Industry 02 of 27

Physician Practices and Outpatient Care

The industry is the ambulatory layer of American medicine: NAICS 6211 offices of physicians (establishments of M.D.s and D.O.s in independent general or specialized practice, in their own offices or in the facilities of others), 6213 offices of other health…

CLclinical intake and waiting room PRprocedures and elective visits DXdiagnostics and laboratory TMtelehealth under waivers FDfront desk and scheduling OFbilling and administration SCPPE and supplies HRhiring, credentialing, training WFworkforce availability CBpatients, referral sources…MKmarketing, outreach, events

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In plain terms: if you run a physician practice, an outpatient clinic, a behavioral health practice or an allied health practice, this page shows what governmental orders did to businesses like yours from March 2020 through September 30, 2021, and answers the sentence in the IRS's letters. Between March 15 and April 10, 2020, at least thirty-two States ordered elective and non-urgent procedures postponed, and every other State and the District of Columbia confined your patients under stay-at-home or closure orders. From late April 2020 the prohibitions became conditions: PPE, testing, distancing, screening and appointment-only visits. Seven States re-tightened procedures in the winter of 2020-21. In 2021 the general orders ended on dates from March 10 (Texas) to July 1 and later, but every State kept its health care rules, and from June 21, 2021 a federal workplace standard written for health care alone governed every clinic that did not screen every visitor at the door. Between July and September 2021, fifteen States, the District of Columbia and Puerto Rico ordered your staff vaccinated or tested.

The orders reached every function of the business: waiting room, procedures, laboratory, telehealth, front desk, billing, supplies, hiring, workforce, patients and referral sources, outreach. A "partial suspension," as the court defined it in Tri-State, a 2026 federal decision, is a temporary delay, interruption or termination of a portion of the business because of those orders; no percentage is required. This page establishes that suspension for each of the six quarters from instruments you can open in the Library. The quarter the Service's letters most often dispute is the third quarter of 2021, and the record answers it: the orders in force on every day of that quarter are listed below with issuer, date, operative words and enforcement.

Partial suspension, element by element

Every analysis on this site asks the same five questions in the same order. Here they are asked of Physician Practices and Outpatient Care, from the industry's own record.

The order: issuer, instrument, date, exhibit.The Library holds 74 instruments from this industry's own regulators and sector authorities and 27 organizer notices. The earliest is CMS (Secretary of HHS), COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers (Mar. 30, 2020) (Ex. SEC-02-005). The fifty-State regime table below names the State orders that reached its premises, State by State, each with its exhibit; the federal layer and the standing duties sit behind them on every day of the six quarters.
The function of the business it reached.The orders named the functions of the business in terms. Three of this industry's 11 function codes: CLclinical intake and waiting roomPRprocedures and elective visitsDXdiagnostics and laboratory. The full key follows this panel, and Function by function reads the orders against each code.
The change it compelled: the operative words.The operative words of COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers (Ex. SEC-02-005): “the following blanket waivers are in effect, with a retroactive effective date of March 1, 2020 through the end of the emergency declaration” Each record page quotes the operative words in full, with the enforcement provision beside them.
The quarter: in force on which days.Every instrument carries the quarters it was in force. This industry's record runs across all six: 2020 Q272 2020 Q327 2020 Q421 2021 Q118 2021 Q217 2021 Q320 (the count is this industry's own instruments carrying the quarter). The six quarters sets out what was in force in each, and the third quarter of 2021 is listed instrument by instrument below.
The statute's answer.A partial suspension is a temporary delay, interruption or termination of a portion of the business's operations; the order need only be the but-for cause of it; and nothing in the Suspension Clause asks whether the business was essential, stayed open, could telework or served customers who were themselves under orders (Tri-State Memorial Hospital v. United States). The test and the method are stated once, for every industry, at Partial suspension, element by element.

The same five steps run through the report the site builds for your own State, metro and quarters.

Function codes

The analysis describes the business as eleven functions, each with a two-letter code that every page of this set uses without variation. An order “reached” a function when its operative words told the business what that part of it could do, when, where, for how many and on what conditions.

Code	Function of the business
CL	clinical intake and waiting room
PR	procedures and elective visits
DX	diagnostics and laboratory
TM	telehealth under waivers
FD	front desk and scheduling
OF	billing and administration
SC	PPE and supplies
HR	hiring, credentialing, training
WF	workforce availability
CB	patients, referral sources, employers, payers
MK	marketing, outreach, events

The fifty-State regime table

One row per State and the District. The State name opens the State's own page; every exhibit ID opens the instrument. Sort by State from the column head, or type to find a State.

