State Guidelines for Returning to Practice

As states move to reopen businesses, precautions must still be taken to protect against the spread of COVID-19. States are developing regulations based on their individual circumstances. Many have issued more specific guidance for healthcare providers and performing elective surgeries due to the unique risks they face. The most recent state return-to-practice guidelines are linked below.

On 5/21/2020, the State Health Officer issued an amended order for additional guidance on re-openings.

"Medical procedures. Effective April 30, 2020, at 5:00 P.M., dental, medical, or surgical procedures may proceed unless the State Health Officer or his designee determines that performing such procedures, or any category of them (whether statewide or regionally), would unacceptably reduce access to personal protective equipment or other resources necessary to diagnose and treat COVID-19. Providers performing these procedures shall follow all applicable COVID-19-related rules adopted by a state regulatory board or by the Alabama Department of Public Health. In the absence of such rules, providers should take reasonable steps to comply with applicable COVID-19-related guidelines from the Centers for Medicare and Medicaid Services (CMS) and the CDC, including “Re-opening Facilities to Provide Non-emergent NonCOVID-19 Healthcare: Phase I” from CMS, available at https://www.cms.gov/files/document/covid-flexibility-reopen-essential-non-covid-services.pdf, and “Infection Control Guidance for Healthcare Professionals about Coronavirus (COVID-19)” from the CDC, available at https://www.cdc.gov/coronavirus/2019-ncov/hcp/infectioncontrol.html..."

Read the State Health Officer's Amended Order.

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The Governor issued a Health Mandate on April 15, Section I businesses reopening starting April 15, Section II began May 4. Updated June 1.

"SECTION II – Provision for Resuming Non-Urgent/Non-Emergent Elective Surgeries and Procedures -Section II went into effect May 4, 2020; Updated June 1, 2020.

  1. Surgeries and intensive procedures are permitted to proceed if delay is deemed to cause impact on health, livelihood, daily activities, or quality of life, if the following conditions are met:
    1. Health care delivery can meet all the standards outlined in Section I of this mandate.
    2. Health care is delivered by a provider listed in statute (see Section VI).
  • Procedures are prioritized based on whether their continued delay will have an adverse outcome.
  1. Cancer screening and other health maintenance should not be delayed. (Examples include, but are not limited to, colonoscopies and pap smears.)
  2. Each facility should review these procedures with their task force that was created in the April 7, 2020 revision to COVID-19 Health Mandate 005..."

Read the Governor's Health Mandate 015: Services by Health Care Providers

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An Executive Order 4/22/2020, allowing certain exemptions to resume elective surgeries on or after 5/1/2020

"The Arizona Department of Health Services shall implement a process for hospitals, healthcare facilities and providers to request an exemption from Executive Order 2020-10 and demonstrate they meet the minimum criteria to resume elective, non-essential surgeries. Those receiving an exemption from Executive Order 2020-10 may begin these surgeries on or after May 1, 2020..."

Read the Governor's Executive Order 2020-32

An Exemption from Executive Order to request elective surgeries

"Healthcare Official Attestation
Executive Order 2020-32
Requesting Exemption from Executive Order 2020-10: Elective Surgeries..."

Read the Request Exemption from Executive Order 2020-10: Elective Surgeries

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A Directive effective 5/25/2020 resuming elective procedures Phase III

" Today’s directive provides greater flexibility while specifying the conditions that must be met as part of Phase III of the resumption of elective procedures. These requirements pertain to all elective procedures. Small rural hospitals under 60 beds and critical access hospitals, though strongly advised to follow this directive to maximize resources and minimize risk, are exempt from this directive. This directive was developed with input from the Arkansas Chapter of the American College of Surgeons. I. Patients with ASA rating of I, II, III, or IV may have elective procedures. II. A negative COVID-19 NAAT/PCR test collected within 72 hours prior to the elective procedure is required prior to the elective procedure. A negative COVID-19 NAAT/PCR result within 48 hours prior to procedure is still strongly encouraged. Antigen testing where available may be utilized in place of NAAT/PCR. Antibody testing is not permitted. III. There are no restrictions as to hospital length of stay. IV. Visitation is limited to family or household members only with no more than 2 per visit..." 

