Industry 24 of 27

Social Assistance and Community Services

The industry is the set of employers that deliver publicly funded care and support outside institutions: adult day care and adult day health centers, senior centers and congregate-meal sites, day-habilitation and vocational programs and group homes for people…

ADadult day and senior-center…DDdevelopmental-disability day and…VRvocational rehabilitation and…FSfamily, youth and counseling…FDfood banks, meals and shelters TRclient transportation PYpayers and licensing HRhiring, screening, training and…OPoffice, administration and…WFworkforce availability CBclients and funders

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In plain terms: if you run an adult day center, a senior center, a day-habilitation or residential program for people with developmental disabilities, a sheltered workshop, a family-services agency, a food bank, a meal program or a homeless shelter, the orders of 2020 and 2021 reached the thing your business is: a room in which people who need care or support gather at a scheduled time under a public payer's rules. From March 13, 2020 Governors closed adult day centers and senior centers by name in a dozen jurisdictions and by category everywhere else. Federal directives barred visitors and group activities from every group home and intermediate care facility. Congress rewrote the congregate-meal program, HUD rewrote the shelter rules, and every State's Medicaid waiver was amended so that day programs were billed from participants' homes. Reopening came at 30 percent of fire occupancy, under health-department conditions, or not at all: New Jersey's adult day health services facilities stayed closed by order until June 15, 2021. In the third quarter of 2021 a federal occupational standard, a federal visitation and vaccine-offering condition and the vaccination or testing orders of seventeen jurisdictions governed this industry's settings and workers.

Those orders reached all eleven functions of a business in this industry. This page sets the orders out layer by layer, quarter by quarter and function by function, with a link to the instrument behind each statement, and answers the fourteen sentences the IRS letters use. The quarter the letters most often dispute is the third quarter of 2021, and the record answers it: on every day of that quarter, in every State, a federal occupational standard, a federal visitation condition and a federal payment amendment were in force on this industry.

Partial suspension, element by element

Every analysis on this site asks the same five questions in the same order. Here they are asked of Social Assistance and Community Services, from the industry's own record.

The order: issuer, instrument, date, exhibit.The Library holds 11 instruments from this industry's own regulators and sector authorities and 21 organizer notices. The earliest is Centers for Medicare & Medicaid Services, 1915(c) Home and Community-Based Services Waiver Instructions and Technical Guidance, Appendix K: Emergency Preparedness and Response (Mar. 1, 2020) (Ex. SEC-24-008). 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: ADadult day and senior-center…DDdevelopmental-disability day and…VRvocational rehabilitation and…. 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 1915(c) Home and Community-Based Services Waiver Instructions and Technical Guidance, Appendix K: Emergency Preparedness and Response (Ex. SEC-24-008): “This appendix was developed as a standalone appendix to be utilized by the state during emergency situations. It should be used by the state to advise CMS of expected changes to its waiver operations or to request amendment to its approved waiver.... This appendix may be completed retroactively, as…” 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 Q217 2020 Q312 2020 Q46 2021 Q16 2021 Q26 2021 Q37 (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
AD	adult day and senior-center programs
DD	developmental-disability day and residential programs
VR	vocational rehabilitation and sheltered work
FS	family, youth and counseling services
FD	food banks, meals and shelters
TR	client transportation
PY	payers and licensing (Medicaid waivers, State licensing agencies)
HR	hiring, screening, training and credentialing
OP	office, administration and telework
WF	workforce availability
CB	clients and funders

The fifty-State regime table

One row per State and the District of Columbia. Columns: adult_day_senior_centers (closure and reopening steps with dates); dd_residential_day (group-home and ICF/IID visitation and testing; day-habilitation and vocational-habilitation suspensions); vr_sheltered_work; meals_food_shelter (congregate-meal conversions, food-bank and shelter operating orders); child_family_services; payer_licensing (Appendix K and State licensing instruments); general_orders; q3_2021; functions; grade (for the sector-specific facts in the row); exhibits. every general order cited by ID is verified_primary in the State file. 'Appendix K' in every row rests on Ex. SEC-24-008 (what it is), Ex. SEC-04-078 (the Pennsylvania exemplar) and the KFF tracker's statement that approvals were tracked for the States through July 1, 2021 (verified_secondary). Exhibit identifiers are the Library's; instruments without an identifier are cited by name and date.

