NEW MEXICO MICHELLE LUJAN GRISHAM Department of Health Governor Offic ofthe Soa DAVIO R. SCRASE, M.D. osratary Acting Cabinet Secretary PUBLIC HEALTH ORDER NEW MEXICO DEPARTMENT OF HEALTH ACTING SECRETARY DAVID R. SCRASE, M.D. August 17, 2021 Public Health Emergency Order Clarifying that Current Guidance Documents, Advisories, and Emergency Public Health Orders Remain in Effect; and Amending Prior Public Health Emergency Orders to Impose Certain Public Health Measures PREFACE ‘The purpose of this amended Public Health Emergency Order is to amend restrictions on mass gatherings and business operations, which were implemented in response to the spread of the Novel Coronavirus Disease 2019 (“COVID-19”). While vaccines are the most effective method to prevent the spread of COVID-19, masks, social distancing, and self-isolation measures continue to be necessary to protect New Mexicans who are ineligible to receive a COVID-19 vaccine or who choose not to receive a vaccine. All New Mexicans should continue to adhere to social distancing protocols when required to protect our State as a whole, In accordance with these purposes, this Order and its exceptions should be narrowly construed fo encourage New Mexicans continue social distancing measures. Itis hereby ORDERED that: 1, All current guidance documents and advisories issued by the Department of Health remain in effect. 2. The following Public Health Emergency Orders remain in effect through the current Public Health Emergency and any subsequent renewals of that Public Health Emergency or until they are amended or rescinded: A. December 15, 2020 Amended Public Health Emergency Order Implementing Additional Contact Tracing Information Requirements for All Laboratories and Submitters Submitting Notifiable Condition COVID- 19 Test Results to the New Mexico Epidemiology and Response Division; B. January 8, 2021 Emergency Order Implementing Administration and Reporting Requirements for All COVID-19 Vaccine Providers; C. April 5, 2021 Amended Public Health Emergency Order Temporarily Limiting Long-Term Care Facilities Visitation Due to COVID-19; and OFFICE OF THE SECRETARY 1190 St Francis Dr, Suite N4100 « P.O, Box 26110 « Santa Fe, New Mexico «87502 (505) 827-2613 « FAX: (505) 827-2530 + www.nmhealthorgD. February 26, 2021 Public Health Emergeney Order Implementing Administration Requirements for All COVID-19 Vaccine Providers and Requiring Accurate Information be Provided by Individuals Registering to Receive the COVID-19 Vaccine, 3. The July 30, 2021 Public Health Emergency Order Clarifying that Current Guidance Documents, Advisories, and Emergency Public Health Orders Remain in Effect; and Amending Prior Public Health Emergeney Orders to Impose Certain Public Health Measures is hereby amended as follows: ORDER WHEREAS, on March 11, 2020, because of the spread of the novel Coronavirus Disease 2019 (“COVID-19"), Michelle Lujan Grisham, the Governor of the State of New Mexico, declared that a Public Health Emergency exists in New Mexico under the Public Health Emergency Response Act, and invoked her authority under the All Hazards Emergency Management Act; WHEREAS, Governor Michelle Lujan Grisham has renewed the declaration of a Public Health Emergency through September 15, 2021; WHEREAS, confirmed cases in the United States have risen to more than 36 million and confirmed COVID-19 infections in New Mexico have risen to over 220,000; WHEREAS, COVID-19 is a deadly virus and has taken the lives of over 600,000 Americans and over 4,450 New Mexicans; WHEREAS, the further spread of COVID-19 in the State of New Mexico poses a threat to the health, safety, wellbeing and property of the residents in the State due to, among other things, illness from COVID-19, illness-related absenteeism from employment (particularly among public safety and law enforcement personnel and persons engaged in activities and businesses critical to the economy and infrastructure of the State), potential displacement of persons, and closures of schools or other places of public gathering; WHEREAS, vaccination, social distancing, and the consistent and proper use of face coverings in public spaces are the most effective ways New Mexicans can minimize the spread of COVID-19 and mitigate the potentially devastating impact of this pandemic in New Mexico; and WHEREAS, the New Mexico Department of Health possesses legal authority pursuant to the Public Health Act, NMSA 1978, Sections 24-1-1 to -40, the Public Health Emergency Response Act, NMSA 1978, Sections 12-10A-1 to -19, the Department of Health Act, NMSA 1978, Sections 9-7-1 to -18, and inherent constitutional police powers of the New Mexico state government, to preserve and promote public health and safety, to adopt isolation and quarantine, and to close public places and forbid gatherings of people when deemed necessary by the Department for the protection of public health.NOW, THEREFORE, I, David R. Scrase, M.D., Acting Secretary of the New Mexico Department of Health, in accordance with the authority vested in me by the Constitution and the Laws of the State of New