Embed Size (px)
Citation preview
September 17, 2020 COVID-19 has created a fluid and rapidly evolving situation across the state of Texas. Below are the latest developments:
Case Statistics as of 9/16/2020: • 674,772 total cases (69,457estimated active cases) • 3,409 new cases 9/16/2020 • 590,837 estimated recovered • 14,478 fatalities (135 new) • 3,249 hospitalized • 5,299,620 molecular tests (9/15/2020) • 6.98% Specimen Collection Positivity Rate (9/15/2020)
o DSHS added the Specimen Collection Date positivity rate effective 9/14/2020. This more accurate positivity rate is possible due to recent data system upgrades.
DSHS COVID Dashboard Governor Abbott made the following statements in a 12:00 pm press conference today: Governor Greg Abbott held a press conference to provide an update on the state's ongoing efforts to combat COVID-19. During the press conference, the Governor issued Executive Orders expanding occupancy levels for restaurants, retail stores, office buildings, manufacturing facilities, gyms and exercise facilities and classes, museums, and libraries, and re-authorizing elective surgeries for a majority of the state of Texas. The Governor also announced new guidance related to visitations at nursing homes and long-term care facilities across the state. Restaurants, Retail, Etc. Capacity Expanded to 75% • Executive Order – GA 30 allows restaurants, retail stores, office buildings, manufacturing
facilities, gyms and exercise facilities and classes, museums, and libraries to operate at 75% capacity.
• Bars must remain closed
o Governor Abbott stated that it is still too risky to reopen bars at this time. o TABC has adjusted some of their rules to make it easier for bars to qualify as a restaurant,
and therefore be able to be open. More information on those rules can be found here.
• The following counties are excluded from the reopening’s in this order due to high hospitalization rates (see Hospital Capacity Metric below):
o Trauma Service Area S – Calhoun; DeWitt; Goliad; Jackson; Lavaca; Victoria o Trauma Service Area T – Jim Hogg; Webb; Zapata o Trauma Service Area V – Cameron; Hidalgo; Starr; Willacy
Elective Surgery/Hospital Capacity • Executive Order – GA 31 – hospitals that have less than 15% of COVID patients have no
restrictions on elective surgeries.
Texas COVID-19 Update
• The following counties are excluded from this order due to high hospitalization rates (see Hospital Capacity Metric below):
o Trauma Service Area S – Calhoun; DeWitt; Goliad; Jackson; Lavaca; Victoria o Trauma Service Area T – Jim Hogg; Webb; Zapata o Trauma Service Area V – Cameron; Hidalgo; Starr; Willacy
Hospital Capacity Metric for Reopening’s • The Governor said that looking at hospital capacity is the most accurate set of data we have in
evaluating COVID-19, and will be used as a baseline for additional reopening’s in the state. When hospitalizations are high, the state needs to react and put in place restrictions. When hospitalizations are down, then the state can loosen reopening restrictions.
• Texas is broken down into 22 Trauma Service Areas (see map on page 3). Counties that reside in Trauma Service Areas (TSAs) with high COVID-19 hospitalizations are excluded from these reopening’s.
• Any TSA that has had seven consecutive days in which the number of COVID‑19 hospitalized patients as a percentage of all hospitalized patients exceeds 15% is excluded from the reopening’s provided under GA‑30 and GA‑31. Once they have seven consecutive days below the 15% threshold, they are eligible for the reopening’s.
• The following counties are part of TSAs where, for the last seven days, 15% or more of the hospitalizations have been COVID‑19:
o Trauma Service Area S – Calhoun; DeWitt; Goliad; Jackson; Lavaca; Victoria o Trauma Service Area T – Jim Hogg; Webb; Zapata o Trauma Service Area V – Cameron; Hidalgo; Starr; Willacy
• DSHS will post TSA Hospitalization Rates here: https://www.dshs.texas.gov/ga3031/
New Guidance for Visitation at Nursing Homes and Long-Term Care Facilities • Governor Abbott directed the Texas Health and Human Services Commission to expand
visitation options for eligible nursing, assisted living, and intermediate care facilities, home and community-based service providers, and inpatient hospice, effective Thursday, Sept. 24.
