As of now, nearly one in three states — 17 in total plus the District of Columbia — has a stay-at-home order that expires in May or June.
Gov. Mike Dunleavy has ordered residents to stay at home until April 21.
Dunleavy has said that Alaskans can again schedule elective surgeries for on or after May 4 and visit their doctors for non-urgent needs.
Gov. Doug Ducey issued a stay-at-home order that will expire on April 30.
"I want to get the economy moving and people back to work as soon as possible -- when it is safe and healthy for people to do so," Ducey said on Twitter on April 13.
The governor emphasized the importance of maintaining social distancing and continuing to make "responsible choices."
"It's critical that we keep those efforts up as we plan for the future and a time when we can begin to return some normalcy to people's lives," Ducey said.
On April 15, the state issued Health Mandate 015, which allows for the resumption of health care services contingent upon certain safety standards being met. The order provides that health care services, such as non-urgent or non-emergent elective services, that cannot be delayed beyond eight weeks without posing a significant risk to quality of life may resume May 4. The order additionally lays out a range of safety precautions that must be met in order for facilities, which explicitly include ASCs, to provide elective services.
On April 15, the state issued Health Mandate 015, which allows for the resumption of health care services contingent upon certain safety standards being met. The order provides that health care services, such as non-urgent or non-emergent elective services, that cannot be delayed beyond eight weeks without posing a significant risk to quality of life may resume May 4. The order additionally lays out a range of safety precautions that must be met in order for facilities, which explicitly include ASCs, to provide elective services.
Gov. Asa Hutchinson has not issued a stay-at-home order.
Schools will be closed for the rest of the academic term. Fitness centers, bars, restaurants and other public spaces are closed until further notice.
Hutchinson told reporters on April 16 that he wants to bring back elective surgeries. "We want to get (hospitals) back to doing the important health-care delivery that is important in our communities," he said.
On April 3, the Department of Health issued a directive on elective surgeries mandating that "procedures, testing, and office visits that can be safely postponed shall be rescheduled to an appropriate future date." The directive states that emergent and urgent care are exempt from the mandate, and states that exceptions should be made in the following circumstances: if there is a threat to the patient’s life if the procedure is not performed; if there is a threat of permanent dysfunction of an extremity or organ system if the surgery is not done; if there is a risk of metastasis or progression of staging of a disease or condition if surgery is not performed; if there is a risk that the patient’s condition will rapidly deteriorate if surgery is not done, and there is a threat to life or an extremity or organ system or a threat of permanent dysfunction or disability.
Newsom told reporters to check back with him in two weeks, when he may be able to outline exact dates if California sees a flattening, and then decline, of coronavirus hospitalization rates, as well as a reduction in the number of people in intensive care unit beds. A third major factor determining the date, he said, would be building a workforce of health care workers who can trace coronavirus infections in order to isolate the infected.
Gov. Gavin Newsom issued a stay-at-home order on March 19 that has no set end date.
Newsom announced a joint Western States Pact with Oregon Governor Kate Brown and Washington Governor Jay Inslee on April 13.
"Health outcomes and science -- not politics -- will guide these decisions" to reopen the states, according to a joint statement from the governors.
Newsom outlined a framework for reopening the economy in the Golden State on Tuesday that he said was predicated on the state's ability to do six things:
1. expand testing to identify and isolate the infected,
2. maintain vigilance to protect seniors and high risk individuals,
3. be able to meet future surges in hospitals with a "myriad of protective gear,"
4. continue to collaborate with academia on therapies and treatments,
5. redraw regulations to ensure continued physical distancing at businesses and schools and
6. develop new enforcement mechanisms to allow the state to pull back and reinstate stay-at-home orders.
"I know you want the timeline, but we can't get ahead of ourselves and dream of regretting. Let's not make the mistake of pulling the plug too early, as much as we want to," Newsom said.
"I know you want the timeline, but we can't get ahead of ourselves ... Let's not make the mistake of pulling the plug too early, as much as we want to," Newsom said.
Gov. Jared Polis extended the state's stay-at-home order, which now remains in effect until April 26.
He said April 15 that the key information state officials need to determine when parts of the economy can be reopened is likely to come within the next five days.
The governor warned that restrictions won't all be lifted at the same time, and life will be different for some time. "The virus will be with us," Polis said. "We have to find a sustainable way that will be adapted in real time to how we live with it."
Connecticut Gov. Ned Lamont extended the mandatory shutdown in the state until May 20.
Connecticut has joined a coalition with the Northeastern states of New Jersey, New York, Pennsylvania, Delaware, Rhode Island and Massachusetts to coordinate the reopening of the economy, according to a news release from New York Governor Andrew Cuomo's office.
Lamont said he believed it would take at least another month before the state could decide on how and when to open things back up and emphasized "this is no time to relax."
Looking to revive the state's economy, Lamont announced Thursday the formation of the "Reopen Connecticut Advisory Board."
Gov. John Carney issued a statewide stay-at-home order that will remain until May 15 or until the "public health threat is eliminated."
has joined a coalition with the Northeastern states of New York, New Jersey,
Connecticut, Massachusetts, Pennsylvania, and Rhode Island to coordinate the
reopening of the economy, according to a press
release from NY Governor Andrew
The governor said April 17 that once the state reopens, social distancing, face coverings in public, washing hands, limited gatherings and vulnerable populations sheltering in place will remain.
District of Columbia
Washington, DC Mayor Muriel E. Bowser extended a stay-at-home order until May 15.
"I don't know if that means we will be open on May 16, but it will be a point for us to check in. And if we need to extend it beyond that, we certainly will," Bowser said during April 15 media briefing.
Florida Gov. Ron DeSantis issued a stay-at-home order for Floridians until April 30.
DeSantis plans to announce his reopening plan for the state of Florida next week, he said April 16.
During a news conference Thursday, he suggested it could start with allowing elective surgeries.
DeSantis said he will meet April 17 with a task force that includes experts across various industries throughout the state.
Southeast Florida, which is the epicenter of the outbreak in the state, could be treated differently than other parts, the governor said.
Gov. Brian Kemp issued a statewide shelter-in-place order that runs until April 30. The governor also extended the public health emergency through May 13. All K-12 public schools will remain closed through the end of the school year.
Kemp emphasized the importance of expanding testing before reopening the state.
"We're a little behind the curve from when our peak is going to be to other states around the country," Kemp said during an April 13 press briefing. "That is certainly a day I am ready for, but I think today specifically we have been focused on the surge capacity, ramping up testing to do more than we're doing."
