Table of Contents
- 1 Vaccinating the Unvaccinated
- 1.1 Requiring All Employers with 100+ Employees to Ensure their Workers are Vaccinated or Tested Weekly
- 1.2 Requiring Vaccinations for all Federal Workers and for Millions of Contractors that Do Business with the Federal Government
- 1.3 Requiring COVID-19 Vaccinations for Over 17 Million Health Care Workers at Medicare and Medicaid Participating Hospitals and Other Health Care Settings
- 1.4 Calling on Large Entertainment Venues to Require Proof of Vaccination or Testing for Entry
- 1.5 Requiring Employers to Provide Paid Time Off to Get Vaccinated
- 2 Further Protecting the Vaccinated
- 3 Keeping Schools Safely Open
- 3.1 Requiring Staff in Head Start Programs, Department of Defense Schools, and Bureau of Indian Education-Operated Schools to be Vaccinated
- 3.2 Calling on All States to Adopt Vaccine Requirements for All School Employees
- 3.3 Providing Additional Funding to School Districts for Safe School Reopening, Including Backfilling Salaries and Other Funding Withheld by States for Implementing COVID Safety Measures
- 3.4 Using the Department of Education’s Full Legal Authority to Protect Students’ Access to In-Person Instruction
- 3.5 Getting Students and School Staff Tested Regularly
- 3.6 Providing Every Resource to the FDA to Support Timely Review of Vaccines for Individuals Under the Age of 12
- 4 Increasing Testing & Requiring Masking
- 4.1 Mobilizing Industry to Expand Easy-to-Use Testing Production
- 4.2 Making At-Home Tests More Affordable
- 4.3 Sending Free Rapid, At-Home Tests to Food Banks and Community Health Centers
- 4.4 Expanding Free, Pharmacy Testing
- 4.5 Continuing to Require Masking for Interstate Travel and Double Fines
- 4.6 Continue to Require Masking on Federal Property
- 5 Protecting Our Economic Recovery
- 6 Improving Care for those withCOVID-19
President Biden is implementing a six-pronged, comprehensive national strategy that employs the same science-based approach that was used to successfully combat previous variants of COVID-19 earlier this year. This plan will ensure that we are using every available tool to combat COVID-19 and save even more lives in the months ahead, while also keeping schools open and safe, and protecting our economy from lockdowns and damage.
Vaccinating the Unvaccinated
Since January, the Administration has taken actions to make vaccination conveniently available to all. COVID vaccines have been available to every individual age 16 and older since April 19th and to those age 12 and older since May. The Administration took steps to make vaccines available at over 80,000 locations nationwide, worked with pharmacies to offer walk-in appointments, and put out a call to action to businesses and organizations across the nation.
The President announced vaccination requirements for the federal government in July and called on the private sector to do more to encourage vaccination as well. Since that time, employers, schools, nursing homes, restaurants, hospitals, and cities in all 50 states have announced new vaccination requirements. Since July, the share of job postings that require vaccination are up 90%. And we know these requirements work. At the beginning of August, when Tyson Foods announced its requirement—only 45% of its workforce had gotten a shot. Today, it stands at 72%, meaning half of Tyson’s unvaccinated workers have now gotten a shot—well ahead of the company’s November 1st deadline. After United Airlines announced its vaccination requirement, more than half of its unvaccinated employees went out and got vaccinated with weeks left to go before the deadline. In Washington State, the weekly vaccination rate jumped 34% after the Governor announced requirements for state workers.
All told, these efforts—and countless other Administration initiatives and policies—have resulted in over 175 million fully vaccinated Americans. But there are still nearly 80 million Americans eligible to be vaccinated who have not yet gotten their first shot.
The President’s plan will reduce the number of unvaccinated Americans by using regulatory powers and other actions to substantially increase the number of Americans covered by vaccination requirements—these requirements will become dominant in the workplace. In addition, the plan will provide paid time off for vaccination for most workers in the country.