State	Instrument	Start	End, or the steps	Operative words	Functions	Exhibits	Source	Grade
AlaskaAK	COVID-19 Health Mandate 005 (Gov. Dunleavy/DHSS)	2020-03-19 (issued); postpone or cancel non-urgent or elective procedures	as issued, to June 15, 2020.	Required patients, providers, hospitals, and surgical centers to postpone or cancel non-urgent or elective procedures... and also to preserve personal protective equipment (ACS summary)	PR; CL; DX; SC; CB	SEC-02-068; SEC-02-081	gov.alaska.gov	Confirmed from a secondary source
AlabamaAL	State Health Officer Order (statewide), Mar. 19, 2020, amended Mar. 27, 2020 (eff. Mar. 28) and Apr. 3, 2020	2020-03-19 (elective medical procedures delayed); 2020-03-28 (all dental, medical or surgical procedures postponed except emergencies)	to 5:00 p.m. Apr. 17, 2020 as amended.	All dental, medical, or surgical procedures shall be postponed until further notice, subject to the following exceptions:... necessary to treat an emergency medical condition... necessary to avoid serious harm from an underlying condition or disease, or necessary as part of a patient's ongoing and active treatment (ACS quotation)	PR; CL; DX; CB	SEC-02-081	alabamapublichealth.gov	Confirmed from a secondary source
ArkansasAR	Arkansas Department of Health Directive on Elective Surgeries	2020-04-03		The following mandatory actions... Procedures, testing, and office visits that can be safely postponed shall be rescheduled to an appropriate future date. Routine dental and eye care visits shall be postponed. (ACS quotation)	PR; CL; DX; FD; CB	SEC-02-081	healthy.arkansas.gov	Confirmed from a secondary source
ArizonaAZ	Executive Order 2020-10 (Gov. Ducey), Delaying Elective Surgeries to Conserve PPE	2020-03-21 08:00 (issued Mar. 19)	until further notice, reconsidered every two weeks.	all non-essential or elective surgeries, including elective dental surgeries, that utilize personal protective equipment or ventilators shall not be performed at any licensed healthcare facility or by any licensed healthcare provider in the State of Arizona	PR; SC; CL; CB	SEC-02-039	azgovernor.gov	Primary source read
CaliforniaCA	No statewide mandatory elective-procedure order; CDPH guidance (Mar. 2020) and county health officer orders (e.g., San Bernardino Apr. 6, 2020) carried the suspension; State Public Health Officer orders of June 11, July 26 and Aug. 5, 2021 and Cal/OSHA sec. 3205 carried 2021	2020-03-19 stay-home (EO N-33-20, State file); 2021-06-15 face-covering mandate; 2021-07-26 verification/testing order (compliance Aug. 23); 2021-08-05 vaccination order (deadline Sept. 30)	July 26 order rescinded Sept. 17, 2022; Aug. 5 order rescinded Apr. 3, 2023; sec. 3205 ETS through 2022	Aug. 5, 2021: covered facilities include 'ix. Clinics & Doctor Offices (including behavioral health, surgical)'; workers must have first dose by Sept. 30, 2021. July 26, 2021: 'All facilities identified in this Order must verify vaccine status of all workers' including '13. Clinics & Doctor Offices (including behavioral health, surgical)'. June 11, 2021: 'All individuals must follow the requirements in the Guidance for the Use of Face Coverings'	HR; WF; CL; FD; OF; CB	SEC-02-045; SEC-02-046; SEC-02-047; SEC-02-073	cdph.ca.gov	Primary source read
ColoradoCO	Executive Order D 2020 009 (Mar. 19, 2020), amended and extended by D 2020 027 (Apr. 6, 2020); D 2020 045 (Apr. 26, 2020) limited recommencement, extended by D 2020 080, 114, 145, 169, 198, 225	2020-03-23 00:01	suspension to Apr. 14, extended to Apr. 26, 2020; conditional recommencement from Apr. 27, 2020 under D 2020 045 and CDPHE PHO 20-29, extended monthly through at least Oct. 18, 2020 (D 2020 225)	As of 12:01 A.M. on March 23, 2020, all voluntary or elective surgeries or procedures, whether medical, dental, or veterinary, are suspended in the State of Colorado until April 14, 2020 at the earliest [D 2020 027: until April 26, 2020]. A voluntary or elective surgery or procedure means that the surgery can be delayed for a minimum of three months without undue risk	PR; CL; DX; SC; TM; CB	SEC-02-074; SEC-02-075; SEC-02-076; SEC-02-077	colorado.gov	Primary source read
ConnecticutCT	No statewide elective-procedure order identified; EO 7G (Mar. 19, 2020) telehealth by audio-only telephone for Medicaid and in-network commercial providers	2020-03-19 (EO 7G)	telehealth modifications continued through the emergency (State file)	these providers may engage in telehealth through the use of audio-only telephone	TM; CB; OF	SEC-02-059	portal.ct.gov	Primary source read (EO 7G).
District of ColumbiaDC	DC Health recommendation (Mar. 17, 2020) that all elective medical procedures, non-urgent hospital and outpatient visits and non-urgent dental procedures be postponed (not an order); Mayor's Order 2021-099 (Aug. 10, 2021) health-care-worker vaccination	2020-03-17 (recommendation); 2021-08-10		DC Health is recommending that ALL elective medical procedures, non-urgent hospital and outpatient visits, and non-urgent dental procedures be postponed (ACS quotation)	PR; CL; HR	SEC-02-081		Confirmed from a secondary source (2020 recommendation).
DelawareDE	Division of Public Health vaccination-or-testing orders effective Sept. 30, 2021 covering hospitals, ASCs, home health, hospice, office-based surgery and others		2021-09-30 vaccination-or-testing effective	see bundled 03_research_other_states_nj_de.json DE entries (16 Del. Admin. Code emergency regulations effective July 1, 2021; vaccination-or-testing orders effective Sept. 30, 2021 listing 'Office-Based Surgery')	PR; HR; WF		governor.delaware.gov	Confirmed from a secondary source (2021, bundled)
FloridaFL	Executive Order 20-72 (Gov. DeSantis), Non-essential Elective Medical Procedures	2020-03-20	superseded by EO 20-112 (Apr. 29, 2020), effective May 4, 2020: procedures prohibited by EO 20-72 may resume subject to conditions (sec. 4); no later statewide procedure order; FL preempted local orders (EO 21-102, May 3, 2021; SB 2006 July 1, 2021) (State file)	All hospitals, ambulatory surgical centers, office surgery centers, dental, orthodontic and endodontic offices, and other health care practitioners' offices in the State of Florida are prohibited from providing any medically unnecessary, non-urgent or non-emergency procedure or surgery which, if delayed, does not place a patient's immediate health, safety, or wellbeing at risk	PR; CL; DX; FD; CB	SEC-02-020; SEC-02-021	flgov.com	Primary source read
GeorgiaGA	No verified sector-specific instrument is indexed for this State in this table. The State's general orders are in the Library under the State's own page.
HawaiiHI	No verified sector-specific instrument is indexed for this State in this table. The State's general orders are in the Library under the State's own page.
IowaIA	Proclamation of Disaster Emergency (Gov. Reynolds), Mar. 26, 2020, secs. 1-3, 6	2020-03-27 17:00	to Apr. 16, 2020, extended to Apr. 30; Proclamation of Apr. 24, 2020 permitted resumption from Apr. 27, 2020 with conditions (official file retrieved; scanned text not read)	All nonessential or elective surgeries and procedures that utilize personal protective equipment (PPE) must not be conducted by any hospital, outpatient surgery provider, or outpatient procedure provider, whether public, private, or nonprofit.... Sec. 3: telehealth audio-only parity directed to the Insurance Commissioner. Sec. 6: mandatory staff screening at hospitals and facilities	PR; DX; TM; HR; CL; CB	SEC-02-042; SEC-02-043	governor.iowa.gov	Primary source read (Mar. 26); Confirmed from a secondary source (Apr. 24)
IdahoID	No verified sector-specific instrument is indexed for this State in this table. The State's general orders are in the Library under the State's own page.