• This will allow a designated essential caregiver to provide supportive, hands-on care to facility residents who do not have COVID-19.
• Residents will be allowed to designate up to two essential family caregivers o Designated caregivers will be provided necessary training to allow them to safely go
inside a facility for a scheduled visit, including in the resident’s room. o Designated caregivers will not be required to maintain physical distancing o Only one caregiver can visit a resident at a time o Proper PPE must be worn at all times o Caregiver must test negative for COVID-19 within the previous 14 days before the initial
visit
• General visitors, who are not a designated essential caregiver, will be allowed scheduled indoor visitation with the use of plexiglass safety barriers. Physical contact between residents and general visitors is not permitted.
Trauma Service Area Map
Source: https://www.dshs.texas.gov/emstraumasystems/etrarac.shtm
Quick Links • Texas Department of State Health Services Map: COVID-19 Texas Case Counts • Johns Hopkins University Coronavirus Map: COVID-19 Global Case Counts • State Agency Resource Links, and PPE Donations: Texas.gov • Office of the Governor: gov.texas.gov
o Governor’s Report to Open Texas • Texas Department of Emergency Management Daily Updates: TDEM Situation Reports; TDEM
District Reports
Open Texas Phases September 17, 2020
• Restaurants, Retail, Office Buildings, Manufacturing, Libraries, and Museums o May increase Capacity to 75%
June 26, 2020
• Bars o All bars in Texas are required to close: TABC has allowed for some exceptions on food
requirements o They are allowed to do take-out and delivery (including alcoholic beverages)
• Restaurants o All restaurants are to reduce indoor capacity to 50% (previously allowed at 75%)
• Rafting & Tubing Businesses o Must Close
• Outdoor Gatherings o Any gathering over 100 people must be approved by local government
Phase III June 19, 2020
• Amusement Parks/Carnivals o Counties with < 1,000 confirmed positive cases of COVID-19 may open at 50%
capacity.
June 12, 2020
• Restaurants o Can expand to 75% capacity
• Counties o Counties with >10 cases can expand all openings to 75%
June 3, 2020
• Businesses o Can expand to 50% capacity
• Bars/Wineries/Breweries o Can expand to 50% capacity (patrons must be seated)
• Amusement Parks/Carnivals o Counties with >1,000 cases may open at 50% capacity
• Restaurants o Can expand maximum table size from 6 to 10 persons
Phase II May 31, 2020
• Adult Recreational Sports o Practices only, games can’t resume until June 15th o No spectators allowed during practice (spectators can attend games after June 15th, with
proper social distancing • Youth Camps
• Youth Sports o Youth Sports Operators o Practices cannot have spectators, however, one parent/guardian is allowed o Games can be held with or without spectators, with 6-feet social distancing
• Professional Sports Without In-Person Spectators o Includes: basketball, baseball, car racing, football, golf, softball, and tennis o Must apply for approval from DSHS o No Spectators Allowed
May 29, 2020
• Water Parks o 25% occupancy limit o Video arcades within the park must remain closed
May 26, 2020
• Driver’s Education Programs o 25% occupancy limit o 6-feet social distancing, except while driving
• Shopping Mall Food-Courts o Limit of 6 people per table o 6 feet between tables o Cleaning and disinfecting after each customer o No condiments can be left on tables
May 22, 2020
• Restaurants o May increase to 50% capacity indoors
• Bars o 25% capacity indoors
o No loitering at bar, and people should be seated. o Dancing is discouraged. o 6-feet between parties. o No tables of more than 6.
