High court to hold special session on vaccine requirements with local impact

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FILE – Light from the morning sun illuminates the Supreme Court in Washington Dec. 3. The Supreme Court says it will hold a special session in just over two weeks to hear arguments on the Biden administration’s vaccine or testing requirement for large employers and a separate vaccine requirement for health care workers. The announcement on Wednesday comes amid rising coronavirus cases. (AP Photo/J. Scott Applewhite, File)

WASHINGTON (AP) — The Supreme Court says it will hold a special session in just over two weeks to weigh challenges to two Biden administration policies covering vaccine requirements for millions of workers, policies that affect large employers and health care workers.

The high court’s announcement Wednesday that it will hear arguments in the cases Jan. 7 comes amid rising coronavirus cases and is an extraordinarily fast timeline. The court had not been scheduled to hear cases again until Jan. 10.

The court’s decision in early January will have an impact locally on health care workers.

In mid-November, Baxter Regional Medical Center officials advised they would comply with a COVID-19 vaccine mandate handed down by the Centers for Medicare and Medicaid Services (CMS). The requirement says in order to meet the conditions of participation in CMS, which includes receiving reimbursement for Medicare and Medicaid patients, most health providers, including hospitals, must have a vaccine mandate in place for their employees.




A preliminary injunction in late November blocked the CMS mandate from becoming effective. The mandate would have required almost every employee, trainee, student, volunteer and third-party contractor of 15 categories of Medicare- and Medicaid-certified providers to be vaccinated against COVID-19 and to have the first dose no later than Dec. 6.

At BRMC, the roughly 85% of patients who are on either Medicare or Medicaid is much higher than average and the biggest reason why the hospital said it had to comply with the mandate. President and CEO Ron Peterson said earlier between 67-70% of the hospital’s patients are on Medicare, while the national average is around 45%. Medicaid patients at BRMC account for about 15-17% of their clients, while the national average is about 12%.

In a related ruling, a three-judge panel of the 6th U.S. Circuit Court of Appeals in Cincinnati ruled 2-1 on Friday that the vaccine or testing regime for workers at larger companies could take effect. The plan requires workers at larger companies to be vaccinated or wear face masks and get tested weekly. The requirement could affect some 84 million U.S. workers.

Republican-led states, conservative organizations and businesses had challenged the requirement after the Occupational Safety and Health Administration published the rule in early November. The rule was to go into effect Jan. 4.

The high court also will hear arguments over a rule published Nov. 5 by the Centers for Medicare & Medicaid that applies to a wide range of health care providers that receive federal Medicare or Medicaid funding. It requires their workers to receive the first dose of a COVID-19 vaccine by Dec. 6 and be fully vaccinated by Jan. 4. It was projected to affect more than 17 million workers in about 76,000 health care facilities as well as home health care providers.

Decisions by the New Orleans-based 5th U.S. Circuit Court of Appeals and St. Louis-based 8th U.S. Circuit Court of Appeals as well as a federal judge in Texas have the mandate blocked in about half of states.

In a statement Wednesday evening after the court announced it would hear arguments, the White House defended its policies and said that especially with the rise of the coronavirus’ omicron variant, “it is critical to protect workers with vaccination requirements and testing protocols that are urgently needed.”

“We are confident in the legal authority for both policies and (the Justice Department) will vigorously defend both at the Supreme Court,” the statement says.

The high court’s decision to quickly hold arguments on the requirements was unusual. Both issues arrived at the court on an emergency basis, and the court usually quickly decides emergency applications without the more typical full briefing and oral argument.

But the court has also been criticized recently for how it handles the process, which has been called the court’s “shadow docket.” Justice Samuel Alito pushed back in September against that criticism, saying it was unwarranted.

The Supreme Court announced earlier this year that all the justices have been vaccinated. Because of the coronavirus, however, the court is not open to the public. Lawyers arguing cases must test negative COVID-19 and journalists observing arguments must also have a negative test.

Also brewing in lower courts are challenges to the Biden administration’s requirement that federal contractors receive COVID-19 vaccinations.

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