IllinoisIL	IDPH guidance (Mar. 2020) recommending postponement (not an order; Restore Illinois permitted resumption May 11, 2020); EO 2020-09 (Mar. 19, 2020) telehealth; EO 2021-20 (Aug. 26, 2021) health-care masking and physician-office worker vaccination or testing	2020-03-19 (EO 2020-09); 2021-08-26/30 (EO 2021-20)	EO 2021-20 in force through Q3 2021 and beyond	EO 2021-20 sec. 1: all individuals 'shall continue to be required to wear a face covering... (3) in healthcare settings'; sec. 2: 'Health Care Facility' includes 'physician offices, dental offices,... urgent care facilities'; Health Care Workers must have the first dose within 10 days and be fully vaccinated within 30 days thereafter, or be tested weekly	TM; CL; HR; WF; CB	SEC-02-050; SEC-02-051	illinois.gov	Primary source read
IndianaIN	Executive Order 20-04 para. 7 (Mar. 16, 2020) directive; Executive Order 20-13 (Mar. 30, 2020) cancel or postpone elective and non-urgent surgical or invasive procedures	2020-04-01	90 days as issued.	beginning April 1, 2020, all health care providers whether medical, dental or other, and health care facilities, whether hospitals, ambulatory surgical centers, dental facilities, plastic surgery centers, dermatology offices and abortion clinics, are directed to cancel or postpone elective and non-urgent surgical or invasive procedures (ACS quotation)	PR; CL; SC; CB	SEC-02-081		Confirmed from a secondary source
KansasKS	No verified sector-specific instrument is indexed for this State in this table. The State's general orders are in the Library under the State's own page.
KentuckyKY	Cabinet for Health and Family Services / Department for Public Health directive (Mar. 23, 2020) under KRS ch. 39A, 194A.025, 214.020 and EO 2020-215	2020-03-18 close of business (directive effective midnight Mar. 18)		ALL non-emergent, non-urgent in-person medical, surgical, dental, and any other healthcare practice or procedure must have immediately ceased effective close of business on March 18, 2020.... Non-Urgent - Any healthcare service that... is unlikely to result in any serious and/or irreparable harm to a patient if not provided for more than 30 days. (For example, chiropractic medicine.)... use of telephonic or video communication to provide telemedicine services is strongly urged	CL; PR; DX; TM; FD; CB	SEC-02-033	governor.ky.gov	Primary source read
LouisianaLA	Louisiana Department of Health Notice #2020-COVID19-ALL-007 (Mar. 21, 2020, as updated Apr. 8 and Apr. 20, 2020) to all healthcare facilities and providers	2020-03-21 (ACS lists Mar. 27, 2020)		The Department hereby directs that any and all medical and surgical procedures SHALL ONLY be performed under the following conditions until further notice... emergency medical condition... to avoid further harms from underlying condition or disease... [time-sensitive procedures only with testing, distancing, a 5-day PPE supply not dependent on the state, adequate staff] (ACS quotation of Update #2, Apr. 20, 2020)	PR; CL; SC; DX; CB	SEC-02-081	ldh.la.gov	Confirmed from a secondary source
MassachusettsMA	No verified sector-specific instrument is indexed for this State in this table. The State's general orders are in the Library under the State's own page.
MarylandMD	Governor's Order 20-03-23-01 (Mar. 23, 2020) Various Health Care Matters, and the Secretary of Health's directive of Mar. 23, 2020 ceasing elective and non-urgent procedures; Orders 20-03-20-01 and 20-04-01-01 (telehealth, audio-only)	2020-03-23		Order 20-04-01-01: health care practitioners 'must be permitted to deliver' services through telehealth 'including audio-only'; the Secretary of Health may authorize practitioners to provide services through telehealth and audio-only calls (text read)	PR; TM; CL; CB	SEC-02-060; SEC-02-061	governor.maryland.gov	Primary source read (telehealth order); Confirmed from a secondary source (health care matters order, scanned text not read)
MaineME	No verified sector-specific instrument is indexed for this State in this table. The State's general orders are in the Library under the State's own page.
MichiganMI	Executive Order 2020-17 (Gov. Whitmer), Temporary restrictions on non-essential medical and dental procedures	2020-03-21 17:00 (issued Mar. 20)	while the state of emergency under EO 2020-4 was in effect; restrictions lifted by EO 2020-96 (May 21, 2020) effective May 29, 2020 [EO 2020-96 retrieved, scanned text not read]; MIOSHA emergency rules (Oct. 14, 2020-June 22, 2021) reached all workplaces (State file)	all hospitals, freestanding surgical outpatient facilities, and dental facilities, and all state-operated outpatient facilities... must implement a plan to temporarily postpone... all non-essential procedures... A plan for a covered facility that performs medical procedures, including any medical center or office that performs elective surgery or cosmetic plastic surgery, must postpone, at a minimum, joint replacement, bariatric surgery, and cosmetic surgery... a willful violation of this order is a misdemeanor (MCL 10.33, 30.405(3))	PR; CL; SC; CB	SEC-02-058; SEC-02-070	legislature.mi.gov	Primary source read
MinnesotaMN	Emergency Executive Order 20-09 (Gov. Walz), Directing Delay of Inpatient and Outpatient Elective Surgery and Procedural Cases	2020-03-23 17:00 (issued Mar. 19)	rescinded by EO 20-51 (May 5, 2020) as of May 10, 2020 at 11:59 p.m.; from May 11 facilities offering PPE-utilizing procedures must complete plan requirements (criteria, prioritization, safe environment) per MDH guidance	Beginning no later than March 23, 2020 at 5:00 pm, and continuing for the duration of the peacetime emergency... all non-essential or elective surgeries and procedures, including non-emergent or elective dental care, that utilize PPE or ventilators must be postponed indefinitely... a person who willfully violates paragraph 1... is guilty of a misdemeanor	PR; DX; SC; CL; TM; CB	SEC-02-022; SEC-02-023	lrl.mn.gov	Primary source read
MissouriMO	No verified sector-specific instrument is indexed for this State in this table. The State's general orders are in the Library under the State's own page.
MississippiMS	Executive Order 1470 (Gov. Reeves), Apr. 10, 2020 (postponement); EO 1463 (Mar. 24, 2020) essential operations and hospital visitation; EO 1477 (Apr. 24, 2020) Safer at Home, sec. I(i) conditional resumption	2020-04-10 17:00	to 8:00 a.m. Apr. 27, 2020; EO 1477 from Apr. 27: non-emergent elective procedures may resume 'as clinically appropriate, in accordance with the guidance provided by the Mississippi State Department of Health', including telehealth where possible, CMS Tier 2/3 only, 25 percent hospital capacity reserved, minimal disposable PPE and no public PPE requests, screening of all patients, waiting-room capacity limits and 6-foot seating, one visitor	from 5:00 p.m. on April 10, 2020, and continuing until 11:59 p.m. on April 27, 2020, all licensed health care professionals and all licensed health care facilities shall postpone all surgeries and procedures that are not immediately medically necessary to correct a serious medical condition of, or to preserve the life of, a patient... Violations... are subject to... Miss. Code Ann. secs. 33-15-43 and 41-3-59	PR; CL; FD; SC; TM; CB	SEC-02-078; SEC-02-024; SEC-02-025	sos.ms.gov	Primary source read
MontanaMT	No verified sector-specific instrument is indexed for this State in this table. The State's general orders are in the Library under the State's own page.
North CarolinaNC	NCDHHS Secretary's letter (Mar. 20, 2020) requesting suspension of elective and non-urgent procedures and surgeries effective Mar. 23, 2020 (request, not order)	2020-03-23 (requested)		I request all hospitals and ambulatory surgery centers suspend all elective and non-urgent procedures and surgeries (ACS quotation)	PR; CB	SEC-02-081		Confirmed from a secondary source