Mexico, and as directed by the Governor pursuant to the full scope of her emergency powers under the All Hazard Emergency Management Act, do hereby dectare the curreat outbreak of COVID-19 a condition of public health importance, as defined in NMSA 1978, Section 24-1-2(A) as an infection, a disease, a syndrome, a symptom, an injury or other threat that is identifiable on an individual or community level and can reasonably be expected to lead to adverse health effects in the community, and that poses an imminent threat of substantial harm to the population of New Mexico. THEREBY DIREC AS FOLLOWS: (1) Beginning Friday August 20, 2021, unless a healthcare provider instructs otherwise, all individuals age 2 years and older shall wear a mask or multilayer cloth face covering in all indoor public settings except when eating or drinking. Nothing in this Order shall be construed as prohibiting any business, house of worship, non-profit entity, or other entity from imposing more stringent requirements. ‘The masking provision in Section (1) of the July 30, 2021 Public Health Order shall remain in effect until Friday August 20, 2021 (2) Any business, establishment, or non-profit (other than those which are a healtheare operation, utility, or indigent care services) which members of the public regularly visit must report to the New Mexico Environment Department when there is an occurrence of a rapid response. The New Mexico Environment Department shall monitor when an entity has four (4) or more rapid responses within a fourteen (14) day period. For purposes of this directive, rapid responses will be counted on a rolling basis. Businesses, establishments, or non-profits with four or more rapid responses shall not be required to cease operations, However, the rapid responses must be reported to the Environment Department so that the public may be made aware of the positive cases, G3) __All businesses, establishments, and non-profit entities must adhere to the pertinent COVID-Safe Practices. (4) Private educational institutions serving children and young adults from pre- Kindergarten through 12th Grade, including homeschools serving children who are not household members, shall adhere to the face covering and other COVID-Safe Practices requirements for in- person instruction contained in the New Mexico's Public Education Depariment’s “Reentry Guidance” and “COVID-19 Response Toolkit for New Mexico's Public Schools,” available at https://webnew.ped.state.nm.us/reentry- and-school-guidance/, and may operate up to maximum capacity. Private educational institutions shall follow the reporting, testing, and closure requirements set forth by the Public Education Department in the Reentry Guidance and COVID- 19 Response Toolkit for New Mexico’s Public Elementary Schools,1 FURTHER DIRECT as follows: (1) This Order shall be broadly disseminated in English, Spanish, and other appropriate languages to the citizens of the State of New Mexico. (2) This Order declaring restrictions based upon the existence of a condition of public health importance shall not abrogate any disease-reporting requirements set forth in the Public Health Act. (3) Nothing in this Order is intended to restrain or preempt local authorities or state agencies from enacting more stringent restrictions than those required by the Order. (4) This Order shall take effect immediately and remain in effect through September 15, 2021. (5) __ The New Mexico Department of Health, the New Mexico Department of Public Safety, the New Mexico Department of Homeland Security and Emergency Management, and all other State departments and agencies are authorized to take all appropriate steps to ensure compliance with this Order. (6) _ Any andall State officials authorized by the Department of Health may enforce this Order by issuing a citation of violation, which may result in civil administrative penalties of up to $5,000 for each violation under NMSA 1978, Section 12-10-19. ATTEST: DONE AT THE EXECUTIVE OFFICE . 4, a THIS 17TH DAY OF AUGUST 2021 eg TOULOUSE OLIVER WITNESS MY HAND AND THE GREAT SECRETARY OF STATE SEAL OF THE STATE OF NEW MEXICO eth ee ae DAVID R. SCRASE, MD. Hae ACTING SECRETARY OF THE NEW MEXICO DEPARTMENT OF HEALTHNEW MEXICO MICHELLE LOAN GaisHAaw Department of Health Sevemner Tel DAVIO R. SCRASE, M0. Oi ofthe Seeretary aah soir aa. PUBLIC HEALTH ORDER NEW MEXICO DEPARTMENT OF HEALTH. ACTING SECRETARY DAVID R. SCRASE, M.D. August 17, 2021 Public Health Emergency Order Requiring All School Workers Comply with Certain Health Requirements and Requiring Congregate Care Facility Workers, Hospital Workers, and Employees of the Office of the Governor Be Fully Vaccinated WHEREAS, on January 30, 2020, the World Health Organization announced the emergence of a novel Coronavirus Disease 2019 (“COVID-19") that had not previously circulated in humans, but has been found to have adopted to humans such that it is contagious and easily spread from one person to another and one country to another; WHEREAS, COVID-19 has been confirmed in New Mexico since March 11, 2020, when the New Mexico Department of Health