The expansive rules mandate that all employers with more than 100 workers require them to be vaccinated or test for the virus weekly, affecting about 80 million Americans. And the roughly 17 million workers at health facilities that receive federal Medicare or Medicaid also will have to be fully vaccinated.
Biden is also signing an executive order to require vaccination for employees of the executive branch and contractors who do business with the federal government — with no option to test out. That covers several million more workers.
Biden announced the new requirements in a Thursday afternoon address from the White House as part of a new “action plan” to address the latest rise in coronavirus cases and the stagnating pace of COVID-19 shots that has raised doubts among the public over his handling of the pandemic.
Just two months ago, Biden prematurely declared the nation’s “independence” from the virus. Now, despite more than 208 million Americans having at least one dose of the vaccines, the U.S. is seeing about 300% new COVID-19 infections a day, about 2.5 times more hospitalizations, and nearly twice the number of deaths compared with the same time last year.
“We are in the tough stretch, and it could last for a while,” Biden said of the current state of the pandemic.
After months of using promotions to drive the vaccination rate, Biden is taking a much firmer hand, as his aides blamed people who have not yet received shots for the sharp rise in cases that is killing more than 1,000 people per day and imperiling a fragile economic rebound.
In addition to the vaccination requirements, Biden moved to double federal fines for airline passengers who refuse to wear masks on flights or to maintain face covering requirements on federal property in accordance with Centers for Disease Control and Prevention guidelines.
Biden announced the federal government will work to increase the supply of virus tests, and that the White House has secured concessions from retailers including Walmart, Amazon and Kroger to sell at-home testing kits at cost beginning this week.
The administration was also sending additional federal support to assist schools in safely operating, including additional funding for testing. And Biden will call for large entertainment venues and arenas to require vaccinations or proof of a negative test for entry.
The requirement for large companies to mandate vaccinations or weekly testing for employees will be enacted through a forthcoming rule from the Occupational Safety and Health Administration that carries penalties of $14,000 per violation, an administration official said. The White House did not immediately say when it would take effect, but it said workers would have sufficient time to get vaccinated.
The rule would also require that large companies provide paid time off for vaccination.
Meanwhile, the Centers for Medicare & Medicaid Services will extend a vaccination requirement issued earlier this summer — for nursing home staff — to other health-care settings including hospitals, home health agencies and dialysis centers.
Separately, the Department of Health and Human Services will require vaccinations in Head Start Programs, as well as schools run by the Department of Defense and Bureau of Indian Education, affecting about 300,000 employees.
Biden’s order for executive branch workers and contractors includes exceptions for workers seeking religious or medical exemptions from vaccination, according to press secretary Jen Psaki. Federal workers and contractors will have 75 days to get fully vaccinated. Workers who don’t comply will be referred to their agencies’ human resources departments for counseling and discipline, to include potential termination.
“We would like to be a model” to other organizations and businesses around country, Psaki said of the federal workforce.