North DakotaND	No statewide elective-procedure order identified; EO 2020-05 (Mar. 19, 2020) and 2020-05.1 (Mar. 20) suspended facility licensing requirements and expanded telehealth (official archive titles)	2020-03-19			TM; CL; CB		governor.nd.gov	Confirmed from a secondary source (existence).
NebraskaNE	DHHS Directed Health Measure 2020-009 (statewide, Apr. 3, 2020): elective medical and dental surgeries and procedures prohibited; Nov. 16, 2020 hospital DHM pausing elective surgeries	2020-04-03	May 4, 2020: elective surgeries may resume where hospitals meet bed-capacity and PPE requirements (ACS); Nov. 16, 2020 pause; all DHMs terminated May 24, 2021	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 (ACS quotation)	PR; CL; SC; CB	SEC-02-081	dhhs.ne.gov	Confirmed from a secondary source
New HampshireNH	No verified sector-specific instrument is indexed for this State in this table. The State's general orders are in the Library under the State's own page.
New JerseyNJ	Executive Order 109 (Gov. Murphy), Mar. 23, 2020; EO 145 (May 15, 2020); EO 252 (Aug. 6, 2021)	2020-03-27 17:00	EO 145: suspension rescinded beginning 5:00 a.m. May 26, 2020, subject to DOH standards (hospitals, ASCs) and Division of Consumer Affairs standards (licensed professionals in outpatient settings); EO 252: vaccination-or-testing policy in covered settings from Sept. 7, 2021	EO 109 para. 1: all 'elective' surgeries performed on adults, whether medical or dental, and all 'elective' invasive procedures performed on adults, whether medical or dental, are suspended in the State... whether undertaken in a hospital, ambulatory surgery center or provider office; para. 7: any business or non-hospital health care facility in possession of PPE... shall undertake an inventory... by Friday, March 27, 2020; para. 12: penalties under N.J.S.A. App. A:9-49 and -50. EO 252 para. 5: covered settings include 'ambulatory surgical centers' and 'clinic-based settings like ambulatory care, urgent care clinics'	PR; CL; SC; HR; WF; CB	SEC-02-017; SEC-02-018; SEC-02-019	nj.gov	Primary source read
New MexicoNM	Department of Health Public Health Emergency Order (Mar. 24 and Mar. 27, 2020) prohibiting non-essential health care services, procedures and surgeries at hospitals, other health care facilities, ambulatory surgical facilities and dental offices; Aug. 17, 2021 PHO health-care-worker vaccination (hospitals, LTC, congregate; not offices)	2020-03-27 (ACS)	for the duration of EO 2020-004.	All hospitals and other health care facilities, ambulatory surgical facilities, dental, orthodontic and endodontic offices in the State of New Mexico are prohibited from providing nonessential health care services, procedures, and surgeries... include those which can be delayed for three (3) months without undue risk to the patient's health (ACS quotation)	PR; CL; DX; CB	SEC-02-081	cv.nmhealth.org	Confirmed from a secondary source
NevadaNV	No verified sector-specific instrument is indexed for this State in this table. The State's general orders are in the Library under the State's own page.
New YorkNY	Executive Order 202.10 (Gov. Cuomo), Mar. 23, 2020; EO 202.25 (Apr. 29, 2020) county-based resumption for general hospitals; 10 NYCRR 2.61 (emergency regulation, Aug. 26, 2021); DFS Insurance Circular Letter No. 6 (2020) (Mar. 15, 2020) telehealth cost-sharing	2020-03-23 (cancellation directive to hospitals, ASCs, office-based surgery practices and D&TCs; DOH directive to cancel elective surgeries effective Mar. 25)	EO 202.25 (through May 29, 2020) modified the directive 'only to the extent necessary to authorize general hospitals' in counties with inpatient and ICU capacity above 30 percent and fewer than ten additional COVID-19 hospitalizations Apr. 17-27; ASCs, office-based surgery and D&TCs remained under the cancellation until later EOs (State file); 2.61: first dose by Sept. 27, 2021 (hospitals, nursing homes) and Oct. 7, 2021 (other covered entities: Article 28, 36, 40)	EO 202.10: The Commissioner of Health is authorized to direct, and shall so direct, all general hospitals, ambulatory surgery centers, office-based surgery practices and diagnostic and treatment centers to increase the number of beds available to patients, including by canceling all elective surgeries and procedures, as the Commissioner of Health shall define. 2.61(c): Covered entities shall continuously require personnel to be fully vaccinated against COVID-19	PR; CL; DX; TM; HR; WF; CB	SEC-02-048; SEC-02-049; SEC-02-038	governor.ny.gov	Primary source read
OhioOH	Director of Health Order (Mar. 17, 2020; effective Mar. 18) that non-essential or elective surgeries and procedures utilizing PPE not be conducted; EO 2020-05D (Mar. 19, 2020) Medicaid telehealth emergency rules	2020-03-18	'End of State of Emergency' as issued (ACS).	Non-essential or elective surgeries and procedures that utilize PPE should not be conducted. A non-essential surgery is a procedure that can be delayed without undue risk to the current or future health of a patient (ACS quotation)	PR; SC; CL; TM; CB	SEC-02-081; SEC-02-055	coronavirus.ohio.gov	Confirmed from a secondary source
OklahomaOK	Fourth Amended Executive Order 2020-07 (Gov. Stitt), Mar. 24, 2020, paras. 8, 11, 17, 18, 20; Amended Executive Memorandum 2020-01 (Mar. 25, 2020)	2020-03-24	postponement 'until April 7, 2020' as issued; order effective 30 days from filing	18. Oklahomans and medical providers in Oklahoma shall postpone all elective surgeries, minor medical procedures, and non-emergency dental procedures until April 7, 2020. 11. The preexisting patient relationship requirement for telemedicine, as required by 59 O.S. sec. 478.1, is hereby waived. 8. Hospitals and Physician Clinics... shall cooperate with and respond to all requests for critical data from the Oklahoma State Department of Health... daily submission	PR; TM; OF; CL; CB; WF	SEC-02-062; SEC-02-063	sos.ok.gov	Primary source read
OregonOR	Executive Order 20-10 (Gov. Brown), Mar. 19, 2020; EO 20-22 (Apr. 27, 2020); OAR 333-019-1011 (Aug. 20, 2021) health-care masking; OAR 333-019-1010 (Aug. 25, 2021) provider vaccination	2020-03-23 (procedures cancelled or rescheduled no earlier than June 15, 2020)	EO 20-22 rescinded EO 20-10 as of May 1, 2020; elective and non-urgent procedures across all care settings 'shall not occur unless' compliant with OHA guidance or rules (para. 1(a)-(b)); enforcement ORS 431A.010, 401.990; OAR 333-019-1011 temporary Aug. 20, 2021 to Feb. 15, 2022 (permanent Jan. 31, 2022); OAR 333-019-1010 vaccination by Oct. 18, 2021	EO 20-10: all elective and non-urgent procedures across all care settings that utilize PPE, including but not limited to, hospitals, ambulatory surgery centers, outpatient clinics (including community health clinics and student health centers), dental clinics, and veterinary clinics, shall be cancelled, or rescheduled no earlier than June 15, 2020 (ACS quotation; recited in EO 20-22). OAR 333-019-1011: health care personnel must wear a face mask while in a health care setting, defined to include 'health care provider offices, dental offices, behavioral health care offices, urgent care centers'	PR; CL; DX; SC; HR; WF; CB	SEC-02-031; SEC-02-032	oregon.gov	Primary source read (EO 20-22; OAR 1011 read online); Confirmed from a secondary source (EO 20-10 scanned text not read).