• Bowling Alleys, Bingo Halls, Simulcasting, Skating Rinks o 25% capacity o 6-feet between parties o Any interactive components or play areas remain closed
• Rodeo / Equestrian Events o 25% capacity o 6-feet between parties o County Fairs are still closed
• Zoos, Aquariums, Natural Caverns o 25% capacity o Interactive exhibits closed
May 18, 2020
• Child Care Centers o All child care centers can reopen o Must implement social distancing strategies, intensify cleaning and disinfection, modify
drop-off/pick-up, implement screening procedures (details in link above) • Massage and Personal-Care, Beauty Services
o Includes: massage establishments, electrolysis, waxing, tattoo studios, piercing studios, and hair loss treatment services
o 6-feet between work stations • Youth Clubs
o Includes: Boy Scouts, Girl Scouts, TOP Teens, FFA, etc. o Indoor meetings cannot be larger than 10 people o 6-feet social distancing
May 18, 2020
• Gyms / Exercise Facilities o 25% capacity o Locker rooms & showers remain closed
• Manufacturers o All non-CISA manufacturing facilities may operate up to 25% of the facility’s total listed
occupancy • Office-Based Employers
o Offices may operate with up to the greater of 10 individuals or 25% of the total office workforce
May 8, 2020
• Barber Shops o 6-feet between workstations
• Cosmetology / Hair Salons o 6-feet between workstations
• Nail Salons / Shops o 6-feet between workstations
• Tanning Salons
o 6-feet between workstations
Phase I May 5, 2020
• Churches and Places of Worship o See guidance from the AG in link above
• Low-COVID-19 Counties o Can operate at a 50% capacity o 25% capacity limit
• Museums and Libraries o 25% capacity limit o Interactive exhibits closed
• Outdoor Sports Participants • Parks / Beaches / Bodies of Water
o Indoor swimming pools at 25% capacity • Restaurants
o 25% capacity limit, 50% capacity limit as of 5/22, 75% capacity limit as of 6/12 o the occupancy limits do not apply to customers seated in outdoor areas of the restaurant;
and o valet services are prohibited except for disabled parking
• Retailers o 25% capacity limit
• Single Person Offices • Wedding Reception Venues
o 25% capacity indoors
Governor Abbott Declarations
September 17th • Executive Order – GA 31 – Hospital Capacity • Executive Order – GA 30 – Reopening (75% Capacity)
July 2nd • Executive Order – GA 29 – Statewide Masks
June 26th • Executive Order – GA 28 – Reopening
June 25th • Executive Order – GA 27 – Hospital Capacity
June 12th • Texas Disaster Proclamation Extension
June 3rd
• Executive Order – GA 26 – Reopening May 26th • Executive Order GA-23 Expansion – water parks, driver education
May 22nd • Executive Order GA-25 – jail visitation • Governor Abbott Announces Extensions To Payment Deadlines For Certain Employers
May 21st • Executive Order GA-24 – travel restrictions lifted
May 18th • Executive Order GA-23 – Phase II Openings
May 12th • Governor Abbott, HHSC Announce Over $1 Billion In Pandemic Food Benefits For Texas
Families
May 11th • Governor Abbott, Lt. Governor Patrick, Speaker Bonnen, Senate Finance, House
Appropriations Committee Chairs Announce Federal Funding For Local Jurisdictions • Governor Abbott Directs TDEM, DSHS, HHSC To Test All Nursing Home Residents, Staff In
Texas • Governor Abbott Issues Proclamation Regarding July 14th Early Voting For Special, Runoff
Elections
May 7th • Governor Abbott Modifies COVID-19 Executive Orders To Eliminate Confinement As A
Punishment
May 5th • Governor Abbott Issues Executive Order To Expand Openings Of Certain Businesses and
Activities • Governor Abbott Expands Business Openings In Texas, Announces Surge Response Teams
To Combat COVID-19 • Governor Abbott, HHSC Announce $3 Million Emergency Grant For Aging, Disability
Services April 30th • Governor Abbott Announces New TWC Guidance For Unemployment Claimants
April 29th • Governor Abbott Temporarily Allows For Appearance Before Notary Public Via
Videoconference For Real-Estate Instruments April 27th • Executive Order GA-18 – retail, restaurants & movie theatre reopening • Executive Order GA-19 – healthcare/hospital capacity
• Executive Order GA-20 – travel restriction changes April 24th • Governor Abbott, TDEM, DSHS Announce Statewide COVID-19 Test Collection Online Map • Governor Abbott, TDHCA Secure Financial Housing Assistance
