|AK||Health Mandate 5|| |
Section II effective May 4, 2020. a. Surgeries and intensive procedures are permitted to proceed if delay is deemed to cause significant impact on health, livelihood, or quality of life, if the following conditions are met:
|April 21, 2020|
|AL||Medical procedures. Effective April 30, 2020, at 5:00 P.M., dental, medical, or surgical procedures may proceed unless the State Health Officer or his designee determines that performing such procedures, or any category of them (whether statewide or regionally), would unacceptably reduce access to personal protective equipment or other resources necessary to diagnose and treat COVID-19. Providers performing these procedures shall follow all applicable COVID-19-related rules adopted by a state regulatory board or by the Alabama Department of Public Health. In the absence of such rules, providers should take reasonable steps to comply with applicable COVID-19-related guidelines from the Centers for Medicare and Medicaid Services (CMS) and the CDC, including “Re-opening Facilities to Provide Non-emergent NonCOVID-19 Healthcare: Phase I” from CMS, and “Infection Control Guidance for Healthcare Professionals about Coronavirus (COVID-19)” from the CDC.||April 28, 2020|
|AR||ADH Directive on Elective Surgeries||Hospitals and clinics will be able to resume performing elective surgeries on Monday that aren't expected to require overnight hospitalization. The surgeries will still be prohibited for a patient who has symptoms of covid-19, the disease caused by the coronavirus, or has had contact within the past 14 days with someone who was infected with the virus. Providers will also have to test the patient for the virus within 48 hours before the surgery. "Initially, we're going to encourage the facilities to start with a smaller volume and to build up and to make sure they have adequate supplies of" personal protective equipment, said Department of Health Secretary Nate Smith. Rural hospitals with fewer than 60 beds were exempt from the ban on elective procedures and won't be subject to the new requirements.||April 3, 2020||Elective surgery to resume on April 27, 2020|
|AZ||Executive Order 2020-32 Requesting Exemption from Executive Order 2020-10 Elective Surgeries|| |
Those receiving an exemption from Executive Order 2020-10 may begin these surgeries on or after May 1, 2020. Hospitals, healthcare facilities, and providers (including dental surgery providers) must demonstrate in a request for exemption from Executive Order 2020-10 that shall include:
The Arizona Department of Health Services shall implement a process for hospitals, healthcare facilities and providers to request an exemption from Executive Order 2020-10 and demonstrate they meet the minimum criteria to resume elective, non-essential surgeries. Those receiving an exemption from Executive Order 2020-10 may begin these surgeries on or after May 1, 2020.
A hospital, healthcare facility or provider who has an exemption from Executive Order 2020-10 is not eligible to request or receive PPE distributed by the state or county health departments.
|April 22, 2020 (order effective May 1)||"shall remain in place until further notice, and shall be reconsidered for repeal or revision every two weeks in conjunction with review of Executive Order 2020-10."|
|CO||D 2020 045 order extended by Executive Order D 2020 080||A. Medical, dental, or veterinary voluntary or elective surgeries and procedures may resume as long as the healthcare facility, clinic, office or practice, surgical center, hospital, or other setting where health care services are provided (Facilities or Facility) follows protocols and criteria set forth in this Executive Order and any accompanying Public Health Order (PHO) issued by CDPHE. A voluntary or elective surgery or procedure means that the surgery or procedure can be delayed for a minimum of three months without undue risk to the current or future health of the patient as determined by the guidelines developed by the Facility under paragraph II.E.1.xiii., ...||Extension May 26, 2020||June 27, 2020|
|DC||DC Health Rec||The District of Columbia Department of Health (DC Health) issued guidance for resuming elective non-emergency surgeries starting with phase 1.||May 26, 2020|
|FL||Executive Order 20-112|| |
Medical Procedures Effective May 4, 2020
|April 29, 2020|
|IA||New PROCLAMATION OF DISASTER EMERGENCY|| ||April 24, 2020 (effective April 27,2020)|
|IL||Illinois Department of Health Guidance||Beginning on May 11, 2020, hospitals and ASTCs may begin to perform procedures, provided that specific criteria have been met.||April 24, 2020|