PennsylvaniaPA	Governor's and Secretary of Health's orders of Mar. 19, 2020 (life-sustaining list: 'Offices of Physicians Yes Elective procedures prohibited'; 'Home Health Care Services Yes Elective procedures prohibited') and DOH guidance of Mar. 20, 2020 for ambulatory surgical facilities; Secretary of Health Order Requiring Reduction of Elective Procedures in Regions with Low Acute Care Treatment Capacity (Nov. 23, 2020; effective Nov. 30, 2020); Act 21 of 2021 continuing telemedicine and licensure waivers to Sept. 30, 2021	2020-03-19 (list notation); 2020-11-30 (regional reduction order)	resumption guidance Apr. 27, 2020 (State file); Nov. 23 order: on a Reduction Notice, acute care hospitals in a Region meeting two of the metrics reduce scheduled elective procedures by 50 percent for seven days, extendable; Act 21 waivers to Sept. 30, 2021	Nov. 23, 2020 order sec. 2.A: an Acute Care Hospital located in a Region that has been determined by the Department to meet two (2) or more of the metrics under Subsection B shall reduce by fifty percent (50%) elective procedures that are scheduled to be performed at the Acute Care Hospital in the seven (7) days following the effective date of the Reduction Notice	PR; CL; TM; HR; CB	SEC-02-037; SEC-02-081	governor.pa.gov	Primary source read; Confirmed from a secondary source (ASF guidance)
Rhode IslandRI	No statewide elective-procedure order identified for 2020; 216-RICR-20-15-8 emergency amendment (Aug. 17, 2021) requiring vaccination of all workers in licensed health care facilities and all licensed health care providers by Oct. 1, 2021	2021-08-17	compliance Oct. 1, 2021; effective through Feb. 10, 2022 (amended)	By October 1, 2021, all health care workers and health care providers must be vaccinated, subject to a medical exemption; 'health care provider' means any person licensed by the Department to provide or otherwise lawfully providing health care services	HR; WF; CL	SEC-02-071	rules.sos.ri.gov	Primary source read (2021 regulation).
South CarolinaSC	No verified sector-specific instrument is indexed for this State in this table. The State's general orders are in the Library under the State's own page.
South DakotaSD	Executive Order 2020-12 (Gov. Noem), Apr. 6, 2020: postpone all non-essential elective surgeries to conserve PPE	2020-04-06	to May 31, 2020 (ACS)	Postpone all non-essential elective surgeries to conserve (and thereby maximize) supplies of personal protective equipment (PPE) (ACS summary)	PR; SC; CB	SEC-02-052; SEC-02-081	sdsos.gov	Confirmed from a secondary source (official scanned file retrieved; text not read)
TennesseeTN	Executive Order 18 (Gov. Lee), Mar. 23, 2020; EO 25 (Apr. 8, 2020); EO 31 (Apr. 28, 2020, dental only)	2020-03-24 00:01	EO 18 to Apr. 13, 2020; EO 25 (eff. Apr. 9) to 12:01 a.m. Apr. 30, 2020 (all healthcare professionals and facilities shall postpone elective and non-urgent surgical and invasive procedures; PPE conservation); EO 31 (eff. Apr. 30) continued the dental prohibition only	EO 25 para. 2: All healthcare professionals and healthcare facilities in the State of Tennessee shall postpone surgical and invasive procedures that are elective and non-urgent. EO 18 para. 2: All hospitals and surgical outpatient facilities... shall not perform non-essential procedures... at a minimum, joint replacement, bariatric surgery, and cosmetic surgery; para. 3: Non-hospital healthcare providers impacted by this Order are requested and urged [to postpone and to provide PPE]	PR; CL; SC; CB	SEC-02-026; SEC-02-027; SEC-02-044	publications.tnsosfiles.com	Primary source read
TexasTX	Executive Order GA-09 (Gov. Abbott), Mar. 22, 2020; GA-15 (Apr. 17); GA-19 (Apr. 27); GA-27 (June 25); GA-31 (Sept. 17); GA-32 (Oct. 7, 2020); rescinded by GA-34 effective Mar. 10, 2021 (State file)	2020-03-22	GA-09 to 11:59 p.m. Apr. 21; GA-15 to 11:59 p.m. May 8 with exceptions (procedures not depleting capacity or PPE; facilities certifying 25 percent capacity reservation and no public PPE requests); GA-19 from 12:01 a.m. May 1: professionals limited by licensing agencies' emergency rules, hospitals reserve 15 percent; GA-27 from 11:59 p.m. June 26: hospitals in Bexar, Dallas, Harris and Travis Counties postpone (counties added by proclamation, State file); GA-31 (Sept. 17): hospitals in Trauma Service Areas with COVID-19 hospitalizations above 15 percent for seven days postpone; 10 percent reservation; superseded by GA-34 (Mar. 10, 2021)	GA-09: all licensed health care professionals and all licensed health care facilities shall 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 immediate performance of the surgery or procedure would be at risk for serious adverse medical consequences or death, as determined by the patient's physician... failure to comply... is an offense punishable by a fine not to exceed $1,000, confinement in jail for a term not to exceed 180 days, or both	PR; CL; DX; SC; FD; HR; CB	SEC-02-011; SEC-02-012; SEC-02-013; SEC-02-014; SEC-02-015; SEC-02-016	lrl.texas.gov	Primary source read
UtahUT	Utah Department of Health State Public Health Order (Mar. 23, 2020): postpone all elective surgeries and procedures in accordance with the CMS Adult Elective Surgery and Procedures Recommendations	2020-03-23	to Apr. 25, 2020 (ACS)	All licensed health care professionals and all licensed health care facilities shall postpone all elective surgeries and procedures in accordance with version 3.15.20 of the CMS Adult Elective Surgery and Procedures Recommendations (ACS quotation)	PR; CL; CB	SEC-02-081		Confirmed from a secondary source
VirginiaVA	Order of Public Health Emergency Two (Gov. Northam and State Health Commissioner), Mar. 25, 2020	2020-03-25	to Apr. 24, 2020 as issued; amended Apr. 23 to Apr. 30, 2020, then expired	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 (ACS quotation)	PR; CL; SC; CB	SEC-02-081		Confirmed from a secondary source
VermontVT	Addendum 3 to Executive Order 01-20 (Gov. Scott), Mar. 20, 2020; Addendum 9 (Apr. 10, 2020) health care facilities and providers	2020-03-20 (upon signing)	Addendum 9 to May 15, 2020; resumption by later addenda May 2020 (State file)	hereby order all clinicians in Vermont to expedite postponement of all non-essential adult elective surgery and medical and surgical procedures, including all dental procedures in the safest but most expedient way possible	PR; CL; CB	SEC-02-034	governor.vermont.gov	Primary source read
WashingtonWA	Proclamation 20-24 (Gov. Inslee), Mar. 19, 2020, Restrictions on Non-Urgent Medical Procedures; 20-24.1 (May 18, 2020) resumption under conditions; Proclamation 21-14 (Aug. 9, 2021) health-care-provider vaccination	2020-03-19	20-24 to May 18, 2020; 20-24.1 conditions thereafter (State file); 21-14: no Health Care Provider may work after Oct. 18, 2021 unvaccinated; operators of Health Care Settings may not permit it; providers who do not work in a Health Care Setting must provide proof to their licensing authority	20-24: prohibits hospitals, ambulatory surgical facilities, dental, orthodontic and endodontic offices from providing health care services, procedures and surgeries that if delayed are not anticipated to cause harm within the next three months (ACS summary and examples). 21-14: 'This order prohibits... c. Any Health Care Provider from failing to be fully vaccinated against COVID-19 after October 18, 2021'	PR; CL; HR; WF; CB	SEC-02-030; SEC-02-081	governor.wa.gov	Primary source read (21-14).
WisconsinWI	No verified sector-specific instrument is indexed for this State in this table. The State's general orders are in the Library under the State's own page.
West VirginiaWV	Executive Order 16-20 (Gov. Justice), Mar. 31, 2020 (effective Apr. 1): all elective medical procedures prohibited in hospitals, offices and clinics.	2020-04-01		All elective medical procedures are hereby prohibited... this prohibition applies equally to all types of elective medical procedures performed in hospitals, offices, and clinics throughout the state (ACS quotation)	PR; CL; CB	SEC-02-081		Confirmed from a secondary source
WyomingWY	No verified sector-specific instrument is indexed for this State in this table. The State's general orders are in the Library under the State's own page.

