The Oklahoman

US unveils shot protocol for federal mandate, exemptions

- Zeke Miller

WASHINGTON – With just weeks remaining before federal workers must be vaccinated against COVID-19, the federal government on Monday outlined procedures for employees to request medical or religious exemptions from President Joe Biden's mandate.

The Office of Management and Budget released the new guidance Monday afternoon ahead of the Nov. 22 deadline for workers to be fully vaccinated, outlining specific medical conditions that would warrant an exemption. Under the guidelines, agencies are to direct workers to get their first shot within two weeks of an exemption request being denied, or the resolution of a medical condition. They also make clear that federal agencies may deny medical or religious exemptions if they determine that no other safety protocol is adequate.

The Biden administra­tion is drawing on Centers for Disease Control and Prevention guidance to determine approved medical exemptions, including a history of allergic reaction to the vaccines. Other conditions, including being treated with monoclonal antibodies or having a history of multisyste­m inflammatory syndrome, warrant a 90day delay in vaccinatio­n, in accordance with CDC advice.

While the CDC recommends that women who are pregnant or are planning to become pregnant get vaccinated against COVID-19, the federal government will consider requests to delay vaccinatio­n while pregnant depending on the worker's particular medical circumstan­ces.

Senior administra­tion officials provided The Associated Press with a preview of the new guidance Monday before it was posted by OMB.

Federal workers seeking exemptions will engage in what officials called an “interactiv­e process” with their agencies, which will include being asked to provide documentat­ion to support the exemption and potential accommodat­ions. In the event an exemption request is rejected, workers will have two weeks to get a first shot, or be subject to disciplina­ry proceeding­s in accordance with Biden's order.

Unvaccinat­ed workers are required to wear masks and maintain social distancing and will have their ability to travel for work curtailed. New testing guidance for those who are granted exemptions is expected to be unveiled in the coming weeks.

In some cases, agencies may deny even legitimate exemption requests if they determine “that no safety protocol other than vaccinatio­n is adequate” given the nature of the employee's job.

Under CDC guidelines, people are only considered fully vaccinated two weeks after their second dose of twoshot mRNA vaccines from Pfizer and Moderna or the one-dose Johnson & Johnson shot – meaning most federal workers have until Nov. 8, at the latest, to roll up their sleeves to comply with Biden's order.

According to the new federal guidance, neither past COVID-19 infection nor an antibody test can be substitute­d for vaccinatio­n.

Meanwhile, private companies with more than 100 employees will be subject to a forthcomin­g rule from the Occupation­al Safety and Health Administra­tion requiring all employees to be vaccinated or get tested weekly. Biden announced the regulation weeks ago, but the agency is still drafting the particular­s.

 ?? GETTY IMAGES/ISTOCKPHOT­O ?? The Office of Management and Budget has released new guidance ahead of the Nov. 22 deadline for workers to be fully vaccinated, outlining specific medical conditions that would warrant an exemption.
GETTY IMAGES/ISTOCKPHOT­O The Office of Management and Budget has released new guidance ahead of the Nov. 22 deadline for workers to be fully vaccinated, outlining specific medical conditions that would warrant an exemption.

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