Please review this Health Alert from the CDC regarding Ivermectin.
As a reminder: writing prescriptions for medications is outside the scope of practice for all Oregon licensed chiropractic physicians and certified chiropractic assistants.
Due to a rapid increase in Ivermectin prescriptions and reports of severe illness associated with use of products containing Ivermectin to prevent or treat COVID-19, the CDC have released an official health advisory.
“The Centers for Disease Control and Prevention (CDC) confirmed with the American Association of Poison Control Centers (AAPCC) that human exposures and adverse effects associated with ivermectin reported to poison control centers have increased in 2021 compared to the pre-pandemic baseline. These reports include increased use of veterinary products not meant for human consumption." - updated 08/26/2021
8/26/2021 - Healthcare workers required to be fully vaccinated with no testing alternative - UPDATE.
On 8/25/21, the Oregon Health Authority (OHA) has amended its temporary rule, COVID-19 Vaccination Requirement for Healthcare Providers and Healthcare Staff in Healthcare Settings (OAR 333-019-1010), which requires healthcare providers and healthcare staff to be fully vaccinated against COVID-19 by October 18, 2021. There is no longer a testing option. This rule effects all OBCE licensees and healthcare staff.
Please closely read the rule's requirements and possible exceptions allowed as those who violate any provision of the rule will be subject to civil penalties of $500 per day per violation, imposed by the OHA. These requirements are effective as of October 18, 2021.
Additionally, on 8/20/21, the Oregon Health Authority (OHA) adopted its temporary rule, Masking Requirements to Control COVID-19 in Health Care Settings (OAR 333-019-1011).
Please also review the Oregon Board of Chiropractic Examiners (OBCE) rule, Facial Covering Requirements (OAR 811-035-0007).
For further information and updated guidance from OHA: https://www.oregon.gov/oha/covid19/Pages/Healthcare-Partners.aspx
For questions regarding OHA's temporary rule and requirements, contact OHA at COVID.firstname.lastname@example.org or 503-945-5488.
8/19/2021 - Healthcare workers required to be fully vaccinated with no testing alternative.
Governor Brown announced today that the vaccination requirement for healthcare workers (which includes all OBCE licensees) will no longer have a testing alternative. Healthcare workers will be required to be fully vaccinated by October 18 or six weeks after full FDA approval, whichever is later.
The Oregon Health Authority (OHA) is working to amend its temporary rule (OAR 333-019-1010) and we will provide it to our licensees once finalized.
Governor Brown's press conference is available here: Two New Vaccination Measures to Address Hospital Crisis, Help Keep Students Safe
For questions regarding OHA's temporary rule and these requirements, contact OHA at COVID.email@example.com or 503-945-5488.
____________________________________________________________________________________________________ 08/06/2021 Oregon Health Authority (OHA)'s Final Temporary Administrative Rule re: COVID-19 vaccinations and weekly testing
On 08/05/2021, the OHA filed its final temporary administrative rule, OAR 333-019-1010, that requires healthcare personnel and healthcare staff who work in healthcare settings to either be vaccinated against COVID-19 or be tested for COVID-19 on at least a weekly basis.
Additionally, it requires employers of healthcare providers or healthcare staff to have and follow policies for requesting and obtaining proof of vaccination, requiring COVID-19 testing for those not vaccinated or who have an unknown vaccination status, on at least a weekly basis, and maintaining documentation of weekly COVID-19 test results for any healthcare provider or healthcare staff person who is unvaccinated or has an unknown vaccination status.
If a healthcare provider is self-employed, the healthcare provider must maintain their own documentation of vaccination or weekly COVID-19 test results. Such documentation must be maintained for at least two years and must be provided to OHA upon request. \
These requirements are effective as of September 30, 2021. Those who violate any provision of the rule will be subject to civil penalties of $500 per day per violation, imposed by the OHA.
OBCE licensees (chiropractic physicians and certified chiropractic assistants) fall within OHA's definition of “healthcare providers and healthcare staff." Chiropractic clinics or offices, in addition to any multi-disciplinary clinics, fall within OHA's definition of “healthcare setting." The rule is silent as to who/what entity is responsible for costs associated with this rule.
To be clear, this rule is promulgated and enforceable by OHA. To date, the OBCE has not taken any action or initiated any rulemaking with regard to these requirements.
If you have questions about this rule, please seek independent legal counsel or contact OHA directly: COVID.firstname.lastname@example.org.
