What HME Providers Need to Know about the New OSHA Requirements

Published in Government Relations on June 22, 2021

If you don’t have a COVID-19 plan or designated COVID-19 safety coordinators, the clock is ticking. According to OSHA’s COVID-19 ETS (Emergency Temporary Standard), employers have 14 to 30 days to comply with new standards, depending on the provision. 

As of Monday, June 21, 2021, OSHA’s COVID-19 ETS has appeared on the Federal Register website as an Interim Final Rule with request for comments.This ETS stems from an Executive Order signed by President Biden in January 2021 to protect worker health and safety, which directed OSHA to take action to reduce the risk for workers who are at risk of contracting COVID-19 in the workplace.

The language of the ETS contains several requirements that will be applicable to most settings where any employee provides healthcare services or healthcare support services, including DME suppliers and home health agencies. Some of the key requirements of the ETS are as follows:

  • The employer must develop and implement a COVID-19 plan for each workplace. If the employer has more than 10 employees, the COVID-19 plan must be written
  • The employer must designate one or more workplace COVID-19 safety coordinators to implement and monitor the COVID-19 plan
  • The employer must conduct a workplace-specific hazard assessment to identify potential workplace hazards related to COVID-19
  • In order for an employer to be exempt from providing controls based on employees’ fully vaccinated status, the COVID-19 plan must include policies and procedures to determine employees’ vaccination status
  • The employer must seek the input and involvement of non-managerial employees and their representatives, if any, in the hazard assessment and the development and implementation of the COVID-19 plan
  • The employer must monitor each workplace to ensure the ongoing effectiveness of the COVID-19 plan and update it as needed
  • The COVID-19 plan must address the hazards identified by the assessment, and include policies and procedures to minimize the risk of transmission of COVID-19 for each employee and effectively communicate and coordinate with other employers when workspace is shared by multiple employers
  • The COVID-19 plan must contain provisions that protect employees who enter into private residences or other physical locations controlled by a person not covered by the OSH Act (e.g., homeowners, sole proprietors). This must include procedures for employee withdrawal from that location if those protections are inadequate
  • In settings where direct patient care is provided, the employer must: (1) Limit and monitor points of entry to the setting
  • PPE, physical barrier, cleaning/sanitizing, and social distancing protocols within the healthcare setting

There are several resources that will be of benefit to you as you review this ETS.

  1. Full ETS Language 
  2. ETS FAQs 
  3. ETS Summary Sheet
  4. Flowchart to help determine which ETS applies to your business
  5. Map of which states 1) are Federal OSHA states, 2) have state plans that cover only state/local government workplaces, or 3) have state plans that cover both state/local government as well as private workplaces: https://www.osha.gov/stateplans

As you can see when using the map linked above, the implementation of these regulations could vary from state to state. Employers with questions regarding this OSHA ETS are encouraged to reach out to their state’s OSHA office. You can find your local OSHA office here: https://www.osha.gov/contactus/bystate. The national phone # for OSHA is 800-321-6742.

According to the ETS summary sheet, “Employers must comply with most provisions within 14 days, and with provisions involving physical barriers, ventilation, and training within 30 days. OSHA will use its enforcement discretion for employers who are making a good faith effort to comply with the ETS.”

TAGS

  1. osha
  2. vgm government

From Our Experts

Kentucky Governor Announces Reprieve from Previously Announced Kentucky Medicaid 4% Rate Cut thumbnail Kentucky Governor Announces Reprieve from Previously Announced Kentucky Medicaid 4% Rate Cut The administration expects the surplus funding to sustain current reimbursement levels through June 2027. NAAOP and OPGA Co-Host Second Annual In-Person Legislative Fly-In thumbnail NAAOP and OPGA Co-Host Second Annual In-Person Legislative Fly-In Last week, over 30 stakeholders, advocates, and leaders from around the O&P profession convened at the offices of Powers Pyles Sutter & Verville PC in Washington, D.C., as part of the National Association for the Advancement of Orthotics and Prosthetics' (NAAOP) second annual in-person legislative fly-in. Round 2028 Updates for Competitive Bidding & Interoperability Rule FAQ thumbnail Round 2028 Updates for Competitive Bidding & Interoperability Rule FAQ On Nov. 28, 2025, the Centers for Medicare & Medicaid Services (CMS) announced plans for Round 2028 of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP). If you plan to bid, the time to prepare is now... What DMEPOS Providers Need to Know About H.R. 3514: Improving Seniors' Timely Access to Care Act thumbnail What DMEPOS Providers Need to Know About H.R. 3514: Improving Seniors' Timely Access to Care Act Medicare Advantage prior authorization continues to be one of the most significant operational and patient care challenges facing DMEPOS suppliers. A new bipartisan bill, H.R. 3514: Improving Seniors' Timely Access to Care Act, seeks to increase transparency, accountability, and oversight of Medicare Advantage prior authorization practices. This bill passed out of Ways & Means markup by a unanimous vote (42-0) on July 15... H.R. 1703 Advances, Bringing Greater Choice for Wheelchair Users thumbnail H.R. 1703 Advances, Bringing Greater Choice for Wheelchair Users The DMEPOS community, particularly wheelchair providers and users, should be celebrating an important victory as the House approved the Choices for Increased Mobility Act (H.R. 1703). North Carolina Medicaid Rate Floor Extended Through 2029 thumbnail North Carolina Medicaid Rate Floor Extended Through 2029 Earlier this year, it was announced that the North Carolina General Assembly has approved the state budget, securing an additional full two-year extension of the Medicaid fee schedule floor. This protection will now remain in effect until June 30, 2029, guaranteeing that reimbursement rates will continue to be set at 100% of the lesser of the supplier's usual and customary rate or the maximum allowable Medicaid fee-for-service rate. State Medicaid Work Requirements: The Impact on Medicaid beneficiaries and their DME Suppliers thumbnail State Medicaid Work Requirements: The Impact on Medicaid beneficiaries and their DME Suppliers Pursuant to the work and community engagement requirements included in H.R.1, the Centers for Medicare & Medicaid Services (CMS) has issued an interim final rule mandating a framework for Medicaid departments to follow when evaluating Medicaid beneficiary eligibility. Beginning no later than January 1, 2027, states must require certain adult Medicaid enrollees to demonstrate at least 80 hours per month of qualifying activity, which may include employment, education, or community... Healthcare Coalition Urges Congress to Advance Supplemental Oxygen Reform thumbnail Healthcare Coalition Urges Congress to Advance Supplemental Oxygen Reform Washington, D.C. — A broad coalition of suppliers, manufacturers, clinicians, and patient advocates is calling on Congress to advance the Supplemental Oxygen Access Reform (SOAR) Act (H.R. 2902 / S. 1406) to protect patient access to life-sustaining oxygen therapy.