Read the ADH Directive

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Guidelines 4/27/2020 on resuming deferred and preventive health care

"General considerations for resuming services will include the following:

  1. When preparing to resume services, a variety of indicators, including but not limited to the following, should be considered for a service area:
    • COVID-19 infection rates [see consideration 3, below.]
    • COVID-19 hospitalizations
    • COVID-19 emergency room admissions
    • COVID-19 Intensive Care Unit (ICU) utilization
    • Skilled Nursing Facilities COVID-19 outbreaks
    • Other COVID-19 factors that could increase the spread of COVID-19..."

Read the CDPH Guidelines

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An Amended Order 5/25/2020 effective 5/26/2020 until 6/24/2020 resuming elective surgeries

"Prior to resuming Voluntary or Elective Surgeries and Procedures in medical Facilities, the following criteria must be met: 

   i. The medical Facility must have access to adequate PPE in order to sustain recommended PPE..."

Read the MPH Amended Order 20-29

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Guidance 5/18/2020 resuming elective procedures 5/20/2020

Resumption of Elective and non-Urgent Medical Procedures and Appointments COVID-19 hospitalization trends are stable, however, there are continued limitations on PPE and relatively high numbers of COVID-19 hospitalizations. It is now appropriate to progress to services where not providing the service has the potential for increasing morbidity or mortality (Tier 2 in the CMS guidance). If hospitalizations remain stable or decrease and PPE is accessible, then Tier 1 (low acuity or fully elective procedures) can be considered. CMS Guidance: https://www.cms.gov/files/document/cms-non-emergent-elective-medical-recommendations.pdf All licensed health care facilities and health care providers may resume CMS Tier 2 elective and nonurgent medical procedures and appointments on May 20, 2020, and CMS Tier 1 as prioritized by the health care facility provided all of the following measures are in place..."

Read the Delaware Health and Social Services Guidance

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A Guidance 5/26/2020 resuming elective procedures

“...During Phase 1, the public and businesses will be required to adopt new behaviors and rigorous safeguards to reduce risk for all. This guidance provides recommendation for healthcare providers that will resume elective procedures and non-emergency services during Phase 1. When providing these services, the following measures are recommended to help reduce the risk of COVID-19 transmission amongst medical staff, patients and visitors. For additional information, visit coronavirus.dc.gov/phaseone..."

Read the Mayor and DC Health's Phase 1 Guidance

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Guidelines for resuming elective procedures Phase 2 6/5/2020

"Elective surgeries can resume and citizens are encouraged not to delay medical care which may put their health at risk, as there is ample capacity at health care facilities.

Medical services, including elective procedures, surgical centers, office surgery centers, dental offices, orthodontic offices, endodontic offices, and other health care practitioners' offices may fully re-open.

Hospitals are required to assist nursing homes and long-term care facilities in protecting the vulnerable. They must maintain adequate bed capacity and PPE. They must also have the capacity to immediately convert additional surgical and intensive care beds in a surge situation and must not have received or sought any additional federal, state, or local government assistance regarding PPE after resuming elective procedures..."

Read the Florida Health Plan

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An Executive Order 4/20/2020 to begin procedures 4/24/2020

"...all medical practices, dental practices, orthodontics practices, optometry practices...should begin treating patients as soon as practicable..."

Read the Governor's Executive Order

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An Executive Order 4/16/2020 cancelling elective surgeries during the emergency

"Pursuant to sections 127A-12(a)(5) and 663-1.5, HRS, I direct all health care facilities, health care professionals, and health care volunteers, as defined in section 1 of this Executive Order, to render assistance in support of the State’s response to the disaster recognized by the Emergency Proclamations. For health care facilities, “rendering assistance” in support of the State’s response includes cancelling or postponing elective surgeries and procedures as each facility determines to be appropriate under the circumstances presented by the COVID-19 emergency if elective surgeries or procedures are performed at the health care facility. In addition, for health care facilities, “rendering assistance” in support of the State’s response must include measures such as increasing the number of beds, preserving personal protective equipment..."

