Coronavirus (COVID-19) and Elective Procedures

Cancelling/Postponing Elective Procedures

Many states have placed restrictions on elective surgeries, so it is advisable to verify any state-specific restrictions with the applicable public health authority. See also recommendations from the American College of Surgeons and the Centers for Disease Control and Prevention.

This page last updated 4/2/2020.

States with Elective Surgical Procedure Orders

Alabama

An Order effective 3/19/2020 until rescinded 

"Effective immediately, all elective dental and medical procedures shall be delayed."

Read the State Health Officer's Order

An Order effective 3/28/2020 until 4/17/2020

"...all dental, medical, or surgical procedures shall be postponed until further notice, subject to the following exceptions:

a. Dental, medical, or surgical procedures necessary to treat an emergency medical condition. For purposes of this order, “emergency medical condition” is defined as a medical condition manifesting itself by acute symptoms of sufficient severity (including severe pain, psychiatric disturbances, and/or symptoms of substance abuse) such that the absence of immediate medical attention could reasonably be expected by a person’s licensed medical provider to result in placing the health of the person in serious jeopardy or causing serious impairment to bodily functions or serious dysfunction of bodily organs..."

Read the State Health Officer's Amended Order

 

Alaska

A Mandate effective 3/19/2020 for 3 months

"All patients, providers, hospitals and surgery centers are required to postpone or cancel all non-urgent or elective procedures for three months to decrease the overall impact on the Alaska health care structure and preserve personal protective equipment. This would include pre-scheduled surgeries deemed non-essential. This mandate does not app..."

Read the Governor's Mandate 005

 

Arizona

An Order effective 3/21/2020 until further notice

"Beginning on Saturday, March 21, at 8:00 AM, all non-essential or elective surgeries, including elective dental surgeries, that utilize personal protective equipment or ventilators shall not be performed at any licensed healthcare facility or by any licensed healthcare provider in the State of Arizona."

Read the Governor's Executive Order 2020-10

 

California

An Order effective 3/19/2020 

"The healthcare delivery system shall prioritize services to serving those who are the sickest and shall prioritize resources, including personal protective equipment, for the providers providing direct care to them." 

Read the Governor's Executive Order N-33-20

 

Colorado

An Order effective 3/23/2020 until 4/14/2020

..."all hospitals, outpatient surgeries and procedure providers are directed to cease all elective and non-essential surgeries and procedures and to preserve personal protective equipment and ventilators and respirators from March 23, 2020 to April 14, 2020, with the exception of rural and critical access hospitals. Rural and critical access hospitals are strongly advised to follow this guidance but are not mandated to do so under this order."

Read the Governor's Order D 2020 009

 

Florida

An Order effective 3/20/2020

"...any medically unnecessary, non-urgent or non-emergency procedure or surgery which, if delayed, does not place a patient’s immediate health, safety or wellbeing at risk, or will, if delayed, not contribute to the worsening of a serious or life-threatening medical condition...."

Read the Governor's Executive Order 20-72

 

Illinois

Guidelines posted 3/17/2020

"...recommend cancelling ALL elective surgeries". 

Read the Guidelines from the Illinois Department of Health

 

Indiana

An Order effective 3/16/2020 

“hospitals and ambulatory surgical centers...to cancel or postpone elective and non-urgent surgical procedures immediately ... physicians should continue to perform critical procedures necessary to prevent short-term or long-term adverse effects to their patients’ overall health.”

Read the Governor's Executive Order 20-04

 

Iowa

A Proclamation of Disaster Recovery effective 3/27/2020 until 4/16/2020

 “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.” 

Read the Governor's Proclamation

 

Kentucky

An Order effective 3/18/2020 

"ALL non-emergent, non-urgent, in-person medical, surgical, dental, and any other healthcare practice or procedure must have immediately ceased effective close of business on March 18, 2020."