confirmed the first cases of individuals infected with COVID-19 in New Mexico and additional cases have been confirmed each day since then; WHEREAS, on March 11, 2020, because of the spread of COVID-19, Governor Michelle Lujan Grisham issued Executive Order 2020-004 declaring that a Public Health Emergeney exists in New Mexico under the Public Health Emergency Response Act, and invoked her authority under the All Hazards Emergency Management Act; WHEREAS, Governor Michelle Lujan Grisham has renewed the declaration of a Public Health Emergency through September 15, 2021; WHEREAS, over 36 million people have been infected with COVID-19 in the United States, with over 615,000 related deaths, and the New Mexico Department of Health has reported 220,000 positive COVID-19 cases and 4,450 related deaths in New Mexico; WHEREAS, the currently available COVID-19 vaccines are safe and the most effective way of preventing infection, serious illness, and death; WHEREAS, widespread vaccination protects New Mexico's health care system as cines decrease the need for emergency services and hospitalization; WHEREAS, the refusal to receive the COVID-19 vaccine not only endangers the individual but the entire community, and further jeopardizes the progress the State has made against the pandemic by allowing the virus to transmit more freely and mutate into more transmissible or deadly variants; OFFICE OF THE SECRETARY 11190 St. Francis Dr. Suite N4100 « P.O. Box 26110 « Santa Fe, New Mexico + 87502 (505) 827-2613 + FAX: (505) 827-2530 « www.nmhealth.orgWHEREAS, one such highly transmissible variant, B.1.617.2, commonly known as the Delta variant, now accounts for the majority of new infections in the United States; WHEREAS, New Mexico has recorded a significant increase in new COVID-19 cases in recent weeks, with cases expected to rise even further in the Fall and Winter months; WHEREAS, the further spread of COVID-19 in the State of New Mexico poses a threat to the health, safety, and wellbeing of children who are not yet eligible to receive a vaccine; persons who cannot be vaccinated due to medical reasons; immunocompromised individuals; and vulnerable persons including persons in hospitals, tong-term care facilities, and other congregate care facilities; and WHEREAS, the New Mexico Department of Health possesses legal authority pursuant to the Public Health Act, NMSA 1978, Sections 24-1-1 to -40, the Public Health Emergency Response Act, NMSA 1978, Sections 12-10A-I to -19, the Department of Health Act, NMSA 1978, Sections 9-7-1 to -18, and inherent constitutional police powers of the New Mexico state government, to preserve and promote public health and safety, to maintain and enforce rules for the control of a condition of public health importance, and issue rules for immunization against conditions of public health importance. NOW, THEREFORE, I, David R. Scrase, M.D., Acting Secretary of the New Mexico Department of Health, in accordance with authority vested in me by the Constitution and the Laws of the State of New Mexico, and as directed by the Governor pursuant to the full scope of emergency powers under the All Hazard Emergency Management Act, do hereby declare the current outbreak of COVID-19 a condition of public health importance, as defined in NMSA 1978, Section 24-1-2(A), and hereby ORDER and DIRECT as follows: DEFINITIONS For the purposes of this Order, the following terms shall have the meaning given to them, ‘except where the context clearly requires otherwise: (1) “Congregate care facility” means nursing homes, assisted living facilities, adult day cares, hospice facilities, rehabilitation facilities, State correctional facilities, juvenile justice facilities, residential treatment centers, the New Mexico State Veterans’ Home, and community homes, (2) “Congregate care facility worker” means any paid or unpaid individuals working in a congregate care facility. This includes workers providing services who have the potential for direct or indirect exposure to patients or residents in a congregate care facility. A congregate care facility worker includes contractors who perform services on-site at the congrogate care facility. (3) “Pully vaccinated” means two weeks after an individual completed the entire recommended series of vaccination with a vaccine approved by the Food and Drug Administration (FDA), including on an emergency use basis, to prevent COVID-19, An individual will be fully vaccinated two weeks after the second dose of the Pfizer-BioNTech or Moderna COVID-19vaccines. An individual will be fully vaccinated two weeks after a single-dose Johnson and Johnson's Jassen COVID-19 vaccine. (4) “Hospital” means any public hospital, profit or nonprofit private hospital, general hospital, or special hospital, (5) “Hospital Worker” means all paid and unpaid individuals who work on-site in a hospital in a setting where care is provided to patients or patients have access for any purpose. ‘This includes workers who have the potential for direet or indirect exposure to patients or COVID- 19 airborne aerosols. Hospital workers include, but