Read the Executive Order Seventh Supplementary Proclamation

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A Guidance 5/11/2020 resuming elective procedures

"Beginning on May 11, 2020, hospitals and ASTCs may begin to perform procedures, provided that specific criteria have been met. A. Outpatient Procedures. For purposes of this policy guidance, an elective outpatient procedure is defined as an elective procedure in which the likely and expected course for the patient undergoing the procedure is that the patient will enter and leave the facility on the same day that the procedure is to be performed. Such procedures may be performed at ASTCs or at hospitals..."

Read the Department of Public Health Guidance

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An Executive Order 4/24/2020 resuming elective procedures effective 4/26/2020

"Elective procedures may resume as of 11:59 p.m. on Sunday, April 26, 2020. Health care providers and facilities may resume these procedures so long as they have adopted policies and best practices..."

Read the Executive Order 20-24

A Plan to reopen certain healthcare services Stage 4 6/12/2020-7/3/2020

"...Healthcare

Outdoor visitation may take place at assisted living facilities and nursing homes; guidelines continue to be reviewed and updated

Day services for adults with disabilities open; other congregate settings remain closed

Hospital visitations encouraged with precautions...

Read Stage 4 Back on Track Indiana

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A Public Health Proclamation resuming elective surgeries effective 4/27/2020

"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..."

Read the Public Health Proclamation

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An Executive Order regarding temporary relief from certain restrictions for medical services effective immediately until 5/31/2020

"Any and all provisions in Kansas Statutes relating to supervision, delegation, and related issues by and to healthcare providers that are licensed, registered or certified and ancillary workers, are temporarily suspended, in whole or part, to the extent necessary to allow licensed, registered, or certified health care professionals to provide, with a designated health care facility at which the professional is employed or contracted to work, medical services that are necessary to support the facility's response to the COVID-19 pandemic and are appropriate to the professional's education, training, and experience, as determined by the facility..." 

Read the Governor's Executive Order 20-26

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An Order 5/1/2020 resumed elective procedures 5/6/2020

"As of May 6, 2020 outpatient/ambulatory surgery and invasive procedures may resume.."

Read the Department of Public Health Order

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A Notice/Order effective 6/5/2020 through 7/5/2020 resuming elective procedures

"Allowable Procedures: Medical and Surgical Procedures Allowed, Effective June 5, 2020, at 12:01 a.m.: (1) Medical and surgical procedures are allowed to treat an emergency medical condition, as defined in 42 CFR §489.24. 1 Dental Providers should follow Section II of this memo. LDH – Provider Memorandum – UPDATE #3 June 4, 2020 Page 3 (2) Medical and surgical procedures are allowed based on the needs of the specific patient, appropriately documented in the medical record, subject to the following conditions..."

Read the LDH #2020-COVID19-ALL 020 Notice/Order

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A Guidance 5/12/2020 resuming certain elective surgeries

"This is consistent with the U.S. Guidelines for Opening Up America Again which say, in phase one, “ELECTIVE SURGERIES can resume, as clinically appropriate, on an outpatient and inpatient basis at facilities that adhere to CMS guidelines.” Centers for Medicare and Medicaid Services (CMS) guidelines can be found here. The State of Maine will rely on the Federal government’s guidance for what constitutes safely reopening health care services and activities. As additional resources, we also share guidance developed by national or Maine health care professional associations that is consistent with federal guidance. Links to such current guidance documents can be found below and we encourage health care providers to check with federal agencies and professional associations for updates moving forward. Health care entities are not required to participate in the Department of Economic and Community Development’s (DECD) reopening approval process..."