Gov. David Ige issued a stay-at-home order for Hawaii residents which will last through at least April 30.
He said Thursday the state doesn't satisfy the federal criteria for phased reopening, one of which is a 14-day downward trend in the number of cases. "We're making progress, but we're not there yet, so please continue your hard work and perseverance, we will get through this together," he said.
Gov. Brad Little amended his order April 15 to allow for some businesses and facilities to reopen for curbside pickup, drive-in and drive-thru service and for mailed or delivery services. It is now effective through the end of the month.
Little said that the measures were working and Idaho is "truly seeing a flattening of the curve."
Little said that the measures were working and Idaho is "truly seeing a flattening of the curve."
"Our goal is for most businesses to open after the end of the month, but with the understanding that it may not be possible if there's an upward trend in severe Covid-19 cases in Idaho between now and then," Little said.
Gov. J.B. Pritzker issued a stay-at-home order through at least April 30.
Pritzker said during a media briefing Monday that he believes the current state in Illinois has been enough to slowly start lifting shelter-in-place orders so that some industry workers can go back to work.
Although there is no clear time line, he hopes that restarting production will go "industry by industry, and maybe company by company."
On March 17, The Illinois Department of Public Health posted an elective surgical procedure guidance, “recommending cancelling ALL elective surgeries and procedures to immediately decompress the healthcare system during the COVID-19 response that are considered non-emergent or elective.” The guidance defines “elective” as, “those procedures that are pre-planned by both the patient and the physician that are advantageous to the patient but are NOT urgent or emergent.” On March 20 Governor Pritzker issued a stay at home order for state residents, directed non-essential businesses to cease operations and prohibited public gatherings. The order provides that healthcare and public health operations may continue and that individuals may leave the home to access such services: the order notes that, “healthcare and public health operations shall be construed broadly to avoid any impacts to the delivery of healthcare, broadly defined.”
On April 15 when asked about possibly extending the order into May he said: "We're continuing to (consult health officials) and we'll be making announcements about our decisions over the next several days."
On March 30 Governor Holcomb issued a new executive order containing provisions that supersede his order from March 16 regarding elective procedures. The order states that, “to preserve PPE for health care providers who are battling the COVID-19 pandemic, beginning April 1, 2020, all health care providers, whether medical, dental or other, and health care facilities, whether hospitals, ambulatory surgical centers, dental facilities, plastic surgery centers, dermatology offices and abortion clinics, are directed to cancel or postpone elective and non-urgent surgical or invasive procedures.” The order provides that “elective and non-urgent" procedures mean any surgery or invasive procedure which can be delayed without undue risk to the current or future health of the patient as determined by the treating provider. The order also notes that its provisions do not apply to any procedure that if performed in accordance with the commonly accepted standards of clinical practice, would not deplete the hospital capacity needed to cope with the COVID-19 outbreak.
Gov. Eric Holcomb on April 17 extended the stay-at-home order through May 1.
The extension will give the state additional time to look into what the best way is to reopen sectors of the economy, Holcomb said. He said he would work with the state hospital association to see when elective surgeries could resume.
Indiana is part of a Midwest coalition of states looking at reopening possibilities
Gov. Kim Reynolds has not declared a stay-at-home order. Reynolds issued a State of Public Health Disaster Emergency on March 17, ordering all nonessential businesses to close until April 30.
The governor formed an Iowa economic recovery task force consisting of state leaders and private business leaders and announced plans to discuss with education leaders about the possibility of reopening schools.
Reynolds on April 16 announced that residents of the region of the state with the most cases, where there was an outbreak at a food processing plant, cannot get together until April 30.
"You may gather only with members or your immediate household," Reynolds said, adding there were a few exceptions like religious services with 10 worshippers or fewer.
On March 26 Governor Reynolds issued an additional disaster proclamation extending the business closure order and impacting the operation health care facilities. The order directs that effective at 5 p.m. on March 27 and until the disaster proclamation expires, “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.” The order provides that a nonessential surgery or procedures, “…is one that can be delayed without undue risk to the current or future health of a patient, considering all appropriate factors including, but not limited to any: (1) threat to the patient’s life if the surgery or procedure is not performed; (2) threat of permanent dysfunction of an extremity or organ system; (3) risk of metastasis or progression of staging; and (4) risk of rapidly worsening to severe symptoms.” The order directs hospitals and outpatient surgery and procedure providers to limit the use of PPE and requires such facilities to establish an internal governance structure to ensure adherence to the requirements of the order. On April 2 Governor Reynolds issued an updated proclamation of disaster emergency extending the expiration of the public health disaster emergency, including the previous order regarding elective procedures, to April 30. On April 9, the Department of Public Health issued a PPE Shortage Order, which states in part, “you shall immediately decrease demand for PPE by...comply(ing) with the ban on nonessential medical and dental services issued in the Proclamation of Disaster Emergency on March 26, 2020, and all subsequent extensions; cancel(ing) all other elective and non-urgent procedures and appointments which utilize PPE.”
Gov. Laura Kelly issued a stay-at-home order, which has been extended until May 3.
The initial order was set to expire April 19.
Kelly said Kansas expects to see its peak of coronavirus cases between April 19-29, based on projections.
Gov. Andy Beshear issued a "Healthy at Home" orde March 25 that is in effect indefinitely.
Kentucky is working with six other states to coordinate reopening measures.
The governor said April 16 it will be a phased-in approach "where we can have that that symbiotic bump ... to make sure that the steps that we take ultimately have a bigger reward or bigger output, because they are being replicated in other areas that we already do so much business with."
On March 18, the Kentucky Cabinet for Health and Family Services issued a directive stating that, “…healthcare providers in the Commonwealth are hereby directed…to cancel all procedures that in the opinion of a physician the delay will not cause harm to the patient or negatively affect the patient’s life expectancy. This directive takes effect at midnight March 18, 2020 and will include all levels of care.” On March 23 Governor Beshear issued his own order on the topic. Noting that previously the Governor had recommended that Kentucky hospitals cease performing elective procedures on March 18, the order directs that, “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.” The order provides that the state will rely on healthcare professionals to exercise their best clinical judgement in the implementation of the restriction and provides the following guidelines: “emergent” is any healthcare service that, were it not provided, is at high risk of resulting in serious and/or irreparable harm to a patient if not provided within 24 hours; “urgent” is any healthcare service that, were it not provided, is at high risk of resulting in serious and/or irreparable harm to a patient if not provided within 24 hours to 30 days; and “non-urgent” is any healthcare service that, were it not provided, is unlikely to result in any serious and/or irreparable harm to a patient if not provided for more than 30 days.