The Department of Labor’s Occupational Safety and Health Administration (OSHA) is developing a rule that will require all employers with 100 or more employees to ensure their workforce is fully vaccinated or require any workers who remain unvaccinated to produce a negative test result on at least a weekly basis before coming to work. OSHA will issue an Emergency Temporary Standard (ETS) to implement this requirement. This requirement will impact over 80 million workers in private sector businesses with 100+ employees.
Building on the President’s announcement in July to strengthen safety requirements for unvaccinated federal workers, the President has signed an Executive Order to take those actions a step further and require all federal executive branch workers to be vaccinated. The President also signed an Executive Order directing that this standard be extended to employees of contractors that do business with the federal government. As part of this effort, the Department of Defense, the Department of Veterans Affairs, the Indian Health Service, and the National Institute of Health will complete implementation of their previously announced vaccination requirements that cover 2.5 million people.
The Centers for Medicare & Medicaid Services (CMS) is taking action to require COVID-19 vaccinations for workers in most health care settings that receive Medicare or Medicaid reimbursement, including but not limited to hospitals, dialysis facilities, ambulatory surgical settings, and home health agencies. This action builds on the vaccination requirement for nursing facilities recently announced by CMS, and will apply to nursing home staff as well as staff in hospitals and other CMS-regulated settings, including clinical staff, individuals providing services under arrangements, volunteers, and staff who are not involved in direct patient, resident, or client care. These requirements will apply to approximately 50,000 providers and cover a majority of health care workers across the country. Some facilities and states have begun to adopt hospital staff or health care sector vaccination mandates. This action will create a consistent standard across the country, while giving patients assurance of the vaccination status of those delivering care.
The President’s plan calls on entertainment venues like sports arenas, large concert halls, and other venues where large groups of people gather to require that their patrons be vaccinated or show a negative test for entry.
To continue efforts to ensure that no worker loses a dollar of pay because they get vaccinated, OSHA is developing a rule that will require employers with more than 100 employees to provide paid time off for the time it takes for workers to get vaccinated or to recover if they are under the weather post-vaccination. This requirement will be implemented through the ETS.
Further Protecting the Vaccinated
There are over 175 million fully vaccinated Americans who are largely protected from severe illness from COVID-19. While so-called “breakthrough infections” among this group do happen, they remain the exception: In fact, recent data indicates there is only 1 confirmed positive case per 5,000 fully vaccinated Americans per week.
But COVID-19 vaccination protection can be made even stronger. In August, the nation’s top health officials—Dr. Rochelle Walensky, CDC Director; Dr. Janet Woodcock, Acting FDA Commissioner; Dr. Francis Collins, NIH Director; Dr. Anthony Fauci, Director of the National Institute of Allergy and Infectious Diseases; Surgeon General Dr. Vivek Murthy; Dr. David Kessler, COVID-19 Chief Science Officer; Dr. Rachel Levine, HHS Assistant Secretary for Health; and Dr. Marcella Nunez-Smith, Chair of the COVID-19 Health Equity Task Force—released an initial plan for booster shots aimed at staying ahead of the virus. The plan released by our nation’s doctors allows for states, pharmacies, doctors’ offices, health insurers and others to prepare for the administration of boosters. In the beginning weeks of the initial vaccination program in December 2020, the country lost precious time because we were unprepared to administer shots. By planning now, we will be able to quickly get booster shots into the arms of eligible Americans once approved.
A booster promises to give Americans their highest level of protection yet. Three-shot vaccines are common (Hepatitis B, Tetanus) and offer some of the most durable and robust protection.
Implementation of this plan depends on authorization of boosters by the Food and Drug Administration (FDA) and recommendations by the CDC’s independent Advisory Committee on Immunization Practices (ACIP). As soon as authorizations are given, the Administration will be prepared to offer booster shots, starting the week of September 20th.
The Administration is preparing for boosters to start as early as the week of September 20th, subject to authorization or approval by the FDA and a recommendation from ACIP. Getting a booster will be easy. Booster shots will be free, and widely available across 80,000 locations – from pharmacies to doctors’ offices to health centers.
