Staff Contact: Jane Drummond
Based on clarification from the Centers for Medicare & Medicaid Services regarding medical exemptions under its vaccination interim final rule, MHA revised its CMS COVID-19 Vaccine Mandate Guidance. Under the rule, medical exemptions only may be granted for “recognized clinical contraindications” to one or more of the vaccines. CMS previously pointed to the two conditions for which the Centers for Disease Control and Prevention advise against vaccination — anaphylactic reaction to a dose of the vaccine or known allergy to a component of a vaccine — as qualifying for medical exemptions. Recently, one of the agency’s medical officers acknowledged on a national conference call that there may be other recognized conditions for which vaccination would be inadvisable. Because the rule allows exemptions for recognized contraindications only, CMS suggests exemptions be based on documented findings from medical studies or the vaccine literature.