Health Freedom – ICA Standing Up For Your Freedom

The ICA stands in support of liberty and health freedom.

The COVID-19 Pandemic response activities at city, county, state/province, and federal (country) levels is a developing matter. The focus at present is reinstituting lockdowns, mask mandates, and now orders by public health departments to mandate vaccinations even outside of hospital settings.

ICA remains concerned about the politicization of some of the research regarding the pandemic, and is increasingly concerned about the loss of personal freedom of choice. On August 12th the ICA Board developed a Health Freedom Policy statement.

In the United States – Cities, States and Federal Government Hop on the Mandate Train

President Biden’s Announcement: When President Joe Biden gave remarks in which he stated that all federal employees and contractors would be required to take the COVID vaccine within 75 days or face termination, the Center for Medicare and Medicaid Services (CMS) posted a press release regarding the COVID vaccine mandates for CMS Fee for Services Facilities. They will be going through a rulemaking process beginning in October.

The ICA immediately engaged with CMS and obtained the following statement from a CMS Spokesperson, “CMS anticipates that the staff vaccination requirement would apply to Medicare and Medicaid-certified provider and supplier types that comply with the Medicare health and safety regulatory provisions, known as the Conditions of Participation, which includes, but is not limited to, hospitals, dialysis facilities, ambulatory surgical centers, and home health agencies...This regulation does not directly apply to physician’s offices as these are not regulated under the provider-specific Medicare health and safety regulatory provisions, generally referred to as ‘Conditions of Participation’.”


ICA Member’s Town Hall Meeting –

Thursday, September 23 at 9:00pm Eastern

ICA Board President Dr. Selina Sigafoose Jackson and Executive Director Beth Clay will lead an ICA Members Town Hall Meeting this Thursday at 9 pm Eastern.  Registration is required ahead of time, so please do so immediately.  We will send a reminder wtih the meeting link one hour before the meeting starts.   Register in advance for this webinar:

After registering, you will receive a confirmation email containing information about joining the webinar.


KEEPING TRACK: U.S., Canada, and International Mandates & Resources

JurisdictionMandate
Status
DateTest or Exemption Option
US States
Alabama No Mandates as of 9-20-2021
Alaska No Mandates as of 9-20-2021
ArizonaMandates banned by government – however healthcare institutions can mandate
Employers to provide reasonable accommodation to sincerely held beliefs, practices, or observations
ArkansasMandates
Prohibited
CaliforniaChiropractors exempted from state mandatefully by Sept 30Medical and religious exemption
ColoradoState: CDPHE-licensed health care facilities
(Not typical DC office)

Denver Mandate Includes DC offices
1st by Sept 30
Fully by Oct 31

1st Dose by Sept 15 & fully by Sept 30
Medical & Religious Exemptions available at state and city order – but state also noted, that it “will not regulate or issue individual exemptions from the vaccine mandate.”
Connecticuthealth care workers in certain settings, does not appear to cover Chiropractic offices.Sept 27
Delawarecertain health facilities, does not appear to cover Chiropractic offices.
District of ColumbiaYes – all healthcare workersFully by Sept 30religious and medical exemption
Florida No Mandates as of 9-20-2021
Georgia Mandates
Prohibited
Hawaii No Mandates as of 9-20-2021
IdahoNo Mandates as of 9-20-2021
IllinoisYes-all healthcare workersWeekly testing – at-home or self-administered tests are not acceptable by IDPH – use a proctored site or set up screening system in offices.
IndianaMandates
Prohibited
IowaNo Mandates as of 9-20-2021
KansasNo Mandates as of 9-20-2021
KentuckyNo Mandates as of 9-20-2021
Louisiana No Mandates as of 9-20-2021
MaineMost health care workers – DC not specifically mentionedfully by Oct 1
MarylandNursing home and hospitals onlyby Sept 1Weekly testing -and bona fide medical or religious reasons
MassachusettsNursing home mandatefirst dose by Sept 1 begin enforcement Oct 10
Michigan No Mandates as of 9-20-2021
Minnesota No Mandates as of 9-20-2021
Mississippi No Mandates as of 9-20-2021
Missouri No Mandates as of 9-20-2021
MontanaMandates are banned
Nebraska No Mandates as of 9-20-2021
Nevada Government employees in hosptials and correction facilities Sept 7No option to opt out with testing.
New Hampshire No Mandates as of 9-20-2021
New JerseyCertain state and private healthcare facilitiesfully by Sept 7testing 1-2 times per week
New MexicoMandated for close contact congregate settingsAug 27 first date, fully by Sept 27exemptions
New YorkAll health care workers mandated Labor DayOct. 12. Fed. Judge requires New York to allow religious exemptions. https://www.reuters.com/world/us/new-york-must-allow-religious-exemptions-covid-19-vaccine-mandate-judge-rules-2021-10-12/