Sector instruments in the Library

The 74 instruments filed under this industry's own sector: regulators' rules and orders, federal directives aimed at it, and the context documents that describe them, in date order. Open the list in the Library to filter by type and quarter, or download the exhibits.

Exhibit	Instrument	Issuer	Date	Types	Quarters
Ex. SEC-02-005	COVID-19 Emergency Declaration Blanket Waivers for Health Care ProvidersBlanket 1135 waivers (physicians and other clinicians: telehealth, licensure, supervision, signature, enrollment)	CMS (Secretary of HHS)	Mar. 1, 2020	Health care ordersOther	2020 Q22020 Q32020 Q42021 Q12021 Q22021 Q3
Ex. SEC-02-080	Insurance Circular Letter No. 6 (2020)Telehealth and COVID-19 (cost-sharing waiver; emergency regulation to follow)	Department of Financial Services	Mar. 15, 2020	Other	2020 Q22020 Q32020 Q42021 Q12021 Q2
Ex. SEC-02-009	Opioid Treatment Program guidance: blanket exception for take-home methadone doses (Mar. 16, 2020)Methadone take-home flexibility for OTPs	Substance Abuse and Mental Health Services Administration	Mar. 16, 2020	Other	2020 Q22020 Q32020 Q42021 Q12021 Q22021 Q3
Ex. SEC-02-008	Notification of Enforcement Discretion for Telehealth Remote Communications During the COVID-19 Nationwide Public Health Emergency, 85 Fed. Reg. 22024OCR telehealth enforcement discretion	HHS Office for Civil Rights	Mar. 17, 2020	Other	2020 Q22020 Q32020 Q42021 Q12021 Q22021 Q3
Ex. SEC-02-033	CHFS/DPH Directive of March 23, 2020 (elective procedures)Directive that all non-emergent, non-urgent in-person medical, surgical, dental and other healthcare practice or procedures cease	Cabinet for Health and Family Services (Acting Secretary Eric Friedlander, Governor's designee) and Department for Public Health (Commissioner Steven J. Stack, M.D.)	Mar. 18, 2020	Health care orders	2020 Q2
Ex. SEC-02-036	Director's Order for the Management of Non-Essential Surgeries and Procedures throughout OhioNon-essential surgery order	Director of Health Amy Acton, M.D., Ohio Department of Health	Mar. 18, 2020	Health care ordersSupply chain	2020 Q2
Ex. SEC-02-028	Proclamation 20-24 (amending Proclamation 20-05)Restrictions on Non-Urgent Medical Procedures	Governor Jay Inslee	Mar. 19, 2020	Health care ordersSupply chain	2020 Q2
Ex. SEC-02-050	Executive Order 2020-09 (COVID-19 Executive Order No. 7)Executive Order to Expand Telehealth Services and Protect Health Care Providers in Response to COVID-19	Governor JB Pritzker	Mar. 19, 2020	Other	2020 Q22020 Q32020 Q42021 Q12021 Q22021 Q3
Ex. SEC-02-055	Executive Order 2020-05DEmergency Medicaid telehealth rules (Ohio Department of Medicaid)	Governor Mike DeWine	Mar. 19, 2020	Other	2020 Q22020 Q32020 Q42021 Q12021 Q22021 Q3
Ex. SEC-02-059	Executive Order No. 7GProtection of public health and safety during COVID-19 pandemic (telehealth by audio-only; court operations; alcohol take-out; closures)	Governor Ned Lamont	Mar. 19, 2020	Business closureOther	2020 Q22020 Q32020 Q42021 Q12021 Q2
Ex. SEC-02-068	COVID-19 Health Mandate 005Elective medical procedures	Governor Mike Dunleavy; Commissioner of Health and Social Services; Chief Medical Officer	Mar. 19, 2020	Health care ordersSupply chain	2020 Q2
Ex. SEC-02-069	Order of the State Health Officer Suspending Certain Public Gatherings Due to Risk of Infection by COVID-19 (statewide), Mar. 19, 2020, as amended Mar. 27 (effective Mar. 28) and Apr. 3, 2020Statewide health order (elective dental, medical and surgical procedures postponed)	State Health Officer Scott Harris, M.D.	Mar. 19, 2020	Business closureGathering capHealth care orders	2020 Q2
Ex. SEC-02-020	Executive Order 20-72Emergency Management - COVID-19 - Non-essential Elective Medical Procedures	Governor Ron DeSantis	Mar. 20, 2020	Health care orders	2020 Q2
Ex. SEC-02-034	Addendum 3 to Executive Order 01-20Suspension of all Non-Essential Adult Elective Surgery and Medical and Surgical Procedures	Governor Phil Scott	Mar. 20, 2020	Health care ordersSupply chain	2020 Q2
Ex. SEC-02-039	Executive Order 2020-10Delaying Elective Surgeries to Conserve Personal Protective Equipment Necessary to Test and Treat Patients with COVID-19	Governor Douglas A. Ducey	Mar. 21, 2020	Health care ordersSupply chain	2020 Q2
Ex. SEC-02-058	Executive Order No. 2020-17Temporary restrictions on non-essential medical and dental procedures	Governor Gretchen Whitmer	Mar. 21, 2020	Health care orders	2020 Q2
Ex. SEC-02-011	Executive Order GA-09Relating to hospital capacity during the COVID-19 disaster	Governor Greg Abbott	Mar. 22, 2020	Health care ordersSupply chain	2020 Q2
Ex. SEC-02-022	Emergency Executive Order 20-09Directing Delay of Inpatient and Outpatient Elective Surgery and Procedural Cases during COVID-19 Peacetime Emergency	Governor Tim Walz (approved by the Executive Council)	Mar. 23, 2020	Health care ordersSupply chain	2020 Q2
Ex. SEC-02-031	Executive Order No. 20-10Prohibition on elective and non-urgent procedures; conservation of PPE; visitation restrictions	Governor Kate Brown	Mar. 23, 2020	Health care ordersSupply chain	2020 Q2
Ex. SEC-02-048	Executive Order No. 202.10Continuing Temporary Suspension and Modification of Laws Relating to the Disaster Emergency (elective surgeries; gatherings)	Governor Andrew M. Cuomo	Mar. 23, 2020	Gathering capHealth care orders	2020 Q2
Ex. SEC-02-060	Order of the Governor No. 20-03-23-01, Various Health Care MattersVarious Health Care Matters (authorizing the Secretary of Health to direct cessation of elective and non-urgent procedures; health care…	Governor Lawrence J. Hogan, Jr.	Mar. 23, 2020	Health care orders	2020 Q2
Ex. SEC-02-074	Executive Order D 2020 009Ordering the Temporary Cessation of All Elective and Non-Essential Surgeries and Procedures and Preserving Personal Protective Equipment and…	Governor Jared Polis	Mar. 23, 2020	Health care ordersSupply chain	2020 Q2
Ex. SEC-02-024	Executive Order No. 1463 (Mar. 24, 2020) and Supplement (Mar. 26, 2020)Essential Business or Operation; gathering limits; hospital and long-term care visitation	Governor Tate Reeves	Mar. 24, 2020	Business closureTelework mandateGathering capHealth care orders	2020 Q2
Ex. SEC-02-026	Executive Order No. 18An Order to Reduce the Spread of COVID-19 by Limiting Non-Emergency Healthcare Procedures	Governor Bill Lee	Mar. 24, 2020	Health care ordersSupply chain	2020 Q2
Ex. SEC-02-062	Fourth Amended Executive Order 2020-07 (filed Mar. 24, 2020)Emergency declaration and directives: elective procedures postponed; telemedicine waiver; physician clinic data; vulnerable persons…	Governor J. Kevin Stitt	Mar. 24, 2020	Stay-at-homeBusiness closureGathering capHealth care ordersOther	2020 Q2
Ex. SEC-02-054	Order of Public Health Emergency TwoProhibition of non-essential surgeries and procedures requiring PPE	Governor Ralph S. Northam and State Health Commissioner M. Norman Oliver, M.D.	Mar. 25, 2020	Health care ordersSupply chain	2020 Q2
Ex. SEC-02-063	Amended Executive Memorandum 2020-01 (filed Mar. 25, 2020)Additional critical infrastructure sectors (Healthcare/Public Health: physicians, dentists, psychologists, mid-level practitioners, PT/OT…	Governor J. Kevin Stitt	Mar. 25, 2020	Business closure	2020 Q2
Ex. SEC-02-017	Executive Order No. 109Suspension of elective surgeries and invasive procedures; PPE inventory	Governor Philip D. Murphy	Mar. 27, 2020	Health care ordersSupply chain	2020 Q2
Ex. SEC-02-042	Proclamation of Disaster Emergency (Mar. 26, 2020)Nonessential medical and dental services; telehealth; mandatory screening of health facility staff; business closures	Governor Kim Reynolds	Mar. 27, 2020	Business closureGathering capHealth care ordersWorkplace rulesSupply chain	2020 Q2
Ex. SEC-02-006	CMS-1744-IFC, Medicare and Medicaid Programs; Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency, 85 Fed. Reg. 19230Telehealth expansion (home as originating site; added services; audio-only codes; virtual direct supervision)	CMS	Mar. 31, 2020	Health care ordersOther	2020 Q22020 Q32020 Q42021 Q12021 Q22021 Q3
Ex. SEC-02-061	Order of the Governor No. 20-04-01-01, Amending and Restating Order No. 20-03-20-01, To Further Authorize Additional Telehealth ServicesTelehealth and audio-only authorization	Governor Lawrence J. Hogan, Jr.	Apr. 1, 2020	Other	2020 Q22020 Q32020 Q42021 Q12021 Q2
Ex. SEC-02-066	Executive Order 20-13Cancellation or postponement of elective and non-urgent surgical or invasive procedures	Governor Eric J. Holcomb	Apr. 1, 2020	Health care ordersSupply chain	2020 Q2
Ex. SEC-02-067	Executive Order 16-20Prohibition of elective medical procedures	Governor Jim Justice	Apr. 1, 2020	Health care orders	2020 Q2
Ex. SEC-02-077	Executive Order D 2020 020Ordering the Temporary Suspension of Certain Statutes to Expand the Use of Telehealth Services Due to the Presence of COVID-19	Governor Jared Polis	Apr. 1, 2020	Other	2020 Q22020 Q32020 Q4
Ex. SEC-02-053	ADH Directive on Elective SurgeriesDirective postponing elective procedures, testing and office visits	Arkansas Department of Health (Secretary of Health Nathaniel Smith, M.D.)	Apr. 3, 2020	Health care ordersSupply chain	2020 Q2
Ex. SEC-02-052	Executive Order 2020-12Postponement of non-essential elective surgeries to conserve PPE	Governor Kristi Noem	Apr. 6, 2020	Health care ordersSupply chain	2020 Q2
Ex. SEC-02-075	Executive Order D 2020 027Amending Executive Order D 2020 009 to Extend the Temporary Cessation of All Elective and Non-Essential Surgeries and Procedures and…	Governor Jared Polis	Apr. 6, 2020	Health care ordersSupply chain	2020 Q2