Gov. John Bel Edwards extended the state's stay-at-home order through April 30.
The governor announced on April 16 the formation of an economic recovery task force.
"They're going to look at our economy, make recommendations to make our businesses more resilient so that we can open them up, get businesses open, get workers back to work, but do so in a way that adequately affects public health," he said.
On March 11, Governor John Bel Edwards signed a public health emergency for coronavirus. Another proclamation on March 16 limited gatherings to fewer than 50 people following guidance from the CDC (from March 17 to April 13, 2020. On March 12, the Department of Health issued guidance recommending (among other things) that all facilities consider limiting or restricting all elective or voluntary medical procedures for the next 30 days. Following this guidance, the Louisiana Department of Health released a Healthcare Facility Notice March 18 stating, “…any and all medical and surgical procedures that…can be safely postponed for a period of thirty (30) days, SHALL be postponed for a period of thirty (30) days. This thirty (30) day period shall run from March 19, 2020, through April 21, 2020, unless otherwise extended in writing by the Department.” On March 21 the State Health Officer released a new Healthcare Facility Noticesuperseding the previous guidance on elective or voluntary surgeries. The new notice provides that, “...any and all medical and surgical procedures SHALL be postponed until further notice...”. Exceptions to the directive provide that medical and surgical procedures are allowed in order to treat an emergency medical condition as defined by 42 CFR 489.24. The notice additionally grants an exception to medical and surgical procedures necessary to avoid further harms from underlaying condition or disease. On March 24 the President of the Louisiana State Board of Medical Examiners released an open letter to licensees to revisit the order from the State Health Officer to halt elective procedures. “The LSMBE will have a zero tolerance policy of licensees violating these LDH, State Health Officer, orders. Complaints of violation of Dr. Guidy’s orders will be investigated an physicians will (be) subject to possible disciplinary action.” On April 7 the Louisiana Department of Health issued an emergency order extending a number of previously-issued orders until April 30: included in the list of orders is #2020-COVID-ALL-007, which is the healthcare facility notice issued on March 21 which directed the postponement of medical and surgical procedures in the state.
"We are in the midst of one of the greatest public health crises this world has seen in more than a century," Mills said in a news release. "This virus will continue to sicken people across our state; our cases will only grow, and more people will die. I say this to be direct, to be as honest with you as I can. Because saving lives will depend on us."
Mills said she wished she didn't have to extend the state of emergency, but "the continued spread of the virus demands a sustained response by the State."
Maine is in touch with neighbors New Hampshire and Vermont on reopening measures, the governor said April 14.
On March 15 Governor Janet Mills signed a civil emergency proclamation responding to the COVID-19 outbreak in Maine. While the proclamation itself is short and makes no mention of elective surgeries, Governor Mills recommended at the time of signing that, “all non-urgent medical procedures, elective surgeries, and appointments at hospitals and health care providers across the state…” be postponed until further notice. As part of this recommendation the Governor additionally recommended that events with 50 or more people be postponed.
Gov. Larry Hogan issued a statewide stay-at-home order on March 30. There is no current potential end date.
The governor said during his appearance on CNN Newsroom on April 13 that the state is discussing ways to safely reopen the state with health officials, and that his priority is to save lives, not the economy.
"We've got to listen to the doctors and scientists," Hogan said. "We've also got to be concerned about people getting the help they need and getting on track, but doing so in a gradual and safe manner when it's really the right time to do it."
Hogan said a cooperation amongst other governors on when to reopen the states would be a "good idea."
People in Maryland will be required to wear face coverings in stores and on public transportation as of April 18.
Governor Hogan issued an additional executive order on March 16 related to health care services: the order includes a provision authorizing the Secretary of Health to, “take actions to control, restrict, and regulate the use of health care facilities for the performance of elective medical procedures, as necessary to respond to the catastrophic health emergency.” On March 23 the Maryland Department of Health released a Directive and Order Regarding Various Healthcare Matters. The directive provides that, “pursuant to the Executive Order of March 16 relating to various health care matters...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.“
Gov. Charlie Baker issued an emergency order requiring all nonessential businesses to close facilities until May 4.
Massachusetts has joined a coalition with the Northeastern states of New York, New Jersey, Connecticut, Pennsylvania, Delaware, and Rhode Island to coordinate the reopening of the economy, according to a press release from NY Governor Andrew Cuomo's office.
Baker told residents of his state that officials have begun conversations around reopening the state but there's still a lot of work that needs to be done before a plan is set into motion.
The state will need to have testing, tracing, isolation and quarantine procedures in place to reopen, the governor said.
"I think it's going to be really important that we all pay attention to what the others are up to, and to make sure that nobody does anything that puts somebody in a really bad spot, because they just weren't thinking about what that impact was going to be on some other part of the Northeastern part of the US," he said.
Governor Charlie Baker declared a state of emergency on March 10. On March 15, the Governor issued an additional emergency order limiting gatherings to 25 individuals and prohibiting on-premises consumption of food or drink at bars and restaurants. Pursuant to the emergency powers authorized under the declaration, Public Health Commissioner Monica Bharel announced that effective from March 18, 2020, “until the State of Emergency is terminated by the Governor, or until rescinded by me, whichever shall happen first,” all hospitals and ambulatory surgery centers shall implement procedures issued by the Department of Public Health regarding the scheduling, cancelation and performance of non-essential elective invasive procedures. Additional guidance related to the order was released by the Department of Public Health the same day: the guidance recommends providers at hospitals and ASCs to use their clinical judgment on a case by case basis regarding any invasive procedures that must be done to preserve the patient’s life and health. Additionally, the guidance defines “nonessential, elective invasive procedures” to mean, “procedures that are scheduled in advance because the procedure does not involve a medical emergency…However, the ultimate decision is based on clinical judgment by the caring physician.”
Gov. Gretchen Whitmer extended the state's stay-at-home order through April 30.
Whitmer said during Monday's press briefing that reopening the state's economy will be based on a "data-driven approach based on facts, based on science, based on recommendations from experts."
The four factors the governor will take into consideration before reopening Michigan include
1. a sustained reduction in cases,
2. expanded testing and tracing capabilities,
3. sufficient healthcare capacity, and
4. the best practices for the workplace.
At the end of week that saw a protest at the Capitol and an anti-Whitmer tweet from Trump, the governor said April 17: "There's no one I think is more eager to start reengaging sectors of our economy than I am. But the last thing I want to do is to have a second wave here and so we've got to be really smart."