Lawsuit filed by 17 medical workers. Temporary restraining order issued on 9-16 because of lack of religious exemptions goes into effect on Sept 27.

Religious exemption as an alternative to vaccination.
North CarolinaState health care workersSept 30Exemption possible
North DakotaHealthcare organizations exempted from state ban on mandates
OhioNo Mandates as of 9-20-2021
OklahomaNo Mandates as of 9-20-2021
OregonAll health care workersWeekly testing
PennsylvaniaState – healh care workers in state licensed high risk settings

City of Philadelphia requiring health care workers
State by Sept 7

Fully by Oct 15
State – weekly testing

testing 2 x per week, medical and religious exemptions
Puerto RicoMandatedBy August 16medical and religious exemptions
Rhode IslandAll state licensed healthcare providers1st dose by Oct 1
South Carolina No Mandates as of 9-20-2021
South Dakota No Mandates as of 9-20-2021
Tennessee Mandates
Prohibited
TexasMandates are banned
UtahPartial ban on Mandates
VermontState employees mandated
VirginiaState workers Sept 1Weekly testing
WashingtonAll health care workersfully by Oct 18No Opt Out – weekly testing
West Virginia No Mandates as of 9-20-2021
Wisconsin No Mandates as of 9-20-2021
Wyoming No Mandates as of 9-20-2021
 
Canadian Provinces
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Nova Scotia
Ontario
Prince Edward Island
QuebecAll healthcare workersBy Oct 15. Face suspension
Saskatchewan
 
International Community
Argentina
Aruba
Australiamandatory for high-risk aged-care workers Borders closed Australian Chiropractic Association indicates its support for the public health initiative of vaccination as an essential strategy in diminishing the burden of COVID-19. However, the ACA is also of the view that informed personal choice is a fundamental component of best practice health care, and as such do not support mandating COVID-19 vaccinations for the chiropractic profession. The ACA acknowledges that healthcare mandates are a complex issue. Chiropractors are limited to providing patient care within private practice and outside of the frontline hospital, community care, and aged-care facilities.
Bahamas
Belgium
Bermuda
Brazil
Cambodia
China
Costa Rica
Cote d’Ivoire
Curacao
Denmark
Estonia
Finland
France All health care workersSeptRisk not being paid
Germany
Ghana
Gibraltar
Greece healthcare workersSept.
Guam
Guatamala
Hong Kong
Hungarymandatory for healthcare workers
Iceland
India
IndonesiaEveryone mandatedFeb 2021Indonesia announced a presidential order earlier this month stipulating anyone who refused vaccines could be denied social assistance or government services or made to pay a fine. https://www.abc.net.au/news/2021-02-19/indonesia-warns-fines-for-refusing-covid-19-vaccine-world-first/13170826
Ireland
Israel
ItalyHealth care workers mandated
Japan
Korea, Republic of
Lebanon
Luxembourg
Malaysia
Mexico
Netherlands
New Zealand
Northern Ireland
Northern Mariana Islands
Norway
Pakistan
Peru
Philippines
Poland
Portugal
Singapore
South Africa
Spain
Sweden
Switzerland
Taiwan
Thailand
Turkey
United Kingdom
Virgin Islands

US Federal Agency Actions on COVID Mandates

President Biden announced on September 9, 2021 that all Federal workers will be mandated to take vaccine, with no testing as an opt out option. They have 75 days or risk being fired.