In the initial vaccine roll-out in December, many Americans were confused about available vaccination sites and supplies. But now, when the booster shots are approved, individuals will be able to find a vaccination site at Vaccines.gov, including what vaccines are available at each site and, for many sites, what appointments are open. A toll-free number, 1-800-232-0233, will also be available in over 150 languages. Americans who have already utilized the text code 438829 or WhatsApp to get vaccine information will automatically receive a text with information on boosters, if and when recommended.
Keeping Schools Safely Open
A top priority for the Biden Administration since Day One has been to reopen schools safely and keep them open. The Administration has taken significant actions to get our kids back in the classroom, including providing $130 billion in American Rescue Plan (ARP) funds to help schools reopen, accelerate students’ academic growth, address inequities exacerbated by the pandemic, allow local school districts to implement CDC-recommended COVID-19 prevention strategies, and support student and educators’ social, emotional, and mental health needs. We know how to keep students safe in schools by taking the right steps to prevent transmission—including getting all staff and eligible students vaccinated, implementing universal indoor masking, maintaining physical distancing, improving ventilation, and performing regular screening testing for students and school staff. The President’s plan calls for additional actions to ensure all schools consistently implement these science-based prevention strategies recommended by the CDC so that they can remain open for in-person learning and maintain the health and safety of all students, staff, and families.
As we work to ensure our children are protected, we know that vaccination remains the best line of defense against COVID-19. For those adolescents aged 12 and above who are eligible for vaccination, the most important step parents can take is to get them vaccinated. To date, over half of the nation’s adolescents have been vaccinated. For those too young to be vaccinated, it is especially critical that they are surrounded by vaccinated people and mask in public indoor spaces, including schools. Studies released by the CDC found that the rate of hospitalization for children was nearly four times higher in states with the lowest vaccination rates compared to states with high vaccination rates.
The FDA is undergoing a process now to evaluate a vaccine for children under the age of 12, and under the President’s plan, the Administration will do whatever it takes to support those efforts, while continuing to respect and defer to the scientific decision-making of the agency.
To help ensure the safety of students, families, and their communities, the President’s plan includes requirements that teachers and staff at Head Start and Early Head Start programs, teachers and child and youth program personnel at the Department of Defense (DOD), and teachers and staff at Bureau of Indian Education-operated schools get vaccinated. The Department of Health and Human Services (HHS) will initiate rulemaking to implement this policy for Head Start and Early Head Start programs, which provide comprehensive education and child development services to ensure that children are well prepared for kindergarten. The Department of Defense operates 160 K-12 schools for students from military families across the U.S. and abroad, and the Department of the Interior operates 53 schools through the Bureau of Indian Education (BIE) across the U.S. on and off tribal lands. These schools and programs collectively serve more than 1 million children each year and employ nearly 300,000 staff. This action will help more schools and early childhood centers safely remain open and give comfort to the many parents that rely on them every day to keep their children safe.
Scientific studies have shown that even one unvaccinated teacher can lead to dozens of sick school children. This is a completely avoidable outcome, and we can protect kids—especially those in elementary schools and early childhood education and child care centers where children are not yet eligible for the vaccine—by surrounding them with fully vaccinated adults as the first line of defense against COVID-19. In order to keep all children safely learning in school, the President’s plan calls for Governors to require vaccinations for teachers and school staff. Currently, nine states, as well as the District of Columbia and Puerto Rico, have vaccination requirements for K-12 school staff, including California, Connecticut, Hawaii, Illinois, New Jersey, New Mexico, New York, Oregon, and Washington. Building on Administration policies to require vaccination among federal employees, including those serving children in DOD and BIE schools, the President is asking more states to join in requiring the vaccine for school employees to make sure we are keeping students safe.