She said the first businesses to reopen will be in low-risk sectors.
The Governor also issued an executive order containing provisions intended to enhance the operational capacity of health care facilities in the state on March 17. On March 20, Governor Whitmer issued an executive order requiring “covered facilities” (defined to include freestanding surgical outpatient facilities) to implement a plan to temporarily postpone, until the termination of the state of emergency, all non-essential procedures. The order defines "non-essential procedures" as a medical or dental 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. The order is to take effect, “beginning as soon as possible but no later than March 21, 2020 at 5:00 pm, and continuing while the state of emergency...is in effect.”
Detroit hospitals resuming surgeries, procedures after weeks of red ink
For the first time in a month, Henry Ford Health System resumed outpatient surgeries in specially designated operating rooms at its five hospitals, senior vice president Dr. Steven Kalkanis revealed Thursday.
Other health systems, including Detroit Medical Center and Michigan Medicine, said they are also easing into more surgeries.
"Today marks the first day where Henry Ford Health System is launching a portal of opportunity for patients to have surgeries for non-COVID, but still time-sensitive cases," Kalkanis said in a call with reporters.
"If you need a diagnostic procedure or surgery, which if delayed would risk impairing your health, function or well-being, we have made our hospitals safe for this care," said Dr. Donald Weaver, specialist in chief, surgery, at the Detroit Medical Center, in a statement. "This includes our emergency departments, imaging departments, cardiac labs and operating rooms.
"In this challenging time, we also recognize that patients continue to require medical attention for conditions other than those due to COVID-19. Chronic diseases, medical emergencies, new or worsening symptoms, childbirths and ongoing conditions like cancer do not stop for COVID-19, and neither can their care," Weaver said.
In addition, Michigan Medicine, the Ann Arbor-based health system affiliated with the University of Michigan, also has been performing "essential cancer surgeries throughout the pandemic,” said Mary Masson, a spokeswoman for the health system.
“We’ve been able to gently increase our surgery volumes for time-sensitive procedures, even now, for patients for whom further delay would create harm," she said.
While Whitmer did issue an executive order prohibiting purely elective procedures, Masson noted that it doesn't prohibit essential care.
"Essential care includes cancer and cardiovascular procedures in individuals for whom delays would be detrimental,” she said.
Michigan Medicine, she said, is in “active planning stages” to expand the surgeries and procedures it can provide to patients who are at highest risk for disease progression.
“As always, we would protect our patients from any infectious disease with careful procedures that are always in place,” Masson said. “Throughout this pandemic, safety has been a top priority and we have taken many steps to minimize the spread of disease.”
Gov. Tim Walz extended the state's stay-at-home order through May 3.
He also signed an executive order extending the peacetime emergency for an additional 30 days until May 13.
Walz emphasized the importance of expanding testing and tracing the spread of the virus before opening the state.
The governor's plan to open up the economy is to "test, we have to do contact tracing, and we have to isolate the people who need to be isolated, and this has to be on a massive scale," Walz said.
On March 19 Governor Walz signed an executive order directing the delay of inpatient and outpatient elective surgery and procedural cases during the COVID-19 peacetime emergency. The order directs that, “beginning no later than March 23, 2020 at 5:00 pm, and continuing for the duration of the peacetime emergency declaration…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. The order defines as non-essential surgery or procedure as “…a surgery or procedure that can be delayed without undue risk to the current or future health of the patient,” and provides examples of criteria to consider in making this determination. The Minnesota executive order does not defer to the professional opinion of physicians to the same degree that orders in other states have, and it additionally includes a penalty of $1,000 fine or imprisonment for not more than 90 days for a person who willfully violates the order to indefinitely postpone such procedures.
Gov. Tate Reeves has extended a shelter-in-place order to April 27.
Reeves said April 17 the state will begin relaxing some of the restrictions on nonessential businesses by allowing them to offer services via drive-thru, curbside or delivery.
Reeves has said the state needed to open things back up as quickly and as responsibly as possible.
"We know that we will not be able to return to our typical lives right away," Reeves said during a media briefing on April 13.
"There are still more sacrifices to be made. We do want to look ahead to opening things up, I know that there are many Mississippians whose lives and livelihoods rely on our ability to get them back to work in a responsible way."
During a press conference on March 16 with the Governor, the State Health Officer and the Director of Mississippi Emergency Management officials recommended that clinics cancel all unnecessary tests and elective surgery procedures should be delayed at hospitals and clinics. On March 19 the Mississippi Department of Health released an official Health Alert Network (HAN) Alert ordering the postponement of elective medical procedures and non-essential medical visits. The alert states, “physician, hospitals and medical centers must defer surgical and diagnostic procedures until COVID-19 spread has been diminished and the supply of protective medical equipment is restored.” The alert additionally states that, “patients should rescheduled any non-essential procedures, surgeries or medical visits until the threat of COVID-19 is diminished." On April 10 Governor Reeves issued an executive order directing that, “...all licensed health care professionals and all licensed health care facilities shall postpone all surgeries and procedures 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, as determined by the patient’s physician.” The order provides an exception to any procedure that, if performed properly, would not have the potential to deplete, “...the hospital capacity, medical equipment or PPE needed to cope with the COVID-19 disaster.” The order will be in effect until April 27.
Gov. Mike Parson on April 16 extended the stay-at-home order through May 3.
The governor's office said they will work with hospitals, healthcare providers, health officials, and business leaders to develop a reopening plan.
"Our reopening efforts will be careful, deliberate, and done in phases," he said.
Gov. Steve Bullock extended the state's stay-at-home order through April 24.
Bullock held a governor's coronavirus task force tele-town hall for Montanans on Monday in which he said following the state's guidelines will allow the state to reopen sooner rather than later.
Bullock said he does not know when the stay at home order will be lifted and that while he doesn't "want to have it in place any longer than what's necessary," he is more concerned about completely reopening the state and jeopardizing the work that has been done.
Gov. Pete Ricketts issued the "21 Days to Stay Home and Stay Healthy" campaign on April 10. Ricketts ordered that all hair salons, tattoo parlors and strip clubs be closed through April 30 and all organized group sports canceled until May 31.
Nebraska is one of the states that has not issued a stay-at-home order to limit the spread of coronavirus nationwide. Ricketts has not made any plans to reopen the state.
The state's campaign is based on six rules: staying home, socially distancing at work, shopping alone and only once a week, helping kids social distance, helping seniors stay at home and exercising at home.