are not limited to, nurses, physicians nursing assistants, technicians, therapists, phlebotomists, pharmacists, students and trainees, contractual staff not employed by the hospital, and persons not directly involved in patient care, but who could be exposed to infection agents that can be transmitted in the hospital (e.g. clerical, dietary, environmental services, laundry, security, and volunteer personnel). (©) _ “School worker” means all paid and unpaid adults serving in a private school, public school, or charter school. (7) “Qualifying medical condition” means a permanent or temporary medical condition recognized by the FDA or Centers for Disease Control and Prevention (CDC) ss a contra-indication to COVID-19 vaccination. DIRECTIVES I HEREBY DIRECT AS FOLLOWS: (1) Beginning Monday August 23, 2021, all school workers in any private school, public school, or charter school who are not fully vaccinated against COVID-19 or are unwilling to provide proof of vaccination to their respective supervisors shall: a. Provide adequate proof that the school worker has tested negative for COVID-19 on a weekly basis; and b. Wear a mask or multilayer cloth face covering at all times indoors during the course and scope of their employment except when eating or drinking, ‘An unvaccinated school worker will only be exempt from wearing a mask indoors if adequate proof is provided that the school worker has been instructed otherwise by a licensed healthcare provider. (2) All private schools, public schools, and charter schools shall maintain records of school worker vaccination status in accordance with applicable privacy laws and regulations, The records regarding a worker’s vaccination status shall be provided to the Department of Health promptly upon request. (3) All hospital workers, congregate care facility workers, and employees of the Office of the Governor Michelle Lujan Grisham are required to be fully vaccinated against COVID-19unless they qualify for an exemption. If an individual does not qualify for an exemption, the individual shall: a, b. Receive the first dose of a COVID-19 vaccine within 10 days of the effective date of this Order and their second dose within 40 days of their first dose of a COVID-19 vaccine; and Provide proof of vaccination to the appropriate person or supervisor: i, Hospital workers and congregate care facility workers shall provide proof of vaccination or exemption to their respective supervisors, Contractors who are hospital workers shall provide proof of vaccination to the operator of the hospital in which the contractor provides on-site services. iii, Employees of the Office of Govemor Michelle Lujan Grisham shall provide proof of vaccination to the Chief Operations Officer, (The workers subject to Section (3) of this Order may be exempt from the COVID- 19 vaccination requirement set forth above if they have a qualifying medical condition which immunization would endanger their health, or th are entitled under the Americans With Disabilities Act (ADA), Title VII of the Civil Rights Act of 1964 (Title VI), or any other applicable law to a disability-related reasonable accommodation or a sincerely held religious belief accommodation, Nothing in this Order precludes the entities which employ or contract with these workers fiom providing disability-related reasonable accommodations and religious accommodations to the requirements of this Order as required by law. a To be cligible for an exemption due a qualifying medical condition, the individual must provide their employer or operator of the facility they contract with a statement from a physician, nurse practitioner, or other medical professional licensed to practice in New Mexico stating that the individual qualifies for the exemption and indicating the probable duration of the individual’s inability to receive the vaccine; ‘To be eligible for an exemption due to a disability, the individual must provide their employer or the operator of the hospital or congregate care facility they contract with accommodation documentation from a physician, nurse practitioner, or other medical professional licensed to practice in New Mexico stating that the individual has a disability that necessitates an accommodation and the probable duration of the need for the zecommodation; or To be eligible for an exemption due to a sincerely held religious belief, the individual must document that the request for an accommodation has been made and provide their employer or the operator of the facility they contract with a statement regarding the manner in which the administration of a(S)__ [fan operator of a hospital, operator of a congregate care facility, or the Office of Governor Michell Lujan Grisham determines a worker to have met the requirements of an exemption pursuant to Section (4), the unvaccinated exempt worker shall: a. Provide adequate proof that the individual has tested negative for COVID- 19 on a weekly basis; and b. Wear a mask or multilayer cloth face covering at all times indoors at the hospital or congregate care facility except when eating or drinking. An unvaccinated