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	Code	Adult day and senior centers	DD residential and day programs	VR and sheltered work	Meals, food and shelter	Child and family services	Payer and licensing	General orders	Q3 2021	Functions	Exhibits	Grade
AlabamaAL	AL	State Health Officer order of Mar. 19, 2020 closed senior centers effective Mar. 20, 2020 with schools, child care and beaches, and banned gatherings of 25 or more (Ex. AL-005; adopted as ADPH Emergency Rule 420-4-1-.13 ER, Ex. AL-007); stay-at-home Apr. 4-30, 2020 (Ex. AL-013); Safer at Home orders of 2020-21 kept senior centers under ADSS guidelines ('senior centers shall follow guidelines issued by the Alabama Department of Senior Services', Exs. AL-045 Mar. 8, 2021; AL-049 Apr. 9, 2021; AL-051 to May 31, 2021). Adult day care: no separate ADPH directive identified.	AL-005 barred hospital and nursing-home visitation (Mar. 19, 2020); group homes and ICF/IIDs under QSO-20-23 (Ex. SEC-04-013) and QSO-21-14 (Ex. SEC-04-016); State DD-specific order not identified.	Closed under the gathering ban and the Apr. 4-30, 2020 stay-at-home order (Ex. AL-013).	Emergency Order of the State Health Officer: Non-Congregate Sheltering (Apr. 16, 2020; duration of the emergency): every government or private nonprofit temporary shelter 'shall provide the temporary shelter and necessary wrap-around services using non-congregate solutions' (Ex. AL-016); congregate meals converted under CARES s. 3222 (Ex. SEC-24-002).	General orders; court orders (ECO-C).	Appendix K (Alabama Medicaid ID and Elderly & Disabled waivers; verified_secondary); ADSS guidelines incorporated by AL-045 to AL-051.	AL-005, AL-013, AL-017 (Safer at Home Apr. 30, 2020), AL-027, AL-045, AL-049, AL-051; last order expired May 31, 2021; emergency ended July 6, 2021 (AL-079).	No statewide instrument; federal layer (OSHA ETS; QSO-21-14; Appendix K; HUD CPD-21-08).	AD; DD; VR; FD; TR; PY; WF; CB	AL-005; AL-007; AL-013; AL-016; AL-045; AL-049; AL-051; SEC-24-002; SEC-04-013	Primary source read (senior centers, sheltering, general orders).
AlaskaAK	AK	Closed as non-essential congregate settings under Health Mandate 011 (Social Distancing; Mar. 28-Apr. 24, 2020, then Phases I-II to May 22, 2020) (Ex. AK-013) and Mandate 003 (Mar. 17, 2020) (Ex. AK-005).	Health Mandate 010 exempted residential facilities' critical workforce (Ex. AK-012); federal QSO-20-23 / 21-14.		Health Mandate 014 (Non-Congregate Sheltering Order, Apr. 13, 2020): hotels, dormitories and modified structures for first responders, 'homeless families' and others needing isolation or quarantine; expired Nov. 15, 2020 and continued as Outbreak Health Order No. 4 to Feb. 14, 2021 (Exs. AK-016, AK-033).	General mandates; court orders.	Appendix K (Alaska's IDD, APDD, ALI and CCMC waivers; verified_secondary).	AK-005, AK-013, AK-012, AK-016, AK-033; Reopen Alaska Responsibly Phase III/IV May 22, 2020 (AK-098 to AK-100).	No statewide instrument; federal layer.	AD; DD; FD; TR; PY; CB	AK-005; AK-013; AK-016; AK-033	Primary source read (sheltering, general orders).
ArizonaAZ	AZ	Closed under EO 2020-18 (Stay Home, Stay Healthy, Stay Connected; Mar. 31-May 15, 2020) (Ex. AZ-010); EO 2020-09 (Mar. 19, 2020) closed dine-in in affected counties with an exemption for soup kitchens and similar food services (Ex. AZ-003).	EO 2020-22 (Apr. 7, 2020-Apr. 1, 2021): nursing care institutions, ICFs and group homes 'shall immediately ensure' CMS/CDC infection control, symptom checks of every entrant, 14-day isolation of positive and unknown admissions, cohorting with separate staffing (Ex. AZ-013); rescinded by EO 2021-08 (Ex. AZ-038).		Soup-kitchen exemption in EO 2020-09 (Ex. AZ-003); Mesa proclamation reaching food banks (Ex. MET-PHX-022); CARES s. 3222.	General orders.	Appendix K (AHCCCS/ALTCS; verified_secondary); EO 2021-09 (Apr. 19-Sept. 29, 2021) barred State and local vaccine-status conditions 'unless proof of vaccination is currently a requirement' under federal law, which preserved the federal ICF conditions (Ex. AZ-040).	AZ-003, AZ-010, AZ-013, AZ-036, AZ-037 (Mar. 25, 2021 end), AZ-038.	EO 2021-09 (Ex. AZ-040) to Sept. 29, 2021; federal layer; Navajo Nation orders (AGY-TRIBAL-013 to -018).	AD; DD; FD; PY; HR; CB	AZ-003; AZ-010; AZ-013; AZ-038; AZ-040; MET-PHX-022	Primary source read (EO 2020-22, EO 2021-09, general orders).
ArkansasAR	AR	No statewide stay-home order; Department of Health directives closed dine-in (Mar. 19, 2020), capped gatherings at ten and restricted LTC visitation (AR State file).	ADH LTC visitation directives reached ICF/IIDs (AR file).		CARES s. 3222; ADH directives on food service.	Act 403 of 2021 (Mar. 19, 2021) limited emergency renewals (Ex. AR-032).	Appendix K (CES and ARChoices waivers; verified_secondary).	AR file (ADH directives); EO 21-03 converted directives to guidance Feb. 26, 2021; face-covering directive to Mar. 31, 2021 (AR-070); emergency to May 30, 2021 (AR-015).	No statewide instrument; federal layer.	AD; DD; FD; PY; CB	AR-032; AR-070; AR-015	Primary source read (general instruments in the AR file).
CaliforniaCA	CA	EO N-33-20 and the SPHO order of Mar. 19, 2020 (Ex. CA-007/CA-002; to June 15, 2021) closed congregate day programs as non-essential; CDSS PIN 20-08-ASC (Mar. 18, 2020) limited entry and waived licensing rules for adult and senior care facilities (Ex. SEC-24-007); PIN 20-23-ASC (June 26, 2020) fixed testing, visitation, communal dining and face coverings (Ex. SEC-24-006); PIN 20-33-ASC (Sept. 30, 2020) issued the Adult Day Programs COVID-19 Guidelines with reopening capacity 'no more than 50%' and entry screening (Ex. SEC-24-003); PIN 21-33-ASC (July 27, 2021) applied the SPHO July 26, 2021 order to ADPs with compliance by Aug. 23, 2021 (Ex. SEC-24-004). Senior centers: closed under local health officer orders and the State order (see MET-LA, MET-SFO, MET-SAN, MET-SAC, MET-RIV files).	Adult residential facilities under PINs 20-08-ASC, 20-23-ASC (Exs. SEC-24-007, -006); SPHO Aug. 5, 2021 (Ex. CA-030) and Sept. 28, 2021 (Ex. SEC-04-037; PIN 21-44-ASC, Ex. SEC-24-005) worker vaccination.	Closed under EO N-33-20.	Homeless shelters named as high-risk congregate settings in the SPHO July 26, 2021 order (Ex. CA-031) and the July 28, 2021 face-coverings guidance (Ex. CA-035); Bay Area and Los Angeles health officer orders (MET-SFO-001 series; MET-LA-066); CARES s. 3222.	Court and agency orders (ECO-C); SSA office closure (Ex. AGY-FED-HEALTH-OTHER-086).	Appendix K (DDS HCBS waiver; MSSP; HCBA; verified_secondary); CDSS PINs (Exs. SEC-24-003 to -007).	CA-002/CA-007 (Mar. 19, 2020-June 15, 2021), CA-027, CA-029 (June 11, 2021), Blueprint tiers (SEC-16-093).	CA-031 (July 26), CA-035 (July 28), CA-030 (Aug. 5; deadline Sept. 30), SEC-24-004 (compliance Aug. 23), SEC-04-037 / SEC-24-005 (Sept. 28), MET-LA-023 (Aug. 12); OSHA ETS as adopted by Cal/OSHA; Appendix K.	AD; DD; VR; FD; TR; PY; HR; WF; CB	SEC-24-003; SEC-24-004; SEC-24-005; SEC-24-006; SEC-24-007; CA-002; CA-007; CA-030; CA-031; CA-035; SEC-04-037; MET-LA-023	Primary source read (CDSS PINs, SPHO orders, general orders).
ColoradoCO	CO	Closed under EO D 2020 017 (stay at home, Mar. 26-Apr. 26, 2020) (Ex. CO-012) and PHO 20-24.	PHO 20-20 (Mar. 12, 2020) restricted visitors at SNFs, ALRs and ICFs (Ex. CO-002); Seventh Amended PHO 20-20 (June 1, 2021) requires surveillance and outbreak PCR testing of staff and residents at 'skilled nursing facilities, assisted living residences, intermediate care facilities, and group homes' (Ex. CO-042), superseded by the Eighth Amended PHO 20-20 (Sept. 27, 2021) (Ex. CO-092).		Denver Non-Congregate Sheltering Order (Mar. 21, 2020) (Ex. MET-DEN-004); PHO 20-38 Fourth to Seventh Amended (July 1-Sept. 30, 2021 and beyond): masks for unvaccinated persons in homeless shelters and health care settings; 'All employers must implement the face covering requirements' (Exs. CO-041, CO-053, CO-091, CO-054); Denver PHO of Aug. 2, 2021 requiring vaccination of personnel of 'shelters for people experiencing homelessness, including day and overnight shelters' by Sept. 30, 2021 (Ex. MET-DEN-023).	General orders; Boulder County group-home orders (MET-DEN-109, -110).	Appendix K (HCBS-DD, SLS, CES, EBD waivers; verified_secondary).	CO-003, CO-012, CO-015, Safer at Home (Apr. 27, 2020), Dial (PHO 20-36), PHO 20-38 from Apr. 16, 2021.	CO-041, CO-053, CO-091, CO-054 (PHO 20-38); CO-042, CO-092 (PHO 20-20); MET-DEN-023; MET-DEN-014; federal layer.	AD; DD; FD; PY; HR; WF; CB	CO-002; CO-012; CO-041; CO-042; CO-053; CO-054; CO-091; CO-092; MET-DEN-004; MET-DEN-023	Primary source read (PHO 20-20 and 20-38 series, Denver orders).
ConnecticutCT	CT	EO 7D (Mar. 16, 2020) capped gatherings at 50 (Ex. SEC-16-048); EO 7H (Mar. 20, 2020) closed non-essential businesses from Mar. 23 (Ex. CT-007).	EO 13B (Aug. 6, 2021) required long-term care facilities including ICFs to have staff fully vaccinated or exempt by Sept. 7, 2021, replaced by EO 13F (Sept. 3, 2021; deadline Sept. 27) (Exs. CT-051, SEC-04-051).		EO 13A (Aug. 5, 2021) masks in homeless shelters and other settings (Ex. SEC-16-119); CARES s. 3222.	EO 13D (Aug. 19, 2021): State employees and school and child-care staff vaccination or testing (Ex. SEC-04-052).	Appendix K (DDS IFS/Comprehensive, CHCPE, ABI waivers; verified_secondary).	CT-007, SEC-16-048, SEC-16-101, CT-046 (May 20, 2021 end).	CT-051 / SEC-04-051 (EO 13B/13F), SEC-04-052 (EO 13D), SEC-16-119 (EO 13A); federal layer.	AD; DD; FD; PY; HR; WF; CB	CT-007; SEC-16-048; CT-051; SEC-04-051; SEC-04-052; SEC-16-119	Primary source read (EOs).