AgencyActions
Department of Veterans Affairs (VA)On August 13, the US Department of Veterans Affairs instituted a mandate for most Veterans Health Administration employees and volunteers and contractors who work in VHA facilities, visit VHA facilities or otherwise come into contact with VA patients and healthcare workers as part of their duties. Under the expanded mandate, employees who will need to be vaccinated include Hybrid Title 38 and Title 5 VA health care personnel —such as psychologists, pharmacists, social workers, nursing assistants, physical therapists, respiratory therapists, peer specialists, medical support assistants, engineers, housekeepers and other clinical, administrative and infrastructure support employees who come into contact with VA patients and healthcare workers.

https://www.va.gov/opa/pressrel/includes/viewPDF.cfm?id=5703


This expands upon the July 25th mandate.
https://www.va.gov/opa/pressrel/pressrelease.cfm?id=5696
Center for Medicare and Medicaid Services (CMS)September 13: CMS to mandate vaccine through a swift rulemaking to be published in October. At present Chiropractors (and other physicians) in private practice are not part of the mandate.

CMS’s Press Release on the Presidential mandate – https://www.cms.gov/newsroom/press-releases/biden-harris-administration-expand-vaccination-requirements-health-care-settings

The Center for American Progress has published in August a page that details the options the federal government has to mandate vaccinations: “As the largest payers of health care in the United States, the Centers for Medicare and Medicaid Services (CMS) have a variety of regulatory policy tools that can support COVID-19 vaccine administration. One of the most powerful tools the Biden administration has at its disposal is the Conditions of Participation (CoPs) and Conditions for Coverage (CfCs), the federal health and safety standards that health care organizations must meet in order to participate and receive funding from the Medicare and Medicaid programs. Under Section 1861(e) of the Social Security Act, the secretary of the U.S. Department of Health and Human Services has the authority to adopt proposed CoPs that are found to be “necessary in the interest of the health and safety of the individuals who are furnished services in hospitals.” Other health care providers must similarly meet health and safety standards.”

This non government body is advocating covid vaccine mandates for all health professionals, “CMS should now update these standards to mandate that health care and LTC staff and contractors, as well as health care providers with hospital privileges, are vaccinated against COVID-19; the emergence of the delta variant, stalling vaccination rates, and the threat to patient safety posed by unvaccinated health care workers have created the need for action beyond staff education and vaccine access. It is in the public interest to increase vaccination rates without delay, and mandatory vaccinations for health care workers are of critical importance in protecting patients’ health and safety. Providers would have eight weeks from the effective date of the rule to ensure compliance, allowing the time needed for full vaccination. CMS should also evaluate whether it can impose civil monetary penalties, set to increase over time, for noncompliant organizations.”

https://www.americanprogress.org/issues/healthcare/news/2021/08/06/502409/mandatory-covid-19-vaccination-health-care-workers-condition-medicare-medicaid-participation/
President BidentSeptember 9: President Biden issues six point plan and will mandate all federal employees and contractors to be vaccinated. https://www.foxnews.com/politics/doj-vaccine-mandates-legal

President Joe Biden calls for all federal employees and contractors to ‘provide an attestation’ of vaccination or wear mask.