worker will only be exempt from wearing a mask indoors if adequate proof is provided that the individual has been instructed otherwise by a licensed healtheare provider. (6) The operator of « hospital, operator of a congregate care facility, and the Office of Governor Michelle Lujan Grisham shall maintain records of all workers’ vaccination or exemption status in accordance with applicable privacy laws and regulations. [fa worker is exempt pursuant to Section (4), then the operator or employer also must maintain records of the worker's testing results pursuant to Section (5). The records regarding a worker's vaccination or exemption status shall be provided to the Department of Health promptly upon request. (7) Hospital workers, congregate care facility workers, and employees of the Office of the Governor Michelle Lujan Grisham shall provide proof of vaccination or records of their ‘exemption status to the Department of Health if requested. (8) Allpersons who are eligible to receive a COVID-19 vaceine and enter the grounds of the New Mexico State Fair from September 9-19, 2021 must provide adequate proof of being fully vaccinated against COVID-19 to a State Fair official unless the individual qualifies for an exemption. A person may be exempt from the COVID-19 vaccination requirement set forth in this section if they have a qualifying medical condition which immunization would endanger their health, or they are entitled under the ADA, Title VIL, or any other applicable law to a disability- related reasonable accommodation or a sincerely held religious belief accommodation, Nothing in this Order precludes the New Mexico State Fair from providing disability-related reasonable accommodations and religious accommodations to the requirements of this Order as required by law. The requirements for an exemption are as follows: a To be eligible for an exemption due a qualifying medical condition, the individual must provide a State Fair official with a statement from a physician, nurse practitioner, or other medical professional licensed to practice in New Mexico stating that the individual qualifies for the exemption and indicating the probable duration of the individual’s inability to receive the vaccine; b. To be eligible for an exemption duc to a disability, the individual must provide a State Fair Official with accommodation documentation from aphysician, nurse practitioner, or other medical professional licensed to practice in New Mexico stating that the individual has a disability that necessitates an accommodation and the probable duration of the need for the accommodation; or ¢. To be eligible for an exemption due to a sincerely held religious belief, the individual must document that the request for an accommodation has been made and provide a State Pair official a statement regarding the manner in which the administration of a COVID-19 vaccine conflicts with the religious observance, practice, or belief of the individual, (9) Ifa State Fair official determines an individual entering the grounds of the New Mexico State Fair has met the requirements of an exemption pursuant to Section (8), the unvaccinated individual shall provide adequate proof that they have tested negative for COVID- 19 within 48 hours prior to entering the fair grounds, (10) New Mexico State Fair officials shall maintain records of the vaccination or ‘exemption status of all persons entering the grounds New Mexico State Fair in accordance with applicable privacy laws and regulations. ‘The records regarding an individual's vaccination or exemption status shall be provided to the Department of Health promptly upon request. All individuals entering the grounds of the New Mexico State Fair shall provide proof of vaccination or records of their exemption status and negative test to the Department of Health, if requested, I FURTHER DIRECT as follows: (1) This Order shall be broadly disseminated in English, Spanish, and other appropriate languages to the citizens of the State of New Mexico. (2) Nothing in this Order is intended to restrain or preempt local authorities or state agencies from enacting more stringent restrictions than those required by the Order. (3) The New Mexico Department of Health, the New Mexico Department of Public Safety, the New Mexico Public Education Department, and all other State departments and agencies are authorized to take all appropriate steps to ensure compliance with this Order. (4) Any person, hospital, or congregate care facility who willfully violates this Order may be subject to civil administrative penalties available at law. (5) This Order shall take effect on August 17, 2021 and remain in effect for the duration of the public health emergency first declared in Executive Order 2020-004 and any subsequent renewals of that public health emergency declaration, unless otherwise rescinded,ATTEST: DONE AT THE EXECUTIVE OFFICE 4, u ote THIS 17TH DAY OF AUGUST 2021 wel TOULOUSE OLIVER WITNESS MY HAND AND THE GREAT SEAL OF THE STATE OF NEW MEXICO A feu ses DAVID R. SCRASE, M.D. ACTING SECRETARY OF THE NEW MEXICO DEPARTMENT OF HEALTH