April 23rd • Governor Abbott, HHSC Announce $54 Million To Support Older Texans During COVID-19
Pandemic • Governor Abbott, Chancellor Sharp, Chief Kidd Announce COVID-19 Federal Assistance
Training For Local Leaders
April 22nd • Governor Abbott Temporarily Waives Certain Testing Requirements For Advanced Practice
Registered Nurses • Governor Abbott Waives Certain Restrictions On Financial Assistance From Texas College
Work-Study Program
April 21st • Governor Abbott Provides Update On Job Openings In Texas, Resources For Texans
Seeking Employment April 20th • Governor Abbott, Texas National Guard Announce COVID-19 Mobile Testing Sites
April 17th • Governor Abbott Issues Executive Order Establishing Strike Force To Open Texas Executive Order GA-17 – Strike Force • Executive Order GA-15 – Hospital Capacity & PPE (medical procedures) Executive Order GA-16 – Retail-To-Go, School Closing
April 15th • Governor Abbott Announces $38 Million In Federal COVID-19 Emergency Funding For Local
Governments April 13th • Governor Abbott, Goldman Sachs, LiftFund Announce $50 Million in Loans For Texas Small
Businesses April 12th • Governor Abbott Extends Disaster Declaration For COVID-19
April 11th • Governor Abbott Eases Regulations On Physicians-In-Training To Increase Health Care
Capacity In Texas April 9th • Governor Abbott Waives Regulations, Expands Telehealth Options • Governor Abbott, HHSC Announce Emergency Rule to Increase Supply of Direct Care
Providers in Nursing Facilities
April 8th • Governor Abbott Temporarily Suspends Certain Statutes To Allow For Appearance Before
Notary Public Via Videoconference • Governor Abbott, HHS Announce Federal Approval Of Emergency SNAP Benefits • Governor Abbott Issues Proclamation To Allow City of Sundown To Order Its Special Election
To Occur July 14, 2020 • Governor Abbott Announces Emergency Waiver Of Federal Match Requirement For Victims
Services Grant Recipients April 7th • Governor Abbott Waives Certain Pharmacy Regulations To Increase Workforce Capabilities • Governor Abbott Announces Temporary Closure Of State Parks And Historic Sites • Governor Abbott, HHSC Announce Emergency Rule To Allow Off-Site Outpatient ESRD
Facilities April 6th • Governor Abbott Announces Care.com Initiative To Increase In-Home Child Care Access
For Frontline Workers April 5th • Governor Abbott Waives Certain Regulations To Expand Health Care Workforce During
COVID-19 Response April 2nd • Governor Abbott Suspends Regulations To Increase EMS, First Responder Workforce • Governor Abbott Proclamation Regarding Fort Worth Crime CPD Elections
April 1st • Governor Abbott Announces Federal Stimulus Package To Help Texans Affected By
COVID-19
March 31st • Governor Abbott Issues Executive Order Implementing Essential Services And Activities
Protocols
March 29th • Governor Abbott Issues Executive Order on Jail Releases • Governor Abbott Expands Executive Order on Travel Restrictions • Governor Abbott Issues Executive Order on Travel From Louisiana by Roadway • Governor Abbott Announces HHSC Request Of Section 1135 Waiver To Support Health
Care Workforce In Medicaid Program
March 28th • Governor Abbott Waives Certain Licensing Regulations For Pharmacists, Technicians • Governor Abbott Removes Licensing Barriers For Advance Practice Registered Nurses
March 27th • Governor Abbott Announces National Guard Deployment in Support of COVID-19
Response
• Governor Abbott Announces New Processes To Preserve And Extend Child Care Capacity For Front Line Workers
March 26th • Governor Abbott Issues Executive Order Mandating 14-Day Quarantine For Travelers
Arriving From New York Tri-State Area, New Orleans • Governor Abbott Requests Release of Federal Unemployment Funds • Governor Abbott Announces HHSC Request Of 1135 Medicaid Waiver
March 25th • Governor Abbott Announces Federal Grant for Senior Citizen Meals • Governor Abbott Sends Letter Seeking Permission For SNAP Recipients To Use Their
Benefits At Take Out And Drive-Thru Restaurants • Governor Abbott Takes Action To Expand Texas Hospital Capacity • Governor Abbott Waives Certain Licensing Renewal Regulations, Fees For Nurses