Read the Governor's Executive Order 2020-215

 

Louisiana

A Notice effective 3/19/2020 until 4/21/2020

"The Department hereby directs that any and all medical and surgical procedures that, in the medical opinion and judgment of the physician or other appropriate healthcare professional acting within the scope of his/her license, can be safely postponed for a period of thirty (30) days..."

Read the Notice No. 2020-COVID19-ALL-006 from the State Health Officer

 

Maine

A Recommendation 3/15/2020 and Emergency Proclamation

"All hospital systems and health care providers across Maine postpone non-urgent medical procedures, elective surgeries, and appointments until further notice."

Read the Governor's Recommendations and Emergency Proclamation

 

Maryland

A Directive effective 3/24/2020 

"...all licensed hospitals, ambulatory surgical centers, and all other licensed health care facilities shall cease all elective and non-urgent medical procedures effective at 5 p.m., Tuesday, March 24, 2020 and not provide any such procedures for the duration of the catastrophic health emergency."

Read the Secretary of Health's Directive 

 

Massachusetts

An Order effective 3/18/2020 

"To protect patients and the healthcare workforce and conserve resources, including protective equipment, all hospitals ... all ambulatory surgical centers ... shall implement procedures ... regarding the scheduling, cancelation and performance of non-essential elective invasive procedures."

Read the Commissioner of Public Health's Executive Order

 

Michigan

An Order effective 3/21/2020 in accordance with the state of emergency 

"To mitigate the spread of COVID-19, protect the public health, provide essential protections to vulnerable Michiganders, and ensure the availability of health care resources, it is reasonable and necessary to impose temporary restrictions on non-essential medical and dental procedures."

Read the Governor's Executive Order No. 2020-17

 

Minnesota

An Order effective 3/23/2020 until rescinded

"Beginning no later than March 23, 2020 at 5:00 pm, and continuing for the duration of the peacetime emergency declared in Executive Order 20-01 or until this Executive Order is rescinded, all non-essential or elective surgeries and procedures, including non-emergent or elective dental care, that utilize PPE or ventilators must be postponed indefinitely."

Read the Governor's Executive Order 20-09

 

Mississippi

A Health Alert Network effective 3/19/2020

"Physician, hospitals and medical centers must defer elective surgical and diagnostic procedures until COVID-19 spread has been diminished and the supply of protective medical equipment is restored."

Read the State Health Officer's Health Alert

 

New Jersey

An Order effective 3/27/2020

"Beginning at 5:00 p.m. on Friday, March 27, 2020, all “elective” surgeries performed on adults, whether medical or dental, and all “elective” invasive procedures performed on adults, whether medical or dental, are suspended in the State. An “elective” surgery or invasive procedure, for purposes of this Order, is defined as any surgery or invasive procedure that can be delayed without undue risk to the current or future health of the patient as determined by the patient’s treating physician or dentist..."

Read the Governor's Executive Order No. 109

 

New Mexico

An Order effective 3/24/2020

“...all hospitals and other health care facilities, ambulatory surgical facilities, dental, orthodontic and endodontic offices" are prohibited from providing non-essential health care services, procedures, and surgeries.”

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

 

New York

An Order effective 3/23/2020

"...all general hospitals, ambulatory surgery centers, office-based surgery practices and diagnostic and treatment centers to increase the number of beds available to patients, including by canceling all elective surgeries and procedures, as the Commissioner of Health shall define.”

Read the Governor's Executive Order 202.10

 

North Carolina

A Letter effective 3/23/2020

"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

 

Ohio

An Order effective 3/18/2020 

"Effective 5:00 p.m. Wednesday March 18, 2020, all non-essential or elective surgeries and procedures that utilized PPE should not be conducted..."

Read the Director of Health's Order

 

Oklahoma

An Order effective 3/24/2020 until 4/7/2020

"...medical providers... postpone all elective surgeries, minor medical procedures...until April 7, 2020".

Read the Governor's Executive Order 2020-07

 

Oregon

An Order effective 3/23/2020

"No later than March 23, 2020, all elective and non-urgent procedures across all care settings that utilize PPE, including but not limited to, hospitals, ambulatory surgery centers, outpatient clinics (including community health clinics and student health centers), dental clinics, and veterinary clinics, shall be cancelled..."