https://www.whitehouse.gov/briefing-room/statements-releases/2021/07/29/fact-sheet-president-biden-to-announce-new-actions-to-get-more-americans-vaccinated-and-slow-the-spread-of-the-delta-variant/


https://news.yahoo.com/biden-mandated-vax-feds-now-074441854.html
Department of DefenseOn August 25, Secretary of Defense Lloyd J. Austin III issued mandate – https://www.defense.gov/Explore/News/Article/Article/2746111/secretary-of-defense-mandates-covid-19-vaccinations-for-service-members/
The memorandum posted at https://media.defense.gov/2021/Aug/25/2002838826/-1/-1/0/MEMORANDUM-FOR-MANDATORY-CORONAVIRUS-DISEASE-2019-VACCINATION-OF-DEPARTMENT-OF-DEFENSE-SERVICE-MEMBERS.PDF
mandates the COVID vaccine approved by the FDA to be used with timelines to be instituted by the Secretary of each branch of the military. Until any additional guidance issued, The DOD Immunization document from July 2019 is the ‘rulebook’ (in addition of course to the UCMJ. https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodi/620502p.pdf?ver=2019-07-23-085404-617
There are medical and administrative exemptions, but these are not detailed in the document.
Civilian contractors at military hospitals need to review their employment contract.
US Office of Personnel ManagementThe Office of Personnel Management oversees all civilian employees of the Executive Branch of the US Government. No mandate has been posted. The link that follows is a webpage with all of their guidance to agencies to date related to COVID. ttps://www.opm.gov/policy-data-oversight/covid-19/
US Department of Health (HHS)Public Health Service Commission Corps members, according to a news source will be required to be vaccinated per comments of the Surgeon General of the US; also the administration has stated that 25,000 healthcare workers will be required to be vaccinated. https://www.usnews.com/news/health-news/articles/2021-08-12/hhs-secretary-all-health-care-workers-must-receive-covid-19-vaccine
https://www.politico.com/news/2021/08/12/hhs-mandates-covid-19-vaccinations-for-health-care-workforce-504138
OSHAOSHA issues guidance on facility measures- https://www.osha.gov/coronavirus

US Government Advisory Committee in Immunization Practices Guidance on COVID-19

Website link to guidance – https://www.cdc.gov/vaccines/hcp/acip-recs/vacc-specific/covid-19.html

ACIP will be meeting on August 30 – No registration is required to observe. Agenda is provided – https://www.cdc.gov/vaccines/acip/meetings/downloads/agenda-archive/agenda-2021-08-30-508.pdf


Research Studies of Interest

A paper entitled, “Comparing SARS-CoV-2 natural immunity to vaccine-induced immunity: reinfections versus breakthrough infections” (Read the article at https://www.medrxiv.org/content/10.1101/2021.08.24.21262415v1) has been made public prior to the peer review process because of the urgency of the information related to natural immunity versus breakthrough infections. ICA makes no comment on the paper and is sharing it given the timeliness of the discussion.


Help the ICA support your health freedoms!


News of Possible Interest

September 9: President Biden to mandate all Federal employees (and contractors) be mandated or face dismissal, with no testing provision. https://www.cnn.com/2021/09/09/politics/joe-biden-covid-speech/index.html

https://www.foxnews.com/politics/biden-covid-six-prong-plan-white-house

https://www.foxbusiness.com/politics/biden-administration-covid-vaccine-mandate-all-federal-workers-contractors

July 27 – DOJ issued opinion on legality of mandate. https://www.foxnews.com/politics/doj-vaccine-mandates-legal

Some hospitals avoiding mandates avert staffing shortage. Fortune.com reports that 39% of hospitals mandate covid vaccines, and that others are not mandating due to concerns about staffing shortages. https://fortune.com/2021/08/30/health-care-hospital-worker-shortage-vaccine-mandates-staff-retention/

AMA and dozens of other organizations support mandates. https://www.ama-assn.org/press-center/press-releases/ama-support-covid-19-vaccine-mandates-health-care-workers

Travel Restrictions News

NBC has posted a Travel Restriction by Country Chart at: https://www.nbcnews.com/news/world/map-international-travel-restrictions-covid-n1262372

Reuters August 16 Factbox on Country Mandates

https://www.reuters.com/world/countries-make-covid-19-vaccines-mandatory-2021-07-13/

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