Ex. SEC-02-003	Non-Emergent, Elective Medical Services, and Treatment Recommendations (Mar. 18, 2020; updated Apr. 7, 2020)CMS Adult Elective Surgery and Procedures Recommendations (Tier 1-3 framework)	Centers for Medicare & Medicaid Services	Apr. 7, 2020	Other	2020 Q2
Ex. SEC-02-010	Prioritization and Allocation of Certain Scarce or Threatened Health and Medical Resources for Domestic Use, temporary final rule, 85 Fed. Reg. 20195FEMA PPE export allocation rule (N95 and other filtering facepiece respirators, surgical masks, gloves, gowns)	FEMA, Department of Homeland Security	Apr. 7, 2020	Supply chain	2020 Q22020 Q32020 Q42021 Q12021 Q2
Ex. SEC-02-027	Executive Order No. 25An Order to Reduce the Spread of COVID-19 by Limiting Non-Emergency Healthcare Procedures (superseding EO 18)	Governor Bill Lee	Apr. 9, 2020	Health care ordersSupply chain	2020 Q2
Ex. SEC-02-078	Executive Order No. 1470Postponement of surgeries and procedures not immediately medically necessary	Governor Tate Reeves	Apr. 10, 2020	Health care ordersSupply chain	2020 Q2
Ex. SEC-02-004	Opening Up America Again: CMS Recommendations Re-opening Facilities to Provide Non-emergent Non-COVID-19 Healthcare: Phase IPhase I reopening recommendations	CMS	Apr. 19, 2020	Other	2020 Q2
Ex. SEC-02-057	Executive Order 04.20.20.01Providing flexibility for healthcare practices, moving certain businesses to minimum operations, and providing for emergency response	Governor Brian P. Kemp	Apr. 20, 2020	Health care ordersWorkplace rules	2020 Q2
Ex. SEC-02-012	Executive Order GA-15Relating to hospital capacity during the COVID-19 disaster	Governor Greg Abbott	Apr. 21, 2020	Capacity limitHealth care ordersSupply chain	2020 Q2
Ex. SEC-02-081	COVID-19: Executive Orders by State on Dental, Medical, and Surgical Procedures (updated Apr. 21, 2020)Fifty-State compilation of State executive orders and directives on elective procedures, with order text, issue and expiration dates	American College of Surgeons (secondary compilation)	Apr. 21, 2020	Other
Ex. SEC-02-025	Executive Order No. 1477 (Safer at Home)Safer at Home Order; Healthcare Activities (sec. I(i))	Governor Tate Reeves	Apr. 27, 2020	Stay-at-homeCapacity limitGathering capHealth care ordersWorkplace rules	2020 Q2
Ex. SEC-02-032	Executive Order No. 20-22Allowing Measured Resumption of Non-Urgent Health Care Procedures Using PPE, and Continuing Restrictions on Visitation	Governor Kate Brown	Apr. 27, 2020	Health care ordersWorkplace rules	2020 Q22020 Q32020 Q42021 Q12021 Q2
Ex. SEC-02-043	Proclamation of Disaster Emergency (Apr. 24, 2020)Modification permitting resumption of elective surgeries and procedures from Apr. 27, 2020 under conditions	Governor Kim Reynolds	Apr. 27, 2020	Health care ordersWorkplace rules	2020 Q2
Ex. SEC-02-076	Executive Order D 2020 045Permitting the Limited Recommencement of Voluntary or Elective Surgeries and Procedures in Colorado	Governor Jared Polis	Apr. 27, 2020	Health care ordersWorkplace rulesSupply chain	2020 Q22020 Q32020 Q4
Ex. SEC-02-049	Executive Order No. 202.25Continuing Temporary Suspension and Modification of Laws Relating to the Disaster Emergency (county-based resumption of elective surgeries…	Governor Andrew M. Cuomo	Apr. 29, 2020	Capacity limitHealth care orders	2020 Q2
Ex. SEC-02-044	Executive Order No. 31An Order to Reduce the Spread of COVID-19 by Limiting Non-Emergency Dental Procedures	Governor Bill Lee	Apr. 30, 2020	Health care orders	2020 Q2
Ex. SEC-02-013	Executive Order GA-19Relating to hospital capacity during the COVID-19 disaster	Governor Greg Abbott	May 1, 2020	Capacity limitHealth care ordersWorkplace rules	2020 Q22020 Q32020 Q42021 Q1
Ex. SEC-02-021	Executive Order 20-112Phase 1: Safe. Smart. Step-by-Step. Plan for Florida's Recovery	Governor Ron DeSantis	May 4, 2020	Stay-at-homeCapacity limitHealth care orders	2020 Q2
Ex. SEC-02-007	CMS-5531-IFC, Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency, 85 Fed. Reg. 27550Audio-only E/M payment parity; further telehealth and supervision flexibilities	CMS	May 8, 2020	Health care ordersOther	2020 Q22020 Q32020 Q42021 Q12021 Q22021 Q3
Ex. SEC-02-023	Emergency Executive Order 20-51Requiring Facilities to Prioritize Surgeries and Procedures and Provide Safe Environment during COVID-19 Peacetime Emergency	Governor Tim Walz	May 10, 2020	Health care ordersWorkplace rules	2020 Q22020 Q32020 Q42021 Q12021 Q2
Ex. SEC-02-029	Proclamation 20-24.1Resumption of non-urgent medical and dental procedures under conditions	Governor Jay Inslee	May 18, 2020	Health care ordersWorkplace rules	2020 Q22020 Q32020 Q4
Ex. SEC-02-070	Executive Order No. 2020-96Temporary requirement to suspend certain activities that are not necessary to sustain or protect life (Safer at Home; rescission of EO…	Governor Gretchen Whitmer	May 22, 2020	Stay-at-homeBusiness closureHealth care orders	2020 Q2
Ex. SEC-02-018	Executive Order No. 145Resumption of elective surgeries and invasive procedures under DOH and DCA standards	Governor Philip D. Murphy	May 26, 2020	Health care ordersWorkplace rules	2020 Q22020 Q3
Ex. SEC-02-014	Executive Order GA-27Relating to the need for increased hospital capacity during the COVID-19 disaster	Governor Greg Abbott	June 26, 2020	Health care orders	2020 Q22020 Q3
Ex. SEC-02-015	Executive Order GA-31Relating to hospital capacity during the COVID-19 disaster	Governor Greg Abbott	Sept. 17, 2020	Capacity limitHealth care orders	2020 Q32020 Q42021 Q1
Ex. SEC-02-016	Executive Order GA-32Relating to the continued response to the COVID-19 disaster as Texas reopens	Governor Greg Abbott	Oct. 14, 2020	Capacity limitGathering capAlcohol and bars	2020 Q42021 Q1
Ex. SEC-02-037	Order of the Secretary of the Pennsylvania Department of Health Requiring Reduction of Elective Procedures in Regions with Low Acute Care Treatment CapacityRegional Reduction of Elective Procedures	Secretary of Health Rachel Levine, M.D.	Nov. 30, 2020	Capacity limitHealth care orders	2020 Q42021 Q12021 Q2
Ex. SEC-02-073	State Public Health Officer Order of June 11, 2021 (Beyond the Blueprint)Beyond the Blueprint order: face-covering guidance, mega-events and school guidance made mandatory	State Public Health Officer, CDPH	June 15, 2021	Gathering capFace-covering requirement	2021 Q22021 Q3
Ex. SEC-02-047	Cal. Code Regs. tit. 8, sec. 3205, COVID-19 Prevention (emergency temporary standard as readopted June 17, 2021)Cal/OSHA COVID-19 Prevention ETS	Occupational Safety and Health Standards Board (Cal/OSHA)	June 17, 2021	Face-covering requirementWorkplace rulesQuarantine and isolation	2020 Q42021 Q12021 Q22021 Q3
Ex. SEC-02-001	COVID-19 Healthcare Emergency Temporary Standard, 29 C.F.R. 1910.502 (with 1910.504, 1910.505, 1910.509)Occupational Exposure to COVID-19; Emergency Temporary Standard, 86 Fed. Reg. 32376	Occupational Safety and Health Administration, U.S. Department of Labor	June 21, 2021	Face-covering requirementHealth care ordersWorkplace rulesQuarantine and isolation	2021 Q22021 Q3
Ex. SEC-02-002	Directive DIR 2021-03 (CPL 03), Revised National Emphasis Program - Coronavirus Disease 2019 (COVID-19)Revised National Emphasis Program - COVID-19	OSHA	July 7, 2021	Workplace rulesOther	2021 Q3
Ex. SEC-02-046	State Public Health Officer Order of July 26, 2021 (Unvaccinated Workers in High-Risk Settings)Vaccine verification and testing of unvaccinated workers in health care and high-risk congregate settings	State Public Health Officer, CDPH	July 26, 2021	Face-covering requirementHealth care ordersWorkplace rulesVaccination or testing	2021 Q3
Ex. SEC-02-045	State Public Health Officer Order of August 5, 2021 (Health Care Worker Vaccine Requirement)Health Care Worker Vaccine Requirement	State Public Health Officer and Director, California Department of Public Health (Tomas J. Aragon, M.D.)	Aug. 5, 2021	Health care ordersWorkplace rulesVaccination or testing	2021 Q3
Ex. SEC-02-030	Proclamation 21-14COVID-19 Vaccination Requirement (Health Care Providers and State Workers)	Governor Jay Inslee	Aug. 9, 2021	Health care ordersWorkplace rulesVaccination or testing	2021 Q3
Ex. SEC-02-071	216-RICR-20-15-8, Requirement for Immunization Against COVID-19 for All Workers in Licensed Health Care Facilities and Other Practicing Health Care Providers (emergency amendment)Health care worker COVID-19 immunization requirement	Rhode Island Department of Health	Aug. 17, 2021	Health care ordersWorkplace rulesVaccination or testing	2021 Q3
Ex. SEC-02-079	OAR 333-019-1011, Masking Requirements to Control COVID-19 in Health Care Settings (temporary rule PH 37-2021)Health-care-setting masking rule	Oregon Health Authority, Public Health Division	Aug. 20, 2021	Face-covering requirementHealth care orders	2021 Q3
Ex. SEC-02-038	10 NYCRR 2.61, Prevention of COVID-19 transmission by covered entities (emergency regulation)Health care worker vaccination mandate	Commissioner of Health (Public Health and Health Planning Council emergency regulation)	Aug. 26, 2021	Face-covering requirementHealth care ordersVaccination or testing	2021 Q3
Ex. SEC-02-051	Executive Order 2021-20 (COVID-19 Executive Order No. 87)Face covering requirements; vaccination requirements for health care workers, school personnel and higher education	Governor JB Pritzker	Aug. 26, 2021	Face-covering requirementHealth care ordersWorkplace rulesVaccination or testing	2021 Q3
Ex. SEC-02-019	Executive Order No. 252Vaccination or testing requirement for covered workers in health care and high-risk congregate settings	Governor Philip D. Murphy	Sept. 7, 2021	Health care ordersWorkplace rulesVaccination or testing	2021 Q3