The American Rescue Plan provides $130 billion to states, school districts, and tribes to support the safe reopening of schools. The President has previously announced that, if a state cuts the funding to a local school district or the pay of a local education leader who is implementing CDC-recommended prevention strategies like universal masking, the school district may use ARP funds to fill those gaps. School districts can begin spending their ARP funds right away, including to reimburse for any allowable cost dating back to when the national emergency for COVID-19 was declared. In addition, through the President’s plan, the Department of Education plans to make additional funding available—beyond the ARP dollars—to help local school districts fill gaps when funding has been withheld by their state for implementing COVID safety measures. Local school districts will be able to apply to the Department of Education in the coming weeks to restore funding withheld by state leaders—such as for school board member or superintendent salaries who have had their pay cut—when a school district implemented strategies to help prevent the spread of COVID-19 in schools.
President Biden has directed the Department of Education to assess all of its available tools to take action, as appropriate and consistent with applicable law, to ensure that state and local officials are giving all students the opportunity to safely participate in full-time, in-person learning. To date, the Department has launched investigations in five states that have prohibited mask mandates at schools: Iowa, Oklahoma, South Carolina, Tennessee, and Utah. These investigations will examine whether statewide mask mandate prohibitions discriminate against students with disabilities who are at heightened risk for severe illness from COVID-19 by preventing them from safely accessing in-person education.
In April, HHS provided $10 billion in funding for COVID-19 screening testing for teachers, staff, and students in K-12 schools. As schools return to in-person learning, the Administration is calling on all schools to set up regular testing in their schools for students, teachers, and staff consistent with CDC guidance. CDC currently recommends that screening testing should be offered to students who have not been fully vaccinated when community transmission is at moderate, substantial, or high levels; and screening testing should be offered to all teachers and staff who have not been fully vaccinated at any level of community transmission. In combination with promoting and providing access to vaccination to all eligible members of a school community, schools will better be able to remain open for in-person learning and maintain the health and safety of all students, staff, and families. HHS and the CDC will continue to provide assistance to schools to accelerate the establishment of screening testing programs in all schools.
President Biden’s plan supports the independent scientific review of a vaccine for those individuals under the age of 12 and will provide the FDA with any needed resources to support its ongoing efforts to do this safely and as quickly as possible. The nation’s public health officials will keep the public updated on the process so that parents can plan.
Increasing Testing & Requiring Masking
It will take time for the newly vaccinated to get protection from the virus. As we continue to combat COVID-19, testing is a key tool to identify infected individuals and prevent spread to others. Likewise, masking can also help slow and contain the spread of the virus—and the combination of increased vaccinations and masking will have a major impact on COVID-19 transmission. President Biden’s plan takes new actions to increase the amount of testing—in your own home, at pharmacies, and in your doctor’s office—and ensures that strong mask requirements remain in place.
President Biden’s plan will mobilize industry due to the urgent and compelling need to accelerate the production of rapid COVID-19 tests, including at-home tests, and continue to ensure that manufacturers prioritize creating these products to prevent the spread of COVID-19 and its variants. Using authorities of the Defense Production Act and through the procurement of nearly $2 billion in rapid point-of-care and over-the-counter at-home COVID tests—280 million tests in all—from multiple COVID-19 test manufacturers, the Administration will ensure a broad, sustained industrial capacity for COVID-19 test manufacturing. These tests will be available to support a range of needs, including long-term care facilities, community testing sites, critical infrastructure, shelters serving individuals experiencing homelessness, prisons and jails, and other vulnerable populations and congregate settings. Further, the action announced today will provide for tests for use by communities, adequate stockpiles, and the needed sustained production to be able to surge additional manufacturing, should we need it in the future.
To improve access to rapid tests for all consumers, top retailers that sell at-home, rapid COVID-19 tests—Walmart, Amazon, and Kroger—will offer to sell those tests at-cost for the next three months. This means that Americans will be able to buy these tests at their local retailers or online for up to 35 percent less starting by the end of this week. The Administration has also taken action so that Medicaid must cover at-home tests for free for beneficiaries, and that states should ensure that any tools they use to manage at-home testing do not establish arbitrary barriers for people seeking care.
To ensure that every American—no matter their income level–can access free, convenient, at-home tests, we will send 25 million free at-home rapid tests to 1,400 community health centers and hundreds of food banks.