|IN||20-22 Extension Stay at Home||In addition, as Jong as sufficient personal protective equipment (PPE), staff and other supplies are available so as not to detract from what is necessary and appropriate to properly care for and treat patients who have or may have COVID-19, hospitals should conduct clinically indicated procedures meant to diagnose, screen and treat medical conditions that have the potential for short-term or long-term morbidity and/or mortality. These include, but are not limited to, cardiac, vascular, neurologic, cancer, gastrointestinal and respiratory procedures, as well as those procedures meant to reduce significant pain or symptoms making quality of life unacceptable. Furthermore, in connection with health care providers, whether medical~ dental or other, and health care facilities, whether hospitals, ambulatory surgical centers, dental facilities, plastic surgery centers, dermatology offices, abortion clinics, or veterinary practices, any current restrictions involving their medical procedures that have been imposed by an Executive Order will be re-evaluated for possible modifications, as warranted by the circumstances, that would allow for them to resume commencing as of 11:59 p.m. on Sunday, Apnl 26, 2020. In addition, these restrictions on medical procedures will be re-evaluated every seven (7) days thereafter for any appropriate and timely modifications that could be implemented||April 20, 2020||Effective April 27 with review every 7 days|
|KY||Cabinet for Health "Kentucky Healthcare Reopening"|| |
April 27, 2020
|LA||Updated Order 4.20.20 NOTICE #2020-COVID19-ALL-010|| A. The Department hereby directs that any and all medical and surgical procedures SHALL ONLY be performed under the following conditions until further notice. ||March 27, 2020|
|MA||Order of the Commissioner of Public Health||Accordingly, having received that authorization from the Council, and with the approval of the Governor, I issue the following Order: To protect patients and healthcare workforce and conserve resources, including personal protective equipment, a health care provider that has submitted an attestation to the state certifying that they meet clinical, capacity, safety standards, and governance requirements to resume providing high-priority preventative care and urgent procedures or services that cannot be delivered remotely and would lead to high risk or significant worsening of the patient’s condition if deferred shall implement procedures published by the Department of Public Health regarding the scheduling and performance of such urgent elective invasive procedures. Any such health care provider that has not submitted the attestation shall not perform any non-essential elective invasive procedures. Providers subject to this order must continue to comply with all applicable statutes, regulations and guidance not inconsistent with this Order. This Order shall remain in effect from May 18, 2020, until the State of Emergency is terminated by the Governor, or until rescinded by me, whichever shall happen first.||May 18, 2020||Until the termination of the state of emergency|
|MD||AMENDED DIRECTIVE AND ORDER REGARDING VARIOUS HEALTHCARE MATTERS|| |
B. Resumption of Elective and Non-Urgent Medical Procedures - Conditions All licensed healthcare facilities and healthcare providers may resume elective and non-urgent medical procedures and appointments at 7:00 A.M., May 7, 2020 provided all of the following measures are in place:
|May 6, 2020|
|MI||Executive Order 2020-96||Executive Order 2020-17, which imposed temporary requirements regarding the postponement of non-essential medical and dental procedures, is rescinded as of May 28, 2020 at 11:59 pm.||May 21, 2020|
|MN||Emergency Executive Order 20-51||Beginning on May 10, 2020 at 11:59 p.m., healthcare facilities providing procedures that utilize PPE or ventilators—whether veterinary, medical, or dental—must complete the requirements set forth in this Executive Order.||May 5, 2020||It remains in effect until the peacetime emergency declared in Executive Order 20-01 is terminated or until it is rescinded by proper authority.|
|MS||Exec Order 1470||All licensed health care professionals and all licensed health care facilities shall postpone all surgeries and procedures that are not immediately medically.||April 10, 2020||April 27, 2020|
|NC||DHHS Letter||Effective March 23, 2020, as part of a unified response, I request all hospitals and ambulatory surgery centers suspend all elective and non-urgent procedures and surgeries. Elective and non-urgent procedures and surgeries are defined as any procedure or surgery that if not done within the next 4 weeks would cause harm to the patient. Beginning today, March 20, hospitals and ambulatory surgery centers should institute an explicit, real-time review of all non-time sensitive procedures and surgeries.||March 23, 2020|
|NE||DHH 2020-009||Elective medical and dental surgeries and elective medical and dental procedures are hereby prohibited. For the purposes of this Order, this means a surgery or procedure that is scheduled in advance because it does not involve a medical or dental emergency. Surgeries or procedures that must be done to preserve the patient's life or physical health, but do not need to be performed immediately, are allowed by a case-by-case determination of the medical or dental provider.||April 3, 2020||May 4, 2020—Elective surgeries may resume as long as hospitals and health care facilities meet requirements for available bed capacity and have adequate supplies of personal protective equipment (PPE).|
|NJ||Executive Order 145|| |
Beginning at 5:00 a.m. on Tuesday, May 26, 2020, the suspension on elective surgeries and invasive procedures instituted in Executive Order No. 109 (2020) is rescinded.