Read the DHHS Guidance

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An Amended Directive and Order resumed elective procedures effective 5/7/2020

"Resumption of Elective and Non-Urgent Medical Procedures - Conditions All licensed healthcare facilities and healthcare providers may resume elective and non-urgent medical procedures and appointments at 7:00 A.M., May 7, 2020 provided all of the following measures are in place: I. Licensed healthcare providers shall exercise their independent professional judgment in determining what procedures are appropriate to perform, which appointments should occur, and which patients to see in light of widespread COVID19 community transmission..."

Read the MDH Secretary's Amended Directive and Order

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An Order 5/18/2020 effective until terminated or rescinded resuming elective surgeries

"Accordingly, having received that authorization from the Council, and with the approval of the Governor, I issue the following Order: To protect patients and healthcare workforce and conserve resources, including personal protective equipment, a health care provider that has submitted an attestation to the state certifying that they meet clinical, capacity, safety standards, and governance requirements to resume providing high-priority preventative care and urgent procedures or services that cannot be delivered remotely and would lead to high risk or significant worsening of the patient’s condition if deferred shall implement procedures published by the Department of Public Health regarding the scheduling and performance of such urgent elective invasive procedures. Any such health care provider that has not submitted the attestation shall not perform any non-essential elective invasive procedures. Providers subject to this order must continue to comply with all applicable statutes, regulations and guidance not inconsistent with this Order. This Order shall remain in effect from May 18, 2020, until the State of Emergency is terminated by the Governor, or until rescinded by me, whichever shall happen first..."

Read the Commissioner of Public Health's Order

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An Executive Order 5/21/2020 resuming certain elective procedures starting 5/29/2020 by appointment

"Executive Order 2020-17, which imposed temporary requirements regarding the postponement of non-essential medical and dental procedures, is rescinded as of May 28, 2020 at 11:59 pm."

Read the Governor's Executive Order 2020-96

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An Executive Order 5/5/2020 resuming elective surgeries starting 5/11/2020 until terminated or rescinded

"...to resume the provision of many currently delayed procedures once facilities have adequately planned to prioritize the ongoing COVID-19 response; develop criteria for determining which procedures should proceed..."

Read the Governor's Executive Order 20-51

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An Executive Order 4/24/2020 resumed elective procedures

"Healthcare professionals and healthcare facilities may also resume performing non-emergent, elective medical procedures and surgeries, as clinically appropriate..." 

Read the Governor's Executive Order 1477

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A Directed Health Order 5/4/2020 resuming elective procedures

May 4, 2020—Elective surgeries may resume as long as hospitals and health care facilities meet requirements for available bed capacity and have adequate supplies of personal protective equipment (PPE)..."

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A Guidance for hospitals for resuming health care services starting 5/4/2020

"Timing for Resuming Services There should be a capacity to provide safe care for the current patient population, including both COVID-19 positive and non-COVID-19 patients, who require hospitalizations. The facility shall continuously monitor and have appropriate number of intensive care unit (ICU) and non-ICU beds, PPE, ventilators, medications and trained staff to treat all patients. Crisis standards of care should not be active. Based on local assessments of the conditions in the communities they serve regarding levels of hospitalization and overall capacity, health system leaders would make the determination of when to begin the phasing in of time sensitive health care services, which could be as soon as May 4, 2020..."

Read the New Hampshire Hospital Association Guidance

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An Order 5/15/2020 resuming elective procedures 5/26/2020

"Beginning at 5:00 a.m. on Tuesday, May 26, 2020, the suspension on elective surgeries and invasive procedures instituted in Executive Order No. 109 (2020) is rescinded.