OAR 333-019-1010 COVID-19 Vaccination or Testing Requirements for Healthcare Providers and Healthcare Staff in Healthcare Settings
08/04/2021 Governor Brown Announces New Health and Safety Rule for Employees in Health Care Settings to Help Prevent Delta Variant Spread
Governor Brown has directed the Oregon Health Authority (OHA) to issue a rule outlining new, required, health and safety measures for personnel in health care settings. The rule requires weekly COVID-19 testing for personnel in health care settings to prevent the spread of COVID-19 in health care settings, which can be waived with a proof of vaccination. The new rule will be issued this week and the requirement to be vaccinated or undergo weekly testing will apply starting September 30, 2021.
The new rule applies to personnel in health care settings who have direct or indirect contact with patients or infectious materials.
Governor Brown's statement and video can be found here:
New Health and Safety Rule Announcement
New Health and Safety Rule Video Announcement
We will update our licensees with the OHA rule and any other guidance once they are available.
Public Notice regarding facial covering requirements
Facial coverings are still required in healthcare settings under OHA, OSHA, and OAR 811-035-0007. Chiropractic clinics are considered healthcare offices and chiropractic physicians are considered healthcare personnel. (OHA Mask, Face Covering, and Face Shield Requirements for Health Care Offices, June 30, 2021)
How did the OBCE come to this conclusion?
Executive Order 21-15 extended the emergency declaration originally found in Executive Order 20-03 while also rescinding statewide mask mandates and other protective restrictions. However, enhanced COVID-19 precautions are still necessary in specific specialized settings such as healthcare, public transportation, and correctional facilities.
OHA Mask, Face Covering, and Face Shield Requirements for Healthcare Offices, June 30, 2021, states, “While the Governor has rescinded many of the Executive Orders, the declaration of emergency remains in effect and masks are still required in healthcare settings. See Executive Order 21-15. In addition, healthcare offices must continue to follow all applicable state and federal regulatory requirements related to masking, including Oregon-OSHA rules addressing COVID-19 workplace risks." These requirements apply to all health care personnel and healthcare offices and all patients and visitors in healthcare offices.
The OBCE, during its regular July board meeting, deliberated on whether the facial covering rule, OAR 811-035-0007 (Facial Covering Requirements), is still in effect and applicable in light of the provisions within Executive Order 21-15. After considering all public comments submitted, the OBCE determined that the rule is still in effect and applicable due to the declared state of emergency being extended until December 31, 2021.
Because the declared state of emergency has been extended by Executive Order 21-15, OAR 811-035-0015(27) (Unprofessional Conduct in the Chiropractic Profession), still requires licensees' compliance with OHA guidance.
The OBCE voted to enter rulemaking in September 2021, to consider amending OAR 811-035-0007 Facial Covering Requirements and OAR 811-035-0015 Unprofessional Conduct in the Chiropractic Profession. The OBCE will provide notice for submission of public comment in due course. Updated 7/22/2021
On July 27, 2021, the Oregon Health Authority (OHA) released recommendations based on the Centers for Disease Control and Prevention's (CDC) new guidance, also issued on 7/27/21, that everyone, including fully vaccinated persons, wear a mask in public indoor settings. “OHA's recommendation applies statewide, and not just in areas with higher infections and high transmission, as cases have increased across the state in recent weeks due to the Delta variant." - Updated 07/28/2021
OHA July 27, 2021 News Release
The Oregon Board of Chiropractic Examiners (OBCE) invites public comment on COVID-19 related topics below. This is a notification to licensees and interested parties that the following documents will be reviewed during the July public board meeting:
o Facial Covering Requirements 811-035-0007 and how Governor Brown's executive order applies.
o Whether the Board should continue with the existing facial covering rule, modify it, or repeal it.
o OHA 2351M Mask Face Covering, and Face Shield Requirements for Health Care Offices and how it applies to 811-035-0007 https://sharedsystems.dhsoha.state.or.us/DHSForms/Served/le2351m.pdf
How to Comment:
- Attend the rule hearing on July 22nd, 2021
a. Virtually via Zoom, https://zoom.us/j/94098815885?pwd=WW90NVFud3RVNTE3Zjkwam9IWThiQT09 or
- Provide written comments to the OBCE. Comments may be sent to the OBCE office by email, but must be received by OBCE no later than 8 am July 20th, 2021. The email address is Mackenzie.email@example.com.
The OBCE is currently short staffed and we are working hard to answer questions as they come in. We will be posting a statement regarding facial coverings and COVID measures when we've received final review. Thank you for your patience. - Updated 7/1/2021
Jackson Co - By appt, call 541-774-8209 | Providence and Asante are also providing vaccines.