Governor Ricketts resisted issuing a statewide directed health measure ordering enforceable limits on public gatherings, the closure of bars and restaurants, the closure of schools and a prohibition on elective procedures, opting instead to issue directed health measures in a piecemeal fashion, targeting various counties at a time. However, on April 3 a statewide directed health order was issued that, among other things, prohibits elective medical and dental surgeries and elective medical and dental procedures. The order provides that “elective” means, “...a surgery or procedure that is scheduled in advance because it does not involve a medical or dental emergency,” and additionally provides that, “surgeries or procedures that must be done to preserve the patient’s life or physical health, but do not need to be performed immediately, are allowed by a case-by-case determination of the medical or dental provider.”
Gov. Steve Sisolak issued a stay-at-home order that expires April 30.
When asked about how he'd make his decision to reopen the economy, Sisolak said "positive testing is important but it's not my number one parameter."
"The things that I look at on a daily basis are hospitalizations, intensive care unit hospitalizations, ventilator usage, and people who pass," Sisolak added.
He said April 16 that reopening would happen with gradual steps. "I cannot take the chance of overwhelming our healthcare system," he said.
Gov. Chris Sununu issued a stay-at-home order until May 4.
Sununu told reporters on April 16 that he'll decide on whether to extend the order before May 4.
"We want to give people some flexibility and be able to plan," Sununu said. He said that applies to restrictions on nonessential businesses and public gatherings.
All public and private schools will remain closed for the rest of the school year, and students will continue remote learning, he said.
Gov. Phil Murphy issued a stay-at-home order on March 21 that has no specific end date.
New Jersey has joined a coalition with the Northeastern states of New York, Connecticut, Pennsylvania, Delaware, Rhode Island and Massachusetts to coordinate the reopening of the economy, according to a news release from New York Gov. Andrew Cuomo's office.
"No one has given more thought or is more eager to restart our economy than I am, but if we don't get the sequencing right, we put more lives at risk. The only path to a sustainable economic recovery is through a strong healthcare recovery," Murphy said in a news release.
"A coordinated, regional approach, informed by a multi-state council of experts, will help us avoid a major setback with potentially disastrous consequences."
On March 23 Governor Murphy issued an executive order directing, “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.” The Governor’s order goes on to define “elective surgery or invasive procedure” 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.” The order additionally directs ASCs to, “…coordinate any possible post-surgery admissions with local hospitals prior to performing any surgery or invasive procedure,” and requires both hospitals and ASCs to, “…establish written guidelines to ensure adherence to the provisions of this Order…”.
Gov. Michelle Lujan Grisham extended the state's emergency order to April 30.
She said Thursday her state is evaluating the federal guidelines but authorities cannot put the "cart before the horse."
"Please know that my administration is working doggedly to develop robust economic recovery plans alongside a plan for a thoughtful, staged and flexible reopening of our state -- and the moment we can safely implement those plans, they will be implemented with the same dedication and focus that we are using to contain this pandemic," the governor said.
On March 25 Governor Grisham announced the release of a new order from Secretary of Health Kunkel aimed at preserving PPE. The new order prohibits, “all hospitals and other health care facilities, ambulatory surgical facilities, dental, orthodontic and endodontic offices in the State of New Mexico…from providing non-essential health care services, procedures, and surgeries.” The order defines “non-essential health care services, procedures, and surgeries,” as those which can be delayed for three months without undue risk to patient health. The order also provides examples of criteria to consider when distinguishing between essential and non-essential actions and states that the prohibition on non-essential health care services, procedures and surgeries is not meant to apply to, “…(a) the provision of emergency medical care or any actions necessary to provide treatment to patients with emergency or urgent medical needs; (b) any surgery or treatment that if not performed would result in a serious condition of a patient worsening…and; (c) the full suite of family planning services.” The order takes effect March 27 and requires health care providers and facilities subject to the prohibition on non-essential procedures to submit a policy to the Department of Health addressing how it will comply with the order and identifying the procedures that will generally be deemed essential and non-essential. Providers and facilities will have until March 30 to submit their policy.
New York has joined a coalition with the Northeastern states of New Jersey, Connecticut, Pennsylvania, Delaware, and Rhode Island and Massachusetts to coordinate the reopening of the economy, according to a press release from Cuomo's office.
The governor has not come to any decision on when businesses will reopen and said he rejected "any elected official or any expert who says I can tell you what's going to happen four weeks from today."
The governor said April 16 there are factors for when a business can reopen, including how essential it is and what is the risk of catching the virus.
An additional declaration was issued focusing on the health care system in the state, though it did not contain provisions related to elective surgery. While the state government has not issued guidance regarding elective surgeries at this time, New York City Mayor Bill de Blasio issued an emergency executive order on March 16 directing hospitals and ASCs in the city to cancel or postpone elective procedures “within 96 hours of the issuance of this order”. Subsequent information suggests the exact timing of the start of the ban to be 4:00 p.m. on Friday, March 20. The emergency executive order directs hospitals and ASCs to “identify procedures that are deemed ‘elective’ by assessing which procedures can be postponed or cancelled based on patient risk considering the emergency need for redirection of resources to COVID-19 response.” On March 22, Governor Cuomo held a press conference during which he announced that, “we’re also canceling all elective, non-critical surgery for hospitals as of Wednesday. Elective, non-critical – the critical surgery, fine. If it’s not critical then postpone it.” On March 23 Governor Cuomo issued another executive order enacting many of the items he discussed during the March 22 press conference. In the order, the Commissioner of health is required to direct, “...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.”
Gov. Roy Cooper issued a stay-at-home order for the state effective until April 29.
The governor said that the more people adhere to social distancing requirements in April, the sooner the state will loosen restrictions.
"We have a team examining how North Carolina can emerge with the right practices in place to keep us healthy and strong and ready to jump start our economy," Cooper said in Monday's press briefing.
"We're considering the most effective ways to modify executive orders to help boost the economy while continuing to prevent our hospitals from being overwhelmed with Covid-19 patients."
On March 20 North Carolina Department of Health and Human Services Secretary Mandy Cohen released a letter to hospital and ASC leaders in the state requesting that they suspend elective and non-urgent procedures as of March 23. The letter defines such procedures as, “...any procedure or surgery that if not done within the next 4 weeks would cause harm to the patient.” The letter also stated that beginning March 20, “...hospitals and ambulatory surgery centers should institute an explicit, real-time review of all non-time sensitive procedures and surgeries.
Gov. Doug Burgum has only shut down schools, restaurants, fitness centers, movie theaters and salons. Burgum declared a state of emergency on March 13.