2. Elective surgeries and invasive procedures, as defined by Executive Order No. 109 (2020), may proceed at health care facilities, subject to limitations and precautions set forth in policies, which may include but are not limited to Executive Directives, to be issued by the Department of Health, in consultation with the Division of Consumer Affairs, by Monday, May 18, 2020. The policies to be issued by the Department of Health will address relevant considerations, such as the following:

  1. Which types of facilities can resume these procedures;
  2. Which specific facilities are eligible to resume these procedures, based upon their current or potential capacity;
  3. Whether facilities will be required to prioritize certain procedures, and if so, what considerations should guide these decisions;
  4. Personal Protective Equipment requirements for facilities that resume these procedures;
  5. Staffing requirements for facilities that resume these procedures;
  6. Whether facilities should cohort COVID-19 and non-COVID-19 patients;
  7. Requirements for patients seeking these procedures to undergo testing, self-quarantine, or other preventive measures, as applicable;
  8. Policies surrounding visitors;
  9. Policies surrounding discharge of patients after the procedures are completed; and
  10. Reporting metrics regarding the resumption of these procedures.

3. Elective surgeries and invasive procedures, as defined by Executive Order No. 109 (2020), performed by licensed health care providers practicing in outpatient settings not licensed by the Department of Health (e.g., health care professional offices, clinics, and urgent care centers) may proceed, subject to limitations and precautions set forth in policies, which may include but are not limited to rules and administrative orders, to be issued by the Division of Consumer Affairs, in consultation with the Department of Health, by Monday, May 18, 2020..."

Read the Governor's Executive Order 145

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An Order 3/24/2020 effective 3/27/2020 for the duration of Executive Order 2020-004 or until rescinded halting non-essential health care services

“...all hospitals and other health care facilities, ambulatory surgical facilities, dental, orthodontic and endodontic offices in the State of New Mexico…from providing non-essential health care services, procedures, and surgeries.”

Read the Secretary of the Department of Health's Executive Order

Guidelines 5/8/2020 for resuming medically necessary surgical procedures 

"A revision to the 4/28/20 document released by the MAT, the following is a framework for restarting medically necessary surgical procedures in hospital and ambulatory surgical centers (ASC) settings: A separate set of recommendations is available for office-based procedures and medical care. These services will be essential as ancillary services to surgical patients to enable pre-and post-operative care..."

Read the DOH Guidelines

Guidelines for reopening medical offices 5/8/2020

"A revision to the 4/28/20 document released by the MAT, the following guidelines are recommended for use by allopathic and osteopathic medical providers working in an office setting (non-procedural and procedural), physical and occupational therapy facilities, and imaging facilities. These guidelines are not intended for dentists, chiropractors, alternative medicine, or veterinary medicine. Dental office environments are classified in a “very high-risk exposure” category by the CDC and will require enhanced measures to protect dental health care personnel. Recommendations for dental offices can be found here..."

Read the DOH Guidelines

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An Announcement 5/13/2020 resuming elective surgeries in 12 more counties

"...Amid the ongoing COVID-19 pandemic, Governor Andrew M. Cuomo today announced 12 more counties are now eligible to resume elective surgeries. The Governor previously announced that the state will allow elective outpatient treatments to resume in counties and hospitals without significant risk of COVID-19 surge in the near term, and a total of 47 counties can now resume elective surgeries..."

Read the Governor's Announcement

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A Letter effective 3/23/2020 for 4 weeks suspending elective procedures

"Effective March 23rd, 2020, as part of a unified response, I request all hospitals and ambulatory surgery centers suspend all elective and non-urgent procedures and surgeries. Elective and non-urgent procedures and surgeries are defined as any procedure or surgery that if not done within the next 4 weeks would cause harm to the patient..."

Read the Secretary of the Department of Health and Human Services' Letter

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An Order effective 4/30/2020 until 5/29/2020 resuming elective surgeries

"Effective at 11:59 p.m. on April 30, 2020, medical providers, including dentists in the State may resume non-essential surgeries and procedures..."

Read the Director of Health's Order

A Guide for health care reopening in phases, Step 2 beginning 5/1/2020

"Healthcare providers and facilities that plan to resume providing these services must adhere to infection control practices, have sufficient PPE, and talk with patients about the risk of contracting COVID-19. Surgeries and procedures that, if not performed, would cause a threat to a patient's life, a threat of the spread of cancer or the permanent dysfunction of a limb or organ, the presence of severe symptoms causing an inability to perform activities of daily living, and/or the risk of rapidly worsening symptoms have always been permitted even if an overnight stay is necessary..."