Read the Governor's Executive Order 20-10

 

Pennsylvania

A List posted 3/19/2020

View the Secretary of Health's Order

 

South Dakota

An Order effective 3/23/2020 until 5/2/2020

“...postpone all non-essential elective surgeries to conserve (and thereby maximize) supplies of personal protective equipment.”

Read the Governor's Executive Order

 

Tennessee

An Order effective 3/24/2020 until 4/13/2020

"All hospitals and surgical outpatient facilities in the State of Tennessee shall not perform non-essential procedures, which includes any medical procedure that is not necessary to address a medical emergency or to preserve the health and safety of a patient, as determined by a licensed medical provider."

Read the Governor's Executive Order No. 18

 

Texas

An Order 3/22/2020 until 4/21/2020

"...that are not immediately medically necessary to correct a serious medical condition of, or to preserve the life of, a patient who without immediate performance of the surgery or procedure would be at risk for serious adverse medical consequences or death..."

Read the Governor's Executive Order GA 09

 

Utah

An Order effective 3/25/2020

"...effective as of 12:01 a.m. on March 25, 2020, all licensed health-care professionals and all licensed health-care facilities shall postpone all elective surgeries and procedures".

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

 

Vermont

An Addendum effective 3/20/2020 until 4/15/2020

“…all clinicians in Vermont to expedite postponement of all non-essential adult elective surgery and medical and surgical procedures, including all dental procedures in the safest but most expedient way possible .... while case-by-case evaluations will be made by clinicians, the following factors are to be considered as to whether planned surgery should proceed: current and projected COVID-19 cases in the facility and region; supply of PPE to the facilities in the system; staffing availability; bed availability, especially intensive care unit (ICU) beds; ventilator ability; health and age of the patient, especially given the risks of concurrent COVID-19 infection during recovery; (and) urgency of the procedure.” 

Read the Governor's Addendum 3 to Executive Order 01-20

 

Virginia

An Order effective 3/20/2020 until 4/24/2020

"...prohibiting all inpatient and outpatient surgical hospitals…free-standing endoscopy centers, physicians’ offices, and dental, orthodontic, and endodontic offices in the Commonwealth from providing procedures and surgeries that require PPE, which if delayed, are not anticipated to cause harm to the patient by negatively affecting the patient’s health outcomes, or leading to disability or death.”

Read the Governor and State Health Commissioner's Executive Order 2

 

Washington

A Proclamation effective 3/19/2020 until 5/18/2020

"...it is necessary to immediately prohibit all hospitals, ambulatory surgery centers, and dental, orthodontic and endodontic offices in Washington State from providing health care services, procedures and surgeries that require personal protective equipment, which if delayed, are not anticipated to cause harm to the patient within the next three months, except as provided herein..."

Read the Governor's 20-05 Proclamation

 

West Virginia

An Order effective 4/1/2020

“…provided that patients will still have access to urgent, medically necessary procedures like those needed to preserve the patient’s life or long-term health; and provided that this prohibition applies equally to all types of elective medical procedures performed in hospitals, offices, and clinics throughout the state ... medical procedures that are not immediately necessary to preserve the patient’s life or long-term health, except that procedures that cannot be postponed without compromising the patient’s long-term health, procedures that cannot be performed consistent with other law at a later date, or procedures that are religiously mandated shall not be considered ‘elective’ under this Order.”

Read the Governor Justice's Executive Order No. 16-20

 

State Health Departments

These links go to state-specific COVID-19 information pages regarding elective procedures. Italics means they have issued a  statement about elective procedures.

 Last updated 4/2/20.

 

Coronavirus (COVID-19) Information Center

Back to the Information Center

 

State Department of Insurance Bulletins

We're monitoring state Departments of Insurance for directives regarding payments, cancellations, or other notices.

Visit the DOI Bulletins page.