North Dakota is one of the states that has not issued a stay-at-home order.
Burgum has said he hopes some businesses can start to reopen May 1.
Gov. Mike DeWine issued a statewide stay-at-home order that will remain in place until May 1.
He said April 16 that on that date the state will begin the first phase of reopening.
"We are working on (specifics) and will be talking about this in the days ahead. We will be dealing with the schools shortly, probably early next week," he said.
As for events with big crowds, he said, "We need to take this a few weeks at a time to see where we are."
The order provides that healthcare and public health operations may continue and that individuals may leave the home to access such services: the order notes that, “healthcare and public health operations shall be construed broadly to avoid any impacts to the delivery of healthcare, broadly defined.”
Posted Apr 15, 2020 at 4:46 PM
Ohio’s doctors and surgeons have one week to tell the governor what steps they would take to protect patients and conserve personal protective equipment if he were to lift the ban on elective surgeries.
Gov. Mike DeWine said he talked for about two hours Wednesday with medical professionals worried about patients who can’t get help because of the state’s restriction. He told the group to give him a plan that would still minimize the use of personal protective equipment.
Doctors say the resumption of elective surgeries can’t happen soon enough because their patients and businesses are suffering.
“Frankly, I’ve been financially devastated. My revenues at the office are down about 78%,” Dr. Steve Tornik, a family physician from Plain City, said during a legislative task force meeting. “Bottom line, we’ve got to get back to normal as soon as we can.”
Gov. Kevin Stitt said April 15 that he is working on a plan to reopen the state's economy, possibly as early as April 30.
At the same time, Stitt extended Oklahoma's "Safer at Home" order for adults over the age of 65 and other vulnerable residents until May 6. Elective surgeries will be allowed to resume April 24.
Stitt has said the state would have to ease into reopening its economy.
"We're doing this with the guidance of the experts, being data driven... based on what's happening in Oklahoma, not what's going on in a different state or different city," Stitt said.
On April 15, Governor Stitt issued an amended executive order, extending the state’s “Safer at Home” order to May 6 and allowing elective surgeries to resume in the state starting on April 24. The order provides that, “Oklahomans and medical providers shall postpone all elective surgeries until April 24th, 2020. Elective procedures after April 24th, 2020 are subject to the guidelines set forth in Executive Memo 2020-02.” The order also directs providers to the CMS Non-Emergent, Elective Medical Services, and Treatment Recommendations when determining what is considered an elective surgery.
Gov. Kate Brown issued an executive order directing Oregonians to stay at home that "remains in effect until ended by the governor."
Brown announced a joint Western States Pact with California Gov. Gavin Newsom and Washington Gov. Jay Inslee on April 13.
"This is not a light switch going on or off," Brown told CNN's Anderson Cooper on April 14. "This is going to be making a change, testing it, modeling it, seeing whether it works, and then if it does, you can make another change."
Brown said she would not ease restrictions before seeing six components in place:
1. declining growth rate of active cases,
2. sufficient personal protective equipment,
3. surge capacity in hospitals,
4. increased test capacity,
5. contact tracing and isolating positive cases, and
6. strategies to protect vulnerable communities.
On March 18, Governor Brown directed all hospitals, outpatient clinics and health care providers to, “cease all non-emergency procedures, in order to preserve personal protective equipment…for health care workers treating COVID-19 patients.” to preserve masks, medical supplies.
Gov. Tom Wolf issued stay-at-home orders across the state until April 30.
Pennsylvania has joined a coalition with the Northeastern states of New Jersey, New York, Connecticut, Delaware, Rhode Island and Massachusetts to coordinate the reopening of the economy, according to a press release from New York Gov. Andrew Cuomo's office.
Wolf said April 17 there is "no magic wand to wave to get us back to where we want to be."
He said no one can flip a switch on the economy and the state shouldn't rush.
"We can't be impulsive. We can't be emotional," he said.
On March 19 Governor Wolf issued a new order prohibiting the operation of all businesses that are not life sustaining businesses: this was accompanied by a similar order from the Secretary of Health and a listdetailing which businesses in the state are considered life sustaining. The list provides that hospitals and ambulatory health care services may continue physical operations elective procedures are prohibited. On April 1 the Department of Health issued an amended order requiring ASCs to complete the Ambulatory Surgical Facilities Survey on a daily basis for each day a center is operational. The amended order takes effect immediately. On the same day the Department released amended guidance to reflect the new order. This updated guidance provides that, following the original effective date of March 20, ASCs, “...may not perform any elective surgeries or procedures unless the surgery or procedure would preserve an organ function or avoid further harms from an underlying condition or disease.” The update also prohibits ASCs from allowing the performance of, “...surgeries to treat emergency or life-threatening conditions to occur in the facility, unless no hospital is available for the procedure and the need for the surgery could not have been anticipated.” Lastly, the updated guidance incorporates the requirement that all ASCs complete the Ambulatory Surgical Facilities Survey on a daily basis.
Gov. Gina Raimondo issued an emergency declaration extending the state's stay-at-home order to last until May 8.
Rhode Island has joined a coalition with the Northeastern states of New Jersey, New York, Connecticut, Delaware, Pennsylvania, and Massachusetts to coordinate the reopening of the economy, according to a press release from NY Governor Andrew Cuomo's office.
To reopen the state, Raimondo said there would need to be advanced testing and contact tracing put in place.
"It is clear that what you're doing is working," Raimondo said, referring to residents staying at home. "It's keeping you safer. It's keeping Rhode Islanders safer. And quite frankly it's making it so I can really start thinking about reopening this economy sooner rather than later."
Gov. Henry McMaster extended his previous "State of Emergency" executive order through at least April 27.
"We want to get all these businesses going back as soon as we can," McMaster said during a news conference April 13.
"And to that end, we will be announcing before long, a plan, a rejuvenation plan, a revitalization plan in order to get our economy started again."
On March 17 news reports from multiple sources on indicated that Governor McMaster had issued a number of additional orders that prohibited public events of over 50 people and required the closing of bars and restaurants. Reports suggest that the orders include a recommendation (not an order) that medical and surgical centers in the state halt all elective surgeries in the next 72 hours. On the evening of March 17 the Governor signed a new executive order containing a prohibition on large public gatherings, a restriction on restaurant and bar service and provisions allowing coordination between the national guard and health providers in the state. No provisions in the order addressed elective surgeries, and no other official orders on the matter have been posted on the Governor’s or Department of Health’s websites at this time.
With South Carolina approaching its projected peak in the coronavirus pandemic, state officials are discussing when elective surgeries that are critical to the financial health of hospitals should resume.