Read the Governor's Responsible RestartOhio A Guide for Health Care

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An Amended Executive Order 4/16/2020 effective after 4/24/2020

"Elective procedures after April 24th, 2020 are subject to the guidelines set forth in Executive Memo 2020-02..."

Read the Second Amended Executive Order 2020-13

An Executive Memorandum 4/16/2020 resuming elective surgeries

"On April 16th, I issued the Second Amended Executive Order 2020-13 allowing elective surgeries to be reinstated on April 24, 2020. It is important to establish priorities for types of procedures to the limit the spread of COVID-19 ... Elective Surgery Acuity Scale..."

Read the Governor's Executive Memorandum 2020-02

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A Statement 5/1/2020 resuming elective procedures

"Hospitals, surgical centers, medical offices, and dental offices that meet those requirements will be able to resume non-urgent procedures on May 1.

Medical providers will need to demonstrate they have the ability to:

• Minimize the risk of coronavirus transmission to patients and healthcare workers

• Maintain adequate hospital capacity in the event of a surge in COVID-19 cases

• Support the health care workforce in safely resuming activities

Under the framework, medical providers must also demonstrate that they have an adequate amount of personal protective equipment (PPE) available for health care workers, following CDC guidance for the extended use or reuse of PPE. Hospitals must continue to report PPE supply levels daily to the Oregon Health Authority. Hospitals must also demonstrate adequate COVID-19 testing capacity when needed, including the ability to screen patients before non-urgent procedures, and follow strict infection control protocols..."

Read the Governor's Statement

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A Plan to Reopen the state

Oregon Public Health Division

Guidance posted 5/9/2020 for healthcare providers

"... guidance should be followed by all health care providers, as defined by the Governor’s Order issued on March 19, 2020, and subsequently amended, except hospitals, ambulatory surgical facilities, dental practices, and any others operating under separate Department guidance .....  Providers may resume non-urgent and elective care in addition to providing urgent and emergency care, only when appropriate personal protective equipment (PPE) is available and telemedicine is not clinically sufficient...

Read the DOH Guidance for Healthcare Providers 

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An Order 4/28/2020 resuming elective procedures

"...health care providers ... to return to normal business..."

Read the Governor's Executive Order 2020-20

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An Executive Order 5/1/2020 resuming elective surgeries after order expired

"All healthcare professionals and healthcare facilities in the State of Tennessee shall postpone surgical and invasive procedures that are elective and non-urgent. Elective and non-urgent procedures are those procedures that can be delayed until the expiration of this Order because they are not required to provide lifesustaining treatment, to prevent death or risk of substantial impairment of a major bodily function, or to prevent rapid deterioration or serious adverse consequences to a patient's physical condition if the surgical or invasive procedure is not performed, as reasonably determined by a licensed medical provider..."

Read the Governor's Executive Order 25

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An Executive Order postponing elective surgeries in certain counties 6/25/2020 effective 6/26/2020 until modified, amended, rescinded, or superseded

"Every hospital that is licensed under Chapter 241 of the Texas Health and Safety Code, and is also located in Bexar, Dallas, Harris, or Travis counties, shall postpone all surgeries and procedures that are not medically necessary to diagnose or correct a serious medical condition of, or to preserve the life of, a patient who without timely performance of the surgery or procedure would be at risk for serious adverse medical consequences or death, as determined by the patient’s physician; provided, however, that this prohibition shall not apply to any surgery or procedure that, if performed in accordance with the commonly accepted standard of clinical practice, would not deplete any hospital capacity needed to cope with the COVID-19 disaster."

Read the Governor's Executive Order GA-27

An Executive Order 5/5/2020 effective until 5/19/2020 reopening some elective surgeries

"...do hereby order the following on a statewide basis effective immediately, and continuing through May 19, 2020, subject to extension based on the status of COVID-19 in Texas and the recommendations of the Governor’s Strike Force to Open Texas, the White House Coronavirus Task Force..."