2. Elective surgeries and invasive procedures, as defined by Executive Order No. 109 (2020), may proceed at health care facilities, subject to limitations and precautions set forth in policies, which may include but are not limited to Executive Directives, to be issued by the Department of Health, in consultation with the Division of Consumer Affairs, by Monday, May 18, 2020. The policies to be issued by the Department of Health will address relevant considerations, such as the following:
3. Elective surgeries and invasive procedures, as defined by Executive Order No. 109 (2020), performed by licensed health care providers practicing in outpatient settings not licensed by the Department of Health (e.g., health care professional offices, clinics, and urgent care centers) may proceed, subject to limitations and precautions set forth in policies, which may include but are not limited to rules and administrative orders, to be issued by the Division of Consumer Affairs, in consultation with the Department of Health, by Monday, May 18, 2020.
|May 15, 2020|
|NM||PUBLIC HEALTH ORDER NEW MEXICO DEPARTMENT OF HEALTH APRIL 30, 2020|| |
Medical practitioners may gradually resume operations in compliance with guidelines provided by the New Mexico Department of Health. The guidelines shall be entitled “Reopening Guidelines: Medical Offices.” The guidelines shall be publicly available on the Department of Health website and are subject to change as circumstances warrant. Hospitals and ambulatory surgical facilities may gradually resume operations in compliance with guidelines provided by the New Mexico Department of Health. The guidelines shall be called “Medically Necessary Surgery and Procedural Guidelines.” The guidelines shall be publicly available on the Department of Health website and are subject to change as circumstances warrant. To reopen or expand ambulatory or inpatient surgery, a facility must affirm past compliance with all current Public Health Emergency Orders.
|April 30, 2020||for the duration of executive order 2020-004|
|NY||State Department of Health will issue guidance on resuming elective surgeries|| |
April 28, 2020 if the hospital capacity is over 25 percent for the county and if there have been fewer than 10 new hospitalizations of COVID-19 patients in the county over the past 10 days. If a hospital is located in a county eligible to resume elective outpatient treatments, but that hospital has a capacity under 25 percent or has had more than 10 new hospitalizations in the past 10 days, that hospital is not eligible to resume elective surgeries. If a county or hospital that has resumed elective surgery experiences a decrease in hospital capacity below the 25 percent threshold or an increase of 10 or more new hospitalizations of COVID-19 patients, elective surgeries must cease. Further, patients must test negative for COVID-19 prior to any elective outpatient treatment.
May 13, 2020 Update: Hospital and all ambulatory surgery centers are permitted to resume surgery. Restrictions on elective surgery will remain in place in Bronx, Queens, Rockland, Nassau, Westchester, Richmond, Kings, Suffolk, New York, and Erie Counties as the state continues to monitor the rate of new COVID-19 infections in the region.
