Some New York Hospitals Already Suspending, Firing Unvaccinated Workers

Some New York hospitals are already suspending or otherwise taking action against employees that have refused to get vaccinated, ahead of the vaccine mandate deadline.

Health care employees in New York had until the end of the day Monday to get at least one dose of the COVID-19 vaccine. While a majority of New York's medical workers are already vaccinated, those still holding out faced unpaid suspension or worse.

In Buffalo, Erie County Medical Center Corporation said about 5 percent of its hospital staff and 20 percent of nursing home workers had been put on unpaid leave for not being vaccinated. Northwell Health, the state's largest health care provider, said that while almost 100 percent of its workforce is vaccinated, it has begun removing unvaccinated workers from its system.

"To those who have not yet made that decision, please do the right thing," New York Governor Kathy Hochul said.

For more reporting from the Associated Press, see below.

New York Hospitals
Some New York hospitals are already suspending or taking action against unvaccinated workers, ahead of the September 27, 2021, deadline for medical workers to receive at least one shot of the COVID-19 vaccine. Medical workers take patients in at a special coronavirus intake area at Maimonides Medical Center on April 7, 2020, in New York City. Spencer Platt/Getty Images

Hospitals and nursing homes around the country are bracing for worsening staff shortages as state deadlines arrive for health care workers to get vaccinated against COVID-19.

With ultimatums taking effect this week in states like New York, California, Rhode Island and Connecticut, the fear is that some employees will quit or let themselves be fired or suspended rather than get the vaccine.

"How this is going to play out, we don't know. We are concerned about how it will exacerbate an already quite serious staffing problem," said California Hospital Association spokesperson Jan Emerson-Shea, adding that the organization "absolutely" supports the state's vaccination requirement.

Some New York hospitals prepared contingency plans that included cutting back on non-critical services and limiting nursing home admissions. The governor also drew up plans to summon help from National Guard members with medical training, retirees or vaccinated workers from outside the state.

About a dozen states have vaccination mandates covering health care workers in hospitals, long-term care facilities or both. Some allow exemptions on medical or religious grounds, but those employees often must submit to regular COVID-19 testing.

States that have set such requirements tend to have high vaccination rates already. The highest rates are concentrated in the Northeast, the lowest ones in the South and Midwest.

The Biden administration also will require the roughly 17 million workers at health facilities that receive federal Medicare or Medicaid to be fully vaccinated under a rule still being developed.

That has worried some hospital officials, particularly in rural communities where vaccination rates tend to be lower.

"We are looking at the need to reallocate staff, in some cases just to maintain services that are essential, and there are going to be some delays" in care, said Troy Bruntz, president and CEO at Community Hospital in McCook, Nebraska.

He said 25 of the hospital's 330 employees said they would definitely resign if they were required to be vaccinated. The remainder of the approximately 100 unvaccinated employees — a group that includes nurses as well as cleaning and maintenance staff — haven't decided.

He also worries that it will be difficult to hire new workers when the hospital is already short-handed.

"It doesn't make us feel too confident that this isn't going to turn into something short of a nightmare for American health care," he said.

In California, where health care workers have until Thursday to get fully vaccinated, some hospitals are anticipating firings, suspensions or the moving of people to other positions, Emerson-Shea said. She said many traveling nurses have declined assignments in California because of the state's vaccine requirement.

In states that don't have mandates, some hospitals are imposing their own.

Ginger Robertson, a registered nurse who works in a mental health clinic at a hospital in Bismarck, North Dakota, has requested a religious exemption from her hospital's vaccination requirement. She said she will look for other work if she doesn't get it.

"Honestly, I really love my job. I am good at it. I enjoy my patients. I enjoy where I am at," she said. "So this is a really hard place, to have to choose between two things I don't want to do. I don't want to leave, and I don't want to get the vaccine."

She said other nurses are also considering leaving over what she called the "insulting" mandate.

"We feel demoralized, like as though we aren't intelligent enough to make these choices for ourselves," Robertson said.

Massachusetts' mandate, issued by Republican Governor Charlie Baker, applies only to rest homes, assisted living facilities, hospice programs and home care programs. It allows for medical and religious exemptions but doesn't require regular testing. The deadline is October 31.

About 84 percent of over 450,000 hospital workers in New York were fully vaccinated as of Wednesday, according to state data. Nursing home data through Sunday showed about 89 percent of nursing home workers were fully vaccinated.

New York City's hospital system reported a 95 percent vaccination rate for nurses and a higher rate for doctors.

"I feel good, very good about our ability to have the staffing we need in the public hospitals," said Mitchell Katz, head of the city's public hospital system.

In Missouri, which became a severe COVID-19 hot spot over the summer, the Mercy hospital system is requiring vaccinations among staff at its hundreds of medical centers and clinics in Missouri and neighboring states by Thursday.

Anyone who doesn't comply by then will be placed on a 30-day unpaid suspension, said Mercy spokeswoman Bethany Pope.

Vaccine Mandate Health Care Workers
Hospitals and nursing homes across the country are preparing for worsening staff shortages as state deadlines arrive for employees to get vaccinated against COVID-19. In this Decrmber 21, 2020, file photo, Michelle Chester, director of employee health services at Northwell Health, prepares the Moderna COVID-19 vaccine at Northwell Health's Long Island Jewish Valley Stream hospital in Valley Stream, N.Y. Eduardo Munoz/Pool Photo via AP, File