DelawareDE	DE	Fifth Modification (Mar. 22, 2020) closed non-essential businesses and ordered stay at home from Mar. 24 to June 1, 2020 (Ex. DE-006); Twenty-Fourth Modification (July 24, 2020, effective July 27) s. 3: 'Senior centers, adult day centers and senior congregate nutrition programs may reopen' at 30 percent of fire occupancy (Ex. DE-028); the Omnibus Modification (Sept. 4, 2020) and its revisions kept senior centers at 30 percent (Exs. DE-031, DE-056) until the Twenty-Eighth and Twenty-Ninth Modifications lifted caps May 21, 2021 (Exs. DE-037, DE-038).	Eighth Modification (Mar. 30, 2020) reached residential facilities (Ex. DE-011); DHSS emergency infection-control orders of June 25, 2021 (effective July 1, 2021, 120 days) for licensed agencies, with the parallel amendment of 16 DE Admin. Code 4402 (Adult Day Care) in the July 2021 Register (Ex. DE-061; the 4402 July order verified_secondary from the Register citation 25 DE Reg. 23); Emergency Secretary's Order amending 16 DE Admin. Code 4402 s. 16.0 (Sept. 10, 2021; effective Sept. 30, 2021): 'adult day care facility staff must either provide evidence of COVID-19 vaccination, or undergo regular testing' (Ex. AGY-ST-HEALTH-SUBORDERS-046); announced Aug. 12, 2021 (Ex. DE-064).		Congregate nutrition programs closed then reopened at 30 percent (Ex. DE-028); Twenty-Ninth Modification (May 18, 2021) kept homeless-shelter provisions (Ex. DE-038).	General modifications; court orders.	Appendix K (DDDS Lifespan waiver; DSAAPD; verified_secondary); DHSS emergency regulations (DE-061; AGY-ST-HEALTH-SUBORDERS-046).	DE-005, DE-006, DE-019, DE-028, DE-031, DE-056, DE-037, DE-038; emergency terminated July 12-13, 2021.	DE-061 and the 4402 infection-control order (from July 1, 2021); AGY-ST-HEALTH-SUBORDERS-046 (Sept. 30, 2021); DE-064; federal layer.	AD; DD; FD; PY; HR; WF; CB	DE-006; DE-011; DE-028; DE-031; DE-056; DE-038; DE-061; DE-064; AGY-ST-HEALTH-SUBORDERS-046	Primary source read (Modifications; 4402 Sept. 2021 order); Confirmed from a secondary source (4402 July 2021 order)
District of ColumbiaDC	DC	Mayor's Order 2020-075 (June 19, 2020; effective June 22) Phase Two rules (Ex. DC-079).	Mayor's Order 2020-075: 'All individuals residing at a facility specified in this section [assisted living, skilled nursing, ICF, CRF] are ordered to stay at their place of residence' (Ex. DC-079); DC Health Phase 2 LTC Guidance (Dec. 24, 2020) including ICFs (Ex. DC-048).		Senior wellness center meals converted under CARES s. 3222; DHS shelter operations under HUD waivers (Exs. SEC-24-001, SEC-24-010).	Court orders; MO 2021-099 (Aug. 10, 2021) District employee and contractor vaccination (Ex. SEC-04-059).	Appendix K (DDS IDD waiver; EPD waiver; verified_secondary).	DC-006, DC-079, DC-073 (May 17, 2021), DC-021, DC-057 (mask orders July-Aug. 2021).	SEC-04-059 (MO 2021-099); indoor mask order from July 31, 2021 (DC-057); federal layer.	AD; DD; FD; PY; HR; WF; CB	DC-006; DC-079; DC-048; SEC-04-059; DC-057	Primary source read (Mayor's Orders).
FloridaFL	FL	Miami-Dade Emergency Order 01-20 (Mar. 16, 2020) closed 'Congregate Meal Sites and Community Centers... and any other facility providing meal services to the elderly pursuant to authorization by the Department of Elder Affairs' (Ex. MET-MIA-001) and EO 16-20 (Mar. 31, 2020) ordered 'Adult Day Cares... to close' from 11:59 p.m. Apr. 3, 2020, both cancelled by EO 30-20 on Sept. 26, 2020 (Ex. MET-MIA-006); statewide EO 20-83 (Mar. 24, 2020) directed seniors to stay home (Ex. FL-013) and EO 20-91 (Apr. 3-May 4, 2020) ordered Safer at Home.	DEM Order 20-006 (Mar. 15, 2020) suspended s. 393.13(4) and other statutes 'for the particular purpose of prohibiting all individuals from visiting facilities' including group homes and ICF/DDs (Ex. FL-004), ratified by 20-007 (May 18) (Ex. FL-028), made conditional by 20-009 (Sept. 1) (Ex. FL-044) and 20-011 (Oct. 22) (Ex. FL-049), rescinded by 21-001 (Mar. 22, 2021) (Ex. FL-055); AHCA Emergency Rule 59AER20-7 (Aug. 3, 2020): from Aug. 24, 2020 ICF/DDs 'shall not admit into the facility any staff who has not been tested' and must test all staff every two weeks (Ex. AGY-ST-HEALTH-SUBORDERS-077).		Miami-Dade EO 01-20 (Ex. MET-MIA-001); Miami EO reaching food banks (Ex. MET-MIA-063); Pinellas Safer at Home social-services provisions (Ex. MET-TPA-058); CARES s. 3222.	DEM 20-009 and 20-011 reached foster group homes (Exs. FL-044, FL-049).	Appendix K (APD iBudget waiver; SMMC LTC; verified_secondary); AHCA emergency rules (Ex. AGY-ST-HEALTH-SUBORDERS-077).	FL-013, EO 20-91, FL-078 (DEM 20-002), EO 20-244 (Sept. 25, 2020 end of State business restrictions), EO 21-102 (May 3, 2021) and SB 2006 (July 1, 2021) voiding local orders.	No State or local order in force (local orders voided July 1, 2021); federal layer (OSHA ETS; QSO-21-14; Appendix K; HUD CPD-21-08).	AD; DD; FD; VS; PY; HR; CB	FL-004; FL-013; FL-028; FL-044; FL-049; FL-055; AGY-ST-HEALTH-SUBORDERS-077; MET-MIA-001; MET-MIA-006; MET-MIA-063; MET-TPA-058	Primary source read (DEM orders, AHCA rule, Miami-Dade orders).
GeorgiaGA	GA	EO 03.23.20.01 (Mar. 24-Apr. 3, 2020) banned gatherings over ten and ordered DPH to require shelter in place for the medically fragile including LTC residents (the State file records its reach to sheltered-workshop workers) (Ex. GA-005); EO 04.02.20.01 statewide shelter in place Apr. 3-30, 2020 (Ex. SEC-16-054); EO 04.23.20.02 continued shelter in place for persons 65 and older and LTC residents to June 12, 2020 (Ex. GA-018).	EO 04.08.20.03 nursing home and LTC facility safety (Ex. SEC-04-060); federal QSO-20-23 / 21-14.	EO 03.23.20.01 as recorded in the State file reached sheltered workers (Ex. GA-005).	Atlanta EO 2020-21 (Mar. 23, 2020) shelter in place with homeless-services provisions (Ex. MET-ATL-001); CARES s. 3222.	General orders; court orders.	Appendix K (NOW and COMP waivers; CCSP; SOURCE; verified_secondary).	GA-005, SEC-16-054, SEC-16-055 (Apr. 20, 2020), GA-018, GA-020, GA-034 (Apr. 8, 2021), GA-039/GA-040 (emergency expired July 1, 2021).	No statewide instrument (emergency expired July 1, 2021); federal layer; Atlanta and county orders (MET-ATL file).	AD; DD; VR; FD; PY; CB	GA-005; SEC-16-054; GA-018; SEC-04-060; MET-ATL-001	Primary source read (EOs).
HawaiiHI	HI	Third Supplementary Proclamation (Mar. 23, 2020; effective Mar. 25-May 31, 2020) ordered all persons to stay at home and closed non-essential operations (Ex. HI-004).	Federal QSO-20-23 / 21-14.		CARES s. 3222; county orders (MET-HNL file).	General proclamations.	Appendix K (DD 1915(c) waiver; verified_secondary).	HI-004 and successive proclamations; Safe Travels quarantine (ECO-C); EO 21-05 (Aug. 10, 2021 gathering caps).	EO 21-05 (Aug. 10, 2021) gathering and capacity caps; statewide face covering requirement; Safe Travels; federal layer.	AD; DD; FD; TR; PY; CB	HI-004; HI-054	Primary source read (proclamations).
IdahoID	ID	Order to Self-Isolate (Mar. 25-Apr. 30, 2020) closed non-essential businesses and exempted residential facilities (Exs. ID-003, ID-004); Stage 2 Stay Healthy Orders (Nov. 13, 2020-Feb. 2, 2021) (Exs. ID-010, ID-011).	Proclamation of Mar. 23, 2020 suspended more than 125 administrative rules including developmental-disability agency and family-services rules 'for the duration of the declared state of emergency' (Ex. ID-017); LTC visitation guidelines incl. ICFs (Ex. ID-051).		CARES s. 3222.	ID-017 (family services rules suspended).	Appendix K (DD and A&D waivers; verified_secondary); ID-017 rule suspensions.	ID-003, ID-004, ID-010, ID-011, ID-012 (Feb. 2, 2021 end of mandatory restrictions), ID-013.	No statewide instrument; federal layer.	AD; DD; FS; PY; CB	ID-003; ID-004; ID-017; ID-051	Primary source read (orders and proclamation).
IllinoisIL	IL	EO 2020-10 (Mar. 21, 2020) stay at home; s. 8 'Human Services Operations' (as amended by EO 2020-11, Mar. 23, 2020, to add day programs) named as essential 'residential settings and shelters for adults, seniors, children, and/or people with developmental disabilities' and 'field offices that provide and help to determine eligibility for basic needs including food, cash assistance, medical coverage, child care, vocational services, rehabilitation services' while congregate day programs closed (Ex. IL-005).	EO 2021-20 (Aug. 26, 2021) defined 'Health Care Facility' to include adult day care centers and required vaccination or weekly testing (Ex. IL-042), restated by EO 2021-22 (Sept. 3, 2021) (Ex. IL-043); State congregate facility employees (developmental centers) vaccination requirement announced Aug. 4, 2021 (Ex. ECO-B-141).		Shelters named essential in EO 2020-10 s. 8 (Ex. IL-005); Chicago orders (MET-CHI-003; MET-CHI-018 Phase 5 homeless-shelter rules, Ex. MET-CHI-018); CARES s. 3222.	EO 2020-10 s. 8 (DCFS-funded providers essential); court orders.	Appendix K (Adults with DD, Persons who are Elderly, and other waivers; verified_secondary); EO 2020-09 telehealth (Ex. IL-068).	IL-005, IL-068, SEC-16-078 (EO 2020-32), IL-036, IL-037 (June 11, 2021 Phase 5).	IL-042, IL-043 (Aug. 26 and Sept. 3, 2021), ECO-B-141, SEC-16-115 (indoor masks reinstated Aug. 30, 2021); federal layer.	AD; DD; VR; FS; FD; PY; HR; WF; CB	IL-005; IL-068; IL-042; IL-043; ECO-B-141; SEC-16-115; MET-CHI-018	Primary source read (EOs).
IndianaIN	IN	EO 20-08 (Mar. 24-May 1, 2020) stay at home (Ex. IN-006); EO 20-48 (Nov. 15, 2020): in Red counties 'Senior care centers activities must be cancelled or suspended' (Ex. IN-046), continued by EO 20-50 (Dec. 13, 2020) and successors to Apr. 5, 2021 (Ex. IN-048).	EO 20-19 (Apr. 7, 2020): 'any employee of any provider of support to people with intellectual and developmental disabilities, older adults, or individuals with mental health needs... is considered a health care provider' for FFCRA purposes (Ex. IN-017); federal QSO-20-23 / 21-14.		Marion County Public Health Order 8-2020 (May 1, 2020) on non-congregate shelter for persons experiencing homelessness, ratified May 10, 2021 and in force through Q3 2021 (Ex. MET-IND-008); CARES s. 3222.	General orders; court orders (IN-080).	Appendix K (CIH and FSW waivers; A&D waiver; verified_secondary); EO 20-19 (Ex. IN-017).	IN-006, IN-017, IN-046, IN-048, EO 21-09 (Apr. 6, 2021), EO 21-17 (June 30, 2021 rescinding all directives).	MET-IND-008 (Marion County); no statewide instrument; federal layer.	AD; DD; FD; PY; WF; CB	IN-006; IN-017; IN-046; IN-048; MET-IND-008	Primary source read (EOs, Marion County order).