Gov. Henry McMaster's spokesman, Brian Symmes, said Thursday morning that the Republican governor is working with the South Carolina Hospital Association to "determine when and how hospitals can gradually resume elective surgeries while keeping South Carolinians safe."This comes after House Minority Leader Todd Rutherford of Columbia called for hospitals to resume elective procedures.
"Now is the time for the governor to clearly return the power of electing what surgeries to perform back to our healthcare professionals," Rutherford said in a statement.
Hospital association spokesman Schipp Ames confirmed that his group and officials at hospitals in the state are involved in discussions with the Governor's Office.
Last month McMaster asked hospitals across the state to stop most elective surgeries to preserve supplies of protective gear and protect patients from infection.
But this move also led to a steep drop in income for hospitals, which in turn triggered employee furloughs. Prisma Health, the state's largest hospital system, announced last week that more than 10% of its 30,000 employees in the Upstate and Midlands have either been furloughed or had their hours cut.
One area of focus, Ames said, is what he described as "time-sensitive" procedures.
"You have procedures that need to be performed in a certain timeframe for the wellness of the patient," he said. "We're not talking about cosmetic procedures."
The talks about resuming elective surgeries come as state health officials estimate that South Carolina's "peak resource use" related to the coronavirus pandemic will occur in two weeks on April 30.
Gov. Kristi L. Noem has not issued a stay-at-home order.
"We have seen such an outstanding call to action among the people of South Dakota that we actually have more people staying home than many of the other states that have put in shelter in place orders and have put together directives to tell people they can't leave their homes," she said at a town hall hosted by South Dakota Public Broadcasting on April 15.
On April 6 Governor Noem issued an updated executive order, directing that all health care organizations in the state shall, “postpone all non-essential surgeries to conserve (and thereby maximize) supplies of personal protective equipment (PPE).” The order will expire on May 31
Gov. Bill Lee extended the state's stay-at-home order until April 30.
Lee said the state would begin reopening the economy in May.
"It'll be smart, it'll be safe, it'll be measured but we do not have a definitive decision on what those steps will be yet," Lee said during a news conference April 13.
On March 23, Governor Bill Lee signed a new executive order stating that, “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. All hospitals and freestanding surgical outpatient facilities must postpone through the expiration of this Order, at a minimum, joint replacement, bariatric surgery, and cosmetic surgery, except for emergency or trauma-related surgery where postponement would significantly impact the health, safety, or welfare of the patient.” The order excludes a number of procedures from postponement: surgeries related to advanced cardiovascular disease that would prolong life; oncological testing, treatment and related procedures; pregnancy-related visits and procedures, including labor and delivery; organ transplantation; procedures relating to dialysis; and emergency or trauma-related procedures where postponement would significantly impact the health, safety and welfare of the patient. The order takes effect at 12:01 a.m. on March 24 and shall remain in effect until April 13.
On April 8 Governor Lee issued a new executive order related to elective surgeries. Beginning on April 9, “all healthcare professionals and healthcare facilities in the State of Tennessee shall postpone surgical and invasive procedures that are elective and non-urgent. Elective and non-urgent procedures are those that can be delayed until the expiration of this Order because they are not required to provide life-sustaining treatment, to prevent death or risk of substantial impairment of a major bodily function, or to prevent rapid deterioration or serious adverse consequences to a patient’s physical condition if the surgical or invasive procedure is not performed, as reasonably determined by a licensed medical provider.” The order will remain in effect until April 30.
Gov. Greg Abbott ordered all Texans to stay home through April 30.
Instead of kicking off a full restart, the Texas governor announced April 17 that a group of medical and economic experts will guide him through a series of incremental steps aimed at slowly reopening the state's economy.
"Opening in Texas must occur in stages," Abbott said during his briefing Friday. "Obviously, not all businesses can open all at once on May 1." A premature opening of private businesses, he said, would risk further outbreaks and "be more likely to set us back, rather than to propel us forward."
On April 17, Governor Abbott issued a new executive order loosening the restrictions imposed on elective surgeries in March. Beginning at 11:59 pm on April 21 and continuing until 11:59 pm on May 8, the order requires that all licensed health care professionals and facilities continue postponing all surgeries and procedures that are not medically necessary. However, the order provides an exemption from the prohibition for: any procedure that would not deplete the hospital capacity or the PPE needed to cope with the COVID-19 disaster; or any surgery or procedure performed in a licensed facility that has certified in writing to the Texas Health and Human Services Commission both, “...(1) that it will reserve at least 25% of its hospital capacity for treatment of COVID-19 patients, accounting for the range of clinical severity of COVID-l9 patients; and (2) that it will not request any personal protective equipment from any public source, whether federal, state, or local, for the duration of the COVID 19 disaster.”
Governor Greg Abbott today held a press conference where he issued three new Executive Orders to begin the process of reopening the state of Texas while revising hospital capacity and certain social distancing guidelines. Within the orders, select activities and services that pose minimal to no threat of spreading COVID-19 are allowed to reopen using a "Retail-To-Go" model, certain restrictions on surgeries have been loosened, and schools will remain closed for the remainder of the 2019-2020 academic year.
Within these orders, the Governor has established the Strike Force to Open Texas—a team of nationally recognized medical experts and private and public leaders who will advise the Governor on safely and strategically reopening the state of Texas.
"Texans are battling a colossal challenge—an invisible enemy that has tested our lives and our livelihoods—but overcoming challenges is part of who we are as Texans," said Governor Abbott. "We have shown that Texas can continue our efforts to contain COVID-19 while also adopting safe standards that will allow us to begin the process of reopening Texas. The Strike Force to Open Texas brings together nationally recognized medical experts with public and private sector leaders to achieve this mission. By coming together, we can get Texans back to work, practice safe standards that will prevent the spread of COVID-19, and we can overcome this pandemic."
James Huffines will lead the advisory strike force and Mike Toomey will serve as Chief Operating Officer. Lieutenant Governor Dan Patrick, House Speaker Dennis Bonnen, Attorney General Ken Paxton, and Comptroller Glenn Hegar will serve as consulting members.
In addition, Governor Abbott has appointed Texas Department of State Health Services (DSHS) Commissioner John Hellerstedt, MD, as Chief Medical Officer of the strike force. Dr. Hellerstedt will be supported by three Chief Medical Advisors:
John Zerwas, MD, Executive Vice-Chancellor for Health Affairs at the University of Texas System
Mark McClellan, MD, PhD, Former Food and Drug Administration Commissioner and U.S. Medicaid and Medicare Administrator
Parker Hudson, MD, MPH, Assistant Professor of Internal Medicine and Infectious Diseases at Dell Medical School and program director for the Internal Medicine Residency
These health experts will develop a medical architecture to comprehensively test and trace COVID-19 that will enable Texans to gradually and safely begin the process of returning to work and other activities.