As part of our strategy to ensure the most convenient access to free testing, we will expand the number of retail pharmacy sites around the country where anyone can get tested for free through the HHS free testing program to 10,000 pharmacies.
President Biden’s Executive Order, Promoting COVID-19 Safety in Domestic and International Travel, directed applicable agencies to take action to require mask-wearing in airports and on certain modes of public transportation, including on many airplanes, trains, maritime vessels, and intercity bus services. TSA has extended its implementing orders for air and ground travel through January 18th, 2022, and the President’s plan will double fines for those who are not in compliance. The President’s plan will also ensure that masking requirements remain in place on the other modes of transportation as we continue to battle COVID-19.
President Biden’s Executive Order, Protecting the Federal Workforce and Requiring Mask-Wearing, requires masks and specific physical distancing requirements in federal buildings, on federal lands, on military bases, and other overseas locations, consistent with CDC guidance. President Biden’s plan will ensure that these requirements remain in place as we continue to battle COVID-19.
Protecting Our Economic Recovery
President Biden’s economic plan is working. Since Day One in office, the President has focused on jumpstarting the economy and rebuilding it from the bottom up and the middle out. America is getting back to work, and workers and small businesses are seeing the results. Since President Biden took office, there has been historic job growth—more than 4 million jobs created– the most in any President’s first six months, with 750,000 jobs created on average per month over the last three months. Despite the challenges posed by the Delta variant, the economy created 235,000 jobs last month, and the unemployment rate fell to its lowest level since before the pandemic. The average number of new unemployment insurance claims has been cut by more than half since President Biden took office, and more than 70 percent of Americans say that now is a good time to find a quality job, up from less than 30 percent this time last year. The U.S. is the only major economy that has now exceeded its pre-pandemic growth projections, and independent forecasters believe America will this year reach the highest levels of growth in decades.
COVID-19 impacts our economy, no doubt. But, the President’s plan will limit the damage and ensure that the Delta variant cannot undo this progress. The policies outlined throughout this plan will ensure that we do not return to lockdowns and shutdowns. Additionally, we will offer new support to small businesses as they continue to weather the surge caused by the Delta variant. Supporting small businesses is critical to our economic growth, since they create two-thirds of net new jobs and employ nearly half of America’s private workforce. These reforms include:
The President’s plan will help more than 150,000 small businesses by strengthening the COVID Economic Injury Disaster Loan (EIDL) program, which provides long-term, low-cost loans. The improvements will allow more business to get greater and more flexible support from the $150 billion in loanable funds still available in the program. First, the Small Business Administration (SBA) will increase the maximum amount of funding a small business can borrow through this program from $500,000 to $2 million, which can be used to hire and retain employees, purchase inventory and equipment, and pay off higher-interest debt. This increase will help small businesses: an SBA analysis of current COVID EIDL borrowers who qualify for the increase shows that more than 80% have 25 employees or less. SBA will ensure that no small business has to start repaying these loans until two years after they receive the funding, so small businesses can get through the pandemic without having to worry about making payments. Next, SBA will make it easier for small businesses with multiple locations in hard-hit sectors like restaurants, hotels, and gyms to access these loans. To ensure that taxpayer dollars are used to support businesses that truly need help, SBA has implemented tightened controls and will collaborate closely with the SBA Inspector General to monitor the program. And lastly, to ensure that Main Street businesses have additional time to access remaining funds, SBA will offer a 30-day exclusive window of access where only small businesses seeking loans of $500,000 or less will receive awards after the new improved loan product launches.
Through the PPP, the SBA has made more than 11 million loans to small businesses that can be forgiven and taken off of their books if they use the funds to keep employees on payroll. In order to receive forgiveness, borrowers have to complete an application with their PPP lender. The President’s plan will make it easier for more than 3.5 million PPP borrowers with loans of $150,000 or less to get their loans wiped clean. Under the new streamlined approach, SBA sends a pre-completed application form to the borrower who can review, sign, and send back to SBA, which then works with the lender to complete the forgiveness process. Since launching this new process on August 4th, more than 820,000 small businesses have applied for forgiveness, with borrowers spending an average of 6 minutes on the application and 60% of applicants completing the process on their mobile phone. SBA expects more than 2.5 million additional small businesses to take advantage of this streamlined process in the months ahead, helping them avoid needless bureaucracy and avoid costly principal and interest payments on their loans.