IowaIA	IA	Proclamation of Mar. 17, 2020, s. 3(F): 'Senior Citizen Centers and Adult Daycare Facilities: All facilities that conduct adult day services or other senior citizen centers are hereby closed' (Ex. IA-002), extended to Apr. 7, Apr. 30 (Exs. IA-005, IA-007) and, by the Apr. 27, 2020 proclamation, continued closed statewide to May 15, 2020 (Ex. IA-012); the June 10, 2020 proclamation (effective June 12) permitted them to reopen 'but only to the extent that the establishment complies with guidance issued by the Iowa Department of Public Health' (Ex. IA-018), a condition carried by successive proclamations to Feb. 7, 2021 (Ex. IA-035).	ICF provisions in the Feb. 5 and Apr. 30, 2021 proclamations (Exs. IA-035, IA-037); federal QSO-20-23 / 21-14.		Congregate meals converted (CARES s. 3222); IA-009 regulatory relief incl. foster care (Ex. IA-009).	IA-009 (Apr. 10, 2020).	Appendix K (ID, BI, Elderly, Health & Disability waivers; verified_secondary).	IA-002, IA-005, IA-007, IA-010 (Apr. 16, 2020 household protection), IA-012, IA-018, IA-033, IA-035 (Feb. 7, 2021 end).	No statewide instrument; federal layer.	AD; DD; FD; TR; PY; CB	IA-002; IA-005; IA-007; IA-009; IA-012; IA-018; IA-035; IA-037	Primary source read
KansasKS	KS	EO 20-14 (Mar. 25, 2020) banned mass gatherings of ten or more, exempting 'senior center meals' with distancing (Ex. KS-007); EO 20-16 statewide stay at home (Mar. 30-May 3, 2020) (Ex. KS-008 series); EO 20-69 (Dec. 14, 2020): testing and screening at adult care homes including 'adult day care facility' not governed by 42 C.F.R. 483.80(h), by county positivity (Ex. KS-037), reissued as EO 21-15 (Apr. 1, 2021), void June 15, 2021, and continued by the KDHE Secretary's Order Requiring COVID-19 Testing in Adult Care Homes (June 18, 2021; 'until otherwise modified, supplemented and/or rescinded') (Ex. KS-052).	KS-037 and KS-052 reach adult care homes (nursing facilities, assisted living, residential health care, home plus, boarding care homes) including those serving people with disabilities.		Senior center meals exempted from the gathering ban (Ex. KS-007); CARES s. 3222.	General orders.	Appendix K (I/DD, FE, PD, BI waivers; verified_secondary); KDHE Secretary's orders under K.S.A. 65-101 and 65-128 (Ex. KS-052).	KS-007, KS-008, KS-023 (May 26, 2020), KS-037, KS-047 (Apr. 1, 2021), KS-052.	KS-052 in force on its terms through Sept. 30, 2021; federal layer.	AD; DD; FD; PY; HR; CB	KS-007; KS-008; KS-037; KS-052	Primary source read (EOs and KDHE order).
KentuckyKY	KY	CHFS Order of Mar. 17, 2020: by 5:00 p.m. Mar. 18, 2020 'all public-facing businesses that encourage public congregation' including 'community and recreation centers' 'shall cease all in-person operations' (Ex. KY-004); CHFS Mass Gatherings Order Mar. 19, 2020 (Ex. KY-006); EO 2020-257 Healthy at Home (Mar. 26, 2020) (Ex. KY-010); phased reopening under EO 2020-323 from May 11, 2020 (Ex. KY-017); all CHFS orders rescinded June 11, 2021 (Ex. KY-049).	CHFS/DPH LTC visitation directives (Exs. SEC-02-033, SEC-03-050); federal QSO-20-23 / 21-14.		CARES s. 3222; Louisville and Lexington orders (MET-SDF file).	2021 HB 1 (Feb. 2, 2021) reopening rules incl. foster-care provisions (Ex. KY-040).	Appendix K (SCL, Michelle P., HCB waivers; verified_secondary).	KY-004, KY-006, KY-008, KY-010, KY-017, KY-040, KY-049.	EO 2021-585 (Aug. 10, 2021) school and child-care masks reaching the workforce (Ex. SEC-16-043 / ECO-B-051); no statewide congregate-care order; federal layer.	AD; DD; VR; FD; PY; WF; CB	KY-004; KY-006; KY-010; KY-017; KY-040; KY-049; SEC-16-043	Primary source read (CHFS and EO instruments).
LouisianaLA	LA	LDH State Health Officer Order #2020-COVID-ADC/ADHC/PACE-001 (adult day care, adult day health care and PACE centers), issued Mar. 13, 2020, re-issued Apr. 7 and Apr. 28, 2020, and continued by the LDH Emergency Order of May 15, 2020 'until further notice from the State Health Officer' (Ex. LA-049); Proclamation 33 JBE 2020 stay at home Mar. 23-May 15, 2020 (Ex. LA-005); LDH release of emergency orders May 24, 2021 (Ex. LA-047).	LDH order of Sept. 18, 2020: all nursing facilities, adult residential care providers 'and all Intermediate Care Facilities for Persons with Developmental Disabilities (ICF/DDs) are mandated and directed to follow the provisions of... QSO-20-39-NH' (Ex. LA-050); LDH Notice #2020-COVID19-ALL-002 (Mar. 13, 2020) continued May 15, 2020 (Ex. LA-049).		CARES s. 3222; New Orleans and Jefferson Parish orders (MET-MSY file).	General proclamations.	Appendix K (NOW, ROW, Supports, Children's Choice, CCW waivers; verified_secondary); LDH State Health Officer orders (LA-049, LA-050).	LA-003, LA-005, LA-031 (85 JBE 2021), LA-032 (93 JBE 2021, May 26, 2021 end), LA-047.	Proclamation 137 JBE 2021 (Aug. 2, 2021) statewide indoor mask mandate (Ex. SEC-15-074) through the quarter; federal layer.	AD; DD; FD; PY; VS; HR; CB	LA-049; LA-050; LA-005; LA-047; SEC-15-074	Primary source read (LDH orders; proclamations).
MaineME	ME	EO 19 and EO 20 FY 19/20 (Mar. 24, 2020) closed non-essential public-facing businesses (Exs. ME-007, ME-010); EO 28 stay at home Apr. 2-May 31, 2020 (Ex. ME-011).	10-144 C.M.R. ch. 264 emergency rule (Aug. 12, 2021): immunization of health care workers including ICF staff (Ex. ME-061; the First Circuit's description in Ex. SEC-04-066).		CARES s. 3222.	General orders.	Appendix K (Sections 21, 29, 19 waivers; verified_secondary).	ME-007, ME-010, ME-011, ME-034, ME-057, ME-058 (May 24, 2021), ME-059, ME-060 (June 30, 2021 expiry).	ME-061 (Aug. 12, 2021; enforcement from Oct. 29, 2021); federal layer.	AD; DD; FD; PY; HR; CB	ME-007; ME-010; ME-011; ME-061; SEC-04-066	Primary source read (EOs; ch. 264 rule).
MarylandMD	MD	Order of Mar. 12, 2020 closed all senior centers from Mar. 13, 2020 (Ex. MD-002); Order of Mar. 16, 2020 Relating to Various Health Care Matters recited the necessity 'to control the occupancy and use of, and close, buildings and premises, including places of assembly such as adult day care centers' and ordered their closure (Ex. MD-070); the senior-center closure was restated in every amended gatherings order (Exs. MD-003, MD-005, MD-007 stay at home Mar. 30-May 15, 2020, MD-016); Order 21-03-09-02 (Mar. 9, 2021) s. X: 'Effective at 5:00 p.m. on March 12, 2021, all adult day care centers... may reopen' (Ex. MD-027; rescinded Aug. 15, 2021), implemented by MDH Directive 2021-03-09-01 and its amendments through May 14, 2021 (medical adult day care face coverings) (Exs. MD-051 to MD-054).	MDH Amended Directive 2021-08-05-01: staff of State congregate facilities to show proof of a first dose by Sept. 1, 2021 or test weekly (Ex. MD-057), amended Sept. 8, 2021 to add certain residential facilities (Ex. MD-060); Montgomery County senior center provisions (Exs. MET-DCM-001, MET-DCM-003).		Senior-center congregate meals ended Mar. 13, 2020 (Ex. MD-002); CARES s. 3222; Baltimore orders (MET-BAL file).	General orders; court orders.	Appendix K (Community Pathways, Family Supports, Community Supports, CO waivers; verified_secondary); MDH directives (MD-051 to MD-054, MD-057, MD-060).	MD-002, MD-003, MD-005, MD-007, MD-009, MD-016, MD-026, MD-027, MD-030, MD-031 (June 15, 2021 termination; health care matters to Aug. 15, 2021).	MD-027 (to Aug. 15, 2021); MD-057 (Aug. 5), MD-060 (Sept. 8, 2021); federal layer.	AD; DD; FD; PY; HR; WF; CB	MD-002; MD-003; MD-005; MD-007; MD-016; MD-026; MD-027; MD-051; MD-054; MD-057; MD-060; MD-070	Primary source read (Governor's orders; MDH directives).
MassachusettsMA	MA	COVID-19 Order No. 13 (Mar. 23, 2020) closed non-essential businesses and the DPH Stay-at-Home Advisory issued the same day (Ex. MA-009); DPH Order of May 28, 2021 (effective May 29, 2021): face coverings required in 'congregate care facilities or programs operated, licensed, certified, regulated, authorized, or funded by the Commonwealth', emergency shelter programs, correctional facilities and HHS day programs, reissued June 14, 2021 as Attachment N to PHE Order No. 2021-1 (Exs. MA-050, MA-054).	MA-050 congregate care face coverings through Q3 2021; PHE Order No. 2021-8 (Sept. 15, 2021) suspending G.L. c. 94C s. 7 in part 'to address staffing shortages in Community Programs' so non-MAP-certified staff may administer medications (Ex. AGY-ST-HEALTH-SUBORDERS-120); 105 CMR 159.000 (Sept. 8, 2021) home care agency worker vaccination by Oct. 31, 2021 (Ex. MA-069).		MA-050 emergency shelter programs (May 29, 2021 onward); Boston and municipal orders (MET-BOS file); CARES s. 3222.	General orders; court orders.	Appendix K (DDS Adult Supports, Community Living, Intensive Supports; Frail Elder; ABI/MFP waivers; verified_secondary); DPH orders.	MA-005, MA-009, Order No. 13, Order No. 33 (May 18, 2020, Ex. SEC-16-076), MA-048 (May 28, 2021 termination), MA-049, MA-054.	MA-050 / MA-054 (in force throughout); MA-069 (Sept. 8); AGY-ST-HEALTH-SUBORDERS-120 (Sept. 15); MA-064 LTC control order reissued; federal layer.	AD; DD; FD; PY; HR; WF; CB	MA-009; MA-050; MA-054; MA-069; AGY-ST-HEALTH-SUBORDERS-120; SEC-16-076	Primary source read (DPH orders and regulations).
MichiganMI	MI	EO 2020-21 (Mar. 24-Apr. 13, 2020) stay at home and successors to June 1, 2020 (Ex. MI-011) closed adult day programs as non-essential.	EO 2020-7 (Mar. 14, 2020): 'all health care facilities, residential care facilities, congregate care facilities, and juvenile justice facilities must prohibit from entering their facilities any visitors that: are not necessary' (Ex. MI-003) and successors (EO 2020-37, -72, -108, -136); MDHHS Emergency Order under MCL 333.2253, Temporary Restrictions on Entry into Congregate Care and Juvenile Justice Facilities (Oct. 6, 2020) (Ex. AGY-ST-HEALTH-SUBORDERS-106); MDHHS Requirements for Residential Care Facilities orders Oct. 6 and 21, Dec. 8, 2020, Mar. 2 and 17 and May 21, 2021 (Exs. MI-051, MI-055, MI-072) and testing orders (Exs. MI-058, MI-070); all rescinded June 17-22, 2021 (Ex. MI-076).		MDHHS Gatherings and Face Mask Orders (Nov. 15, 2020-Jan. 2021) regulated soup kitchens (Exs. MI-060 to MI-063); Detroit and county orders (MET-DET file); CARES s. 3222.	MI-003 (Mar. 14, 2020) and MI-051 reached foster-care and juvenile facilities.	Appendix K (Habilitation Supports Waiver; MI Choice; verified_secondary).	MI-005, MI-010, MI-011, MI-003, MI-051, MI-057 (2020 PA 238), MI-060 to MI-063, MI-072, MI-076.	No statewide instrument (rescinded June 22, 2021); federal layer.	AD; DD; VS; FD; FS; PY; CB	MI-003; MI-011; MI-051; MI-055; MI-060; MI-061; MI-062; MI-063; MI-072; MI-076; AGY-ST-HEALTH-SUBORDERS-106	Primary source read (EOs; MDHHS orders).
