The COVID Project
The record
- Jurisdiction
- Iowa
- Level
- State
- Authority
- Iowa Code §§ 29C.6(6), 135.144(3)
- Issued
- 2020-04-24 Apr. 24, 2020
- Effective
- 5:00 a.m. April 27, 2020 (read as 2020-04-27)
- End
- Surgery conditions 'until this disaster proclamation expires,' continued through IA-033 (bed reserves changed November 17, 2020) and ended February 7, 2021 (IA-035) (read as 2021-03-31)
- In force
- Apr. 27, 2020 to Mar. 31, 2021
- Quarters
- 2020 Q22020 Q32020 Q42021 Q1
2020 Q22020 Q32020 Q42021 Q12021 Q22021 Q3
- Limitation types
- Capacity limitGathering capHealth care ordersEvents and venues
- Addressees
- hospitals, outpatient surgery and procedure providers
- farmers markets and vendors
- Functions reached
- SX surgery and elective procedures conditioned on PPE inventories, testing and 30 percent bed reserves
- IP inpatient capacity reserved
- SC PPE supply chain condition
- MK farmers markets limited to farm products, no entertainment, no common seating
- Collection
- Iowa IA
Operative words
NONESSENTIAL OR ELECTIVE SURGERIES AND PROCEDURES. SECTION ONE.... effective at 5:00 a.m. on April 27, 2020... A. A hospital, outpatient surgery provider, or outpatient procedure provider may conduct in-patient surgeries and procedures that, if further delayed, will pose a significant risk to quality of life and any outpatient surgeries or procedures if the hospital or provider complies with the following requirements: (1) A hospital or provider must have: (a) Adequate inventories of personal protective equipment (PPE) and access to a reliable supply chain without relying on state or local government PPE stockpiles to support continued operations and respond to an unexpected surge in a timely manner; and (b) A plan to conserve PPE consistent with guidance from the CDC and Iowa Department of Public Health; (2) [testing plan; 'For scheduled surgeries patients should have a negative COVID-19 test performed within 48 hours of surgery date']... (3) A hospital must continue to accept and treat COVID-19 patients and must not transfer COVID-19 patients to create capacity for elective procedures. (4) A hospital must reserve at least 30% of intensive care unit (ICU) beds and 30% of medical/surgical beds for COVID-19 patients. (5) A hospital or provider that begins conducting surgeries or procedures as authorized by this paragraph but is no longer able to satisfy all these requirements must cease conducting such surgeries or procedures... B. Except as provided in paragraph A, all nonessential or elective surgeries and procedures that utilize PPE must not be conducted by any hospital, outpatient surgery provider, or outpatient procedure provider, whether public, private, or nonprofit.... FARMERS MARKETS. SECTION TWO.... farmers markets... may operate only to the extent that the farmers market complies with the following requirements: A. Farm Products and Food: The farmers market may only permit vendors who sell farm products and food... C. Common Seating Prohibited... D. Vendor Spacing...
Enforcement
Iowa Code § 135.144(3); § 1(A)(5) requires providers to cease if conditions fail; state agencies monitor
Notes
The 30 percent ICU and medical-surgical reserve requirement was reduced to 10 percent by the November 16 and December 16, 2020 proclamations (IA-030, IA-033) with a 72-hour testing window; the bed-reserve capacity condition governed every Iowa hospital's elective schedule through February 6, 2021.
Retrieval noteTen-page scanned PDF read by OCR.