|May 8, 2020||General Restrictions extended to June 6, 2020. Counties permitted to perform limited surgery extended to May 29, 2020.|
|OH||Dept Health Order|| ||March 18, 2020||End of State of Emergency. April 16, 2020: Governor requested a plan from Ohio Hospital Association for restarting elective surgery due by April 24.|
|OK||2020-7 4th||Order ending on April 24, 2020.||March 24, 2020||Governor changed order to end April 24, 2020 per announcement on April 15, 2020|
|OR||Oregon Health Authority||Announced lifting ban on and a framework for resuming "non-urgent" procedures starting May 1.||April 23, 2020|
|PA||News reports that the state Health Department issued guidance to hospitals and ambulatory surgical facilities on the resumption of elective surgery based on the guidance provided by the ACS.||April 27, 2020|
|SD||Executive Order 2020-20||New order repeals order 2020-12 that postponed all non-essential elective surgeries.||April 28, 2020|
|TN||exec-orders-lee25||Governor Lee announced elective surgeries can resume May 1||April 8, 2020||April 30, 2020|
|TX||Executive Order No. GA-l5 #3|| |
Beginning at 11:59 pm on April 21 through 11:59 pm on May 8, all licensed health care professionals and all licensed health care facilities must continue to postpone all surgeries and procedures that are not medically necessary to diagnose or correct a serious medical condition of, or to preserve the life of, a patient who without timely performance of the surgery or procedure would be at risk for serious adverse medical consequences or death as determined by a patient's physician. Exceptions now include:
|April 21, 2020||May 8, 2020|
|UT||State Public Health Order|| |
Each covered healthcare provider shall:
4. Each hospital and ambulatory surgical center operating in Utah shall follow the protocols developed by the Utah Hospital Association in consultation with the Utah Department of Health, titled “Utah Roadmap for Resuming Elective Procedures” and dated April 21, 2020.
|April 22, 2020||May 1, 2020|
|VA||Order of Public Health Emergency Two||Prohibiting all inpatient and outpatient surgical hospitals licensed under 12 VAC 5-410, freestanding endoscopy centers, physicians’ offices, and dental, orthodontic, and endodontic offices in the Commonwealth from providing procedures and surgeries that require PPE, which if delayed, are not anticipated to cause harm to the patient by negatively affecting the patient's health outcomes, or leading to disability or death. This does not include outpatient visits delivered in hospital-based clinics. This Order does not apply to the full suite of family planning services and procedures nor to treatment for patients with emergency or urgent needs. Inpatient and outpatient surgical hospitals licensed under 12 VAC 5-410, free-standing endoscopy centers, physicians’ offices, and dental, orthodontic, and endodontic offices may perform any procedure or surgery that if delayed or canceled would result in the patient's condition worsening. Outpatient surgical hospitals are encouraged to work with their local inpatient hospitals to assist with surge capacity needs.||March 25, 2020||May 1, 2020|
|VT||Executive Order No. 01-20 – Amendment to Addendum 3||...authorize the Commissioner of the Vermont Department of Public Health to issue mitigation requirements and procedures for the resumption of clinic visits, diagnostic imaging and such outpatient surgeries and procedures that have a minimal impact on inpatient hospital bed capacity and PPE levels, including those performed in the office or ambulatory surgical care setting. The Commissioner of the Department of Public Health, with the approval of the Governor, may, from time-to-time, update and modify the mitigation requirements and procedures regarding the resumption of additional adult elective surgery and medical and surgical procedures, including dental procedures||May 4, 2020||May 15, 2020|
|WA||PROCLAMATION BY THE GOVERNOR AMENDING AND EXTENDING PROCLAMATIONS 20-05 AND 20-24 20-24.1 Reducing Restrictions on, and Safe Expansion of, Non-Urgent Medical and Dental Procedures||I hereby prohibit all medical, dental and dental specialty facilities, practices, and practitioners in Washington State from providing non-urgent health care and dental services, procedures, and surgeries unless they act in good faith and with reasonable clinical judgment to meet and follow the procedures and criteria provided (in guidelines listed in the proclamation).||May 18, 2020||Until the termination of the state of emergency|
|WV||EXECUTIVE ORDER NO. 30-20||3. All clinics, offices, and other facilities operated by or with medical and health care professionals licensed or regulated by Chapter 30 Health Care Boards, except for the hospitals and ambulatory surgical centers subject to Section 1 of this Order, may resume all operations and procedures, including elective procedures, according to such guidance and best practices as is disseminated by the applicable Chapter 30 Health Care Board(s) pursuant to Section 2 of this Order...5. All clinics, offices, and other facilities that resume or expand operations under this Order shall ensure that sufficient occupationally appropriate PPE and other medical equipment and resources are sufficiently available and that such clinics, offices, and other facilities must be aware of statewide PPE, supplies, equipment, and medicine needs and must be prepared to contribute as necessary.||April 27, 2020|