Proclamation of Disaster Emergency (nonessential medical and dental services; retail closures)

The record

Jurisdiction

Iowa

Level

State

Authority

Iowa Code §§ 29C.6(6), 135.144(3); dental enforcement under § 153.33(1)(b)

Issued

2020-03-26 Mar. 26, 2020

Effective

Surgeries and dental: 5:00 p.m. March 27, 2020; retail closures: 10:00 p.m. March 26, 2020 (read as 2020-03-27)

End

Surgery and dental prohibitions 'until this disaster proclamation expires' (surgeries conditionally resumed April 27, 2020 by IA-011; dental resumed May 8, 2020 by IA-014); closures and retail closures to 11:59 p.m. April 7, 2020, extended by IA-007 to April 30, 2020 (read as 2020-04-27)

In force

Mar. 27, 2020 to Apr. 27, 2020

Quarters

2020 Q2

2020 Q22020 Q32020 Q42021 Q12021 Q22021 Q3

Limitation types

Business closureGathering capHealth care ordersWorkplace rules

Addressees

• hospitals, outpatient surgery and procedure providers
• dentists and dental staff
• health carriers
• nonessential retail establishments
• health facilities (staff screening)
• restaurants, bars and closed establishments

Functions reached

• SX surgery and elective procedures prohibited
• PR and CH dental chairside and hygiene prohibited
• SF sales floors of eight retail categories closed
• IC infection control (mandatory staff screening)
• DR/BA/FC/SL closures continued
• CB payers (telehealth parity order to insurers)

Collection

Iowa IA

Operative words

NONESSENTIAL MEDICAL AND DENTAL SERVICES. SECTION ONE.... effective at 5:00 p.m. on March 27, 2020, and continuing until this disaster proclamation expires: A. 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. B. A nonessential surgery or procedure is one that can be delayed without undue risk to the current or future health of a patient, considering all appropriate factors including, but not limited to any: (1) threat to the patient's life if the surgery or procedure is not performed; (2) threat of permanent dysfunction of an extremity or organ system; (3) risk of metastasis or progression of staging; and (4) risk of rapidly worsening to severe symptoms.... SECTION TWO.... A. All dentists and their staff shall refrain from performing elective dental procedures, including: any cosmetic or aesthetic procedures; all routine hygiene; any orthodontic procedures other than those necessary to relieve pain or infection or to restore normal oral functioning; initiation of crowns, bridges, or dentures that do not address or prevent pain or restore normal oral functioning; any periodontal plastic surgery; extraction of asymptomatic non-carious teeth; recall visits for periodontally-healthy patients; and all appointments for high-risk patients, including ASA 2 and 3 patients, unless emergent. B. This order does not prohibit the provision of emergency dental services. C. This order shall be enforced by Iowa Dental Board investigators or their designees who, pursuant to Iowa Code § 153.33(1)(b), shall have the powers and status of peace officers when enforcing this order.... ADDITIONAL NONESSENTIAL RETAIL CLOSURES. SECTION FIVE.... effective 10:00 p.m. March 26, 2020, and continuing until 11:59 p.m. on April 7, 2020, the following nonessential retail establishments shall be closed: A. Bookstores; B. Clothing stores; C. Shoe stores; D. Jewelry stores; E. Luggage stores; F. Cosmetic, beauty, or perfume stores; G. Florists; and H. Furniture and home furnishing stores. This closure order does not affect other retail establishments, such as discount stores, grocery stores, or pharmacies that sell these goods in addition to other essential food, medical supplies, and household goods. MANDATORY SCREENING OF HEALTH FACILITY STAFF. SECTION SIX.... I hereby order all hospitals, nursing facilities, intermediate care facilities, residential care facilities, hospice programs, and assisted living programs to screen all staff at the beginning of their shift for fever or respiratory symptoms, absence or shortness of breath, new or change in cough, or sore throat, take the employee's temperature, and take any preventative measures based on that screening to prevent the spread of COVID-19.

Enforcement

Notes