MinnesotaMN	MN	EO 20-20 (Mar. 27-May 17, 2020) stay at home (Ex. MN-010); Minneapolis Emergency Regulation 2020-3 (Mar. 17, 2020) closed 'adult day care center[s]' including licensed day training and habilitation centers (Ex. MET-MSP-003) until rescinded July 24, 2020 (Ex. MET-MSP-011).	EO 20-12 para. 1(a) (245D day and residential program standards modifiable) (Ex. SEC-24-011); EO 20-99 (Nov. 20, 2020-Jan. 10, 2021) residential facility and gathering provisions (Ex. MN-032); federal QSO-20-23 / 21-14.	Closed under EO 20-20 and Minneapolis ER 2020-3 (day training and habilitation) (Exs. MN-010, MET-MSP-003).	Saint Paul EEO 2020-38 (waiver of zoning requirements for emergency shelters) extended by EEO 2021-34 (Aug. 16, 2021) and 2021-37 (Sept. 27, 2021) (Exs. MET-MSP-042, MET-MSP-045); Minneapolis ER 2020-11 (communal dining suspended) (Ex. MET-MSP-008); CARES s. 3222.	EO 20-12 para. 2 (chs. 260C, 260D child protection rules modifiable) (Ex. SEC-24-011).	EO 20-12 (Ex. SEC-24-011); Appendix K (DD, CADI, BI, EW, CAC waivers; verified_secondary).	MN-010, MN-032, EO 21-21 (May 6, 2021), emergency terminated July 1, 2021.	Saint Paul EEOs (MET-MSP-042, -045); no statewide instrument; federal layer.	AD; DD; VR; FD; FS; PY; HR; CB	SEC-24-011; MN-010; MN-032; MET-MSP-002; MET-MSP-003; MET-MSP-008; MET-MSP-011; MET-MSP-042; MET-MSP-045	Primary source read (EO 20-12; EO 20-20; Minneapolis regulations); Confirmed from a secondary source (DHS July 1, 2020 guidance).
MississippiMS	MS	EO 1463 (Mar. 24, 2020) capped gatherings at ten and closed dine-in (Ex. SEC-16-051); EO 1466 statewide shelter in place Apr. 3-27, 2020 (Ex. SEC-16-052; Lauderdale County EO 1465, Ex. MS-008).	EO 1463 barred LTC visitation (Ex. SEC-16-051); federal layer.		CARES s. 3222; Jackson orders (Ex. MS-060).	General orders.	Appendix K (ID/DD, Elderly & Disabled waivers; verified_secondary).	SEC-16-051, SEC-16-052, MS-008, MS-041 (Oct. 27, 2020 county orders), EO 1549 (Mar. 3, 2021 end).	No statewide instrument; federal layer.	AD; DD; FD; PY; CB	SEC-16-051; SEC-16-052; MS-008; MS-041	Primary source read (EOs).
MissouriMO	MO	DHSS Director's 'Stay Home Missouri' Order (Apr. 3, 2020; effective Apr. 6-May 3, 2020) (Exs. MO-004, MO-005) and the Phase 1 order to June 15, 2020 (Ex. MO-007); no statewide order thereafter; St. Louis City and County and Kansas City orders governed adult day programs locally (MET-STL, MET-KC files).	Federal QSO-20-23 / 21-14.		CARES s. 3222; St. Louis County advisory (Ex. MET-STL-097).	General orders; 16th Judicial Circuit orders (Exs. MET-KC-052, -053).	Appendix K (Comprehensive, Community Support, Partnership for Hope, Aged & Disabled waivers; verified_secondary).	MO-004, MO-005, MO-007 (June 15, 2020 end); Boone County (MO-043).	No statewide instrument; St. Louis City and County mask orders (MET-STL file); federal layer.	AD; DD; VR; FD; PY; CB	MO-004; MO-005; MO-007; MET-STL-097	Primary source read (DHSS orders).
MontanaMT	MT	Directive of Mar. 20, 2020 closed on-premises food service and other establishments and exempted residential facilities (Ex. MT-005); Stay at Home Directive Mar. 28-Apr. 26, 2020 (Ex. MT-009).	Directive of May 7, 2020, measures to maintain health and safety in foster or congregate care (name-based background checks; training, staffing and premises waivers to accommodate quarantine and isolation), continued to June 30, 2021 (Exs. MT-032, MT-021); Yellowstone County order of July 3, 2020 restricting visitors to senior care facilities including group homes (Ex. MT-045); DPHHS letter of July 28, 2021 on the HB 702 exemption for licensed nursing homes, LTC and assisted living including ICFs (Ex. MT-071).		CARES s. 3222.	MT-032 (foster care).	Appendix K (DD 0208 and Big Sky waivers; verified_secondary); MT-032.	MT-005, MT-009, MT-012, MT-020 (Jan. 15, 2021), Feb. 12, 2021 directive (end).	HB 702 context (Ex. MT-071); no statewide instrument; federal layer.	AD; DD; FS; PY; HR; CB	MT-005; MT-009; MT-032; MT-021; MT-045; MT-071	Primary source read (directives).
NebraskaNE	NE	No statewide stay-home order; Directed Health Measure 2020-001 (Mar. 19, 2020) for Cass, Douglas, Sarpy and Washington Counties prohibited gatherings over ten, extended statewide by successive DHMs to May 24, 2021 (Ex. NE-002; NE-026; NE-095).	Federal QSO-20-23 / 21-14.		CARES s. 3222.	General DHMs.	Appendix K (DD Comprehensive and Day waivers; AD waiver; verified_secondary).	NE-002, NE-026 (Jan. 30, 2021), NE-038 (Lancaster County), NE-095 (May 24, 2021 end).	No statewide instrument; federal layer.	AD; DD; FD; PY; CB	NE-002; NE-026; NE-038; NE-095	Primary source read (DHMs).
NevadaNV	NV	Emergency Directive 003 (Mar. 20, 2020) closed non-essential businesses and Directive 010 (Apr. 1-May 15, 2020) ordered stay at home (Ex. NV-012).	Federal QSO-20-23 / 21-14.		CARES s. 3222; Clark County and Las Vegas orders (MET-LAS file).	General directives.	Appendix K (ID/DD, FE, PD waivers; verified_secondary).	NV-012, Directive 003, NV-038 (Apr. 19, 2021), NV-074 (June 1, 2021 end).	The State's county-triggered indoor mask directive of late July 2021 (see the NV State file for the exhibit ID); federal layer.	AD; DD; FD; PY; CB	NV-012; NV-038; NV-074	Primary source read (directives).
New HampshireNH	NH	Emergency Order #17 (Mar. 26, 2020) stay at home to May 4, 2020 (Ex. NH-009) then Safer at Home (EO #40, #52) to May 7, 2021 (Ex. NH-038, NH-046).	Executive Order 2020-04 para. 3: from 11:59 p.m. Mar. 15, 2020 'all assisted living facilities, long term care facilities, nursing facilities, residential care facilities... shall prohibit visitor access' (Ex. NH-001).		CARES s. 3222.	General orders.	Appendix K (DD, ABD, IHS, CFI waivers; verified_secondary).	NH-001, NH-009, NH-038, NH-046 (May 7-8, 2021 end); emergency expired June 11, 2021.	No statewide instrument; federal layer.	AD; DD; VS; PY; CB	NH-001; NH-009; NH-038; NH-046	Primary source read (orders).
New JerseyNJ	NJ	EO 107 (Mar. 21, 2020) stay at home and closures (Ex. NJ-004); 'by the end of March 2020, the Department of Health issued a series of orders, on a county-by-county basis, that closed the adult day health services facilities (ADHSFs) licensed under N.J.A.C. 8:43F' (Ex. NJ-081, recital); reopening only under Executive Directive 21-007 (June 15, 2021), which fixes screening, PPE, reporting and infection-control protocols with license suspension as the sanction (Ex. NJ-081); EO 239 (May 19, 2021) capped 'trade expositions, conferences, and events hosted by senior centers' at 250 (Ex. NJ-047); ED 21-006 (PACE attendance) (not saved).	ED 20-034 (Dec. 2, 2020): standing order for testing at covered facilities including developmental-disability settings (Ex. AGY-ST-HEALTH-SUBORDERS-031); ED 20-022 (July 1, 2020) reached group-home pools (Ex. AGY-ST-HEALTH-SUBORDERS-026); EO 252 (Aug. 6, 2021): 'Covered health care and high-risk congregate settings... must maintain a policy that requires covered workers to either provide adequate proof that they have been fully vaccinated or submit to COVID-19 testing at minimum one to two times weekly', effective Sept. 7, 2021, the covered settings including State and county correctional facilities, licensed community residences for individuals with IDD and TBI, licensed community residences for adults with mental illness and certified day programs (Ex. NJ-056 / SEC-04-030).		EO 107 shelters exempt; Camden County emergency (Ex. MET-PHL-066); CARES s. 3222.	General orders; court orders.	Appendix K (Supports Program and Community Care Program (DDD); MLTSS; verified_secondary); DOH executive directives under P.L. 2021, c. 103 s. 3(a) to Jan. 11, 2022 (Ex. NJ-053).	NJ-004, NJ-047, NJ-050 (May 28, 2021), NJ-051, NJ-052, NJ-053, NJ-056.	NJ-081 (ED 21-007, in force); NJ-056 (EO 252, effective Sept. 7); NJ-055 (EO 251 school masks Aug. 9); AGY-ST-HEALTH-SUBORDERS-031; federal layer.	AD; DD; FD; PY; HR; WF; CB	NJ-004; NJ-047; NJ-053; NJ-056; SEC-04-030; NJ-081; AGY-ST-HEALTH-SUBORDERS-026; AGY-ST-HEALTH-SUBORDERS-031; MET-PHL-066	Primary source read (EOs and DOH directives).
New MexicoNM	NM	Public Health Emergency Order of Mar. 23, 2020 closing all businesses and non-profit entities except essential (Ex. NM-006), extended to May 15, 2020 and followed by phased PHOs to July 1, 2021 (Exs. NM-057, NM-060).	PHO of Aug. 17, 2021: 'All hospital workers, congregate care facility workers, and employees of the Office of the Governor... are required to be fully vaccinated', congregate care facilities defined to include nursing homes, assisted living, 'adult day care', hospice, rehabilitation, State correctional and juvenile facilities, residential treatment centers, the Veterans' Home and community homes (Ex. NM-068), amended Sept. 15, 2021 (Ex. NM-071).		CARES s. 3222.	Directive of Mar. 15, 2020 to State agencies (remote work; buildings closed) (NM file).	Appendix K (DD, Mi Via, Medically Fragile waivers; verified_secondary).	NM-003, NM-006, NM-057 (June 2, 2021), NM-060 (July 1, 2021).	NM-068 (Aug. 17), NM-071 (Sept. 15, 2021); the Aug. 17, 2021 indoor mask PHO (NM file); federal layer.	AD; DD; FD; PY; HR; WF; CB	NM-006; NM-057; NM-060; NM-068; NM-071	Primary source read (PHOs).
New YorkNY	NY	EO 202.3 (Mar. 16, 2020) and EO 202.8 (New York State on PAUSE, Mar. 22, 2020) (Exs. NY-010, NY-002); Nassau County EO 3 of 2020 (Mar. 13, 2020): 'all Nassau County operated senior centers shall be closed until further notice', kept closed by EO 130 (Oct. 2, 2020) (Exs. MET-NYC-053, MET-NYC-057).	Federal QSO-20-23 / 21-14; 10 NYCRR 2.61 (Aug. 26, 2021): covered entities including adult care facilities and hospices to require personnel vaccination by Sept. 27 (hospitals, nursing homes) and Oct. 7, 2021 (others) (Ex. NY-071); NYC Commissioner's Order of Aug. 10, 2021: from Aug. 16, 2021 'each staff member or contractor working at a residential or a congregate setting' without proof of full vaccination 'must provide proof of a negative COVID-19 PCR diagnostic test... at least once per week', reaching the not-for-profit shelter and supportive-housing operators (Ex. MET-NYC-036).		10 NYCRR 2.60 and the Commissioner's Determination of Aug. 27, 2021: masks in homeless shelters, correctional facilities and other settings (Exs. NY-071-B, NY-073; Subpart 66-3 from May 26, 2021, Ex. NY-134); NYC Key to NYC orders exempt senior centers and community centers (Exs. MET-NYC-017, MET-NYC-018); CARES s. 3222.	Court orders (ECO-C); 10 NYCRR 2.9 and 2.62 school reporting and testing (Ex. NY-072).	Appendix K (OPWDD Comprehensive waiver; NHTD; TBI; verified_secondary); DOH emergency regulations (NY-071 series).	NY-010, NY-002, SEC-16-111, NY-054 (May 17, 2021), NY-057, NY-049 (June 25, 2021 rescission).	NY-071, NY-071-B, NY-073 (Aug. 26-27, 2021), NY-072 (Sept. 2), MET-NYC-036 (Aug. 16), MET-NYC-017/018 (Aug. 16-17); federal layer.	AD; DD; VR; FD; FS; PY; HR; WF; CB	NY-002; NY-010; NY-071; NY-071-B; NY-072; NY-073; NY-134; MET-NYC-017; MET-NYC-018; MET-NYC-036; MET-NYC-053; MET-NYC-057	Primary source read (EOs, DOH regulations, NYC and Nassau orders).