The ARP invested $100 million to establish a new SBA Community Navigator program, which will deploy trusted community partners in underserved communities to better connect business owners to federal, state, and local resources. Community Navigators will work with small business owners every step of the way to ensure that they are able to access the help that they need. Under the President’s plan, the SBA will complete the competitive review process to select Community Navigators and put them to work in underserved communities this Fall.
Improving Care for those with
As we work to reduce cases, hospitalizations, and deaths, we will maintain our focus on treating people infected with COVID-19—and helping hard-hit health care systems in the most impacted areas. In early July, the Administration launched Surge Response Teams to help states experiencing case increases. Since then, the Administration has worked with 18 states, deploying nearly 1,000 personnel, including hundreds of EMTs, nurses and doctors on the ground providing emergency medical care; surged hundreds of ventilators, ambulances and other critical assets to support strained health care systems; stood up dozens of new, free testing sites; and assisted with local outbreak investigations.
As we continue to battle the Delta surge, the President’s plan will continue to send response teams to states that request them and take additional actions to accelerate this work.
The President’s plan will provide additional support for hospitals facing capacity issues. The Department of Defense is announcing a commitment to double the number of DOD teams of clinicians deployed to support hospitals battling a surge in COVID-19 cases. These clinicians will be available for mission assignment through FEMA’s response across surge states. Since the Administration launched the COVID-19 Surge Response Teams, nearly 1000 personnel have been deployed to states across the country to respond to the Delta variant, including more than 500 highly skilled health care professionals from across HHS’ network of physicians, nurses, and other providers who are called up to respond to emergencies, FEMA’s network of emergency medical services providers, and DOD’s medical teams. These professionals have surged into COVID-19 ICUs and other acute care hospital settings to support and relieve overburdened local health care workers. In addition, the Department of Veterans Affairs have opened up over 150 hospital beds in Veterans Affairs’ facilities across surge states in order to reduce the burden on local hospitals.
The United States government shipped an average of approximately 100,000 doses of monoclonal antibodies per week across July and August. The Administration will increase the average weekly pace of shipments of free monoclonal antibody treatment to states by a further 50% in September, continuing to accelerate the federal government’s efforts to deliver lifesaving COVID-19 treatment. Monoclonal antibody treatments have been shown to reduce the risk of hospitalization by up to 70% for unvaccinated people at risk of developing severe disease. As hospital systems experience increased COVID-19 cases, many have identified monoclonal antibody treatment as a key tool to improve health outcomes, prevent hospitalizations and reduce the strain on overburdened hospitals.
The COVID-19 Surge Response Teams have conducted in-person technical assistance and virtual trainings for physicians and health system officials to increase education and interest in administering these treatments. To ensure that more patients can access these lifesaving COVID-19 therapeutics, the Administration’s COVID-19 surge response effort will launch monoclonal antibody strike teams to deploy clinical personnel through HHS, FEMA, and DOD to help hospitals and health systems stand up the delivery of this key treatment option. HHS will also take action to amend the Public Readiness and Emergency Preparedness (PREP) Act declaration to allow more providers, including pharmacists, to administer this treatment. These actions will ensure that more patients receive lifesaving treatments if they are infected or exposed to COVID-19.
President Biden’s plan to continue to combat COVID-19 this fall is comprehensive, science-based and relies on the power of the federal government working hand-in-hand with states, local communities, the private sector, and all Americans to put this pandemic behind us. The strategy outlined here is domestic focused. In the weeks ahead, the President will announce additional steps to build on the progress the Administration has made to combat this pandemic globally. President Biden and his Administration will continue to use every tool necessary to protect the American people from COVID-19.