culture and overall wellbeing at the organization.”

Cigna offers many programs to help its clients and customers overcome and prevent opioid addiction, including comprehensive pain management and narcotics therapy management programs, pharmacy coverage oversight, and designated centers of excellence for substance use.

Ilyse Schuman, senior vice president of health policy for the American Benefits Council, said that the opioid crisis and mental health issues in general go hand in hand, and there is a general lack of access to qualified mental health providers and behavioral specialists in the United States.

“Our employer plan sponsor members are very concerned and very focused on addressing the mental health aspects of the pandemic too,” Schuman says. “If any good can come from this horrible, horrible pandemic and the fact that so many people have lost their lives and so many people are suffering in silence is to highlight the importance of really addressing the opioid crisis nationwide and the mental health crisis,” she said.

Telehealth has allowed benefit providers to expand access to services like behavioral and mental health during the pandemic. The digital platform removes some of the barriers that health professionals face regarding where and how they can practice medicine.

“Employers are at the cutting edge of innovative strategies. In respect to behavioral health, they realize the importance of taking the stigma away from it. They are figuring out how to bring it out of the closet to communicate the importance of availability, of access to support services for them,” Schuman says.

In 2019, the State of Minnesota worked with the Minnesota Business Partnership to develop an opioid toolkit for employers who were looking for additional resources to help their employees. In Minnesota, drug overdose deaths increased 31% during the first half of 2020 compared to the first half of 2019, according to Sam Robertson, community overdose prevention coordinator for the Minnesota Department of Health. Most of those deaths were attributed to synthetic opioids like fentanyl that are used in both prescription and illicit drugs.

The goal of the toolkit is to show people that substance use disorder is a preventable and treatable illness and to present it in a user-friendly way so that employers of any size and type could address substance use in the workplace.

Addressing the opioid crisis in the workplace “is good for business,” said Dana Farley, drug overdose prevention unit supervisor for the Minnesota Department of Health.

The state worked with Shatterproof to develop the content of its toolkit.

Shatterproof’s Just Five program gives employers five steps they can take to be part of the opioid epidemic response. Each lesson is just five minutes long and uses video, animation and expert testimony to encourage people to get professional help, get educated, get support from people going through the same thing and take care of themselves.

The program has been adopted by major employers like General Electric, JPMorgan Chase and McKinsey.

“One of the big reasons people don’t seek help is they are worried about their employer finding out about their addiction,” D’Antonio says. This program helps get the message across that their employers stand behind them and want to get them the help they need.

SOURCE: Gladych, P. "Addicted: How employers are confronting the U.S. opioid crisis" (Web Blog Post). Retrieved from https://www.benefitnews.com/news/addicted-how-employers-are-confronting-the-u-s-opioid-crisis