North CarolinaNC	NC	EO 120 (Mar. 23, 2020; effective Mar. 25) banned gatherings over 50 and closed community centers and entertainment facilities (Ex. NC-004); EO 121 stay at home Mar. 30-May 8, 2020 with food banks and social services essential (Exs. NC-005, SEC-16-011).	EO 120 s. 3: visitation at 'skilled nursing facilities, adult care homes, family care homes, mental health group homes, and intermediate care facilities for individuals with intellectual disabilities' restricted to compassionate care (Ex. NC-004), continued by EO 121 s. 2(H) and EO 138 s. 5; federal QSO-20-23 / 21-14.		EO 121 named food banks and social services essential (Ex. SEC-16-011); EO 215 (May 14, 2021) and EO 220 (June 11-July 30, 2021) required face coverings in homeless shelters, health care settings, transportation and correctional facilities (Exs. NC-029, NC-030); Mecklenburg encampment abatement order (Ex. MET-CLT-028); CARES s. 3222.	EO 120 s. 2 (DSS and health departments to continue with precautions) (Ex. NC-004); EO 211 (DHHS waivers).	Appendix K (Innovations and CAP/DA waivers; verified_secondary); EO 211 Secretarial orders.	NC-003, NC-004, NC-005, EO 138, NC-029, NC-030.	NC-030 (EO 220) to July 30, 2021 (homeless shelters, health care settings); EO 211/217 waivers; federal layer.	AD; DD; VS; FD; FS; PY; CB	NC-004; NC-005; SEC-16-011; NC-029; NC-030; MET-CLT-028	Primary source read (EOs).
North DakotaND	ND	EO 2020-06 (Mar. 19, 2020) closed restaurants, bars, recreational and other facilities to Apr. 30, 2020 (Ex. SEC-16-089); no stay-home order; DHS Aging Services congregate-meal conversion under CARES s.	EO 2020-29 (Apr. 17, 2020-Apr. 30, 2021) suspended provisions of N.D.C.C. chs. 50-06.2, 50-11, 50-24.1, 50-24.4, 50-24.5 and 50-29 'necessary for the operation of the Medicaid State Plan disaster amendments, Appendix K and the provisions of the 1135 Waiver issued by the Centers for Medicare and Medicaid Services' (Ex. ND-030); federal QSO-20-23 / 21-14.		EO 2020-27 (Apr. 2, 2020) child care modified operating procedures incl. congregate meal provisions (Ex. ND-027); CARES s. 3222.	ND-027; ND-030 (ch. 50-11 licensing).	ND-030 (the State's Appendix K implementing order); Appendix K (DD Traditional IID/DD waiver; HCBS waiver; verified_secondary).	SEC-16-089, ND-027, ND-030, EO 2020-06.7 (May 22, 2020), EO 2020-43.5 (Jan. 18, 2021).	No statewide instrument; federal layer.	AD; DD; FD; PY; CB	SEC-16-089; ND-027; ND-030	Primary source read (EOs).
OhioOH	OH	Director's Orders of Mar. 21, 2020 closing older adult day care services and senior centers (senior centers dated Mar. 24 in the recital) and prohibiting adult day support and vocational habilitation services in congregate settings (Exs. OH-053 (secondary), OH-019 p. the Stay Safe Ohio Order (Apr. 30, 2020) kept 'Adult Day Support or Vocational Habilitation Services in a Congregate Setting' and 'Older Adult Day Care Services and Senior Centers' closed 'until this Order is amended or rescinded' (Ex. OH-019); Director's Order on the Opening of Adult Day Care Services and Senior Centers (Aug. 31, 2020; effective 12:01 a.m. Sept. 21, 2020): reopening 'utilizing a phased approach... so long as all safety standards are met' (Ex. OH-101), amended Oct. 2020 and Third Amended May 4, 2021; all rescinded 12:01 a.m. June 2, 2021 (Ex. OH-050 paras. 5-7).	Second Amended Director's Order on Adult Day Support Services and Vocational Habilitation Services (Mar. 17, 2021) rescinded June 2, 2021 (Ex. OH-050 para. 5), the reopening chain from summer 2020 verified_secondary through that recital; Director's Order of Apr. 15, 2020 requiring facilities including developmental-disability residential facilities to notify residents, guardians and sponsors of positive cases (Ex. OH-017); residential-care testing from Aug. 24, 2020 (Ex. OH-100); nursing-home and residential-care visitation orders to June 18, 2021 (Ex. OH-051).	Vocational habilitation in congregate settings prohibited Mar. 21, 2020-June 2, 2021 as amended (Exs. OH-019, OH-050).	Stay at Home Order (Mar. 22, 2020) named food banks, soup kitchens and social services essential (Ex. SEC-16-080); Columbus EO 2021-01 (Sept. 10, 2021) masks (Ex. MET-CMH-048); Cuyahoga County EO 2021-0016 (Aug. 3, 2021) (Ex. MET-CLE-009); CARES s. 3222.	EO 2020-04D, 2020-07D and 2020-35D emergency rules (Exs. OH-065 to OH-067); court orders.	Appendix K (IO, Level One, SELF and PASSPORT/Assisted Living waivers; verified_secondary); DODD and ODA rules (Ohio Adm.	OH-011, OH-014, OH-019, SEC-16-080, OH-050 (June 2, 2021), OH-051 (June 18, 2021).	No statewide instrument (rescinded June 2, 2021); MET-CMH-048 (Sept. 10, 2021); MET-CLE-009; federal layer.	AD; DD; VR; FD; TR; PY; HR; CB	OH-011; OH-017; OH-019; OH-050; OH-051; OH-053; OH-100; OH-101; SEC-16-080; MET-CMH-048; MET-CLE-009	Primary source read (OH-019, OH-101, OH-050, OH-017); Confirmed from a secondary source (the Mar. 21, 2020 orders themselves, OH-053 / SEC-24-009)
OklahomaOK	OK	Fourth Amended EO 2020-07 (Mar. 24, 2020): 'vulnerable individuals' 65 and older 'shall stay in their home', non-essential businesses closed from 11:59 p.m. Mar. 25 in affected counties, statewide from Apr. 1 (Exs. OK-006, OK-015); Stillwater closed its senior center Mar. 16, 2020 (Ex. OK-083).	Federal QSO-20-23 / 21-14.		CARES s. 3222; Oklahoma City and Tulsa orders (OK file).	General orders.	Appendix K (Community, Homeward Bound, In-Home Supports, ADvantage waivers; verified_secondary).	OK-006, OK-015, OK-039 (Mar. 12, 2021), OK-041 (May 4, 2021 end).	No statewide instrument; federal layer.	AD; DD; FD; PY; CB	OK-006; OK-015; OK-083	Primary source read (EOs).
OregonOR	OR	EO 20-12 (Mar. 23, 2020) stay home and business closures (Ex. OR-007) rescinded and replaced by EO 20-25 (May 14, 2020); EO 20-66 (Dec. 3, 2020-June 30, 2021) county risk levels with OHA binding sector guidance (Ex. OR-035).	OAR 333-019-1010 (Aug. 5, 2021) health care provider vaccination or testing, reaching adult foster homes and residential care (Ex. OR-046); federal QSO-20-23 / 21-14.		CARES s. 3222; Portland and county orders (MET-PDX file).	General orders.	Appendix K (ODDS Comprehensive and Support Services waivers; APD 1915(k) K Plan via 1115; verified_secondary).	OR-003, OR-007, OR-059, EO 20-25, OR-035, OR-043 (EO 21-15, June 30, 2021).	OR-046 (Aug. 5, 2021); the OHA indoor mask rule of Aug. 13, 2021 (OR file); federal layer.	AD; DD; FD; PY; HR; CB	OR-007; OR-035; OR-043; OR-046	Primary source read (EOs; OAR).
PennsylvaniaPA	PA	Governor's statewide mitigation of Mar. 16, 2020: 'Adult day care centers, adult training facilities, [vocational] facilities, LIFE centers and Senior Community Centers close beginning Tuesday, March 17' (Ex. PA-081), followed by the Mar. 19 closure of non-life-sustaining businesses and the stay-at-home orders from Mar. 23 to June 4, 2020 (Ex. PA-005 series); Philadelphia Full Reopening Order June 15, 2021 (Ex. MET-PHL-018).	Universal baseline testing orders for ICFs (June 26, 2020; baseline by Aug. 31, 2020) (Ex. PA-116); Appendix K to the Community HealthChoices and OBRA waivers, start date Mar. 6, 2020, applying 'to all individuals impacted by the virus or the response to the virus (e.g. closure of day programs, etc.)', with remote assessments and monitoring (Ex. SEC-04-078); vaccine-or-test for Commonwealth employees in congregate facilities (Aug. 2021) (Ex. ECO-B-137).	Vocational facilities (55 Pa. Code ch. 2390) closed from Mar. 17, 2020 (Ex. PA-081).	Senior Community Centers closed Mar. 17, 2020 (Ex. PA-081); CARES s. 3222; Philadelphia orders (MET-PHL file).	Court orders; Bureau of Human Services Licensing inspection suspension to Oct. 18, 2021.	SEC-04-078 (Appendix K CHC/OBRA); Appendix K (ODP waivers; verified_secondary); DOH and DHS orders (PA-116).	PA-081, PA-082, PA-005, PA-035, PA-036 (May 31, 2021 end), PA-100 (June 28, 2021 masks end).	SEC-04-078 (Appendix K in force); ECO-B-137; ECO-B-087 (school masks Sept. 7, 2021); MET-PHL-021 (Philadelphia HCW vaccination regulation Aug. 16, 2021); federal layer.	AD; DD; VR; FD; PY; HR; WF; CB	PA-081; PA-005; PA-116; SEC-04-078; ECO-B-137; MET-PHL-018; MET-PHL-021	Primary source read (Governor's release, Appendix K, DOH orders).
Rhode IslandRI	RI	EO 20-14 (Mar. 28, 2020) stay at home to May 8, 2020 (Ex. RI-010); EO 20-33 and 20-70 community-based provisions (Exs. RI-018, RI-023).	216-RICR-20-15-8 (emergency regulation Aug. 17, 2021): every health care worker in a licensed health care facility, expressly including 'adult day care', must be vaccinated by Oct. 1, 2021 or, until then, mask and test (Exs. RI-072, SEC-04-053).		DBR Critical and Non-Critical Retail Businesses List (Apr. 3, 2020) named food banks critical (Ex. RI-074); CARES s. 3222.	General orders.	Appendix K (BHDDH and EOHHS 1115-based HCBS; verified_secondary); RIDOH regulations.	RI-092, RI-010, RI-018, RI-023, EO 21-57 (May 21, 2021), EO 21-76 (July 6, 2021 end).	RI-072 (Aug. 17, 2021); RI-058 (EO 21-91, Aug. 26) and RI-064 (EO 21-98, Sept. 24, 2021); federal layer.	AD; DD; FD; PY; HR; WF; CB	RI-010; RI-018; RI-023; RI-072; SEC-04-053; RI-074; RI-058; RI-064	Primary source read (EOs; regulation).
South CarolinaSC	SC	EO 2020-10 (Mar. 17, 2020) dine-in and gatherings (Ex. SC-003); EO 2020-13 (Mar. 23, 2020) authorized law enforcement to disperse gatherings of three or more (Ex. SC-006); Home or Work Order Apr. 7-May 4, 2020 (SC file).	Federal QSO-20-23 / 21-14.		CARES s. 3222.	EO 2021-19 (Apr. 12, 2021): DSS directed to prevent placements of unaccompanied migrant children in licensed residential group care and foster facilities (Ex. SC-034).	Appendix K (ID/RD, CS, HASCI, Community Choices waivers; verified_secondary).	SC-003, SC-006, EO 2020-21, EO 2021-12 (Mar. 5, 2021 end).	No statewide instrument; federal layer.	AD; DD; FS; PY; CB	SC-003; SC-006; SC-034	Primary source read (EOs).
