Health and Science

U.S. to require nursing homes get staff fully vaccinated or lose federal funding

Key Points
  • The new measure, which would withhold Medicare and Medicaid funding to nursing homes that don't comply, could take effect as early as next month, the official said, though the timing is fluid.
  • It would impact about 15,000 nursing homes, which employ more than 1.3 million people nationwide.
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White House will require nursing home workers to be vaccinated: Biden

President Joe Biden on Wednesday announced his administration will require all employees in nursing homes to get vaccinated for Covid-19, the latest effort to protect Americans as the delta variant spreads. 

"Today I'm announcing a new step," Biden said in a speech at the White House. "If you work in a nursing home and serve people on Medicare or Medicaid, you will also be required to get vaccinated."

Biden's remarks came after an administration official confirmed to NBC News that the government will withhold federal funding from nursing homes that fail to fully vaccinate their staff.

The new policy, which would withhold Medicare and Medicaid funding to nursing homes that don't comply, could take effect as early as next month, the official said, though the timing is fluid. It would impact about 15,000 nursing homes, which employ more than 1.3 million people nationwide.

The move comes as the highly contagious delta variant drives a surge in new cases nationwide, and federal officials say they are starting to see evidence of waning vaccine protection against mild and moderate disease.

Nationally, about 60% of nursing home staff are vaccinated – much lower than the 82.4% of residents who have gotten the shots, according to data compiled by Centers for Medicare & Medicaid Services. In some states, the percentage of nursing home staff who are vaccinated is even lower.

Some medical experts have asked the U.S. government to pressure nursing homes to vaccinate their staff, saying the unvaccinated employees put older residents – who are more likely to get severely ill or suffer from a so-called breakthrough infection – at greater risk.

"We need to go faster. That's why I'm taking steps on vaccination requirements where I can," Biden said in the speech.

The new rules for nursing homes are "all about keeping people safe and out of harm's way," he said.

"This is no time to let our guard down. We just need to finish the job, with science, with facts and with confidence," the president said.

Earlier in the day, federal health officials announced they plan to make booster shots available to most Americans beginning the week of Sept. 20. They said it is "very clear" that immunity starts to fall after the initial two doses, and with the dominance of the delta variant, "we are starting to see evidence of reduced protection against mild and moderate disease."

"Based on our latest assessment, the current protection against severe disease, hospitalization, and death could diminish in the months ahead, especially among those who are at higher risk or were vaccinated during the earlier phases of the vaccination rollout," according to the statement signed by CDC Director Dr. Rochelle Walensky, acting FDA Commissioner Dr. Janet Woodcock, White House chief medical advisor Dr. Anthony Fauci and other U.S. health leaders.

Nursing home residents, health-care providers and the elderly — the first groups to get vaccinated in December and January — are likely to be prioritized to get extra shots, according to National Institutes of Health Director Dr. Francis Collins.