The medical team will work alongside a Special Advisory Council who will share innovative ideas to help businesses strategically reopen while containing the spread of COVID-19. The council consists of 39 business leaders representing the state's regions and industries. The advisory council will collaborate with working groups to devise strategies, statewide standards, and appropriate time frames to reopen the Lone Star State while prioritizing the health and safety of all Texans.
The strike force will immediately begin providing input on potential additional openings of activities and services in Texas consistent with guidelines provided by the Centers for Disease Control and Prevention (CDC). The Governor will announce a revised plan for the state based on these initial recommendations on April 27.
The Governor’s third Executive Order (GA-15) relates to hospital capacity and personal protective equipment (PPE) needed for the COVID-19 response. The order loosens restrictions on surgeries put in place by Governor Abbott in March. Beginning at 11:59pm on April 21 through 11:59pm on May 8, all licensed health care professionals and all licensed health care facilities must continue to postpone all surgeries and procedures that are not medically necessary to diagnose or correct a serious medical condition of, or to preserve the life of, a patient who without timely performance of the surgery or procedure would be at risk for serious adverse medical consequences or death as determined by a patient's physician. Exceptions now include:
Gov. Gary Herbert extended the state's "Stay Safe, Stay Home" directive through May 1. Schools will be closed for the remainder of the year.
Utah has not issued a stay-at-home mandate.
People have been asked to stay home as much as possible and maintain 6 feet from others when out. Restaurants are not allowed to have dining rooms open. School are closed.
Herbert said the state is making plans for how and when restrictions will be lifted, but continued to urge citizens to stay home.
On March 24 Executive Director of the Department of Health Joseph Miner released a State Public Health Order directing that, “…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 in accordance with version 3.15.20 of the CMS Adult Elective Surgery and Procedures Recommendations, promulgated by the Centers for Medicare & Medicaid Services on March 18, 2020.” The order remains in effect until 11:59 p.m. on April 25, unless otherwise modified, amended, rescinded or superseded.
Gov. Phil Scott issued a "Stay Home, Stay Safe" order that has been extended until May 15.
Scott on April 17 outlined a five-point plan to reopen the state while continuing to fight the spread of the coronavirus during a news conference.
Part of that plan includes certain businesses such as construction, home appraisers, property management and municipal clerks to return to work on April 20, with social distancing measures in place. These businesses will be allowed a maximum of two workers.
On May 1, farmers markets will be able to operate with strict social distancing guidelines in place, Scott said.
Governor Scott issued an addendum to his state of emergency declaration on March 20 related to the provision of medical care during the outbreak. Governor Scott orders, “…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.” The order goes on to note that, “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.” The order will remain in effect until April 15. On April 10, Governor Scott issued addendum nineto his initial executive order declaring a state of emergency, extending all directives contained in previous orders and addendums (including those directives related to elective surgeries) until May 15.
Gov. Ralph Northam issued a stay-at-home order effective until June 10.
"We are in a public health crisis, and we need everyone to take this seriously and act responsibly," Northam said in a news release. "Our message to Virginians is clear: stay home."
Northam has made it clear that the state must make decisions based on "science, public health expertise, and data," Secretary of Health and Human Resources Daniel Carey said.
On March 25 Governor Northam released another executive order, “…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.” The order provides that inpatient and outpatient surgical facilities, free-standing endoscopy centers, physicians’ offices, and dental, orthodontic, and endodontic offices may perform any procedure or surgery that if delayed or canceled would result in the patient’s condition worsening, and encourages outpatient surgical hospitals to work with their local inpatient hospitals to assist with surge capacity needs. The order shall remain in force until April 24.
Gov. Jay Inslee extended Washignton's stay-at-home order until May 4, saying "We are yet to see the full toll of this virus in our state and the modeling we've seen could be much worse if we don't continue what we're doing to slow the spread."
Inslee announced a joint Western States Pact with California Gov. Gavin Newsom and Oregon Gov. Kate Brown on April 13.
Before deciding on when to reopen the state, Inslee said during an interview with Katy Tur on MSNBC that there would need to be an "enormous expansions" of coronavirus testing capabilities, a way to trace the spread in communities, and "for the president to recognize that these decisions really are going to be made by governors."
On March 19 Governor Inslee issued a proclamation to, “...prohibit all hospitals, ambulatory surgical facilities, dental, orthodontic and endodontic offices in Washington State from providing health care services, procedures, and surgeries that, if delayed, are not anticipated to cause harm to the patient within the next three months...this does not include outpatient visits delivered in hospital based clinics.” The Governor’s proclamation includes examples of procedures to delay and also provides an exception from the prohibition for, “the full suite of family planning services and procedures...(and) treatment for patients with emergency/urgent needs...Hospitals and ambulatory surgical facilities may perform any surgery that if delayed or canceled would result in the patient’s condition worsening...”.
Gov. Jim Justice issued a stay-at-home order until further notice.
"That curve is the curve we're looking for to be able to look at the possibility of backing things off and going forward. We're not there yet," Justice said during a news conference April 13.
Despite numbers suggesting that the state is starting to do better, Justice said it wasn't time to relax social distancing measures or asking people to stop staying home.
"I'm proud of each and every one of you so keep following the guidelines, stay at home, social distance, practice good hygiene and when the time comes, and it will, we'll cross the finish line together as West Virginians," Justice said in a news release.
On March 31 Governor Justice issued an executive order prohibiting all elective medical procedures, “…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.” The order provides that “elective” includes, “…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.” The order takes effect at 12:00 a.m. on April 1; the order does not include a repeal date.
Gov. Tony Evers has extended his state's stay-at-home order to expire May 26, according to a statement from the governor's office.
The extension also loosens some restrictions on businesses. Golf courses are allowed to reopen, and public libraries and arts and crafts stores may offer curbside pickup, the April 16 announcement said.
Gov. Mark Gordon submitted a request asking for a federal disaster declaration for Wyoming on April 9. Wyoming is one of the states without a stay-at-home order.
"Though Wyoming has not reached the dire situations of some states, this declaration will help us to prepare and mobilize resources when we need them," Governor Gordon said in a news release. "I look forward to a swift response to our request from the federal government."