South DakotaSD	SD	No stay-home order; EO 2020-12 (Apr. 6, 2020) recommendations and EO 2020-13/-18 vulnerable-persons stay-home (to May 11, 2020) (Exs. SEC-16-088, SD-066).	EO 2020-10 (Mar. 26, 2020) suspended rules for group homes (group care centers) and educator preparation (Ex. SD-007); EO 2020-16 (Apr. 15, 2020) health-licensing and telehealth flexibilities incl. foster care (Ex. SD-013); federal QSO-20-23 / 21-14.		CARES s. 3222; Sioux Falls mask ordinance FAQ (food pantry provisions) (Ex. SD-062).	SD-007; SD-013.	Appendix K (CHOICES, Family Support 360, HOPE waivers; verified_secondary).	SEC-16-088, SD-007, SD-013, SD-038, SD-066, EO 2020-20 (Apr. 28, 2020).	No statewide instrument; Brookings Resolution 21-072 (Aug. 24, 2021) (Ex. SD-082); federal layer.	AD; DD; FS; PY; CB	SEC-16-088; SD-007; SD-013; SD-062; SD-082	Primary source read (EOs).
TennesseeTN	TN	EO 17 (Mar. 22, 2020) gatherings of ten and nursing-home visits barred (Ex. SEC-16-056); EO 22 stay at home Mar. 31-Apr. 30, 2020 with food banks and social services essential (Exs. TN-007, SEC-16-105); EO 30 (Apr. 28, 2020) listed 'Senior centers' among facilities to remain closed in the 89 counties (Ex. TN-013), continued by EO 38 and EO 49 (Exs. TN-018, TN-019); EO 63 (Sept. 29, 2020): 'Senior centers or equivalent facilities may be open... beginning October 1, 2020; provided, that capacity must be limited to the extent necessary to accommodate adequate social distancing' (Ex. TN-024).	LTC visitation barred Mar. 23, 2020 (EO 17 para. 1.e; EO 30 para. 6) and permitted only under TDH prerequisites June 15, 2020-Feb. 27, 2021 (EO 49; TN-052); federal QSO-20-23 / 21-14.		EO 22 food banks and social services essential (Ex. SEC-16-105); CARES s. 3222; Nashville and Memphis orders (MET-BNA file).	General orders.	Appendix K (Employment and Community First CHOICES; Statewide, Comprehensive Aggregate Cap and Self-Determination waivers; verified_secondary).	SEC-16-056, TN-007, TN-013, TN-016, TN-018, TN-019, TN-024, EO 70, EO 75 (Jan. 31, 2021 end), EO 80 (Apr. 28, 2021).	No statewide instrument (EO 83 hospital staffing flexibilities only); federal layer.	AD; DD; VS; FD; PY; CB	SEC-16-056; TN-007; SEC-16-105; TN-013; TN-018; TN-019; TN-024	Primary source read (EOs).
TexasTX	TX	GA-08 (Mar. 19, 2020) banned gatherings over ten, closed schools and barred nursing-home visits (Ex. TX-003); GA-14 (Apr. 2-30, 2020): 'every person in Texas shall, except where necessary to provide or obtain essential services, minimize social gatherings' with essential services defined by CISA Guidance 2.0 (Ex. TX-008); local orders (MET-DFW, MET-HOU, MET-SAT, MET-AUS files) closed senior centers and adult day programs in the metros in March-April 2020.	Texas National Guard disinfection mission for nursing facilities (May 13, 2020) (Ex. AGY-ST-CORRECTIONS-EMA-GUARD-062); federal QSO-20-23 / 21-14.		Austin Order 20200321-006 exempted homeless shelters from the gathering ban (Ex. MET-AUS-002); CARES s. 3222.	General orders; court emergency orders (ECO-C).	Appendix K (HCS, TxHmL, CLASS, DBMD, STAR+PLUS HCBS; verified_secondary).	TX-003, TX-004, TX-008, GA-18 to GA-32 (2020 capacity steps), TX-029 (GA-34, Mar. 10, 2021), GA-38, GA-39.	No statewide instrument (GA-38/GA-39 barred local mandates); Dallas and Harris County orders litigated (MET-DFW-028 to -031; MET-HOU-038); federal layer.	AD; DD; VR; FD; PY; CB	TX-003; TX-004; TX-008; TX-029; AGY-ST-CORRECTIONS-EMA-GUARD-062; MET-AUS-002	Primary source read (GA orders; local orders).
UtahUT	UT	Stay Safe, Stay Home directive (Mar. 27-May 1, 2020) (Ex. UT-004); Salt Lake County PHO 2020-02 (Mar. 19, 2020) reciting the County's Mar. 13 closure of senior centers (Ex. MET-SLC-041); Summit County closed senior centers Mar. 12, 2020 (Ex. MET-SLC-002).	Federal QSO-20-23 / 21-14.		CARES s. 3222.	General orders.	Appendix K (Community Supports, Aging, ABI, Medically Complex Children waivers; verified_secondary).	UT-004, UT-009, UT-038 (SPHO 2021-7), UT-040 (HB 294), UT-043 (May 4, 2021 end).	No statewide instrument; federal layer.	AD; DD; FD; PY; CB	UT-004; UT-038; UT-043; MET-SLC-002; MET-SLC-041	Primary source read (directive; county orders).
VermontVT	VT	Addendum 6 to EO 01-20 (Mar. 24, 2020): stay home and suspension of in-person business operations from 5:00 p.m. Mar. 25, 2020 (Ex. VT-010), extended to May 15 and June 15, 2020; Governor's release of June 17, 2020: 'Senior Centers may also begin reopening, while following the technical assistance provided by the VDH and DAIL. This announcement does not mean Adult Day programs can resume' (Ex. VT-095).	Addendum 3 (Mar. 20, 2020) elective procedures (Ex. SEC-16-065); LTC visitation rules continued under VT-025 s. 2 to June 15, 2021 (Ex. VT-095 notes); federal QSO-20-23 / 21-14.		CARES s. 3222.	General orders.	Appendix K (Global Commitment 1115 HCBS; verified_secondary).	VT-010, VT-014, VT-021, VT-023, VT-032, VT-043 (May 14, 2021), VT-098 (June 14-15, 2021 end).	No statewide instrument; federal layer.	AD; DD; FD; PY; CB	VT-010; VT-095; VT-023; VT-032; VT-043	Primary source read (Addenda; Governor's release).
VirginiaVA	VA	EO 53 (Mar. 23, 2020) closed recreation and entertainment businesses and banned gatherings over ten to May 14, 2020 (Ex. VA-004); EO 55 stay at home (Mar. 30-June 10, 2020) with 'essential social services' as a permitted purpose (Ex. VA-006); Fairfax County closed 'all senior center and adult day health care' facilities from Mar. 16, 2020 (Ex. MET-DCM-092).	Federal QSO-20-23 / 21-14.		CARES s. 3222; Northern Virginia orders (MET-DCM file).	EO 55 (essential social services) (Ex. VA-006).	Appendix K (CL, FIS, BI and CCC Plus waivers; verified_secondary).	VA-004, VA-005, VA-006, VA-035 (EO 70), VA-017 and VA-029 (EO 79 and PHE Order Ten, May 28, 2021 end).	No statewide instrument (emergency lapsed June 30, 2021); federal layer.	AD; DD; FS; FD; PY; CB	VA-004; VA-005; VA-006; MET-DCM-092	Primary source read (EOs; Fairfax record Confirmed from a secondary source).
WashingtonWA	WA	Proclamation 20-25 Stay Home, Stay Healthy (Mar. 23-May 31, 2020) with its essential-workforce appendix (Ex. WA-017) closed adult day services and senior centers as non-essential.	Proclamation 20-66 (Aug. 7, 2020; extended to termination of the emergency; rescinded Oct. 27, 2022): operations of 'certified community residential services and support', adult family homes, assisted living and enhanced services facilities, and 'nursing homes and intermediate care facilities for individuals with intellectual disabilities... must comply with the guidance documents... and... operations within such facilities that are not consistent with the guidance documents are prohibited' (Ex. WA-043); Proclamation 20-25.8 para. 15 prohibited indoor visits again (Nov. 2020); Proclamation 21-14 (Aug. 9, 2021) health care worker vaccination by Oct. 18, 2021, amended 21-14.1 (Aug. 20) (Exs. SEC-04-032, SEC-04-061).		King County Local Health Officer orders of May 20, 2020 (isolation, quarantine and recovery facilities; homelessness de-intensification) and May 29, 2020 (emergency food for vulnerable populations; food banks 'have reported a surge in need') (Exs. MET-SEA-048, MET-SEA-049); Everett stay-home directive naming food banks (Ex. MET-SEA-039); Secretary of Health Order 20-03.2 (May 15, 2021) masks incl. homeless shelters (Ex. WA-063); CARES s. 3222.	General proclamations.	Appendix K (DDA Basic Plus, Core, CIIBS, IFS waivers; COPES; verified_secondary); Proclamation 20-66 (Ex. WA-043).	WA-017 (Proclamation 20-25), WA-043, WA-065, WA-072 (June 30-July 1, 2021 Washington Ready), WA-100.	WA-043 (Proclamation 20-66, in force); SEC-04-032, SEC-04-061 (21-14, 21-14.1); Secretary of Health mask orders 20-03.3/.4 (Aug. 2021, WA file); MET-SEA-003 (King County masking directive); federal layer.	AD; DD; VS; FD; PY; HR; WF; CB	WA-017; WA-043; WA-063; WA-072; SEC-04-032; SEC-04-061; MET-SEA-039; MET-SEA-048; MET-SEA-049; MET-SEA-003	Primary source read (proclamations; King County orders).
West VirginiaWV	WV	EO 9-20 (Mar. 23, 2020) stay at home from 8:00 p.m. Mar. 24 and closure of non-essential businesses, converted to safer at home May 4, 2020 (Ex. WV-009).	Federal QSO-20-23 / 21-14.		CARES s. 3222.	General orders.	Appendix K (I/DD, ADW, TBI waivers; verified_secondary).	WV-009, WV-074 (175 CSR 4), EO 8-21, EO 9-21, WV-063 (EO 12-21, Apr. 20, 2021 end); Monongalia County (WV-082).	No statewide instrument; federal layer.	AD; DD; FD; PY; CB	WV-009; WV-063; WV-082	Primary source read (EOs).
WisconsinWI	WI	Emergency Order #5 (Mar. 17, 2020) gatherings (Ex. WI-035); Emergency Order #12 Safer at Home (Mar. 25-Apr. 24, 2020) with food banks and social services essential (Exs. WI-002, SEC-16-062), extended by Order #28 to May 13, 2020 when Wisconsin Legislature v. Palm ended the regime (Ex. WI-007); Milwaukee County closed its senior centers and dining sites Mar. 16-17, 2020 (Ex. MET-MKE-053).	Federal QSO-20-23 / 21-14.		Order #12 food banks and social services essential (Ex. SEC-16-062); Milwaukee County dining sites carry-out only (Ex. MET-MKE-053); CARES s. 3222.	General orders.	Appendix K (Family Care, IRIS, CLTS waivers; verified_secondary).	WI-035, WI-002, SEC-16-063, WI-007 (May 13, 2020), WI-021 (Mar. 31, 2021 mask order end).	No statewide instrument; Dane County orders (MET-MKE file); federal layer.	AD; DD; FD; PY; CB	WI-035; WI-002; SEC-16-062; WI-007; MET-MKE-053	Primary source read (orders).
WyomingWY	WY	Statewide Public Health Order #1 (Mar. 19, 2020; continued without interruption to May 31, 2021) closed listed places of public accommodation (Ex. WY-004) and Order #2 capped gatherings; no stay-home order.	Federal QSO-20-23 / 21-14.		CARES s. 3222; Teton District orders (WY-N08).	General orders.	Appendix K (Comprehensive and Supports waivers; CCW; verified_secondary).	WY-004, WY-N08, WY-046 to WY-052 (Mar. 15-16, 2021 end).	No statewide instrument; federal layer.	AD; DD; FD; PY; CB	WY-004; WY-050; WY-051	Primary source read (orders).