Read the Governor's Executive Order GA-21

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An Order effective 5/1/2020 until 5/15/2020 permitting elective procedures unless rescinded or extended

"1. The state public health order issued on March 23, 2020, relating to elective surgeries and procedures, is hereby rescinded .... 3. Each covered healthcare provider shall: a. implement the following protocols ...."

Read the Executive Director of the Department of Health's Public Health Order 20.04.21

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An Addendum 5/6/2020 effective until 5/15/2020 resuming certain elective procedures

"hereby authorize the Commissioner of the Vermont Department of Public Health to issue mitigation requirements and procedures for the resumption of clinic visits, diagnostic imaging and such outpatient surgeries and procedures that have a minimal impact on inpatient hospital bed capacity and PPE levels, including those performed in the office or ambulatory surgical care setting. The Commissioner of the Department of Public Health, with the approval of the Governor, may, from time-to-time, update and modify the mitigation requirements and procedures regarding the resumption of additional adult elective surgery and medical and surgical procedures, including dental procedures..."

Read the Governor's Addendum Three to Executive Order 01-20

Guidelines 5/15/2020 for resuming outpatient procedures

"Outpatient clinic visits and diagnostic imaging can resume immediately if providers adhere to the following Mitigation Requirements: Patients must be confident that the environment where they will receive care is safe.

This guidance applies to licensed health care providers under Title 26 of the Vermont Statutes Annotated, though excludes dentistry and dental hygiene, whose practice will be subject to sector-specific guidance..."

Read the DOH Phase One Openings Outpatient Procedures

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Elective surgeries resumed 5/1/2020 after cancellation order expired

"Authorizing out-of-state licensed professionals, as well as residents, interns, and certain senior students to practice in the Commonwealth will assist in meeting that demand. In addition, permitting experienced nurse practitioners to practice without a practice agreement will increase the availability of primary care and hospital providers. Finally, expanding the use of telehealth will assist in the provision of needed health care services to the citizens of the Commonwealth..."

Read the Governor's Amended Order 57

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Guidance 4/29/2020 interpreting non-emergent procedures

"Prerequisites to performance of healthcare services, procedures and surgeries. Foundational to the performance of any healthcare service, procedure, or surgery permitted under Emergency Proclamation 20-24 is the ability to meet infection prevention and control standards, maintain appropriate personal protective equipment supplies, as well as following Department of Health (DOH)- issued guidance on use of personal protective equipment (PPE). For permitted procedures requiring an overnight stay, hospitals will not exceed 80% of available bed (licensed and staffed beds) capacity..."

Read the Governor's Guidance

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An Executive Order 4/27/2020 resuming elective medical procedures

"All clinics, offices, and other facilities operated by or with medical and health care professionals licensed or regulated by Chapter 30 Health Care Boards, except for the hospitals and ambulatory surgical centers subject to Section 1 of this Order, may resume all operations and procedures, including elective procedures..."

Read the Governor's Executive Order 30-20

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A Guidance 4/24/2020 recommending suspending elective procedures

"While the Wyoming Department of Health and Governor’s Office did not prohibit elective procedures through statewide orders, hospitals and providers were encouraged to follow guidance from CMS and CDC that recommended suspending these procedures in order to preserve PPE and protect Wyoming’s hospital capacity during the outbreak. The Department is grateful to hospitals and providers who have suspended these procedures while the state manages the COVID-19 outbreak. On April 19, 2020, the Centers for Medicare and Medicaid Services (CMS) released updated recommendations to healthcare providers regarding the “re-opening of facilities” that provide non-emergent and non-COVID-19 care and procedures (referred to in this document as ‘elective procedures’)..."

Read the DOH Guidance

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*States marked with an asterisk have issued guidance on returning to practice and have been updated since 6/29/2020.

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