Third quarter of 2021: the instruments in force

The quarter the Service's letters most often dispute. The record shows these instruments in force on this industry's functions between July 1 and September 30, 2021; an order in force on any day of the quarter is an order in force during it, and the State, metropolitan and federal layers on the quarter page add to the list.

In force, July 1 – Sept. 30, 2021

SEC-02-001 OSHA COVID-19 Healthcare ETS, 29 C.F.R. 1910.502 (June 21, 2021; compliance July 6 and 21; withdrawn Dec. 27, 2021)
SEC-02-002 OSHA NEP DIR 2021-03 (July 7, 2021) targeting NAICS 621111
SEC-02-005 CMS 1135 blanket waivers (through the PHE; HHS renewal July 19, 2021)
SEC-02-006 / SEC-02-007 CMS-1744-IFC and CMS-5531-IFC telehealth rules (through the PHE)
SEC-02-008 OCR telehealth enforcement discretion (through the PHE)
SEC-02-009 SAMHSA OTP take-home exemption (through the PHE)
SEC-02-045 CA SPHO Order Aug. 5, 2021 (clinics and doctor offices; Sept. 30 deadline)
SEC-02-046 CA SPHO Order July 26, 2021 (verify status; test unvaccinated; compliance Aug. 23)
SEC-02-047 Cal/OSHA sec. 3205 as readopted June 17, 2021
SEC-02-073 CA SPHO Beyond the Blueprint (June 15, 2021): face-covering guidance mandatory
SEC-02-030 WA Proclamation 21-14 (Aug. 9, 2021; Oct. 18 deadline)
SEC-02-051 IL EO 2021-20 (Aug. 26, 2021): health-care masking; physician-office worker vaccination/testing
SEC-02-019 NJ EO 252 (Aug. 6, 2021; Sept. 7 effective)
NJ EO 242 para. 13 (May 24, 2021) health-care-setting masking
SEC-02-038 NY 10 NYCRR 2.61 (Aug. 26, 2021) (Article 28/36/40 entities)
SEC-02-071 RI 216-RICR-20-15-8 (Aug. 17, 2021; Oct. 1 compliance)
OR OAR 333-019-1011 (temporary Aug. 20, 2021) health-care-setting masks; OAR 333-019-1010 (Aug. 25, 2021) provider vaccination by Oct. 18
PA Act 21 of 2021 continuation of telemedicine and licensure waivers to Sept. 30, 2021
Philadelphia Board of Health regulations of Aug. 12 and Aug. 16, 2021
DE vaccination-or-testing orders effective Sept. 30, 2021 incl. office-based surgery
CDC conveyance mask order and TSA SD 1582/84-21-01A (FED-A) for commuting staff
Delta-wave local mask orders reaching medical offices (LA County July 17/Aug. 2021; Bay Area Aug. 3; New Orleans Aug. 2; Multnomah Aug. 9; Philadelphia Aug. 12; Cook County Aug. 23)

The third quarter of 2021 across every State, and this industry's quarter analysis.

Group meetings, trade shows and seasons disrupted

The organizers' own notices of the trade shows, conventions, conferences and seasons of this industry that the orders cancelled, postponed or moved online: 27 notices, each graded and sourced. The Suspension Clause names “group meetings” in terms.

Date	Organizer notice	Grade	Exhibit and source
Mar. 5, 2020	HIMSS20 Global Health Conference & Exhibition (health IT, practice management and EHR vendors; the largest annual buying event for practice technology)	Primary source read	Ex. SEC-02-GM-010 Open · Source
Mar. 5, 2020	HIMSS20 Global Health Conference & Exhibition (health IT, practice management and EHR vendors; the largest annual buying event for practice technology)	Primary source read	Ex. SEC-02-GM-024 Open · Source
Mar. 5, 2020	HIMSS20 Global Health Conference & Exhibition (health IT, practice management and EHR vendors; the largest annual buying event for practice technology)	Primary source read	Ex. SEC-02-GM-025 Open · Source
Mar. 9, 2020	ACC.20/WCC, Annual Scientific Session of the American College of Cardiology together with the World Congress of Cardiology	Primary source read	Ex. SEC-02-GM-001 Open · Source
Mar. 9, 2020	ENDO 2020, Annual Meeting of the Endocrine Society	Primary source read	Ex. SEC-02-GM-014 Open · Source
Mar. 14, 2020	AAOS Annual Meeting (orthopaedic surgery)	Primary source read	Ex. SEC-02-GM-007 Open · Source
Mar. 14, 2020	AAOS Annual Meeting (orthopaedic surgery)	Primary source read	Ex. SEC-02-GM-027 Open · Source
Mar. 18, 2020	Digestive Disease Week (DDW) 2020 (gastroenterology, hepatology, endoscopy and GI surgery)	Primary source read	Ex. SEC-02-GM-002 Open · Source
Mar. 23, 2020	AAPA 2020 Conference (physician assistants)	Primary source read	Ex. SEC-02-GM-004 Open · Source
Mar. 24, 2020	Vision Expo East (optometry, opticianry and eyewear trade show and CE)	Primary source read	Ex. SEC-02-GM-009 Open · Source
Mar. 24, 2020	AAA 2020 + HearTECH Expo (audiology)	Primary source read	Ex. SEC-02-GM-016 Open · Source
Mar. 24, 2020	Vision Expo East (optometry, opticianry and eyewear trade show and CE)	Primary source read	Ex. SEC-02-GM-021 Open · Source
Mar. 29, 2020	Rx Drug Abuse & Heroin Summit (addiction treatment, prevention and law enforcement)	Primary source read	Ex. SEC-02-GM-020 Open · Source
Apr. 2, 2020	ASAM 51st Annual Conference, Innovations in Addiction Medicine in Science, with pre-conference courses	Primary source read	Ex. SEC-02-GM-023 Open · Source
Apr. 4, 2020	APTA NEXT Conference & Exposition 2020 (physical therapy)	Primary source read	Ex. SEC-02-GM-015 Open · Source
Apr. 16, 2020	ADA 80th Scientific Sessions (diabetes)	Primary source read	Ex. SEC-02-GM-026 Open · Source
May 11, 2020	Michigan Association of Chiropractors Spring Convention (2020) and Fall Convention & Exhibition (Sept. 25-27, 2020, Detroit Marriott at the Renaissance Center)	Primary source read	Ex. SEC-02-GM-018 Open · Source
May 11, 2020	Michigan Association of Chiropractors Spring Convention (2020) and Fall Convention & Exhibition (Sept. 25-27, 2020, Detroit Marriott at the Renaissance Center)	Primary source read	Ex. SEC-02-GM-028 Open · Source
May 25, 2020	APA 2020 Convention (psychology) and PsycCareers Live job fair	Primary source read	Ex. SEC-02-GM-003 Open · Source
July 10, 2020	ASHA Convention 2020 (speech-language pathology and audiology)	Primary source read	Ex. SEC-02-GM-006 Open · Source
July 13, 2020	AAFP Family Medicine Experience (FMX) 2020	Primary source read	Ex. SEC-02-GM-005 Open · Source
July 15, 2020	AAO 2020 Annual Meeting (ophthalmology)	Primary source read	Ex. SEC-02-GM-013 Open · Source
July 26, 2020	ACEP20 Scientific Assembly (emergency medicine)	Primary source read	Ex. SEC-02-GM-011 Open · Source
Aug. 6, 2020	NASS 2020 Annual Meeting (spine)	Primary source read	Ex. SEC-02-GM-022 Open · Source
Aug. 9, 2020	ASPS Plastic Surgery The Meeting 2020	Primary source read	Ex. SEC-02-GM-019 Open · Source
Sept. 19, 2020	AHA Scientific Sessions 2020 (cardiology)	Primary source read	Ex. SEC-02-GM-012 Open · Source
July 19, 2021	ASCRS Annual Meeting (cataract and refractive surgery; ophthalmic device exhibition)	Primary source read	Ex. SEC-02-GM-008 Open · Source

All cancelled meetings in the Library.

Read the analysis

The analysis of this industry runs to seven further pages. Each carries its own notes and exhibit links.

Part 1 of 7How a typical employer operatesThe functions of the business, its revenue lines, its workforce, its suppliers and counterparties, its seasons, and how the orders reached each of them.Part 2 of 7The orders by layerFederal, State, metro, sector regulator, standing duty and counterparty: the instruments that reached this industry, layer by layer, with exhibit links.Part 3 of 7The six quartersWhat was in force on this industry's functions in each quarter from 2020 Q2 through 2021 Q3, with the third quarter of 2021 answered instrument by instrument.Part 4 of 7Function by functionEach function of the business, the orders that reached it and the change they compelled, one function at a time.Part 5 of 7The interconnected economyHow orders on suppliers, customers, carriers and workers reached this industry, and why an order's effect on a business outlasts the order's end date.Part 6 of 7The Service's positions, answeredThe fourteen sentences the Service's letters use, each quoted and answered for this industry from the public record.Part 7 of 7FindingsThe conclusions for each of the six quarters and the standard of proof they meet.