Sector instruments in the Library

The 11 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-24-008	1915(c) Home and Community-Based Services Waiver Instructions and Technical Guidance, Appendix K: Emergency Preparedness and ResponseAppendix K: Emergency Preparedness and Response (Instructions and Technical Guidance)	Centers for Medicare & Medicaid Services	Mar. 1, 2020	Other	2020 Q22020 Q32020 Q42021 Q12021 Q22021 Q3
Ex. SEC-24-007	PIN 20-08-ASC, Statewide Waivers for Licensing Requirements Due to Coronavirus 2019 (COVID-19)Statewide Waivers for Licensing Requirements Due to Coronavirus 2019 (COVID-19)	California Department of Social Services, Community Care Licensing Division	Mar. 18, 2020	Health care ordersWorkplace rulesOther	2020 Q22020 Q3
Ex. SEC-24-011	Emergency Executive Order 20-12, Preserving Access to Human Services Programs During the COVID-19 Peacetime EmergencyPreserving Access to Human Services Programs During the COVID-19 Peacetime Emergency	Governor Tim Walz (Emergency Executive Order, approved by the Executive Council)	Mar. 20, 2020	Health care ordersWorkplace rulesOther	2020 Q22020 Q32020 Q42021 Q12021 Q2
Ex. SEC-24-009	Governor's COVID-19 Update of March 21, 2020 (announcing the Director's Orders closing older adult day care services and senior centers and prohibiting adult day support and vocational habilitation services in congregate settings)COVID-19 Update: March 21, 2020	Governor Mike DeWine (COVID-19 Update of March 21, 2020, announcing the Director of Health's orders)	Mar. 21, 2020	Business closureHealth care orders	2020 Q22020 Q3
Ex. SEC-24-002	CARES Act s. 3222 (Nutrition Services) and s. 3223 (Continuity of Service... Under Title V of the Older Americans Act)Coronavirus Aid, Relief, and Economic Security Act (full text; s. 3222 at 134 Stat. 379-380)	Congress (Pub. L. 116-136)	Mar. 27, 2020	Supply chainOther	2020 Q22020 Q32020 Q42021 Q12021 Q22021 Q3
Ex. SEC-24-001	Memorandum, Availability of Waivers of Community Planning and Development Grant Program and Consolidated Plan Requirements to Prevent the Spread of COVID-19 and Mitigate Economic Impacts Caused by COVID-19Availability of Waivers of CPD Grant Program and Consolidated Plan Requirements to Prevent the Spread of COVID-19 and Mitigate Economic…	Department of Housing and Urban Development, Office of Community Planning and Development (John Gibbs, Acting Assistant Secretary)	Mar. 31, 2020	Workplace rulesOther	2020 Q22020 Q32020 Q42021 Q1
Ex. SEC-24-006	PIN 20-23-ASC, Updated Guidance on COVID-19 Related to the Critical Role of Testing, Modification of Visitation Guidelines, Need for Infection Prevention and Control, and Use of Face Coverings in Adult and Senior Care FacilitiesUpdated Guidance On Coronavirus Disease 2019 (COVID-19) Related To The Critical Role Of Testing, Modification Of Visitation Guidelines, Need…	California Department of Social Services, Community Care Licensing Division	June 26, 2020	Capacity limitFace-covering requirementHealth care ordersWorkplace rules	2020 Q22020 Q32020 Q42021 Q1
Ex. SEC-24-003	Provider Information Notice (PIN) 20-33-ASC, Adult Day Programs COVID-19 Guidelines (with Addenda A-F)Adult Day Programs COVID-19 Guidelines	California Department of Social Services, Community Care Licensing Division, Adult and Senior Care Program	Sept. 30, 2020	Capacity limitFace-covering requirementHealth care ordersWorkplace rules	2020 Q32020 Q42021 Q12021 Q2
Ex. SEC-24-010	Notice CPD-21-08, Waivers and Alternative Requirements for the Emergency Solutions Grants (ESG) Program Under the CARES ActWaivers and Alternative Requirements for the Emergency Solutions Grants (ESG) Program Under the CARES Act	Department of Housing and Urban Development, Office of Community Planning and Development	July 19, 2021	Workplace rulesOther	2021 Q3
Ex. SEC-24-004	PIN 21-33-ASC, Adult Day Program Infection Control Guidance (supersedes PIN 20-33-ASC and PIN 21-21-ASC)Adult Day Program Infection Control Guidance	California Department of Social Services, Community Care Licensing Division	Aug. 9, 2021	Face-covering requirementHealth care ordersWorkplace rulesVaccination or testingQuarantine and isolation	2021 Q3
Ex. SEC-24-005	PIN 21-44-ASC, Adult and Senior Care Facility Worker COVID-19 Vaccination RequirementAdult and Senior Care Facility Worker Coronavirus Disease 2019 (COVID-19) Vaccination Requirement	California Department of Social Services, Community Care Licensing Division	Sept. 28, 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-04-014 (OSHA 1910.502, from June 21, 2021; compliance July 6 and 21)
SEC-04-016 (QSO-21-14 revised June 3, 2021, ICF/IID visitation and infection control)
SEC-04-078 and every State's Appendix K amendments (to six months after the PHE)
SEC-24-010 (HUD Notice CPD-21-08, July 19, 2021)
SEC-24-004 (CA PIN 21-33-ASC, July 27, 2021; compliance Aug. 23)
CA-031 (SPHO July 26, 2021)
CA-030 (SPHO Aug. 5, 2021; deadline Sept. 30)
SEC-24-005 (CA PIN 21-44-ASC, Sept. 28, 2021)
CA-035 (face coverings guidance July 28, 2021, emergency shelters and adult day programs)
MET-LA-023 (Los Angeles County HCW and home care worker order Aug. 12, 2021)
NM-068 and NM-071 (Aug. 17 and Sept. 15, 2021)
NJ-056 / SEC-04-030 (EO 252, effective Sept. 7, 2021)
NJ-081 (ED 21-007 reopening conditions, from June 15, 2021)
IL-042 and IL-043 (EO 2021-20 and 2021-22)
ECO-B-141 (Illinois State congregate facility employees incl. developmental centers)
RI-072 / SEC-04-053 (216-RICR-20-15-8, Aug. 17, 2021)
AGY-ST-HEALTH-SUBORDERS-046 (Delaware adult day care staff vaccination or testing, effective Sept. 30, 2021) and DE-061 and the parallel 4402 order effective July 1, 2021
MD-027 (adult day reopening order, in force to Aug. 15, 2021), MD-057 and MD-060 (State congregate facilities)
NY-071, NY-071-B, NY-073 (10 NYCRR 2.61 and 2.60, Aug. 26-27, 2021)
MET-NYC-036 (NYC congregate settings staff vaccination or testing, Aug. 16, 2021)
MET-NYC-017 and MET-NYC-018 (Key to NYC; senior centers exempt)
CT-051 and SEC-04-051 (EO 13B/13F, LTC incl. ICF staff vaccination by Sept. 27, 2021)
SEC-04-052 (CT EO 13D, State employees, school and child care staff)
SEC-04-032 and SEC-04-061 (WA Proclamation 21-14 and 21-14.1)
WA-043 (Proclamation 20-66, community residential and ICF/IID operations)
CO-041, CO-053, CO-091, CO-054 (PHO 20-38 Fourth to Seventh Amended: homeless shelters)
CO-042 and CO-092 (PHO 20-20 Seventh and Eighth Amended: group homes and ICFs)
MET-DEN-023 (Denver personnel vaccination incl. shelters, by Sept. 30, 2021)
MA-050 (DPH face coverings: congregate care, emergency shelters, HHS day programs)
MA-069 (105 CMR 159, Sept. 8, 2021)
AGY-ST-HEALTH-SUBORDERS-120 (MA PHE Order 2021-8, Sept. 15, 2021)
NC-030 (EO 220 to July 30, 2021: homeless shelters)
KS-052 (KDHE adult care home testing incl. adult day care facilities)
MET-IND-008 (Marion County non-congregate shelter order)
MET-CMH-048 (Columbus EO 2021-01, Sept. 10, 2021)
MET-MSP-042 and MET-MSP-045 (Saint Paul emergency shelter zoning waivers)
MET-PHL-021 (Philadelphia HCW vaccination regulation Aug. 16, 2021)
ECO-B-137 (Pennsylvania Commonwealth employees in congregate facilities)
SEC-04-059 (DC Mayor's Order 2021-099)
FED-174 s. 9817 (ARPA HCBS FMAP conditions Apr. 1, 2021-Mar. 31, 2022)
FED-012 (CDC conveyance mask order) and TSA directives for client and staff transit
SEC-16-043 / ECO-B-051 (KY EO 2021-585 school and child care masks, Aug. 10, 2021: workforce)
SEC-15-074 (LA Proclamation 137 JBE 2021 masks, Aug. 2-4, 2021)
OR-046 (OAR 333-019-1010 Aug. 5, 2021)

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: 21 notices, each graded and sourced. The Suspension Clause names “group meetings” in terms.

Date	Organizer notice	Grade	Exhibit and source
Nov. 11, 2019	The Arc National Convention 2020	Primary source read	Ex. SEC-24-GM-020 Open · Source
Mar. 16, 2020	Best Buddies Friendship Walk 2020 (about 60 city walks)	Primary source read	Ex. SEC-24-GM-015 Open · Source
Mar. 17, 2020	Elevate: The 2020 ANCOR Annual Conference	Primary source read	Ex. SEC-24-GM-001 Open · Source
Mar. 17, 2020	Elevate: The 2020 ANCOR Annual Conference	Primary source read	Ex. SEC-24-GM-002 Open · Source
Mar. 17, 2020	Elevate: The 2020 ANCOR Annual Conference	Primary source read	Ex. SEC-24-GM-003 Open · Source
Mar. 25, 2020	CWLA 2020 National Conference (Child Welfare League of America, 100th anniversary year)	Primary source read	Ex. SEC-24-GM-006 Open · Source
Apr. 10, 2020	Alliance for Strong Families and Communities and Council on Accreditation 2020 National Conference (COA 2020)	Primary source read	Ex. SEC-24-GM-017 Open · Source
Apr. 10, 2020	Alliance for Strong Families and Communities and Council on Accreditation 2020 National Conference (COA 2020)	Primary source read	Ex. SEC-24-GM-018 Open · Source
Apr. 15, 2020	Points of Light Conference 2020 (the national conference on volunteering and service)	Primary source read	Ex. SEC-24-GM-011 Open · Source
May 30, 2020	2020 APSE National Conference: Employment First: Elevated (Association of People Supporting Employment First)	Primary source read	Ex. SEC-24-GM-004 Open · Source
May 30, 2020	2020 APSE National Conference: Employment First: Elevated (Association of People Supporting Employment First)	Primary source read	Ex. SEC-24-GM-005 Open · Source
July 30, 2020	NADSP Annual Meeting and Conference: The Sixth One (direct support professional workforce conference)	Primary source read	Ex. SEC-24-GM-013 Open · Source
July 30, 2020	NADSP Annual Meeting and Conference: The Sixth One (direct support professional workforce conference)	Primary source read	Ex. SEC-24-GM-014 Open · Source
Aug. 31, 2020	Meals on Wheels America Annual Conference 2020	Primary source read	Ex. SEC-24-GM-007 Open · Source
Sept. 1, 2020	NCIL Annual Conference on Independent Living 2020 ('Evolution of our Revolution')	Primary source read	Ex. SEC-24-GM-010 Open · Source
June 14, 2021	2021 ANCOR Annual Conference: Meeting the Moment	Primary source read	Ex. SEC-24-GM-016 Open · Source
June 21, 2021	AAIDD 144th Annual Meeting (2020) and 145th Annual Meeting (2021)	Primary source read	Ex. SEC-24-GM-012 Open · Source
July 19, 2021	NCIL Annual Conference on Independent Living 2020 ('Evolution of our Revolution')	Primary source read	Ex. SEC-24-GM-019 Open · Source
Aug. 11, 2021	Meals on Wheels America Annual Conference 2021	Primary source read	Ex. SEC-24-GM-008 Open · Source
Oct. 1, 2021	The Arc National Convention 2020	Primary source read	Ex. SEC-24-GM-021 Open · Source
Dec. 1, 2021	Catholic Charities USA Annual Gathering (2020 cancelled; 2021 San Diego)	Primary source read	Ex. SEC-24-GM-009 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.