March 24th • Governor Abbott Announces Increased PPE Supply, Issues Executive Order To Strengthen
Reporting Capabilities • Governor Abbott Authorizes Restaurants To Sell Bulk Retail Product From Distributors To
The Public
March 23rd • Governor Abbott Requests Major Disaster Declaration from White House • Governor Abbott Announces Distribution Of Federal Funding For COVID-19 Response
March 22nd • Governor Abbott Issues Executive Order Increasing Hospital Capacity, Announces Supply
Chain Strike Force For COVID-19 Response
March 21st • Governor Abbott Takes Action to Expand Nursing Workforce
March 20th • Governor Abbott Announces Approval Of Emergency Designation For Small Business
Disaster Loans From U.S. Small Business Administration • Governor Abbott Waives Health Care Fees For Incarcerated Texans In TDCJ Facilities • Governor Abbott Issues Statement On Texas Supreme Court Temporary Suspension Of
Residential Eviction Proceedings • Governor Abbott Allows Event Permit Refunds For Businesses Affected By COVID-19
Cancellations • Governor Abbott Waives Regulations To Support Pharmacy Operations, Allow Telephonic
Consultations • Governor Abbott Postpones Runoff Primary Election In Response To COVID-19
March 19th • Governor Abbott Issues Executive Orders In Accordance With Federal Guidelines To
Mitigate Spread Of COVID-19 In Texas • Governor Abbott Issues Executive Orders To Mitigate Spread Of COVID-19 In Texas • Dr. John Hellerstedt Issues Public Health Disaster Declaration In Texas
March 18th • Governor Abbott, DPS Waive Expiration Dates for Driver Licenses • Governor Abbott Issues Proclamation Allowing For Postponement Of Local Elections Set
For May 2nd • Governor Abbott Waives Certain Regulations To Allow Delivery Of Alcohol From
Restaurants And To Support Hospitality Industry o TABC Clarification on the Delivery of Alcohol Waiver
• Governor Abbott Announces Temporary Closure Of Driver License Offices March 17th • Governor Abbott Issues Proclamation Postponing Special Election For Texas Senate
District 14 • Governor Abbott Activates Texas National Guard In Response To COVID-19 • Governor Abbott Requests Emergency Designation For Small Business Disaster Loans
From U.S. Small Business Administration • Governor Abbott Waives Certain Regulations For Telemedicine Care In Texas
March 16th • Governor Abbott Waives STAAR Testing Requirements • Governor Abbott Waives Certain Vehicle Registration, Titling, And Parking Placard
Regulations In Texas
March 15th • Governor Abbott Waives Laws To Allow Trucks From Alcohol Industry To Deliver Grocery
Supplies • Governor Abbott Waives Regulations To Ensure Students In Work-Study Programs
Receive Critical Funding During School Closures
March 14th • Governor Abbott Waives Certain State Trucking Regulations To Expedite Delivery Of
Resources Around Texas • Governor Abbott Fast-Tracks Licensing For Out-Of-State Medical Professionals
March 13th • Governor Abbott declares a State of Disaster for all Texas Counties
City Update Links Houston City of Houston COVID-19 Updates
Dallas City of Dallas COVID-19 Updates
San Antonio City of San Antonio COVID-19 Updates
Austin City of Austin COVID-19 Updates Laredo City of Laredo COVID-19 Updates El Paso City of El Paso COVID-19 Updates
Fort Worth City of Fort Worth COVID-19 Updates
Arlington City of Arlington COVID-19 Updates McAllen
City of McAllen/Hidalgo County COVID-19 Updates Corpus Christi City of Corpus Christi COVID-19 Updates
Lubbock City of Lubbock COVID-19 Updates Bryan/College Station Brazos County COVID-19 Updates Waco City of Waco COVID-19 Updates
McGuireWoods Consulting Resources McGuireWoods Consulting COVID-19 Updates and Resources Employers
• OSHA Issues New COVID-19 Preparedness Guidance for Employers • Considerations for Employers Addressing the COVID-19 Outbreak • Managing Coronavirus Risk Through Insurance Stay Safe!
For more information, please contact a member of the McGuireWoods Consulting Texas Team: Holly Deshields, Senior Vice President/Director Mark Miner, Senior Vice President/Director Kwame Walker, Senior Vice President Amber Hausenfluck, Senior Vice President Tony Gius, Senior Vice President Lucy Nashed, Vice President Jim Sheer, Vice President Tracy Morehead, Vice President Bri Weber, Research Associate
